Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study

The COVID-19 pandemic impacts on eating habits among adolescents may be more relevant in pediatric patients with immunocompromised chronic diseases. This case-control study conducted between June and October 2020 aimed to: (i) describe dietary patterns of adolescents with chronic conditions compared...

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Main Authors: Gabriel P. Esteves, Bruna Caruso Mazzolani, Fabiana Infante Smaira, Heloísa C. Santo André, Amanda Yuri Iraha, Camilla Astley, Isabela Gouveia Marques, Milla Cordeiro Amarante, Nathalia Saffioti Rezende, Sofia Mendes Sieczkowska, Tathiane Christine Franco, Luana Cristina do Amaral Miranda, Lívia Lindoso, Alberto Carame Helito, Jane Oba, Ligia Bruni Queiroz, Rosa Maria R. Pereira, Lucia Maria A. Campos, Nadia E. Aikawa, Hamilton Roschel, Clovis A. Silva, Bruno Gualano
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1141845/full
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author Gabriel P. Esteves
Gabriel P. Esteves
Bruna Caruso Mazzolani
Bruna Caruso Mazzolani
Fabiana Infante Smaira
Fabiana Infante Smaira
Heloísa C. Santo André
Amanda Yuri Iraha
Amanda Yuri Iraha
Camilla Astley
Camilla Astley
Isabela Gouveia Marques
Isabela Gouveia Marques
Milla Cordeiro Amarante
Milla Cordeiro Amarante
Nathalia Saffioti Rezende
Nathalia Saffioti Rezende
Sofia Mendes Sieczkowska
Sofia Mendes Sieczkowska
Tathiane Christine Franco
Tathiane Christine Franco
Luana Cristina do Amaral Miranda
Lívia Lindoso
Alberto Carame Helito
Jane Oba
Ligia Bruni Queiroz
Rosa Maria R. Pereira
Lucia Maria A. Campos
Nadia E. Aikawa
Nadia E. Aikawa
Hamilton Roschel
Hamilton Roschel
Clovis A. Silva
Clovis A. Silva
Bruno Gualano
Bruno Gualano
Bruno Gualano
author_facet Gabriel P. Esteves
Gabriel P. Esteves
Bruna Caruso Mazzolani
Bruna Caruso Mazzolani
Fabiana Infante Smaira
Fabiana Infante Smaira
Heloísa C. Santo André
Amanda Yuri Iraha
Amanda Yuri Iraha
Camilla Astley
Camilla Astley
Isabela Gouveia Marques
Isabela Gouveia Marques
Milla Cordeiro Amarante
Milla Cordeiro Amarante
Nathalia Saffioti Rezende
Nathalia Saffioti Rezende
Sofia Mendes Sieczkowska
Sofia Mendes Sieczkowska
Tathiane Christine Franco
Tathiane Christine Franco
Luana Cristina do Amaral Miranda
Lívia Lindoso
Alberto Carame Helito
Jane Oba
Ligia Bruni Queiroz
Rosa Maria R. Pereira
Lucia Maria A. Campos
Nadia E. Aikawa
Nadia E. Aikawa
Hamilton Roschel
Hamilton Roschel
Clovis A. Silva
Clovis A. Silva
Bruno Gualano
Bruno Gualano
Bruno Gualano
author_sort Gabriel P. Esteves
collection DOAJ
description The COVID-19 pandemic impacts on eating habits among adolescents may be more relevant in pediatric patients with immunocompromised chronic diseases. This case-control study conducted between June and October 2020 aimed to: (i) describe dietary patterns of adolescents with chronic conditions compared to healthy controls and (ii) determine associations between food consumption, health-related quality of life (HRQL) and sleep quality during the COVID-19 pandemic. Participants (184 immunocompromised and 58 healthy adolescents, aged 14.3 [SD 2.5]) responded to HRQL and sleep validated instruments (PedsQL and PSQI) and three 24 h food recalls via online software. Adjusted linear and logistic regressions were used to assess differences in dietary patterns and associations between food consumption (according to Nova classification) and HRQL and sleep quality. Adolescents with gastrohepatic, rheumatic, and kidney diseases had an improved dietary pattern vs. their healthy peers, showing greater consumption of unprocessed and minimally processed foods (unstandardized coefficient (b) = 7.35%[95%CI 1.59; 13.1]; b = 15.10%[95%CI 7.00; 23.1]; and b = 11.2%[95%CI 5.68; 16.8]), and lower consumption of ultraprocessed foods (b = −7.53%[95%CI-12.90; −2.18]; b = −11.4%[95%CI-18.90; −3.94]; b = −10.8%[95%CI-16.00; −5.68]). Consumption of culinary ingredients was associated with reduced psychological HRQL in controls (standardized coefficient (β) = −0.26[95%CI-0.52; −0.004]), and processed food consumption was associated with improved sleep latency in immunocompromised participants (β = 0.16[95%CI 0.01; 0.31]). These findings suggest diet quality may play a role in HRQL and sleep quality in this population, and may be relevant for clinical practitioners and policy makers when considering the importance of dietary quality in immunocompromised youths.
