Are Brazilian adolescents eating enough fruits and vegetables? An assessment using data from the Study of Cardiovascular Risk in Adolescents

Autores

  • Alessandra Page BRITO Universidade de Brasília
  • Eloisa Dutra CALDAS Universidade de Brasília

Palavras-chave:

Adolescent, Diet, Fruit, Vegetables

Resumo

Objective
To estimate the usual consumption of fruits and vegetables by Brazilian adolescents.
Methods
We used 24-hour dietary recall data from the Study of Cardiovascular Risk in Adolescents conducted in 2013-2014 with 71,740 adolescents between 12 and 17 years old. The usual consumption of fruits and vegetables was estimated in the Statistical Analysis Software using the model of the United States National Cancer Institute, and evaluated according to sex, age, place of residence, economic class, and nutritional status of the participants.
Results
The mean of usual fruit and vegetable consumption was estimated at 171g/day, mostly fruits (128g/day), mainly in the form of fruit juice (64.8%). The minimum fruit and vegetable consumption of 400g/day recommended by the World Health Organization was reached only by 2% of the adolescents. The adolescents’ socioeconomic class or nutritional status had no impact on the usual fruit and vegetable consumption, but adolescents from northern Brazil had a significantly lower consumption than those from the midwestern region. Orange was both the most consumed fruit on a daily basis (mean of 42.6g/day, 90% as juice) and the most reported fruit (by 12.7% of the adolescents), followed by apples (10g/day; 5.6%) and bananas (8.4g/day; 8.3%). Tomato was the most consumed vegetable (9.2g/day), reported by 11.5% of the adolescents.
Conclusion
Public health policies are necessary to encourage fruit and vegetable consumption among Brazilian adolescents, including of pure juice, essential foods to prevent chronic diseases in adulthood.

Referências

Gómez-Bruton A, Matute-Llorente Á, González-Agüero A, Casajús JA, Vicente-Rodríguez G. Plyometric exercise and bone health in children and adolescents: a systematic review. World J Pediatr. 2017;13(2):112-21. https://doi.org/10.1007/s12519-016-0076-0

Movassagh EZ, Vatanparast H. Current evidence on the association of dietary patterns and bone health: a scoping review. Adv Nutr. 2017;8(1):1-16. https://doi.org/10.3945/an.116.013326

Vieira AR, Abar L, Vingeliene S, Chan DS, Aune D, Navarro-Rosenblatt D, et al. Fruits, vegetables and lung cancer risk: a systematic review and meta-analysis. Ann Oncol. 2016;27(1):81-96. https://doi.org/ 10.1093/annonc/mdv381

Collese TS, Nascimento-Ferreira MV, Moraes ACF, Rendo-Urteaga T, Bel-Serrat S, Moreno LA, et al. Role of fruits and vegetables in adolescent cardiovascular health: a systematic review. Nutr Rev. 2017;75(5):339-49. https://doi.org/10.1093/nutrit/nux002

World Health Organization. The World Health Report 2002: reducing risks, promoting healthy life. Geneva: Organization; 2002.

Amuta AO, Jacobs W, Idoko EE, Barry AE, McKyer EL. Influence of the home food environment on children’s fruit and vegetable consumption: a study of rural low-income families. Health Promot Pract. 2015;16(5):689-98. https://doi.org/10.1177/1524839915589733

Makansi N, Allison P, Awad M, Bedos C. Fruit and vegetable intake among Emirati adolescents: a mixed methods study. East Mediter Health J. 2018;24(7):653-63.

Lynch J, Smith GD. A life course approach to chronic disease epidemiology. Rev Public Health. 2005;26:1-35. https://doi.org/10.26719/2018.24.7.653

Machado RHV, Feferbaum R, Leone C. Fruit and vegetables consumption and obesity in Brazil. J Hum Growth 2016;26(2):243-52. https://doi.org/10.7322/jhgd.119293

Maia EG, Silva LESD, Santos MAS, Barufaldi LA, Silva SUD, Claro RM. Padrões alimentares, características sociodemográficas e comportamentais entre adolescentes brasileiros. Rev Bras Epidemiol. 2018;21(Suppl1):e180009. https://doi.org/10.1590/1980-549720180009.supl.1

Ministério da Saúde (Brasil). Guia alimentar para a população brasileira. Brasília: Ministério; 2014.12. Bloch KV, Szklo M, Kuschnir MC, Abreu GA, Barufaldi LA, Klein CH, et al. The study of cardiovascular risk in adolescents-ERICA: rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents. Bmc Public Health. 2015;15:94. https://doi.org/10.1186/s12889-015-1442-x. Erratum in: BMC Public Health. 2015;15:850.

