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Trends in sweetened beverages consumption among adults in the Brazilian capitals, 2007–2016

  • Natasha Figueiredo (a1), Emanuella Gomes Maia (a2), Luiza Eunice Sá da Silva (a3), Fernanda Serra Granado (a4) and Rafael Moreira Claro (a5)...



To analyse trends in sweetened beverages consumption among adults in Brazil between 2007 and 2016.


A time-series analysis, with data from the Surveillance System of Risk and Protection Factors for Chronic Diseases by Telephone Survey (VIGITEL). The prevalence of regular consumption (≥5 d/week), the average daily consumption (millilitres) and the prevalence of non-consumption of these beverages were analysed. The temporal variations of the indicators were calculated by linear regression. The analyses were performed for the complete set of the evaluated population and stratified by sociodemographic characteristics.


Brazilian capitals and Federal District.


Brazilian adults aged ≥18 years (n 519 641).


There was a reduction in both regular and average daily consumption of sugar- and artificially sweetened beverages (−1·28 percentage points (pp)/year, P=0·001 and −9·63 ml/year, P=0·001, respectively). The same result regarding regular consumption was found when only sugar-sweetened beverages were analysed (−1·11 pp/year, P=0·011). Similar trends were identified in the stratified analyses, with a greater magnitude of reduction among males, young adults, those with higher schooling and residents of more developed regions. Coincidentally, there was an increase in the prevalence of adults who did not consume sweetened beverages (1·54 pp/year, P=0·005).


The consumption of sweetened beverages decreased during the period. However, a significant portion of the population still referred a daily consumption of these beverages.


