Dietary patterns of children and adolescents from high, medium and low human development countries and associated socioeconomic factors: a systematic review
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Date
2018
Authors
Hinnig, P.D.F.
Monteiro, J.S.
Altenburg de Assis, M.A.
Levy, R.B.
Peres, M.A.
Perazi, F.M.
Porporatti, A.L.
Canto, G.D.L.
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Nutrients, 2018; 10(4):436-1-436-25
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Patrícia de Fragas Hinnig, Jordanna Santos Monteiro, Maria Alice Altenburg de Assis, Renata Bertazzi Levy, Marco Aurélio Peres, Fernanda Machado Perazi, André Luís Porporatti and Graziela De Luca Canto
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Abstract
The purpose of this systematic review is to assess the associations among education, income and dietary pattern (DP) in children and adolescents from high, medium and low human development countries (HHDC, MHDC and LHDC, respectively). Observational studies that evaluated the association between family income or education with the DP are obtained through electronic database searches. Forty articles are selected for review. In HHDC, education is inversely associated with “unhealthy” DP and positively associated with “healthy” DP. In cross-sectional studies from HHDC, higher income is negatively associated with “unhealthy” DP. In MHDC, there is no association between the socioeconomic variables (SE) and the DPs, although, in some studies, the unhealthy diet is positively associated with SE. Only one study conducted in LHDC showed an inverse association between income/education with “unhealthy” DP and there is no association between the SE and “healthy” DP. In conclusion, children and adolescents living in HHDC with high parental education tend to have a healthier diet. In MHDC, although an unhealthy diet is found among the high-income and educated population, the associations are not clear. Additional research is needed to clarify the associations between income and education with “unhealthy” and “healthy” DPs in MHDC and LHDC.
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© 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).