Consumption of ultra-processed foods in Brazil: distribution and temporal evolution 2008–2018

Authors

DOI:

https://doi.org/10.11606/s1518-8787.2023057004744

Keywords:

Eating, Ultra-Processed Foods, Socioeconomic Factors, Diet, Food, and Nutrition

Abstract

OBJECTIVE To evaluate sociodemographic factors associated with the consumption of ultra-processed foods and the temporal evolution of their consumption in Brazil between 2008 and 2018. METHODS The study used food consumption data of individuals aged ≥ 10 years from 2008–2009 and 2017–2018 Pesquisas de Orçamentos Familiares (POF – Household Budget Surveys), grouping the foods according to the Nova classification. We used crude and adjusted linear regression models to assess the association between sociodemographic characteristics and consumption of ultra-processed foods in 2017–2018 and the temporal variation in their consumption between 2008 and 2018. RESULTS Ultra-processed foods accounted for 19.7% of calories in 2017–2018. The adjusted analysis showed that their consumption was higher in women (versus men) and the South and Southeast regions (versus North) and lower in blacks (versus whites) and rural areas (versus urban), in addition to decreasing with the increased age and increasing with higher education and income. Consumption of ultra-processed foods increased by 1.02 percentage points (pp) from 2008–2009 to 2017–2018. This increase was significantly higher among men (+1.59 pp), black people (+2.04 pp), indigenous (+5.96 pp), in the rural area (+2.43 pp), those with up to 4 years of schooling (+1.18 pp), in the lowest income quintile (+3.54 pp), and the North (+2.95 pp) and Northeast (+3.11 pp) regions. On the other hand, individuals in the highest level of schooling (-3.30 pp) and the highest income quintile (-1.65 pp) reduced their consumption. CONCLUSIONS The socioeconomic and demographic segments with the lowest relative consumption of ultra-processed foods in 2017–2018 are precisely those that showed the most significant increase in the temporal analysis, pointing to a trend towards national standardization at a higher level of consumption.

References

Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report. Lancet. 2019;393(10173):791-846. https://doi.org/10.1016/S0140-6736(18)32822-8

Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada ML, Rauber F, et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22(5):936-41. https://doi.org/10.1017/S1368980018003762

Askari M, Heshmati J, Shahinfar H, Tripathi N, Daneshzad E. Ultra-processed food and the risk of overweight and obesity: a systematic review and meta-analysis of observational studies. Int J Obes. 2020;44(10):2080-91. https://doi.org/10.1038/s41366-020-00650-z

Lane MM, Davis JA, Beattie S, Gómez‐Donoso C, Loughman A, O’Neil A, et al. Ultraprocessed food and chronic noncommunicable diseases: a systematic review and meta‐analysis of 43 observational studies. Obes Rev. 2021;22(3):e13146. https://doi.org/10.1111/obr.13146

Pagliai G, Dinu M, Madarena MP, Bonaccio M, Iacoviello L, Sofi F. Consumption of ultra-processed foods and health status: a systematic review and meta-analysis. Br J Nutr. 2021;125(3):308-18. https://doi.org/10.1017/S0007114520002688

Louzada MLC, Costa CS, Souza TN, Cruz GL, Levy RB, Monteiro CA. Impacto do consumo de alimentos ultraprocessados na saúde de crianças, adolescentes e adultos: revisão de escopo. Cad Saude Publica. 2021;37 Supl 1:e00323020. https://doi.org/10.1590/0102-311X00323020

Seferidi P, Scrinis G, Huybrechts I, Woods J, Vineis P, Millett C. The neglected environmental impacts of ultra-processed foods. Lancet Planet Health. 2020;4(10):e437-8. https://doi.org/10.1016/S2542-5196(20)30177-7

Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Guia alimentar para a população brasileira. 2. ed. Brasília, DF: 2014 [citado 20 dez 2021]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_ brasileira_2ed.pdf

Instituto Brasileiro de Geografia e Estatística, Diretoria de Pesquisa, Coordenação de Trabalho e Rendimento. Pesquisa de Orçamentos Familiares 2017-2018: análise do consumo alimentar pessoal no Brasil. Rio de Janeiro: IBGE; 2020.

Instituto Brasileiro de Geografia e Estatística, Diretoria de Pesquisa, Coordenação de Trabalho e Rendimento. Pesquisa de Orçamentos Familiares 2008 - 2009: análise do consumo alimentar pessoal no Brasil. Rio de Janeiro: IBGE; 2011.

Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler W V, et al. The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008;88(2):324-32. https://doi.org/10.1093/ajcn/88.2.324

Moubarac JC, Batal M, Louzada MLC, Martinez Steele E, Monteiro CA. Consumption of ultra-processed foods predicts diet quality in Canada. Appetite. 2017;108:512-20. https://doi.org/10.1016/j.appet.2016.11.006

Cediel G, Reyes M, Louzada MLC Martinez Steele E, Monteiro CA, Corvalán C, et al. Ultra-processed foods and added sugars in the Chilean diet (2010). Public Health Nutr. 2018;21(1):125-33. https://doi.org/10.1017/S1368980017001161

Khandpur N, Cediel G, Obando DA, Jaime PC, Parra DC. Sociodemographic factors associated with the consumption of ultra-processed foods in Colombia. Rev Saude Publica. 2020;54:19. https://doi.org/10.11606/s1518-8787.2020054001176

Marrón-Ponce JA, Sánchez-Pimienta TG, Louzada MLC, Batis C. Energy contribution of NOVA food groups and sociodemographic determinants of ultra-processed food consumption in the Mexican population. Public Health Nutr. 2018;21(1):87-93. https://doi.org/10.1017/S1368980017002129

Adams J, White M. Characterisation of UK diets according to degree of food processing and associations with socio-demographics and obesity: cross-sectional analysis of UK National Diet and Nutrition Survey (2008–12). Int J Behav Nutr Phys Act. 2015;12(1):160. https://doi.org/10.1186/s12966-015-0317-y

Baraldi LG, Martinez Steele E, Canella DS, Monteiro CA. Consumption of ultra-processed foods and associated sociodemographic factors in the USA between 2007 and 2012: evidence from a nationally representative cross-sectional study. BMJ Open. 2018;8(3):e020574. https://doi.org/10.1136/bmjopen-2017-020574

Costa JC, De Jesus ACS, De Jesus JGL, Madruga MF, Souza TN, Louzada MLC. Diferenças no consumo alimentar da população brasileira por raça/cor da pele em 2017-2018. Rev Saude Publica. 2022. No prelo

Monteiro CA, Cannon G. The impact of transnational “big food” companies on the South: a view from Brazil. PLoS Med. 2012;9(7):e1001252. https://doi.org/10.1371/journal.pmed.1001252

Monteiro CA, Cannon GJ. The role of the transnational ultra-processed food industry in the pandemic of obesity and its associated diseases: problems and solutions. World Nutr. 2019;10(1):89-99. https://doi.org/10.26596/wn.201910189-99

Maia EG, Passos CM, Levy RB, Martins APB, Mais LA, Claro RM. What to expect from the price of healthy and unhealthy foods over time? The case from Brazil. Public Health Nutr. 2020;23(4):579-88. https://doi.org/10.1017/S1368980019003586

Machado PP, Claro RM, Canella DS, Sarti FM, Levy RB. Price and convenience: the influence of supermarkets on consumption of ultra-processed foods and beverages in Brazil. Appetite. 2017;116:381-8. https://doi.org/10.1016/j.appet.2017.05.027

Zagorsky JL, Smith PK. The association between socioeconomic status and adult fast-food consumption in the U.S. Econ Hum Biol. 2017;27 Part A:12-25. https://doi.org/10.1016/j.ehb.2017.04.004

Moubarac JC, Batal M, Martins APB, Claro R, Levy RB, Cannon G, et al. Processed and ultra-processed food products: consumption trends in Canada from 1938 to 2011. Can J Diet Pract Res. 2014;75(1):15-21. https://doi.org/10.3148/75.1.2014.15

Marrón-Ponce JA, Tolentino-Mayo L, Hernandez-F M, Batis C. Trends in ultra-processed food purchases from 1984 to 2016 in Mexican households. Nutrients. 2018;11(1):45. https://doi.org/10.3390/nu11010045

Vandevijvere S, Jaacks LM, Monteiro CA, Moubarac JC, Girling‐Butcher M, Lee AC, et al. Global trends in ultraprocessed food and drink product sales and their association with adult body mass index trajectories. Obes Rev. 2019;20 Suppl 2:10-9. https://doi.org/10.1111/obr.12860

Rodrigues RM, De Carli E, Araújo MC, Verly Junior E, Marchioni DML, Bezerra IN, et al. Limitações na comparação dos Inquéritos Nacionais de Alimentação de 2008–2009 e 2017–2018. Rev Saude Publica. 2021;55 Supl 1:3s. https://doi.org/10.11606/s1518- 8787.2021055003365

Published

2023-03-15

Issue

Section

Original Articles

How to Cite

Louzada, M. L. da C. ., Cruz, G. L. da, Silva, K. A. A. N., Grassi, A. G. F., Andrade, G. C. ., Rauber, F. ., Levy, R. B., & Monteiro, C. A. (2023). Consumption of ultra-processed foods in Brazil: distribution and temporal evolution 2008–2018. Revista De Saúde Pública, 57(1), 12. https://doi.org/10.11606/s1518-8787.2023057004744