Increasing consumption of ultra-processed foods and likely impact on human health: evidence from Brazil

Public Health Nutrition - Tập 14 Số 1 - Trang 5-13
Carlos Augusto Monteiro1,2, Renata Bertazzi Levy3,2, Rafael Moreira Claro2, Inês Rugani Ribeiro de Castro4,2, Geoffrey Cannon5
1Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo 715, 01246-904 São Paulo, SP, Brasil
2Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde, Universidade de São Paulo, São Paulo, Brasil
3Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo. São Paulo, Brasil
4Instituto de Nutrição, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, Brasil
5World Public Health Nutrition Association, Rio de Janeiro, Brazil

Tóm tắt

AbstractObjectiveTo assess time trends in the contribution of processed foods to food purchases made by Brazilian households and to explore the potential impact on the overall quality of the diet.DesignApplication of a new classification of foodstuffs based on extent and purpose of food processing to data collected by comparable probabilistic household budget surveys. The classification assigns foodstuffs to the following groups: unprocessed/minimally processed foods (Group 1); processed culinary ingredients (Group 2); or ultra-processed ready-to-eat or ready-to-heat food products (Group 3).SettingEleven metropolitan areas of Brazil.SubjectsHouseholds;n13 611 in 1987–8,n16 014 in 1995–5 andn13 848 in 2002–3.ResultsOver the last three decades, the household consumption of Group 1 and Group 2 foods has been steadily replaced by consumption of Group 3 ultra-processed food products, both overall and in lower- and upper-income groups. In the 2002–3 survey, Group 3 items represented more than one-quarter of total energy (more than one-third for higher-income households). The overall nutrient profile of Group 3 items, compared with that of Group 1 and Group 2 items, revealed more added sugar, more saturated fat, more sodium, less fibre and much higher energy density.ConclusionsThe high energy density and the unfavourable nutrition profiling of Group 3 food products, and also their potential harmful effects on eating and drinking behaviours, indicate that governments and health authorities should use all possible methods, including legislation and statutory regulation, to halt and reverse the replacement of minimally processed foods and processed culinary ingredients by ultra-processed food products.

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Tài liệu tham khảo

Contreras Hernández, 2005, Alimentación y cultura: perspectives antropológicas

Roberts, 2008, The End of Food

Beauman, 2005, The Giessen Declaration, Public Health Nutr, 8, 783

10.1038/ijo.2008.250

10.1001/jama.282.16.1561

10.1016/j.appet.2006.02.007

10.1001/archinternmed.2009.2

10.1016/j.physbeh.2006.01.023

10.1111/j.1753-4887.2006.tb00199.x

10.1016/j.jfca.2004.02.007

17. Department for Environment, Food and Affairs (2010) Family Food. A Report on the 2008 Family Food Module of the Living Costs and Food Survey. A National Statistics Publication by Defra. pp. 16–17. Norwich: TSO; available at http://www.defra.gov.uk/evidence/statistics/foodfarm/food/familyfood/documents/familyfood-2008.pdf

Crovetto, 2008, Changes in food availability in metropolitan Santiago Chile according to income (quintiles) 1988–1997, Arch Latinoam Nutr, 58, 40

10.3945/jn.108.092163

14. US Department of Agriculture (2004) USDA Food Search for Windows, version 1.0, database version Standard Reference Release SR16. http://www.nal.usda.gov/fnic/foodcomp (aceessed March 2006).

2004, Tabela Brasileira de Composição de Alimentos – TACO: versão 1

2004, Pesquisa de Orçamentos Familiares 2002–2003: análise da disponibilidade domiciliar de alimentos e do estado nutricional no Brasil

10.1590/S0102-311X2010001100005

Hawkes, 2010, Trade, Food, Diet and Health: Perspectives and Policy Options, 35

10.1093/jn/133.11.3898S

Neri, 2007, Miséria, desigualdade e políticas de renda: o Real do Lula

10.1111/j.1753-4887.2004.tb00086.x

Malik, 2006, Intake of sugar-sweetened beverages and weight gain: a systematic review, Am J Clin Nutr, 84, 274, 10.1093/ajcn/84.2.274

10.2105/AJPH.2005.083782

Gehlhar, 2005, New Directions in Global Food Markets. Agriculture Information Bulletin

10.1111/j.1467-789X.2007.00438.x

2009, Policy and Action for Cancer Prevention. Food, Nutrition and Physical Activity: A Global Perspective

10.1038/sj.ijo.0803489

2007, Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective

10.1017/S136898000999139X

2003, Diet, Nutrition and the Prevention of Chronic Diseases. Report of a Joint WHO/FAO Expert Consultation. WHO Technical Report Series

10.1017/S1368980009005291

10.1079/PHN2001293

Popkin, 2002, The shift in stages of the nutrition transition in the developing world differs from past experiences!, Public Health Nutr, 5, 205, 10.1079/PHN2001295

10.1079/PHN2003485

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Public Health Nutrition

Tập 14 Số 1

5-13

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