Factors associated with non-frequent breakfast consumption in adolescents (EVA-JF Study) / Fatores associados ao consumo não frequente de café da manhã em adolescentes (Estudo EVA-JF)

ABSTRACT Objective To estimate the association of infrequent breakfast consumption with socioeconomic, behavioral, and individual factors in a sample of Brazilian adolescents from public schools. Methods Cross-sectional study with adolescents aged from 14 to 19 from public schools in Juiz de Fora, state of Minas Gerais. The frequency of consumption of breakfast, snacks, soft drinks, industrialized drinks, the usual food consumption, body mass index, body fat percentage, and waist circumference were evaluated. Other socioeconomic, behavioral, and individual data were obtained through questionnaires. Logistic regression analysis and hierarchical selection of variables were used to verify the associated factors. Results The sample consisted of 805 adolescents; 53.4% reported infrequent breakfast consumption. Through hierarchical logistic regression analysis, it was evidenced that the house occupancy status (OR: 0.618; 95%CI: 0.4410.865; p=0.005) was the distal factor associated with infrequent breakfast consumption; the intermediate factors were the consumption of industrialized beverages (OR: 0.658; 95%CI: 0.486-0.890; p=0.007) and percentage of energy from processed foods (OR: 0.935; 95%CI: 0.907-0.964; p<0.001); and the proximal factors were the male gender (OR: 0.696; 95%CI: 0.520-0.932; p=0.0015) and being nonwhite (OR: 1.529; 95%CI: 1.131-2.069; p=0.006). Conclusion Male adolescents who lived in owned houses, with occasional consumption of industrialized beverages and a higher percentage of energy derived from processed foods, had lower chances of infrequent breakfast consumption, while non-white adolescents had higher chances.

RESUMO Objetivo Estimar as associações do consumo não frequente de café da manhã com fatores socioeconômicos, comportamentais e individuais em uma amostra de adolescentes de escolas públicas. Métodos Estudo transversal realizado com adolescentes de 14 a 19 anos matriculados em escolas públicas de Juiz de Fora (MG). Foram avaliadas a frequência de consumo de café da manhã, lanches, refrigerantes e bebidas industrializadas, consumo alimentar usual, IMC, percentual de gordura corporal e perímetro da cintura. Demais dados socioeconômicos, comportamentais e individuais foram obtidos através de questionários. A análise de regressão logística e seleção hierárquica das variáveis foram usadas para verificar fatores associados. Resultados A amostra foi composta por 805 adolescentes e 53,4% deles relataram consumo não frequente de café da manhã. Através da análise de regressão logística hierarquizada, evidenciou-se que a ocupação em domicílio próprio (OR: 0,618; IC95%: 0,441-0,865; p=0,005) foi o fator distal associado ao consumo não frequente de café da manhã, além dos fatores intermediários "consumo não frequente de bebidas industrializadas" (OR: 0,658; IC95%: 0,486-0,890; p=0,007) e "percentual de energia proveniente de alimentos processados" (OR: 0,935; IC95%: 0,907-0,964; p<0,001) e dos fatores proximais "sexo masculino" (OR: 0,696; IC95%: 0,520-0,932; p=0,0015) e "cor da pele não branca" (OR: 1,529; IC95%: 1,131-2,069; p=0,006). Conclusão Adolescentes que residiam em domicílios próprios, com consumo não frequente de bebidas industrializadas, com maior percentual de energia proveniente de alimentos processados e do sexo masculino apresentaram menores chances de consumo não frequente de café da manhã, enquanto, adolescentes com cor da pele não branca apresentaram maiores chances.

Consumo del desayuno escolar y su asociación con la ganancia de peso en niñas de San Luis Potosí / School breakfast consumption and its association with weight gain in girls of San Luis Potosí, Mexico

Resumen: Objetivo: Evaluar el consumo del Desayuno Escolar Frío (DEF) y su asociación con la ganancia de peso en población preescolar y escolar beneficiaria en San Luis Potosí, México. Material y métodos: Se realizó un estudio longitudinal en 255 niñas y niños de 3 a 8 años. Se midió la ganancia de peso durante un año, y la ingesta energética total se estimó por medio de un cuestionario de frecuencia de consumo. La energía proveniente del DEF se dividió en terciles y su asociación con la ganancia de peso fue estimada a través de regresión lineal múltiple. Resultados: En los escolares, la interacción entre los terciles de energía del DEF y sexo mostró que las niñas del segundo y tercer tercil ganaban 500g (p=0.063) y 800g (p=0.015) más, respectivamente. Conclusión: Un mayor consumo de energía proveniente del desayuno escolar se asocia con un incremento en la ganancia de peso en niñas de edad escolar.