Corresponding author

*Corresponding author: Email


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1. Ministry of Health of Brazil (2011) Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis (DCNT) no Brasil 2011–2022. Brasília, DF: Ministério da Saúde.
2. World Health Organization (2010) Assessing National Capacity for the Prevention and Control of Noncommunicable Diseases. Geneva: WHO.
3. Malta, DC, Campos, MO, Oliveira, MM et al. (2015) Prevalência de fatores de risco e proteção para doenças crônicas não transmissíveis em adultos residentes em capitais brasileiras, 2013. Epidemiol Serv Saude 24, 373387.
4. Institute of Health Metrics and Evaluation (2017) GBD Compare. (accessed October 2017).
5. 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.
6. Brazilian Institute of Geography and Statistics (2010) Household Budget Survey 2008–2009: Expenditure Profile in Brazil – Selected Indicators. Rio de Janeiro, RJ: IBGE.
7. Ng, M, Fleming, T, Robinson, M et al. (2014) Global, regional and national prevalence of overweight and obesity in children and adults 19802013: a systematic analysis. Lancet 384, 766781.
8. GBD 2015 Obesity Collaborators (2017) Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 377, 1327.
9. Kac, G & Pérez-Escamilla, R (2013) Nutrition transition and obesity prevention through the life-course. Int J Obes Suppl 3, Suppl. 1, S6S8.
10. World Health Organization (2015) Guideline: Sugars Intake for Adults and Children. Geneva: WHO.
11. Martins, APB, Levy, RB, Claro, RM et al. (2013) Increased contribution of ultra-processed food products in the Brazilian diet (19872009). Rev Saude Publica 47, 656665.
12. Hu, FB (2013) Resolved: there is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. Obes Rev 14, 606619.
13. Malik, VS & Hu, FB (2015) Fructose and cardiometabolic health. What the evidence from sugar-sweetened beverages tells us. J Am Coll Cardiol 66, 16151624.
14. Xi, B, Huang, Y, Reilly, KH et al. (2016) Sugar-sweetened beverages and risk of hypertension and CVD: a dose–response meta-analysis. Br J Nutr 113, 709717.
15. Luger, M, Lafontan, M, Bes-Rastrollo, M et al. (2017) Sugar-sweetened beverages and weight gain in children and adults: a systematic review from 2013 to 2015 and a comparison with previous studies. Obes Facts 10, 674693.
16. Popkin, BM (2010) Contemporary nutritional transition: determinants of diet and its impact on body composition. Proc Nutr Soc 70, 8291.
17. Drewnowisk, A & Rehm, CD (2014) Consumption of added sugars among US children and adults by food purchase location and food source. Am J Clin Nutr 100, 901907.
18. Stern, D, Piernas, C, Barquera, S et al. (2014) Caloric beverages were major sources of energy among children and adults in Mexico, 1999–2012. J Nutr 144, 949956.
19. Ha, K, Chung, S, Lee, HS et al. (2016) Association of dietary sugars and sugar-sweetened beverage intake with obesity in Korean children and adolescents. Nutrients 8, E31.
20. 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, 312.
21. Ebbeling, CB, Feldman, HA, Chomitz, VR et al. (2012) A randomized trial of sugar-sweetened beverages and adolescent body weight. N Engl J Med 367, 14071416.
22. Imamura, F, O’Connor, L, Ye, Z et al. (2015) Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. BMJ 351, h3576.
23. Ministério do Desenvolvimento Social e Combate à Fome (2014) Estratégia Intersetorial de Prevenção e Controle da Obesidade: Recomendações para Estados e Municípios. Brasília, DF: CAISAN.
24. Ministry of Health of Brazil (2017) Surveillance System of Risk and Protective Factors for Chronic Diseases by Telephone Survey – VIGITEL 2016. Brasília, DF: Ministério da Saúde.
25. Khan, TA & Sievenpiper, JL (2016) Controversies about sugars: results from systematic reviews and meta-analyses on obesity, cardiometabolic disease and diabetes. Eur J Nutr 55, Suppl. 2, S25S43.
26. Associação Brasileira das Indústrias de Refrigerantes e Bebidas não Alcóolicas (2018) Volume de produção do mercado brasileiro de refrigerantes dos anos de 2010 a 2016. (accessed June 2018).
27. Associação Brasileira das Indústrias de Refrigerantes e Bebidas não Alcóolicas (2016) Produção de refrigerantes tem o pior início de ano desde 2012. (accessed June 2018).
28. Folha de São Paulo (2014) Refrigerantes perdem espaço no mercado brasileiro de bebidas. (accessed June 2018).
29. Valor Econômico (2016) Retração em refrigerantes veio para ficar. (accessed June 2018).
