Diet quality, excess body weight and cardiometabolic risk factors in adolescents living in Sao Paulo, Brazil and in the USA: differences and similarities

Pereira Jaqueline L.; Mattei Josiemer; Isasi Carmen R.Van Horn LindaCarnethon Mercedes R.Daviglus Martha L.Perera Marisa J.Sotres-Alvarez DanielaFisberg Regina M.

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Diet quality, excess body weight and cardiometabolic risk factors in adolescents living in Sao Paulo, Brazil and in the USA: differences and similarities

机译：Diet quality, excess body weight and cardiometabolic risk factors in adolescents living in Sao Paulo, Brazil and in the USA: differences and similarities

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Objective: To compare diet quality and its association with excess body weight (EBW: overweight/obesity), central adiposity (CA) and CVD risk factors (CVDR) among adolescents from Brazil and USA. Design: Data from two cross-sectional surveys: Health Survey of Sao Paulo (ISA-Nutrition) and Hispanic Community Health Study/Study of Latino Youth (SOL-Youth). Dietary intake was assessed from 24-h recalls, and diet quality using the Alternate Healthy Eating Index-2010 (AHEI) developed in the USA and the Revised Brazilian Healthy Eating Index (BHEI-R). CVDR was defined as >= 3 of: obesity, elevated blood pressure, dyslipidaemia, high plasma glucose and insulin resistance. Adjusted OR for EBW, CA and CVDR by diet quality were tested using logistic regression. Setting: Sao Paulo, Brazil; and Chicago, IL; Miami, FL; Bronx, NY; San Diego, CA. Participants: Adolescents (12-16 years) living in Sao Paulo (n 189) and USA (n 787). Results: ISA-Nutrition individuals with EBW (v. without) had marginally lower (unhealthier) scores for whole grains using BHEI-R and sugary beverages using AHEI. SOL-Youth individuals with EBW had lower scores of nuts/legumes using AHEI, and Na using BHEI-R, but higher scores of whole grains and dairy using BHEI-R. In ISA-Nutrition, BHEI-R was inversely associated with EBW (OR = 0 center dot 87; 95 % CI 0 center dot 80, 0 center dot 95) and CVDR (OR = 0 center dot 89; 95 % CI 0 center dot 80, 0 center dot 98). In SOL-Youth, AHEI was inversely associated with EBW (OR = 0 center dot 93; 95 % CI 0 center dot 87, 0 center dot 99). Conclusions: Dietary improvements should be made by adolescents in both USA and Brazil. Healthier diet quality as measured with the country-specific index was associated with lower odds of EBW in Brazilian and USA-Hispanic/Latino adolescents, and with lower CVDR in Brazilian adolescents.

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《Public Health Nutrition》 |2021年第13期|4091-4101|共11页
作者
Pereira Jaqueline L.; Mattei Josiemer; Isasi Carmen R.Van Horn LindaCarnethon Mercedes R.Daviglus Martha L.Perera Marisa J.Sotres-Alvarez DanielaFisberg Regina M.;
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作者单位

Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo, Brazil;

Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA;

Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USANorthwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL USAUniv Miami, Dept Psychol, POB 248185, Coral Gables, FL 33124 USAUniv N Carolina, Dept Biostat, Chapel Hill, NC 27515 USA;

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正文语种英语
中图分类预防医学、卫生学;
关键词
Diet quality; Overweight; Cardiometabolic risk factors; Adolescents; Brazil; Hispanics; Latinos;

Diet quality, excess body weight and cardiometabolic risk factors in adolescents living in Sao Paulo, Brazil and in the USA: differences and similarities

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