Três décadas da disponibilidade domiciliar de alimentos segundo a NOVA – Brasil, 1987–2018

Levy, Renata Bertazzi; Andrade, Giovanna Calixto; Cruz, Gabriela Lopes da; Rauber, Fernanda; Louzada, Maria Laura da Costa; Claro, Rafael Moreira; Monteiro, Carlos Augusto

doi:10.11606/s1518-8787.2022056004570

Cited by 29 publications

(34 citation statements)

References 35 publications

(66 reference statements)

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“…Median intake of all EAA were significantly above RDAs (Table 2, Figure 1, panel B. Lysine had the lowest rate of adequacy (71%), with the highest being for phenylalanine and tyrosine (91%) (Figure 1, panel B). Regarding food processing, participants showed a high intake of UMPF (66.5% TEI [95%CI 65.0; 67.9]), which is significantly higher than values reported for metropolitan areas in Brazil, 17 and low PCI (8.3% TEI [95%CI 7.6; 8.8]), PF (6.2% TEI [95%CI 5.1; 6.8]) and UPF (13.2% TEI [95%CI 12.4; 14.4]) consumption, all significantly lower than values reported for Brazilian metropolitan areas (Table 2, Figure 2). 17 UMPF were also the main source of protein for individuals adhering to a vegan diet (61.8% [95%CI 59.4; 64.0]), followed by UPF (23.6% [95%CI 21.0; 26.3]) and PF (7.4% [95%CI 6.1; 8.7]).…”

Section: Resultsmentioning

confidence: 77%

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Consuming less ultra-processed food is associated with inadequate protein intake among vegan dieters

Leitão,

Esteves,

Mazzolani

et al. 2023

Preprint

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ImportanceMajor concerns regarding vegan dieters are whether they meet protein and essential amino acids (EAA) recommendations, and how reliant they are on ultra-processed foods (UPF).ObjectivesTo investigate whether vegan dieters meet protein and EAA recommendations. As secondary objectives, to determine UPF intake and potential predictors of inadequate protein intake in this population.DesignA survey conducted between September 2021 and January 2023.SettingBrazil.ParticipantsVegan dieters of both sexes, aged 18 years or older, following a vegan diet for at least 6 months.ExposureAdherence to a vegan diet, and unprocessed and minimally processed foods (UMPF) and UPF consumption.Main outcome measuresProtein and EAA intake, and food consumption according to processing level (Nova classification).ResultsOne thousand and fourteen participants completed the survey, and 774 confirmed vegan dieters with adequate food recalls were included in the analysis. Most participants (74%) met daily protein intake according to the Recommended Dietary Allowance (RDA) (median: 1.12 g·kg−1·day−1, 95%CI 1.05; 1.16). Median EAA intake was also above RDA (with 71–91% meeting recommendations). Median UMPF intake was 66.5% (95%CI 65.0; 67.9) of total energy intake (TEI), whereas UPF consumption was 13.2% TEI (95%CI 12.4; 14.4). Adjusted logistic regression models showed that consuming protein supplements or textured soy protein, higher caloric, and higher UPF intakes were associated with reduced odds of inadequate protein intake, and that higher UMPF intakes were associated with increased odds of inadequate protein intake.Conclusions and RelevanceThe majority of vegan dieters attained protein and EAA intake recommendations, largely based their diet on UMPF, and had a significantly lower proportion of UPF as compared to previous reports on vegans and overall Brazilian population. Importantly, participants consuming less UPF more likely exhibited inadequate protein intake, suggesting the importance of ultra-processed proteins for this population.Key pointsQuestionDo vegan dieters meet protein needs, and how reliant are they on ultra-processed foods (UPF)?FindingsIn this large survey including 774 vegan dieters, 74% had adequate daily protein intake. Unprocessed and minimally processed foods and UPF consumption accounted for 66.5% and 13.2% of total energy intake. Consuming protein supplements and textured soy protein, and higher caloric and UPF intakes were associated with reduced odds of inadequate protein intake, whereas higher UMPF intakes were associated with increased odds of inadequate protein intake.MeaningMost vegan dieters attain protein recommendations, while being less likely to do so when consuming less UPF.

