{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:55:36Z","timestamp":1764305736046,"version":"3.41.2"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. paul. pediatr."],"abstract":"<jats:p>ABSTRACT  Objective:  To identify the prevalence and factors associated with inadequate milk consumption among adolescents.  Methods:  This was a cross-sectional study based on secondary data from the National School Health Survey (2012), a Brazilian survey carried out using a self-administered questionnaire in a representative sample of 9th-grade students from public and private schools. The frequency of milk intake and its association with socio-demographic characteristics, food consumption and physical activity were estimated. A descriptive and inferential analysis of factors associated with inadequate milk consumption (no consumption at least one of the seven days of the week) was performed. A multiple logistic model was adjusted to control confounders.  Results:  The sample included 108,828 adolescents and inadequate milk consumption ocurred in 58.9%. The final model included nine variables independently associated with inadequate milk intake: breakfast frequency less than 4 days per week (odds ratio [OR]=2.40; p&lt;0.001), unprocessed or minimally processed foods intake less than 5 days per week (OR=1.93; p&lt;0.001), living in the northeast region (OR=1.39; p&lt;0.001), less maternal schooling (OR=1.35; p&lt;0.001), physical inactivity (OR=1.33; p&lt;0.001), attending public school (OR=1.26; p&lt;0.001), not being white (OR=1.14; p&lt;0.001), being older than 14 years old (OR=1.13; p&lt;0.001) and having a habit of eating meals while watching TV or studying (OR=1.04; p=0.036).  Conclusions:  Inadequate milk consumption is prevalent among Brazilian adolescents. The identification of associated factors suggests the need to develop nutritional guidance strategies for the prevention of diseases that result from low calcium intake.<\/jats:p>","DOI":"10.1590\/1984-0462\/2020\/38\/2018184","type":"journal-article","created":{"date-parts":[[2019,11,23]],"date-time":"2019-11-23T19:11:24Z","timestamp":1574536284000},"source":"Crossref","is-referenced-by-count":10,"title":["FACTORS ASSOCIATED WITH INADEQUATE MILK CONSUMPTION AMONG ADOLESCENTS: NATIONAL SCHOOL HEALTH SURVEY - PENSE 2012"],"prefix":"10.1590","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2797-4430","authenticated-orcid":false,"given":"Janiquelli Barbosa","family":"Silva","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7682-6392","authenticated-orcid":false,"given":"Bianca Caroline","family":"Elias","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0993-2798","authenticated-orcid":false,"given":"La\u00eds Amaral","family":"Mais","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6678-5256","authenticated-orcid":false,"given":"Sarah","family":"Warkentin","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7931-9692","authenticated-orcid":false,"given":"Tulio","family":"Konstantyner","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8272-2936","authenticated-orcid":false,"given":"Fernanda Luisa Ceragioli","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"edition":"2","year":"2014","series-title":"Guia alimentar para a popula\u00e7\u00e3o brasileira","key":"ref1"},{"year":"2013","series-title":"Milk and dairy products in human nutrition","key":"ref2"},{"key":"ref3","series-title":"Biodisponibilidade de nutrientes","first-page":"418","author":"Cozzolino SM","year":"2012","edition":"4"},{"key":"ref4","series-title":"Leite para adultos - 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(PeNSE) 2012","key":"ref13"},{"key":"ref14","series-title":"Ci\u00eanc Sa\u00fade Coletiva","first-page":"3085","volume-title":"Food consumption and eating behavior among Brazilian adolescents: National Adolescent School-based Health Survey (PeNSE), 2009","volume":"15","author":"Levy RB","year":"2010"},{"key":"ref15","series-title":"Rev Paul Pediatr","first-page":"216","volume-title":"Assessment of calcium intake by adolescents","volume":"32","author":"Oliveira