O ambiente alimentar e o acesso a frutas e hortaliças: “Uma metrópole em perspectiva”

Lopes, Aline Cristine Souza; Menezes, Mariana Carvalho de; Araújo, Melissa Luciana de

doi:10.1590/s0104-12902017168867

Cited by 30 publications

(22 citation statements)

References 9 publications

(9 reference statements)

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“…Currently, policies targeting the retail food environment in Mexico are lacking ( Nieto et al, 2019 ). There are examples from other countries where there are local policies that support fruit and vegetable stores and guarantee supply of healthy food at affordable prices ( Lopes et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Longitudinal changes in the retail food environment in Mexico and their association with diabetes

et al. 2020

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The retail food environment is a potential population-level determinant of diet and nutrition-related chronic diseases, yet little is known about its composition and association with diabetes in low- and middle-income countries. Our objectives were: (1) to describe changes in the composition of the retail food environment in Mexican neighborhoods from 2010 to 2016 and (2) to examine the association between these changes and diabetes cases diagnosed over the same period. Individual level data came from the 2016 Mexican Health and Nutrition Survey (N = 2808 adults). Neighborhood level retail food environment data for 2010 and 2016 came from the National Directory of Economic Units of Mexico. Multilevel logistic regression was used to examine the adjusted association between changes in the neighborhood density per km 2 of fruit and vegetable stores, chain convenience stores and supermarkets with diabetes. Small store formats still predominate in Mexico's food environment, however there is evidence of fast increase in chain convenience stores and supermarkets. Adults living in neighborhoods that saw a decline in fruit and vegetable store density and a simultaneous increase in chain convenience store density experienced higher odds of diabetes, compared to adults who lived in neighborhoods where fruit and vegetable and convenience stores did not change (OR 3.90, 95% CI 1.61, 9.48). Considering the complex interplay between store types, understanding the mechanisms and confirming the causal implications of these findings could inform policies that improve the quality of food environments in cities.

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Section: Discussionmentioning

confidence: 99%

Longitudinal changes in the retail food environment in Mexico and their association with diabetes

et al. 2020

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“…In this context, even if the strategies aimed at expanding the access and intake of F&V are the priority of health policies around the world 5 , they are limited to stimulating and assessing the intake according to recommendations (five servings/day). Overall, they do not consider the importance of diversity in food and little cover the role of food environment on food intake, especially in collective contexts such as health services 10 , 11 and in developing countries.…”

Section: Introductionmentioning

confidence: 99%

“…Nesse contexto, mesmo que as estratégias que visam ampliar o acesso e o consumo de FH sejam prioridade das políticas de saúde no mundo 5 , elas se limitam a estimular e avaliar o consumo segundo as recomendações (cinco porções/dias). Em geral, não consideram a importância da diversidade na alimentação e pouco abordam o papel do ambiente alimentar sobre o consumo de alimentos, sobretudo em contextos coletivos como os serviços de saúde 10 , 11 e em países em desenvolvimento.…”

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Monotony in the consumption of fruits and vegetables and food environment characteristics

et al. 2019

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OBJECTIVE: To analyze the quantity and diversity in the consumption fruits and vegetables, as well as its relationship with the consumer’s purchase characteristics and food environment. METHODS: Baseline study stemming from a controlled and randomized community trial investigating a sample representative of Primary Health Care services (Health Academy Program) of Belo Horizonte, state of Minas Gerais. The intake of fruits and vegetables was analyzed in servings/day, whereas diversity was assessed by the Food Frequency Questionnaire. Users were also questioned on the frequency, purchase location and availability of these foods at their households. To assess the consumer’s food environment, commercial establishments within a 1.6 km radius around the program unit sampled were audited. RESULTS: 3,414 adults and older adults (88.1% women) were investigated, as well as 336 commercial establishments, in 18 units of the Health Academy Program. The average consumption of fruits and vegetables was adequate [5.4 (SD = 2.1) servings/day] but monotonous, with average daily intake of two different types. In the establishments audited, a good diversity (77.7% and 85.0%) and variety (74.5% and 81.4%) of fruits and vegetables was observed, although with lower quality of vegetables (60.4%). After adjusting for sociodemographic variables, we identified that knowledge on food crops (p = 0.006), increased monthly availability of fruits at households (p < 0.001), and greater variety of fruits (p = 0.03) and quality of vegetables (p = 0.05) in commercial establishments could improve the quantitative intake of fruits and vegetables, whereas a greater variety of fruits (p = 0.008) would increase consumption diversity. CONCLUSIONS: The intake of fruits and vegetables was quantitatively adequate but monotonous, being influences by the consumer environment. Such results highlight the need for improving educational actions in health services and programs, in addition to acting on the consumer environment, aiming to promote and maintain the adequate and diversified consumption, as recommended by Brazilian guidelines for proper and healthy eating.

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“…In the USA, poor and predominantly black neighbourhoods are geographically associated with fast-food restaurants (8) and are further from stores selling healthy foods (9)(10)(11) . In Brazil, scientific evidence has revealed the association between economic disadvantage and concentration of healthy food stores in affluent areas (12,13) .…”

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Disparities in food consumption between economically segregated urban neighbourhoods

Lopes

Caiaffa

Andrade

et al. 2019

Public Health Nutr.

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Objective:To examine associations between economic residential segregation and prevalence of healthy and unhealthy eating markers.Design:Cross-sectional. A stratified sample was selected in a three-stage process. Prevalence of eating markers and their 95 % CI were estimated according to economic residential segregation: high (most segregated); medium (integrated) and low (less segregated or integrated). Segregation was measured at the census tract and assessed using the Getis–Ord local $G_i^{\rm{\ast}}$ statistic based on the proportion of heads of household in a neighbourhood earning a monthly income of 0–3 minimum wages. Binary logistic regression using generalized estimating equations were used to model the associations.Setting:Belo Horizonte, Brazil.Participants:Adults (n 1301) residing in the geographical environment (178 census tracts) of ten units of the Brazilian primary-care service known as the Health Academy Program.Results:Of the 1301 participants, 27·7 % lived in highly segregated neighbourhoods, where prevalence of regular consumption of fruit was lower compared with more affluent areas (34·6 v. 53·2 %, respectively). Likewise, regular consumption of vegetables (70·1 v. 87·6 %), fish (23·6 v. 42·3 %) and replacement of lunch or dinner with snacks (0·8 v. 4·7 %) were lower in comparison to more affluent areas. In contrast, regular consumption of beans was higher (91·0 v. 79·5 %). The associations of high-segregated neighbourhood with consumption of vegetables (OR = 0·62; 95 % CI 0·39, 0·98) and beans (OR = 1·85; 95 % CI 1·07, 3·19) remained significant after adjustments.Conclusions:Economic residential segregation was associated with healthy eating markers even after adjustments for individual-level factors and perceived food environment.

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O ambiente alimentar e o acesso a frutas e hortaliças: “Uma metrópole em perspectiva”

Cited by 30 publications

References 9 publications

Longitudinal changes in the retail food environment in Mexico and their association with diabetes

Longitudinal changes in the retail food environment in Mexico and their association with diabetes

Monotony in the consumption of fruits and vegetables and food environment characteristics

Disparities in food consumption between economically segregated urban neighbourhoods

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