Institute for Research in Health and Nutrition, Universidad San Francisco de Quito, Diego de Robles y Pampite s/n, Cumbayá, Quito, Ecuador.
Global Health. 2018 Sep 12;14(1):93. doi: 10.1186/s12992-018-0409-y.
In order to understand why rates of overweight and obesity are so high in the Ecuadorian province of Galapagos, this study analyzes changes in household food expenditures and perceptions and practices related to food consumption patterns. Galapagos is understood as an unusual but not unique case because conditions there graphically illustrate trends observed in communities and countries worldwide. A mixed methods approach was employed: a quantitative component was based on expenditures for foods classified according to the NOVA system, and a qualitative component utilized focus group discussions, key informant interviews, and structured observations.
Galapagos residents increased consumption of processed and ultra-processed foods and decreased consumption of unprocessed and minimally processed foods. Perceived barriers to healthy diets include price, availability, and quality of fresh produce, as well as easy access to industrialized processed and ultra-processed foods.
Changes in consumption patterns represent both local conditions and global trends; in that sense, the factors that affect Galapagos residents are not unique. Hence, these findings help elucidate processes observed in communities around the world.
为了了解为什么超重和肥胖的比例在厄瓜多尔加拉帕戈斯省如此之高，本研究分析了家庭食品支出的变化，以及与食物消费模式相关的认知和实践。加拉帕戈斯被认为是一个不寻常但并非独一无二的案例，因为那里的情况生动地说明了在世界各地的社区和国家中观察到的趋势。本研究采用了混合方法：定量部分基于根据 NOVA 系统分类的食品支出，定性部分则利用了焦点小组讨论、关键知情人访谈和结构化观察。
加拉帕戈斯居民增加了对加工和超加工食品的消费，减少了对未加工和最低限度加工食品的消费。对健康饮食的认知障碍包括新鲜农产品的价格、供应和质量，以及工业化加工和超加工食品的易得性。
消费模式的变化既反映了当地的情况，也反映了全球的趋势；从这个意义上说，影响加拉帕戈斯居民的因素并非独一无二。因此，这些发现有助于阐明世界各地社区中观察到的过程。
