Trends in breakfast paerns in Portuguese children.
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Trends in breakfast pa/erns in Portuguese children. COSI Portugal 2010-2013 Ana Rito ¹´², Isabel Vieira¹ , Pedro Graça³ ¹Centro de Estudos e Inves:gação em Dinâmicas Sociais e Saúde ² Ins:tuto Nacional de Saúde Dr. Ricardo Jorge ³ Direção-Geral de Saúde
Transcript of Trends in breakfast paerns in Portuguese children.
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
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50,0
60,0
COSI/WHOEurope2013Prevalenceofoverweight(includingobesity)inBOYS-7YEARS2
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2Unpublisheddata.WHO/COSIEurope
Introduction
ObesityOverweight(includingobesity)Underweight
EvoluJonofthenutriJonalstatusofportuguesechildrenbetween6-8years,in2008,2010and20131
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1RelatórioCOSIPortugal2013,(INSA,2015)
Introduction
• Socioeconomiccharacteris:cs
• Gene:c
• Lifestyle
Breakfastpa/ern³
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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
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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
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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
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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
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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
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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
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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!
