Fatores associados ao consumo de frutas e verduras entre adolescentes
DOI:
https://doi.org/10.15448/1983-652X.2018.4.26899Palavras-chave:
frutas, verduras, adolescentes.Resumo
Objetivo: Sintetizar os principais fatores associados ao consumo de frutas e verduras na adolescência.
Materiais e Métodos: Foi realizada uma busca nas bases: LILACS, SciELO, ADOLEC, PubMed, e Cochrane library. Os termos frutas, verduras e hortaliças foram retirados do Medical Subject Heading e Descritores em Ciências da Saúde e, utilizados nos idiomas: Português, Espanhol e Inglês. Foram incluídos 39 estudos com adolescentes de 10 a 19 anos, cujo desfecho foi o consumo de frutas e/ou verduras.
Resultados: Aspectos sociodemográficos, alimentação familiar e apoio dos colegas estão associados à maior ingestão de frutas e verduras. Entretanto, beber, fumar, atividades sedentárias, inatividade física, insegurança alimentar, acesso a alimentos não saudáveis, influência midiática e moradia em região urbana estão inversamente associados ao consumo destes alimentos.
Conclusão: Fatores sociodemográficos, estilo de vida, a influência da família e dos amigos representam os principais fatores associados à ingestão de frutas e verduras na adolescência e, estes, deveriam ser integrados a programas de promoção / educação à saúde para aumentar o consumo diário de frutas e verduras entre adolescentes.
Referências
Patton GC, Coffey C, Cappa C, Currie D, Riley L, Gore F, Degenhardt L, Richardson D, Astone N, Sangowawa AO, Mokdad A, Ferguson J. Health of the world’s adolescents: a synthesis of internationally comparable data. Lancet. 2012;379(9826):1665-75.
https://doi.org/10.1016/S0140-6736(12)60203-7
Ledoux TA, Hingle MD, Baranouwski T. Relationship of fruit and vegetable intake with adiposity: a systematic review. Obes Rev. 2011;12(5):e143-50.
https://doi.org/10.1111/j.1467-789X.2010.00786.x
Lock K, Pomerleau J, Causer L, Altmann DR, Mckee M. The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bull World Health Organ. 2005;83(2):100-8.
Zhang X, Shu XO, Xiang YB, Yang G, Li H, Gao J, Cai H, Gao YT, Zheng W. Cruciferous vegetable consumption is associated with a reduced risk of total and cardiovascular disease mortality. Am J Clin Nutr. 2011;94(1):240-6.
https://doi.org/10.3945/ajcn.110.009340
Crowe FL, Roddam AW, Key TJ, Appleby PN, Overvad K, Jakobsen MU, Tjønneland A, Hansen L, Boeing H, Weikert C, Linseisen J, Kaaks R, Trichopoulou A, Misirli G, Lagiou P, Sacerdote C, Pala V, Palli D, Tumino R, Panico S, Bueno-de-Mesquita HB, Boer J, van Gils CH, Beulens JW, Barricarte A, Rodríguez L, Larra-aga N, Sánchez MJ, Tormo MJ, Buckland G, Lund E, Hedblad B, Melander O, Jansson JH, Wennberg P, Wareham NJ, Slimani N, Romieu I, Jenab M, Danesh J, Gallo V, Norat T, Riboli E; European Prospective Investigation into Cancer and Nutrition (EPIC)-Heart Study Collaborators. Fruit and vegetable intake and mortality from ischaemic heart disease: results from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Heart study. Eur Heart J. 2011;32(10): 1235-43.
https://doi.org/10.1093/eurheartj/ehq465
Epplein M, Shu XO, Xiang YB, Chow WH, Yang G, Li HL, Cai H, Gao YT, Zheng W. Fruit and vegetable consumption and risk of distal gastric cancer in the Shanghai Women’s and Men’s Health studies. Am J Epidemiol. 2010;172(4):397-406.
https://doi.org/10.1093/aje/kwq144
Boffetta P, Couto E, Wichmann J, Ferrari P, Trichopoulos D, Buenode-Mesquita HB, van Duijnhoven FJ, Büchner FL, Key T, Boeing H, Nöthlings U, Linseisen J, Gonzalez CA, Overvad K, Nielsen MR, Tjønneland A, Olsen A, Clavel-Chapelon F, Boutron-Ruault MC, Morois S, Lagiou P, Naska A, Benetou V, Kaaks R, Rohrmann S, Panico S, Sieri S, Vineis P, Palli D, van Gils CH, Peeters PH, Lund E, Brustad M, Engeset D, Huerta JM, Rodríguez L, Sánchez MJ, Dorronsoro M, Barricarte A, Hallmans G, Johansson I, Manjer J, Sonestedt E, Allen NE, Bingham S, Khaw KT, Slimani N, Jenab M, Mouw T, Norat T, Riboli E, Trichopoulou A. Fruit and vegetable intake and overall cancer risk in the European Prospective Investigation Into Cancer and Nutrition (EPIC). J Natl Cancer Inst. 2010;102(8):529-37.
