Ultra-processed food consumption and its association with nutritional, functional, and health characteristics in Brazilian elders
DOI:
https://doi.org/10.15448/2357-9641.2022.1.42968Keywords:
aged, frail elderly, nutritional status, chronic disease, eating, industrialized foodsAbstract
Aims: to estimate the dietary energy contribution of ultra-processed foods and the association on nutritional dietary profile, nutritional status, chronic disease, and functional capacity of Brazilian elders.
Methods: we performed an epidemiology cross-sectional study conducted with 332 participants (≥60 years old). Food consumption was measured by three 24-h food recall. Foods were classified according to NOVA classification as in natura/minimally processed foods, processed culinary ingredients, processed foods, and ultra-processed foods. Anthropometric variables were used to assess nutritional status, and scales of activities of daily living to assess functional capacity. Chronic diseases were self-reported.
Results: the average daily consumption of energy was 2433,96 kcal, being 10.44% from ultra-processed foods. Elders with higher ultra-processed foods intake showed higher consumption of energy, added sugar, total and saturated fat, and fewer consumption of proteins, fibres, potassium, magnesium, iron, zinc, copper, selenium, B6 vitamin e folate. Most participants were independent for functional capacity, overweight, and very high risk for cardiovascular disease, but no statistical significance was observed. No association was found between ultra-processed foods and nutritional dietary profile, nutritional status, chronic disease, and functional capacity.
Conclusions: elders who had the highest ultra-processed foods consumption had lower diet quality, although no influences on nutritional status and health variables assessed were observed in this sample.
Downloads
References
Brasil. Guia Alimentar para a População Brasileira [Internet]. 2. ed. Brasília: Ministério da Saúde; 2014 [cited 2020, Mar 18]. Disponível em: www.saude.gov.br/bvs.
Sandoval-Insausti H, Jiménez-Onsurbe M, Donat-Vargas C, Rey-García J, Banegas JR, Rodríguez-Artalejo F et al. Ultra-Processed Food Consumption Is Associated with Abdominal Obesity: A Prospective Cohort Study in Older Adults. Nutrients [Internet]. 2020 Aug 7 [cited 2021 Oct 5];12(8):2368-78. Available from: http://doi.10.3390/nu12082368.
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa de Orçamentos Familiares 2017-2018 : análise do consumo alimentar pessoal no Brasil [Internet]; 2020 [cited 2020 Dec 10]. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101742.pdf.
Martins APB, Levy RB, Claro RM, Moubarac JC, Monteiro CA. Increased contribution of ultra-processed food products in the Brazilian diet (1987-2009). Rev Saude Publica. 2013;47(4):656-65.
Instituto Brasileiro de Geografia e Estatística (IBGE). Projeção da população [Internet].2021 [cited 2021 Oct 6]. Available from: https://www.ibge.gov.br/apps/populacao/projecao/index.html.
Louzada MLC, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM et al. Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saude Publica [Internet]. 2015 [cited 2021, Mar 18];49:38-48. Available from: http://doi.10.1590/S0034-8910.2015049006132
Louzada MLC, Baraldi LG, Steele EM, Martins AP, Canella DS, Moubarac JC, Levy RB, Cannon G, Afshin A, Imamura F, Mozaffarian D, Monteiro CA. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Prev Med. [Internet]. 2015 [cited 2020, Oct 20];81:9-15. Available from: http://doi.10.1016/j.ypmed.2015.07.018.
Moubarac JC, Martins AP, Claro RM, Levy RB, Cannon G, Monteiro CA. Consumption of ultra-processed foods and likely impact on human health. Evidence from Canada. Public Health Nutr. [Internet]. 2013 [cited 2020, Oct 21];16(12):2240-8. Available from: http://doi.10.1017/S1368980012005009.
Lawrence MA, Baker PI. Ultra-processed food and adverse health outcomes. BMJ [Internet]. 2019 [cited 2021, Mar 18];365:2289. Available from: http://doi.10.1136/bmj.l2289.
