Leandro Fórnias Machado de Rezende1, Catarina Machado Azeredo2, Daniela Silva Canella3, Olinda do Carmo Luiz4, Renata Bertazzi Levy5, Jose Eluf-Neto6. 1. Faculdade de Medicina da Universidade de São Paulo, Departamento de Medicina Preventiva, Av. Dr. Arnaldo 455, 2° andar, Sao Paulo, Sao Paulo 01246-903, Brazil. Electronic address: lerezende@usp.br. 2. Faculdade de Medicina da Universidade Federal de Uberlândia, Curso de Nutrição, Av. Pará, 1720, Bloco 2U, Sala 20, Campus Umuarama, Uberlândia, Minas Gerais 38.405-320, Brazil. Electronic address: catarina@famed.ufu.br. 3. Instituto de Nutrição da Universidade do Estado do Rio de Janeiro, Departamento de Nutrição Aplicada, Rua São Francisco Xavier, 524, Rio de Janeiro, RJ20559-900, Brazil. Electronic address: daniela.canella@uerj.br. 4. Faculdade de Medicina da Universidade de São Paulo, Departamento de Medicina Preventiva, Av. Dr. Arnaldo 455, 2° andar, Sao Paulo, Sao Paulo 01246-903, Brazil. Electronic address: olinda@usp.br. 5. Faculdade de Medicina da Universidade de São Paulo, Departamento de Medicina Preventiva, Av. Dr. Arnaldo 455, 2° andar, Sao Paulo, Sao Paulo 01246-903, Brazil. Electronic address: rlevy@usp.brrlevy. 6. Faculdade de Medicina da Universidade de São Paulo, Departamento de Medicina Preventiva, Av. Dr. Arnaldo 455, 2° andar, Sao Paulo, Sao Paulo 01246-903, Brazil. Electronic address: jelufnet@usp.br.
Abstract
BACKGROUND/ OBJECTIVES: In the last two decades, in Brazil, there has been a decreasing trend of consumption of in natura or minimally processed food, while intake of ultra-processed food has markedly increased. We estimated the contribution of dietary intake in trends from coronary heart disease mortality (CHDM), cardiovascular disease mortality (CVDM), and all-cause mortality (ACM) over 20years in Brazil. METHODS: We used a representative sample of Brazilian households located in metropolitan areas to estimate dietary intake in 1987/88 and 2008/09. For both periods, we estimated fractions of CHDM, CVDM, and ACM attributable to healthy (fruits and vegetables) and unhealthy food items (sugar-sweetened beverages, processed and red meat). We also estimated the number of prevented or postponed deaths attributable to these food items. RESULTS: The fraction of CHDM attributable to all food items increased from 28.6% in 1987/88 to 38.7% in 2008/09. CVDM attributable to food items increased from 13.7% in 1974 to 19.3% in 2008/09. ACM attributable to all food items increased from 20.1% in 1987/88 to 27.3% in 2008/09. Without the decrease in healthy food item consumption, and the increase in unhealthy food items, 3195 deaths from coronary heart disease, 5340 from cardiovascular disease, and 16,970 from all causes could have been prevented or postponed. CONCLUSIONS: The burden of cardiovascular diseases and mortality attributable to dietary intake has increased over the last 20years in Brazil. These findings suggest a need for a population prevention approach, focused on dietary intake to reduce the burden of disease.
BACKGROUND/ OBJECTIVES: In the last two decades, in Brazil, there has been a decreasing trend of consumption of in natura or minimally processed food, while intake of ultra-processed food has markedly increased. We estimated the contribution of dietary intake in trends from coronary heart disease mortality (CHDM), cardiovascular disease mortality (CVDM), and all-cause mortality (ACM) over 20years in Brazil. METHODS: We used a representative sample of Brazilian households located in metropolitan areas to estimate dietary intake in 1987/88 and 2008/09. For both periods, we estimated fractions of CHDM, CVDM, and ACM attributable to healthy (fruits and vegetables) and unhealthy food items (sugar-sweetened beverages, processed and red meat). We also estimated the number of prevented or postponed deaths attributable to these food items. RESULTS: The fraction of CHDM attributable to all food items increased from 28.6% in 1987/88 to 38.7% in 2008/09. CVDM attributable to food items increased from 13.7% in 1974 to 19.3% in 2008/09. ACM attributable to all food items increased from 20.1% in 1987/88 to 27.3% in 2008/09. Without the decrease in healthy food item consumption, and the increase in unhealthy food items, 3195 deaths from coronary heart disease, 5340 from cardiovascular disease, and 16,970 from all causes could have been prevented or postponed. CONCLUSIONS: The burden of cardiovascular diseases and mortality attributable to dietary intake has increased over the last 20years in Brazil. These findings suggest a need for a population prevention approach, focused on dietary intake to reduce the burden of disease.
Authors: Daniela Silva Canella; Maria Laura da Costa Louzada; Rafael Moreira Claro; Janaina Calu Costa; Daniel Henrique Bandoni; Renata Bertazzi Levy; Ana Paula Bortoletto Martins Journal: Rev Saude Publica Date: 2018-05-21 Impact factor: 2.106