30. Jornal do Comércio (2017) Setor de refrigerantes perde espaço no país. (accessed June 2018).
31. Ministry of Health of Brazil (2018) DATASUS. Projeção da população residente por idade simples segundo ano. (accessed January 2018).
32. Lim, L, Banwell, C, Bain, C et al. (2014) Sugar sweetened beverages and weight gain over 4 years in a Thai national cohort – a prospective analysis. PLoS One 9, e95309.
33. Laverty, AA, Magee, L, Monteiro, CA et al. (2015) Sugar and artificially sweetened beverage consumption and adiposity changes: national longitudinal study. Int J Behav Nutr Phys Act 12, 137.
34. Schulze, MB, Manson, JE, Ludwig, DS et al. (2004) Sugar-sweetened beverages, weight gain and incidence of type 2 diabetes in young and middle-aged women. JAMA 292, 927934.
35. Odegaard, AO, Koh, WP, Arakawa, K et al. (2010) Soft drink and juice consumption and risk of physician-diagnosed incident type 2 diabetes: the Singapore Chinese Health Study. Am J Epidemiol 171, 701708.
36. Mozaffarian, D, Hao, T, Rimm, EB et al. (2011) Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med 364, 23922404.
37. Narain, A, Kwok, CS & Mamas, MA (2016) Soft drinks and sweetened beverages and the risk of cardiovascular disease and mortality: a systematic review and meta-analysis. Int J Clin Pract 70, 791805.
38. Borges, MC, Louzada, ML, , TH et al. (2017) Artificially sweetened beverages and the response to the global obesity crisis. PLoS Med 14, e1002195.
39. Yarmolinsky, J, Duncan, BB, Chambless, LE et al. (2016) Artificially sweetened beverage consumption is positively associated with newly diagnosed diabetes in normal-weight but not in overweight or obese Brazilian adults. J Nutr 146, 290297.
40. Pase, MP, Himali, JJ, Beiser, AS et al. (2017) Sugar- and artificially sweetened beverages and the risks of incident stroke and dementia: a prospective cohort study. Stroke 48, 11391146.
41. Lotufo, PA, Goulard, AC, Passos, VMA et al. (2017) Cerebrovascular disease in Brazil from 1990 to 2015: Global Burden of Disease 2015. Rev Bras Epidemiol 20, Suppl. 1, S129S141.
42. Boog, MCF (1997) Nutritional education: past, present and future. Rev Nutr Campinas 10, 519.
43. Ministry of Health of Brazil (2012) Política Nacional de Atenção Básica. Brasília, DF: Ministério da Saúde.
44. Ministry of Health of Brazil (2014) Cadernos de Atenção Básica: Núcleo de Apoio à Saúde da Família. Vol. 1. Brasília, DF: Ministério da Saúde, Departamento de Atenção Básica.
45. Ministry of Health of Brazil (2012) National Food and Nutrition Policy (PNAN). Brasília, DF: Ministério da Saúde.
46. Ministério do Desenvolvimento Social e Combate à Fome (2012) Marco de Referência de Educação Alimentar e Nutricional para as Políticas Públicas. Brasília, DF: Ministério do Desenvolvimento Social e Combate à Fome.
47. Departamento de Educação Popular e Mobilização Cidadã (2014) Marco de Referência da Educação Popular para as Políticas Públicas. Rio de Janeiro, RJ: Departamento de Educação Popular e Mobilização Cidadã.
48. Ministério da Saúde, Departamento de Atenção Básica (2017) Promoção da Saúde e da Alimentação Adequada e Saudável. (accessed October 2017).
49. Ministry of Health of Brazil (2015) Dietary Guidelines for the Brazilian Population. Brasília, DF: Ministério da Saúde.
50. Conselho Federal de Nutricionistas (2008) O Papel do Nutricionista na Atenção Primária à Saúde. Brasília, DF: CFN.
51. Ministério da Saúde, Departamento de Atenção Básica (2018) Programa Saúde na Escola (PSE). (accessed January 2018).
52. Vox Media (2015) Brazil has the best nutritional guidelines in the world. (accessed June 2018).
53. Ministry of Health of Brazil (2018) Apesar de obesidade em alta, pesquisa mostra brasileiros mais saudáveis. (accessed June 2018).
54. Brand-Miller, JC & Barclay, AW (2017) Declining consumption of added sugars and sugar-sweetened beverages in Australia: a challenge for obesity prevention. Am J Clin Nutr 105, 854863.
55. Estadão (2018) Obesidade atinge um em cada cinco adultos, mas dá sinais de estagnação.,obesidade-atinge-um-em-cada-cinco-adultos-mas-da-sinais-de-estagnacao,70002353987 (accessed June 2018).
56. Brazilian Institute of Geography and Statistics (2018) Sistema Nacional de Índices de Preços ao Consumidor. Índice Nacional de Preços ao Consumidor Amplo. (accessed June 2018).
57. Brazilian Institute of Geography and Statistics (2017) Síntese de Indicadores Sociais – SIS. (accessed June 2018).
58. Agência Brasil (2018) Taxa de desemprego sobe para 13,1%, diz pesquisa do IBGE. (accessed June 2018).
