Ana Carolina Barco Leme1,2,3, Jess Haines4, Lisa Tang4, Mauro Fisberg5, Gerson Ferrari6, Vitoria Alexandra da Silva7, Regina Mara Fisberg7. 1. Family Relations and Applied Nutrition, University of Guelph, Guelph, ON, Canada. acarol.leme@gmail.com. 2. Center of Excellence in Nutrition and Feeding Difficulties, PENSI Institute, Children's Hospital Sabará, São Paulo, Brazil. acarol.leme@gmail.com. 3. Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil. acarol.leme@gmail.com. 4. Family Relations and Applied Nutrition, University of Guelph, Guelph, ON, Canada. 5. Escuela de Ciências de la Actividad Física, El Deporte y la Salud, Universidad de Santiago de Chile, USACH, 71783-5, Santiago, Chile. 6. Laboratorio de Ciencias de la Actividad Física, Facultad de Ciencias Médicas, El Deporte y la Salud, Universidad de Santiago de Chile, USACH, 71783-5, Santiago, Chile. 7. Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Abstract
PURPOSE: Little is known about how behaviors to control weight are associated with diet quality among youth from low- and middle-income countries. The aim of this study was to examine associations between efforts to control weight (ECW) and diet quality among Brazilian adolescents and young adults. METHODS: Data from 731 participants (17.89 ± 4.92 years, 51.1% female) of the 2015 Health Survey of São Paulo were used for this cross-sectional study. Dietary intake was assessed using a 24 h dietary recall and diet quality was calculated using the Brazilian Healthy Eating Index-Revised (BHEI-R). Participants reported their ECW, weight satisfaction, and socio-demographics. Descriptive statistics and linear regressions were calculated to investigate associations between ECW and diet quality. RESULTS: Approximately 47.7% of participants were dissatisfied with their current weight, and 41.0% reported ECW. Reported strategies to control weight included increased physical activity, taking care of what they eat, and dieting (8.2, 3.1, and 2.5%, respectively). After adjusting for age, sex, race/ethnicity, and body mass index, reporting at least one ECW (ß = 0.08; 95% CI 0.02, 0.13), taking care of what to eat (ß = 0.15; 0.08, 0.22) and being satisfied with their weight (0.08; 0.02, 0.13) were all associated with a higher overall BHEI-R score. CONCLUSION: Overall diet quality score showed a small increase in participants reporting ECW. Further studies should be conducted to provide strategies used by adolescents from low- and middle-income countries to control their weight. Thus, developing public health policies, and behavioral-change strategies. LEVEL V: Cross-sectional descriptive study.
PURPOSE: Little is known about how behaviors to control weight are associated with diet quality among youth from low- and middle-income countries. The aim of this study was to examine associations between efforts to control weight (ECW) and diet quality among Brazilian adolescents and young adults. METHODS: Data from 731 participants (17.89 ± 4.92 years, 51.1% female) of the 2015 Health Survey of São Paulo were used for this cross-sectional study. Dietary intake was assessed using a 24 h dietary recall and diet quality was calculated using the Brazilian Healthy Eating Index-Revised (BHEI-R). Participants reported their ECW, weight satisfaction, and socio-demographics. Descriptive statistics and linear regressions were calculated to investigate associations between ECW and diet quality. RESULTS: Approximately 47.7% of participants were dissatisfied with their current weight, and 41.0% reported ECW. Reported strategies to control weight included increased physical activity, taking care of what they eat, and dieting (8.2, 3.1, and 2.5%, respectively). After adjusting for age, sex, race/ethnicity, and body mass index, reporting at least one ECW (ß = 0.08; 95% CI 0.02, 0.13), taking care of what to eat (ß = 0.15; 0.08, 0.22) and being satisfied with their weight (0.08; 0.02, 0.13) were all associated with a higher overall BHEI-R score. CONCLUSION: Overall diet quality score showed a small increase in participants reporting ECW. Further studies should be conducted to provide strategies used by adolescents from low- and middle-income countries to control their weight. Thus, developing public health policies, and behavioral-change strategies. LEVEL V: Cross-sectional descriptive study.
Authors: Samantha Caesar de Andrade; Ágatha Nogueira Previdelli; Chester Luiz Galvão Cesar; Dirce Maria Lobo Marchioni; Regina Mara Fisberg Journal: Prev Med Rep Date: 2016-07-30