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Ultra-Processed Food Products and Obesity in Brazilian Households (2008–2009)

Author

Listed:
  • Daniela Silva Canella
  • Renata Bertazzi Levy
  • Ana Paula Bortoletto Martins
  • Rafael Moreira Claro
  • Jean-Claude Moubarac
  • Larissa Galastri Baraldi
  • Geoffrey Cannon
  • Carlos Augusto Monteiro

Abstract

Background: Production and consumption of industrially processed food and drink products have risen in parallel with the global increase in overweight and obesity and related chronic non-communicable diseases. The objective of this study was to analyze the relationship between household availability of processed and ultra-processed products and the prevalence of excess weight (overweight plus obesity) and obesity in Brazil. Methods: The study was based on data from the 2008–2009 Household Budget Survey involving a probabilistic sample of 55,970 Brazilian households. The units of study were household aggregates (strata), geographically and socioeconomically homogeneous. Multiple linear regression models were used to assess the relationship between the availability of processed and ultra-processed products and the average of Body Mass Index (BMI) and the percentage of individuals with excess weight and obesity in the strata, controlling for potential confounders (socio-demographic characteristics, percentage of expenditure on eating out of home, and dietary energy other than that provided by processed and ultra-processed products). Predictive values for prevalence of excess weight and obesity were estimated according to quartiles of the household availability of dietary energy from processed and ultra-processed products. Results: The mean contribution of processed and ultra-processed products to total dietary energy availability ranged from 15.4% (lower quartile) to 39.4% (upper quartile). Adjusted linear regression coefficients indicated that household availability of ultra-processed products was positively associated with both the average BMI and the prevalence of excess weight and obesity, whereas processed products were not associated with these outcomes. In addition, people in the upper quartile of household consumption of ultra-processed products, compared with those in the lower quartile, were 37% more likely to be obese. Conclusion: Greater household availability of ultra-processed food products in Brazil is positively and independently associated with higher prevalence of excess weight and obesity in all age groups in this cross-sectional study.

Suggested Citation

  • Daniela Silva Canella & Renata Bertazzi Levy & Ana Paula Bortoletto Martins & Rafael Moreira Claro & Jean-Claude Moubarac & Larissa Galastri Baraldi & Geoffrey Cannon & Carlos Augusto Monteiro, 2014. "Ultra-Processed Food Products and Obesity in Brazilian Households (2008–2009)," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-6, March.
    • Handle: RePEc:plo:pone00:0092752
    DOI: 10.1371/journal.pone.0092752
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    Cited by:

    1. Anderson M. A. dos Santos & Paulo de A. Jacinto & Victor R. de Oliveira & Pedro Henrique S. Leivas, 2019. "The impact of physical activity on women`s health: evidences for Brazil," Economics Bulletin, AccessEcon, vol. 39(4), pages 2381-2401.
    2. Louzada, Maria Laura da Costa & Levy, Renata Bertazzi & Martins, Ana Paula Bortoletto & Claro, Rafael Moreira & Steele, Euridice Martinez & Verly Jr., Eliseu & Cafiero, Carlo & Monteiro, Carlos August, 2017. "Validating the usage of household food acquisition surveys to assess the consumption of ultra-processed foods: Evidence from Brazil," Food Policy, Elsevier, vol. 72(C), pages 112-120.
    3. Boysen, Ole & Bradford, Harvey & Boysen-Urban, Kirsten & Balie, Jean, 2018. "Taxing Highly Processed Foods: Impacts On Obesity And Underweight In Sub-Saharan Africa," 58th Annual Conference, Kiel, Germany, September 12-14, 2018 275849, German Association of Agricultural Economists (GEWISOLA).
    4. Desquilbet, Marion & Maigné, Elise & Monier-Dilhan, Sylvette, 2018. "Organic Food Retailing and the Conventionalisation Debate," Ecological Economics, Elsevier, vol. 150(C), pages 194-203.
    5. Anthony Fardet & David Thivel & Laurent Gerbaud & Edmond Rock, 2021. "A Sustainable and Global Health Perspective of the Dietary Pattern of French Population during the 1998–2015 Period from INCA Surveys," Sustainability, MDPI, vol. 13(13), pages 1-13, July.
    6. Florian Kroll & Elizabeth Catherina Swart & Reginald Adjetey Annan & Anne Marie Thow & David Neves & Charles Apprey & Linda Nana Esi Aduku & Nana Ama Frimpomaa Agyapong & Jean-Claude Moubarac & Andrie, 2019. "Mapping Obesogenic Food Environments in South Africa and Ghana: Correlations and Contradictions," Sustainability, MDPI, vol. 11(14), pages 1-31, July.
    7. Thanh-Lam Nguyen & Do Huu Tai & Lam Thanh Hien & Doan Manh Quynh & Phan Ngoc Son, 2020. "A Novel Model to Predict Plant-Based Food Choice-Empirical Study in Southern Vietnam," Sustainability, MDPI, vol. 12(9), pages 1-25, May.

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