To estimate the dietary share of ultra-processed foods and to determine its association with overall nutritional quality diets in Brazil.Cross-sectional.Brazil.A representative sample 32 898 Brazilians aged ≥10 years was studied. Food intake data were collected. We calculated average content individual nutrients compared them across quintiles energy foods. Then we identified nutrient-based patterns, evaluated between patterns' scores.The mean per capita daily 7933 kJ (1896 kcal), 58·1 % from...

Considering the increased contribution of foods consumed outside home and their potential impact on diet, this study aims to identify eating out patterns association with nutritional dietary quality in Brazil. We used Individual Food Intake Survey 2008–2009, conducted 34,003 individuals aged 10 up. factor analysis by principal component out-of-home linear regression explore between scores quality. identified three food patterns. The “Traditional meal” pattern carried more rice, beans, meat,...

Resumo: O objetivo foi investigar a frequência com que os adolescentes brasileiros realizam as refeições pais e verificar associação deste hábito qualidade da dieta. Foram utilizados dados Pesquisa Nacional de Saúde do Escolar - 2015 (PeNSE). A amostra composta por matriculados no nono ano ensino fundamental escolas públicas privadas, idades entre 11 19 anos. exposição interesse realizar (0-4 ≥ 5 dias/semana) desfechos estudados foram consumo frequente (≥ alimentos marcadores alimentação...

Reductions on the sugars content of food supply have been described after initial implementation Chilean Labeling Law, but it is unclear if were replaced by non-caloric sweeteners (NNS). We evaluated changes in NNSs use foods and beverages labeling law. used longitudinal data packaged collected six major supermarkets three candy distributors Santiago, Chile, January-February 2015/2016 2017. included analysis beverages, dairy-based yogurts, breakfast cereals, desserts ice creams, candies...

To describe individual attitudes, knowledge, and behavior regarding salt intake, its dietary sources, current food-labeling practices related to sodium in five sentinel countries of the Americas.A convenience sample 1 992 adults (≥ 18 years old) from Argentina, Canada, Chile, Costa Rica, Ecuador (approximately 400 each country) was obtained between September 2010 February 2011. Data collection conducted shopping malls or major commercial areas using a questionnaire containing 33 questions....

Background The major non-communicable chronic diseases (NCD) are associated with a small group of modifiable lifestyle-related risk factors, including smoking, insufficient physical activity, unhealthy eating, and alcohol abuse. In this study, we evaluated the co-occurrence clustering NCD factors among Brazilian adolescents. Methods This cross-sectional study analyzed data 101,607 adolescents from National Survey School Health (PeNSE) 2015. included were: regular consumption ultra-processed...

We assessed the prevalence of front-of-package (FoP) claims in Brazilian packaged food supply and examined whether foods with were more likely to be high critical nutrients. Using data from a random 30% subsample 11,434 beverages collected five largest retailers Brazil 2017 (n = 3491), we classified into nutrition, health, environment. nutrients using 95% confidence intervals. Claims found 41.2% products. Nutrition most prevalent (28.5%), followed by health (22.1%), environment-related...

Evidence shows that foods marketed on television are often low-nutrient-dense associated with poor nutritional diet quality, obesity and non-communicable diseases. However, little research has been undertaken in Brazil around this issue. This study assessed the profile of non-alcoholic beverages advertised Brazilian by applying Pan American Health Organization (PAHO) World (WHO/Europe) nutrient profiling models.Cross-sectional based International Network for Food Obesity/non-communicable...

Abstract Objective: To compare the degree of strictness and agreement different nutrient profiling models (NPM) used to identify which foods would be required show front-of-package (FOP) warning labels. Design: Using data 11 434 packaged found in five largest food retailers Brazil, we two published NPM: Pan American Health Organization (PAHO) model NPM Chilean nutritional FOP labelling policy, compared them with a proposed by Brazilian National Surveillance Agency (Anvisa). The proportion...

Increasing consumption of ultra-processed foods (UPF), defined by the NOVA classification, has been associated with obesity and other health outcomes. However, some authors have criticized UPF definition because it is somewhat subjective. Most studies identify using food descriptions; nevertheless, developers described a list ingredients, including substances not commonly used for cooking "cosmetic additives" that could be to UPF. Assessing impact use different definitions particularly...

