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Public Health Nutrition Public Health Nutrition

Article contents

Sources of excessive saturated fat, trans fat and sugar consumption in Brazil: an analysis of the first Brazilian nationwide individual dietary survey

Published online by Cambridge University Press:  29 November 2012

Rosangela A Pereira ,
Kiyah J Duffey ,
Rosely Sichieri  and
Barry M Popkin
Rosangela A Pereira*
Affiliation:
Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Av. Carlos Chagas Filho 373, CCS – Bloco J – 2° andar, Cidade Universitaria, Rio de Janeiro – RJ, CEP 21.941-902, Brazil Department of Nutrition, University of North Carolina at Chapel Hill, NC, USA
Kiyah J Duffey
Affiliation:
Department of Nutrition, University of North Carolina at Chapel Hill, NC, USA
Rosely Sichieri
Affiliation:
Department of Epidemiology, Rio de Janeiro State University, Rio de Janeiro, Brazil
Barry M Popkin
Affiliation:
Department of Nutrition, University of North Carolina at Chapel Hill, NC, USA
*
*Corresponding author: Email rosangela@nutricao.ufrj.br
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Abstract

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Objective

To examine the patterns of consumption of foods high in solid fats and added sugars (SoFAS) in Brazil.

Design

Cross-sectional study; individual dietary intake survey. Food intake was assessed by means of two non-consecutive food records. Foods providing >9·1 % of energy from saturated fat, or >1·3 % of energy from trans fat, or >13 % of energy from added sugars per 100 g were classified as high in SoFAS.

Setting

Brazilian nationwide survey, 2008–2009.

Subjects

Individuals aged ≥10 years old.

Results

Mean daily energy intake was 8037 kJ (1921 kcal), 52 % of energy came from SoFAS foods. Contribution of SoFAS foods to total energy intake was higher among women (52 %) and adolescents (54 %). Participants in rural areas (43 %) and in the lowest quartile of per capita family income (43 %) reported the smallest contribution of SoFAS foods to total energy intake. SoFAS foods were large contributors to total saturated fat (87 %), trans fat (89 %), added sugar (98 %) and total sugar (96 %) consumption. The SoFAS food groups that contributed most to total energy intake were meats and beverages. Top SoFAS foods contributing to saturated fat and trans fat intakes were meats and fats and oils. Most of the added and total sugar in the diet was supplied by SoFAS beverages and sweets and desserts.

Conclusions

SoFAS foods play an important role in the Brazilian diet. The study identifies options for improving the Brazilian diet and reducing nutrition-related non-communicable chronic diseases, but also points out some limitations of the nutrient-based criteria.

Keywords

Food consumptionNutrient profilingAdded sugarBrazilDietary survey
Type
Monitoring and surveillance
Information
Public Health Nutrition , Volume 17 , Issue 1 , January 2014 , pp. 113 - 121
Copyright
Copyright © The Authors 2012 

