Influence of Unhealthy Food Environment on Premature Cardiovascular Disease Mortality in Brazil: An Ecologic Approach

Victor, Audêncio; Silva, Rita de Cássia Ribeiro; Silva, Natanael de Jesus; Ferreira, Antônio G. P.; Barreto, Maurício Lima; Campello, Tereza

doi:10.1016/j.amepre.2022.09.018

Cited by 8 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is also evidence of an increased risk of cardiovascular disease, stroke, and mortality from ischemic heart disease in places where there is a greater supply of ultraprocessed foods [37].…”

Section: Discussionmentioning

confidence: 99%

Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations

Senda,

Raposo,

Teixeira-Lemos

et al. 2024

Nutrients

View full text Add to dashboard Cite

This study investigated the presence of front-of-package labeling on food products in major retailers in Brazil after its implementation in 2022. Carried out from May to October 2023, we analyzed 2145 products of brands present in five Brazilian states. A total of 541 products presented front-of-package warnings. The categories varied in their adherence to front-of-package labeling, highlighting a prevalence of combined warnings, such as high in added sugar and high in saturated fat on sweet biscuits and chocolates. Sausages showed a high prevalence of high in sodium and high in saturated fat warnings. Beverages stood out as high in added sugar, while fats, dairy products, frozen preparations, seasonings, and sauces presented diversity in the warnings. Other products, such as panettone, showed a high presence of alerts. The study demonstrated the widespread presence of front-of-package labeling on ultra-processed products highly consumed by the Brazilian population. Considering the alarming presence of these foods in the Brazilian diet, it is concluded that front-of-package nutrition labeling is crucial to inform and raise awareness among consumers, allowing healthier choices and potentially contributing to a reduction in chronic diseases and the costs associated with treatment in the health system.

show abstract

Section: Discussionmentioning

confidence: 99%

Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations

Senda,

Raposo,

Teixeira-Lemos

et al. 2024

Nutrients

View full text Add to dashboard Cite

show abstract

“…These results were then divided into tertiles and used in the statistical models. We decided to use tertiles for analyzing the food environment for several reasons, such as simplicity, research context, adequate sample size, and robustness [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

Association between food environments and fetal growth in pregnant Brazilian women

Victor,

Gotine,

Falcão

et al. 2023

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

Introduction Birth weight is described as one of the main determinants of newborns’ chances of survival. Among the associated causes, or risk factors, the mother’s nutritional status strongly influences fetal growth and birth weight outcomes of the concept. This study evaluates the association between food deserts, small for gestational age (SGA), large for gestational age (LGA) and low birth weight (LBW) newborns. Design This is a cross-sectional population study, resulting from individual data from the Live Birth Information System (SINASC), and commune data from mapping food deserts (CAISAN) in Brazil. The newborn’s size was defined as follows: appropriate for gestational age (between 10 and 90th percentile), SGA (< 10th percentile), LGA (> 90th percentile), and low birth weight < 2,500 g. To characterize food environments, we used tertiles of the density of establishments which sell in natura and ultra-processed foods. Logistic regression modeling was conducted to investigate the associations of interest. Results We analyzed 2,632,314 live births in Brazil in 2016, after appropriate adjustments, women living in municipalities with limited availability of fresh foods had a higher chance of having newborns with SGA [OR2nd tertile: 1.06 (1.05–1.07)] and LBW [OR2nd tertile: 1.11 (1.09–1.12)]. Conversely, municipalities with greater availability of ultra-processed foods had a higher chance of having newborns with SGA [OR3rd tertile: 1.04 (1.02–1.06)] and LBW [OR2nd tertile: 1.13 (1.11–1.16)]. Stratification by race showed that Black and Mixed/Brown women had a higher chance of having newborns with SGA [OR3rd tertile: 1.09 (1.01–1.18)] and [OR3rd tertile: 1.06 (1.04–1.09)], respectively, while Mixed-race women also had a higher chance of having newborns with LBW [OR3rd tertile: 1.17 (1.14–1.20)]. Indigenous women were associated with LGA [OR3rd tertile: 1.20 (1.01–1.45)]. Conclusion The study found that living in areas with limited access to healthy foods was associated with an increased risk of SGA and low birth weight among newborns, particularly among Black and Mixed/Brown women. Therefore, urgent initiatives aimed at reducing social inequalities and mitigating the impact of poor food environments are needed in Brazil.

show abstract

“…Altogether, it is not surprising that in the past 10 years a plethora of studies have showed a consistent finding—the higher the consumption of UPFs, the higher the chances of developing NCDs [ 14–19 , 22 ]. Of note, a Brazilian ecological study showed that people from areas offering more UPFs were at higher risk of death from cardiovascular diseases as compared with people from areas with fewer available UPFs [ 34 ]. The most important factors leading to these associations are summarized in Fig.…”

Section: An Overview Of Upfs and Their Main Implications For Healthmentioning

confidence: 99%

Ultraprocessed foods and chronic kidney disease—double trouble

Avesani

Cuppari

Nerbass³

et al. 2023

Clinical Kidney Journal

View full text Add to dashboard Cite

High energy intake combined with low physical activity generates positive energy balance, which, when maintained, favors obesity, a highly prevalent morbidity linked to development of non-communicable chronic diseases, including chronic kidney disease (CKD). Among many factors contributing to disproportionally high energy intakes and thereby to the obesity epidemic, the type and degree of food processing play an important role. Ultra-processed foods (UPF) are industrialized and quite often high-energy-dense products with added sugar, salt, unhealthy fats, and food additives formulated to be palatable or hyper-palatable. UPF can trigger an addictive eating behavior and is typically characterized by an increase energy intake. Furthermore, high consumption of UPF, a hallmark of Western diet, results in diets with poor quality. A high UPF intake is associated with higher risk for CKD. In addition, UPF consumption by patients with CKD is likely to predispose and/or to exacerbate uremic metabolic derangements, such as insulin resistance, metabolic acidosis, hypertension, dysbiosis, hyperkalemia, and hyperphosphatemia. Global sales of UPF per capita increased in all continents in the last decades. This is an important factor responsible for the nutrition transition, with home-made meals being replaced by ready-to-eat products. In this review, we discuss the potential risk of UPF in activating hedonic eating, and its main implications for health, especially for kidney health and metabolic complications of CKD. We also present various aspects of consequences of UPF on planetary health and discuss future directions for research to bring awareness of the harms of UPFs within the CKD scenario.

show abstract

Influence of Unhealthy Food Environment on Premature Cardiovascular Disease Mortality in Brazil: An Ecologic Approach

Cited by 8 publications

References 28 publications

Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations

Brazilian Front-of-Package Labeling: A Product Compliance Analysis 12 Months after Implementation of Regulations

Association between food environments and fetal growth in pregnant Brazilian women

Ultraprocessed foods and chronic kidney disease—double trouble

Contact Info

Product

Resources

About