Household food availability in Pelotas, Brazil: An approach to assess the obesogenic environment

Soares, Ana Luiza Gonçalves; França, Giovanny Vinícius Araújo de; Gonçalves, Helen

doi:10.1590/1415-52732014000200006

Cited by 8 publications

(14 citation statements)

References 26 publications

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“…Evidence from multiple LMICs highlights a range of issues faced at the household scale, such as the role of traditional family structures and complex eating patterns in Brazil ( 19 , 69 ), the perceived low efficacy of low-income mothers to provide their children with nutritious foods in Jakarta, Indonesia ( 38 ), and the targeted television marketing and promotion of unhealthy foods to children during school holidays in Malaysia ( 70 ).…”

Section: Resultsmentioning

confidence: 99%

Food Environment Research in Low- and Middle-Income Countries: A Systematic Scoping Review

Turner

Kalamatianou

Drewnowski

et al. 2020

Advances in Nutrition

187

202

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Food environment research is increasingly gaining prominence in low- and middle-income countries (LMICs). However, in the absence of a systematic review of the literature, little is known about the emerging body of evidence from these settings. This systematic scoping review aims to address this gap. A systematic search of 6 databases was conducted in December 2017 and retrieved 920 records. In total, 70 peer-reviewed articles met the eligibility criteria and were included. Collectively, articles spanned 22 LMICs, including upper-middle-income countries ( n = 49, 70%) and lower-middle-income countries ( n = 18, 26%). No articles included low-income countries. Articles featured quantitative ( n = 45, 64%), qualitative ( n = 17, 24%), and mixed-method designs ( n = 11, 8%). Studies analyzed the food environment at national, community, school, and household scales. Twenty-three articles (55%) assessed associations between food environment exposures and outcomes of interest, including diets ( n = 14), nutrition status ( n = 13), and health ( n = 1). Food availability was associated with dietary outcomes at the community and school scales across multiple LMICs, although associations varied by vendor type. Evidence regarding associations between the food environment and nutrition and health outcomes was inconclusive. The paucity of evidence from high-quality studies is a severe limitation, highlighting the critical need for improved study designs and standardized methods and metrics. Future food environment research must address low-income and lower-middle-income countries, and include the full spectrum of dietary, nutrition, and health outcomes. Improving the quality of food environment research will be critical to the design of feasible, appropriate, and effective interventions to improve public health nutrition in LMICs.

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Section: Resultsmentioning

confidence: 99%

Food Environment Research in Low- and Middle-Income Countries: A Systematic Scoping Review

Turner

Kalamatianou

Drewnowski

et al. 2020

Advances in Nutrition

187

202

View full text Add to dashboard Cite

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“…Studies that evaluated dietary patterns found a negative dose-response relationship of diet characterized by more healthy foods with infant's birth order 25 , and with infants with greater number of siblings 26 , along with a positive dose-response relationship of diet characterized by unhealthy foods with infant's birth order 25 , with increased parity 36 and with infants with greater number of siblings 26 . Study carried out in Pelotas, RS, found high availability of FV and low availability of soft drinks, sweets, packaged snacks, and frozen foods in households with only adults compared to households with children 18 . One possible explanation for the effect of parity in the present study is that, among children of multiparous women, the priorities and dietary needs of older children compete with those of younger children 25 , reducing the likelihood of an adequate diet for the infant 36 .…”

Section: Discussionmentioning

confidence: 91%

“…The changes that have occurred over the last decades include stagnate consumption of FV 14,15 and increased consumption of UPF 16,17 . This is a concern because foods that have high energy density but are poor in fiber, vitamins, and minerals -such as UPF -tend to decrease the consumption of foods with lower energy density and higher amounts of micronutrients and fibers -such as FV 18 . In addition, UPF are often not just consumed between the main meals, but replace them 16 , which makes their consumption even more worrying, especially among infants.…”

Section: Discussionmentioning

confidence: 99%

Determinants of fruits, vegetables, and ultra-processed foods consumption among infants

