Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.

Detalhes bibliográficos
Autor(a) principal: Vaca, Maria Fernanda Gombi
Data de Publicação: 2014
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
Texto Completo: http://www.bdtd.uerj.br/handle/1/4299
Resumo: Over the past decades, an increase has been observed in the availability of beverages that are high in energy and rapidly absorbed sugar. These sugar-sweetened beverages, whose consumption has increased in Brazil as well as in other parts of the world, are considered risk factors for obesity and diabetes. The consumption of sugar-sweetened beverages can lead to positive energy balance and consequently to weight gain. This association can be explained by the compensatory regulation of liquid calories. Caloric compensation occurs when there is a reduction in the caloric consumption derived from solid food to compensate for the liquid calories added to the meal or diet. However, the evidence for a public health policy recommendation remains inconclusive. Among reasons for the lack of consensus are the diversity of study designs, experiments conducted in controlled environments that do not reflect the natural consumption of food and beverages, and the use of small or convenient samples. This dissertation studied the association between sugar-sweetened beverages and energy intake, analyzing if calories of sugar-sweetened beverages are compensated during meals in a pragmatic environment. The dietary data was obtained from the National Dietary Survey 2008-2009, which collected information on food consumption from 34,003 individuals, aged 10 years and older, from within the entire national territory. The participants completed two food records over non-consecutive days of the same week. The meals breakfast, lunch and dinner were identified for each individual on each of the days. For each meal, energy intake from food and sugar-sweetened beverages was measured. To test for caloric compensation, a multi-level mixed-effects linear regression model was adjusted for each meal type. The outcome variable was food energy intake and the explicative variable was energy from sugar-sweetened beverages during the meal. The intra-individual effects of the sugar-sweetened beverages on food energy intake were estimated and interpreted. These effects are considered unbiased because they are controlled by all stable characteristics of the subject, and thus the individual acts as his/her own control in the analysis. Covariates included in the model were the meal variables, such as location, day of the week, time of day, energy intake in the previous meal and time interval since the previous meal. And variables of the subject included sex, age group, BMI category and quartiles of per capita income. Random effects of subjects and of households were included in the model to better estimate the structure of errors within the correlated data. The caloric compensation was 42% for breakfast; there was no compensation for lunch; and for dinner, compensation ranged between 0 and 22%, with significant interaction with quartiles of per capita income. The conclusion of this dissertation is that sugar-sweetened beverages are not completely compensated in meals that take place in a pragmatic environment. Therefore, a reduction in the consumption of sugar-sweetened beverages in meals may help reduce excessive caloric consumption, leading to better weight control.
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spelling Verly Junior, Eliseuhttp://lattes.cnpq.br/9014880928943124Leon, Antonio Carlos Monteiro Ponce dehttp://lattes.cnpq.br/8754508925214231Castro, Inês Rugani Ribeiro dehttp://lattes.cnpq.br/7156846059999820Pereira, Rosângela Alveshttp://lattes.cnpq.br/6162308583288053http://lattes.cnpq.br/1304267457723771Vaca, Maria Fernanda Gombi2020-07-05T16:07:39Z2015-05-122014-12-16VACA, Maria Fernanda Gombi. Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.. 2014. 