Políticas alimentarias para prevenir la obesidad y las principales enfermedades no transmisibles en España: querer es poder

Royo-Bordonada, Miguel Ángel; Rodríguez‐Artalejo, Fernando; Bes–Rastrollo, Maira; Fernández-Escobar, Carlos; González, Carlos; Rivas, Francisco; Martínez‐González, Miguel Ángel; Quiles, Joan; Bueno‐Cavanillas, Aurora; Navarrete-Muñoz, Eva M.; Navarro, Carmen; López-Garcı́a, Esther; Romaguera, Dora; Suárez-Varela, María Morales; Vioque, Jesús

doi:10.1016/j.gaceta.2019.05.009

Cited by 38 publications

(16 citation statements)

References 58 publications

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“…This idea coincides with the results of previous research that showed the ineffectiveness of the self-regulatory measures of the PAOS Code as a tool to prevent childhood obesity in Spain [1,4,5,20,25,32,33]. However, the aforementioned studies did not analyze other advertising media beyond TV or the advertising language used to attract children's attention.…”

Section: Discussionsupporting

confidence: 87%

“…One in three Spanish children is obese or overweight. This condition is a serious problem for public health, not only because of the extra medical cost of millions of euros [1], but also because of its impact on physical and psychological factors among minors [2,3]. Advertising is one of the factors that greatly favors the obesogenic environment: Spanish children are exposed to an average of 9000 TV advertising campaigns per year [4], and the vast majority of these advertisements are for products of little or no nutritional value [5].…”

Section: Introductionmentioning

confidence: 99%

“…Several studies agree in affirming the inefficiency of the PAOS Code. In this sense, Royo Bordonada et al [1] have stated that Spain, like other European countries, has opted for educational measures of insufficient efficacy by focusing on individuals. These measures have been unable to reverse the obesity epidemic.…”

Section: Introductionmentioning

confidence: 99%

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Soft Drinks and Sugar-Sweetened Beverages Advertising in Spain: Correlation between Nutritional Values and Advertising Discursive Strategies

Blasco

Jiménez-Morales

2020

IJERPH

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Spain ranks fifth among European countries for childhood obesity. Sugar-sweetened beverages (SSBs) and soft drinks (SDs) are consumed by 81% of the Spanish children weekly. Advertising is one of the factors that contributes to an obesogenic environment. This study correlated longitudinally the nutritional values of SSBs and SDs and advertising discursive strategies between 2013 and 2018 for all media. A mixed-methods approach was applied that included a quantitative analysis of advertising spend data, a content analysis and a study of the discursive strategies used in advertisements. In addition, the Nutri-score system was used in order to determine the nutritional quality of the beverages. The results were analyzed applying the Spanish advertising regulatory framework for obesity prevention. The main findings indicate an association between low nutritional value beverage advertisements and a discourse based on hedonistic elements. In order to prevent childhood obesity in Spain, a stricter regulation of advertising is necessary, especially in aspects such as the language used to present products and celebrity endorsements.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Soft Drinks and Sugar-Sweetened Beverages Advertising in Spain: Correlation between Nutritional Values and Advertising Discursive Strategies

Blasco

Jiménez-Morales

2020

IJERPH

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“…There is a growing social awareness that calls for the possibility to make healthy choices for consumers and this social awareness is expected to increase in the future. In addition, there are positive initiatives such as “power” (“poder” in Spanish) that proposes changes in advertising, supply, demand, labeling and food reformulation [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Ultra-Processed Food Consumption Is Associated with Abdominal Obesity: A Prospective Cohort Study in Older Adults

et al. 2020

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Introduction and objectives. Ultra-processed food (UPF) consumption has been associated with increased incidence of cardiovascular disease and its risk factors. The aim of this study was to assess, for the first time in the literature, the prospective association between UPF consumption and the incidence of abdominal obesity (AO) in older adults. Methods. The study sample consists of 652 participants in the Seniors Study on Nutrition and Cardiovascular Risk in Spain: Seniors-ENRICA-1 study, (mean age 67, 44% women). At baseline, standardized anthropometric measurements were collected (including abdominal circumference). After a median follow-up of six years, the abdominal circumference was measured again, and the incidence of abdominal obesity (AO) was calculated, defined as an abdominal perimeter ≥102 cm in men and ≥88 cm in women. At baseline, dietary information was collected using a computerized and validated dietary history. Information was obtained on the usual diet in the previous year. A total number of 880 foods were classified according to their degree of processing following the NOVA classification. Foods or drinks formulated mostly or entirely from substances derived from foods, with little or no presence of the unaltered original food were classified as UPF. For each participant, the percentage of energy from UPF was derived and sex-specific tertiles were calculated. Logistic regression models were built and adjusted for sociodemographic, lifestyle, morbidity, and drug treatment variables. Results. Among those participants without AO at baseline, 177 developed AO during follow-up. The average consumption of UPF was 17% of total energy (7% in the first tertile; 29% in the third tertile). The odds ratio (95% confidence interval) for incident AO risk when compared to the lowest tertile was: 1.55 (0.99–2.44) for the second tertile of UPF consumption and 1.62 (1.04–2.54) for the third tertile; p for linear trend: 0.037. Results remained statistically significant after adjusting for potential dietary confounding factors such as fiber consumption, the intake of very long chain omega-3 fatty acids and adherence to the Mediterranean diet. Conclusions. A higher UPF consumption is positively associated with incident AO in older adults in Spain. These findings extend the current evidence of the detrimental effect of UPF consumption on cardiometabolic health.

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“…Por otra parte, mantener una vida físicamente activa se ha relacionado con un descenso de la mortalidad: realizar 30 minutos de actividad moderada casi todos los días de la semana reduce la mortalidad un 27 % (10). Entre las enfermedades asociadas al desequilibrio de nutrientes se encuentra la obesidad, por lo que también se debe incidir en la necesidad de desarrollar políticas alimentarias que otorguen mayor importancia a la protección de los consumidores y la salud, basada en la obligación de comercializar solo alimentos seguros, sanos y adecuados para el consumo (11).…”

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Assessment of adherence to the Mediterranean diet in university Health Sciences students and its relationship with level of physical activity

et al. 2021

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Políticas alimentarias para prevenir la obesidad y las principales enfermedades no transmisibles en España: querer es poder

Cited by 38 publications

References 58 publications

Soft Drinks and Sugar-Sweetened Beverages Advertising in Spain: Correlation between Nutritional Values and Advertising Discursive Strategies

Soft Drinks and Sugar-Sweetened Beverages Advertising in Spain: Correlation between Nutritional Values and Advertising Discursive Strategies

Ultra-Processed Food Consumption Is Associated with Abdominal Obesity: A Prospective Cohort Study in Older Adults

Assessment of adherence to the Mediterranean diet in university Health Sciences students and its relationship with level of physical activity

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