Meneguelli TS, Hinkelmann JV, Hermsdorff HHM, Zulet MÁ, Martínez JA, Bressan J. Food consumption by degree of processing and cardiometabolic risk: a systematic review. Int J Food Sci Nutr. [Internet]. 2020 [cited 2021, Mar 21];71:678-92. Available from:
http://doi.10.1080/09637486.2020.1725961.
Chen X, Zhang Z, Yang H, Peishan Q, Haizhou W, Fan W et al. Consumption of ultra-processed foods and health outcomes: A systematic review of epidemiological studies. Nutr J. [Internet]. 2020 [cited 2021, Nov 03];19:86-96. Available from: https://doi.org/10.1186/s12937-020-00604-1.
Dalla Lana L, Herberto Schneider R. The frailty syndrome in elderly: a narrative review. Rev Bras Geriatr Gerontol. [Internet]. 2014 [cited 2021, Mar 21];17(3):673-80. Available from: http://doi.10.1590/1809-9823.2014.12162.
Veras R. Envelhecimento populacional contemporâneo: Demandas, desafios e inovações. Rev Saude Publica [Internet]. 2009 [cited 2021, Mar 18];43(3): 548-54. Available from: https://doi.org/10.1590/S0034-89102009005000025.
World Health Organization (WHO). Noncommunicable diseases prematurely take 16 million lives annually, WHO urges more action. Genebra: WHO; 2015.
Assumpção D, Domene SMA, Fisberg R, Barros MBA. Qualidade da dieta e fatores associados entre idosos:estudo de base populacional em Campinas, São Paulo, Brasil. Cad Saúde Pública [Internet]. 2014 [cited 2020, Nov 03];30:1680-1694. Available from: http://dx.doi.org/10.1590/0102-311X00009113.
Silveira EA, Martins BB, de Abreu LRS, Cardoso CKS. Baixo consumo de frutas, verduras e legumes: Fatores associados em idosos em capital no Centro-Oeste do Brasil. Cienc Saude Colet. [Internet] 2015 [cited 2020, Nov 03];20:3689-3699. Available from: https://doi.org/10.1590/1413-812320152012.07352015.
Gomes AP, Soares ALG, Gonçalves H. Baixa qualidade da dieta de idosos: estudo de base populacional no sul do Brasil. Cien Saude Colet. [Internet]. 2016 [cited 2020, Nov 03];21(11):3417-28. Available from: https://doi.org/10.1590/1413-812320152111.17502015.
Pereira IFS, Vale D, Bezerra M, Lima KC, Roncalli AG, Lyra CO. Padrões alimentares de idosos no Brasil: Pesquisa Nacional de Saúde, 2013. Cien Saúde Colet. [Internet]. 2020 [cited 2020, Nov 04];25(3):1091-102. Available from: https://dx.doi.org/10.1590/1413-81232020253.01202018.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. VIGITEL 2019: Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico [Internet]. 2020 [cited 2020, December 10]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2019_vigilancia_fatores_risco.pdf.
Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV et al. The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr. [Internet] 2008 Aug [cited 2020, March 18];88(2):324-32. Available from: http://doi.10.1093/ajcn/88.2.324.
Lopes R, Botelho R. Álbum fotográfico de porções alimentares. 1. ed. São Paulo, Brasil: Editora Metha; 2013.
Pinheiro ABV, Lacerda EMA, Benzecty EH, et al. Tabela para Avaliação de Consumo Alimentar em Medidas Caseiras. 5. ed. Rio de Janeiro, Brasil: Editora Atheneu; 2008.
Pan-American Health Organisation (PAHO). Encuesta Multicéntrica salud bienestar y envejecimiento (SABE) en América Latina y el Caribe: Informe Preliminar. Washington D.C: OPAS; 2002.
Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books; 1988.
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of Illness in the Aged. JAMA [Internet]. 1963 [cited 2021, Mar 03];185:914-29. Available from: http://doi.10.1001/jama.1963.03060120024016.
Lawton MP, Brody EM. Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living. Gerontologist [Internet] 1969 [cited 2021, Mar 03];9:179-186. Available from: https://doi.org/10.1093/geront/9.3_Part_1.179
Lino VTS, Pereira SRM, Camacho LAB, Ribeiro Filho ST, Buksman S. Cross-cultural adaptation of the Independence in Activities of Daily Living Index (Katz Index). Cad Saude Publica [Internet]. 2008 [cited 2021, Mar 03];24(1):103-12. Available from: https://dx.doi.org/10.1590/S0102-311X2008000100010.
