| Autor: |
Lopes da Rocha, Karine, Silvério, Raquel Nascimento Chanca, Fortins, Roberta Ferreira, Santos, Mayara Silva dos, Carmo, Cleber Nascimento do, da Costa, Veronica Medeiros, Luescher, Jorge Luiz, de Carvalho Padilha, Patricia |
| Zdroj: |
Journal of Pediatric Endocrinology & Metabolism; Nov2021, Vol. 34 Issue 11, p1449-1456, 8p |
| Abstrakt: |
To analyze the determinants of UPP consumption among children and adolescents with type 1 diabetes mellitus. Cross-sectional study at a reference hospital for the treatment of diabetes in Rio de Janeiro, Brazil. The sociodemographic, anthropometric, dietary, and clinical factors associated with the percentage of total energy intake (TEI) consumed in the form of UPP were investigated. Food consumption was assessed by 24 h recall and the foods were classified according to the degree of processing as described in the NOVA classification, after which the TEI of each food group was calculated. Multiple linear regression was adopted in the analysis, and associations with p<0.05 were considered significant. The study included 120 children and adolescents with a mean age of 11.74 ± 2.88 years, 53.3% female. Body mass index z-score was 0.65 (± 0.89) and 31.7% (n=38) were overweight. The average total energy consumption was 1,756.38 kcal (± 518.38). The mean percentage of TEI from UPP was 24.2% ± 17.9, meaning that 425.59 kcal (± 380.15) of all calories ingested came from such foods. The independent variables associated with the percentage of ultra-processed foods (UPP) in TEI were: per capita household income up to one the minimum wage (β: −22.03; CI 95% −35.24 to −8.82); and parents/guardians schooling of the up to nine years in formal education (β: 19.86; CI 95% 8.27–31.45). Lower household income and fewer years in formal education seem to determine a preference for UPP over fresh and minimally processed foods. – Lower household income and education of parents/guardians seem to result in a preference for ultra-processed foods over fresh and minimally processed foods. – Low education may result in reduced adherence to treatment of children and adolescents with T1DM and may cause difficulty in understanding medication use and nutritional treatment focused on healthy eating. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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