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dc.contributor.authorMarrocos Leite, Fernanda Helena [UNIFESP]
dc.contributor.authorCremm, Elena de Carvalho [UNIFESP]
dc.contributor.authorCosta de Abreu, Debora Silva [UNIFESP]
dc.contributor.authorde Oliveira, Maria Aparecida [UNIFESP]
dc.contributor.authorBudd, Nadine
dc.contributor.authorMartins, Paula Andrea [UNIFESP]
dc.identifier.citationPublic Health Nutrition. Cambridge, v. 21, n. 1, p. 189-200, 2018.
dc.description.abstractObjectiveTo investigate the association between neighbourhood food availability and the consumption of ready-to-consume products (RCP), either processed or ultra-processed, and unprocessed/minimally processed foods (UF-MPF) by children.DesignCross-sectional. 24 h Dietary recalls were collected from children from January 2010 to June 2011. Neighbourhood food availability data were collected from 672 food stores located within 500 m of participants' homes, using an adapted and validated instrument. Neighbourhood-level socio-economic status (SES) was obtained by calculating the mean years of household head's education level in each census tract covered by 500 m buffers. Foods that were consumed by children and/or available in the food stores were classified based on their degree of industrial processing. Multilevel random-effect models examined the association between neighbourhood food availability and children's diets.SettingSantos, Brazil.SubjectsChildren (n 513) under 10 years old (292 aged <6 years, 221 aged 6 years).ResultsThe availability of RCP in food stores was associated with increased RCP consumption (P<0<bold></bold>001) and decreased UF-MPF consumption (P<0<bold></bold>001). The consumption of UF-MPF was positively associated with neighbourhood-level SES (P<0<bold></bold>01), but not with the availability of UF-MPF in the neighbourhood.ConclusionsResults suggest that food policies and interventions that aim to reduce RCP consumption in Santos and similar settings should focus on reducing the availability in food stores. The results also suggest that interventions should not only increase the availability of UF-MPF in lower-SES neighbourhoods, but should strive to make UF-MPF accessible within these environments.en
dc.description.sponsorshipSao Paulo State Foundation for Research Support (FAPESP)
dc.description.sponsorshipCoordination for the Improvement of Higher Level Personnel (CAPES - REUNI)
dc.publisherCambridge Univ Press
dc.relation.ispartofPublic Health Nutrition
dc.rightsAcesso restrito
dc.subjectFood environmenten
dc.subjectUltra-processed food productsen
dc.subjectFood consumptionen
dc.titleAssociation of neighbourhood food availability with the consumption of processed and ultra-processed food products by children in a city of Brazil: a multilevel analysisen
dc.description.affiliationUniv Fed Sao Paulo, Dept Human Movement Sci, Nutr Epidemiol Lab, 95 Ana Costa Ave, BR-11060001 Sao Paulo, Brazil
dc.description.affiliationCtr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Nutr Phys Act & Obes, Atlanta, GA USA
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Human Movement Sci, Nutr Epidemiol Lab, 95 Ana Costa Ave, BR-11060001 Sao Paulo, Brazi
dc.description.sponsorshipIDFAPESP: 2009/01361-1
dc.description.sponsorshipIDFAPESP: 2010/04471-0
dc.description.sourceWeb of Science
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