Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach

Detalhes bibliográficos
Autor(a) principal: Victor, Audêncio
Data de Publicação: 2023
Outros Autores: Silva, Rita de Cassia Ribeiro, Silva, Natanael de Jesus, Ferreira, Andrea, Barreto, Maurício L., Campello, Tereza
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/56614
Resumo: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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spelling Victor, AudêncioSilva, Rita de Cassia RibeiroSilva, Natanael de JesusFerreira, AndreaBarreto, Maurício L.Campello, Tereza2023-01-25T14:09:45Z2023-01-25T14:09:45Z2023VICTOR, Audêncio et al. Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach. American Journal of Preventive Medicine, v. 64, n. 2, p. 1-8, 2023.0749-3797https://www.arca.fiocruz.br/handle/icict/5661410.1016/j.amepre.2022.09.018Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade de São Paulo. Escola de Saúde Pública. São Paulo, SP, Brasil / Department of Nutrition. Ministry of Health of Mozambique. Zambezia, Mozambique.Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil.Barcelona Institute for Global Health. Barcelona, Spain.Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / The Ubuntu Center on Racism. Global Movements. and Population Health Equity. Drexel University Dornsife School of Public Health. Philadelphia, Pennsylvania.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil.Universidade de São Paulo. Escola de Saúde Pública. São Paulo, SP, Brasil / Fundação Oswaldo Cruz. Escola de Governo da Fiocruz. Brasília, DF, Brasil / University of Nottingham. Nottingham. United Kingdom.Introduction: Cardiovascular disease is the main cause of general and premature death of adults aged 30–69 years in Brazil and around the world. Unhealthy food environments have been implicated as one of the factors associated with cardiovascular disease morbimortality because they affect people's health conditions and nutrition. This study aims to explore the association between unhealthy food environments (deserts/swamps) and premature cardiovascular disease mortality in the Brazilian population. Methods: This is an ecologic study using data from 5,558 Brazilian municipalities in 2016. The cardiovascular disease mortality data were obtained from the Mortality Information System of the Ministry of Health. The study on mapping food deserts in Brazil, developed by the Interministerial Chamber of Food and Nutrition Security, was used to evaluate the physical dimension of food access. The authors calculated the standardized rates of premature general and specific cardiovascular disease (stroke and ischemic heart disease) causes of death in the same period. To characterize food environments, the density of unprocessed and ultraprocessed foods per 10,000 population in tertiles was used. Crude and adjusted negative binomial regression models were used to study the associations of interest. Results: After the necessary adjustments (human development index, gross domestic product per capita, unemployment rate, Gini index and Family Health Strategy coverage), it was found that municipalities with low unprocessed food supply were at the highest risk of increased mortality among women with ischemic heart disease (rate ratio first tertile: 1.08 [95% CI=1.01, 1.15]). Conversely, the municipalities where there was a greater offer of ultraprocessed foods showed a higher risk of death from cardiovascular diseases (rate ratio second tertile: 1.17 [95% CI=1.12, 1.22]; rate ratio third tertile: 1.20 [95% CI=1.14, 1.26]), from strokes (rate ratio second tertile: 1.19 [95% CI=1.13, 1.25]; rate ratio third tertile: 1.22 [95% CI=1.15, 1.30]), and ischemic heart disease (rate ratio second tertile: 1.19 [95% CI=1.12, 1.25]; rate ratio third tertile: 1.22 [95% CI=1.13, 1.29]). Conclusions: This study's findings show an increase in the risk of cardiovascular disease, stroke, and ischemic heart disease mortality, especially in the municipalities where there was a greater offer of ultraprocessed foods. Initiatives aiming to minimize the effects of these food environments are urgently needed in the Brazilian context.engElsevierAlimentos não saudáveisDoença cardiovascular prematuraMortalidadeBrasilUnhealthy foodPremature cardiovascular diseaseMortalityBrazilAlimentosDoenças CardiovascularesMortalidadeBrasilInfluence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approachinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/56614/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALAudêncio, V. Influence of Unhealthy Food...2022.pdfAudêncio, V. Influence of Unhealthy Food...2022.pdfapplication/pdf246943https://www.arca.fiocruz.br/bitstream/icict/56614/2/Aud%c3%aancio%2c%20V.%20Influence%20of%20Unhealthy%20Food...2022.pdfa7df4cd5e29926f8584e77d25230a25aMD52icict/566142023-03-15 14:32:50.769oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:32:50Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.en_US.fl_str_mv Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
title Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
spellingShingle Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
Victor, Audêncio
Alimentos não saudáveis
Doença cardiovascular prematura
Mortalidade
Brasil
Unhealthy food
Premature cardiovascular disease
Mortality
Brazil
Alimentos
Doenças Cardiovasculares
Mortalidade
Brasil
title_short Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
title_full Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
title_fullStr Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
title_full_unstemmed Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
title_sort Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
author Victor, Audêncio
author_facet Victor, Audêncio
Silva, Rita de Cassia Ribeiro
Silva, Natanael de Jesus
Ferreira, Andrea
Barreto, Maurício L.
Campello, Tereza
author_role author
author2 Silva, Rita de Cassia Ribeiro
Silva, Natanael de Jesus
Ferreira, Andrea
Barreto, Maurício L.
Campello, Tereza
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Victor, Audêncio
Silva, Rita de Cassia Ribeiro
Silva, Natanael de Jesus
Ferreira, Andrea
Barreto, Maurício L.
Campello, Tereza
dc.subject.other.en_US.fl_str_mv Alimentos não saudáveis
Doença cardiovascular prematura
Mortalidade
Brasil
topic Alimentos não saudáveis
Doença cardiovascular prematura
Mortalidade
Brasil
Unhealthy food
Premature cardiovascular disease
Mortality
Brazil
Alimentos
Doenças Cardiovasculares
Mortalidade
Brasil
dc.subject.en.en_US.fl_str_mv Unhealthy food
Premature cardiovascular disease
Mortality
Brazil
dc.subject.decs.en_US.fl_str_mv Alimentos
Doenças Cardiovasculares
Mortalidade
Brasil
description Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-01-25T14:09:45Z
dc.date.available.fl_str_mv 2023-01-25T14:09:45Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv VICTOR, Audêncio et al. Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach. American Journal of Preventive Medicine, v. 64, n. 2, p. 1-8, 2023.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/56614
dc.identifier.issn.en_US.fl_str_mv 0749-3797
dc.identifier.doi.none.fl_str_mv 10.1016/j.amepre.2022.09.018
identifier_str_mv VICTOR, Audêncio et al. Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach. American Journal of Preventive Medicine, v. 64, n. 2, p. 1-8, 2023.
0749-3797
10.1016/j.amepre.2022.09.018
url https://www.arca.fiocruz.br/handle/icict/56614
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/56614/1/license.txt
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