Author | Victor, Audêncio | |
Author | Silva, Rita de Cassia Ribeiro | |
Author | Silva, Natanael de Jesus | |
Author | Ferreira, Andrea | |
Author | Barreto, Maurício L. | |
Author | Campello, Tereza | |
Access date | 2023-01-25T14:09:45Z | |
Available date | 2023-01-25T14:09:45Z | |
Document date | 2023 | |
Citation | 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. | en_US |
ISSN | 0749-3797 | en_US |
URI | https://www.arca.fiocruz.br/handle/icict/56614 | |
Sponsorship | Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) | en_US |
Language | eng | en_US |
Publisher | Elsevier | en_US |
Rights | open access | en_US |
Subject in Portuguese | Alimentos não saudáveis | en_US |
Subject in Portuguese | Doença cardiovascular prematura | en_US |
Subject in Portuguese | Mortalidade | en_US |
Subject in Portuguese | Brasil | en_US |
Title | Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach | en_US |
Type | Article | en_US |
DOI | 10.1016/j.amepre.2022.09.018 | |
Abstract | 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. | en_US |
Affilliation | 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. | en_US |
Affilliation | 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. | en_US |
Affilliation | Barcelona Institute for Global Health. Barcelona, Spain. | en_US |
Affilliation | 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. | en_US |
Affilliation | 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. | en_US |
Affilliation | 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. | en_US |
Subject | Unhealthy food | en_US |
Subject | Premature cardiovascular disease | en_US |
Subject | Mortality | en_US |
Subject | Brazil | en_US |
DeCS | Alimentos | en_US |
DeCS | Doenças Cardiovasculares | en_US |
DeCS | Mortalidade | en_US |
DeCS | Brasil | en_US |