ArticlePublic health nutrition2019
Characteristics of the school food environment associated with hypertension and obesity in Brazilian adolescents: a multilevel analysis of the Study of Cardiovascular Risks in Adolescents (ERICA).
Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Towards a comprehensive school food environment audit tool in Canada: a systematic review of school food environment measurements and nutrition determinants.BMC public health · 2025Pooled it
- The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: a systematic review.BMJ global health · 2021Pooled it
- School food environment: analysis of school canteens in Brazilian capitals and implications for public policy.BMC public health · 2026Article
- Temporal evolution of the food environment in Brazilian public and private schools: analysis of Brazil's National Student Health Survey (PeNSE) (2012, 2015 and 2019).BMC public health · 2025Article
- What Is There to Buy? An Analysis of the Food Environment in Public and Private Schools in the Federal District.International journal of environmental research and public health · 2025Article
- Ultra-Processed Foods and Childhood Obesity: Current evidence and perspectives.Current nutrition reports · 2025Review
- A scoping review of the existing evidence linking school food procurement contract type with school food provision.PloS one · 2025Article
- Dietary and activity habits associated with hypertension in Kunming school-aged children and adolescents: A multilevel analysis of the study of hypertension risks in children and adolescents.Preventive medicine reports · 2024Article
- Do Brazilian regulatory measures promote sustainable and healthy eating in the school food environment?BMC public health · 2023Article
- Individual and Socioeconomic Contextual Factors Associated with Obesity in Brazilian Adolescents: VigiNUTRI Brasil.International journal of environmental research and public health · 2022Article
- School Feeding as a Protective Factor against Insulin Resistance: The Study of Cardiovascular Risks in Adolescents (ERICA).International journal of environmental research and public health · 2022Article
- Metabolic risk is associated with sociodemographic characteristics in adolescents from both rural and urban regions from southern Brazil.BMC pediatrics · 2022Article
- Hypertension and Associated Lipid, Glucose, and Adiposity Parameters in School-Aged Adolescents in the Federal District, Brazil.Arquivos brasileiros de cardiologia · 2022Article
- [Food environment and excess weight in schoolchildren: a South American systematic reviewAmbiente alimentario y exceso de peso en la población escolar: revisión sistemática en América del Sur].Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Adolescent individual, school, and neighborhood influences on young adult hypertension risk.PloS one · 2022Article
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Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo characterize the food environment in schools that participated in the Study of Cardiovascular Risks in Adolescents (ERICA) and to identify individual and contextual factors associated with hypertension and obesity.
designNational school-based survey.
settingBlood pressure, weight and height were measured, and characteristics of the schools were obtained in interviews with the principals. For each outcome, multilevel models of mixed effects were applied by logistic regression.
participantsSchool-going adolescents aged 12-17 years.
resultsA total of 73 399 adolescents were evaluated. The prevalence of hypertension was 9·6 (95 % CI 9·0, 10·3) % and that of obesity was 8·4 (95 % CI 7·9, 8·9) %. Approximately 50 % of the adolescents were able to purchase food at school and in its immediate vicinity and 82 % had access to no-charge meals through Brazil's National School Feeding Program. In the adjusted analysis, hypertension was associated (OR; 95 % CI) with the consumption of meals prepared on the school premises (0·79; 0·69, 0·92), the sale of food in the school's immediate vicinity (0·67; 0·48, 0·95) and the purchase of food in the school cafeteria (1·29; 1·11, 1·49). It was observed that there were lower odds of obesity among students who were offered meals prepared on the school premises (0·68; 0·54, 0·87).
conclusionsHigh frequency of sales of ultra-processed foods in schools was identified. Contextual and individual characteristics in the school food environment were associated with hypertension and obesity, pointing to the need for regulation and supervision of these spaces.
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