Costa Louzada Maria Laura da, Martins Ana Paula Bortoletto, Canella Daniela Silva, Baraldi Larissa Galastri, Levy Renata Bertazzi, Claro Rafael Moreira, Moubarac Jean-Claude, Cannon Geoffrey, Monteiro Carlos Augusto
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
Universidade de São Paulo, São Paulo, SP, Brasil.
Rev Saude Publica. 2015;49:38. doi: 10.1590/S0034-8910.2015049006132. Epub 2015 Jul 10.
OBJECTIVE To assess the impact of consuming ultra-processed foods on the nutritional dietary profile in Brazil. METHODS Cross-sectional study conducted with data from the module on individual food consumption from the 2008-2009 Pesquisa de Orçamentos Familiares (POF - Brazilian Family Budgets Survey). The sample, which represented the section of the Brazilian population aged 10 years or over, involved 32,898 individuals. Food consumption was evaluated by two 24-hour food records. The consumed food items were classified into three groups: natural or minimally processed, including culinary preparations with these foods used as a base; processed; and ultra-processed. RESULTS The average daily energy consumption per capita was 1,866 kcal, with 69.5% being provided by natural or minimally processed foods, 9.0% by processed foods and 21.5% by ultra-processed food. The nutritional profile of the fraction of ultra-processed food consumption showed higher energy density, higher overall fat content, higher saturated and trans fat, higher levels of free sugar and less fiber, protein, sodium and potassium, when compared to the fraction of consumption related to natural or minimally processed foods. Ultra-processed foods presented generally unfavorable characteristics when compared to processed foods. Greater inclusion of ultra-processed foods in the diet resulted in a general deterioration in the dietary nutritional profile. The indicators of the nutritional dietary profile of Brazilians who consumed less ultra-processed foods, with the exception of sodium, are the stratum of the population closer to international recommendations for a healthy diet. CONCLUSIONS The results from this study highlight the damage to health that is arising based on the observed trend in Brazil of replacing traditional meals, based on natural or minimally processed foods, with ultra-processed foods. These results also support the recommendation of avoiding the consumption of these kinds of foods.
目的 评估食用超加工食品对巴西人营养膳食结构的影响。方法 采用横断面研究,数据来源于2008 - 2009年家庭预算调查(POF - 巴西家庭预算调查)中关于个人食物消费的模块。样本代表巴西10岁及以上人口,共涉及32898人。通过两份24小时食物记录评估食物消费情况。所消费的食物项目分为三组:天然或最低限度加工食品,包括以这些食品为基础的烹饪制品;加工食品;以及超加工食品。结果 人均每日能量消耗为1866千卡,其中69.5%由天然或最低限度加工食品提供,9.0%由加工食品提供,21.5%由超加工食品提供。与天然或最低限度加工食品的消费部分相比,超加工食品消费部分的营养结构显示出更高的能量密度、更高的总脂肪含量、更高的饱和脂肪和反式脂肪含量、更高的游离糖水平以及更低的纤维、蛋白质、钠和钾含量。与加工食品相比,超加工食品总体呈现出不利特征。饮食中更多地纳入超加工食品导致膳食营养结构普遍恶化。食用较少超加工食品的巴西人的膳食营养指标,除钠外,更接近国际健康饮食建议。结论 本研究结果凸显了巴西出现的以超加工食品取代基于天然或最低限度加工食品的传统膳食这一趋势对健康造成的损害。这些结果也支持避免食用这类食品的建议。