scholarly journals Nutritional breakfast quality and cardiometabolic risk factors: Health Survey of São Paulo, a population-based study

2020 ◽  
pp. 1-11
Author(s):  
Paula Victória Félix ◽  
Jaqueline Lopes Pereira ◽  
Ana Carolina Barco Leme ◽  
Michelle Alessandra de Castro ◽  
Regina Mara Fisberg
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Cardiometabolic Risk ◽  
Family Income ◽  
Population Based ◽  
Sao Paulo ◽  
Cardiometabolic Risk Factors ◽  
São Paulo ◽  
Population Based Study

Abstract Objective: To evaluate the association between nutritional quality of breakfast and cardiometabolic risk factors. Design: Cross-sectional study, 2015 Health Survey of São Paulo (2015 ISA-Capital) with Focus on Nutrition Study (2015 ISA-Nutrition). Settings: Population-based study, with a representative sample of adults and elderlies living in São Paulo, Brazil. Participants: The sample included 606 adults (aged 20–59 years) and 537 elderlies (aged ≥60 years) from the 2015 Health Survey of São Paulo. Dietary intake was assessed by at least one 24-h recall. Breakfast quality was evaluated using the proposed Brazilian Breakfast Quality Index (BQI), ranging scores from 0 to 10. BQI associations with sociodemographic, lifestyle, dietetic and cardiometabolic variables were estimated using survey-weighted multiple logistic regression models. Results: Being ≥60 years of age, self-identifying as White or Asian, having a per capita family income with ≥1 minimum wage, being sufficiently active at leisure time and non-smoker were associated with better scores of BQI. A higher BQI score was inversely associated with elevated blood pressure (OR 0·81, 95 % CI 0·70, 0·94), fasting glucose (OR 0·85, 95 % CI 0·73, 0·98), HOMA-IR (OR 0·86, 95 % CI 0·74, 0·98), total cholesterol (OR 0·87, 95 % CI 0·76, 0·99), LDL-C (OR 0·85, 95 % CI 0·74, 0·97), metabolic syndrome (OR 0·82, 95 % CI 0·72, 0·93) and being overweight (OR 0·87, 95 % CI 0·76, 0·99). Conclusions: Breakfast quality of Brazilian adults needs improvement with disparities across some sociodemographic factors. BQI was associated with lower odds of cardiometabolic risk factors, suggesting a beneficial effect in this population and emphasising the role of breakfast in reducing the risk of CVD.

scholarly journals Multiple cardiometabolic risk factors in the Southern Cone of Latin America: A population-based study in Argentina, Chile, and Uruguay

2015 ◽  
Vol 183 ◽  
pp. 82-88 ◽  
Author(s):  
Adolfo L. Rubinstein ◽  
Vilma E. Irazola ◽  
Matias Calandrelli ◽  
Natalia Elorriaga ◽  
Laura Gutierrez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Latin America ◽  
Cardiometabolic Risk ◽  
Population Based ◽  
Southern Cone ◽  
Cardiometabolic Risk Factors ◽  
Population Based Study

Healthful grain foods consumption by São Paulo residents: a 12-year analysis and future trends

2020 ◽  
pp. 1-11
Author(s):  
Mariane de M Fontanelli ◽  
Cristiane H Sales ◽  
Michelle A de Castro ◽  
Regina M Fisberg
Keyword(s):  
Family Income ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Older Individuals ◽  
Cross Sectional ◽  
Population Based Study ◽  
Factors Associated ◽  
Grain Foods

Abstract Objective: Understanding trends in grain consumption is essential to tackle the low consumption of healthful grain foods. This study aimed to evaluate trends and determinants of grain foods meeting the ≤10:1 carbohydrate:fibre ratio (≤10:1 ratio) in Brazil and to estimate this intake for the next years. Design: Three editions of the cross-sectional, population-based study Health Survey of São Paulo (2003, 2008 and 2015). Setting: Urban area of São Paulo, Brazil. Participants: The sample included 5801 participants aged 12 years or more. Results: A growing trend in the intake of these foods (0·9 percentage of energy (%E) in 2003 to 1·5 %E in 2015) was observed. Also, the proportion of the population consuming at least one grain food meeting the ≤10:1 ratio increased from 8·7 % in 2003 to 15·8 % in 2015, and 20·3 % of the population would be consuming some kind of healthful grain food by 2030. Sociodemographic factors associated with the consumption of grain foods meeting the ≤10:1 ratio changed according to study edition, but overall, older individuals (+79 %), females (+28 %), those with higher education (+138 %) and higher family income (+135 %) were more likely to consume grain foods meeting the ratio, whereas participants who self-reported black, brown or indigenous ethnicity were less likely to consume these foods (–30 %). Conclusions: There was a growing trend to consume grain foods meeting the ≤10:1 ratio from 2003 to 2015, but this consumption continues to be far from recommended levels. Intersectoral changes are urgently needed in order to increase the intake of healthful grain foods.

scholarly journals Impact of chronic disease on quality of life among the elderly in the state of São Paulo, Brazil: a population-based study

2009 ◽  
Vol 25 (4) ◽  
Author(s):  
Margareth Guimarães Lima ◽  
Marilisa Berti de Azevedo Barros ◽  
Chester Luiz Galvão César ◽  
Moisés Goldbaum ◽  
Luana Carandina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
The Elderly ◽  
Population Based ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Population Based Study

Social determinants, lifestyle and diet quality: a population-based study from the 2015 Health Survey of São Paulo, Brazil

