Household availability of ultra-processed foods and obesity in nineteen European countries.

Autor: Monteiro, Carlos Augusto, Moubarac, Jean-Claude, Levy, Renata Bertazzi, Canella, Daniela Silva, da Costa Louzada, Maria Laura, Cannon, Geoffrey, Louzada, Maria Laura da Costa
Předmět:
Zdroj: Public Health Nutrition; Jan2018, Vol. 21 Issue 1, p18-26, 9p
Abstrakt: Objective: To assess household availability of NOVA food groups in nineteen European countries and to analyse the association between availability of ultra-processed foods and prevalence of obesity.Design: Ecological, cross-sectional study.Setting: Europe.Subjects: Estimates of ultra-processed foods calculated from national household budget surveys conducted between 1991 and 2008. Estimates of obesity prevalence obtained from national surveys undertaken near the budget survey time.Results: Across the nineteen countries, median average household availability amounted to 33·9 % of total purchased dietary energy for unprocessed or minimally processed foods, 20·3 % for processed culinary ingredients, 19·6 % for processed foods and 26·4 % for ultra-processed foods. The average household availability of ultra-processed foods ranged from 10·2 % in Portugal and 13·4 % in Italy to 46·2 % in Germany and 50·4 % in the UK. A significant positive association was found between national household availability of ultra-processed foods and national prevalence of obesity among adults. After adjustment for national income, prevalence of physical inactivity, prevalence of smoking, measured or self-reported prevalence of obesity, and time lag between estimates on household food availability and obesity, each percentage point increase in the household availability of ultra-processed foods resulted in an increase of 0·25 percentage points in obesity prevalence.Conclusions: The study contributes to a growing literature showing that the consumption of ultra-processed foods is associated with an increased risk of diet-related non-communicable diseases. Its findings reinforce the need for public policies and actions that promote consumption of unprocessed or minimally processed foods and make ultra-processed foods less available and affordable. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index