Association of body image with the consumption of sugary drinks and nutritional status in adolescents
DOI: 10.15343/0104-7809.202044630641
Keywords:
Body Image, Carbonated Drinks, Body Mass Index, Vocational Education.Abstract
The consumption of sugary drinks has increased and may affect weight and body image; however, little is known about
the relationship of body satisfaction with the intake of these drinks. This study aimed to evaluate the association of
body image with the consumption of sugary drinks and nutritional status in adolescents. 42 students of an integrated
technical education were evaluated according to the silhouette scale, consumption of sugary drinks, and anthropometric
parameters. The data were analyzed by ANOVA and Chi-squared tests and categorized by body satisfaction. Most
adolescents were eutrophic (83.3%) but showed a high level of body image dissatisfaction (boys: 65.2% and girls:
63.1%). Sugary drinks are consumed by 73.8 to 88.1% of those evaluated. Artificial juice and soft drinks were the most
consumed beverages for 2-5x/week at school for having a pleasant taste and practicality and were predominantly
ingested by adolescents dissatisfied with being overweight. According to the silhouette scale, 52.4% of students
reported body image equal to the BMI/age classification, however, 33.3% overestimated and 14.3% underestimated
their body image. Girls showed a higher overweight estimate than boys (42.1 vs. 26.1%). Body weight, BMI and waist
and abdomen circumferences were greatest in overweight students, as well as being associated with dissatisfaction
with overweight. It was concluded that artificial juice and soda were the most consumed sugary drinks by adolescents
dissatisfied with being overweight. Overestimation of body image was presented at a high level, suggesting the need for
educational intervention in this population.
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References
Anthropometrics Indices. Obesity. 2015;1.1:1-4. Disponível em: https://www.sciforschenonline.org/journals/obesity/OOA-1-102.php.
2. Miranda VPN, Morais NS, Faria ER, Amorim PRS, Marins JCB, Franceschini SCC, Teixeira PC, Priore SE. Insatisfação corporal, nível de
atividade física e comportamento sedentário em adolescentes do sexo feminino. Rev Paul Pediat. 2018; 36:482-490 (2018). Disponível
em:https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822018000400482&lng=pt&nrm=iso&tlng=en
3. Petroski EL, Pelegrini A, Glaner MF. Motivos e prevalência de insatisfação com a imagem corporal em adolescentes. Ciênc Saúde
Coletiva. 2012; 17:1071-1077.
4. Oliveira NCF, Bragança MLBM, Anjos, ABSL, Bagea EG, Cantanhede NAC, França AKTC. Contribuição energética e consumo de
alimentos por adolescentes de uma capital do nordeste brasileiro. Adolesc Saude. 2019; 16(4):80-90. Disponível em: http://www.
adolescenciaesaude.com/detalhe_artigo.asp?id=813.
5. Jesus DS, Cifuentes DJ, Menegali BT, Silva LA. Percepção e satisfação corporal de alunos do ensino médio de uma escola privada em
Orleans-SC. Adolesc Saude. 2019; 16(3):102-110. Disponível em: http://www.adolescenciaesaude.com/detalhe_artigo.asp?id=802.
6. Brito LMS, Leite N, Menezes Junior FJ, Mascarenhas LPG, Boguszewski MCS. Associação entre a percepção do peso e comportamentos
de risco para a saúde em escolares do Paraná. Adolesc Saude. 2020;17, 89-98. Disponível em: http://www.adolescenciaesaude.com/
detalhe_artigo.asp?id=828.
7. Resende AS, Santos LR, Leite MMR, Raposo OFF, Netto RSM. Hábitos alimentares e imagem corporal entre frequentadores de
academias. Mundo saúde. 2019; 43:227-248. Disponível em: http:// dx.doi.org/10.15343/0104-7809.20194301227248.
8. Teixeira CS, Dinardi B, Singh TC, Cesarino CB, Pompeo DA. Estado nutricional de adolescentes relacionado ao risco cardiovascular e
imagem corporal. Mundo saúde. 2019; 43:249-264. Disponível em: http:// dx.doi.org/10.15343/0104-7809.20194301249264.