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. https://doi.org/10.2471/blt.07.043497

Associação Brasileira de Empresas de Pesquisa. Critério de Classificação Econômica Brasil, 2013 [cited 2020 Nov. 17]. Available from: http://www.abep.org/criterio-brasil

National Cancer Institute. Usual dietary intakes: the NCI method. Bethesda: Institute; 2020 [cited 2020 Nov. 17]. Available from: https://epi.grants.cancer.gov/diet/usualintakes/method.html

Bigio RS, Verly Jr E, Castro MA, César CL, Fisberg RM, Marchioni DM. Determinants of fruit and vegetable intake in adolescents using quantile regression. Rev Saúde Pública. 2011;45(3):448-56. https://doi.org/10.1590/s0034-89102011005000023

Silva FM, Smith-Menezes A, Duarte MF. Consumption of fruits and vegetables associated with other risk behaviors among adolescents in Northeast Brazil. Rev Paul Pediatr. 2016;34(3):309-15. https://doi.org/10.1016/j.rpped.2015.09.002

Krupp D, Remer T, Penczynski KJ, Bolzenius K, Wudy SA, Buyken AE. Relevance of fruits, vegetables and flavonoids from fruits and vegetables during early life, mid-childhood and adolescence for levels of insulin-like growth factor (IGF-1) and its binding proteins IGFBP-2 and IGFBP-3 in young adulthood. Br J Nutr. 2016;115:527-37. https://doi.org/10.1017/S0007114515004742

Neville CE, McKinley MC, Murray LJ, Boreham CA, Woodside JV. Fruit and vegetable consumption and muscle strength and power during adolescence: a cross-sectional analysis of the Northern Ireland Young Hearts Project 1999-2001. J Musculo Skeleton Neuronal Interact. 2014;14(3):367-76.

Whitton C, Nicholson SK, Roberts C, Prynne CJ, Pot GK, Olson A, et al. National diet and nutrition survey: UK food consumption and nutrient intakes from the first year of the rolling programme and comparisons with previous surveys. Br J Nutr. 2011;106(12):1899-914. https://doi.org/10.1017/S0007114511002340

Darfour-Oduro SA, Buchner DM, Andrade JE, Grigsby-Toussaint DS. A comparative study of fruit and vegetable consumption and physical activity among adolescents in 49 low-and-middle-income Countries. Sci Rep. 2018;8(1):1623. https://doi.org/10.1038/s41598-018-19956-0

Silva JAD, Silva KSD, Silva MC, Silveira PMD, Duca GFD, Benedet J, et al. Consumo de frutas e verduras por adolescentes catarinenses ao longo de uma década. Ciênc Saúde Coletiva. 2020;25(2):613-21. https://doi.org/10.1590/1413-81232020252.32452017

Bere E, Brug J, Klepp, K-I. Why do boys eat less fruit and vegetables than girls? Public Health Nutr. 2007;11:1-5. https://doi.org/10.1017/S1368980007000729

Wuenstel JW, Wądołowska L, Słowinska MA, Niedźwiedzka E, Kowalkowska J, Kurp L. Intake of dietary fibre and its sources related tonadolescents’ age and gender, but not to their weight. Cent Eur J Public Health. 2016;24(3):211-6. https://doi.org/10.21101/cejph.a4331

Kelly C, Callaghan M, Molcho M, Gabhainn SN, Alforque Thomas A. Food environments in and around post-primary schools in Ireland: associations with youth dietary habits. Appetite. 2019;132;182-9. https://doi.org/10.1016/j.appet.2018.08.021

Herrick KA, Rossen LM, Nielsen SJ, Branum AM, Ogden CL. Fruit consumption by youth in the United States. Pediatrics. 2015;136(4):664-71. https://doi.org/10.1542/peds.2015-1709

Bakuradze T, Tausend A, Galan J, Groh IAM, Berry D, Tur JA, et al. Antioxidative activity and health benefits of anthocyanin-rich fruit juice in healthy volunteers. Free Radic Res. 2019;53(Suppl1):1045-55. https://doi.org/10.1080/10715762.2019.1618851