References

1. Schmidt, MI, Duncan, BB, Azevedo e Silva, G et al. (2011) Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet 377, 1949–1961.CrossRefGoogle ScholarPubMed
2. Levy-Costa, RB, Sichieri, R, Pontes, NS et al. (2005) Household food availability in Brazil: distribution and trends (1974–2003). Rev Saude Publica 39, 530–540.CrossRefGoogle Scholar
3. Coitinho, D, Monteiro, CA & Popkin, BM (2002) What Brazil is doing to promote healthy diets and active lifestyles. Public Health Nutr 5, 263–267.CrossRefGoogle ScholarPubMed
4. Brasil Ministério da Saúde, Secretaria de Atenção a Saúde, Coordenação Geral da Política de Alimentação e Nutrição (2006) Guia Alimentar para a População Brasileira: Promovendo a Alimentação Saudável. Brasília: Ministério da Saúde; available at http://nutricao.saude.gov.br/guia_conheca.php Google Scholar
5. Brasil Ministério da Saúde (2011) Consea acompanha programa de redução de sal e gordura em alimentos pela indústria. http://portal.saude.gov.br/portal/aplicacoes/noticias/default.cfm?pg=dspDetalheNoticia&id_area=124&CO_NOTICIA=12690 (accessed March 2012).Google Scholar
6. Kearney, J (2010) Food consumption trends and drivers. Philos Trans R Soc Lond B Biol Sci 365, 2793–2807.CrossRefGoogle ScholarPubMed
7. Reardon, T & Berdegué, J (2002) The rapid rise of supermarkets in Latin America: challenges and opportunities for development. Dev Policy Rev 20, 371–388.CrossRefGoogle Scholar
8. Hawkes, C (2006) Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity and diet-related chronic diseases. Global Health 2, 4.CrossRefGoogle ScholarPubMed
9. Lignani, JB, Sichieri, R, Burlandy, L et al. (2011) Changes in food consumption among the Programa Bolsa Familia participant families in Brazil. Public Health Nutr 14, 785–792.CrossRefGoogle Scholar
10. Reedy, J & Krebs-Smith, SM (2010) Dietary sources of energy, solid fats, and added sugars among children and adolescents in the United States. J Am Diet Assoc 110, 1477–1484.CrossRefGoogle ScholarPubMed
11. US Department of Agriculture (2010) Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans: to the Secretary of Agriculture and the Secretary of Health and Human Services. Washington, DC: USDA and US DHHS.Google Scholar
12. Monteiro, CA, Levy, RB, Claro, RM et al. (2010) Increasing consumption of ultra-processed foods and likely impact on human health: evidence from Brazil. Public Health Nutr 14, 5–13.CrossRefGoogle ScholarPubMed
13. Lobato, JC, Costa, AJ & Sichieri, R (2009) Food intake and prevalence of obesity in Brazil: an ecological analysis. Public Health Nutr 12, 2209–2215.CrossRefGoogle ScholarPubMed
14. Levy, RB, Claro, RM & Monteiro, CA (2009) Sugar and total energy content of household food purchases in Brazil. Public Health Nutr 12, 2084–2091.CrossRefGoogle Scholar
15. Instituto Brasileiro de Geografia e Estatística (2011) Pesquisa de Orçamentos Familiares, 2008–2009: Análise do Consumo Alimentar Pessoal no Brasil. Rio de Janeiro: IBGE.Google Scholar
16. Sichieri, R, Pereira, RA, Martins, A et al. (2008) Rationale, design, and analysis of combined Brazilian household budget survey and food intake individual data. BMC Public Health 8, 89.CrossRefGoogle ScholarPubMed
17. Nutrition Coordination Center (2008) Nutrition Data System for Research – NDSR. Minneapolis, MN: University of Minnesota.Google Scholar
18. Núcleo de Estudos e Pesquisas em Alimentação /Universidade de Campinas (2011) TACO – Tabela Brasileira de Composição de Alimentos, 4th ed. Campinas: NEPA/UNICAMP.Google Scholar
19. Instituto Brasileiro de Geografia e Estatística (2011) Pesquisa de Orçamentos Familiares, 2008–2009: Tabela de Medidas Referidas para os Alimentos Consumidos no Brasil. Rio de Janeiro: IBGE.Google Scholar
20. Bezerra, IN, Monteiro, LS, Araujo, MC et al. (2012) Procedures applied to estimate weight and volume measures of selected foods reported in the National Dietary Survey (NDS) 2008–2009. Rev Nutr 25, 645–655.Google Scholar
21. Roodenburg, AJ, Popkin, BM & Seidell, JC (2011) Development of international criteria for a front of package food labelling system: the International Choices Programme. Eur J Clin Nutr 65, 1190–1200.CrossRefGoogle ScholarPubMed
22. World Health Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases. Joint WHO/FAO Expert Consultation. WHO Technical Report Series no. 916. Geneva: WHO.Google Scholar
23. Andrade, RG, Pereira, RA & Sichieri, R (2003) Food intake in overweight and normal-weight adolescents in the city of Rio de Janeiro. Cad Saude Publica 19, 1485–1495.CrossRefGoogle ScholarPubMed
24. Nascimento, S, Barbosa, FS, Sichieri, R et al. (2011) Dietary availability patterns of the Brazilian macro-regions. Nutr J 10, 79.CrossRefGoogle ScholarPubMed
25. Cunha, DB, Sichieri, R, de Almeida, RM et al. (2011) Factors associated with dietary patterns among low-income adults. Public Health Nutr 14, 1579–1585.CrossRefGoogle ScholarPubMed
26. Marchioni, DM, Latorre, MR, Eluf-Neto, J et al. (2005) Identification of dietary patterns using factor analysis in an epidemiological study in Sao Paulo. Sao Paulo Med J 123, 124–127.CrossRefGoogle Scholar
