Portion size and energy contribution of food in adolescents from São Paulo, Brazil: Changes between 2003 and 2015

AbstractIntroduction: Overweight has become a very important issue in the epidemiological scenario of nutrition due to its increasing rates and association with several chronic noncommunicable diseases. The etiology of overweight is complex, but diet is one of the modifiable factors that may interfere in the nutritional status of individuals and consequently on overweight and obesity. One aspect of the diet that has been related to overweight is the increase of energy intake, and related to that, the increase on food portion size.Objective: To evaluate differences in food portions size and its energy contribution in adolescents from São Paulo, Brazil between 2003, 2008 and 2015.Materials and Methods: Cross-sectional population-based study with a representative sample of 1711 adolescents aged 12 to 19 years who participated in the Health Survey of São Paulo (HS-SP). The HS-SP was conducted in 2003, 2008 and 2015. Overweight was defined according to the cutoff points of the World Health Organization (WHO) for adolescents (BMI ≥ p85). Dietary data were obtained from two 24-hour recalls.Reported foods were classified into groups and the prevalence of consumers, the percentage of energy contribution, and the mean and median of portion sizes in each food group were calculated.Results: Over the years, the prevalence of overweight in adolescents increased from 13.8% to 29.4%. The prevalence of consumers of salty snacks, fruits, industrialized juices, red meats, rice, sweets/desserts and toast/cookies has increased; while the number of consumers of coffee/tea, fruit juice, milk, artisan/non-packaged snacks and sugar decreased. The food groups with the highest energy contribution were: rice (14%), red meat (12%) and bread (9%) in all the years evaluated. The groups with the greatest increase in the energy contribution from 2003 to 2015 were: toast / cookies, sweets / desserts, white and red meats, and industrialized juices. The consumption portion size of eggs has increased, while those of cold cuts, fruits, industrialized juices, rice and tubers/roots decreased.Discussion: There was a diverse variation in the frequency of intake, the energy contribution and the food portion size over time with increase in some groups and decrease in others. These findings provide useful data to support future interventions and public policies focused on adolescent feeding.

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Association of Overweight with Food Portion Size among Adults of São Paulo – Brazil

PLoS ONE ◽

10.1371/journal.pone.0164127 ◽

2016 ◽

Vol 11 (10) ◽

pp. e0164127 ◽

Cited By ~ 5

Author(s):

Jaqueline Lopes Pereira ◽

Aline Mendes ◽

Sandra Patricia Crispim ◽

Dirce Maria Marchioni ◽

Regina Mara Fisberg

Keyword(s):

Sao Paulo ◽

Portion Size ◽

São Paulo ◽

Food Portion ◽

Food Portion Size

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Differences over 12 Years in Food Portion Size and Association with Excess Body Weight in the City of São Paulo, Brazil

Nutrients ◽

10.3390/nu10060696 ◽

2018 ◽

Vol 10 (6) ◽

pp. 696 ◽

Cited By ~ 1

Author(s):

Jaqueline Pereira ◽

Paula Félix ◽

Josiemer Mattei ◽

Regina Fisberg

Keyword(s):

Body Weight ◽

Sao Paulo ◽

Portion Size ◽

Excess Body Weight ◽

São Paulo ◽

Food Portion ◽

The City ◽

Food Portion Size

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Comparison between self-reported and measured anthropometric data of energy intake under-reporters: 2015 Healthy Survey of São Paulo

Proceedings of The Nutrition Society ◽

10.1017/s0029665120002177 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Lais Duarte Batista ◽

Natasha Aparecida Grande de França ◽

Ana Carolina Barco Leme ◽

Marcela Riccioppo Garcez Molina ◽

Lígia Araújo Martini ◽

...

Keyword(s):