Abstract: Objective: To evaluate the consumption of cold school breakfast (CSB) and its association with weight gain in the preschool and school beneficiary population in San Luis Potosí. Materials and methods: A longitudinal study was conducted on 255 girls and boys from 3 to 8 years old. The weight gain was measured during one year and the total energy intake was estimated by means of a frequency of consumption questionnaire. The energy from CSB was divided into terciles and its association with weight gain was estimated through multiple linear regression. Results: In schoolchildren, the interaction between the energy tercile of CSB and sex showed that the girls of the second and third tercile gained 500g (p=0. 063) and 800g (p=0. 015) more, respectively. Conclusion: Higher energy consumption from school breakfast is associated with an increase in weight gain in school-age girls.

Prevalence of consumption and nutritional content of breakfast meal among adolescents from the Brazilian National Dietary Survey / Prevalência de consumo e teor nutricional da refeição do café da manhã entre adolescentes da Pesquisa Nacional de Consumo Alimentar

Abstract Objective: To estimate the prevalence of breakfast consumption and describe the foods and nutrients consumed at this meal and throughout the day by Brazilian adolescents. Method: A total of 7276 adolescents aged 10-19 years were evaluated in the Brazilian National Dietary Survey 2008-9, a population-based cross-sectional study. Individuals' information was collected at home. Dietary data were obtained by two food records. Breakfast was defined as the first eating occasion of the day that occurred between 6 and 9:59 am. Differences between breakfast consumers, occasional consumers, and skippers were tested through Pearson's chi-squared test or F-test of regression analysis. Results: Breakfast was consumed by 93% of adolescents and it was associated with age, income, geographic region and household area. The most frequently consumed foods at breakfast were white bread, coffee, butter/margarine, refined cookies and crackers, and whole milk. The mean daily intakes of total energy, sugar, and calcium were higher among occasional consumers and skippers. Breakfast consumers had higher intake of vitamins B12, C, and D. Breakfast contributed more to total intake of calcium, phosphorus, thiamin, riboflavin, and vitamins A, B6, and D (17-32%), trans fat and sodium (about 30%) and less to folate, vitamin C, iron, zinc, and fiber (8-12%) and energy intake (16%). Conclusions: Although the prevalence of breakfast consumption among Brazilian adolescents was high, the overall nutritional quality of this meal is suboptimal, highlighting the need to support adolescents and their families to make more nutrient-dense food choices.

Resumo Objetivo: Estimar a prevalência de consumo de café da manhã e descrever os alimentos e nutrientes consumidos nessa refeição e durante todo o dia por adolescentes brasileiros. Método: Foram avaliados 7.276 adolescentes entre 10-19 anos no Inquérito Nacional de Alimentação 2008-2009, um estudo transversal de base populacional. As informações dos indivíduos foram coletadas nos domicílios. Os dados alimentares foram obtidos por dois registros alimentares. O café da manhã foi definido como a primeira refeição do dia entre 6h e 9h59. As diferenças entre os consumidores de café da manhã, consumidores ocasionais e aqueles que não tomam café da manhã foram testadas por meio do teste de qui-quadrado ou teste F para análise de regressão. Resultados: O café da manhã foi consumido por 93% dos adolescentes e seu consumo foi associado à idade, renda, região geográfica e área residencial. Os alimentos mais frequentemente consumidos foram pão branco, café, manteiga/margarina, biscoitos e bolachas refinados e leite integral. A ingestão média diária de energia total, açúcar e cálcio foi maior entre os consumidores ocasionais e aqueles que não tomam café da manhã. Aqueles que tomam café da manhã apresentam maior ingestão de vitaminas B12, C e D. O café da manhã contribuiu mais para a ingestão total de cálcio, fósforo, tiamina, riboflavina e vitaminas A, B6 e D (17%-32%), gordura trans e sódio (cerca de 30%) e menos para a ingestão de ácido fólico, vitamina C, ferro, zinco e fibras (8%-12%) e energia (16%). Conclusões: Apesar de a prevalência de consumo de café da manhã entre os adolescentes brasileiros ter sido alta, a qualidade nutricional dessa refeição está abaixo do ideal, destaca a necessidade de apoio aos adolescentes e suas famílias para possibilitar a escolha de alimentos mais densos em nutrientes.

