Abstract

The objective was to investigate how often Brazilian adolescents eat meals with their parents and verify the association between this habit and quality of the diet. Data were from the Brazilian National Survey of School Health (PeNSE-2015). The sample consisted of adolescents enrolled in the ninth grade in public and private schools, ranging in age from 11 to 19 years. The target exposure was eating meals with parents (0-4 and ≥ 5 days/week) and the outcomes were frequent consumption (≥ 5 days/week) of healthy and unhealthy dietary markers. Healthy diet scores (range 0-21) and unhealthy diet scores (range 0-35) were based on total days that the adolescent reported consuming each of the dietary markers. Poisson and linear regression models were used, adjusted by sociodemographic variables. Frequent sharing of meals with parents (≥ 5 days/week) was seen in 74% (95%CI: 73.4-74.7) of the adolescents. Those reporting this habit showed higher likelihood of frequent consumption of beans (PR = 1.22; 95%CI: 1.19-1.26), fruits (PR = 1.34; 95%CI: 1.28-1.39), and vegetables (PR = 1.39; 95%CI: 1.34-1.44), and lower likelihood of frequent consumption of sweets (PR = 0.91; 95%CI: 0.88-0.94), ultra-processed salty foods (PR = 0.91; 95%CI: 0.87-0.94), and fried salty snacks (PR = 0.85; 95%CI: 0.80-0.90). Eating meals with parents was positively associated with healthy diet scores and inversely associated with unhealthy diet scores . Eating meals with parents is a common habit in Brazilian adolescents and is associated with better quality of diet.

Highlights

  • Obesity is a public health problem that affects children and adolescents at high rates worldwide [1,2]

  • More than half (52.8%; 95%CI: 51.8-53.8) showed frequent consumption of beans, and about one-third ate fruits (32.7%; 95%CI: 32.1-33.4) and vegetables (37.7%; 95%CI: 37.0-38.4) at least 5 days a week

  • Frequent consumption of healthy dietary markers according to sociodemographic characteristics of Brazilian adolescents

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Summary

Introduction

Obesity is a public health problem that affects children and adolescents at high rates worldwide [1,2]. Adolescents’ dietary habits have been characterized by high consumption of ultra-processed foods, high in fats, sugars, and sodium, and low consumption of fruits and vegetables [5,6,7]. Factors contributing to this scenario include the familiar environment, which plays an important role in the development of eating habits in children and adolescents [8,9,10]. Studies have suggested that sharing meals with the family may serve as a protective factor against problems related to health conditions in childhood and adolescence [11,12]. Sharing meals has great potential as a learning environment, where parents can demonstrate healthy eating habits and children can learn about foods and their preparation and eating behaviors and attitudes 13

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