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Nutritional quality of dietary patterns of children: are there differences inside and outside school? a??

机译:儿童饮食方式的营养质量:学校内部和外部是否存在差异?一种??

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Objectives: To describe the dietary patterns of children inside and outside school and investigate their associations with sociodemographic factors and nutritional status. Methods: This was a multicenter cross-sectional study in which children of both sexes, aged 1-6 years, attending private and public daycare centers and preschools in Brazil, were evaluated ( n = 2979). Demographic, socioeconomic and dietary data (weighed food records and estimated food records) were collected. Dietary patterns were derived by factor analysis from 36 food groups. Results: Four dietary patterns were identified inside school, and three outside. Inside school, the "traditional" pattern was associated to low income and presented high nutritional quality. The "dual" pattern was associated with low income and with high intake of added sugar and glycemic load. The "snack" pattern was associated with children enrolled at private schools and with high intake of added sugar and glycemic load. The "bread and butter" pattern was associated with high intake of added sugar and trans fat. Outside school, the "traditional" pattern was associated with high intake of saturated fat, trans fats, sodium, and total fiber. The "bread and butter" pattern was associated with high intake of trans fats and glycemic load, whereas the "snack" pattern was associated with overweight, private schools, high income, and high intake of trans fats, sodium, and total fiber. Conclusion: There are differences in the nutritional quality of dietary patterns inside and outside school, and heterogeneity in adherence to these patterns were observed across regions and socioeconomic classes.
机译:目的:描述学校内外儿童的饮食习惯,并调查他们与社会人口统计学因素和营养状况的关系。方法:这是一项多中心的横断面研究,其中评估了在巴西的私人和公共日托中心以及学前班就读的1-6岁男女儿童(n = 2979)。收集了人口,社会经济和饮食数据(称重食物记录和估计食物记录)。饮食模式是通过对36个食物组的因素分析得出的。结果:在学校内部确定了四种饮食方式,在室外确定了三种饮食方式。在学校内部,“传统”模式与低收入相关,并具有很高的营养品质。 “双重”模式与低收入,高糖摄入和血糖负荷有关。 “零食”模式与在私立学校就读的儿童有关,并且摄入的糖分和血糖负荷较高。 “面包和黄油”模式与高糖和反式脂肪的摄入量有关。在学校外,“传统”模式与大量摄入饱和脂肪,反式脂肪,钠和全纤维有关。 “面包和黄油”模式与反式脂肪和血糖含量的高摄入量有关,而“快餐”模式与超重,私立学校,高收入和反式脂肪,钠和总纤维的高摄入量有关。结论:学校内部和外部的饮食方式在营养质量上存在差异,并且在各个地区和社会经济阶层中观察到坚持这些方式的异质性。

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