Elizabeth Nappi Corrêa1, Anabelle Retondario2, Mariane de Almeida Alves3, Liliana Paula Bricarello2, Gabriele Rockenbach1, Patrícia de Fragas Hinnig1, Janaina das Neves4, Francisco de Assis Guedes de Vasconcelos5. 1. PhD. Dietitian and Assistant Professor, Department of Nutrition, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil. 2. MSc. Dietitian and Doctoral Student, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil. 3. MSc. Dietitian, Universidade Federal de Santa Catarina (UFSC). Florianópolis (SC), Brazil. 4. PhD. Dietitian and Associate Professor, Department of Nutrition, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil. 5. PhD. Dietitian and Professor, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil.
Abstract
BACKGROUND: Access to food retailers is an environmental determinant that influences what people consume. This study aimed to test the association between the use of food outlets and schoolchildren's intake of minimally processed and ultra-processed foods. DESIGN AND SETTING: This was a cross-sectional study conducted in public and private schools in Florianópolis, state of Santa Catarina, southern Brazil, from September 2012 to June 2013. METHODS: The sample consisted of randomly selected clusters of schoolchildren aged 7 to 14 years, who were attending 30 schools. Parents or guardians provided socioeconomic and demographic data and answered questions about use of food outlets. Dietary intake was surveyed using a dietary recall questionnaire based on the previous day's intake. The foods or food groups were classified according to the level of processing. Negative binomial regression was used for data analysis. RESULTS: We included 2,195 schoolchildren in the study. We found that buying foods from snack bars or fast-food outlets was associated with the intake frequency of ultra-processed foods among 11-14 years old in an adjusted model (incidence rate ratio, IRR: 1.11; 95% confidence interval, CI: 1.01;1.23). Use of butchers was associated with the intake frequency of unprocessed/minimally processed foods among children 11-14 years old in the crude model (IRR: 1.11; 95% CI: 1.01;1.22) and in the adjusted model (IRR: 1.11; 95% CI: 1.06;1.17). CONCLUSIONS: Use of butchers was associated with higher intake of unprocessed/minimally processed foods while use of snack bars or fast-food outlets may have a negative impact on schoolchildren's dietary habits.
BACKGROUND: Access to food retailers is an environmental determinant that influences what people consume. This study aimed to test the association between the use of food outlets and schoolchildren's intake of minimally processed and ultra-processed foods. DESIGN AND SETTING: This was a cross-sectional study conducted in public and private schools in Florianópolis, state of Santa Catarina, southern Brazil, from September 2012 to June 2013. METHODS: The sample consisted of randomly selected clusters of schoolchildren aged 7 to 14 years, who were attending 30 schools. Parents or guardians provided socioeconomic and demographic data and answered questions about use of food outlets. Dietary intake was surveyed using a dietary recall questionnaire based on the previous day's intake. The foods or food groups were classified according to the level of processing. Negative binomial regression was used for data analysis. RESULTS: We included 2,195 schoolchildren in the study. We found that buying foods from snack bars or fast-food outlets was associated with the intake frequency of ultra-processed foods among 11-14 years old in an adjusted model (incidence rate ratio, IRR: 1.11; 95% confidence interval, CI: 1.01;1.23). Use of butchers was associated with the intake frequency of unprocessed/minimally processed foods among children 11-14 years old in the crude model (IRR: 1.11; 95% CI: 1.01;1.22) and in the adjusted model (IRR: 1.11; 95% CI: 1.06;1.17). CONCLUSIONS: Use of butchers was associated with higher intake of unprocessed/minimally processed foods while use of snack bars or fast-food outlets may have a negative impact on schoolchildren's dietary habits.
Authors: Mariane de Almeida Alves; Maria Gabriela M Pinho; Elizabeth Nappi Corrêa; Janaina das Neves; Francisco de Assis Guedes de Vasconcelos Journal: Int J Environ Res Public Health Date: 2019-03-07 Impact factor: 3.390