Association of neighbourhood food availability with the consumption of processed and ultra-processed food products by children in a city of Brazil: a multilevel analysis

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dc.contributor.author Marrocos Leite, Fernanda Helena [UNIFESP]
dc.contributor.author Cremm, Elena de Carvalho [UNIFESP]
dc.contributor.author Costa de Abreu, Debora Silva [UNIFESP]
dc.contributor.author de Oliveira, Maria Aparecida [UNIFESP]
dc.contributor.author Budd, Nadine
dc.contributor.author Martins, Paula Andrea [UNIFESP]
dc.date.accessioned 2020-07-02T18:52:13Z
dc.date.available 2020-07-02T18:52:13Z
dc.date.issued 2018
dc.identifier http://dx.doi.org/10.1017/S136898001600361X
dc.identifier.citation Public Health Nutrition. Cambridge, v. 21, n. 1, p. 189-200, 2018.
dc.identifier.issn 1368-9800
dc.identifier.uri https://repositorio.unifesp.br/handle/11600/53961
dc.description.abstract ObjectiveTo 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.sponsorship Sao Paulo State Foundation for Research Support (FAPESP)
dc.description.sponsorship Coordination for the Improvement of Higher Level Personnel (CAPES - REUNI)
dc.format.extent 189-200
dc.language.iso eng
dc.publisher Cambridge Univ Press
dc.relation.ispartof Public Health Nutrition
dc.rights Acesso restrito
dc.subject Food environment en
dc.subject Neighbourhood en
dc.subject Ultra-processed food products en
dc.subject Children en
dc.subject Food consumption en
dc.title Association of neighbourhood food availability with the consumption of processed and ultra-processed food products by children in a city of Brazil: a multilevel analysis en
dc.type Artigo
dc.description.affiliation Univ Fed Sao Paulo, Dept Human Movement Sci, Nutr Epidemiol Lab, 95 Ana Costa Ave, BR-11060001 Sao Paulo, Brazil
dc.description.affiliation Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Nutr Phys Act & Obes, Atlanta, GA USA
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Dept Human Movement Sci, Nutr Epidemiol Lab, 95 Ana Costa Ave, BR-11060001 Sao Paulo, Brazi
dc.description.sponsorshipID FAPESP: 2009/01361-1
dc.description.sponsorshipID FAPESP: 2010/04471-0
dc.identifier.file WOS000418320900021.pdf
dc.identifier.doi 10.1017/S136898001600361X
dc.description.source Web of Science
dc.identifier.wos WOS:000418320900021
dc.coverage Cambridge
dc.citation.volume 21
dc.citation.issue 1



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