Desayuno, estado nutricional y variables socioeconómicas en alumnos de escuelas primarias de la Ciudad de Salta: Estudio transversal / Breakfast, nutritional status, and socioeconomic outcome measures among primary school students from the City of Salta: A cross-sectional study

Introducción. El contexto socioeconómico y la dinámica familiar son determinantes al considerar los hábitos alimentarios y el estado nutricional de los escolares. En el caso del desayuno, se ha demostrado que omitirlo o realizarlo cada vez más ligero influye desfavorablemente sobre el estado nutricional. Objetivo. Relacionar el hábito del desayuno con el estado nutricional y las variables sociodemográficas en escolares de escuelas públicas urbanas y periurbanas de la Ciudad de Salta. Población y métodos. Estudio descriptivo, transversal. Muestra no probabilística intencional de alumnos de escuelas primarias públicas urbanas y periurbanas (9-13 años, ambos sexos). Variables: desayuno en casa (hábito, calidad "enKid", frecuencia, tiempo), estado nutricional (índice de masa corporal, puntaje z, Organización Mundial de la Salud) y sociodemográficas (tipo de familia, nivel educativo, actividad laboral, hábito del desayuno en el padre/madre, comensalidad). Análisis de frecuencias, asociaciones, regresión logística, OR, IC, p < 0,05, programas WHO AnthroPlus, SPSS v18. Resultados. Se evaluaron 283 alumnos, 49,8% pertenecientes a escuelas urbanas. Presentaron sobrepeso/obesidad 46,0%. El 55,1% no desayunó en su hogar el día de la evaluación; entre quienes lo hicieron, 79,5% fueron de pobre/muy pobre calidad. Entre los que no desayunaron, 40,7% de las mujeres y 54,7% de los varones presentaron sobrepeso/obesidad. Se observó, en las escuelas de áreas periurbanas, mayor vulnerabilidad socioeconómica y mayor porcentaje de alumnos que concurrieron sin desayunar. Conclusiones. La probabilidad de no desayunar en el hogar se asoció, finalmente, a familias numerosas, falta de hábito del desayuno en los padres, bajo nivel educativo de la madre, desayunar solos y ser obesos.

Introduction. Socioeconomic context and family dynamics are determining factors when considering eating habits and nutritional status among students. It has been demonstrated that skipping breakfast or having a light breakfast has an unfavorable impact on nutritional status. Objective. To establish a relationship among breakfast, sociodemographic outcome measures, and nutritional status among students attending public schools in the urban and peri-urban areas of the City of Salta. Population and methods. Descriptive, crosssectional study. Purposive, non-probability sampling of students attending urban and periurban primary schools (aged 9-13, boys and girls). Outcome measures: breakfast at home (habit, "enKid" breakfast quality, frequency, duration), nutritional status (body mass index, Z-score, World Health Organization), and sociodemographic outcome measures (family type, level of education, employment, parents' breakfast habit, commensality). Analysis of frequency, associations, logistic regression, odds ratio, confidence interval, p < 0.05, WHO AnthroPlus and SPSS v18 software. Results. Two hundred and eighty-three students were assessed; 49.8% attended urban schools. Overweight or obesity was observed in 46.0%. Also, 55.1% skipped breakfast at home on the day of the assessment; among those who did have breakfast, 79.5% had a poor or very-poor quality meal. Among those who skipped breakfast, 40.7% of the girls and 54.7% of the boys were overweight or obese. A greater socioeconomic vulnerability and a higher percentage of students who attended school without having breakfast were observed in peri-urban schools. Conclusions. Eventually, the probability of skipping breakfast was associated with having a large family, absence of parental breakfast habit, a low level of maternal education, having breakfast alone, and being obese.

