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

2018-07-04Journal article Restricted access
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dc.contributor.authorRito, Ana
dc.contributor.authorDinis, Ana
dc.contributor.authorRascôa, Carla
dc.contributor.authorMartins, Inês
dc.contributor.authorSantos, Mariana
dc.contributor.authorLima, João
dc.contributor.authorMendes, Sofia
dc.contributor.authorPadrão, Joana
dc.contributor.authorSeint Novais, Camila
dc.date.accessioned2019-03-04T12:33:52Z
dc.date.available2019-03-04T12:33:52Z
dc.date.issued2018-07-04
dc.description.abstractBackground/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.pt_PT
dc.description.sponsorshipThe 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Clin Nutr. 2019 Mar;73(3):465-473. doi: 10.1038/s41430-018-0235-6. Epub 2018 Jul 4.pt_PT
dc.identifier.doi10.1038/s41430-018-0235-6pt_PT
dc.identifier.issn0954-3007
dc.identifier.urihttp://hdl.handle.net/10400.18/6048
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relation.publisherversionhttps://www.nature.com/articles/s41430-018-0235-6pt_PT
dc.subjectBreakfastpt_PT
dc.subjectNutrientpt_PT
dc.subjectPortuguese Childrenpt_PT
dc.subjectReady-to-eat cereal (RTEC)pt_PT
dc.subjectSaúde Humana
dc.subjectSegurança Alimentar
dc.titleImproving breakfast patterns of portuguese children - an evaluation of ready-to-eat cereals according to the European nutrient profile modelpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage9pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleEuropean Journal of Clinical Nutritionpt_PT
rcaap.embargofctPolítica editorial da revistapt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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