Effect of actions promoting healthy eating on students’ lipid profile: A controlled trial
Palabras clave:
Food habits, Intervention study, Lipids, StudentsResumen
Objective
To assess the effect of nutrition intervention actions on the lipid profile of children and adolescents enrolled in public elementary schools.
Methods
This nine-month, controlled, intervention study included 202 students aged 7 to 14 years attending two schools intervention/control) located in a poor neighborhood of the municipality of Salvador, Bahia, Brazil. Actions were implemented in the intervention school to promote healthy eating habits, presented as “Ten steps to healthy eating”. The effect of these actions was assessed by subjecting the students at baseline and end of the follow-up to biochemical, maturation, and anthropometric measurements and a produce intake survey. The dependent variables were the changes in the study biochemical parameters: total cholesterol, high density lipoprotein-cholesterol, low density lipoprotein-cholesterol, and triglycerides. Analysis of covariance assessed the changes that occurred over the study period.
Results
The mean total cholesterol, low-density lipoprotein-cholesterol, and triglycerides of the intervention students decreased 13.18 mg/dL (p=0.001), 7.41 mg/dL (p=0.038), and 12.37 mg/dL (p=0.029), respectively, compared with the control students.Conclusion
Actions of this nature have a positive impact on lipid profile. This study adds to those that use effective and viable public health strategies implementable at the primary care level.
Conclusion
Actions of this nature have a positive impact on lipid profile. This study adds to those that use effective and viable public health strategies implementable at the primary care level.
Citas
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2224-60.
World Health Organization. WHA 57.17: Global estrategy on diet, physical and health. Geneva: WHO; 2004 [cited 2013 Sept 7]. Available from: .
Brasil. Ministério da Saúde. Portaria Interministerial nº 1.010 de 8 de maio de 2006. Institui as diretrizes para a promoção da alimentação saudável nas escolas de educação infantil, fundamental e nível médio das redes públicas e privadas, em âmbito nacional. Brasília: Ministério da Saúde; 2006 [acesso 2013 set 7]. Disponível em: .
Barreto SM, Pinheiro ARO, Sichieri R, Monteiro CA, Batista Filho M, Schimidt MI, et al. Análise da estratégia global para alimentação, atividade física e saúde da Organização Mundial da Saúde. Epidemiol Serv Saúde. 2005; 14(1):41-68.
Carvalho IMM, Pereira GC. Como anda Salvador e sua região metropolitana. 2ª ed. Salvador: Edufba; 2008.
Reed KE, Warburton DE, MacDonald HM, Naylor PJ, McKay HA. Action Schools! BC: A school-based physical activity intervention designed to decrease cardiovascular disease risk factors in children. Prev Med. 2008; 46(6):525-31.
Back Giuliano Ide C, Caramelli B, Pellanda L, Duncan B, Mattos S, Fonseca FH. I guidelines of prevention of atherosclerosis in childhood and adolescence. Arq Bras Cardiol. 2005; 85(Suppl 6):4-36.
Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007; 85(9):660-7.
World Health Organization. WHO Child Growth Standards: Length/height-for-age w-f-a, weight-for length, weight-for-height and body mass index-for age: Methods and development. Geneva: WHO; 2006.
Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Child. 1970; 45(239):13-23.
Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969; 44(235):291-303.
Neumann AIlCP, Shirassu MM, Fisberg RM. Consumo de alimentos de risco e proteção para doenças cardiovasculares entre funcionários públi cos. Rev Nutr. 2006; 19(1):19-28. doi: 10.1590/ S1415-527320060000100002
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Manual operacional para profissionais de saúde e educação: promoção da alimentação saudável nas escolas Brasília: Ministério da Saúde; 2008. Série A. Normas e Manuais Técnicos.
Perry CL, Bishop DB, Taylor G, Murray DM, Mays RW, Dudovitz BS, et al. Changing fruit and vegetable consumption among children: The 5-a-Day Power Plus program in St. Paul, Minnesota. Am J Public Health. 1998; 88(4):603-9.
Reynolds KD, Franklin FA, Binkley D, Raczynski JM, Harrington KF, Kirk KA, et al. Increasing the fruit and vegetable consumption of fourth-graders: Results from the high 5 project. Prev Med. 2000; 30(4):309-19.
Robertson W, Thorogood M, Inglis N, Grainger C, Stewart-Brown S. Two-year follow-up of the ‘Families for Health’ programme for the treatment of childhood obesity. Child Care Health Dev. 2012; 38(2):229-36.