Energy Intake ◽

Weight Status ◽

Pearson Correlation ◽

Sao Paulo ◽

Overweight And Obesity ◽

World Health ◽

São Paulo ◽

Anthropometric Data ◽

Doubly Labelled Water ◽

Health Organization

AbstractIntroductionMisreporting in adults has been associated with socioeconomic and anthropometric characteristics, such as sex, age and weight status. Body Mass Index (BMI) is an important factor that has been associated with underreporting of energy intake. Many epidemiological studies often use self-reported values of height and weight, in order to reduce the cost and viability of population-base studies. Therefore, it is important to test the reliability of self-reported against measured values of height, weight and BMI in individuals who tend to underestimate their energy consumption.ObjectiveTo compare self-reported and measured anthropometric data of individuals who are underreporting their energy intake.Materials and MethodsThe sample included forty-six men and women who participated on the Health Survey of São Paulo, Brazil and had their total energy expenditure (TEE) measured by the doubly labelled water technique. Self-reported data were obtained from questionnaires and trained professional conducted the measurements of height and weight. BMI was classified based on the World Health Organization cutoff points for adults and the Pan-American Health Organization for elderlies. Correlation analysis and paired t test was used to test the differences between both values. Energy intake (EI) was assessed using two 24-hours dietary recall. The ratio of EI:TEE was used to identify misreporting considering the 95% confidence intervals. Respondents were classified in under-reporters, plausible reporters and over-reporters.ResultsTwenty-six (57.8%) were classified as under-reporters, thirteen (28.9%) as plausible reporters, and six (13.3%) as over-reporters. Significant differences were found comparing measured vs. self-reported anthropometric values of under-reporters with height (1.60 m vs. 1.62 m, p < 0.00) and BMI (29.1kg/m2 vs. 27.9kg/m2, p < 0.02), but no significant differences for weight (74.6 kg vs. 75.7 kg, p = 0.28). Overweight and obesity were higher in under-reporters comparing self-reported (11.5% and 30.8%) and measured (15.4% and 46.2%) anthropometric values. Pearson correlation coefficient between measured and self-reported values was 0.95 (p < 0.00) for weight, 0.96 (p < 0.00) for height and 0.92 (p < 0.00) for BMI.DiscussionAlthough results showed a strong and significant correlation between self-reported and measured anthropometric values in under-reporters, it is important to consider BMI and obesity are important factors related to underreporting. Therefore, it recommends to measure anthropometric data in studies that aim to characterize misreporting based on nutritional status, since the classification and prevalence of BMI and obesity can be affected by the chosen approach.

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Analysis of the National Adult Nutrition Survey (Ireland) and the Food4Me Nutrition Survey Databases to Explore the Development of Food Labelling Portion Sizes for the European Union

Nutrients ◽

10.3390/nu11010006 ◽

2018 ◽

Vol 11 (1) ◽

pp. 6 ◽

Cited By ~ 1

Author(s):

Michael Gibney ◽

Aifric O’Sullivan ◽

Albert Flynn ◽

Janette Walton ◽

Hannelore Daniel ◽

...

Keyword(s):

European Union ◽

Survey Data ◽

Portion Size ◽

Food Labelling ◽

Food Diary ◽

Nutrition Survey ◽

Portion Sizes ◽

Food Portion ◽

Food Portion Size ◽

The Eu

The present study set out to explore the option of developing food portion size for nutritional labelling purposes using two European Union (EU) dietary surveys. The surveys were selected as they differed in (a) methodologies (food diary versus food frequency questionnaire), (b) populations (Irish National Adult Nutrition Survey (NANS) versus a seven-country survey based on the pan EU study Food4Me), (c) food quantification (multiple options versus solely photographic album) and (d) duration (4 consecutive days versus recent month). Using data from these studies, portion size was determined for 15 test foods, where portion size was defined as the median intake of a target food when consumed. The median values of the portion sizes derived from both the NANS and Food4Me surveys were correlated (r = 0.823; p < 0.00) and the mean of the two survey data sets were compared to US values from the Recognized as Customarily Consumed (RACC) database. There was very strong agreement across all food categories between the averaged EU and the US portion size (r = 0.947; p < 0.00). It is concluded that notwithstanding the variety of approaches used for dietary survey data in the EU, the present data supports using a standardized approach to food portion size quantification for food labelling in the EU.

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Influence of nutrition labelling on food portion size consumption

Appetite ◽

10.1016/j.appet.2013.02.013 ◽

2013 ◽

Vol 65 ◽

pp. 153-158 ◽

Cited By ~ 19

Author(s):

Mary T. McCann ◽

Julie M.W. Wallace ◽

Paula J. Robson ◽

Kirsten L. Rennie ◽

Tracy A. McCaffrey ◽

...

Keyword(s):

Portion Size ◽

Nutrition Labelling ◽

Food Portion ◽

Food Portion Size

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Aborto provocado: redução da frequência e gravidade das complicações. Consequência do uso de misoprostol?