Passanha

Benício

Venâncio

2021

Ciênc. saúde coletiva

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The objective was to evaluate the influence of individual and contextual determinants on infant’s consumption of fruits and vegetables (FV), and ultra-processed foods (UPF). The data was obtained from the Survey of Prevalence of Breastfeeding in Brazilian Municipalities, 2008. A representative sample of 14,326 infants 6-11.9 months old, from seventy-five municipalities of São Paulo state was evaluated. The influence of determinants on FV and UPF consumption was analyzed using Poisson multilevel regression. Mother’s educational level and maternal age had positive dose-response effect for the consumption of FV (p trend < 0.001) and negative for UPF (p trend < 0.001). Infants of multiparous women and those who received outpatient care in public medical system showed lower prevalence of FV (p < 0.001 for both) and higher prevalence of UPF (respectively, p < 0.001 and p = 0.001). Moreover, the contextual variable related to population size indicated that the prevalence of consumption of FV decreased (p < 0.001) and UPF increased (p = 0.081) with decreased population size. Therefore, infants born to women with low education levels, who received outpatient care in the public health network, and who reside in small municipalities should be prioritized for educational programs related to feeding practices.

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“…Firstly, in terms of control, the dietary gatekeeper can directly affect food consumption in the household through food availability. A number of studies provide evidence that fruit and vegetable availability in the home has a major impact on the consumption of these foods by children (Neumark-Sztainer et al, 2003;Soares et al, 2014). Conversely, the availability of less healthy food choices in the home has been reported as a major barrier to choosing fruits and vegetables by children (O'dea, 2003).…”

Section: Introductionmentioning

confidence: 99%

Food literacy, healthy eating barriers and household diet

Wijayaratne

Reid

Westberg

et al. 2018

European Journal of Marketing

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PurposeFood literacy is an emerging concept associated with the skills, capabilities and knowledge to prepare a healthy diet and make healthy food choices. This study aims to examine how a dietary gatekeeper’s intentions to prepare a healthy diet for their family, and the subsequent satisfaction that a healthy diet is achieved, is influenced by their food literacy and by barriers to healthy eating.Design/methodology/approachA two-stage cross-sectional study was undertaken with 756 dietary gatekeepers who completed a baseline (time 1) and a three-month follow-up (time 2) questionnaire. Partial least square-structural equation modeling was used to estimate relationships between gatekeeper food literacy, their demographic characteristics, socio-cognitive factors, time 1 satisfaction with the healthiness of the household diet and intention to provide a healthy family diet. The follow-up survey assessed subsequent satisfaction with the healthiness of the household diet and barriers to achieving it.FindingsThe results highlight the significance of the dietary gatekeeper’s food literacy in overcoming barriers to healthy eating and fostering increased satisfaction with the healthiness of the family diet. The research further highlights the influence of past satisfaction, attitude, subjective norms and perceived behavioural control. Several demographics factors are also highlighted as influential.Research limitations/implicationsThe research offers new insights into the role of food literacy in the home environment including its influence on the dietary gatekeeper’s satisfaction with the family diet. The current model also provides strong evidence that food literacy can reduce the impact of barriers to healthy eating experienced by gatekeepers. The research has limitations associated with the socio-economic status of respondents and thus offers scope for research into different populations and their food literacy, younger and early formed cohabiting and the negotiation of food and dietary responsibility and on intergenerational food literacy.Practical implicationsThe current findings regarding the impact of food literacy have significant implications for government agencies, non-profit agencies, educational institutions and other related stakeholders in their effort to curb obesity. Implications exist for micro-level programmes and actions designed to influence gatekeepers, family members and households and at the macro level for policies and programmes designed to influence the obesogenicity of the food environments.Originality/valueThe current study is one of the first to offer evidence on the role of food literacy in the home environment and its ability to overcome barriers to healthy eating. The research provides social marketers and public policymakers with novel insights regarding the need for increased food literacy and for developing interventions to improve food literacy in dietary gatekeepers.

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Household food availability in Pelotas, Brazil: An approach to assess the obesogenic environment

Cited by 8 publications

References 26 publications

Food Environment Research in Low- and Middle-Income Countries: A Systematic Scoping Review

Food Environment Research in Low- and Middle-Income Countries: A Systematic Scoping Review

Determinants of fruits, vegetables, and ultra-processed foods consumption among infants

Food literacy, healthy eating barriers and household diet

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