Eating locations and occasions by energy and nutrients food sources among adolescents and young adults
Palabras clave:
Adolescent, Young Adult, Diet. Food, Cross-Sectional StudiesResumen
Objective
This study aimed to estimate the daily energy intake and overconsumed nutrients for adolescents and young adults concerning public health based on the food source, eating location, and occasion.
Methods
This study constituted a cross-sectional analysis of the 2015 Health Survey of São Paulo focusing on Nutrition with 707 adolescents (n=554, 12-19 years) and young adults (n=153, 20-30 years).
Dietary intake was measured using 24 h recall, and energy, added sugars, sodium, and saturated food sources were calculated. Foods were classified using the “What We Eat in America?” classification system. Eating locations were divided into two categories—at home and away from home—for each main meal (breakfast, lunch, and dinner). Other sociodemographic and weight status variables were included. Descriptive statistics, the Wald test, and proportion rates were applied for analysis.
Results
Most meals were consumed at home by 80.5% of adolescents and 66.4% of young adults. Young adults consumed more daily calories and saturated fats than adolescents. Both adolescents and young adults consumed equal daily saturated fatty acids, sodium, and added sugars away from home at dinner. Food consumed at home was consumed both at home and away from home, with the main exception of dinner, which consisted of mainly processed foods rich in saturated fatty acids, sodium, and added sugars consumed away from home.
Conclusion
Adolescents and young adults had meals higher in fat, sugar and sodium away from home than those who ate at home when eaten at dinner. Public health policies and behavioral change strategies should be considered independently of where their meals are consumed but with particular attention to eating occasions.
Citas
Swinburn B, Vandevijvere S, Kraak V, Sacks G, Snowdon W, Hawkes C, et al. Monitoring and benchmarking government policies and actions to improve the healthiness of food environments: A proposed Government Healthy Food Environment Policy Index. Obes Rev. 2013;14 Suppl 1:24-37. https://doi.org/10.1111/obr.12073
Bronfenbrenner U. Ecology of the family as a context for human development: Research perspectives. Dev Psychol. 1986;22(6):723-42. https://doi.org/10.1037/0012-1649.22.6.723
Nishi SK, Jessri M, L’Abbé M. Assessing the dietary habits of Canadians by eating location and occasion: Findings from the Canadian Community Health Survey, Cycle 2.2. Nutrients. 2018;10(6):682. https://doi.org/10.3390/nu10060682
Myhre JB, Loken EB, Wandel M, Andersen LF. The contribution of snacks to dietary intake and their association with eating location among Norwegian adults – results from a cross-sectional dietary survey. BMC Public Health. 2015;15:369. https://doi.org/10.1186/s12889-015-1712-7
Rauber F, Martins CA, Azeredo CM, Leffa PS, Louzada MLC, Levy RB. Eating context and ultra-processed food consumption among UK adolescents. Br J Nutr. 2021;127(1):112-22. https://doi.org/10.1017/S0007114521000854
Hammons A, Olvera N, Teran-Garcia M, Villegas E, Fiese B. Mealtime resistance: Hispanic mothers’ perspectives on making healthy eating changes within the family. Appetite. 2021;159:105046. https://doi.org/10.1016/j.appet.2020.105046
Leech RM, Worsley A, Timperio A, McNaughton SA. Understanding meal patterns: Definitions, methodology, and impact on nutrient intake and diet quality. Nutr Res Rev. 2015;28(1):1-21. https://doi.org/10.1017/S0954422414000262
Matsumoto M, Saito A, Okada C, Okada E, Tajima R, Takimoto H. Consumption of meals prepared away from home is associated with inadequate dietary fiber, vitamin C and mineral intake among Japanese adults: Analysis from the 2015 National Health and Nutrition Survey. Nutr J. 2021;20(1):40. https://doi.org/10.1186/s12937-021-00693-6
Du Y, Rong S, Sun Y, Liu B, Wu Y, Snetselaar LG, et al. Association between frequency of eating away-fromhome meals and risk of all-cause and cause-specific mortality. J Acad Nutr Diet. 2021;121(9):1741-9. https://doi.org/10.1016/j.jand.2021.01.012