Santos RL, Virtuoso Júnior JS. Confiabilidade da versão brasileira da escala de atividades instrumentais da vida diária. RBPS. 2008;21(4):290-6.
Cediel G, Reyes M, Louzada MLC, Steele EM, Monteiro CA, Corvalán C et al. Ultra-processed foods and added sugars in the Chilean diet (2010). Public Health Nutr. [Internet]. 2018 [cited 2020, Nov 03];21(1):125-33. Available from: http://doi.10.1017/S1368980017001161.
Rauber F, Steele EM, Louzada MLDC, Millett C, Monteiro CA, Levy RB. Ultra-processed food consumption and indicators of obesity in the United Kingdom population (2008-2016). PLoS One. [Internet]. 2020 May [cited 2021, Mar 04];15(5):e0232676. Available from: http://doi.10.1371/journal.pone.0232676.
Fardet A, Méjean C, Labouré H, Andreeva VA, Feron G. The degree of processing of foods which are most widely consumed by the French elderly population is associated with satiety and glycemic potentials and nutrient profiles. Food Funct [Internet]. 2017 [cited 2021, Mar 04];8:651-8. Available from: http://doi.10.1039/c6fo01495j.
Juul F, Martinez-Steele E, Parekh N, Monteiro CA, Chang VW. Ultra-processed food consumption and excess weight among US adults. Br J Nutr. [Internet] 2018 [cited 2021, Mar 03];120(1):90-100. Available from: http://doi.10.1017/S0007114518001046.
Julia C, Martinez L, Allès B, Touvier M, Hercberg S, Méjean C et al. Contribution of ultra-processed foods in the diet of adults from the French NutriNet-Santé study. Public Health Nutr. [Internet]. 2018 [cited on 2021, Mar. 04];21(1):27-37. Available from: http://doi.10.1017/S1368980017001367.
Bielemann RM, Motta JV, Minten GC, Horta BL, Gigante DP. Consumption of ultra-processed foods and their impact on the diet of young adults. Rev Saude Publica [Internet]. 2015 May [cited 2021, Mar 02];49:28-38. Available from: http://doi:10.1590/s0034-8910.2015049005572.
Louzada MLDC, Ricardo CZ, Steele EM, Levy RB, Cannon G, Monteiro CA. The share of ultra-processed foods determines the overall nutritional quality of diets in Brazil. Public Health Nutr. [Internet]. 2018 [cited 2021, Mar 04];21(1):94-102. Available from: http://doi.10.1017/S1368980017001434.
Vernarelli JA, Mitchell DC, Rolls BJ, Hartman TJ. Dietary energy density and obesity: how consumption patterns differ by body weight status. Eur J Nutr. [Internet] 2018 [cited 2021, Mar 02];57: 351-61.Available from: http://doi.10.1007/s00394-016-1324-8.
González-Muniesa P, Mártinez-González MA, Hu F, Després, JP, Matsuzawa Y, Loos RJF et al. Obesity. Nat Rev Dis Primers. [Internet]. 2017 [cited on 2021, Mar 04];3:17034-52. Available from: https://doi.org/10.1038/nrdp.2017.34.
Maia E, Dos Passos C, Levy R, Martins APB, Mais L, Claro R. What to expect from the price of healthy and unhealthy foods over time? The case from Brazil. Public Health Nutrition [Internet]. 2020 [cited 2022, May 26];23(4),579-88. Available from: http://doi.org/10.1017/S1368980019003586.
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing [Internet]. 2019 [cited 2022, Jan 17];48:16-31. Available from: http://doi.10.1093/ageing/afy169.
Pan-American Health Organization (PAHO). Ultra-processed food and drink products in Latin America: Sales, sources, nutrient profiles, and policy implications. [Internet]. Washington, D.C.: PAHO; 2019. Available from: https://iris.paho.org/handle/10665.2/51094.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 PAJAR - Pan American Journal of Aging Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to PAJAR implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite PAJAR as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.