Food consumption among adolescents and biological and adiposity outcomes

Main Article Content

Cristina Maria Mendes resende
https://orcid.org/0000-0002-2895-8558
Lívia Almeida Amaral Ferraz
Ana Virginia Rodrigues Veríssimo
https://orcid.org/0000-0002-4278-5315
Carolina Martins dos Santos Chagas
https://orcid.org/0000-0002-6715-0834
Rafael dos Santos Henrique
Marcos André Moura dos Santos
https://orcid.org/0000-0002-2734-8416
Maria Tereza Cartaxo Muniz
https://orcid.org/0000-0001-9498-5223
Lygia Maria Pereira da Silva
https://orcid.org/0000-0003-4512-4990

Abstract

Objective: to investigate the association between macronutrient consumption and biological and adiposity indicators in adolescents. Methods: A total of 77 adolescents were evaluated in relation to anthropometric measurements, sexual maturation, body composition, sociodemographic variables, and food composition. Results: the percentage of lipids in relation to total energy intake was positively related to age (β = 1.33; 95% CI = 0.37 to 2.28), and inversely related to sexual maturation (β = -2.44; 95% CI =-4.68 to – 0.20). Girls had a higher consumption of lipids than boys (β= 4.59; 95% CI = 0.62 to 8.57). Age was positively associated with the consumption of saturated (β = 0.62; 95% CI =0,30 to 0,94) and monounsaturated fatty acids (β=0.48; 95% CI = 0.16 to 0.79). Sexual maturation was inversely associated with the consumption of saturated (β=-1.7; 95% CI = -2.46 to -0.95), monounsaturated (β = -1.59; 95% CI = -2.34 to -0.84), and trans fatty acids (β = -0.32; 95% CI = -0.34 to -0.00). Fat mass showed a positive association with the consumption of saturated (β = 0.18; 95%CI = 0.03 to 0.32) and monounsaturated fatty acids (β = 0.23; 95% CI =0.091 to 0.38). Conclusion: The consumption of lipids was positively related to age and inversely related to sexual maturation; fat mass was positively associated with the consumption of saturated and monounsaturated fatty acids. The findings of this study reinforce the concern regarding a high-fat diet among adolescents, especially older girls.



Article Details

How to Cite
1.
Mendes resende CM, Almeida Amaral Ferraz L, Rodrigues Veríssimo AV, Martins dos Santos Chagas C, dos Santos Henrique R, Moura dos Santos MA, et al. Food consumption among adolescents and biological and adiposity outcomes. HSJ [Internet]. 2024 Jun. 3 [cited 2024 Dec. 22];14(1):e1496. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/hsjhci.v14.2024.e1496
Section
ORIGINAL ARTICLE

References

Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036):2423-78. http://doi. org/10.1016/S0140-6736(16)00579-1. PMid:27174304. DOI: https://doi.org/10.1016/S0140-6736(16)00579-1

WHO: World Health Organization. Malnutrition. Geneva: WHO; 2024 [cited 2019 Nov 10]. Available from: https://www.who. int/news-room/fact-sheets/detail/malnutrition

Ai-Jawaldeh A, Taktouk M, Nasreddine L. Food consumption pattern and nutrient intakes of children and adolescents in the eastern Mediterranean region: a call for policy action. Nutrients. 2020;12(11):3345. http://doi.org/10.3390/nu12113345. PMid:33143163. DOI: https://doi.org/10.3390/nu12113345

Costa CS, Del-Ponte B, Assunção MCF, Santos IS. Consumption of ultra-processed foods and body fat during childhood and adolescence: a systematic review. Public Health Nutr. 2018;21(1):148-59. http://doi.org/10.1017/S1368980017001331. PMid:28676132. DOI: https://doi.org/10.1017/S1368980017001331

WHO: World Health Organization. Child Growth Standards. Geneva: WHO; 2007 [cited 2019 Mar 20]. Available from: http://www.who.int/growthref/en/.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. Proteger e cuidar da saúde de adolescentes na atenção básica. 2 ed. Brasília: Ministério da Saúde; 2018.

Jelliffe DB. Evaluación del estado nutricional de la comunidad. Geneva: WHO; 1968. Série de monografías.

WHO: World Health Organization. WHO AnthroPlus for personal computers Manual: Software for assessing growth of the world’s children and adolescents. Geneva: WHO; 2009.

Heyard VH, Stolarczyk LM. Body composition and children. In: Heyward VH. Apllied body composition assessment. New York: Human Kinetics; 1996. p. 91-8.

Freedman DS, Serdula MK, Srinivasan SR, Berenson GS. Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study. Am J Clin Nutr. 1999;69(2):308-17. http://doi.org/10.1093/ ajcn/69.2.308. PMid:9989697. DOI: https://doi.org/10.1093/ajcn/69.2.308

Kushner RF, Schoeller DA, Fjeld CR, Danford L. Is the impedance index (ht2/R) significant in predicting total body water? Am J Clin Nutr. 1992;56(5):835-9. http://doi.org/10.1093/ajcn/56.5.835. PMid:1415001. DOI: https://doi.org/10.1093/ajcn/56.5.835

Houtkooper LB, Going SB, Lohman TG, Roche AF, Van Loan M. Bioelectrical impedance estimation of fatfree body mass in children and youth: a cross-validation study. J Appl Physiol. 1992;72(1):366-73. http://doi.org/10.1152/jappl.1992.72.1.366. PMid:1537738. DOI: https://doi.org/10.1152/jappl.1992.72.1.366

McCarthy HD, Cole TJ, Fry T, Jebb SA, Prentice AM. Body fat reference curves for children. Int J Obes. 2006;30(4):598-602. http://doi.org/10.1038/sj.ijo.0803232. PMid:16570089. DOI: https://doi.org/10.1038/sj.ijo.0803232

Tanner JM. The development of the reproductive system. Growth at adolescence. Oxford: Blackwell Scientific; 1962. p. 28-39.

