Associations between Consumption of Ultra-Processed Foods and Intake of Nutrients Related to Chronic Non-Communicable Diseases in Mexico

Marrón-Ponce, Joaquín Alejandro; Flores, Mario; Cediel, Gustavo; Monteiro, Carlos Augusto; Batis, Carolina

doi:10.1016/j.jand.2019.04.020

Cited by 124 publications

(127 citation statements)

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“…This study showed that a large proportion of ultra-processed food products exceed the thresholds for calories, free sugars, and sodium, so they could be considered as less healthy. In Mexico, the contribution of these products is 30% of the population's total dietary calories, and the consumption of free sugars, saturated fats, and sodium is higher among groups with the greatest intake of ultra-processed foods [7,38]. In addition, it means that the implementation of the Mexican warning label regulations will reduce the use of HNC mostly on these types of products.…”

Section: Discussionmentioning

confidence: 99%

“…According to the NOVA food classi cation, ultra-processed foods are ingredient formulations, mainly for industrial use, that result from a series of industrial processes; some examples are carbonated drinks, breakfast cereals, and instant soups [6]. In the Mexican population, added sugars and saturated fats contribute 12.5% and 11.2% (respectively) to the total energy intake [7]. At the same time, the intake of those nutrients of concern rises with increased consumption of ultra-processed foods and beverages [7].…”

mentioning

confidence: 99%

“…In the Mexican population, added sugars and saturated fats contribute 12.5% and 11.2% (respectively) to the total energy intake [7]. At the same time, the intake of those nutrients of concern rises with increased consumption of ultra-processed foods and beverages [7]. The World Health Organization (WHO) recommends that the intake of both added sugars as well as saturated fats should be less than 10% of the total calories in the average daily diet to prevent NCDs [5].…”

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confidence: 99%

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Estimated effects of the implementation of the Mexican Warning Labels regulation on the use of health and nutrition claims on packaged foods

Cruz‐Casarrubias

Tolentino‐Mayo

Vandevijvere³

et al. 2020

Preprint

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Background The use of health and nutrition claims on front-of-pack labels has a potential effect on consumers' food choices; therefore, many countries established regulations to avoid misperceptions. This study describes the use of nutrition and health claims on the front-of-pack of food products in retail stores in Mexico and analyze the potential effects of the new front-of-pack labelling regulation on the use of these claims. Methods This is a cross-sectional study in which nutrition and health claims, nutrition information panels, and the list of ingredients of all foods and beverages available in the main retail stores in Mexico City were collected. The products were grouped by level of processing according to the NOVA food system classification. Claims were classified into different types using the internationally harmonized INFORMAS taxonomy. The potential effect of the implementation of the warning label regulations on the use of nutrition and health claims was estimated by food group and by thresholds of energy and critical nutrients according to the new regulation. Results Of 17,264 products, 33.8% displayed nutrition claims and 3.4% health claims. In total 80.8% of all products on the Mexican market were classified as "less healthy"; 48.2% of products had excess calories, 44.6% had excess sodium, and 40.7% excess free sugars according to the new regulation. The new regulation would prevent 39.4% of products with claims from displaying health and nutrition claims (p<0.001); the largest reduction is observed for ultra-processed foods (51.1%, p<0.001). The regulation thresholds that contribute the most of the reduction in the use of claims were calories (OR 0.62, p<0.001) and non-sugar sweeteners (OR 0.54, p<0.001). Conclusions The new Mexican front-of-pack labelling regulation will prevent most of less healthy processed and ultra-processed foods from displaying HNC and will potentially increase the effectiveness of the warning labels for consumers.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Estimated effects of the implementation of the Mexican Warning Labels regulation on the use of health and nutrition claims on packaged foods

Cruz‐Casarrubias

Tolentino‐Mayo

Vandevijvere³

et al. 2020

Preprint

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“…The reports on consumption trends, especially among the younger generations, suggest that consumption of products with potential harmful health effects, such as highly processed food with high sugar or fat, is increasing [ 20 , 21 , 22 , 23 ]. It could also be seen that the marketing pressure of industries delivering such products prevails over countermeasures undertaken by public health systems, e.g., health education and other health promotion initiatives [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

The Use of Fitness Influencers’ Websites by Young Adult Women: A Cross-Sectional Study

Duplaga

2020

IJERPH

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The growth of the fitness industry observed in the last decade has been accompanied by the emergence of an occupation as a social media fitness influencer. The most popular are able to accumulate millions of followers. The marketing potential of fitness influencers is a subject of interest, not only for the fitness industry but also for other sectors offering products related to health, wellness, or healthy nutrition. However, the activities of fitness influencers related to the promotion of physical activity and healthy lifestyle converge with the aims of those promoting public health. The main objective of this study was to make an assessment of the determinants of regular access to fitness influencers’ sites (FIS) and their relationship with the health behaviors of young adult women. It was based on the data originating from an online survey on a representative sample of Polish women aged 18–35 years. Chi2 test, univariate, and multiply logistic regression models were used to determine the relationships between FIS and the variables related to the respondents’ characteristics of and their health behaviors. FIS were accessed by 29.3% of respondents (n = 1030) at least once a week. It was found that those living in cities with a population ranging from 20,000 to 100,000 were more likely to access FIS than those living in rural areas. Similarly, greater access was made by those in a high-income household rather than those with the lowest income, by those with inadequate rather than those with problematic health literacy and by those with high rather than low e-health literacy. The use of FIS was significantly associated with the consumptions of fruit and vegetables (OR, 95%CI: 2.77, 2.01–3.82), physical activity (1.74, 1.27–2.38), breast self-examination (1.54, 1.11–2.13), and also with the greater use of e-cigarettes (1.63, 1.09–2.43) and increased consumption of alcohol (1.37, 1.01–1.88). In conclusion, as access to Internet resources run by fitness influencers was a prevailing predictor of young adult Polish women’s health behaviors, FIS may play a potentially important role in promoting a healthy lifestyle in this population. However, it should be remembered that there are complex patterns of associations with specific behaviors, e.g., the use of e-cigarettes or alcohol consumption.