Jiang W, Wei H, He B. Dietary flavonoids intake and the risk of coronary heart disease: a dose-response meta-analysis of 15 prospective studies. Thromb Res. 2015;135(3):459-63. https://doi.org/10.1016/j.thromres.2014.12.016

Auerbach BJ, Wolf FM, Hikida A, Vallila-Buchman P, Littman A, Thompson D, et al. Fruit juice and change in BMI: a meta-analysis. Pediatrics. 2017;139(4):e20162454. https://doi.org/10.1542/peds.2016-2454

Benton D, Young HA. Role of fruit juice in achieving the 5-a-day recommendation for fruit and vegetable intake. Nutr Rev. 2019;77(11):829-43. https://doi.org/10.1093/nutrit/nuz031

Department of Health and Human Services (United States). Dietary Guidelines for Americans. 8th ed. Washington, DC: US Government Printing Office; 2020 [cited 2020 Nov. 20]. Available from: https://health.gov/our-work/foodnutrition/2015-2020-dietary-uidelines/guidelines/

National Health System (United Kingdom). The Eatwell Guide. London: Public Health England; 2019 [cited 2020 Nov. 17]. Available from: https://www.nhs.uk/live-well/eat-well/the-eatwell-guide/

Instituto Brasileiro de Geografia e Estatística. Cartograma: Maçã do Brasil por quantidade produzida. Rio de Janeiro: Instituto; 2017 [cited 2020 Nov. 20]. Available from: https://censos.ibge.gov.br/agro/2017/templates/censo_agro/resultadosagro/agricultura.html?localidade=0&tema=76337

Bentes ES, Homma AKO, Santos CAN. Exportações de polpa de açaí do estado do Pará: situação atual e perspectivas. In: Congresso da Sociedade Brasileira de Economia, Administração e Sociologia Rural, 55., 2017, Santa Maria, RS. Brasília: SOBER; 2017 [cited 2020 Nov. 20] Available from: https://www.alice.cnptia.embrapa.br/handle/doc/1074510

Pala D, Barbosa PO, Silva CT, Souza MO, Freitas FR, Volp ACP, et al. Açai (Euterpe oleracea Mart.) dietary intake affects plasma lipids, apolipoproteins, cholesteryl ester transfer to high-density lipoprotein and redox metabolism: a prospective study in women. Clin Nutr. 2018;37(2):618-23. https://doi.org/10.1016/j.clnu.2017.02.001

Souza AM, Barufaldi LA, Abreu GA, Giannini DT, Oliveira CL, Santos MM, et al. ERICA: intake of macro and micronutrients of Brazilian adolescents. Rev Saúde Pública. 2016;50(Suppl1):5s. https://doi.org/10.1590/S01518-8787.2016050006698

Caldas ED, Van der Velde-Koerts T. Dietary exposure and risk characterization for pesticide residues in food. In: Food Safety Assessment of Pesticide Residues. Arpad Ambrus and Denis Hamilton Eds. London, World Scientific Publishing Europe Ltda; 2017.

Jardim ANO, Brito AP, Donkersgoed GV, Boon PE, Caldas ED. Dietary cumulative acute risk assessment of organophosphorus, carbamates and pyrethroids insecticides for the Brazilian population. Food Chem Toxicology. 2018;112:108-17. https://doi.org/10.1016/j.fct.2017.12.010

Ronca DB, Blume CA, Cureau FV, Camy SA, Leotti VB, Drehmer M, et al. Diet quality index for Brazilian adolescents: the ERICA study. Eur J Nutr. 2020;59(2):539-56. https://doi.org/10.1007/s00394-019-01923-8

Araújo MOD, Guerra TMM. Alimentos Per Capita. 3a. ed. Natal: Editora da UFRN; 2007

Downloads

Publicado

04-07-2022

Como Citar

Page BRITO, A. ., & Dutra CALDAS, E. . (2022). Are Brazilian adolescents eating enough fruits and vegetables? An assessment using data from the Study of Cardiovascular Risk in Adolescents. Revista De Nutrição, 34, 1–11. Recuperado de https://puccampinas.emnuvens.com.br/nutricao/article/view/6156

Edição

Seção

ARTIGOS ORIGINAIS