2019 ◽  
Vol 23 (10) ◽  
pp. 1766-1777
Author(s):  
Aline Veroneze de Mello ◽  
Jaqueline Lopes Pereira ◽  
Ana Carolina Barco Leme ◽  
Moises Goldbaum ◽  
Chester Luiz Galvao Cesar ◽  
...  
Keyword(s):  
Healthy Eating ◽  
Health Survey ◽  
Social Determinants ◽  
Diet Quality ◽  
Population Based ◽  
Sao Paulo ◽  
Healthy Eating Index ◽  
São Paulo ◽  
Cross Sectional ◽  
Population Based Study

AbstractObjective:To investigate the association among social determinants, lifestyle variables and diet quality in São Paulo, Brazil.Design:Cross-sectional study, 2015 Health Survey of São Paulo (Inquérito de Saúde de São Paulo (2015 ISA-Capital)) with Focus on Nutrition Study (2015 ISA-Nutrition).Setting:Population-based study, with a representative sample of adults living in São Paulo, Brazil.Participants:Adults (aged 20–59 years, n 643) and older adults (aged ≥60 years, n 545).Results:We observed differences in the Brazilian Healthy Eating Index-Revised (BHEI-R) by education, income, occupation, sex and race. Whole grains (0·63 points, 12·6 % of the maximum score), sodium (2·50 points, 25·0 %) and solid fat, alcohol and added sugars (9·28 points, 46·4 %) components had the lowest BHEI-R scores. Factors positively associated with diet quality included the presence of one disease or more (e.g. diabetes mellitus, hypertension, cancer, hypercholesterolaemia: β = 0·636, P < 0·001), income (middle income: β = 0·478, P < 0·001; high income: β = 0·966, P < 0·001) and occupation (other: β = 1·418, P < 0·001). Energy (β = –0·001, P < 0·001), alcohol consumption (β = –0·207, P = 0·027), education level (middle education: β = –0·975, P < 0·001; high education: β = –1·376, P < 0·001), races other than white (β = –0·366, P < 0·001) and being unemployed (β = –0·369, P < 0·046) were negatively associated with diet quality.Conclusions:Groups affected by socio-economic inequalities need better diet quality. Governmental actions should be implemented to reduce the consumption of energy-dense and sodium-rich foods, facilitate access and information on healthy eating, and conduct nutritional education.

scholarly journals The ≤ 10:1 carbohydrate to fiber ratio to identify healthy grain foods and its association with cardiometabolic risk factors in Brazil

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Mariane Fontanelli ◽  
Cristiane Sales ◽  
Junxiu Liu ◽  
Renata Micha ◽  
Dariush Mozaffarian ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sex Education ◽  
Cardiometabolic Risk ◽  
Smoking Status ◽  
Saturated Fatty Acids ◽  
Sao Paulo ◽  
Cardiometabolic Risk Factors ◽  
Atherogenic Dyslipidemia ◽  
São Paulo ◽  
Grain Foods

AbstractThere is a pressing need for validated methods to assess healthfulness of grain foods to promote consumer awareness and policy change. We investigated how one pragmatic metric, the presence per 10 g of carbohydrate of at least 1 g of fiber (≤ 10:1-ratio), related to other constituents of grain foods as well as cardiometabolic risk factors in Brazil. Data were from the population-based study 2015 Health Survey of São Paulo, including a probabilistic sample of urban residents in São Paulo, Brazil. A total of 1,188 participants age 20 + years completed a 24-h dietary recall, and a subsample of 603 participants also had blood sample, anthropometric and blood pressure measurements collected, and answered a second 24-h recall. The National Cancer Institute method was used to estimate the usual intake of nutrients and foods. Energy and nutrient contents of grain foods meeting or not meeting the ≤ 10:1 ratio were evaluated using univariate linear regressions with robust variance. The association between the percent of energy (%E) from grain foods meeting the criterion and cardiometabolic risk factors was investigated in the subsample with complete data using multivariable linear regression models. Models were adjusted for age, sex, education, income, ethnicity, smoking status, alcohol intake, physical activity, prevalent clinical diseases, and total energy intake. Mean intake of grain foods meeting the ≤ 10:1 ratio was 1.7%E (95%CI 1.6%, 1.8%), and 0.2 50 g servings/day. Per 50 g serving, foods meeting the ≤ 10:1 ratio criterion had lower available carbohydrate (-3.0 g/serving, p = 0.045), total sugar (-7.4g/serving, p < 0.001), added sugar (-7.2 g/serving, p < 0.001) and saturated fatty acids (-0.7 g/serving, p = 0.022), as well as more dietary fiber (+ 3.5g/serving, p < 0.001), protein (+ 2.1 g/serving, p < 0.001), potassium (+ 100.1 mg/serving, p = 0.002), iron (+ 0.9 mg/serving, p = 0.011), selenium (+ 4.2 mcg/serving, p = 0.007), magnesium (+ 38.7 mg/serving, p < 0.001) and zinc (+ 1.1 mg/serving, p = 0.004). After multivariable-adjusted adjustment, each increase in 1%E from grain foods meeting the ≤ 10:1 ratio was associated with lower levels of blood triacylglycerol 12.5% (95%CI -22.4%, -3.8%), the triacylglycerol/HDL-c ratio (-16.9% 95%CI -30.6%, -4.5%), fasting insulin (-15.3% 95%CI -30.7%, -1.5%), and HOMA-IR (15.8% 95%CI -32.8%, -1.0%). The ≤ 10:1 ratio identified grain foods with higher nutritional quality and higher intakes of these foods were associated with fewer cardiometabolic risk factors, in particular risk factors related to atherogenic dyslipidemia and insulin resistance that are influenced by carbohydrate quality. This criterion may represent a useful method for characterizing and promoting healthful grain foods.

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