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“…De forma geral, tem-se observado que dietas baseadas em alimentos ultraprocessados apresentam maior densidade energética, mais açúcar livre, gordura total, saturada e trans, menos fibras e menor teor de micronutrientes do que dietas com baixa participação desses alimentos. Isso foi documentado em estudos utilizando dados de pesquisas de compras de alimentos no Brasil (Monteiro et al, 2011), Canadá (Moubarac et al, 2013a), Chile (Crovetto et al, 2014) e Espanha (Latasa et al, 2017), e inquéritos populacionais de consumo alimentar individual realizados no Brasil Louzada et al, 2015a;Louzada et al, 2015b), Canadá , Chile , Colômbia , Estados Unidos (Steele et al, 2016;Steele et al, 2017), França (Julia et al, 2017), Japão , México (Marrón-Ponce et al, 2019), Reino Unido e Taiwan (Chen et al, 2018). Esses dados são relevantes considerando o corpo crescente de evidências relacionando consumo inadequado destes nutrientes críticos e o risco de obesidade e doenças crônicas (WHO, 2013;WCRF, 2007).…”

Section: Introductionunclassified

Consumo de alimentos ultraprocessados, qualidade nutricional da dieta e obesidade na população australiana

Machado¹

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Ao meu orientador, Professor Carlos, um líder por quem tenho profunda admiração. Agradeço sua generosidade, acolhimento, confiança e incentivo. Obrigada pelos conselhos e por todas as oportunidades que me propiciou durante o doutorado. À Renata, apoio fundamental desde a concepção desta tese, ainda enquanto finalizava o mestrado sob sua orientação. À Euri, pela ajuda a qualquer hora. À Maria pelo seu olhar crítico. À elas agradeço imensamente os preciosos conselhos e contribuições a esse trabalho. Ao Dr. Gyorgy Scrinis, pela afetuosa acolhida e experiência proporcionada durante o estágio de pesquisa no exterior. Aos pesquisadores autralianos Gyorgy Scrinis, Tim Gill, Julie Woods, Anna Rangan e Zhixian Sui, pela dedicação, aprendizados e colaboração nos manuscritos desta tese. Às professoras Denise Gigante e Ana Dâmaso, e ao professor Leopoldo Antunes, pela participação valiosa na comissão avaliadora desta tese. Aos membros do Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde, por tantos aprendizados, parcerias de trabalho, confraternizações e cafés. Agradeço, em especial, as mulheres pesquisadoras com quem tive a honra de conviver, pela inspiração e incentivo. À Regina, suporte essencial ao grupo de pesquisa. Às (o) amigas (o) Carla, Gi, Camilinha, Maria, Lari, Cláudia e Leandro, pelo carinho, parcerias de trabalho e celebração. Vocês tornam tudo mais especial. Às tantas pessoas especias que conheci na Austrália durante o estágio no exterior. Aos colegas, professores e funcionários da Faculdade de Saúde Pública que tive a oportunidade de conviver na pós-graduação, por todo o suporte e trocas. Em especial aos amigos do cafezinho fresco da ambiental e agregados. Aos companheiros de luta no movimento estudantil, por compartilharem as alegrias e angústias na representação discente da pós-graduação. Agradeço também aos professores e demais colegas com quem compartilhei reuniões de colegiado e grupos de trabalho. À Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), pela bolsa de estudos concedida nos primeiros meses do doutorado. À Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), pela bolsa de doutorado no país (processo nº 2016/13168-5) e pela bolsa de estágio de pesquisa no exterior (processo n° 2017/24601-4). Às amigas que, mesmo longe, sempre me lembram que para estar junto basta estar dentro do coração, Nati, Mi, Elisa, Lari, e Nati Petry. À Ni, amiga querida que tanto me inspira. Aos meus irmãos, Douglas e Vivi, pela torcida, e aos meus pais, Isabel e Manoel, pelo amor e amparo incondicionais, por entenderem minhas ausências, e assim mesmo se fazerem presentes a todo o momento. Vocês são meus maiores exemplos. Muito obrigada! Palavras-chave: Processamento de alimentos. Alimento ultraprocessado. Qualidade da dieta. Açúcar livre. Obesidade. Austrália.

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Associations between Consumption of Ultra-Processed Foods and Intake of Nutrients Related to Chronic Non-Communicable Diseases in Mexico

Cited by 124 publications

References 30 publications

Estimated effects of the implementation of the Mexican Warning Labels regulation on the use of health and nutrition claims on packaged foods

Estimated effects of the implementation of the Mexican Warning Labels regulation on the use of health and nutrition claims on packaged foods

The Use of Fitness Influencers’ Websites by Young Adult Women: A Cross-Sectional Study

Consumo de alimentos ultraprocessados, qualidade nutricional da dieta e obesidade na população australiana

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