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