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- Title
Qualidade da dieta e risco cardiometabólico em crianças e adolescentes com excesso de peso.
- Authors
Martins de Oliveira, Maria Rafaela; Dias Firmino, Matheus Aragão; Matos de Souza, Luana; Dias Rangel Montenegro, Ana Paula; Montenegro Júnior, Renan Magalhães; Costa Maia, Carla Soraya; Nogueira Bezerra, Alane
- Abstract
Objective: To assess the quality of the diet of children and adolescents with excess weight and determine its relationship with cardiometabolic risk factors. Methods: This quantitative descriptive cross-sectional study was carried out from December 2016 to August 2018 with children and adolescents. Behavioral (regular physical activity, screen time), anthropometric (weight, height, Body Mass Index, abdominal circumference, neck circumferences) and dietary (24-hour recalls) data were collected, and biochemical data were retrieved from medical records. Insulin resistance (IR) was measured using the Homeostasis Model Assessment - Insulin Resistance (HOMA-IR) and diet quality was assessed using the Revised Diet Quality Index (Índice de Qualidade da Dieta Revisado - IQD-R). Analyses using Spearman's and Mann-Whitney U tests were performed with a significance threshold set at 5%. Results: The sample consisted of 100 children and adolescents, 71 (71%) of whom were girls, and the mean age was 9.42±2.89 years. The mean IQD-R was 61.16 (95%CI: 59.14 - 63.19) and none of the participants presented a good quality diet. No associations were found between the IQD-R score and cardiometabolic markers. However, negative associations were observed between "total vegetables and legumes" and HOMA-IR (r=-0.290), "dark green and orange vegetables and legumes" and HOMA-IR (r=-0.333) and "dark green and orange vegetables and legumes" and fasting insulin (r=-0.291). The participants who presented more than three cardiometabolic risk factors had a significantly higher score on the "solid fat and added sugar" component. Conclusion: None of the participants had a qualitatively adequate diet. The low intake of vegetables and legumes was associated with IR markers.
- Subjects
MANN Whitney U Test; INSULIN resistance; BODY mass index; PHYSICAL activity; VEGETABLES; LEGUMES
- Publication
Revista Brasileira em Promoção da Saúde, 2021, Vol 34, p1
- ISSN
1806-1222
- Publication type
Article
- DOI
10.5020/18061230.2021.10952