Dietary patterns among adolescent freshmen attending a public university

Authors

Keywords:

Adolescent, Factor analysis, Feeding Behavior, Obesity, Universities

Abstract

Objective
To identify the association between dietary patterns and nutritional status in adolescent freshmen at a public university in Northeastern Brazil.
Methods
In this cross-sectional study anthropometric variables, body composition and food intake were collected and assessed using the food frequency questionnaire. Dietary patterns were evaluated through factor analysis using the principal component extraction method.
Results
Two dietary patterns were identified: “Western” pattern, consisting of foods with high energy density and low nutritional value, and the “traditional Brazilian” pattern, with foods from Brazilian cuisine such as rice, beans, corn, roots and tubers, fruits, greens and vegetables. The multiple regression analysis revealed a negative association between the “traditional Brazilian” pattern and both excess weight and body fat in females.
Conclusion
A healthy dietary pattern with typical local cuisine foods can offer protection to health and should be encouraged.

References

Bernardo GL, Jomori MM, Fernandes AC, Proença RPC. Food intake of university students. Rev Nutr. 2017;30(6):847-65. https://doi.org/10.1590/1678-98652017000600016

Ocké MC. Evaluation of methodologies for assessing the overall diet: dietary quality scores and dietary pattern analysis. Proc Nutr Soc. 2013;72(2):191-99. https://doi.org/10.1017/S0029665113000013

Mueller MP, Blondin SA, Korn AR, Bakun PJ, Tucker KL, Economos CD. Behavioral correlates of empirically-derived dietary patterns among university students. Nutrients. 2018;10(6):716. https://doi.org/10.3390/ nu10060716

Sprake EF, Russell JM, Cecil JE, Cooper RJ, Grabowski P, Pourshahidi LK, et al. Dietary patterns of university students in the UK: a cross-sectional study. Nutr J. 2018;17(90):1-17. https://doi. org/10.1186/s12937-018-0398-y

Pereira-Santos M, Santana JM, Carvalho ACN, Freitas F. Dietary patterns among nutrition students at a public university in Brazil. Rev Chil Nutr. 2016;43(1):39-44. https://doi.org/10.4067/ S0717-75182016000100006

Fonseca LB, Pereira LP, Rodrigues PRM, Andrade ACS, Muraro AP, Gorgulho BM, et al. Food consumption on campus is associated with meal eating patterns among college students. Br J Nutr. 2021;126(1):53-65. https://doi.org/10.1017/S0007114520003761

Marcondelli P, Costa THM, Schmitz BAS. Physical activity level and food intake habits of university students from 3 to 5 semester in the health area. Rev Nutr. 2008;21(1):39-47. https://doi.org/10.1590/ S1415-52732008000100005

Associação Brasileira das Empresas de Pesquisa. Critério Padrão de Classificação Econômica Brasil. São Paulo: Associação; 2015 [cited 2021 June 5]. Available from: https://www.abep.org/criterio-brasil

American Academic of Pediatrics. Children, Adolescents, and Television. Committee on Public Education. Pediatrics. 2001;107(2):423-26. https://doi.org/10.1542/peds.107.2.423

Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário Internacional de Atividade Física: estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fis Saúde. 2001;6(2):5-18. https://doi.org/10.12820/rbafs.v.6n2p5-18

Lohman TG. Anthropometric assessment of fat-free body mass. In: Himes JH, editor. Anthropometric assessment of nutritional status. Champaign: Human Kinetics Publishers; 1991. p. 173-183.

Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: Norma Técnica do Sistema de Vigilância Alimentar e Nutricional. Brasília: Ministério; 2011[cited 2021 June 5]. Available from: https://portolivre.fiocruz.br/orienta%C3%A7%C3%B5es-para-coleta-e-an%C3%A1lise-de-dados-antropom%C3%A9tricos-em-servi%C3%A7os-de-sa%C3%BAde-norma-t%C3%A9cnica-do

World Health Organization. Programmes and projects: growth reference 5-19 years. Geneva: Organization; 2007[cited 2021 June 5]. Available from: https://www.who.int/growthref/en/

World Health Organization. AnthroPlus for personal computers Manual: software for assessing growth of the world’s children and adolescents. Geneva: Organization; 2009 [cited 2021 June 5]. Available from: http://www.who.int/growthref/tools/en/

Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3-19 y. Am J Clin Nutr. 2000;72(2):490-95. https://doi.org/10.1093/ajcn/72.2.490

Li C, Ford ES, Mokdad AH, Cook S. Recent trends in waist circumference and waist-height ratio among US children and adolescents. Pediatrics. 2006;118(5):e1390-8. https://doi.org/10.1542/peds.2006-1062

Heyward VH, Stolarczyk LM. Avaliação da composição corporal aplicada. São Paulo: Manole; 2000.

Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual abridged edition. Champaign: Human Kinetics Books; 1991.

Lohman TG. Applicability of body composition techniques and constants for children and youths. Exerc Sport Sci Rev. 1986;14:325-57.

Furlan-Viebig R, Pastor-Valero M. Desenvolvimento de um questionário de frequência alimentar para o estudo de dieta e doenças não transmissíveis. Rev Saúde Pública. 2004;38(4):581-84. https://doi.org/10.1590/ S0034-89102004000400016

Hair JR, Anderson RE, Tatham RL, Black WC. Análise multivariada de dados. Porto Alegre: Bookman, 2009.

Mascarenhas JMO, Silva RCR, Assis AMO, Santana MLP, Moraes LTLP, Barreto ML. Identification of food intake patterns and associated factors in teenagers. Rev Nutr. 2014;27(1):45-54. https://doi.org/10.1590/1415- 52732014000100005

Maia EG, Silva LES, Santos MAS, Barufaldi LA, Silva SU, Claro RM. Padrões alimentares, características sociodemográficas e comportamentais entre adolescentes brasileiros. Rev Bras Epidemiol. 2018;21(Suppl 1):E180009. https://doi.org/10.1590/1980-549720180009.supl.1

Salameh P, Jomaa L, Issa C, Farhat G, Salamé J, Zeidan N, et al. Assessment of dietary intake patterns and their correlates among university students in Lebanon. Front Public Health. 2014;2:185. https://doi. org/10.3389/fpubh.2014.00185

Kim Y, Barrieira TV, Kang M. Concurrent associations of physical activity and screen-based sedentary behavior on obesity among US adolescents: a latent class analysis. J Epidemiol. 2016;26(3):137-44. https:// doi.org/10.2188/jea.JE20150068

Cardozo DR, Rossato SL, Costa VMHM, Oliveira MRM, Almeida LMMC, Ferrante VLSB. Padrões alimentares e (in)segurança alimentar e nutricional no Programa Bolsa Família. Interações. 2020;21(2):363-77. https:// doi.org/10.20435/inter.v21i2.2337

Pengpid S, Peltzer K. Prevalence of overweight and underweight and its associated factors among male and female university students in Thailand. Homo. 2015;66(2):176-86. https://doi.org/10.1016/j.jchb.2014.11.002

Kalirathinam D, Hui TX, Jacob S, Sadagobane SK, Chellappan ME, et al. Association between screen time and body mass index among university students. Sci Med. 2019;29(3)e33149. https://doi.org/10.15448/1980- 6108.2019.3.33149

Castro O, Bennie J, Vergee I, Bosselut G, Bidlle SJH. Correlates of sedentary behavior in university students: a systematic review. Prev Med. 2018;116:194-202. https://doi.org/10.1016/j.ypmed.2018.09.016

Silva DFO, Lyra CO, Lima SCVC. Padrões alimentares de adolescentes e associação com fatores de risco cardiovascular: uma revisão sistemática. Ciênc Saúde Colet. 2016;21(4):1181-95. https://doi.org/10.1590/1413- 81232015214.08742015

Williams SL, Vandelanotte C, Irwin C, Bellisimo N, Heidke P, Saluja S, et al. Association between dietary patterns and sociodemographics: a cross-sectional study of Australian nursing students. Nurs Health Sci. 2020;22(1):38-48. https://doi.org/10.1111/nhs.12643

Mu M, Wang SF, Sheng J, Zhao Y, Wang GX, Liu KY, et al. Dietary patterns are associated with body mass index and bone mineral density in Chinese freshmen. J Am Coll Nutr. 2014;33(2):120-28. https://doi.org/ 10.1080/07315724.2013.874897

Haq IUI, Mariyam Z, Zeb F, Wu PJX, Shah J, Xu C, et al. Identification of body composition, dietary patterns and its associated factors in medical university students in China. Ecol Food Nutr. 2020;59(1):65-78. https:// doi.org/10.1080/03670244.2019.1663350

Liu D, Zhao LY, Yu DM, Ju LH, Zhang J, Wang JZ, et al. Dietary patterns and association with obesity of children aged 6-17 years in medium and small cities in China: findings from the CNHS 2010-2012. Nutrients. 2019;11(1):1-12. https://doi.org/10.3390/nu11010003