Auchincloss AH, Li J, Moore KAB, Franco M, Mujahid MS, Moore LV. Are neighborhood restaurants related to the frequency of restaurant meals and dietary quality? Prevalence and changes over time in the Multi-Ethnic Study of Atherosclerosis. Public Health Nutr. 2021;24(14):4630-41. https://doi.org/10.1017/S1368980021002196
Mandracchia F, Tarro L, Llaurado E, Valls RM, Sola R. Interventions to promote healthy meals in full-service restaurants and canteens: A systematic review and meta-analysis. Nutrients. 2021;13(4):1350. https://doi.org/10.3390/nu13041350
Kelly C, Callaghan M, Gabhainn SN. ‘It’s Hard to Make Good Choices, and It Costs More’: Adolescents’ perception of the external school food environment. Nutrients. 2021;13(4):1043. https://doi.org/10.3390/nu13041043
Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: Policy and environmental approaches. Annu Rev Public Health. 2008;29(1):253-72. https://doi.org/10.1146/annurev.publhealth.29.020907.090926
Livingstone KM, Abbott G, Lamb KE, Dullaghan K, Worsley T, McNaughton SA. Understanding meal choices in young adults and interactions with demographics, diet quality, and health behaviors: A discrete choice experiment. J Nutr. 2021;151(8):2361-71. https://doi.org/10.1093/jn/nxab106
Leme ACB, Haines J, Tang L, Fisberg M, Ferrari G, Silva VA, et al. Association between weight control behaviors and diet quality among Brazilian adolescents and young adults: Health Survey of São Paulo with focus on nutrition, 2015. Eat Weight Disord. 2022;27(2):605-18. https://doi.org/10.1007/s40519-021-01198-1
Kegler MC, Hermstad A, Haardorfer R. Home food environment and associations with weight and diet among U.S. adults: A cross-sectional study. BMC Public Health. 2021;21(1):1032. https://doi.org/10.1186/s12889-021-11102-2
Moyeda-Carabaza AF, Githinji P, Nguyen B, Murimi M. The influence of frequent consumption of foods away from home on the total diet quality and weight status among faculty and staff. J Am Coll Health. 2021;71(1):292-9. https://doi.org/10.1080/07448481.2021.1891081
Fisberg RM, Leme ACB, Previdelli AN, Mello AV, Martinez AG, Sales CH, et al. Contribution of food groups to energy, grams, and nutrients-to-limit: The Latin American study of nutrition and health/Estudio Latino Americano de Nutricion y Salud (ELANS). Public Health Nutr. 2021;24(9):2424-36. https://doi.org/10.1017/S136898002100152X
Leme AC, Baranowski T, Thompson D, Philippi S, O’Neil C, Fulgoni V, et al. Top food sources of the percentage of energy, nutrients to limit and total gram amount consumed among US adolescents: National Health and Nutrition Examination Survey 2011–2014. Public Health Nutr. 2019;22(4):661-71. https://doi.org/10.1017/S1368980018002884
Leme ACB, Hou S, Fisberg RM, Fisberg M, Haines J. Adherence to food-based dietary guidelines: A systemic review of high-income and low- and middle-income countries. Nutrients. 2021;13(3):1038. https://doi.org/10.3390/nu13031038
Cunha DB, Bezerra IN, Pereira RA, Sichieri R. At-home and away-from-home dietary patterns and BMI z-scores in Brazilian adolescents. Appetite. 2018;120:374-80. https://doi.org/10.1016/j.appet.2017.09.028
Rebolledo N, Reyes M, Corvalán C, Popkin BM, Smith Taillie L. Dietary intake by food source and eating location in low- and middle-income Chilean preschool children and adolescents from southeast Santiago. Nutrients. 2019;11(7):1695. https://doi.org/10.3390/nu11071695
Alves M, Escuder MML, Goldbaum M, Barros MBA, Fisberg RM, Cesar CLG. Sampling plan in health surveys, São Paulo, Brazil, 2015. Rev Saúde Pública. 2018;52:81. https://doi.org/10.11606/s1518-8787.2018052000471
Fisberg RM, Sales CH, Fontanelli MM, Pereira JL, Alves MCGP, Escuder MML, et al. 2015 health survey of São Paulo with focus in nutrition: Rationale, design, and procedures. Nutrients. 2018;10(2):169. https://doi.org/10.3390/nu10020169
World Health Organization. Adolescence health: Overview. Switzerland: World Health Organization; 2021. 26. World Health Organization. Body mass index – BMI. Switzerland: World Health Organization; 2010.
Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7. https://doi.org/10.2471/blt.07.043497
Teixeira IP, Pereira JL, Barbosa JPAS, Mello AV, Onita BM, Fisberg RM, et al. Validity of self-reported body mass and height: relation with sex, age, physical activity, and cardiometabolic risk factors. Rev Bras Epidemiol. 2021;24:e210043. https://doi.org/10.1590/1980-549720210043
Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, et al. The US department of agriculture’s automated multiple-pass method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008;88(2):324-32. https://doi.org/10.1093/ajcn/88.2.324
Naska A, Lagiou A, Lagiou P. Dietary assessment methods in epidemiological research: Current state of the art and prospects. F1000Res. 2017;6:926. https://doi.org/10.12688/f1000research.10703.1
Nutrition Coordinating Center. Nutrition data system for research 2014 user manual. University of Minnesota; 2014 [cited 2023 Jan 15]. Available from: http://www.ncc.umn.edu/products/ndsr-user-manual/32. Rhodes DG, Adler ME, Clemens JC, Moshfegh AJ. What we eat in America food categories and changes between survey cycles. J Food Compos Anal. 2017;64:107-11. https://doi.org/10.1016/j.jfca.2017.07.018
Leme ACB, Fisberg RM, Mello AV, Sales CH, Ferrari G, Haines J, et al. Food Sources of Shortfall Nutrients among Latin Americans: Results from the Latin American Study of Health and Nutrition (ELANS). Int J Environ Health Res Pub Health. 2021;18(9):4967. https://doi.org/10.3390/ijerph18094967
Morais SR, Bezerra IN, Souza AM, Vergara C, Sichieri R. Eating away from home and biomarkers for chronic noncommunicable diseases in Brazilian adolescents. Cad Saúde Pública. 2021;37(1):e00219619. https://doi.org/10.1590/0102-311X00219619
Pereira JL, Castro MA, Hopkins S, Gugger C, Fisberg RM, Fisberg M. Prevalence of consumption and nutritional content of breakfast meal among adolescents from the Brazilian National Dietary Survey. J Pediatr. 2018;94(6):630-41. https://doi.org/10.1016/j.jped.2017.10.004
Souza AM, Pereira RA, Yokoo EM, Levy RB, Sichieri R. Most consumed foods in Brazil: National dietary survey 2008–2009. Rev Saúde Pública. 2013;47 Suppl 1:190S-9S. https://doi.org/10.1590/s0034-89102013000700005
Mello AV, Fisberg M, Previdelli AN, Ferrari GLM, França NAG, Kovalskys I. Dietary sources of sodium among Brazilian population: Data from Latin American Nutrition and Health Study (ELANS). Nutr Clín Diet Hosp. 2019;39(1):14-21. https://doi.org/10.12873/391veroneze
Mill JG, Malta DC, Machado IE, Pate A, Pereira CA, Jaime PC, et al. Estimativa do consumo de sal pela população brasileira: Resultado da Pesquisa Nacional de Saúde 2013. Rev Bras Epidemiol. 2019;22 Suppl 2:E190009.SUPL.2. https://doi.org/10.1590/1980-549720190009.supl.2
Rocha LL, Pessoa MC, Gratao LHA, Carmo AS, Cunha CF, Oliveira TRPR, et al. Health behavior patterns of sugar-sweetened beverage consumption among Brazilian adolescents in a nationally representative school-based study. PLos One. 2021;16(1):e0245203. https://doi.org/10.1371/journal.pone.0245203
Borges CA, Marchioni DML, Levy RB, Slater B. Dietary patterns associated with overweight among Brazilian adolescents. Appetite. 2018;123:402-9. https://doi.org/10.1016/j.appet.2018.01.001
Silva SU, Alves MA, Vasconcelos FAG, Gonçalves VSS, Barufaldi LA, Carvalho KMB. Association between body weight misperception and dietary patterns in Brazilian adolescents: Cross-sectional study using ERICA data. PLos One. 2021;16(9):e0257603. https://doi.org/10.1371/journal.pone.0257603
Bezerra IN, Sichieri R. Characteristics and spending on out-of-home eating in Brazil. Rev Saúde Pública. 2010;44(1):221-9. https://doi.org/10.1590/s0034-89102010000200001
Bezerra IN, Medeiros HB, Moura Souza A, Sichieri R. Contribution of away-from-home food to the energy and nutrient intake among Brazilian adolescents. Public Health Nutr. 2021;24(11):3371-8. https://doi.org/10.1017/S1368980020001573
Mello AV, Sarti FM, Pereira JL, Goldbaum M, Cesar CLG, Alves MCGP, et al. Determinants of inequalities in the quality of Brazilian diet: Trends in a 12-year population-based study (2003–2015). Int J Equity Health. 2018;17(1):72. https://doi.org/10.1186/s12939-018-0784-2
Monteiro LS, Rodrigues PRM, Sichieri R, Pereira RA. Intake of saturated fat, trans fat, and added sugars by the Brazilian population: An indicator to evaluate diet quality. Eu J Clin Nutr. 2020;74(9):1316-24. https://doi.org/10.1038/s41430-020-0582-y
Leme ACB, Philippi ST, Thompson D, Nicklas T, Baranowski T. “Healthy Habits, Healthy Girls-Brazil”: An obesity prevention program with added focus on eating disorders. Eat Weight Disord. 2019;24(1):107-19. https://doi.org/10.1007/s40519-018-0510-5
Leme AC, Philippi ST. The “Healthy Habits, Healthy Girls” randomized controlled trial for girls: Study design, protocol, and baseline results. Cad Saúde Pública. 2015;31(7):1381-94. https://doi.org/10.1590/0102-311X00136014
Tang L, Broad J, Lewis R, Ma DWL, Haines J; Guelph Family Health S. Transitioning a home-based, motivational interviewing intervention among families to remote delivery during the COVID-19 pandemic: Key lessons learned. Patient Educ Couns. 2021;104(9):2286-91. https://doi.org/10.1016/j.pec.2021.02.043
Sousa IC, Mucinhato RMD, Prates CB, Zanin LM, Cunha DT, Capriles VD, et al. Do Brazilian consumers intend to use food labels to make healthy food choices? An assessment before the front-of-package labeling policy. Food Res Int. 2023;172:113107. https://doi.org/10.1016/j.foodres.2023.113107
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Derechos de autor 2025 Vitoria Alexandra da Silva, Ana Carolina Barco Leme, Aline Veroneze de Mello, Laura Apolonio Bertoni, Regina Mara Fisberg
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