Skipping breakfast and associated factors among Brazilian adolescents / Omissão do desjejum e fatores associados entre adolescentes brasileiros

ABSTRACT Objective To analyze the prevalence and factors associated with breakfast skipping among adolescents. Methods Cross-sectional study, with adolescents aged 10-17 years, evaluated between 2009 and 2011, belonging to a cohort study in the Central-West region of Brazil. Breakfast skipping was considered as not having breakfast every day. Demographic, socioeconomic, and lifestyle factors were evaluated through a questionnaire. Anthropometric assessment included measurement of weight and height, which were used to classify weight status using body mass index. Poisson regression was used to assess the association of breakfast skipping with demographic and socioeconomic variables, lifestyle factors, and weight status. Results Among 1,716 Brazilian adolescents evaluated, 36.2% reported not consuming breakfast every day, with the highest prevalence among girls (p=0.03). After adjusting for age and economic class, breakfast skipping was associated with not consuming breakfast with parents and morning shift at school, in both genders, and with obesity only in boys. Lifestyle factors such as alcohol consumption, physical activity, diet quality, and smoking were not associated with skipping breakfast. Conclusion The omission of breakfast was observed in more than a third of adolescents, being associated with demographic and lifestyle factors. In the public health perspective, the importance of encouraging the consumption of this meal is highlighted, with actions involving the school environment and the family.

RESUMO Objetivo Analisar a prevalência e os fatores associados à omissão do desjejum entre adolescentes. Métodos Estudo transversal com adolescentes de 10 a 17 anos de idade, avaliados entre 2009 e 2011, pertencentes a um estudo de coorte na região Central do Brasil. A omissão do desjejum, variável desfecho, foi considerada como a não realização diária dessa refeição. Foram avaliados, por meio de questionário, os fatores demográficos, socioeconômicos e de estilo de vida. A avaliação antropométrica incluiu a mensuração do peso e estatura, utilizados para a classificação do peso segundo as recomendações da Organização Mundial da Saúde. A regressão de Poisson foi utilizada na análise múltipla para estimar a associação da omissão do desjejum e variáveis demográficas, socioeconômicas, estilo de vida e condição de peso. Resultados Dos 1.716 adolescentes avaliados, 36,2% referiram não consumir o desjejum diariamente, sendo a prevalência maior entre as meninas (p=0,03). Após ajustes por idade e classe econômica, a omissão do desjejum foi associada a não realização dessa refeição com os pais e ao turno escolar matutino, em ambos os sexos, e à obesidade apenas entre os meninos. Fatores do estilo de vida como consumo de bebidas alcoólicas, atividade física, qualidade da dieta e tabagismo não se associaram à omissão do desjejum. Conclusão A omissão do desjejum foi observada em mais de um terço dos adolescentes, sendo associada a fatores demográficos e de estilo de vida. Na perspectiva de saúde pública, destaca-se a importância de encorajar o consumo dessa refeição, com ações envolvendo o ambiente escolar e a família.

Breakfast eating among Brazilian adolescents: Analysis of the National Dietary Survey 2008-2009 / Desjejum dos adolescentes brasileiros: análise do Inquérito Nacional de Alimentação 2008-2009

ABSTRACT Objective: To characterize breakfast eating among Brazilian adolescents. Methods: Food intake was estimated based on a 1-day food record of adolescents aged 10-19 years, according to the first National Diet Survey (2008-2009). Breakfast was considered as the first meal of the day eaten between 4 and 11 am. Results: Ninety-three percent of adolescents reported eating breakfast. This meal contributed to 17.7% of the daily energy intake. The most commonly consumed food groups were: coffee and tea, breads, butter/margarine, milk, cakes and cookies, packaged snacks, corn-based dishes, cheese, processed meats, and fruit juice. In the Northern region there was a higher frequency of coffee and tea and roots and tubers intake and lower frequency of milk intake than that in the other regions in the country. In the Northeastern region, the intake of corn and eggs was high; in the Southern region, there was high intake of processed meats and fruits. Adolescents from families in the first income quartile reported higher intake of coffee and tea, packaged snacks, corn, and roots and tubers intake, and lower intake of milk and dairy products. Adolescents from families in the highest income quartile reported higher intake of milk, fruit juice, cheese, and sugar-added beverages. Conclusion: In Brazil, the contribution of breakfast to daily energy intake among adolescents is low. The nutritional quality of breakfast improved with increased income. The three most frequently consumed items were coffee and tea, breads, and butter/margarine.