Fisberg RM, Marchioni DML, Colucci ACA. Assessment of food consumption and nutrient intake in clinical practice. Arq Bras Endocrinol Metabol. 2009;53(5):617-24. http://doi.org/10.1590/ S0004-27302009000500014. PMid:19768252. DOI: https://doi.org/10.1590/S0004-27302009000500014

IOM: Institute of Medicine. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washigton: National Academy Press; 2002.

WHO: World Health Organization. FAO: Food and Agriculture Organization. Diet, nutrition and the prevention of chronic diseases. Report of the joint WHO/FAO expert consultation. Geneva: WHO; 2003. Technical Report Series.

Neri MC. Mapa da Nova Pobreza. Rio de Janeiro: Fundação Getúlio Vargas Social; 2022 [cited 2023 Mar 10]. Available from: https://www.cps.fgv.br/cps/bd/docs/Texto-MapaNovaPobreza_ Marcelo_Neri_FGV_Social.pdf

Maia EG, Passos CM, Granado FS, Levy RB, Claro RM. Replacing ultra-processed foods with fresh foods to meet the dietary recomendations: a matter of cost? Cad Saude Publica. 2021;37(1, Suppl 1):e00107220. http://doi.org/10.1590/0102-311x00107220. PMid:35019047. DOI: https://doi.org/10.1590/0102-311x00107220

Vizzuso S, Amatruda M, Del Torto A, D’auria E, Ippolito G, Zuccotti GV, et al. Is macronutrients intake a challenge for cardiometabolic risk in obese adolescents? Nutrients. 2020;12(6):1785. http:// doi.org/10.3390/nu12061785. PMid:32560039. DOI: https://doi.org/10.3390/nu12061785

Jaime PC, Delmuè DCC, Campello T, Silva DO, Santos LMP. A look at the food and nutrition agenda over thirty years of the Unified Health System. Cien Saude Colet. 2018;23(6):129-1836. PMid:29972491. DOI: https://doi.org/10.1590/1413-81232018236.05392018

Alfaris NA, Al-Tamimi JZ, Al-Jobair MO, Al-Shwaiyat NM. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh. Food Nutr Res. 2015;59(1):26488. http://doi.org/10.3402/fnr.v59.26488. PMid:25792229. DOI: https://doi.org/10.3402/fnr.v59.26488

Wever ND, Mogollón HH, Fajardo Z, Chinchilla AG. Consumo de macronutrientes e micronutrientes em adolescentes. Tayacaja. 2021;4(1):180-92. http://doi.org/10.46908/tayacaja.v4i1.163. DOI: https://doi.org/10.46908/tayacaja.v4i1.163

IBGE: Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares 2008-2009. Antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil. Rio de Janeiro: IBGE; 2010.

Lima LR, Nascimento LM, Gomes KRO, Martins MDCDCE, Rodrigues MTP, Frota KDMG. Association between ultra-processed food consumption and lipid parameters among adolescents. Cien Saude Colet. 2020;25(10):4055-64. http://doi. org/10.1590/1413-812320202510.24822018. PMid:33027399. DOI: https://doi.org/10.1590/1413-812320202510.24822018

Barbalho EDV, Pinto FJM, Silva FRD, Sampaio RMM, Dantas DSG. Influence of food consumption and physical activity practice in the prevalence of overweight/obesity in school adolescents. Cad Saude Colet. 2020;28(1):12-23. http://doi. org/10.1590/1414-462x202028010181.

Arruda Neta ACP, Steluti J, Ferreira FELL, Farias JC Jr, Marchioni DML. Padrões alimentares de adolescentes e fatores associados : estudo longotudibal sobre comportamento sedentário, atividade física, alimentação e saúde do adolescentes. Cien Saude Colet. 2021;26(Supl 2):3839-51. http://doi.org/10.1590/1413- 81232021269.2.24922019. DOI: https://doi.org/10.1590/1413-81232021269.2.24922019

Fortes LS, Amaral ACS, Almeida SS, Ferreira MEC. Efeitos de diversos fatores sobre o comportamento alimentar de adolescentes. Cien Saude Colet. 2013;18(11):3301-10. http:// doi.org/10.1590/S1413-81232013001100020. PMid:24196895. DOI: https://doi.org/10.1590/S1413-81232013001100020

Duan R, Chen Y, Qiao T, Duan R, Chen M, Zhao L, et al. Modern dietary pattern is prospectively associated with earlier age at menarche: data from the CHNS 1997–2015. Nutr J. 2020;19(1):95. http://doi.org/10.1186/s12937-020-00622-z. PMid:32907571. DOI: https://doi.org/10.1186/s12937-020-00622-z

Barbalho EDV, Pinto FJM, Silva FRD, Sampaio RMM, Dantas DSG. Influence of food consumption and physical activity practice in the prevalence of overweight/obesity in school adolescents. Cad Saude Colet 2020;28(1):12-23. http://doi. org/10.1590/1414-462x202028010181. DOI: https://doi.org/10.1590/1414-462x202028010181