PULAR O CAFÉ DA MANHÃ E O EXCESSO DE PESO EM PROFISSIONAIS DE SAÚDE DE UM HOSPITAL: UM ESTUDO TRANSVERSAL
DOI:
https://doi.org/10.12873/454calixtoPalavras-chave:
café da manhã, excesso de peso, obesidade, profissionais de saúde hospitalares, PeruResumo
Objetivo: Avaliar a associação entre o hábito de pular o café da manhã e o excesso de peso entre profissionais de saúde de um hospital peruano durante o ano de 2022.
Materiais e Métodos: Realizou-se um estudo primário, observacional e transversal, utilizando amostragem probabilística aleatória simples. O ato de pular o café da manhã foi definido como consumir essa refeição em três dias ou menos por semana. O excesso de peso foi determinado por um Índice de Massa Corporal (IMC) ≥25 kg/m². Modelos de regressão de Poisson bruta e ajustada foram aplicados para estimar a associação, considerando possíveis fatores de confusão, como atividade física, hábitos de vida, renda, carga de trabalho e outras características.
Resultados: Foram avaliados 195 participantes. No total, 16,9% relataram pular o café da manhã e 56,9% apresentaram excesso de peso. Mulheres e profissionais técnicos exibiram o dobro da prevalência de excesso de peso em comparação com seus pares. Além disso, participantes com níveis de renda mais elevados mostraram maior probabilidade de pular o café da manhã. No modelo ajustado, aqueles que pulavam o café da manhã apresentaram uma prevalência 32% maior de excesso de peso (RPa: 1,32; IC95%: 1,02–1,71) em comparação com os que não o faziam. O sexo feminino, o trabalho técnico e a alta carga laboral também estiveram positivamente associados ao excesso de peso no modelo ajustado.
Conclusão: São necessárias intervenções que promovam condições de trabalho mais saudáveis e práticas de vida equilibradas, a fim de melhorar a qualidade de vida e o estado nutricional dos profissionais de saúde.
Referências
[1] Manoogian ENC, Panda S. Circadian rhythms, time-restricted feeding, and healthy aging. Ageing Res Rev 2017;39:59–67. https://doi.org/10.1016/j.arr.2016.12.006. DOI: https://doi.org/10.1016/j.arr.2016.12.006
[2] BaHammam AS, Pirzada A. Timing Matters: The Interplay between Early Mealtime, Circadian Rhythms, Gene Expression, Circadian Hormones, and Metabolism-A Narrative Review. Clocks Sleep 2023;5:507–35. https://doi.org/10.3390/clockssleep5030034. DOI: https://doi.org/10.3390/clockssleep5030034
[3] Yoshino J, Klein S. A novel link between circadian clocks and adipose tissue energy metabolism. Diabetes 2013;62:2175–7. https://doi.org/10.2337/db13-0457. DOI: https://doi.org/10.2337/db13-0457
[4] Stenvers DJ, Scheer FAJL, Schrauwen P, et al. Circadian clocks and insulin resistance. Nat Rev Endocrinol 2019;15:75–89. https://doi.org/10.1038/s41574-018-0122-1. DOI: https://doi.org/10.1038/s41574-018-0122-1
[5] Reytor-González C, Simancas-Racines D, Román-Galeano NM, et al. Chrononutrition and Energy Balance: How Meal Timing and Circadian Rhythms Shape Weight Regulation and Metabolic Health. Nutrients 2025;17:2135. https://doi.org/10.3390/nu17132135. DOI: https://doi.org/10.3390/nu17132135
[6] Ng M, Gakidou E, Lo J, et al. Global, regional, and national prevalence of adult overweight and obesity, 1990–2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. The Lancet 2025;405:813–38. https://doi.org/10.1016/S0140-6736(25)00355-1. DOI: https://doi.org/10.1016/S0140-6736(25)00355-1
[7] Xiao Q, Garaulet M, Scheer FAJL. Meal timing and obesity: interactions with macronutrient intake and chronotype. Int J Obes 2019;43:1701–11. https://doi.org/10.1038/s41366-018-0284-x. DOI: https://doi.org/10.1038/s41366-018-0284-x
[8] Ma X, Chen Q, Pu Y, et al. Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obes Res Clin Pract 2020;14:1–8. https://doi.org/10.1016/j.orcp.2019.12.002. DOI: https://doi.org/10.1016/j.orcp.2019.12.002
[9] Asao K, Marekani AS, VanCleave J, et al. Leptin Level and Skipping Breakfast: The National Health and Nutrition Examination Survey III (NHANES III). Nutrients 2016;8:115. https://doi.org/10.3390/nu8030115. DOI: https://doi.org/10.3390/nu8030115
[10] Silva Júnior AED, Gearhardt AN, Bueno NB. Association between food addiction with ultra-processed food consumption and eating patterns in a Brazilian sample. Appetite 2023;186:106572. https://doi.org/10.1016/j.appet.2023.106572. DOI: https://doi.org/10.1016/j.appet.2023.106572
[11] Sievert K, Hussain SM, Page MJ, et al. Effect of breakfast on weight and energy intake: systematic review and meta-analysis of randomised controlled trials. BMJ 2019:l42. https://doi.org/10.1136/bmj.l42. DOI: https://doi.org/10.1136/bmj.l42
[12] Vasquez-Purí C, Plaza-Ccuno JNR, Soriano-Moreno AN, et al. Burnout, Fat Intake, and Body Mass Index in Health Professionals Working in a Public Hospital: A Cross-Sectional Study. Inq J Med Care Organ Provis Financ 2023;60:469580231189601. https://doi.org/10.1177/00469580231189601. DOI: https://doi.org/10.1177/00469580231189601
[13] Søvold LE, Naslund JA, Kousoulis AA, et al. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health 2021;9:679397. https://doi.org/10.3389/fpubh.2021.679397. DOI: https://doi.org/10.3389/fpubh.2021.679397
[14] Yaman GB, Hocaoğlu Ç. Examination of eating and nutritional habits in health care workers during the COVID-19 pandemic. Nutr Burbank Los Angel Cty Calif 2023;105:111839. https://doi.org/10.1016/j.nut.2022.111839. DOI: https://doi.org/10.1016/j.nut.2022.111839
[15] Lara M, Sisa I, Yepez MC. Breakfast skipping, nutritional status, and physical activity in a middle-aged Latin American population: a population-based study from Ecuador. Nutr Hosp 2019;36:1123-32. https://doi.org/10.20960/nh.02393. DOI: https://doi.org/10.20960/nh.02393
[16] Manmee C, Tanavikrankoon M, Janpol K. Breakfast Skipping among Personnel in Rajavithi Hospital. J Med Assoc Tahi 2017;100 Suppl 1:S222-229.