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292010000400004 ◽

2010 ◽

Vol 10 (4) ◽

pp. 441-447 ◽

Cited By ~ 5

Author(s):

Daniela Fornel de Oliveira Silva ◽

Aloísio José Bedone ◽

Aníbal Faúndes ◽

Arlete Maria dos Santos Fernandes ◽

Verônica Gomes Alencar de Lima e Moura

Keyword(s):

World Health Organization ◽

Sao Paulo ◽

World Health ◽

São Paulo ◽

Health Organization

OBJETIVOS: verificar a frequência e a gravidade das complicações por abortos provocados e suas possíveis associações com o uso de misoprostol. MÉTODOS: estudo de corte transversal. Durante dez meses aplicou-se uma lista de verificação (critérios da World Health Organization) a todas as 543 mulheres internadas por aborto em dois hospitais na cidade de Campinas, São Paulo. Àquelas classificadas como aborto possível, provável ou certamente provocado foi aplicado também um questionário. RESULTADOS: dentre todas as mulheres internadas, 259 (48%) foram classificadas como aborto possível, provável ou certamente induzido e responderam ao questionário; 25 mulheres declararam a indução do aborto e, destas, nove referiram uso de misoprostol. Complicações infecciosas e hemorrágicas ocorreram respectivamente em 10% e 13% das 259 mulheres. As que usaram misoprostol se complicaram menos que as que usaram outros métodos, porém essa diferença não foi estatisticamente significativa, talvez pela baixa freqüência de complicações. CONCLUSÕES: os dados mostram redução da freqüência e da gravidade das complicações do aborto, mas não permitem avaliar o papel do misoprostol.

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Validity of photographs for food portion estimation in a rural West African setting

Public Health Nutrition ◽

10.1017/s1368980007000870 ◽

2008 ◽

Vol 11 (6) ◽

pp. 581-587 ◽

Cited By ~ 39

Author(s):

L Huybregts ◽

D Roberfroid ◽

C Lachat ◽

J Van Camp ◽

P Kolsteren

Keyword(s):

West African ◽

Portion Size ◽

Rural Setting ◽

Group Level ◽

Size Estimation ◽

Childbearing Age ◽

Food Items ◽

Food Portion ◽

Mean Differences ◽

Food Portion Size

AbstractObjectiveTo validate food photographs for food portion size estimation of frequently consumed dishes, to be used in a 24-hour recall food consumption study of pregnant women in a rural environment in Burkina Faso. This food intake study is part of an intervention evaluating the efficacy of prenatal micronutrient supplementation on birth outcomes.SubjectsWomen of childbearing age (15–45 years).DesignA food photograph album containing four photographs of food portions per food item was compiled for eight selected food items. Subjects were presented two food items each in the morning and two in the afternoon. These foods were weighed to the exact weight of a food depicted in one of the photographs and were in the same receptacles. The next day another fieldworker presented the food photographs to the subjects to test their ability to choose the correct photograph.ResultsThe correct photograph out of the four proposed was chosen in 55% of 1028 estimations. For each food, proportions of underestimating and overestimating participants were balanced, except for rice and couscous. On a group level, mean differences between served and estimated portion sizes were between −8.4% and 6.3%. Subjects who attended school were almost twice as likely to choose the correct photograph. The portion size served (small vs. largest sizes) had a significant influence on the portion estimation ability.ConclusionsThe results from this study indicate that in a West African rural setting, food photographs can be a valuable tool for the quantification of food portion size on group level.

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Ergonomia e qualidade de vida no trabalho: um estudo de caso no agronegócio brasileiro

Revista Científica Hermes - FIPEN ◽

10.21710/rch.v30i0.608 ◽

2021 ◽

Vol 30 ◽

pp. 224

Author(s):

Bianca Hikari Kumagai ◽

Igor Polezi Munhoz ◽

Alessandra Cristina Santos Akkari

Keyword(s):

Quality Of Life ◽

World Health Organization ◽

Sao Paulo ◽

World Health ◽

São Paulo ◽

World Health Organization Quality ◽

Organization Quality ◽

Health Organization

O agronegócio possui grande representação no setor econômico brasileiro com significativa participação no PIB. Contudo, trata-se de um dos segmentos com o maior número de acidentes ocupacionais e alta prevalência de riscos ergonômicos. Logo, esse artigo objetivou diagnosticar, sob enfoque da ergonomia e da qualidade de vida no trabalho (QVT), a realidade de trabalhadores rurais, utilizando como modelo de estudo uma empresa familiar agrícola no estado de São Paulo. A partir de uma pesquisa exploratória e descritiva, aplicou-se o método observacional assistemático e coletou-se dados por meio do Questionário Nórdico de Sintomas Osteomusculares (QNSO) e do Questionário World Health Organization Quality of Life (WHOQOL-bref), seguindo-se de tratamento estatístico descritivo e inferencial. Os principais pontos de dores identificados referiram-se ao quadril/membros inferiores (40%) e região dorsal (40%), associando-se esses relatos às atividades repetitivas, alta incidência de trabalho estático, movimentação manual de carga e má postura observadas in loco. Estatisticamente, verificou-se que as dores na região dorsal estão relacionadas ao tempo de trabalho na função (p = 0,009), bem como há relação com os desconfortos da região cervical (p = 0,001). Ainda, os trabalhadores apresentaram elevada QTV (3,9 ± 0,7), apontando como única fragilidade a influência do sono no trabalho (2,7 ± 1,1). Constatou-se que manifestações de dores e desconfortos deve-se à falta de alinhamento das atividades laborais com os preceitos ergonômicos, porém sem impacto direto na QVT na amostra estudada. Esse artigo contribui para discussões gerenciais sobre planos e práticas que prezem pela saúde e bem-estar do trabalhador agrícola para otimizar indicadores sociais e econômicos no agronegócio brasileiro.