Enes CC, Camargo CM, Justino MIC. Ultra-processed food consumption and obesity in adolescents. Rev Nutr. 2019;32(e180170). https://doi.org/10.1590/1678-9865201932e180170

Rocha NP, Milagres LC, Longo GZ, Ribeiro AQ, Novaes JF. Association between dietary pattern and cardiometabolic risk in children and adolescents: a systematic review. J Pediatr. 2017;93(3):214-22. https:// doi.org/10.1016/j.jped.2017.01.002

Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira. 2. ed. Brasília: Ministério; 2014[cited 2021 June 10]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf

Alves MA, Retondario A, Bricarello LP, Fernandes R, Souza AM, Zeni LAZR, et al. Association between dietary patterns and overweight/obesity: a Brazilian national school-based research (ERICA 2013–2014). J Public Health. 2020;28(2):163-71. https://doi.org/10.1007/s10389-019-01051-x

Neta ACPA, Steluti J, Ferreira FELL, Junior JCF, Marchioni DML. Dietary patterns among adolescents and associated factors: longitudinal study on sedentary behavior, physical activity, diet and adolescent health. Ciênc Saúde Colet. 2021;26(Supl. 2):3839-51. https://doi.org/10.1590/1413-81232021269.2.24922019

Campos L, Isensse DC, Rucker TC, Bottan ER. Condutas de saúde de universitários ingressantes e concluintes de cursos da área da saúde. Rev Bras Pesq Saúde. 2016;18(2):17-25. https://doi.org/10.21722/rbps.v18i2.15080

Instituto Brasileiro de Geografia e Bioestatística. Pesquisa Nacional de Saúde do Escolar – PENSE 2015. Rio de Janeiro: Instituto; 2016. [cited 2021 June 10]. Available from: https://biblioteca.ibge.gov.br/visualizacao/ livros/liv97870.pdf

Instituto Brasileiro de Geografia e Bioestatística. Pesquisa de Orçamentos Familiares 2008-2009: antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil. Rio de Janeiro: Instituto; 2010 [cited 2021 June 10]. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv45419.pdf

Penaforte FRO, Barroso SM, Araújo ME, Japur CC. Ortorexia nervosa em estudantes de nutrição: associações com o estado nutricional, satisfação corporal e período cursado. J Bras Psiquiatr. 2018;67(1):18-24. https:// doi.org/10.1590/0047-2085000000179

Bazyar H, Javid AZ, Dasi E, Sadeghian M. Major dietary patterns in relation to obesity and quality of sleep among female university students. Clin Nutr ESPEN. 2020;39:157-64. https://doi.org/10.1016/j. clnesp.2020.07.003

Rodrigues PRM, Pereira RA, Cunha DB, Sichieri R, Ferreira MG, Vilela AAF, et al. Fatores associados a padrões alimentares em adolescentes: um estudo de base escolar em Cuiabá, Mato Grosso. Rev Bras Epidemiol. 2012;15(3):662-74. https://doi.org/10.1590/S1415-790X2012000300019

Morais CMM, Pinheiro LGB, Lima SCVC, Lyra CO, Evangelista KCMS, Lima KC, et al. Dietary patterns of young adolescents in urban areas of Northeast Brazil. Nutr Hosp. 2013;28(6):1977-84. https://doi. org/10.3305/nh.2013.28.6.6906

Pinho MGM, Adami F, Benedet J, Vasconcelos FAG. Association between screen time and dietary patterns and overweight/obesity among adolescents. Rev Nutr. 2017;30(3):377-89. https://doi.org/10.1590/1678- 98652017000300010

Machado CH, Lopes ACS, Santos LC. Notificação imprecisa da ingestão energética entre usuários de Serviços de Promoção à Saúde. Ciênc Saúde Colet. 2017;22(2):417-26. https://doi.org/10.1590/1413- 81232017222.21492015

Published

2023-10-25

How to Cite

MENEZES, J. S. da S., ASSIS , P. P. de, NETA, A. da C. P. de A., DINIZ, A. da S., BURGOS, M. G. P. de A., & CABRAL, P. C. (2023). Dietary patterns among adolescent freshmen attending a public university. Brazilian Journal of Nutrition, 36. Retrieved from https://seer.sis.puc-campinas.edu.br/nutricao/article/view/10124

Issue

Section

ORIGINAL ARTICLE