A frequência de consumo de desjejum está associada a marcadores antropométricos de adiposidade corporal em estudantes universitários

Autores

  • Letícia Brito Silva Hospital Universitário Julio Muller (HUJM), Unidade de Nutrição Clínica. https://orcid.org/0000-0002-8803-8083
  • Lídia Pitaluga Pereira Universidade de Cuiabá, Faculdade de Medicina, Programa de Pós-Graduação em Ambiente e Saúde. https://orcid.org/0000-0001-6433-2213
  • Lorena Barbosa Fonseca Universidade Federal de Mato Grosso, Faculdade de Nutrição, Departamento de Alimentos e Nutrição. https://orcid.org/0000-0002-0829-5785
  • Paulo Rogério Melo Rodrigues Universidade Federal de Mato Grosso, Faculdade de Nutrição, Departamento de Alimentos e Nutrição; Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva. https://orcid.org/0000-0002-4213-0685
  • Ana Paula Muraro Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva. https://orcid.org/0000-0001-6237-1673
  • Márcia Gonçalves Ferreira Universidade Federal de Mato Grosso, Faculdade de Nutrição, Departamento de Alimentos e Nutrição; Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva. https://orcid.org/0000-0001-8362-0819

Palavras-chave:

Adiposidade, Antropometria, Desjejum, Estudantes, Universidades

Resumo

Objetivo
Analisar a frequência do consumo de desjejum e sua associação com a adiposidade corporal em estudantes universitários.
Métodos
Estudo transversal com dados da linha de base de uma coorte de 2.179 estudantes com idade de 16 a 25 anos, matriculados em 21 cursos de período integral, coletados entre 2015 e 2018. Os desfechos avaliados foram excesso de peso, obesidade, circunferência da cintura elevada e relação cintura/altura elevada. A frequência de consumo do desjejum foi avaliada em: regular (5-7 vezes/semana); irregular (1-4 vezes/semana) e omissão (nunca/quase nunca). As associações foram estimadas por modelos de regressão de Poisson com variância robusta.
Resultados
As prevalências de omissão e consumo irregular de desjejum foram, respectivamente, 14,5% e 23,6% para homens e 14,6% e 24,7% para mulheres. No sexo masculino a omissão do desjejum associou-se diretamente à obesidade (RPa=1,74; IC95%=1,05;2,88), à circunferência da cintura elevada (RPa=2,10; IC95%=1,31;3,35) e relação cintura/altura elevada (RPa =1,59; IC95%=1,13;2,23). Entre as mulheres, a omissão do desjejum associou-se à relação cintura/altura elevada (RPa=1,51; IC95%=1,03;2,20). O consumo irregular do desjejum foi associado apenas à obesidade em mulheres e não foi associado a nenhum dos desfechos avaliados entre os homens.
Conclusão
A omissão do desjejum associou-se à adiposidade abdominal em ambos os sexos e também à adiposidade total entre os homens. O consumo irregular do desjejum foi associado apenas à obesidade entre as mulheres. O consumo regular do desjejum deve ser incluído entre os objetivos de ações de promoção da alimentação saudável nas universidades.

Referências

World Health Organization. Obesity and overweight. Geneva: WHO; 2024 [cited 2024 Jul 4]. Available from: World Wide Web: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Vadeboncoeur C, Townsend N, Foster C. A meta-analysis of weight gain in first year university students: Is freshman 15 a myth? BMC Obes. 2015;2:22. https://doi.org/10.1186/s40608-015-0051-7

Martin JC, Moran LJ, Harrison CL. Diet quality and its effect on weight gain prevention in young adults: A narrative review. Semin Reprod Med. 2020;38(6):407-13. https://doi.org/10.1055/s-0041-1723776

Hernández-Jaña S, Huber-Pérez T, Palma-Leal X, Guerrero-Ibacache P, Campos-Nuñez V, Zavala-Crichton JP, et al. Effect of a single nutritional intervention previous to a critical period of fat gain in university students with overweight and obesity: A randomized controlled trial. Int J Environ Res Public Health. 2020;17(14):5149. https://doi.org/10.3390/ijerph17145149

Mansouri M, Hasani-Ranjbar S, Yaghubi H, Rahmani J, Tabrizi YM, Keshtkar A, et al. Breakfast consumption pattern and its association with overweight and obesity among university students: A population-based study. Eat Weight Disord. 2020;25(1):379-87. https://doi.org/10.1007/s40519-018-0609-8

Romero-Blanco C, Hernández-Martínez A, Parra-Fernández ML, Onieva-Zafra MD, Prado-Laguna MDC, Rodríguez-Almagro J. Food addiction and lifestyle habits among university students. Nutrients. 2021;13(4):1352. https://doi.org/10.3390/nu13041352

O’Neil CE, Byrd-Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson-Martin S. The role of breakfast in health: Definition and criteria for a quality breakfast. J Acad Nutr Diet. 2014;114(12):S8-S26. https://doi.org/10.1016/j.jand.2014.08.022

Takahashi M, Tahara Y. Timing of food/nutrient intake and its health benefits. J Nutr Sci Vitaminol (Tokyo). 2022;68(Suppl):S2-S4. https://doi.org/10.3177/jnsv.68.S2

