Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19

Detalhes bibliográficos
Autor(a) principal: Steele, Eurídice Martínez
Data de Publicação: 2020
Outros Autores: Rauber, Fernanda, Costa, Caroline dos Santos, Leite, Maria Alvim, Gabe, Kamila Tiemann, Louzada, Maria Laura da Costa, Levy, Renata Bertazzi, Monteiro, Carlos Augusto
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/174857
Resumo: OBJECTIVE To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic. METHODS Our data stem from an adult cohort created to prospectively investigate the relationship between diet and morbidity and mortality from chronic non-communicable diseases in Brazil. For this study, we selected the first participants (n = 10,116) who answered twice to a simplified questionnaire on their diet the day before, the first time when entering the study, between January 26 and February 15, 2020, and the second between May 10 and 19, 2020. The questionnaire inquiries about the consumption of healthy (vegetables, fruits and legumes) and unhealthy (ultra-processed foods) eating markers. Comparisons of indicators based on the consumption of these markers before and during the pandemic are presented for the study population and according to gender, age group, macro-region of residence and schooling. Chi-square tests and t-tests were used to compare proportions and means, respectively, adopting p < 0.05 to identify significant differences. RESULTS For all participants, we found a modest but statistically significant increase in the consumption of healthy eating markers and stability in the consumption of unhealthy food markers. This favorable pattern of dietary changes during the pandemic occurred in most sociodemographic strata. We observed a less favorable changing pattern, with a tendency to increasing consumption of healthy and unhealthy food markers, in the Northeast and North macro-regions and among people with less schooling, suggesting social inequalities in the response to the pandemic. CONCLUSIONS If confirmed, the trend of increased consumption of ultra-processed foods in underdeveloped regions and by people with less schooling is concerning, as eating these foods increases the risk of obesity, hypertension and diabetes, whose presence increases the severity and lethality of covid-19.
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spelling Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19Coronavirus infectionsFood ConsumptionWhole FoodsIndustrialized FoodsInfecções por CoronavirusConsumo de AlimentosAlimentos IntegraisAlimentos IndustrializadosOBJECTIVE To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic. METHODS Our data stem from an adult cohort created to prospectively investigate the relationship between diet and morbidity and mortality from chronic non-communicable diseases in Brazil. For this study, we selected the first participants (n = 10,116) who answered twice to a simplified questionnaire on their diet the day before, the first time when entering the study, between January 26 and February 15, 2020, and the second between May 10 and 19, 2020. The questionnaire inquiries about the consumption of healthy (vegetables, fruits and legumes) and unhealthy (ultra-processed foods) eating markers. Comparisons of indicators based on the consumption of these markers before and during the pandemic are presented for the study population and according to gender, age group, macro-region of residence and schooling. Chi-square tests and t-tests were used to compare proportions and means, respectively, adopting p < 0.05 to identify significant differences. RESULTS For all participants, we found a modest but statistically significant increase in the consumption of healthy eating markers and stability in the consumption of unhealthy food markers. This favorable pattern of dietary changes during the pandemic occurred in most sociodemographic strata. We observed a less favorable changing pattern, with a tendency to increasing consumption of healthy and unhealthy food markers, in the Northeast and North macro-regions and among people with less schooling, suggesting social inequalities in the response to the pandemic. CONCLUSIONS If confirmed, the trend of increased consumption of ultra-processed foods in underdeveloped regions and by people with less schooling is concerning, as eating these foods increases the risk of obesity, hypertension and diabetes, whose presence increases the severity and lethality of covid-19.OBJETIVO Descrever características da alimentação dos participantes da coorte NutriNet Brasil imediatamente antes e na vigência da pandemia de covid-19. MÉTODOS Os dados deste estudo provêm de coorte de adultos criada para investigar prospectivamente a relação entre alimentação e morbimortalidade por doenças crônicas não transmissíveis no Brasil. Para este estudo, foram selecionados os primeiros participantes (n = 10.116) que responderam por duas vezes a questionário simplificado sobre sua alimentação no dia anterior, a primeira vez ao ingressar no estudo, entre 26 de janeiro e 15 de fevereiro de 2020, e a segunda entre 10 e 19 de maio de 2020. O questionário indaga sobre o consumo de marcadores de alimentação saudável (hortaliças, frutas e leguminosas) e não saudável (alimentos ultraprocessados). Comparações de indicadores baseados no consumo desses marcadores antes e na vigência da pandemia são apresentadas para o conjunto da população estudada e segundo sexo, faixa etária, macrorregião de residência e escolaridade. Testes qui-quadrado e testes t foram utilizados para comparar proporções e médias, respectivamente, adotando-se p < 0,05 para identificar diferenças significantes. RESULTADOS Para o conjunto dos participantes, identificou-se aumento modesto, porém estatisticamente significante, no consumo de marcadores de alimentação saudável e estabilidade no consumo de marcadores de alimentação não saudável. Esse padrão favorável de mudanças na alimentação com a pandemia se repetiu na maior parte dos estratos sociodemográficos. Padrão menos favorável de