https://doi.org/10.1093/jnci/djq072
Wakai K, Matsuo K, Nagata C, Mizoue T, Tanaka K, Tsuji I, Sasazuki S, Shimazu T, Sawada N, Inoue M, Tsugane S; Research Group for the Development and Evaluation of Cancer Prevention Strategies in Japan. Lung cancer risk and consumption of vegetables and fruit: an evaluation based on a systematic review of epidemiological evidence from Japan. Jpn J Clin Oncol. 2011;41(5):693-708.
https://doi.org/10.1093/jjco/hyr027
McNaughton SA, Ball K, Mishra GD, Crawford DA. Dietary patterns of adolescents and risk of obesity and hypertension. J Nutr. 2008;138(2):364-70.
https://doi.org/10.1093/jn/138.2.364
Cutler GJ, Flood A, Hannan PJ, Slavin JL, Neumark-Sztainer D. Association between major patterns of dietary intake and weight status in adolescents. Br J Nutr. 2012;108(2):349-56.
https://doi.org/10.1017/S0007114511005435
Liu JH, Chu YH, Frongillo EA, Probst JC. Generation and acculturation status are associated with dietary intake and body weight in Mexican American adolescents. J Nutr. 2012;142(2):298-305.
https://doi.org/10.3945/jn.111.145516
Lien N, Lytle LA, Klepp KI. Stability in consumption of fruit, vegetables and sugary foods in a cohort from age 14 to age 21. Prev Med. 2001;33(3):217-26.
https://doi.org/10.1006/pmed.2001.0874
Kimmons J, Gillespie C, Seymour J, Serdula M, Blanck HM. Fruit and vegetable intake among adolescents and adults in the United States: percentage meeting individualized recommendations. Medscape J Med. 2009;11(1):26.
Bigio RS, Verly Junior E, Castro MA, César CL, Fisberg RM, Marchioni DM. Determinants of fruit and vegetable intake in adolescents using quantile regression. Rev Saude Publ. 2011;45(3):448-56.
https://doi.org/10.1590/S0034-89102011000300002
World Health Organization. World Health Assembly 57.17: Global strategy on diet and physical activity. Geneva: WHO; 2004.
Centers for Disease Control and Prevention. Strategies to prevent obesity and other chronic diseases: the CDC guide to strategies to increase the consumption of fruits and vegetables. Atlanta: U.S. Department of Health and Human Services; 2011.
van der Horst K, Oenema A, Ferreira I, Wendel-Vos W, Giskes K, van Lenthe F, Brug J. A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ Res. 2007;22(2):203-26.
https://doi.org/10.1093/her/cyl069
Pearson N, Biddle SJ, Gorely T. Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Public Health Nutr. 2009;12(2):267-83.
https://doi.org/10.1017/S1368980008002589
Krølner R, Rasmussen M, Brug J, Klepp KI, Wind M, Due P. Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies. Int J Behav Nutr Phys Act. 2011;8:112.
https://doi.org/10.1186/1479-5868-8-112
Beydoun MA, Powell LM, Chen X, Wang Y. Food prices are associated with dietary quality, fast food consumption, and body mass index among U.S. children and adolescents. J Nutr. 2011;141(2):304-11.
https://doi.org/10.3945/jn.110.132613
Ortiz-Hernández L, Gómez-Tello BL. Food consumption in Mexican adolescents. Rev Panam Salud Publica. 2008;24(2):127-35.
https://doi.org/10.1590/S1020-49892008000800007
Martens MK, van Assema P, Brug J. Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12-14-year-old Dutch students. Public Health Nutr. 2005;8(8):1258-65.
https://doi.org/10.1079/PHN2005828
Riediger ND, Shooshtari S, Moghadasian MH. The influence of sociodemographic factors on patterns of fruit and vegetable consumption in Canadian adolescents. J Am Diet Assoc. 2007;107(9):1511-8.
https://doi.org/10.1016/j.jada.2007.06.015
Verzeletti C, Maes L, Santinello M, Baldassari D, Vereecken CA. Food-related family lifestyle associated with fruit and vegetable consumption among young adolescents in Belgium Flanders and the Veneto Region of Italy. Appetite. 2010;54(2):394-7.