9. Miranda, V. P. N., Conti, M. A., Carvalho, P. H. B., Bastos, R. R. & Ferreira, M. E. C. Imagem corporal em diferentes períodos da
adolescência. Rev Paul Pediatr. 2014; 32:63-69. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-
05822014000100063&lng=pt&nrm=iso&tlng=en
10. Shih Y-H, Wu H-C, Pan W-H, Chang H-Y. Increased coffee, tea, or other sugar-sweetened beverage consumption in adolescents is
associated with less satisfactory dietary quality, body fatness and serum uric acid profiles over the past 18 years in Taiwan. Asia Pac J Clin
Nutr. 2019; 28(2):371-382. Disponível em: http://dx.doi.org/10.6133/apjcn.201906_28(2).0020.
11. Carvalho GX, Nunes APN, Moraes CL, Veiga GV. Insatisfação com a imagem corporal e fatores associados em adolescentes. Ciênc
Saúde Coletiva. 2020; 25(7):2769-2782. Disponível em: http://dx.doi.org/10.1590/1413-81232020257.27452018.
12. Epifânio SOB, Silveira JAC, Menezes RCE, Marinho PM, Brebal KMM, Longo-Silva G. Análise de série temporal do consumo de
bebidas açucaradas entre adultos no Brasil: 2007 a 2014. Ciênc Saúde Coletiva. 2020; 25(7):2529-2540. Disponível em: http://dx.doi.
org/10.1590/1413-81232020257.19402018.13. Marshall TA, Curtis AM, Cavanaugh JE, Warren JJ, Levy SM. Child and Adolescent Sugar-Sweetened Beverage Intakes Are Longitudinally
Associated with Higher Body Mass Index z Scores in a Birth Cohort Followed 17 Years. J Acad Nutr Diet. 2019; 119(3):425-434. Disponível
em: http://dx.doi.org/10.1016/j.jand.2018.11.003.
14. Corrêa Café AC, Lopes CAO, Novais RLR, Bila WC, Silva DK, Romano MCC, Lamounier JA. Consumo de bebidas açucaradas, leite e
sua assoaicção com o índice de massa corporal na adolescência: uma revisão sistêmica. Rev Paul Pediatr. 2018; 36(1):91-99. Disponívelem: http://dx.doi.org/10.1590/1984-0462/;2018;36;1;00010.
15. Fontes AS, Pallottini AC, Vieira DAS, Fontanelli MM, Marchioni DM, Galvão Cesar CL, Alves MCGO, Goldbaum M, Fisberg RM.
Demographic, socioeconomic and lifestyle factors associated with sugar-sweetened beverage intake: a population-based study. Rev Bras
Epidemiol. 2020; 23:E200003. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2020000100411&lng
=en&nrm=iso&tlng=en.
16. Gregorio-Pascual P, Mahler HIM. Effects of interventions based on the theory of planned behavior on sugar-sweetened beverage
consumption intentions and behavior. Appetite. 2020; 145:104491. Disponível em: http://dx.doi.org/10.1016/j.appet.2019.104491.
17. Claro RM, Levy RB, Popkin BM, Monteiro CA. Sugar-Sweetened Beverage Taxes in Brazil. Am J Public Health. 2012; 102(1):178-183.
Disponível em: http://dx.doi.org/10.2105/AJPH.2011.300313.
18. IBGE (Instituto Brasileiro de Geografia e Estatística, Diretoria de Pesquisas, Coordenação de Índices de Preços). Rio de Janeiro, 2004.
Disponível em: https://biblioteca.ibge.gov.br/visualizacao/livros/liv81847.pdf.
19. NEPA-UNICAMP. Tabela brasileira de composição de alimentos - TACO. Vol. 2 2 (NEPA – Núcleo de Estudos e Pesquisas em
Alimentação, 2006). Disponível em: http://189.28.128.100/nutricao/docs/taco/tab_bras_de_comp_de_alim_doc.pdf.
20. Alves BP, Pereira RM, Breda L, Canciglieri RS, Canciglieri PH. Comparação do perfil antropométrico de adolescentes das redes pública
e privada da cidade de Araras/SP e região. Adolesc Saude. 2020; 17(1):41-55. Disponível em: http://www.adolescenciaesaude.com/
detalhe_artigo.asp?id=823.
21. Araújo EMPS, Chaves EM, Brito-Junior FE, Cavalcante EGR, Viana MCA, Duavy SMP. Indicativos de risco cardiovasculares em adolescentes
do ensino médio por avaliação antropométrica. Adolesc Saude. 2020; 17(1):18-24. Disponível em: http://www.adolescenciaesaude.com/
detalhe_artigo.asp?id=820.
