Utilização de adoçantes no Brasil: uma abordagem a partir de um inquérito domiciliar

Abstract

Resumo: O objetivo foi estimar a prevalência do uso de adoçantes pela população adulta brasileira e características dos usuários. Análise de dados da Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM, 2014), um inquérito nacional de base populacional. O desfecho de interesse foi o uso autorreferido de adoçantes entre brasileiros com 20 anos ou mais. As variáveis analisadas foram sexo, idade em anos completos, região do Brasil, escolaridade em anos completos e classificação econômica segundo o Critério Classificação Econômica Brasil da Associação Brasileira de Empresas de Pesquisa (ABEP). Os indicadores das condições de saúde foram: relato de doença crônica não transmissíveis (DCNT), número de DCNT e índice de massa corporal (IMC). A prevalência do uso de adoçantes na população adulta brasileira foi de 13,4% (IC95%: 12,5-14,3), sendo maior entre as pessoas do sexo feminino e no grupo com 60 anos ou mais, nas regiões Nordeste e Sudeste, entre pessoas da classe econômica A/B e entre indivíduos obesos. As pessoas com doenças crônicas (em especial diabetes) foram as que mostraram maior prevalência de uso de adoçantes, sendo o uso maior quanto maior o número de comorbidades relatadas. A prevalência de uso de adoçantes foi de 13,4% e mostrou-se associada a características sociodemográficas e de saúde.

Intake of low and no-calorie sweeteners (LNCS) by the Brazilian population

“…The estimated prevalence of LNCS use in the current study is comparable to estimates reported by others (Zanini Rde et al 2011;Silva Monteiro et al 2018;Arrais et al 2019). Zanini Rde et al (2011) reported that 19% of adults (>20y) surveyed in Pelotas, the third most populous city in the southern state of Rio Grande do Sul, add sweeteners to their beverages, with prevalence increasing from 8.7% among the 20-29y subgroup to 32% among the 60 + y subgroup.…”

“…The percent consumers from these studies are comparable to the percent consumers of tabletop sweeteners presented in Table 5 for adults 19-59y (10.9%) and 60 + y (26.5%). On the other hand, the prevalence of LNCS consumption in a study conducted by Geraldo and Pinto-e-Silva (2016) in 2016 among staff of two public universities in the state of São Paulo, Brazil was 54%, higher than the prevalence estimated in the current study and those estimated by Zanini Rde et al (2011), Arrais et al (2019), andSilva Monteiro et al (2018). Geraldo and Pinto-e-Silva (2016) attributed the higher estimated prevalence of LNCS consumers in their study as compared to those obtained by Zanini Rde et al (2011) to regional, income, and male to female ratio differences between the two studies.…”

“…The main strengths of this study include the use of a nationally representative sample to estimate consumption of LNCS-containing foods/beverages and tabletop sweeteners and use of actual LNCS use rates obtained for a survey of members of a national organisation of producers of LNCS foods/beverages in Brazil. Potential limitations of this study include the age of the consumption data (2007)(2008); however, as noted above the estimates of the per cent consumers of tabletop sweeteners obtained in this study are consistent with estimates reported by Arrais et al (2019) which were based on data collected in 2013-2014, indicating that the prevalence of LNCS-containing tabletop sweeteners has remained relatively stable in Brazil.…”

“…Zanini Rde et al (2011) reported that 19% of adults (>20y) surveyed in Pelotas, the third most populous city in the southern state of Rio Grande do Sul, add sweeteners to their beverages, with prevalence increasing from 8.7% among the 20-29y subgroup to 32% among the 60 + y subgroup. Arrais et al (2019) reported that 13.4% of surveyed adults living in urban areas reported they use sweeteners in their diet, with a higher prevalence among the elderly 60 + y (29.5%) as compared to younger adults, ages 20-39y (10.3%) and 40-59y (20.3%). Using data from the IBGE survey, Silva Monteiro et al (2018) estimated the prevalence of tabletop LNCS consumers among adults and elderly to be 12.4% and 28.6%, respectively.…”

Use of table sugar and non-caloric sweeteners in Brazil: associated factors and changes across a decade

“…In this study, ageing, the NCS use was more frequent among individuals who reported being on a diet and taking supplements; comparable results were observed in studies carried out in Brazil (20,42,43) and other countries (44,45) , which showed that dietary changes motivated by the desire to lose weight, a healthy lifestyle or a better health condition were associated with NCS use. In addition, the use of NCS was related to a higher intake of fruits and vegetables and selected micronutrients.…”