Causal effect estimates of consuming daily meals on schoolchildren nutrition status, adjusted for child age, sex, family income, school shift, survey year, day of the week the questionnaire refers to, METs of PA, quality of dietary and PA reporting
Meals/snacks | Meal consumed | Quality reporting adjustment | Obesity | Overweight including obesity | ||||||
---|---|---|---|---|---|---|---|---|---|---|
OR | Lower | Upper | P-value | OR | Lower | Upper | P-value | |||
Breakfast | No | CV | 1.00 | - | 1.00 | - | ||||
EXCL | ||||||||||
Yes | CV | 1.01 | 0.98 | 1.04 | 0.470 | 0.97 | 0.93 | 1.00 | 0.042 | |
EXCL | 1.02 | 0.98 | 1.05 | 0.344 | 0.97 | 0.94 | 1.01 | 0.165 | ||
Mid-morning snack | No | CV | 1.14 | - | 1.00 | - | ||||
EXCL | 1.11 | |||||||||
Yes | CV | 1.02 | 1.00 | 1.04 | 0.075 | 1.00 | 0.98 | 1.03 | 0.878 | |
EXCL | 1.01 | 0.99 | 1.03 | 0.251 | 1.00 | 0.98 | 1.02 | 0.934 | ||
Lunch | No | CV | 1.18 | - | 1.00 | - | ||||
EXCL | 1.20 | |||||||||
Yes | CV | 0.97 | 0.91 | 1.05 | 0.485 | 1.04 | 0.96 | 1.13 | 0.342 | |
EXCL | 0.93 | 0.86 | 1.01 | 0.08 | 1.02 | 0.91 | 1.15 | 0.706 | ||
Afternoon snack | No | CV | 1.14 | - | 1.00 | - | ||||
EXCL | 1.11 | |||||||||
Yes | CV | 1.02 | 1.00 | 1.04 | 0.057 | 1.02 | 0.99 | 1.05 | 0.132 | |
EXCL | 1.01 | 0.98 | 1.04 | 0.604 | 1.00 | 0.96 | 1.04 | 0.959 | ||
Dinner | No | CV | 1.12 | - | 1.00 | - | ||||
EXCL | 1.09 | |||||||||
Yes | CV | 1.03 | 0.99 | 1.06 | 0.117 | 1.05 | 1.01 | 1.10 | 0.016 | |
EXCL | 1.02 | 0.98 | 1.07 | 0.345 | 1.05 | 0.99 | 1.12 | 0.114 | ||
Evening snack | No | CV | 1.15 | - | 1.00 | - | ||||
EXCL | 1.12 | |||||||||
Yes | CV | 0.99 | 0.98 | 1.01 | 0.454 | 1.00 | 0.97 | 1.03 | 0.948 | |
EXCL | 0.99 | 0.97 | 1.01 | 0.577 | 1.01 | 0.98 | 1.05 | 0.544 |
N = 26,712 (the total number of samples counted); OR: odds ratios (95% CI limits); Lower: lower OR; Upper: upper OR; *: adjusted for consuming all other meals; **: reference category
The author thanks Maria Alice Altenburg de Assis for her leading role as the principal investigator during data collection in the nutritional surveys analyzed here, and for useful advice in joint publications using these data.
EK: Conceptualization, Data curation, Formal analysis, Methodology, Software, Validation, Visualization, Writing—original draft, Writing—review & editing.
The author declares that he has no conflicts of interest.
Not applicable for the present study as it is a secondary data analysis. The original studies followed the guidelines of the Code of Ethics of the World Medical Association (Declaration of Helsinki) and were approved by the Human Research Ethics Committee of the Federal University of Santa Catarina under protocol numbers 108.386 and 1.410.381.
Informed consent to participate in the study was obtained from parents or legal guardians of the children who took part in the original studies that provided the data for the present study.
Not applicable.
The data will not be shared as they belong to a corporate owner whose permission to do so is not available at the moment.
Not applicable.
© The Author(s) 2023.