Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model

Detalhes bibliográficos
Autor(a) principal: Rito, Ana
Data de Publicação: 2018
Outros Autores: Dinis, Ana, Rascôa, Carla, Martins, Inês, Santos, Mariana, Lima, João, Mendes, Sofia, Padrão, Joana, Seint Novais, Camila
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/6048
Resumo: Background/objectives: Ready-to-eat cereal (RTEC) breakfasts have been increasing in Portugal, among children. Eat Mediterranean (EM), a Portuguese comprehensive community-based intervention, proposed to improve breakfast patterns of children and adolescents and to evaluate the healthiness of RTEC according to WHO/Europe nutrient profile model (Euro- NP). Subjects/methods: EM Program was developed during two scholar years (15/16 and 16/17) toward 2333 students (pre to secondary education). Data on breakfast was provided using a family record form. The intervention consisted of 257 educational sessions addressing the principles of Mediterranean Diet, and promoting a “healthy breakfast at home”. To check for compliance with Euro-NP, RTEC package food labels’ nutritional composition was used. Results: After intervention 92.9% of children/adolescents had breakfast daily with no report of breakfast skippers. RTECs were one of the most frequent (66.5%) breakfasts. Statistically significant improvements were showed for: daily qualitative and complete breakfast frequency (5.6%) and fruit (11.2%). Consumption of RTEC decreased 28%. According to Euro-NP, 84.6% of the RTECs were non-compliant, regarding sugar content. Children’s RTECs presented 5% more of energy and 26% more sugar than the “non-children’s” RTECs. Conclusion: EM strategy showed to be a successful program to improve patterns and quality of breakfast of the children and adolescents, reinforcing the importance of school-based nutritional programs in changing lifestyles. Nutrient profiling can be a useful tool to provide a selection of foods to be part of a healthy diet and can be used by policymakers to design policies to identify the foods to which marketing restrictions to children, will apply.
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spelling Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile modelBreakfastNutrientPortuguese ChildrenReady-to-eat cereal (RTEC)Saúde HumanaSegurança AlimentarBackground/objectives: Ready-to-eat cereal (RTEC) breakfasts have been increasing in Portugal, among children. Eat Mediterranean (EM), a Portuguese comprehensive community-based intervention, proposed to improve breakfast patterns of children and adolescents and to evaluate the healthiness of RTEC according to WHO/Europe nutrient profile model (Euro- NP). Subjects/methods: EM Program was developed during two scholar years (15/16 and 16/17) toward 2333 students (pre to secondary education). Data on breakfast was provided using a family record form. The intervention consisted of 257 educational sessions addressing the principles of Mediterranean Diet, and promoting a “healthy breakfast at home”. To check for compliance with Euro-NP, RTEC package food labels’ nutritional composition was used. Results: After intervention 92.9% of children/adolescents had breakfast daily with no report of breakfast skippers. RTECs were one of the most frequent (66.5%) breakfasts. Statistically significant improvements were showed for: daily qualitative and complete breakfast frequency (5.6%) and fruit (11.2%). Consumption of RTEC decreased 28%. According to Euro-NP, 84.6% of the RTECs were non-compliant, regarding sugar content. Children’s RTECs presented 5% more of energy and 26% more sugar than the “non-children’s” RTECs. Conclusion: EM strategy showed to be a successful program to improve patterns and quality of breakfast of the children and adolescents, reinforcing the importance of school-based nutritional programs in changing lifestyles. Nutrient profiling can be a useful tool to provide a selection of foods to be part of a healthy diet and can be used by policymakers to design policies to identify the foods to which marketing restrictions to children, will apply.The authors wish to acknowledge all the nutritionists, psychologists and other health professionals, children, parents, educators, teachers, school cooking staff, and municipality technicians for their contribution on the field work, as well as the following institutions for their partnership and support: Agrupamentos de Escolas Dr. Ginestal Machado; Sá da Bandeira e de José Relvas; Hospital Distrital de Santarém; CEIDSS—Centro de Estudos e Investigação em Dinâmicas Sociais e Saúde; ISCTEIUL– Instituto