22. Barbosa PS, Santos RP, Mendonça JLS, Rocha VS. Circunferência do pescoço e sua associação com parâmetros antropométricos de
adiposidade corporal em adultos. Braspen J. 2017; 32(4):315-320. Disponível em: http://arquivos.braspen.org/journal/out-dez-2017/32-
04-out-dez-2017.html.
23. Dalmaso SB, Santana PG, Cordeiro JP, Rodrigues AL, Ferreira LG, Leopoldo AS, Leopoldo APL. Prevalência de sobrepeso e obesidade
em escolares do ensino fundamental de Vitória/ES. Mundo Saude. 2019; 43(1):061-082. Disponível em: http://dx.doi.org/10.15343/0104-
7809.20194301061082.
24. Cimadon HMS, Geremia R, Pellanda LC. Hábitos Alimentares e Fatores de Risco para Aterosclerose em Estudantes de Bento Gonçalves
(RS). Arq Bras Cardiol. 2010; 95(2):166-172. Disponível em: https://www.scielo.br/scielo.php?pid=S0066-782X2010001200005&script=sci_
abstract&tlng=pt.
25. Ferretti F, Mariani M. Sugar-sweetened beverage affordability and the prevalence of overweight and obesity in a cross section of
countries. Global Health. 2019; 15(30). Disponível em: http://dx.doi.org/10.1186/s12992-019-0474-x.26. Wattelez G, Frayon S, Cavaloc Y, Cherrier S, Lerrant Y, Galy O. Sugar-Sweetened Beverage Consumption and Associated Factors in
School-Going Adolescents of New Caledonia. Nutrients. 2019; 11:425. Disponível em: http://dx.doi.org/10.3390/nu11020452.
27. Duran AC, Almeida SL, Do Latorre MR, Jaime PC. The role of the local retail food environment in fruit, vegetable and sugarsweetened
beverage consumption in Brazil. Public Health Nutr. 2015; 19(3):1093-1102. Disponível em: http://dx.doi.org/10.1017/
S1368980015001524.
28. Shareck M, Lewis D, Smith NR, Clary C, Cummins S. Associations between home and school neighbourhood food environments and
adolescents' fast-food and sugar-sweetened beverage intakes: findings from the Olympic Regeneration in East London (ORiEL) Study.
Public Health Nutr. 2018; 21:2842-2851. Disponível em: http://dx.doi.org/10.1017/S1368980018001477.
29. Duarte MLC, Brito-Júnior FE, Bertoldi R, Silva NS, Bandeira PFR. Qualidade de vida em adolescentes no domínio meio ambiente:
associação com fatores comportamentais e sociodemográficos. Adolesc Saude. 2019;16(3):40-50. Disponível em: http://www.
adolescenciaesaude.com/detalhe_artigo.asp?id=796.
30. Soares Filho LC, Batista RFL, Cardoso VC, Simões VMF, Coelho SJDDAC, Silva AAM. Body image dissatisfaction and symptoms
of depression disorder in adolescents. Braz J Med Biol. Res. 2021; 54(1):e10397. Disponível em: http://dx.doi.org/10.1590/1414-
431X202010397.
31. Salamunes ACC, Stadnik AMW, Neves EB. Estimation of female body percentage based on body circunferences. Rev Bras Med Esporte.
2018; 24(2):97-101. Disponível em: http://dx.doi.org/10.1590/1414-431X202010397. http://rbme.org/sumario/30.
32. World Health Organization. Growth reference data for 5-19 years, WHO reference 2007. Disponível em: <http://www.who.int/
growthref/en/>. Acesso em: 05 jan.2021.
33. Lourenço AM, Taquette SR, Hasselmann MH. Avaliação nutricional: antropometria e conduta nutricional na adolescência. Adolesc
Saude. 2011; 8(1):51-58. Disponível em: http://www.adolescenciaesaude.com/detalhe_artigo.asp?id=265.
34. Rauba J, Tahir A, Milford B, Toll A, Benedict V, Wang C, Chehab L, Sanborn T. Reduction of Sugar-Sweetened Beverage Consumption
in Elementary School Students Using an Educational Curriculum of Beverage Sugar Content. Glob Pediatr Health. 2017; 4:1-5. Disponível
em: http://dx.doi.org/10.1177/2333794X17711778.