27. Sichieri, R, Castro, JF & Moura, AS (2003) Factors associated with dietary patterns in the urban Brazilian population. Cad Saude Publica 19, Suppl. 1, S47–S53.CrossRefGoogle ScholarPubMed
28. Sichieri, R, Moura, AS, Genelhu, V et al. (2007) An 18-mo randomized trial of a low-glycemic-index diet and weight change in Brazilian women. Am J Clin Nutr 86, 707–713.Google ScholarPubMed
29. Cunha, DB, de Almeida, RM, Sichieri, R et al. (2010) Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil. Br J Nutr 104, 908–913.CrossRefGoogle Scholar
30. Carvalho, AM, Cesar, CLG, Fisberg, RM et al. (2012) Excessive meat consumption in Brazil: diet quality and environmental impacts. Public Health Nutr (Epublication ahead of print version).Google ScholarPubMed
31. Pan, A, Sun, Q, Bernstein, AM et al. (2012) Red meat consumption and mortality: results from 2 prospective cohort studies. Arch Intern Med 172, 555–563.Google ScholarPubMed
32. Norat, T, Bingham, S, Ferrari, P et al. (2005) Meat, fish, and colorectal cancer risk: the European Prospective Investigation into cancer and nutrition. J Natl Cancer Inst 97, 906–916.CrossRefGoogle ScholarPubMed
33. Montonen, J, Boeing, H, Fritsche, A et al. (2012) Consumption of red meat and whole-grain bread in relation to biomarkers of obesity, inflammation, glucose metabolism and oxidative stress. Eur J Nutr (Epublication ahead of print version).Google ScholarPubMed
34. Friel, S, Dangour, AD, Garnett, T et al. (2009) Public health benefits of strategies to reduce greenhouse-gas emissions: food and agriculture. Lancet 374, 2016–2025.CrossRefGoogle ScholarPubMed
35. McMichael, AJ, Powles, JW, Butler, CD et al. (2007) Food, livestock production, energy, climate change, and health. Lancet 370, 1253–1263.CrossRefGoogle ScholarPubMed
36. Maillot, M & Drewnowski, A (2011) Energy allowances for solid fats and added sugars in nutritionally adequate US diets estimated at 17–33 % by a linear programming model. J Nutr 141, 333–340.CrossRefGoogle ScholarPubMed
37. Institute of Medicine (2005) Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: National Academy Press.Google ScholarPubMed
38. US Department of Agriculture (2010) Nutrient Intakes from Food: Mean Amounts Consumed per Individual, by Gender and Age. What We Eat in America, NHANES 2007–2008. Beltsville, MD: USDA, Agricultural Research Service, Food Surveys Research Group; available at http://www.ars.usda.gov/ba/bhnrc/fsrg Google Scholar
39. Instituto Brasileiro de Geografia e Estatística (2010) Pesquisa de Orçamentos Familiares 2008–2009: Avaliação Nutricional da Disponibilidade Domiciliar de Alimentos no Brasil. Rio de Janeiro: IBGE.Google Scholar
40. Monteiro, CA, Levy, RB, Claro, RM et al. (2010) A new classification of foods based on the extent and purpose of their processing. Cad Saude Publica 26, 2039–2049.CrossRefGoogle ScholarPubMed
41. Falasca, M & Casari, I (2012) Cancer chemoprevention by nuts: evidence and promises. Front Biosci (Schol Ed) 4, 109–120.CrossRefGoogle ScholarPubMed
42. Kris-Etherton, PM, Hu, FB, Ros, E et al. (2008) The role of tree nuts and peanuts in the prevention of coronary heart disease: multiple potential mechanisms. J Nutr 138, issue 9, 1746S–1751S.Google ScholarPubMed
43. Sabate, J & Wien, M (2010) Nuts, blood lipids and cardiovascular disease. Asia Pac J Clin Nutr 19, 131–136.Google ScholarPubMed
44. Brasil Ministério da Saúde (2009) Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher – PNDS 2006: Dimensões do Processo Reprodutivo e da Saúde da Criança (National Survey on Demography and Health of Women and Children – PNDS 2006: Dimensions of Reproduction and Child Health). Brasília: Ministério da Saúde.Google Scholar
45. Levy, RB, Claro, RM, Bandoni, DH et al. (2012) Availability of added sugars in Brazil: distribution, food sources and time trends. Rev Bras Epidemiol 15, 3–12.CrossRefGoogle ScholarPubMed
46. Dodd, KW, Guenther, PM, Freedman, LS et al. (2006) Statistical methods for estimating usual intake of nutrients and foods: a review of the theory. J Am Diet Assoc 106, 1640–1650.CrossRefGoogle Scholar
47. Lopes, TS, Ferrioli, E, Pfrimer, K et al. (2010) Validation of energy intake estimated by the food record applied in a Brazilian National Individual Dietary Survey by the doubly labeled water method. Presented at II World Congress of Public Health Nutrition, Porto, Portugal, 23–25 September 2010.Google Scholar
48. Barquera, S, Hernandez-Barrera, L, Campos-Nonato, I et al. (2009) Energy and nutrient consumption in adults: analysis of the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex 51, Suppl. 4, S562–S573.Google ScholarPubMed
49. Whitton, C, Nicholson, SK, Roberts, C et al. (2011) National Diet and Nutrition Survey: UK food consumption and nutrient intakes from the first year of the rolling programme and comparisons with previous surveys. Br J Nutr 106, 1899–1914.CrossRefGoogle ScholarPubMed
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