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O suicídio: uma reflexão sobre medidas preventivas

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i1.4996 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Camila Mazza da Silva ◽

Victor Colucci Neto

Keyword(s):

World Health Organization ◽

Digital Media ◽

Action Plan ◽

Sao Paulo ◽

World Health ◽

São Paulo ◽

University Of Michigan ◽

Health Action ◽

Health Organization ◽

Health Action Plan

No presente artigo serão trazidos à baila algumas questões relacionadas ao suicídio, sobretudo com relação aos métodos preventivos. Nesse contexto, será abordado o disposto pela OMS, que reconheceu o suicídio como sendo uma prioridade de saúde pública. Em decorrência, publicou em 2014 o primeiro Relatório Mundial de Suicídio da OMS “Prevenção do suicídio: um imperativo global”, cujo objetivo seria aumentar a conscientização sobre a importância da saúde pública para as tentativas de suicídio e suicídio, fazendo da prevenção ao suicídio uma alta prioridade na agenda global em termos de saúde pública. No mais, além do disposto pela OMS, será discorrido a respeito da prevenção ao suicídio sob a perspectiva da importância da família, salientando-se para o uso e influência das tecnologias, a busca pelo sentido da vida e a valorização da autoestima em crianças e adolescentes. Para tanto, será realizada pesquisa bibliográfica em livros, revistas, textos e artigos científicos.Descritores: Suicídio; Prevenção Controle; Saúde Pública.RferênciasGuia Intersetorial de Prevenção do Comportamento Suicida em Crianças E Adolescentes; 2019.Kovacs MJ. Morte e desenvolvimento humano. São Paulo: Casa do Psicólogo; 1992.Rocha GMA. Condutas autolesivas: uma leitura pela Teoria do Apego. Rev Bras Psicologia. 2015;2(01):62-70.OMS. Organização Mundial de Saúde. Prevenção do suicídio um recurso para conselheiros. Departamento de Saúde Mental e de Abuso de Substâncias. Gestão de Perturbações Mentais e de Doenças do Sistema Nervoso. Genebra; 2006.p.9-11.Durkheim E. O Suicídio. estudo de Sociologia. São Paulo: Martins Fontes; 2000.Franco M. Após experiências familiares, psicóloga vira 'suicidologista' para prevenir casos. Folha de S. Paulo, São Paulo, 29 out. 2018. Disponível em: https://www1.folha.uol.com.br/equilibrioesaude/2018/10/apos-experiencias-familiares-psicologa-vira-suicidologista-para-prevenir-casos.shtml. Acesso em: 02 fev. 2020.WHO. World Health Organization. Suicide. Geneva; 2019. Disponível em: https://www.who.int/news-room/fact-sheets/detail/suicide. Acesso em: 13 jan. 2020.WHO. World Health Organization. Comprehensive mental health action plan 2013–2020. Geneva; 2013. Disponível em: https://www.who.int/mental_health/action_plan_2013/en/. Acesso em: 13 jan. 2020.Botega NJ. Comportamento suicida: epidemiologia. Psicologia USP. 2014;25(3):231-36.Brasil. Ministério da Mulher, da Família e dos Direitos Humanos. O suicídio e a automutilação tratados sob a perspectiva da família e do sentido da vida. 2019. p. 1-42.Moraes, FT. Depressão em adolescentes cresce impulsionada por uso de redes sociais. Folha de S. Paulo, São Paulo, 5 nov. 2018. Disponível em: https://www1.folha.uol.com.br/equilibrioesaude/2018/11/depressao-em- adolescentes-cresce-impulsionada-por-uso-de-redes-sociais.shtml. Acesso em: 01 fev. 2020.University of Michigan Health System. Pediatricians update digital media recommendations for kids. ScienceDaily. 2016. Disponível em: https://www.sciencedaily.com/releases/2016/10/161021093834.htm. Acesso em: 20 jan. 2020.

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