mudanças, com tendência de aumento no consumo de marcadores de alimentação saudável e não saudável, foi observado nas macrorregiões Nordeste e Norte e entre pessoas com menor escolaridade, sugerindo desigualdades sociais na resposta à pandemia. CONCLUSÕES Caso confirmada, a tendência de aumento no consumo de alimentos ultraprocessados nas regiões economicamente menos desenvolvidas e por pessoas com menor escolaridade preocupa, pois a ingestão desses alimentos eleva o risco de obesidade, hipertensão e diabetes, cuja presença aumenta a gravidade e a letalidade da covid-19.Universidade de São Paulo. Faculdade de Saúde Pública2020-09-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/17485710.11606/s1518-8787.2020054002950Revista de Saúde Pública; Vol. 54 (2020); 91Revista de Saúde Pública; Vol. 54 (2020); 91Revista de Saúde Pública; v. 54 (2020); 911518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/174857/163437https://www.revistas.usp.br/rsp/article/view/174857/163438https://www.revistas.usp.br/rsp/article/view/174857/171472Copyright (c) 2020 Eurídice Martínez Steele, Fernanda Rauber, Caroline dos Santos Costa, Maria Alvim Leite, Kamila Tiemann Gabe, Maria Laura da Costa Louzada, Renata Bertazzi Levy, Carlos Augusto Monteirohttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSteele, Eurídice MartínezRauber, FernandaCosta, Caroline dos SantosLeite, Maria AlvimGabe, Kamila TiemannLouzada, Maria Laura da CostaLevy, Renata BertazziMonteiro, Carlos Augusto2020-09-17T16:53:48Zoai:revistas.usp.br:article/174857Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-09-17T16:53:48Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
title Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
spellingShingle Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
Steele, Eurídice Martínez
Coronavirus infections
Food Consumption
Whole Foods
Industrialized Foods
Infecções por Coronavirus
Consumo de Alimentos
Alimentos Integrais
Alimentos Industrializados
title_short Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
title_full Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
title_fullStr Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
title_full_unstemmed Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
title_sort Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19
author Steele, Eurídice Martínez
author_facet Steele, Eurídice Martínez
Rauber, Fernanda
Costa, Caroline dos Santos
Leite, Maria Alvim
Gabe, Kamila Tiemann
Louzada, Maria Laura da Costa
Levy, Renata Bertazzi
Monteiro, Carlos Augusto
author_role author
author2 Rauber, Fernanda
Costa, Caroline dos Santos
Leite, Maria Alvim
Gabe, Kamila Tiemann
Louzada, Maria Laura da Costa
Levy, Renata Bertazzi
Monteiro, Carlos Augusto
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Steele, Eurídice Martínez
Rauber, Fernanda
Costa, Caroline dos Santos
Leite, Maria Alvim
Gabe, Kamila Tiemann
Louzada, Maria Laura da Costa
Levy, Renata Bertazzi
Monteiro, Carlos Augusto
dc.subject.por.fl_str_mv Coronavirus infections
Food Consumption
Whole Foods
Industrialized Foods
Infecções por Coronavirus
Consumo de Alimentos
Alimentos Integrais
Alimentos Industrializados
topic Coronavirus infections
Food Consumption
Whole Foods
Industrialized Foods
Infecções por Coronavirus
Consumo de Alimentos
Alimentos Integrais
Alimentos Industrializados
description OBJECTIVE To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic. METHODS Our data stem from an adult cohort created to prospectively investigate the relationship between diet and morbidity and mortality from chronic non-communicable diseases in Brazil. For this study, we selected the first participants (n = 10,116) who answered twice to a simplified questionnaire on their diet the day before, the first time when entering the study, between January 26 and February 15, 2020, and the second between May 10 and 19, 2020. The questionnaire inquiries about the consumption of healthy (vegetables, fruits and legumes) and unhealthy (ultra-processed foods) eating markers. Comparisons of indicators based on the consumption of these markers before and during the pandemic are presented for the study population and according to gender, age group, macro-region of residence and schooling. Chi-square tests and t-tests were used to compare proportions and means, respectively, adopting p < 0.05 to identify significant differences. RESULTS For all participants, we found a modest but statistically significant increase in the consumption of healthy eating markers and stability in the consumption of unhealthy food markers. This favorable pattern of dietary changes during the pandemic occurred in most sociodemographic strata. We observed a less favorable changing pattern, with a tendency to increasing consumption of healthy and unhealthy food markers, in the Northeast and North macro-regions and among people with less schooling, suggesting social inequalities in the response to the pandemic. CONCLUSIONS If confirmed, the trend of increased consumption of ultra-processed foods in underdeveloped regions and by people with less schooling is concerning, as eating these foods increases the risk of obesity, hypertension and diabetes, whose presence increases the severity and lethality of covid-19.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-17
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/174857
10.11606/s1518-8787.2020054002950
url https://www.revistas.usp.br/rsp/article/view/174857
identifier_str_mv 10.11606/s1518-8787.2020054002950
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/174857/163437
https://www.revistas.usp.br/rsp/article/view/174857/163438
https://www.revistas.usp.br/rsp/article/view/174857/171472
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 54 (2020); 91
Revista de Saúde Pública; Vol. 54 (2020); 91
Revista de Saúde Pública; v. 54 (2020); 91
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
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reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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