142nd APHA Annual Meeting and Exposition

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298592
Breakfast, lunch and dinner among adolescents: A comparison between meals with and without sugar-sweetened beverages

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 1:30 PM - 1:50 PM

Maria Fernanda Gombi-Vaca, MPH Candidate , Department of Epidemiology, Institute of Social Medicine - State University of Rio de Janeiro, Rio de Janeiro, Brazil
Eliseu Verly-Junior, PhD , Department of Epidemiology, Institute of Social Medicine - State University of Rio de Janeiro, Rio de Janeiro, Brazil
Camilla Estima, PhD , Department of Epidemiology, Institute of Social Medicine - State University of Rio de Janeiro, Rio de Janeiro
INTRODUCTION. Sugar-sweetened beverages (SSBs) have been associated with higher energy intake and poorer diet. The objective of this study is to examine consumption patterns in meals with and without SSB.

METHODS. Cross-sectional data of single diet record among adolescents (n=7613, 51% girls, 10-19 years-old) from the 2008-9 Brazilian National Dietary Survey was assessed. SSBs include soft drinks, juices and ready-to-drink teas. Occasions during breakfast, lunch and dinner were grouped by the presence of SSB. Energy intake and energy density of each occasion were calculated excluding beverage calories. Occasions were classified by the consumption of fruits, vegetables and junk food. Groups with and without SSB were compared using Student t-tests (continuous variables) and tests of proportions (frequencies of categorical variables).

RESULTS. Breakfast, lunch and dinner occasions (n=27,185) represented 84.7% (CI95% 84.3-85.1) of total energy intake. SSB mean intake was 281 mL (SD 119)/113 kcal (SD 55). Occasions without SSB had higher mean energy intake than with SSB during breakfast (296 vs 242 kcal, p<0.01) and lower during lunch (550 vs 590 kcal, p<0.01). Energy density was lower among occasions without SSB than with SSB during breakfast (1.5 vs 2.6 kcal/g, p<0.01) and dinner (1.6 vs 2.0 kcal/g, p<0.01). Frequency of fruit consumption was higher and of junk food was lower among occasions without SSB than with SSB.

DISCUSSION. During breakfast and dinner, intake of SSB was associated with less healthy diet. Significant differences in the SSB intake pattern should be considered when targeting interventions seeking improvement in adolescent food habits.

Learning Areas:

Other professions or practice related to public health
Planning of health education strategies, interventions, and programs

Learning Objectives:
Compare energy density in meals with and without sugar-sweetened beverages.

Keyword(s): Dietary Assessment, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I research sugar-sweetened beverage consumption and its association with diet quality and implications on health. As part of my Master in Public Health program, I am concluding a study that analyzes survey data regarding the intake of such drinks among the Brazilian population over recent years. I am a member of the NEBIN study group from Rio de Janeiro State University (UERJ), which unites researchers studying issues of nutritional epidemiology.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.