Ma X, Chen Q, Pu Y, Guo M, Jiang Z, Huang W, et al. Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obes Res Clin Pract. 2020; 14(1):1-8. https://doi.org/10.1016/j.orcp.2019.12.002

Yamamoto R, Tomi R, Shinzawa M, Yoshimura R, Ozaki S, Nakanishi K, et al. Associations of skipping breakfast, lunch, and dinner with weight gain and overweight/obesity in university students: A retrospective cohort study. Nutrients. 2021;13(1):271. https://doi.org/10.3390/nu13010271

Bonnet JP, Cardel MI, Cellini J, Hu FB, Guasch-Ferré M. Breakfast skipping, body composition, and cardiometabolic risk: A systematic review and meta-analysis of randomized trials. Obesity. 2020;28(6):1098-109. https://doi.org/10.1002/oby.22791

Lee KX, Quek KF, Ramadas A. Dietary and lifestyle risk factors of obesity among young adults: A scoping review of observational studies. Curr Nutr Rep. 2023;12(4):733-43. https://doi.org/ 10.1007/s13668-023-00513-9

Duan D, Pilla SJ, Michalski K, Laferrère B, Clark JM, Maruthur NM. Eating breakfast is associated with weight loss during an intensive lifestyle intervention for overweight/obesity. Obesity. 2022;30(2):378-88. https://doi.org/10.1002/oby.23340

Nogueira PS, Ferreira MG, Rodrigues PRM, Muraro AP, Pereira LP, Pereira RA. Longitudinal Study on the Lifestyle and Health of University Students (ELESEU): Design, methodological procedures, and preliminary results. Cad Saude Publica. 2018;34(4): e00145917. https://doi.org/10.1590/0102-311X00145917

Hassan BK, Cunha DB, Valeria da Veiga G, Pereira RA, Sichieri R. Changes in breakfast frequency and composition during adolescence: The adolescent nutritional assessment longitudinal study, a cohort from Brazil. Plos One. 2018;13(7):e0200587. https://doi.org/10.1371/journal.pone.0200587

Gordon C, Chumlea W, Roche A. Stature, recumbent length, and weight: Anthropometric standardization reference manual. Champaign: Human Kinetics Books; 1988. p. 3-8.

World Health Organization. Physical status: The use of and interpretation of anthropometry, report of a WHO expert committee. Geneva: World Health Organization; 1995 [cited 2024 Jul 4]. Available from: https://apps.who.int/iris/handle/10665/37003

World Health Organization. Growth reference data for 5-19 years: Body mass index-for-age, length/height-for-age and weight-for-height. Geneva: World Health Organization; 2007.

World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. Geneva: World Health Organization; 1999. World Health Organ Tech Rep Ser. 2000.

Sociedade Brasileira de Diabetes. Diretrizes SBD 2019-2020. São Paulo: Diretrizes da Sociedade Brasileira de Diabetes; ©2019.

Ashwell M, Hsieh SD. Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. Int J Food Sci Nutr. 2005;56(5):303-7. https://doi.org/10.1080/09637480500195066

Instituto Brasileiro de Geografia e Estatística. Características étnico-raciais da população: um estudo das categorias de classificação de cor ou raça (2008). Rio de Janeiro: IBGE; 2011.

Associação Brasileira de Empresas de Pesquisa. Critério Brasil: critério de classificação econômica Brasil 2015. São Paulo: Abep; 2015 [cited 2023 Jul 4]. Available from: https://www.abep.org/criterio-brasil

World Health Organization. Library cataloguing in publication data guidelines for controlling and monitoring the tobacco epidemic. Geneva: World Health Organization; 1998.

Travé TD. Análisis nutricional del desayuno y almuerzo en una población universitaria. Nutr Hosp. 2013;28(3):1286-90. https://dx.doi.org/10.3305/nh.2013.28.4.6479

Eittah HFA. Effect of breakfast skipping on young females’ menstruation. Health Sci J. 2014;8(4):469-84. 27. Teixeira GP, Mota MC, Crispim CA. Eveningness is associated with skipping breakfast and poor nutritional intake in Brazilian undergraduate students. Chronobiol Int. 2018;35(3): 358-67. https://doi.org/10.1080/07420528.2017.1407778

Lesani A, Mohammadpoorasl A, Javadi M, Esfeh JM, Fakhari A. Eating breakfast, fruit and vegetable intake and their relation with happiness in college students. Eat Weight Disord. 2016;21(1):645-51. https://doi.org/10.1007/s40519-016-0261-0

Fujiwara T, Ono M, Iizuka T, Sekizuka-Kagami N, Maida Y, Adachi Y, et al. Breakfast skipping in female college students is a potential and preventable predictor of gynecologic disorders at health service centers. Diagnostics. 2020;10(7):476. https://doi.org/10.3390/diagnostics10070476

Yahia N, Achkar A, Abdallah A, Rizk S. Eating habits and obesity among Lebanese university students. Nutr J. 2008;7(32). https://doi.org/10.1186/1475-2891-7-32