Tuuri G, Zanovec M, Silverman L, Geaghan J, Solmon M, Holston D, et al. “Smart Bodies” school wellness program increased children’s knowledge of healthy nutrition practices and self-efficacy to consume fruit and vegetables. Appetite. 2009; 52(2):445-51.
Nasser R, Cook SL, Dorsch KD, Haennel RG. Comparison of two nutrition education approaches to reduce dietary fat intake and serum lipids reveals registered dietitians are effective at disseminating information regardless of the educational approach. J Am Diet Assoc. 2006; 106(6):850-9.
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.
Hosseinpour-Niazi S, Mirmiran P, Sohrab G, Hosseini-Esfahani F, Azizi F. Inverse association between fruit, legume, and cereal fiber and the risk of metabolic syndrome: Tehran Lipid and Glucose Study. Diabetes Res Clin Pract. 2011; 94(2): 276-83.
Margetts B. WHO global strategy on diet, physical activity and health [Editorial]. Public Health Nutr. 2004; 7(3):361-3.
Chopra M, Galbraith S, Darnton-Hill I. A global response to a global problem: The epidemic of overnutrition. Bull World Health Organ. 2002; 80(12):952-8.
Tershakovec AM, Shannon BM, Achterberg CL, McKenzie JM, Martel JK, Smiciklas-Wright H, et al. One-year follow-up of nutrition education for hypercholesterolemic children. Am J Public Health. 1998; 88(2):258-61. 24. Sanchez-Muniz FJ. Dietary fibre and cardiovascular health. Nutr Hosp. 2012; 27(1):31-45.
Zhu WL, Feng NP, Ma J, Wang Y, Ye GJ. The effect of dietary intervention on lipidemia in school-aged children. Zhonghua Liu Xing Bing Xue Za Zhi. 2003; 24(9):794-7.
Larsson SC, Mannisto S, Virtanen MJ, Kontto J, Albanes D, Virtamo J. Dietary fiber and fiber-rich food intake in relation to risk of stroke in male smokers. Eur J Clin Nutr. 2009; 63(8):1016-24.
Hamulka J, Wawrzyniak A, Sosinska S. Evaluation of dietary fibre, soluble and insoluble fibre food intake in Polish households in years 1996-2005. Rocz Panstw Zakl Hig. 2008; 59(2):211-21.
Romero AL, Romero JE, Galaviz S, Fernandez ML. Cookies enriched with psyllium or oat bran lower plasma LDL cholesterol in normal and hypercholesterolemic men from Northern Mexico. J Am Coll Nutr. 1998; 17(6):601-8.
Rosado JL, del RAM, Montemayor K, Garcia OP, Caamano MC. An increase of cereal intake as an approach to weight reduction in children is effective only when accompanied by nutrition education: A randomized controlled trial. Nutr J. 2008; 7:28.
Katcher HI, Legro RS, Kunselman AR, Gillies PJ, Demers LM, Bagshaw DM, et al. The effects of a whole grain-enriched hypocaloric diet on cardiovascular disease risk factors in men and women with metabolic syndrome. Am J Clin Nutr. 2008; 87(1):79-90.
Brasil. Ministério do Desenvolvimento Social e Com bate à Fome. Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: Ministério do Desenvolvimento Social e Combate à Fome; 2012.
Owen CG, Nightingale CM, Rudnicka AR, Sattar N, Cook DG, Ekelund U, et al. Physical activity, obesity and cardiometabolic risk factors in 9- to 10-year-old UK children of white European, South Asian and black African-Caribbean origin: The Child Heart And health Study in England (CHASE). Diabetologia. 2010; 53(8):1620-30.
Biolo G, Ciocchi B, Stulle M, Piccoli A, Lorenzon S, Dal Mas V, et al. Metabolic consequences of physical inactivity. J Ren Nutr. 2005; 15(1):49-53.
Mohan V, Gokulakrishnan K, Deepa R, Shanthirani CS, Datta M. Association of physical inactivity with components of metabolic syndrome and coronary artery disease: The Chennai Urban Population Study (CUPS nº 15). Diabet Med. 2005; 22(9):1206-11.
Santos RD, Gagliardi ACM, Xavier HT, Magnoni CD, Cassani R, Lottenberg AM, et al. I Diretriz sobre o consumo de gorduras e saúde cardiovascular. Arq Bras Cardiol. 2013; 100(1 Supl 3):1-40.
World Health Organization. Diet, nutrition and the prevention of chronic diseases. Report of a Joint WHO/FAO expert Consultation. Geneva: WHO; 2003. Technical Report Series, nº 916.
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Derechos de autor 2023 Rita de Cássia RIBEIRO-SILVA, Luce Alves da SILVA, Maria Cristina Teixeira CANGUSSU
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