Universitário de Lisboa; Municipalities of Alpiarça; and Santarém and Instituto Nacional de Saúde Doutor Ricardo Jorge. Financial disclosure Eat Mediterranean program (2015–2017) was coordinated by the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT), Portugal co-funded by the Public Health Initiatives Program (PT06) of the EEA Grants, to the grant application 171NU2.Springer NatureRepositório Científico do Instituto Nacional de SaúdeRito, AnaDinis, AnaRascôa, CarlaMartins, InêsSantos, MarianaLima, JoãoMendes, SofiaPadrão, JoanaSeint Novais, Camila2019-03-04T12:33:52Z2018-07-042018-07-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/6048engEur J Clin Nutr. 2019 Mar;73(3):465-473. doi: 10.1038/s41430-018-0235-6. Epub 2018 Jul 4.0954-300710.1038/s41430-018-0235-6info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:41:10Zoai:repositorio.insa.pt:10400.18/6048Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:40:40.866969Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
title Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
spellingShingle Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
Rito, Ana
Breakfast
Nutrient
Portuguese Children
Ready-to-eat cereal (RTEC)
Saúde Humana
Segurança Alimentar
title_short Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
title_full Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
title_fullStr Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
title_full_unstemmed Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
title_sort Improving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile model
author Rito, Ana
author_facet Rito, Ana
Dinis, Ana
Rascôa, Carla
Martins, Inês
Santos, Mariana
Lima, João
Mendes, Sofia
Padrão, Joana
Seint Novais, Camila
author_role author
author2 Dinis, Ana
Rascôa, Carla
Martins, Inês
Santos, Mariana
Lima, João
Mendes, Sofia
Padrão, Joana
Seint Novais, Camila
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Rito, Ana
Dinis, Ana
Rascôa, Carla
Martins, Inês
Santos, Mariana
Lima, João
Mendes, Sofia
Padrão, Joana
Seint Novais, Camila
dc.subject.por.fl_str_mv Breakfast
Nutrient
Portuguese Children
Ready-to-eat cereal (RTEC)
Saúde Humana
Segurança Alimentar
topic Breakfast
Nutrient
Portuguese Children
Ready-to-eat cereal (RTEC)
Saúde Humana
Segurança Alimentar
description Background/objectives: Ready-to-eat cereal (RTEC) breakfasts have been increasing in Portugal, among children. Eat Mediterranean (EM), a Portuguese comprehensive community-based intervention, proposed to improve breakfast patterns of children and adolescents and to evaluate the healthiness of RTEC according to WHO/Europe nutrient profile model (Euro- NP). Subjects/methods: EM Program was developed during two scholar years (15/16 and 16/17) toward 2333 students (pre to secondary education). Data on breakfast was provided using a family record form. The intervention consisted of 257 educational sessions addressing the principles of Mediterranean Diet, and promoting a “healthy breakfast at home”. To check for compliance with Euro-NP, RTEC package food labels’ nutritional composition was used. Results: After intervention 92.9% of children/adolescents had breakfast daily with no report of breakfast skippers. RTECs were one of the most frequent (66.5%) breakfasts. Statistically significant improvements were showed for: daily qualitative and complete breakfast frequency (5.6%) and fruit (11.2%). Consumption of RTEC decreased 28%. According to Euro-NP, 84.6% of the RTECs were non-compliant, regarding sugar content. Children’s RTECs presented 5% more of energy and 26% more sugar than the “non-children’s” RTECs. Conclusion: EM strategy showed to be a successful program to improve patterns and quality of breakfast of the children and adolescents, reinforcing the importance of school-based nutritional programs in changing lifestyles. Nutrient profiling can be a useful tool to provide a selection of foods to be part of a healthy diet and can be used by policymakers to design policies to identify the foods to which marketing restrictions to children, will apply.
publishDate 2018
dc.date.none.fl_str_mv 2018-07-04
2018-07-04T00:00:00Z
2019-03-04T12:33:52Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/6048
url http://hdl.handle.net/10400.18/6048
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Eur J Clin Nutr. 2019 Mar;73(3):465-473. doi: 10.1038/s41430-018-0235-6. Epub 2018 Jul 4.
0954-3007
10.1038/s41430-018-0235-6
dc.rights.driver.fl_str_mv info:eu-repo/semantics/embargoedAccess
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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