{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T11:24:39Z","timestamp":1768994679108,"version":"3.49.0"},"reference-count":35,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T00:00:00Z","timestamp":1676246400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"ICETI\u2014Instituto Cesumar de Ci\u00eancia, Tecnologia e Inova\u00e7\u00e3o (Cesumar Institute of Science, Technology and Innovation)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The food consumption of adolescents has changed nowadays, with an increase in ultra-processed food that in general shows higher calories and lower nutrients. Because of this, the objective of this study was to investigate the impacts of a 12-week multi-professional family versus isolated intervention on the food level processing of overweight adolescents. A randomized clinical trial study was carried out in which adolescents (n = 43; mean aged 13.73 years) who were divided into FG\u2014family group (n = 21; the adolescents performed the activities with their parents) and IG\u2014isolated group (n = 22; the adolescents performed the activities alone). The parameters measured before and after 12 weeks of multi-professional intervention (physical exercise, nutrition and psychoeducation) were: body mass, height and body mass index-BMI. The level of food processing was analyzed using a three-day food recall (24hR), classified according to the Food Guide for the Brazilian Population (fresh, minimally, processed and ultra-processed foods). The main results show that there was only a significant reduction in the consumption of processed foods (FG: 7.93%; IG: 49.73%) and ultra-processed foods (FG: 35.06%; IG: 67.16%) in grams (FG: 22.29%; IG: 65.23%) and calories (p &lt; 0.05; for all comparisons). The consumption of fresh foods in grams (FG:61.97%; IG: 147.13%) and calories (FG: 147.13%; IG: 118.03%) and minimally processed foods (FG: 27.45%; IG: 14.64%) in grams increased significantly (p &lt; 0.05; for all comparisons). However, no significant differences were observed between all variables analyzed for the groups, nor any interaction (p &gt; 0.05). In conclusion, both groups who participated in the activities showed positive changes with increased consumption of fresh foods and reduced consumption of processed foods, without difference between them.<\/jats:p>","DOI":"10.3390\/nu15040935","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T05:59:40Z","timestamp":1676267980000},"page":"935","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Impacts of a Multi-Professional Family versus Isolated Intervention on Food Level Processing in Overweight Adolescents: A Randomized Trial"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2132-1578","authenticated-orcid":false,"given":"D\u00e9borah C. S.","family":"Marques","sequence":"first","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maring\u00e1 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maring\u00e1 87050-390, Brazil"}]},{"given":"Willian C.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maring\u00e1 87050-390, Brazil"},{"name":"Medicine Course, Department of Health Sciences, Cesumar University, Maring\u00e1 87050-390, Brazil"}]},{"given":"Isabella C.","family":"Santos","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maring\u00e1 87050-390, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2571-0194","authenticated-orcid":false,"given":"Joed J.","family":"Ryal","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maring\u00e1 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maring\u00e1 87050-390, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6700-4645","authenticated-orcid":false,"given":"Marilene G. S.","family":"Marques","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maring\u00e1 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maring\u00e1 87050-390, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0223-8384","authenticated-orcid":false,"given":"Fabiano M.","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maring\u00e1 87050-390, Brazil"}]},{"given":"Rute G.","family":"Milani","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maring\u00e1 87050-390, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":false,"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health and Leisure, Faculty of Sports, Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3948-8280","authenticated-orcid":false,"given":"Pablo","family":"Vald\u00e9s-Badilla","sequence":"additional","affiliation":[{"name":"Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Cat\u00f3lica del Maule, Talca 3530000, Chile"},{"name":"Sports Coach Career, School of Education, Universidad Vi\u00f1a del Mar, Vi\u00f1a del Mar 2520000, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4625-9128","authenticated-orcid":false,"given":"Braulio H. M.","family":"Branco","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maring\u00e1 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maring\u00e1 87050-390, Brazil"},{"name":"Medicine Course, Department of Health Sciences, Cesumar University, Maring\u00e1 87050-390, Brazil"},{"name":"Research Centre of Physical Activity, Health and Leisure, Faculty of Sports, Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, 4200-450 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1093\/ajcn\/84.2.289","article-title":"Global nutrition dynamics: The world is shifting rapidly toward a diet linked with non-communicable diseases","volume":"84","author":"Popkin","year":"2006","journal-title":"Am. 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