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Ultra-processed food consumption in children from a Basic Health Unit

J Pediatr (Rio J). 2015 Nov-Dec;91(6):535-42. doi: 10.1016/j.jped.2015.01.007. Epub 2015 Jun 16.

Abstract

Objectives: To evaluate the contribution of ultra-processed food (UPF) on the dietary consumption of children treated at a Basic Health Unit and the associated factors.

Methodology: Cross-sectional study carried out with a convenience sample of 204 children, aged 2-10 years old, in Southern Brazil. Children's food intake was assessed using a 24-h recall questionnaire. Food items were classified as minimally processed, processed for culinary use, and ultra-processed. A semi-structured questionnaire was applied to collect socio-demographic and anthropometric variables. Overweight in children was classified using a Z score >2 for children younger than 5 and Z score >+1 for those aged between 5 and 10 years, using the body mass index for age.

Results: Overweight frequency was 34% (95% CI: 28-41%). Mean energy consumption was 1672.3 kcal/day, with 47% (95% CI: 45-49%) coming from ultra-processed food. In the multiple linear regression model, maternal education (r=0.23; p=0.001) and child age (r=0.40; p<0.001) were factors associated with a greater percentage of UPF in the diet (r=0.42; p<0.001). Additionally, a statistically significant trend for higher UPF consumption was observed when data were stratified by child age and maternal educational level (p<0.001).

Conclusions: The contribution of UPF is significant in children's diets and age appears to be an important factor for the consumption of such products.

Keywords: Children; Consumo de alimentos; Crianças; Estado nutricional; Fast-food; Fast-foods; Food intake; Nutritional status.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brazil / epidemiology
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Diet Records
  • Energy Intake*
  • Fast Foods / adverse effects
  • Fast Foods / statistics & numerical data*
  • Feeding Behavior*
  • Female
  • Humans
  • Male
  • Obesity / epidemiology
  • Obesity / etiology*
  • Surveys and Questionnaires