Título:	School feeding as a protective factor against insulin resistance : the study of cardiovascular risks in adolescents (ERICA)
Autor(es):	Okamura, Aline Bassetto Gonçalves, Vivian Siqueira Santos Carvalho, Kênia Mara Baiocchi de
E-mail do autor:	mailto:alineokamura@hotmail.com
ORCID:	https://orcid.org/0000-0002-8324-8460 https://orcid.org/0000-0001-6893-8263
Assunto:	Adolescentes - saúde e higiene Resistência à insulina Alimentação escolar
Data de publicação:	24-Ago-2022
Editora:	MDPI
Referência:	OKAMURA, Aline Bassetto; GONÇALVES, Vivian Siqueira Santos; CARVALHO, Kênia Mara Baiocchi de. School feeding as a protective factor against insulin resistance: the study of cardiovascular risks in adolescents (ERICA). International Journal of Environmental Research and Public Health, Basel, v. 19, n. 17, art. 10551, 2022. DOI 10.3390/ijerph191710551. Disponível em: https://www.mdpi.com/1660-4601/19/17/10551. Acesso em: 14 set. 2022.
Abstract:	The objective of this study was to use ERICA data from adolescents from Brazilian public schools to investigate the role of school feeding in insulin resistance markers. Public school students (12–17 years old) with available biochemical examinations were selected. Adolescents answered a self‐administered questionnaire, and contextual characteristics were obtained through interviews with principals. A multilevel mixed‐effects generalized linear model was performed at the contextual and individual levels with each insulin resistance marker (fasting insulin, HOMA‐IR, and blood glucose levels). A total of 27,990 adolescents were evaluated (50.2% female). The prevalence of (1) altered insulin was 12.2% (95% CI; 11.1, 13.5), (2) high HOMA‐IR was 24.7% (95% CI; 22.8, 26.7), and (3) high blood glucose was 4.6% (95% CI; 3.8, 5.4). School feeding was positively associated with an insulin resistance marker, decreasing by 0.135 units of HOMA‐IR (95% CI; −0.19, −0.08), 0.469 μU/L of insulin levels (95% CI; −0.66, −0.28), and 0.634 mg/dL of blood glucose (95% CI; −0.87, −0.39). In turn, buying food increased blood glucose by 0.455 mg/dL (95% CI; 0.16, 0.75). School feeding was positively associated with insulin resistance variables, demonstrating the potential of planned meals in the school environment to serve as a health promoter for the adolescent population.
Licença:	International Journal of Environmental Research and Public Health - This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). Fonte: https://www.mdpi.com/openaccess. Acesso em: 14 set. 2022.
DOI:	https://doi.org/10.3390/ijerph191710551
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