Beverage consumption in Brazil: results from the first National Dietary Survey

Pereira, Rosângela Alves; Souza, Amanda Moura; Duffey, Kiyah J.; Sichieri, Rosely; Popkin, Barry M.

doi:10.1017/s1368980014001657

Cited by 36 publications

(50 citation statements)

References 64 publications

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“…Global diet shifts A recent review looked at global sodium increases on the basis of dietary and urinary sodium excretion studies (79). Our work and in-depth studies by others in China, Brazil, Mexico and elsewhere show that consumption of foods with added sugars, added salt and refined carbohydrates; grain-based desserts; and savoury snacks has grown (74,(80)(81)(82)(83). Latin American countries experienced these dietary shifts earlier than most other LMICs, and for some of the shifts, they are global leaders.…”

Section: Increased Intake Of Unhealthy Foodmentioning

confidence: 68%

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Obesity and the food system transformation in Latin America

2018

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Summary The Latin America and the Caribbean (LAC) region faces a major diet-related health problem accompanied by enormous economic and social costs. The shifts in diet are profound: major shifts in intake of less-healthful low-nutrient-density foods and sugary beverages, changes in away-from-home eating and snacking and rapid shifts towards very high levels of overweight and obesity among all ages along with, in some countries, high burdens of stunting. Diet changes have occurred in parallel to, and in two-way causality with, changes in the broad food system – the set of supply chains from farms, through midstream segments of processing, wholesale and logistics, to downstream segments of retail and food service (restaurants and fast food chains). An essential contribution of this piece is to marry and integrate the nutrition transition literature with the literature on the economics of food system transformation. These two literatures and debates have been to date largely ‘two ships passing in the night’. This review documents in-depth the recent history of rapid growth and transformation of that broad food system in LAC, with the rapid rise of supermarkets, large processors, fast food chains and food logistics firms. The transformation is the story of a ‘double-edged sword’, showing its links to various negative diet side trends, e.g. the rise of consumption of fast food and highly processed food, as well as in parallel, to various positive trends, e.g. the reduction of the cost of food, de-seasonalization, increase of convenience of food preparation reducing women’s time associated with that and increase of availability of some nutritious foods like meat and dairy. We view the transformation of the food system, as well as certain aspects of diet change linked to long-run changes in employment and demographics (e.g. the quest for convenience), as broad parameters that will endure for the next decades without truly major regulatory and fiscal changes. We then focus in on what are the steps that are being and can be taken to curb the negative effects on diet of these changes. We show that countries in LAC are already among the global leaders in initiating demand-related solutions via taxation and marketing controls. But we also show that this is only a small step forward. To shift LAC’s food supply towards prices that incentivize consumption of healthier diets and demand away from the less healthy component is not simple and will not happen immediately. We must be cognizant that ultimately, food industry firms must be incentivized to market the components of healthy diets. This will primarily need to be via selective taxes and subsidies, marketing controls, as well as food quality regulations, consumer education and, in the medium term, consumers’ desires to combine healthier foods with their ongoing quest for convenience in the face of busy lives. In the end, the food industry in LAC will orient itself towards profitable solutions, ie those demanded by the broad mass of consumers.

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Section: Increased Intake Of Unhealthy Foodmentioning

confidence: 68%

“…Latin Americans consume very high levels of added sugar, more than triple that recommended by the WHO . Beverages are the largest source of sugar in the diets of most children, adolescents and young adults in the region .…”

Section: Major Dietary Trendsmentioning

confidence: 99%

Obesity and the food system transformation in Latin America

2018

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“…Brazilian adolescents consume the highest proportion of energy from sugar-sweetened beverages when compared with adults and elderly people [19].…”

Section: Discussionmentioning

confidence: 99%

Soft drink consumption, mainly diet ones, is associated with increased blood pressure in adolescents

Souza¹,

Cunha²,

Pereira

et al. 2016

Journal of Hypertension

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“…This information is relevant, since consumers are used to eating foods with high sugar content and the consumption of sugar-sweetened beverages has been growing in Brazil as well as in other parts of the world. Consumption of such products has been related to several chronic diseases (Basu, McKee, Galea, & Stuckler, 2013;Malik, Pan, Willett, & Hu, 2013;Pereira et al, 2015).…”

Section: Ideal Testmentioning

confidence: 99%