Journal
EUROPEAN JOURNAL OF CLINICAL NUTRITION
Volume 73, Issue 3, Pages 465-473Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/s41430-018-0235-6
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Funding
- Public Health Initiatives Program (PT06) of the EEA Grants [171NU2]
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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 (EuroNP). 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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