RESUMO Objetivo: Caracterizar o desjejum dos adolescentes brasileiros. Métodos: O consumo alimentar foi estimado com base em um dia de registro alimentar de adolescentes entre 10 e 19 anos de idade do primeiro Inquérito Nacional de Alimentação (2008-2009). Considerou-se como desjejum a primeira ocasião de consumo alimentar entre 4 e 11 horas da manhã. Resultados: Noventa e três porcento dos adolescentes realizaram desjejum. Essa refeição contribuiu com 17,7% da ingestão diária de energia. Os grupos de alimentos mais consumidos foram: café e chá, pães, manteiga/margarina, leite, bolos e biscoitos, salgadinhos e chips, preparações à base de milho, queijo, carnes processadas e suco da fruta. Na região Norte observou-se frequência mais elevada de consumo de café e chá e de raízes e tubérculos e menor relato para leite do que nas demais regiões. Na região Nordeste, destaca-se o consumo de milho e de ovos e na região Sul, o de carnes processadas e frutas. Adolescentes de famílias do primeiro quartil de renda relataram frequência mais elevada de consumo de café e chá, salgadinhos e chips, milho e raízes e tubérculos e menor relato para o grupo do leite. Os adolescentes de famílias do quartil mais elevado de renda referiram consumo mais expressivo de leite, suco de fruta, queijo e bebidas com adição de açúcar. Conclusão: No Brasil, o desjejum dos adolescentes tem baixa contribuição para o consumo diário de energia. A qualidade nutricional do desjejum melhora com o incremento da renda. Os três principais itens consumidos foram café/chá, pães e manteiga/margarina.

Associação de consumo de café da manhã com fatores de risco cardiometabólico / Association of breakfast intake with cardiometabolic risk factors

OBJETIVO: o objetivo deste estudo foi avaliar a associação do consumo de café da manhã com fatores de risco cardiometabólico em uma amostra representativa, em termos nacionais, de pacientes de pediatria iranianos. MÉTODOS: os participantes do estudo, composto de 5.625 alunos em idade escolar de 10-18 anos, participaram da terceira pesquisa do sistema nacional de vigilância nas escolas (CASPIAN-III). Eles foram classificados em três grupos, com base na quantidade de dias em que consumiam café da manhã: "indivíduos que consomem café da manhã regularmente" (6-7 dias/semana), "indivíduos que consomem café da manhã normalmente" (3-5 dias/semana) e "indivíduos que consomem café da manhã raramente" (0-2 dias/semana). A síndrome metabólica (SM) foi definida com base nos critérios do III Painel de Tratamento de Adultos (ATP III), adaptados para a faixa etária pediátrica. Ademais, o colesterol total elevado, a lipoproteína de baixa densidade-colesterol elevada (LDL-C) e a obesidade generalizada foram incluídos como outros fatores de risco cardiometabólico. As análises de regressão logística múltipla foram utilizadas para avaliar a associação entre a categoria consumo de café da manhã e fatores de risco cardiometabólico. RESULTADOS: a quantidade de pessoas classificadas como indivíduos que consomem café da manhã "regularmente", "normalmente" e "raramente" foram 2.653 (47,3%), 1.327 (23,7%) e 1.624 (29%), respectivamente. As médias de triglicerídeos (TG), LDL-C, pressão arterial sistólica (PAS) e índice de massa corporal (IMC) foram mais elevadas no grupo de "indivíduos que consomem café da manhã raramente" (P para tendência < 0,001), ao passo que a lipoproteína de alta densidade-colesterol (HDL-C) foi menor nesse grupo que nos outros. Os indivíduos que consomem café da manhã raramente apresentaram um aumento no risco de obesidade, TG e LDL-C elevados, bem como baixo HDL-C em comparação a "indivíduos que consomem café da manhã regularmente". O risco de SM foi significativamente maior nos indivíduos que consomem café da manhã raramente (RC 1,96, 95% IC 1,18-3,27). CONCLUSÕES: pular o café da manhã está relacionado a aumento no risco de SM e outros fatores cardiometabólicos em crianças e adolescentes. Promover o benefício do consumo do café da manhã pode ser uma implicação simples e importante para evitar esses fatores de risco.