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Section: Resultsmentioning

confidence: 77%

“…32,33 Importantly, vegan dieters assessed in our study showed even smaller UPF consumption compared to values reported for metropolitan areas in Brazil. 17 One may argue that, in comparison to other countries, the overall PMDS industry in Brazil may be still less active, therefore providing fewer and/or less attractive options of UPF.…”

Section: Discussionmentioning

confidence: 99%

Consuming less ultra-processed food is associated with inadequate protein intake among vegan dieters

Leitão,

Esteves,

Mazzolani

et al. 2023

Preprint

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“…This large disparity is emphasized by estimates suggesting that 90% of SCD occurs in low- and middle-income countries, and 90% of children with SCD in these countries die before reaching the age of 5 [ 29 ]. This study, conducted in a metropolis of a middle-income country, showed that UPF accounted for more than one-third (35.2%) of the total energy intake from the diet in adult people with SCA, which is much higher than that observed in representative samples of the adult Brazilian population (19.7%) [ 30 ] or that reported in the southeastern region of Brazil (22.5%) [ 31 ] where the state of Rio de Janeiro is located, or even that reported in studies conducted in other countries [ 32 , 33 ]. The data reported here showed that the consumption of fresh foods was directly influenced by family income.…”

Section: Discussionmentioning

confidence: 99%

Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country

et al. 2023

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Sickle cell anemia (SCA) is a genetic and hemolytic disease globally characterized by social vulnerability. Food consumption has been insufficiently analyzed in SCA. Secondary iron overload is often observed. This leads to unreliable recommendations for dietary iron restriction. We assessed food consumption and iron intake among adults with SCA. Considering the guidelines for healthy eating, foods were grouped according to the NOVA classification. This transversal study included 74.4% of eligible patients who were registered in the reference center for SCA treatment in Rio de Janeiro, Brazil, in 2019. Data on food consumption were collected through 24 h recall. The monthly household income of 82.3% of patients was less than $770. The consumption of fresh or minimally processed foods was directly associated with monthly household income (p < 0.0001; η2 = 0.87). Ultra-processed foods provided more than one-third of the total energy intake (35.2%). The prevalence of inadequate iron intake was about 40% among women, while that of iron intake above the tolerable upper limit was 0.8%. People from lower socioeconomic classes had the lowest iron intake. Strategies to encourage the consumption of fresh or minimally processed foods are needed considering the requirement of an antioxidant diet in SCA. These findings highlight the need for health equity to ensure food security and healthy eating in SCA.

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“…Nevertheless, these authors also recorded relevant participation in advertisements of meal dishes composed predominantly of rice, beans, vegetables and meats, typical ingredients of the Brazilian food culture (8)(9)(10) . This is a characteristic that can be explained by Brazilians maintaining the habit of consuming culinary preparations based on fresh or minimally processed foods and culinary ingredients in their main meals (lunch and dinner) (24) .…”

Section: Discussionmentioning

confidence: 99%

Characteristics of food establishments registered with a meal delivery app in Latin America

de Paula Matos,

Julião,

Horta

2023

Br J Nutr

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Numerous studies have characterized the establishments registered with meal delivery apps (MDAs) in several countries. However, little evidence is available regarding these platforms in Latin America (LA). The purpose of this study is to characterize food establishments registered with an MDA in nine LA cities. The establishments (n=3,339) were characterized by the following keyword groups: “Typical cuisine,” “Meat and fish,” “Snacks,” “Breakfast,” “Desserts,” and “Healthy.” In addition, we identified the marketing strategies present in the establishments' advertisements: photos, discounts, and free delivery. Mexico City had the highest number of establishments registered with MDAs (773), followed by Bogotá (655), Buenos Aires (567), and São Paulo (454). There is a direct relationship between the number of inhabitants of the cities and the number of the registered establishments. “Snacks” was the keyword group most used by establishments in five of the nine cities. Establishments in two cities were most often characterized by the terms “Typical cuisine” (Mexico City and Santiago de Chile) and “Meats and fish” (Quito and San Jose). Photos were present in the advertisements of at least 84.0% of the establishments. In addition, at least 40% of establishments in Montevideo, Bogotá, São Paulo, Lima, and Santiago de Chile offered discounts. Free delivery was present in at least 50% of establishments in Quito, San Jose, Mexico City, Santiago de Chile, and Lima. Photos were also the most common marketing strategy used by the establishments classified in all groups of keywords, while free delivery and discounts differed among them.

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Três décadas da disponibilidade domiciliar de alimentos segundo a NOVA – Brasil, 1987–2018

Cited by 29 publications

References 35 publications

Consuming less ultra-processed food is associated with inadequate protein intake among vegan dieters

Consuming less ultra-processed food is associated with inadequate protein intake among vegan dieters

Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country

Characteristics of food establishments registered with a meal delivery app in Latin America

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