[17] Ministerio de Salud. Guía técnica para la valoración nutricional antropométrica de la persona adulta 2012. https://www.gob.pe/institucion/minsa/informes-publicaciones/314114-guia-tecnica-para-la-valoracion-nutricional-antropometrica-de-la-persona-adulta (accessed July 18, 2024).
[18] Lee PH, Macfarlane DJ, Lam TH, et al. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act 2011;8:115. https://doi.org/10.1186/1479-5868-8-115. DOI: https://doi.org/10.1186/1479-5868-8-115
[19] Baron KG, Reid KJ, Kim T, et al. Circadian timing and alignment in healthy adults: associations with BMI, body fat, caloric intake and physical activity. Int J Obes 2017;41:203–9. https://doi.org/10.1038/ijo.2016.194. DOI: https://doi.org/10.1038/ijo.2016.194
[20] Vitaterna MH, Takahashi JS, Turek FW. Overview of circadian rhythms. Alcohol Res Health 2001;25:85–93.
[21] Martchenko A, Martchenko SE, Biancolin AD, et al. Circadian Rhythms and the Gastrointestinal Tract: Relationship to Metabolism and Gut Hormones. Endocrinology 2020;161:bqaa167. https://doi.org/10.1210/endocr/bqaa167. DOI: https://doi.org/10.1210/endocr/bqaa167
[22] Pereira MA, Erickson E, McKee P, et al. Breakfast Frequency and Quality May Affect Glycemia and Appetite in Adults and Children. J Nutr 2011;141:163–8. https://doi.org/10.3945/jn.109.114405. DOI: https://doi.org/10.3945/jn.109.114405
[23] Mekary RA, Giovannucci E, Willett WC, et al. Eating patterns and type 2 diabetes risk in men: breakfast omission, eating frequency, and snacking. Am J Clin Nutr 2012;95:1182–9. https://doi.org/10.3945/ajcn.111.028209. DOI: https://doi.org/10.3945/ajcn.111.028209
[24] Gwin JA, Leidy HJ. Breakfast Consumption Augments Appetite, Eating Behavior, and Exploratory Markers of Sleep Quality Compared with Skipping Breakfast in Healthy Young Adults. Curr Dev Nutr 2018;2:nzy074. https://doi.org/10.1093/cdn/nzy074. DOI: https://doi.org/10.1093/cdn/nzy074
[25] Timlin MT, Pereira MA. Breakfast Frequency and Quality in the Etiology of Adult Obesity and Chronic Diseases. Nutr Rev 2008;65:268–81. https://doi.org/10.1111/j.1753-4887.2007.tb00304.x. DOI: https://doi.org/10.1111/j.1753-4887.2007.tb00304.x
[26] Min C, Noh H, Kang Y-S, et al. Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults. Nutr Res Pract 2011;5:455–63. https://doi.org/10.4162/nrp.2011.5.5.455. DOI: https://doi.org/10.4162/nrp.2011.5.5.455
[27] Wong CS. An impression after the annual meeting of American Society of Regional Anesthesia: is regional block an ideal technique for anesthesia and postoperative pain management? Acta Anaesthesiol Sin 1999;37:53–4.
[28] Schlundt D, Hill J, Sbrocco T, et al. The role of breakfast in the treatment of obesity: a randomized clinical trial. Am J Clin Nutr 1992;55:645–51. https://doi.org/10.1093/ajcn/55.3.645. DOI: https://doi.org/10.1093/ajcn/55.3.645
[29] Rodríguez-Rodríguez E. Body Weight perception and dieting behaviour in spanish population. Nutr Hosp 2009;24:580-587. https://doi.org/10.3305/nh.2009.24.5.4488.
[30] Lam Cabanillas ER, Hilario Vásquez KJ, Huamán Salirrosas LM, et al. Relationship between the meal frequency and timing with overweight and obesity in trujillan adults. Rev Fac Med Humana 2022;22:471–7. https://doi.org/10.25176/RFMH.v22i3.4744. DOI: https://doi.org/10.25176/RFMH.v22i3.4744
Downloads
Publicado
Edição
Seção
Categorias
Licença
Copyright (c) 2025 Nutrición Clínica y Dietética Hospitalaria

Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