Although the adverse effects of trans fat consumption are well documented, industrially-produced fats still used in a variety food products. Our objective was to investigate presence information on nutrition facts panel, list ingredients, and use claims packaged beverages marketed Brazil. This cross-sectional study that data from available five supermarket chains with largest market share Of 11,434 products were analyzed, 81.3% did not present source ingredients. The percentages specific...

This study aimed to evaluate the relationship between cost and energy density of diet consumed in Brazilian households. Data from Household Budget Survey (POF 2008/2009) were used identify main foods their prices. Similar items grouped, resulting a basket 67 products. Linear programming was applied for composition isoenergetic baskets, minimizing deviation average household diet. Restrictions imposed on inclusion contribution various food groups. A reduction at intervals R$0.15 lowest...

Objectives Despite some progress, Brazil is still one of the most unequal countries, and extent socioeconomic inequalities in adolescent health unclear. We assessed trends adolescent’s health-related behaviours between 2009 2015. Design used cross-sectional data from Brazilian National Survey School Health carried out 2009, 2012 Setting state capitals. Participants Students attending ninth grade public private schools capitals (60 973 students), (61 145 students) 2015 (51 192 students). Main...

OBJECTIVE: To describe students protected by laws and exposed to soft drinks sales assess whether forbidding are associated with lower availability of these beverages. METHODS: We identified non-government administered cafeterias or in schools the 27 Brazilian state capitals. Data on were obtained from Pesquisa Nacional de Saúde do Escolar 2015 (PeNSE – National Survey School Health 2015), for a representative sample 9th graders public private schools. Students attributed status their school...

This study aims to evaluate the use of "whole grains" claims in food products marketed Brazil and nutrient profile these products.Data from 775 grain-based packaged foods collected April July 2017 were analyzed. Based on INFORMAS protocol for labeling, prevalence with was estimated. Information list ingredients analyzed presence amount whole or refined grains six groups. The profiles without compared using Pan American Health Organization (PAHO) model.The packages about 19% evaluated showed...

OBJECTIVE: To assess the availability of different promotional strategies applied for UPF sales in Brazilian food retailers. METHODS: Information available on packaging was gathered from all packaged products sold five largest retail chains Brazil 2017. were identified using NOVA classification system. From this sample, data related to characteristics, nutrition claims and health collected coded INFORMAS methodology. Additional referring Dietary Guidelines also collected. RESULTS: This study...

The objective was to assess adherence voluntary agreements for sodium reduction firmed between the food industries and Ministry of Health in Brazil compare their targets with limit proposed Pan American Organization (PAHO) nutritional profile model. We used data from 1.553 foods 32 categories included sold largest Brazilian supermarket chains 2017. frequency products equal or below cut-offs by PAHO calculated. Classification concordance according two evaluated Cohen's kappa coefficient (k)....

Abstract Background Growing interest in the Nova food classification system surged among various stakeholders, driven primarily by compelling evidence linking consumption of ultra-processed foods (UPF) to negative health outcomes. However, a more standardized approach could incentivize identification UPF regulatory processes. Objective To propose replicable methods identify that, testing sensitivity and specificity these using large sample packaged from 2017 Brazilian Food Labels Database....

Abstract Background In June 2016, Chile implemented the Food Labeling and Advertising Law, which includes mandatory front-of-package warning labels in products with high content of sugars other key nutrients. We evaluated whether non-nutritive sweeteners (NNS) use increased among foods/beverages 7-8 months after implementation law. Methods obtained data from packaged available 6 major supermarkets 3 candy distributions Santiago, Chile, January 2015/16 (T0) 2017 (T1). included market share...

Abstract Background Low-calorie sweeteners (LCS) are currently found in ultra-processed foods, even those with high content of sugar, without any front-of-package (FOP) information for LCS content. The aim was to assess the presence and combination added sugars foods beverages FOP child-directed advertising Brazilian packaged food supply. Methods In this cross-sectional study, we used data from nutrition facts panel (NFP) dataset that includes 11,434 unique collected 2017 five largest...

Abstract Background: Although the nutrition claim “whole grains” can be found in packaged foods marketed Brazil, current legislation does not establish composition or labelling criteria to its use, which may confuse and misinform consumers lead inadequate food choices. Thus, present study aims assess use of claims products nutritional profile these products. Methods: We used data from 775 grain-based collected Brazil April July 2017. Using INFORMAS’s protocol for labelling, we estimated...