TY - JOUR
T1 - Sociodemographic, anthropometric and behavioural risk factors for ultra-processed food consumption in a sample of 2-9-year-olds in Brazil
AU - Mais, Laís Amaral
AU - Warkentin, Sarah
AU - Vega, Juliana Bergamo
AU - De Oliveira Latorre, Maria Do Rosário Dias
AU - Carnell, Susan
AU - De Aguiar Carrazedo Taddei, José Augusto
N1 - Funding Information:
Acknowledgements: Data collection was performed at schools in Campinas and São Paulo, SP, Brazil. The authors thank the participating schools, parents and children for their valuable contribution. Financial support: This work was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), with scholarships for L.A.M. and S.W.; by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK; grant number R00DK088360) with funding for S.C.; by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and by the Office of the Director (OD), National Institutes of Health (NIH; grant number U54HD070725) to the Global Obesity Prevention Center (GOPC) at Johns Hopkins University with funding for S.C., L.A.M. and S.W.; and by the Conselho Nacional de Pesquisa (CNPq) with a productivity scholarship for J.A.A.C.T. The funders had no role in the design, analysis or writing of this article. Conflict of interest: None. Authorship: L.A.M., S.W. and J.A.A.C.T. designed the research; L.A.M., S.W. and J.B.V. conducted the research; L.A.M., S.W., M.R.D.O.L., S.C. and J.A.A.C.T. analysed the data; and L.A.M., S.W., J.B.V. and S.C. wrote the paper. All authors read and approved the final manuscript. Ethics of human subject participation: This study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving human subjects/patients were approved by the Federal University of São Paulo (UNIFESP) ethics committee. Written informed consent was obtained from all subjects/patients.
Publisher Copyright:
© 2017 The Authors.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Objective The present study aimed to identify food patterns among 2-9-year-olds and investigate sociodemographic, anthropometric and behavioural predictors of less healthy dietary patterns. Design Cross-sectional study. Parents of 2-9-year-olds completed an FFQ and factor analysis was applied to identify dietary patterns. Parents also completed questionnaires assessing sociodemographic, anthropometric and behavioural characteristics of parents and children, including parental feeding practices. Setting Participants were recruited from private schools of Campinas and São Paulo, SP, Brazil, between April and June 2014. Subjects Parents of 2-9-year-olds (n 929). Results Two dietary patterns emerged: 'traditional food' and 'ultra-processed food'. Lower maternal education (OR=2·05, P=0·010) and higher maternal weight status (OR=1·43, P=0·044) were associated with a greater likelihood of the ultra-processed food pattern. Lower perceived parental responsibility for adequacy of food group intake (OR=2·41, P=0·020), and lower scores on the parental feeding practices of 'Healthy Eating Guidance' (OR=1·83, P<0·001) and 'Monitoring' (OR=2·52, P<0·001), were also associated with the presence of this pattern, as was higher child's screen use during mealtimes (OR=1·61, P=0·004). Conclusions The present study is the first to evaluate associations between less healthy dietary patterns of Brazilian 2-9-year-olds and parental feeding practices. Our findings highlight sociodemographic, anthropometric and behavioural factors within families that could be used to target tailored policies to at-risk populations.
AB - Objective The present study aimed to identify food patterns among 2-9-year-olds and investigate sociodemographic, anthropometric and behavioural predictors of less healthy dietary patterns. Design Cross-sectional study. Parents of 2-9-year-olds completed an FFQ and factor analysis was applied to identify dietary patterns. Parents also completed questionnaires assessing sociodemographic, anthropometric and behavioural characteristics of parents and children, including parental feeding practices. Setting Participants were recruited from private schools of Campinas and São Paulo, SP, Brazil, between April and June 2014. Subjects Parents of 2-9-year-olds (n 929). Results Two dietary patterns emerged: 'traditional food' and 'ultra-processed food'. Lower maternal education (OR=2·05, P=0·010) and higher maternal weight status (OR=1·43, P=0·044) were associated with a greater likelihood of the ultra-processed food pattern. Lower perceived parental responsibility for adequacy of food group intake (OR=2·41, P=0·020), and lower scores on the parental feeding practices of 'Healthy Eating Guidance' (OR=1·83, P<0·001) and 'Monitoring' (OR=2·52, P<0·001), were also associated with the presence of this pattern, as was higher child's screen use during mealtimes (OR=1·61, P=0·004). Conclusions The present study is the first to evaluate associations between less healthy dietary patterns of Brazilian 2-9-year-olds and parental feeding practices. Our findings highlight sociodemographic, anthropometric and behavioural factors within families that could be used to target tailored policies to at-risk populations.
KW - Child
KW - Feeding behaviour
KW - Food consumption
KW - Parent-child relations
KW - Parents
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U2 - 10.1017/S1368980017002452
DO - 10.1017/S1368980017002452
M3 - Article
C2 - 28988543
AN - SCOPUS:85030860338
SN - 1368-9800
VL - 21
SP - 77
EP - 86
JO - Public health nutrition
JF - Public health nutrition
IS - 1
ER -