Nutritional breakfast quality and cardiometabolic risk factors: Health Survey of São Paulo, a population-based study
| Autor: | Regina Mara Fisberg, Michelle Alessandra de Castro, Ana Carolina Barco Leme, Paula Victória Félix, Jaqueline Lopes Pereira |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
0301 basic medicine Cross-sectional study media_common.quotation_subject Population Medicine (miscellaneous) 030209 endocrinology & metabolism Family income Overweight Logistic regression DIETÉTICA Odds 03 medical and health sciences 0302 clinical medicine Risk Factors Environmental health Humans Medicine Quality (business) education Breakfast media_common education.field_of_study 030109 nutrition & dietetics Nutrition and Dietetics business.industry Public Health Environmental and Occupational Health medicine.disease Health Surveys Cross-Sectional Studies Hypertension medicine.symptom Metabolic syndrome business Nutritive Value Brazil Research Paper |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Public Health Nutr |
| ISSN: | 1368-9800 |
| Popis: | Objective:To evaluate the association between nutritional quality of breakfast and cardiometabolic risk factors.Design:Cross-sectional study, 2015 Health Survey of São Paulo (2015 ISA-Capital) with Focus on Nutrition Study (2015 ISA-Nutrition).Settings:Population-based study, with a representative sample of adults and elderlies living in São Paulo, Brazil.Participants:The sample included 606 adults (aged 20–59 years) and 537 elderlies (aged ≥60 years) from the 2015 Health Survey of São Paulo. Dietary intake was assessed by at least one 24-h recall. Breakfast quality was evaluated using the proposed Brazilian Breakfast Quality Index (BQI), ranging scores from 0 to 10. BQI associations with sociodemographic, lifestyle, dietetic and cardiometabolic variables were estimated using survey-weighted multiple logistic regression models.Results:Being ≥60 years of age, self-identifying as White or Asian, having a per capita family income with ≥1 minimum wage, being sufficiently active at leisure time and non-smoker were associated with better scores of BQI. A higher BQI score was inversely associated with elevated blood pressure (OR 0·81, 95 % CI 0·70, 0·94), fasting glucose (OR 0·85, 95 % CI 0·73, 0·98), HOMA-IR (OR 0·86, 95 % CI 0·74, 0·98), total cholesterol (OR 0·87, 95 % CI 0·76, 0·99), LDL-C (OR 0·85, 95 % CI 0·74, 0·97), metabolic syndrome (OR 0·82, 95 % CI 0·72, 0·93) and being overweight (OR 0·87, 95 % CI 0·76, 0·99).Conclusions:Breakfast quality of Brazilian adults needs improvement with disparities across some sociodemographic factors. BQI was associated with lower odds of cardiometabolic risk factors, suggesting a beneficial effect in this population and emphasising the role of breakfast in reducing the risk of CVD. |
| Databáze: | OpenAIRE |
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