107 f. Dissertação (Mestrado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2014.http://www.bdtd.uerj.br/handle/1/4299Over the past decades, an increase has been observed in the availability of beverages that are high in energy and rapidly absorbed sugar. These sugar-sweetened beverages, whose consumption has increased in Brazil as well as in other parts of the world, are considered risk factors for obesity and diabetes. The consumption of sugar-sweetened beverages can lead to positive energy balance and consequently to weight gain. This association can be explained by the compensatory regulation of liquid calories. Caloric compensation occurs when there is a reduction in the caloric consumption derived from solid food to compensate for the liquid calories added to the meal or diet. However, the evidence for a public health policy recommendation remains inconclusive. Among reasons for the lack of consensus are the diversity of study designs, experiments conducted in controlled environments that do not reflect the natural consumption of food and beverages, and the use of small or convenient samples. This dissertation studied the association between sugar-sweetened beverages and energy intake, analyzing if calories of sugar-sweetened beverages are compensated during meals in a pragmatic environment. The dietary data was obtained from the National Dietary Survey 2008-2009, which collected information on food consumption from 34,003 individuals, aged 10 years and older, from within the entire national territory. The participants completed two food records over non-consecutive days of the same week. The meals breakfast, lunch and dinner were identified for each individual on each of the days. For each meal, energy intake from food and sugar-sweetened beverages was measured. To test for caloric compensation, a multi-level mixed-effects linear regression model was adjusted for each meal type. The outcome variable was food energy intake and the explicative variable was energy from sugar-sweetened beverages during the meal. The intra-individual effects of the sugar-sweetened beverages on food energy intake were estimated and interpreted. These effects are considered unbiased because they are controlled by all stable characteristics of the subject, and thus the individual acts as his/her own control in the analysis. Covariates included in the model were the meal variables, such as location, day of the week, time of day, energy intake in the previous meal and time interval since the previous meal. And variables of the subject included sex, age group, BMI category and quartiles of per capita income. Random effects of subjects and of households were included in the model to better estimate the structure of errors within the correlated data. The caloric compensation was 42% for breakfast; there was no compensation for lunch; and for dinner, compensation ranged between 0 and 22%, with significant interaction with quartiles of per capita income. The conclusion of this dissertation is that sugar-sweetened beverages are not completely compensated in meals that take place in a pragmatic environment. Therefore, a reduction in the consumption of sugar-sweetened beverages in meals may help reduce excessive caloric consumption, leading to better weight control.Nas últimas décadas, tem sido observado o aumento da oferta de bebidas com elevado conteúdo calórico e com grandes quantidades de açúcar de rápida absorção. Essas bebidas adoçadas, cujo consumo tem aumentado no Brasil assim como em outras partes do mundo, são consideradas fatores de risco para obesidade e diabetes. O consumo de bebidas adoçadas pode levar ao balanço energético positivo e consequentemente ao ganho de peso. Essa associação pode ser explicada pelo mecanismo regulatório de compensação de calorias líquidas. Compensação calórica ocorre quando há redução no consumo de calorias provenientes de alimentos sólidos para compensar as calorias líquidas adicionadas à refeição ou dieta. No entanto, não há consenso em relação a evidências da compensação calórica, dificultando a elaboração de recomendações sobre essas bebidas em saúde pública. Razões para a falta de consenso incluem a diversidade de desenhos de estudos, experimentos realizados em ambientes controlados e não reais em relação ao consumo de alimentos e bebidas, e estudos com amostras pequenas ou de conveniência. Esta dissertação estudou a associação entre bebidas adoçadas e consumo calórico, verificando se calorias de bebidas adoçadas são compensadas em refeições realizadas em um ambiente pragmático. Os dados de consumo calórico de 34.003 indivíduos, com idade igual ou superior a dez anos, foram obtidos pelo Inquérito Nacional de Alimentação 2008-2009, em todo território nacional. Os participantes completaram dois registros alimentares, em dias não consecutivos da mesma semana. Foram selecionadas as refeições dos períodos café da manhã, almoço e jantar de cada indivíduo em cada um dos dias. Para cada refeição, foi calculado o valor calórico de alimentos e de bebidas adoçadas consumidos. Para testar a compensação calórica, um modelo de regressão linear multinível com efeitos mistos foi ajustado para analisar cada período. A variável reposta utilizada foi consumo calórico proveniente de alimentos e a variável explicativa foi consumo calórico de bebida adoçada na refeição. Os efeitos intra-indivíduo da bebida adoçada no consumo calórico foram estimados e interpretados. Esses efeitos são considerados não-enviesados pois são controlados pelas características constantes dos indivíduos, tendo assim o indivíduo atuando como seu próprio controle na análise. Covariadas incluídas no modelo foram variáveis da refeição: local, dia da semana, horário, consumo calórico na refeição anterior e intervalo de tempo desde a última refeição; e do indivíduo: sexo, faixa etária, categoria de Índice de Massa Corpórea e quartos de renda per capita. Efeitos aleatórios dos indivíduos e dos domicílios foram incluídos no modelo para melhor estimar a estrutura de erros de dados correlacionados. A compensação calórica foi de 42% para o café da manhã, não houve compensação no almoço e para o jantar, compensação variou de 0 a 22%, tendo interação com quartos de renda per capita. A conclusão desta dissertação é que as bebidas adoçadas não são completamente compensadas em refeições realizadas em ambiente pragmático. Assim, a redução do consumo de bebidas adoçadas em refeições pode ajudar a diminuir o consumo calórico excessivo e levar a um melhor controle do peso em indivíduos.Submitted by Boris Flegr (boris@uerj.br) on 2020-07-05T16:07:39Z No. of bitstreams: 1 T1481 Maria Fernanda Vaca completa protegida.pdf: 2242288 bytes, checksum: 09ea76389820502bbeba8a6a7f64afef (MD5)Made available in DSpace on 2020-07-05T16:07:39Z (GMT). No. of bitstreams: 1 T1481 Maria Fernanda Vaca completa protegida.pdf: 2242288 bytes, checksum: 09ea76389820502bbeba8a6a7f64afef (MD5) Previous issue date: 2014-12-16Fundação de Amparo à Pesquisa do Estado do Rio de Janeiroapplication/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em Saúde ColetivaUERJBRCentro Biomédico::Instituto de Medicina SocialSugar-sweetened beveragesCaloric compensationEnergy intakeMealsDietary surveysWithin-subject effectsBebidas adoçadasCompensação calóricaConsumo calóricoRefeiçõesInquéritos alimentaresEfeitos intra-indivíduoCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIAAssociação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.Association between sugar-sweetened beverages and energy intake the meals in the Brazilian population.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALT1481 Maria Fernanda Vaca completa protegida.pdfapplication/pdf2242288http://www.bdtd.uerj.br/bitstream/1/4299/1/T1481+Maria+Fernanda+Vaca+completa+protegida.pdf09ea76389820502bbeba8a6a7f64afefMD511/42992024-02-26 20:29:19.023oai:www.bdtd.uerj.br:1/4299Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-26T23:29:19Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false
dc.title.por.fl_str_mv Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
dc.title.alternative.eng.fl_str_mv Association between sugar-sweetened beverages and energy intake the meals in the Brazilian population.
title Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
spellingShingle Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
Vaca, Maria Fernanda Gombi
Sugar-sweetened beverages
Caloric compensation
Energy intake
Meals
Dietary surveys
Within-subject effects
Bebidas adoçadas
Compensação calórica
Consumo calórico
Refeições
Inquéritos alimentares
Efeitos intra-indivíduo
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA
title_short Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
title_full Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
title_fullStr Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
title_full_unstemmed Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
title_sort Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.
