Trendsinbreakfastpa/ernsinPortuguesechildren.COSIPortugal2010-2013AnaRito¹´²,IsabelVieira¹,PedroGraça³¹CentrodeEstudoseInves:gaçãoemDinâmicasSociaiseSaúde

²Ins:tutoNacionaldeSaúdeDr.RicardoJorge

³Direção-GeraldeSaúde

Introduction

48,9

44,5 43,3 42,4

32,8 32,729,5 28,3 28,1

26,7 26,525,1 25,1 24,6 24,3 23,9 23,6 23,5 23,3 23,3

19,3

0,0

10,0

20,0

30,0

40,0

50,0

60,0

COSI/WHOEurope2013Prevalenceofoverweight(includingobesity)inBOYS-7YEARS2

2

2Unpublisheddata.WHO/COSIEurope

Introduction

ObesityOverweight(includingobesity)Underweight

EvoluJonofthenutriJonalstatusofportuguesechildrenbetween6-8years,in2008,2010and20131

1

1RelatórioCOSIPortugal2013,(INSA,2015)

Introduction

•  Socioeconomiccharacteris:cs

•  Gene:c

•  Lifestyle

Breakfastpa/ern³

3

³SungsooCho,PhD,MarionDietrich,PhD,CoralieJ.P.Brown,MPH,CelesteA.Clark,MS,andGladysBlock,PhDTheEffectofBreakfast Type on Total Daily Energy Intake and BodyMass Index: Results from the Third Na:onal Health and Nutri:onExamina:onSurvey(NHANESIII)

Introduction

Breakfast consump:on is considered as one of the most

importanthealth-relatedbehaviors,speciallyinchildren.⁴

•  Importantnutri:onalcontribu:ontodietaryquality

•  LowerBMI

•  Developmentofcogni:on,academicperformanceandconcentra:on

•  Higherlevelsofphysicalac:vity⁵

4

⁴Mullan,B.A.&Singh,M. (2010).A systema:c reviewof thequality, content, andcontextofbreakfast consump:on.Nutri&onandFoodScience,40(1),81-114.DOI:10.1108/00346651011015953⁵BalvinFrantzenL,TrevinoRP,EchonRM,Garcia-DominicO,DiMarcoN.Associa:onbetweenfrequencyofready-to-eatcerealconsump:on,nutrient intakes,andbodymassindexinfourth-tosixth-gradelow-incomeminoritychildren.JournaloftheAcademyofNutri:onandDiete:cs.2013;113(4):511-9.

Objective

DescribetrendsinPortuguesechildren’s

breakfastpaqernsbetween2010and2013

Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

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Methods•  ChildhoodObesitySurveillanceInicia&vedaWorldHealth

Organiza&on/Europe(COSI)⁶

•  COSIPortugal2ndround(2010)and3rdround(2013);

•  Analyzeddatafrom3773(2010)and5393(2013)childrenaged6-8yearsold;

•  Breakfastfrequency,siteandtype;

•  Qualita:veandcompletebreakfast⁷

Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

6

Breadandcereals(namelywholegrain)

Dairyproducts

Fruit

⁶Ritoetal.,2012;PublicHealthNutri:on,2015⁷BarrSI,DiFrancescoL,FulgoniVL,3rd.Breakfastconsump:onisposi:velyassociatedwithnutrientadequacyinCanadianchildrenandadolescents.TheBri:shjournalofnutri:on.2014;112(8):1373-83.

N % N %

Daily 3519 96,1 5202 97,5

4-6days 69 1,9 68 1,3

1-3days 55 1,5 57 1,1

Never 18 0,5 8 0,1

Total 3661 100 5335 100

Results2010 2013

•  Breakfastfrequency

2010 2013•  Breakfastfrequencybysex

Female Male

N % N %

Daily 1730 48,0 1727 48,0

4-6days 32 0,9 36 1,0

1-3days 28 0,8 26 0,7

Never 9 0,3 9 0,3

Total 1799 50,0 1798 50,0

Female Male

N % N %

2565 49,0 2505 48,0

29 0,6 35 0,7

34 0,7 22 0,4

1 0,1 6 0,1

2629 50,4 2568 49,2

7

Results•  Breakfastsite

N % N %

Home 3414 95,7 5166 96,7

Inacoffee 13 0,4 17 0,3

Whenarrivesschool 93 2,6 111 2,1

Attheschool’sbar 16 0,4 22 0,4

Anotherlocal 30 0,8 27 0,5

Total 3661 100 5343 100

2010 2013

Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

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Results

N % N %

Qualita:veandcomplete(bread/cereal&dairyproducts&fruit)

50 1,3 5202 1,6

2010 2013•  BreakfastcomposiJon

N % N %

Foodgroupmorepresent(dairyproducts)

2814 75,4 4357 80,8

N % N %

Presenceoffruit 224 6,0 454 8,0

N % N %

Mostcommoncombina:on(breadanddairyproducts)

512 13,7 992 18,2

Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

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Results

N % N %

Presenceofbeverages 50 1,3 5202 1,6

2010 2013•  BreakfastcomposiJon

N % N %

Presenceofcakes,cookiesorbiscuits 512 13,7 992 18,2

N % N %

Presenceofreadytoeat cereals 2814 75,4 4357 80,8

Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

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Results

Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

1,5%PAcompleto

1,2%PAcompleto

1,4%PAcompleto

1,3%PAcompleto

1,7%PAcompleto

3,9%PAcompleto

1,1%PAcompleto

3,1%NãotomaPA

2,4%NãotomaPA

1,6%NãotomaPA

4,6%NãotomaPA

2,5%NãotomaPA

2,8%NãotomaPA

3,4%NãotomaPA

Prevalenceofoverweightbyregion-2013

11

Conclusion

Nega:vetrendinbreakfastconsump:on•  Qualita:veandcompletebreakfast;•  Lowintakeoffruit;

•  Highconsump:onofsweets;•  Highconsump:onofreadytoeatcereals;

Highfrequencyofbreakfast

BUT

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Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

Conclusion–Future

•  Interven:ons regarding breakfast habits should be aimed at promo:ng a

high-qualitybreakfastchildrenandshouldfocusonfruit/vegetables.

•  Theiden:fica:onofchangesinbreakfasthabitsintheyoungmaybeseenasa

poten:alstar:ngpointforinterven:onprogrammes.

•  Itisimportanttoexplorehowbreakfastshouldbedefinedandmeasuredto

be able to make more solid conclusions about the context, quality and

contentofbreakfastfoods. 13

Trendsinbreakfastpa9ernsinPortuguesechildren.COSIPortugal2010-2013

Obrigadapelaatenção!