Akal Yildiz E, Demirduzen S, Burcu Dogan V, Duman S, Turkmen N, Naci Yildiz A, et al. Evaluation of the dietary habits, body images and BMI of Turkish University students who live in dormitory [Internet]. Pak J Med Sci. 2011;27(1):85-9. Available from: https://www.pjms.com.pk/index.php/pjms/article/view/823

Suliga E, Wronka I, Pawlińska-Chmara R. Nutritional habits of female university students in relation to selfperception of body. Biomed Hum Kinet. 2012;4(2012):98-102. https://doi.org/10.2478/v10101-012-0018-9

Niba LL, Atanga MB, Navti LK. A cross sectional analysis of eating habits and weight status of university students in urban Cameroon. BMC Nutr. 2017;3:55. https://doi.org/10.1186/s40795-017-0178-7

Yasuda J, Asako M, Arimitsu T, Fujita S. Skipping breakfast is associated with lower fat-free mass in healthy young subjects: A cross-sectional study. Nutr Res. 2018;60(1):26-32. https://doi.org/10.1016/j.nutres.2018.09.006

Nurul-Fadhilah A, Teo PS, Huybrechts I, Foo LH. Infrequent breakfast consumption is associated with higher body adiposity and abdominal obesity in Malaysian school-aged adolescents. Plos One. 2013;8(3):e59297. https://doi.org/10.1371/journal.pone.0059297

de Souza MR, Neves MEA, Souza A de M, Muraro AP, Pereira RA, Ferreira MG, et al. Skipping breakfast is associated with the presence of cardiometabolic risk factors in adolescents: Study of Cardiovascular Risks in Adolescents - ERICA. Br J Nutr. 2021;126(2): 276-84. https://doi.org/ 10.1017/S0007114520003992

Goto M, Kiyohara K, Kawamura T. Lifestyle risk factors for overweight in Japanese male college students. Public Health Nutr. 2010;13(10):1575-80. https://doi.org/10.1017/S1368980009992813

Yahia N, Brown CA, Snyder E, Cumper S, Langolf A, Trayer C, et al. Prevalence of metabolic syndrome and its individual components among midwestern university students. J Community Health. 2017;42(1):674-87. https://doi.org/10.1007/s10900-016-0304-5

Sousa KT de, Marques ES, Levy RB, Azeredo CM. Food consumption and depression among Brazilian adults: results from the Brazilian National Health Survey, 2013. Cad Saúde Pública. 2020;36(1):e00245818. https://doi.org/10.1590/0102-311X00245818

Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ. Skipping breakfast: Longitudinal associations with cardiometabolic risk factors in the childhood determinants of adult health study. Am J Clin Nutr. 2010;92(6):1316-25. https://doi.org/10.3945/ajcn.2010.30101

Dialektakou KD, Vranas PBM. Breakfast skipping and body mass index among adolescents in Greece: Whether an association exists depends on how breakfast skipping is defined. J Am Diet Assoc. 2008;108(9):1517-25. https://doi.org/10.1016/j.jada.2008.06.435

Tennant PWG, Murray EJ, Arnold KF, Berrie L, Fox MP, Gadd SC, et al. Use of directed acyclic graphs (DAGs) to identify confounders in applied health research: Review and recommendations. Int J Epidemiol. 2021;50(2):620-32. https://doi.org/10.1093/ije/dyaa213

Pendergast FJ, Livingstone KM, Worsley A, McNaughton SA. Correlates of meal skipping in young adults: A systematic review. Int J Behav Nutr Phys Act. 2016;13(1):1-15. https://doi.org/10.1186/s12966-016-0451-1

Azadbakht L, Haghighatdoost F, Feizi A, Esmaillzadeh A. Breakfast eating pattern and its association with dietary quality indices and anthropometric measurements in young women in Isfahan. Nutrition. 2013;29(2):420-5. https://doi.org/10.1016/j.nut.2012.07.008

Paixão C, Dias CM, Jorge R, Carraça E V., Yannakoulia M, de Zwaan M, et al. Successful weight loss maintenance: A systematic review of weight control registries. Obes Rev. 2020;21(5):e13003. https://doi.org/10.1111/obr.13003

Kant AK, Graubard BI. 40-Year Trends in Meal and Snack Eating Behaviors of American Adults. J Acad Nutr Diet. 2015;115(1):50-63. https://doi.org/10.1016/j.jand.2014.06.354

Nicklas TA, O’Neil C, Myers L. The importance of breakfast consumption to nutrition of children, adolescents, and young adults. Nutr Today. 2004;39(1):30-9. https://doi.org/10.1097/00017285-200401000-00009

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Publicado

13-06-2025

Como Citar

Silva, L. B., Pereira, L. P., Fonseca, L. B., Rodrigues, P. R. M., Muraro, A. P., & Ferreira, M. G. (2025). A frequência de consumo de desjejum está associada a marcadores antropométricos de adiposidade corporal em estudantes universitários. Revista De Nutrição, 37. Recuperado de https://seer.sis.puc-campinas.edu.br/nutricao/article/view/16217

Edição

Seção

Saúde Coletiva

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