he adherence to school meals is associated with a lower occurrence of obesity among Brazilian adolescent

Autor(es)

Boklis-Berer, Mirena ^{[1, 2]} ; Rauber, Fernanda ^{[1, 2]} ; Azeredo, Catarina Machado ^{[2, 3]} ; Levy, Renata Bertazzi ^{[4, 2]} ; Louzada, Maria Laura da Costa ^{[1, 2]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Fac Saude Publ, Dept Nutr, Av Dr Arnaldo, 715 2 Floor, BR-01246907 Sao Paulo - Brazil

^[2] Nucl Pesquisas Epidemiol Nutr Saude NUPENS, Av Dr Arnaldo, 715 S27, BR-01246907 Sao Paulo, SP - Brazil

^[3] Univ Fed Uberlandia, Fac Med, Curso Nutr, Av Para 1720, Bloco 2U, Sala 20, Campus Umuarama, BR-38400 Uberlandia, MG - Brazil

^[4] Univ Sao Paulo, Fac Med, Dept Med Prevent, Av Dr Arnaldo 455, BR-01246903 Sao Paulo, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PREVENTIVE MEDICINE; v. 150, SEP 2021.
• Citações Web of Science: 0

Resumo

This study aimed to verify the association between adherence to meals from the Brazilian National School Feeding Program (PNAE) and obesity indicators among adolescents. Data from 12,373 students attending public schools from the 2015 National Survey of School Health were used. Adherence to school meals was assessed using a self-administered questionnaire and classified as null (zero/rarely), low (1-2x/week), moderate (3-4x/ week), and high (5x/week). Weight and height were measured and classified based on the World Health Organization's reference for Z-scores of body mass index (BMI) for age, overweight ( + 1 Z-score) and obesity (> + 2 Z-score). Linear and Poisson regression models adjusted for potential confounding factors (gender, race/ ethnicity, age, region, goods score, maternal education, living with parents, eating outside of school profile and physical activity) were performed to assess the association between adherence to school meals and the indicators (Z-score, overweight and obesity). The prevalence of high adherence was 21.6% and obesity, 8%. An inverse and dose-response association were observed between adherence to the PNAE meals and obesity indicators. Adolescents with high adherence to school meals (5x/week) had a 0.10 lower BMI Z-score (coefficient = -0.10, CI -0.17;-0.03), 11% less prevalence of overweight (PR = 0.89, CI 0.80;0.99) and 24% less prevalence of obesity (PR = 0.76, CI 0.62;0.93) than those with a lower adherence (<5x/week). Our results showed that the adherence to PNAE meals may contribute to obesity prevention in Brazil. (AU)

• Processo FAPESP: 16/14302-7 - Consumo de alimentos ultraprocessados e indicadores de qualidade nutricional da dieta na Austrália
• Beneficiário: Fernanda Rauber
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado