Participacao crescente de produtos ultraprocessados na dieta brasileira (1987-2009)

Abstract

OBJECTIVE:To establish temporal trends in household food and drink consumption in Brazil, taking into account the extent and purpose of its industrial processing. 1987-1988, 1995-1996, 2002-2003 and 2008-2009. In all surveys, probabilistic samples of households in the metropolitan areas were studied and, for the last two surveys, the scope was national. The units of analysis were food purchases records of clusters of households. The purchased food items were divided according to the extent and purpose of their industrial processing into: 'in natura' or minimally processed foods, processed culinary ingredients and ready-to-consume, processed and ultra-processed food and drink products. The quantity of each item was converted into energy. For each survey, the daily availability of calories per capita and the caloric share of the food groups were estimated. For the national surveys, estimates were calculated by income quintiles. Temporal trends were assessed using linear regression models and difference of means tests. METHODS: Data was obtained from Household Budget Surveys conducted in Brazil in RESULTS:The caloric share of ready-to-consume products significantly increased between 2002-2003 and 2008-2009 (from 23.0% to 27.8% of total calories), mainly because of the increase in the consumption of ultra-processed products (20.8% to 25.4%). In the same period, there was a significant reduction in the caloric share of foods and culinary ingredients. The increase in the ultraprocessed products caloric share occurred across all income quintiles. There was an uniform increase in the caloric share of ready-to-consume products in the metropolitan areas, mostly in place of ultra-processed products, accompanied by a decrease in the share of 'in natura' or minimally processed foods and culinary ingredients. CONCLUSIONS:The share of ultra-processed products significantly increased in the Brazilian diet, as seen in the metropolitan areas since the 1980s, and confirmed at a national level in the 2000s.

Association between overweight and consumption of ultra-processed food and sugar-sweetened beverages among vegetarians

“…Considering the current global context regarding climate change, Brazilians' eating pattern [9] and the potential benefits related to vegetarianism [4,8], this type of diet may be considered an environmentally sustainable [17] and nutritionally adequate [3] food and nutrition recommendation. However, it is important for health professionals, especially dietitians (in Brazil, professionals who possess the private function of dietary prescription), to not quickly assume a relationship between vegetarianism and healthy diet.…”

“…Consequently, considering the context of nutrition transition, which has indicated a significant increase in the consumption of UPF and SSB [9], without proper orientation, vegetarians are at risk of developing an eating pattern that is potentially harmful to their health.…”

O cuidado nutricional por estrangeiros no Projeto Mais Médicos para o Brasil

“…This difference between the two countries may constitute a problem for the clinical management of these issues in clinics, especially considering that the supply of these products grows each year in Brazil and their consumption is associated with negative impacts on health, food self-sufficiency, the environment and culture 24,42,43 .…”

Adesão aos "10 passos da alimentação saudável para crianças" e fatores associados em escolares

“…A baixa frequência de adesão ao Passo 6 e a não adesão ao Passo 7 indicam que os escolares estão consumindo alimentos ultraprocessados, com alto teor de açúcar, gordura e sal, contrariando a recomendação do Guia Alimentar 37 . Dados de uma coorte de crianças do mesmo município do presente estudo mostraram que o consumo de alimentos ultraprocessados na idade pré-escolar foi um preditor independente do aumento nos níveis séricos de colesterol total e LDL-colesterol na idade de 7 e 8 anos 38 .…”