CF","year":"2014"},{"key":"ref16","series-title":"Cad Saude Publica (Rio J)","first-page":"2715","volume-title":"Association between consumption of soft drinks, fruit juice, and milk and body mass index among public school students in Niter\u00f3i, Rio de Janeiro State, Brazil","volume":"25","author":"Nogueira FA","year":"2009"},{"key":"ref17","series-title":"J Acad Nutr Diet","first-page":"698","volume-title":"Beverage consumption patterns at age 13 to 17 years are associated with weight, height, and body mass index at age 17 years","volume":"117","author":"Marshall TA","year":"2017"},{"key":"ref18","series-title":"Adolesc Saude","first-page":"7","volume-title":"Breakfast: association with consumption and feeding behavior by adolescents","volume":"12","author":"Barufaldi LA","year":"2015"},{"key":"ref19","series-title":"Eur J Pediatr","first-page":"1251","volume-title":"Breakfast habits, dairy product consumption, physical activity, and their associations with body mass index in children aged 6-18","volume":"176","author":"Koca T","year":"2017"},{"key":"ref20","series-title":"Adolesc Saude","first-page":"37","volume-title":"The influence of culture on eating behavior of adolescents: an integrative review of the productions in healthcare","volume":"9","author":"Santos CC","year":"2012"},{"key":"ref21","series-title":"Cad Saude Publica (Rio J)","volume-title":"Watching TV and eating habits: the results from 2006 to 2014 in Brazilian state capitals","volume":"32","author":"Maia EG","year":"2016"},{"key":"ref22","series-title":"Rev Saude Publica","first-page":"1","volume-title":"ERICA: uso de telas e consumo de refei\u00e7\u00f5es e petiscos por adolescentes brasileiros","volume":"50","author":"Oliveira JS","year":"2016"},{"key":"ref23","series-title":"Rev Nutr","first-page":"391","volume-title":"Excessive television-viewing time and its influence on adolescent food intake","volume":"29","author":"Enes CC","year":"2016"},{"key":"ref24","series-title":"Rev Bras Epidemiol","first-page":"798","volume-title":"Dietary intake of adolescents compared with the Brazilian Food Guide and their differences according to anthropometric data and physical activity","volume":"18","author":"Enes CC","year":"2015"},{"key":"ref25","series-title":"Rev Bras Nutr Esp","first-page":"546","volume-title":"Consumo alimentar e estado nutricional de adolescentes ativos fisicamente","volume":"10","author":"Maia MO","year":"2016"},{"year":"2016","series-title":"S\u00edntese de indicadores: uma an\u00e1lise das condi\u00e7\u00f5es de vida da popula\u00e7\u00e3o brasileira 2016","key":"ref26"},{"key":"ref27","series-title":"Rev Saude Publica","first-page":"785","volume-title":"Socioeconomic predictors of child diet quality","volume":"44","author":"Molina MC","year":"2010"},{"key":"ref28","series-title":"Rev Saude Publica","first-page":"1","volume-title":"ERICA: prevalence of healthy eating habits among Brazilian adolescents","volume":"50","author":"Barufaldi LA","year":"2016"},{"series-title":"Refer\u00eancias Nutricionais para o Programa Nacional de Alimenta\u00e7\u00e3o Escolar (PNAE)","key":"ref29"},{"key":"ref30","series-title":"Rev Nutr","first-page":"993","volume-title":"Food consumption of schoolchildren from private and public schools of S\u00e3o Luis, Maranh\u00e3o, Brazil","volume":"23","author":"Concei\u00e7\u00e3o SI","year":"2010"}],"container-title":["Revista Paulista de Pediatria"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rpp\/v38\/1984-0462-rpp-38-e2018184.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T02:20:18Z","timestamp":1611454818000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0103-05822020000100409&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":30,"alternative-id":["S0103-05822020000100409"],"URL":"https:\/\/doi.org\/10.1590\/1984-0462\/2020\/38\/2018184","relation":{},"ISSN":["1984-0462","0103-0582"],"issn-type":[{"type":"electronic","value":"1984-0462"},{"type":"print","value":"0103-0582"}],"subject":[],"published":{"date-parts":[[2020]]},"article-number":"e2018184"}}