Silva-Neto Luiz Gonzaga Ribeiro, Bueno Nassib Bezerra, Borges Camila Aparecida, de Menezes Risia Cristina Egito, da Silva Júnior André Eduardo, Dos Santos Thays Lane Ferreira, Florêncio Telma Maria de Menezes Toledo
Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Botucatu, 740 - Vila Clementino, São Paulo04023-062, SP, Brasil.
Programa de Pós-Graduação em Nutrição, Faculdade de Nutrição, Universidade Federal de Alagoas, Avenida Lourival Melo Mota, s/n. Tabuleiro dos Martins, CEP: 57072- 900, Maceió, AL, Brasil.
Public Health Nutr. 2025 Jun 3;28(1):e106. doi: 10.1017/S1368980025100426.
This study aimed to evaluate the association between food addiction (FA), food environment and consumption of ultra-processed foods (UPF) in socially vulnerable women.
A population-based cross-sectional study was conducted in Favelas and Urban Communities of Maceió-Brazil. The availability of UPF in the food environment was evaluated through the audit of retailers with the support of the AUDITNOVA instrument. The women taking part in the study were interviewed, and a 24-hour food recall was used to assess the proportion of UPF in their diet. The modified Yale Food Addiction Scale 2.0 was also used to determine FA. Association analysis was performed using binary logistic regression and generalised estimation equations.
1702 adult women of reproductive age (20-44 years) residents in Favelas and Urban Communities.
It was found that 14·6 % of the women had FA. The adjusted multivariate association analysis showed that the high availability of UPF in food retail increased the chance of women having FA by up to 47 % (= 0·02 OR: 1·53; 95 % CI: (1·07, 2·18)). It was also possible to observe that the greater calorific contribution of UPF in the diet increased the chance of women presenting FA by up to 61 % (< 0·01 OR: 1·39; 95 % CI: (1·48, 1·97)).
The environment and what is available in it are associated with additive behaviour independent of individual factors, and UPF consumption increases the chance of FA. This demonstrates the need for changes in the food environment in Brazilian favelas, contributing to improving women's health.
本研究旨在评估社会弱势女性群体中食物成瘾（FA）、食物环境与超加工食品（UPF）消费之间的关联。
在巴西马塞约的贫民窟和城市社区开展了一项基于人群的横断面研究。借助AUDITNOVA工具，通过对零售商进行审计来评估食物环境中UPF的可及性。对参与研究的女性进行访谈，并采用24小时食物回顾法评估她们饮食中UPF的占比。还使用改良版耶鲁食物成瘾量表2.0来确定FA。采用二元逻辑回归和广义估计方程进行关联分析。
1702名居住在贫民窟和城市社区的育龄成年女性（20 - 44岁）。
发现14.6%的女性存在食物成瘾。调整后的多变量关联分析表明，食品零售中UPF的高可及性使女性发生食物成瘾的几率增加了47%（= 0.02，比值比：1.53；95%置信区间：(1.07, 2.18)）。还可以观察到，饮食中UPF的热量贡献越大，女性出现食物成瘾的几率增加了61%（< 0.01，比值比：1.39；95%置信区间：(1.48, 1.97)）。
环境及其所提供的食物与成瘾行为相关，且不受个体因素影响，UPF消费会增加食物成瘾的几率。这表明巴西贫民窟的食物环境需要改变，以促进女性健康。