OBJECTIVE: this study aimed to evaluate the association of breakfast intake with cardiometabolic risk factors in a nationally-representative sample of Iranian pediatrics. METHODS: the study participants considered of 5,625 school students aged 10-18 years, studied in the third survey of the national school-based surveillance system (CASPIAN-III). They were classified into three groups based on the number of days they ate breakfast: "regular breakfast eater" (6-7days/week), "often breakfast eater" (3-5days/week), and "seldom breakfast eater" (0-2 days/week). Metabolic syndrome (MetS) was defined based on the Adult Treatment Panel III (ATP III) criteria modified for the pediatric age group. Moreover, high total cholesterol, high low-density lipoprotein cholesterol (LDL-C) and generalized obesity were included as other cardiometabolic risk factors. Multiple logistic regression analyses were used to evaluate the association between the breakfast intake category and cardiometabolic risk factors. RESULTS: the number of subjects classified as "regular", "often" and "seldom" breakfast eaters were 2,653(47.3%), 1,327(23.7%) and 1,624(29.0%), respectively. The average of triglycerides (TG), LDL-C, systolic blood pressure (SBP) and body mass index (BMI) were higher in the "seldom breakfast eater" group (P for trend<0.001), whereas the mean of high-density lipoprotein cholesterol (HDL-C) was lower in this group than their other counterparts. Seldom breakfast eaters had an increased risk of obesity, elevated TG and LDL-C, as well as low HDL-C compared to"regular breakfast eaters". The risk of MetS was significantly increased in subjects who seldom ate breakfast (OR 1.96, 95% CI 1.18-3.27). CONCLUSIONS: skipping breakfast is associated with increased risk of MetS and other cardiometabooic factors in children and adolescents. Promoting the benefit of eating breakfast could be a simple and important implication to prevent these risk factors.

Asociación del índice de masa corporal y conductas de riesgo en el desarrollo de trastornos de la conducta alimentaria en adolescentes mexicanos

La percepción corporal y su insatisfacción se relacionan con las conductas alimentarias de riesgo (CAR), pudiendo desarrollar trastornos de la conducta alimentaria (TAC) frecuentemente identificados en los adolescentes. El objetivo fue describir la asociación del índice de masa corporal (IMC) con los hábitos y las CAR en un grupo de adolescentes. Fue un estudio transversal, descriptivo realizado con 671 adolescentes de 12 a 15 años de edad, ambos sexos. Se aplicó una encuesta validada en población mexicana que identificó las CAR para el desarrollo de los TAC. Se obtuvo el IMC, además de información sobre práctica y conocimiento del consumo de alimentos. La prevalencia promedio de las CAR fue 12%, el sobrepeso u obesidad se presentó en 48% de los participantes, 20% de ellos no desayunaba, y sólo el 16% tomaba sus alimentos sin ningún distractor (p=0.012). La variables asociadas a las CAR para el desarrollo de TAC fueron: realizar cualquier actividad simultánea al consumo de alimentos (RM:4.23, p=0.006), sobrepeso u obesidad (RM:2.59, p=0.001), comer sin compañía (RM:2.04, p=0.005), no comer frutas (RM:1.96, p=0.008) y/o leche (RM:1.79, p=0.026), ser mujer (RM:1.74 p=0.024) y no desayunar (RM:1.57, p=0.035). El consumo de alimentos que los adolescentes practicaron fue diferente del que recomendaron para estar sanos, fue menor en verduras, frutas y leguminosas, y mayor en azúcares, lípidos y bebidas gaseosas. Se concluye que existe una asociación entre el IMC y las CAR. No se encontró coherencia entre lo que los adolescentes refirieron comer y lo que ellos recomiendan, según sus conocimientos.

Association between body mass index and risk feeding behaviors to develop eating disorders in Mexican adolescents. The body self-perception and its dissatisfaction are related with the risk for developing abnormal eating behaviors (AEB), especially in eating disorders (ED) in adolescents. The objective of this study was to identify the relationship between dietary habits and the risk for AEB and their association with body mass index (BMI) in a group of adolescents in the metropolitan area of Mexico City. It was a descriptive cross-sectional study conducted with a sample of 671 adolescents, both sex, between 12 and 15 years. A validated questionnaire was used to assess the risk for developing AEB. BMI was obtained, and information from the practice and knowledge of food consumption was available. The prevalence of the risk for developing AEB in this study was 12%. It showed that 48% of participants were overweight or obese, 20% did not eat breakfast, 16% took their food without doing other activity simultaneously (p=0.012). The variables associated with the risk AEB, for developing of ED were doing any activity simultaneously with food intake (OR:4.23 p=0.006), overweight-obesity (OR:2.59 p=0001), eating without company (OR:2.04 p=0.005), not eating fruit (OR:1.96 p=0.008) or milk (OR:1.79 p=0.026), being female (OR:1.74 p= 0.024) and skipping breakfast (OR:1.57 p=0,035). Food intake differed with what themselves recommended being healthy, which was lower in vegetables, fruits, leguminous and higher in sugars, fats and soda. We conclude there is a relationship between BMI and the risk for developing AEB. There was no consistency between what adolescents say they should eat to be healthy and what they eat.