https://doi.org/10.1016/j.appet.2009.12.010
Young EM, Fors SW, Hayes DM. Associations between perceived parent behaviors and middle school student fruit and vegetable consumption. J Nutr Educ Behav. 2004;36(1):2-8.
https://doi.org/10.1016/S1499-4046(06)60122-X
Arcan C, Neumark-Sztainer D, Hannan P, van der Berg P, Story M, Larson N. Parental eating behaviours, home food environment and adolescent intakes of fruits, vegetables and dairy foods: longitudinal findings from Project EAT. Public Health Nutr. 2007;10(11):1257-65.
https://doi.org/10.1017/S1368980007687151
Bruening M, Eisenberg M, MacLehose R, Nanney MS, Story M, Neumark-Sztainer D. Relationship between adolescents’ and their friends’ eating behaviors: breakfast, fruit, vegetable, whole-grain, and dairy intake. J Acad Nutr Diet. 2012;112(10):1608-13.
https://doi.org/10.1016/j.jand.2012.07.008
Burgess-Champoux TL, Larson N, Neumark-Sztainer D, Hannan PJ, Story M. Are family meal patterns associated with overall diet quality during the transition from early to middle adolescence? J Nutr Educ Behav. 2009;41(2):79-86.
https://doi.org/10.1016/j.jneb.2008.03.113
Cutler GJ, Flood A, Hannan PJ, Neumark-Sztainer D. Multiple sociodemographic and socioenvironmental characteristics are correlated with major patterns of dietary intake in adolescents. J Am Diet Assoc. 2011;111(2):230-40.
https://doi.org/10.1016/j.jada.2010.10.052
Hanson NI, Neumark-Sztainer D, Eisenberg ME, Story M, Wall M. Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutr. 2005;8(1):77-85.
https://doi.org/10.1079/PHN2005661
Lien N, Jacobs DR Jr, Klepp KI. Exploring predictors of eating behaviour among adolescents by gender and socio-economic status. Public Health Nutr. 2002;5(5):671-81.
https://doi.org/10.1079/PHN2002334
Monge-Rojas R, Smith-Castro V, Colon-Ramos U, Garita-Arce C, Sánchez-Lopez M, Chinnock A. Parental feeding styles and adolescents’ healthy eating habits. Structure and correlates of a Costa Rican questionnaire. Appetite. 2010;55(2):253-62.
https://doi.org/10.1016/j.appet.2010.06.010
de Moraes AC, Fernandes RA, Christofaro DG, Oliveira AR, Nakashima AT, Reichert FF, Falcão MC. Nutrition-related habits and associated factors of Brazilian adolescents. Int J Public Health. 2010;55(6):661-7.
https://doi.org/10.1007/s00038-010-0177-9
de Moraes AC, Adami F, Falcão MC. Understanding the correlates of adolescents’ dietary intake patterns. A multivariate analysis. Appetite. 2012;58(3):1057-62.
https://doi.org/10.1016/j.appet.2012.01.024
Vereecken CA, Todd J, Roberts C, Mulvihill C, Maes L. Television viewing behaviour and associations with food habits in different countries. Public Health Nutr. 2006;9(2):244-50.
https://doi.org/10.1079/PHN2005847
Freisling H, Haas K, Elmadfa I. Mass media nutrition information sources and associations with fruit and vegetable consumption among adolescents. Public Health Nutr. 2010;13(2):269-75.
https://doi.org/10.1017/S1368980009991297
Kremers SP, Brug J, de Vries H, Engels RC. Parenting style and adolescent fruit consumption. Appetite. 2003;41(1):43-50.
https://doi.org/10.1016/S0195-6663(03)00038-2
Shi L, Mao Y. Excessive recreational computer use and food consumption behaviour among adolescents. Ital J Pediatr. 2010;36:52.
https://doi.org/10.1186/1824-7288-36-52
Monge-Rojas R, Nu-es HP, Garita C, Chen-Mok M. Psychosocial aspects of Costa Rican adolescents’ eating and physical activity patterns. J Adoles Health. 2002;31(2):212-9.
https://doi.org/10.1016/S1054-139X(02)00376-2
Giskes K, Turrell G, Patterson C, Newman B. Socio-economic differences in fruit and vegetable consumption among Australian adolescents and adults. Public Health Nutr. 2002;5(5):663-9.
https://doi.org/10.1079/PHN2002339
Roos EB, Hirvonen T, Mikkilä V, Karvonem S, Rimpelã M. Household educational level as a determinant of consumption of raw vegetables among male and female adolescents. Prev Med. 2001;33(4):282-91.