59. Word Cancer Research Fund International (2017) Use Economic Tools to Address Affordability and Purchase Incentives. London: WCFR.
60. The Food Foundation (2017) UK’s Restrictions on Junk Food Advertising to Children. London: Food Foundation.
61. World Health Organization (2016) Taxes on Sugary Drinks: Why Do It? Geneva: WHO.
62. Global Food Research Program (2017) Sugary Drinks Taxes: Africa, Middle East, Asia, and Pacific. Chapel Hill, NC: University of North Carolina.
63. Colchero, MA, Popkin, BM, Rivera, JA et al. (2016) Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study. BMJ 352, h6704.
64. Caro, JC, Ng, SW, Taillie, SL et al. (2017) Designing a tax to discourage unhealthy food and beverage purchases: the case of Chile. Food Policy 71, 86100.
65. Julia, C, Mejean, C, Vicari, F et al. (2015) Public perception and characteristics related to acceptance of the sugar-sweetened beverage taxation launched in France in 2012. Public Health Nutr 18, 26792688.
66. Holt, E (2011) Hungary to introduce broad range of fat taxes. Lancet 378, 755.
67. Alvarado, M, Kostova, D, Suhrcke, M et al. (2017) Trends in beverage prices following the introduction of a tax on sugar-sweetened beverages in Barbados. Prev Med 105, Suppl., S23S25.
68. GOV.UK (2017) Soft Drinks Industry Levy. (accessed November 2017)
69. Falbe, J, Thompson, HR, Becker, CM et al. (2016) Impact of the Berkeley excise tax on sugar-sweetened beverage consumption. Am J Public Health 106, 18651871.
70. Backholer, K, Blake, M & Vandevijvere, S (2016) Have we reached a tipping point for sugar-sweetened beverage taxes? Public Health Nutr 19, 30573061.
71. Backholer, K, Blake, M & Vandevijvere, S (2017) Sugar-sweetened beverage taxation: an update on the year that was 2017. Public Health Nutr 20, 32193224.
72. Colchero, MA, López, CMG, Molina, M et al. (2016) Beverages sales in Mexico before and after implementation of a sugar sweetened beverage tax. PLoS One 11, e0163463.
73. Folha de São Paulo (2017) Maior taxação de bebidas açucaradas seria medida ‘saudável’, diz ministro. (accessed January 2018).
74. O Joio e o Trigo (2017) Presidente do PSDB usou o cargo para tratar de atividade como investidor da Coca. (accessed January 2018).
75. O Joio e o Trigo (2017) Os bolsos gordos da ciência da obesidade: Como a indústria de alimentos ultraprocessados utiliza a pesquisa científica para minar políticas públicas, desviar o foco e promover hábitos de consume. (accessed January 2018).
76. Agência Nacional de Vigilância Sanitária (2010) Resolução RDC Nº 24, de 15 de junho de 2010. Brasília, DF: ANVISA.
77. Interministerial Food and Nutrition Security Chamber (2015) Brazil’s Commitments to the United Nations Decade of Action on Nutrition (2016–2025). Brasília, DF: CAISAN.
78. Claro, RM, Levy, RB, Popkin, BM et al. (2012) Sugar-sweetened beverage taxes in Brazil. Am. J. Public Health 102, 178183.
79. Folha de São Paulo (2017) Brasileiro tomaria menos ‘refri’ se preço fosse salgado, aponta pesquisa. (accessed June 2018).
80. Brener, ND, Kann, L, Kinchen, SA et al. (2004) Methodology of the youth risk behavior surveillance system. MMWR Morb Mortal Wkly Rep 53, 113.
81. Brazilian Institute of Geography and Statistics (2014) National Adolescent School-Based Health Survey (PeNSE) 2013. Rio de Janeiro, RJ: IBGE.
82. Remington, PL, Smith, MY, Williamson, DF et al. (1988) Design, characteristics, and usefulness of state-based behavioral risk factor surveillance: 198187. Public Health Rep 103, 366375.
83. World Health Organization (2001) Summary: Surveillance of Risk Factors for Noncommunicable Diseases. The WHO STEPwise Approach. Geneva: WHO.
84. Monteiro, CA, Moura, EC, Jaime, PC et al. (2008) Validity of food and beverage intake data obtained by telephone survey. Rev Saude Publica 42, 582589.
85. Mendes, LL, Campos, SF, Malta, DC et al. (2011) Validity and reliability of foods and beverages intake obtained by telephone survey in Belo Horizonte, Brazil. Rev Bras Epidemiol 14, 8089.
86. O Estadão de São Paulo (2018) Busca por estilo de vida mais saudável pressiona indústria de alimentos no País.,busca-por-estilo-de-vida-mais-saudavel-pressiona-industria-de-alimentos-no-pais,70002259073 (accessed May 2018).
87. Subar, AF, Freedman, LS, Tooze, JA et al. (2015) Addressing current criticism regarding the value of self-report dietary data. J Nutr 145, 26392645.
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