{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:51:13Z","timestamp":1788432673709,"version":"build-2803163510"},"reference-count":49,"publisher":"Walter de Gruyter GmbH","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2020-0739_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To analyze the determinants of UPP consumption among children and adolescents with type 1 diabetes mellitus.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2020-0739_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cross-sectional study at a reference hospital for the treatment of diabetes in Rio de Janeiro, Brazil. The sociodemographic, anthropometric, dietary, and clinical factors associated with the percentage of total energy intake (TEI) consumed in the form of UPP were investigated. Food consumption was assessed by 24\u00a0h recall and the foods were classified according to the degree of processing as described in the NOVA classification, after which the TEI of each food group was calculated. Multiple linear regression was adopted in the analysis, and associations with p&lt;0.05 were considered significant.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2020-0739_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The study included 120 children and adolescents with a mean age of 11.74\u00a0\u00b1\u00a02.88 years, 53.3% female. Body mass index <jats:italic>z<\/jats:italic>-score was 0.65 (\u00b1 0.89) and 31.7% (n=38) were overweight. The average total energy consumption was 1,756.38\u00a0kcal (\u00b1 518.38). The mean percentage of TEI from UPP was 24.2%\u00a0\u00b1\u00a017.9, meaning that 425.59\u00a0kcal (\u00b1 380.15) of all calories ingested came from such foods. The independent variables associated with the percentage of ultra-processed foods (UPP) in TEI were: per capita household income up to one the minimum wage (<jats:italic>\u03b2<\/jats:italic>:\u00a0\u221222.03; CI 95%\u00a0\u221235.24 to\u00a0\u22128.82); and parents\/guardians schooling of the up to nine years in formal education (<jats:italic>\u03b2<\/jats:italic>: 19.86; CI 95% 8.27\u201331.45).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2020-0739_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Lower household income and fewer years in formal education seem to determine a preference for UPP over fresh and minimally processed foods.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2020-0739","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T23:49:54Z","timestamp":1628207394000},"page":"1449-1456","source":"Crossref","is-referenced-by-count":8,"title":["Determinants of ultra-processed food consumption in Brazilian children and adolescents with type 1 diabetes mellitus: a cross-sectional study"],"prefix":"10.1515","volume":"34","author":[{"given":"Karine","family":"Lopes da Rocha","sequence":"first","affiliation":[{"name":"Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel Nascimento Chanca","family":"Silv\u00e9rio","sequence":"additional","affiliation":[{"name":"Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta Ferreira","family":"Fortins","sequence":"additional","affiliation":[{"name":"Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayara Silva dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cleber Nascimento do","family":"Carmo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Quantitative Methods in Health , Oswaldo Cruz Foundation , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica Medeiros","family":"da Costa","sequence":"additional","affiliation":[{"name":"Martag\u00e3o Gesteira Child Care and Pediatrics Institute, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Luiz","family":"Luescher","sequence":"additional","affiliation":[{"name":"Martag\u00e3o Gesteira Child Care and Pediatrics Institute, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"de Carvalho Padilha","sequence":"additional","affiliation":[{"name":"Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"},{"name":"Martag\u00e3o Gesteira Child Care and Pediatrics Institute, Federal University of Rio de Janeiro , Rio de Janeiro , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2021,8,6]]},"reference":[{"key":"2023040101375937978_j_jpem-2020-0739_ref_001","doi-asserted-by":"crossref","unstructured":"American Diabetes Association (ADA). 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