title: Dietary Patterns and Wheezing in the Midst of Nutritional Transition: A Study in Brazil.
abstract: To assess the influence of dietary patterns on the prevalence of wheezing in the child and adolescent population in Northeastern Brazil. This is a cross-sectional study of male and female students, 6-12 years old, from the public elementary schools of São Francisco do Conde, Bahia, Northeastern Brazil. The report of wheezing in the past 12 months was collected using a questionnaire from the International Study of Asthma and Allergies in Childhood Program phase III, adapted to Portuguese. Consumption patterns were derived from principal component analysis based on the frequency of consumption of 97 food items by the food frequency questionnaire. We also obtained the anthropometric status, level of physical activity, pubertal development, and socioeconomic information, for each participant. Multivariate logistic regression analyses were used to assess the associations of interest. Of the children surveyed, 10.6% reported having wheezing. We identified 2 dietary patterns named Western and Prudent. We found a positive statistically significant association of the Western pattern with wheeze (odds ratio=1.77, 95% confidence interval: 1.10-2.84) after adjustment for total energy intake and controlling for potential confounders. The results showed that the Western dietary pattern was associated with wheezing. Our result is according with previous findings reported in several other studies.
authors.affiliation: Departamento Ciência da Nutrição, Escola de Nutrição, Universidade Federal da Bahia , Salvador, Brasil .
authors.forename: Rita
authors.initials: R
authors.lastname: de Cássia Ribeiro Silva
authors.forename: Ana Marlúcia Oliveira
authors.initials: AM
authors.lastname: Assis
authors.forename: Alvaro Augusto
authors.initials: AA
authors.lastname: Cruz
authors.forename: Rosemeire Leovigildo
authors.initials: RL
authors.lastname: Fiaccone
authors.forename: Silvana
authors.initials: S
authors.lastname: Dinnocenzo
authors.forename: Maurício Lima
authors.initials: ML
authors.lastname: Barreto
authors.forename: Luce Alves
authors.initials: LA
authors.lastname: da Silva
authors.forename: Laura Cunha
authors.initials: LC
authors.lastname: Rodrigues
authors.forename: Neuza Maria
authors.initials: NM
authors.lastname: Alcantara-Neves
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