https://doi.org/10.1006/pmed.2001.0882
Peltzer K, Pengpid S. Fruits and vegetables consumption and associated factors among in-school adolescents in seven African countries. Int J Public Health. 2010;55(6):669-78.
https://doi.org/10.1007/s00038-010-0194-8
Peltzer K, Pengpid S. Fruits and vegetables consumption and associated factors among in-school adolescents in five Southeast Asian countries. Int J Environ Res Public Health. 2012;9(10): 3575-87.
https://doi.org/10.3390/ijerph9103575
Ball K, MacFarlane A, Crawford D, Savige G, Andrianopoulos N, Worsley A. Can social cognitive theory constructs explain socioeconomic variations in adolescent eating behaviours? A mediation analysis. Health Educ Res. 2009;24(3):496-506.
https://doi.org/10.1093/her/cyn048
Neumark-Sztainer D, Story M, Resnick MD, Blum RWM. Correlates of inadequate fruit and vegetable consumption among adolescents. Prev Med. 1996;25(5):497-505.
https://doi.org/10.1006/pmed.1996.0082
Pedersen TP, Meilstrup C, Holstein BE, Rasmussen M. Fruit and vegetable intake is associated with frequency of breakfast, lunch and evening meal: cross-sectional study of 11-, 13-, and 15-year-olds. Int J Behav Nutr Phys Act. 2012;9:9.
https://doi.org/10.1186/1479-5868-9-9
Videon TM, Manning CK. Influences on adolescent eating patterns: the importance of family meals. J Adoles Health. 2003;32(5):365-73.
https://doi.org/10.1016/S1054-139X(02)00711-5
Farias Júnior JC, Nahas MV, Barros MVG, Loch MR, Oliveira ESA, De Bem MFL, Lopes AS. Comportamentos de risco à saúde em adolescentes no Sul do Brasil: prevalência e fatores associados. Rev Panam Salud Publica. 2009;25(4):344-52.
https://doi.org/10.1590/S1020-49892009000400009
Lachat C, Khanh le NB, Khan NC, Dung NQ, Nguyen do VA, Roberfroid D, Kolsteren P. Eating out of home in Vietnamese adolescents: socioeconomic factors and dietary associations. Am J Clin Nutr. 2009;90(6):1648-55.
https://doi.org/10.3945/ajcn.2009.28371
Shi Z, Lien N, Kumar BN, Holmboe-Ottesen G. Socio-demographic differences in food habits and preferences of school adolescents in Jiangsu Province, China. Eur J Clin Nutr. 2005;59(12):1439-48.
https://doi.org/10.1038/sj.ejcn.1602259
Fulkerson JA, Kubik MY, Story M, Lytle L, Arcan C. Are there nutritional and other benefits associated with family meals among at-risk youth? J Adoles Health. 2009;45(4):389-95.
https://doi.org/10.1016/j.jadohealth.2009.02.011
Assumpção D, Barros MBA, Fisberg RM, Carandina L, Goldbaum M, Cesar CLG. Diet quality among adolescents: a population-based study in Campinas, Brazil. Rev Bras Epidemiol. 2012;15(3):605-16.
https://doi.org/10.1590/S1415-790X2012000300014
Gerrits JH, O’Hara RE, Piko BF, Gibbons FX, de Ridder DT, Keresztes N, Kamble SV, de Wit JB. Self-control, diet concerns and eater prototypes influence fatty foods consumption of adolescents in three countries. Health Educ Res. 2010;25(6):1031-41.
https://doi.org/10.1093/her/cyq055
Fernandes RA, Christofaro DG, Casonatto J, Kawaguti SS, Ronque ER, Cardoso JR, Freitas Júnior IF, Oliveira AR. Cross-sectional association between healthy and unhealthy food habits and leisure physical activity in adolescents. J Pediatr (Rio J). 2011;87(3):252-6.
https://doi.org/10.2223/JPED.2093
Kourlaba G, Panagiotakos DB, Mihas K, Alevizos A, Marayiannis K, Mariolis A, Tountas Y. Dietary patterns in relation to socio-economic and lifestyle characteristics among Greek adolescents: a multivariate analysis. Public Health Nutr. 2009;12(9):1366-72.
https://doi.org/10.1017/S1368980008004060
Neumark-Sztainer D, Hannan PJ, Story M, Croll J, Perry C. Family meal patterns: associations with sociodemographic characteristics and improved dietary intake among adolescents. J Am Diet Assoc. 2003;103(3):317-22.
https://doi.org/10.1053/jada.2003.50048
Stewart SD, Menning CL. Family structure, nonresident father involvement, and adolescent eating patterns. J Adolesc Health. 2009; 45(2):193-201.
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