author Vaca, Maria Fernanda Gombi
author_facet Vaca, Maria Fernanda Gombi
author_role author
dc.contributor.advisor1.fl_str_mv Verly Junior, Eliseu
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/9014880928943124
dc.contributor.referee1.fl_str_mv Leon, Antonio Carlos Monteiro Ponce de
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/8754508925214231
dc.contributor.referee2.fl_str_mv Castro, Inês Rugani Ribeiro de
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/7156846059999820
dc.contributor.referee3.fl_str_mv Pereira, Rosângela Alves
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/6162308583288053
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/1304267457723771
dc.contributor.author.fl_str_mv Vaca, Maria Fernanda Gombi
contributor_str_mv Verly Junior, Eliseu
Leon, Antonio Carlos Monteiro Ponce de
Castro, Inês Rugani Ribeiro de
Pereira, Rosângela Alves
dc.subject.eng.fl_str_mv Sugar-sweetened beverages
Caloric compensation
Energy intake
Meals
Dietary surveys
Within-subject effects
topic Sugar-sweetened beverages
Caloric compensation
Energy intake
Meals
Dietary surveys
Within-subject effects
Bebidas adoçadas
Compensação calórica
Consumo calórico
Refeições
Inquéritos alimentares
Efeitos intra-indivíduo
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA
dc.subject.por.fl_str_mv Bebidas adoçadas
Compensação calórica
Consumo calórico
Refeições
Inquéritos alimentares
Efeitos intra-indivíduo
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA
description Over the past decades, an increase has been observed in the availability of beverages that are high in energy and rapidly absorbed sugar. These sugar-sweetened beverages, whose consumption has increased in Brazil as well as in other parts of the world, are considered risk factors for obesity and diabetes. The consumption of sugar-sweetened beverages can lead to positive energy balance and consequently to weight gain. This association can be explained by the compensatory regulation of liquid calories. Caloric compensation occurs when there is a reduction in the caloric consumption derived from solid food to compensate for the liquid calories added to the meal or diet. However, the evidence for a public health policy recommendation remains inconclusive. Among reasons for the lack of consensus are the diversity of study designs, experiments conducted in controlled environments that do not reflect the natural consumption of food and beverages, and the use of small or convenient samples. This dissertation studied the association between sugar-sweetened beverages and energy intake, analyzing if calories of sugar-sweetened beverages are compensated during meals in a pragmatic environment. The dietary data was obtained from the National Dietary Survey 2008-2009, which collected information on food consumption from 34,003 individuals, aged 10 years and older, from within the entire national territory. The participants completed two food records over non-consecutive days of the same week. The meals breakfast, lunch and dinner were identified for each individual on each of the days. For each meal, energy intake from food and sugar-sweetened beverages was measured. To test for caloric compensation, a multi-level mixed-effects linear regression model was adjusted for each meal type. The outcome variable was food energy intake and the explicative variable was energy from sugar-sweetened beverages during the meal. The intra-individual effects of the sugar-sweetened beverages on food energy intake were estimated and interpreted. These effects are considered unbiased because they are controlled by all stable characteristics of the subject, and thus the individual acts as his/her own control in the analysis. Covariates included in the model were the meal variables, such as location, day of the week, time of day, energy intake in the previous meal and time interval since the previous meal. And variables of the subject included sex, age group, BMI category and quartiles of per capita income. Random effects of subjects and of households were included in the model to better estimate the structure of errors within the correlated data. The caloric compensation was 42% for breakfast; there was no compensation for lunch; and for dinner, compensation ranged between 0 and 22%, with significant interaction with quartiles of per capita income. The conclusion of this dissertation is that sugar-sweetened beverages are not completely compensated in meals that take place in a pragmatic environment. Therefore, a reduction in the consumption of sugar-sweetened beverages in meals may help reduce excessive caloric consumption, leading to better weight control.
publishDate 2014
dc.date.issued.fl_str_mv 2014-12-16
dc.date.available.fl_str_mv 2015-05-12
dc.date.accessioned.fl_str_mv 2020-07-05T16:07:39Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.citation.fl_str_mv VACA, Maria Fernanda Gombi. Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.. 2014. 107 f. Dissertação (Mestrado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2014.
dc.identifier.uri.fl_str_mv http://www.bdtd.uerj.br/handle/1/4299
identifier_str_mv VACA, Maria Fernanda Gombi. Associação entre bebidas adoçadas e consumo calórico em refeições na população brasileira.. 2014. 107 f. Dissertação (Mestrado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2014.
url http://www.bdtd.uerj.br/handle/1/4299
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Universidade do Estado do Rio de Janeiro
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dc.publisher.initials.fl_str_mv UERJ
dc.publisher.country.fl_str_mv BR
dc.publisher.department.fl_str_mv Centro Biomédico::Instituto de Medicina Social
publisher.none.fl_str_mv Universidade do Estado do Rio de Janeiro
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