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spelling doaj.art-38853186f47c4e8eb018e082473efcfe2023-05-16T05:45:00ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-05-011010.3389/fnut.2023.11418451141845Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control studyGabriel P. Esteves0Gabriel P. Esteves1Bruna Caruso Mazzolani2Bruna Caruso Mazzolani3Fabiana Infante Smaira4Fabiana Infante Smaira5Heloísa C. Santo André6Amanda Yuri Iraha7Amanda Yuri Iraha8Camilla Astley9Camilla Astley10Isabela Gouveia Marques11Isabela Gouveia Marques12Milla Cordeiro Amarante13Milla Cordeiro Amarante14Nathalia Saffioti Rezende15Nathalia Saffioti Rezende16Sofia Mendes Sieczkowska17Sofia Mendes Sieczkowska18Tathiane Christine Franco19Tathiane Christine Franco20Luana Cristina do Amaral Miranda21Lívia Lindoso22Alberto Carame Helito23Jane Oba24Ligia Bruni Queiroz25Rosa Maria R. Pereira26Lucia Maria A. Campos27Nadia E. Aikawa28Nadia E. Aikawa29Hamilton Roschel30Hamilton Roschel31Clovis A. Silva32Clovis A. Silva33Bruno Gualano34Bruno Gualano35Bruno Gualano36Rheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilSchool of Applied Science (FCA), State University of Campinas, Limeira, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilRheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilRheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clinicas HCFMUSP, Faculdade de Medicina, Instituto da Criança e do Adolescente (ICr), Universidade de São Paulo, São Paulo, BrazilRheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, BrazilRheumatology Division, Faculdade de Medicina FMUSP, Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Universidade de São Paulo, São Paulo, SP, BrazilLaboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Disciplina de Reumatologia, Universidade de São Paulo, São Paulo, SP, BrazilFood Research Center, University of São Paulo, São Paulo, BrazilThe COVID-19 pandemic impacts on eating habits among adolescents may be more relevant in pediatric patients with immunocompromised chronic diseases. This case-control study conducted between June and October 2020 aimed to: (i) describe dietary patterns of adolescents with chronic conditions compared to healthy controls and (ii) determine associations between food consumption, health-related quality of life (HRQL) and sleep quality during the COVID-19 pandemic. Participants (184 immunocompromised and 58 healthy adolescents, aged 14.3 [SD 2.5]) responded to HRQL and sleep validated instruments (PedsQL and PSQI) and three 24 h food recalls via online software. Adjusted linear and logistic regressions were used to assess differences in dietary patterns and associations between food consumption (according to Nova classification) and HRQL and sleep quality. Adolescents with gastrohepatic, rheumatic, and kidney diseases had an improved dietary pattern vs. their healthy peers, showing greater consumption of unprocessed and minimally processed foods (unstandardized coefficient (b) = 7.35%[95%CI 1.59; 13.1]; b = 15.10%[95%CI 7.00; 23.1]; and b = 11.2%[95%CI 5.68; 16.8]), and lower consumption of ultraprocessed foods (b = −7.53%[95%CI-12.90; −2.18]; b = −11.4%[95%CI-18.90; −3.94]; b = −10.8%[95%CI-16.00; −5.68]). Consumption of culinary ingredients was associated with reduced psychological HRQL in controls (standardized coefficient (β) = −0.26[95%CI-0.52; −0.004]), and processed food consumption was associated with improved sleep latency in immunocompromised participants (β = 0.16[95%CI 0.01; 0.31]). These findings suggest diet quality may play a role in HRQL and sleep quality in this population, and may be relevant for clinical practitioners and policy makers when considering the importance of dietary quality in immunocompromised youths.https://www.frontiersin.org/articles/10.3389/fnut.2023.1141845/fullquality of lifequality of sleeplifestylesocial distancingyouth
spellingShingle Gabriel P. Esteves
Gabriel P. Esteves
Bruna Caruso Mazzolani
Bruna Caruso Mazzolani
Fabiana Infante Smaira
Fabiana Infante Smaira
Heloísa C. Santo André
Amanda Yuri Iraha
Amanda Yuri Iraha
Camilla Astley
Camilla Astley
Isabela Gouveia Marques
Isabela Gouveia Marques
Milla Cordeiro Amarante
Milla Cordeiro Amarante
Nathalia Saffioti Rezende
Nathalia Saffioti Rezende
Sofia Mendes Sieczkowska
Sofia Mendes Sieczkowska
Tathiane Christine Franco
Tathiane Christine Franco
Luana Cristina do Amaral Miranda
Lívia Lindoso
Alberto Carame Helito
Jane Oba
Ligia Bruni Queiroz
Rosa Maria R. Pereira
Lucia Maria A. Campos
Nadia E. Aikawa
Nadia E. Aikawa
Hamilton Roschel
Hamilton Roschel
Clovis A. Silva
Clovis A. Silva
Bruno Gualano
Bruno Gualano
Bruno Gualano
Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study
Frontiers in Nutrition
quality of life
quality of sleep
lifestyle
social distancing
youth
title Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study
title_full Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study
title_fullStr Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study
title_full_unstemmed Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study
title_short Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study
title_sort food consumption based on processing level according to nova system during the covid 19 pandemic among adolescents with immunocompromised conditions a case control study
topic quality of life
quality of sleep
lifestyle
social distancing
youth
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1141845/full
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