Coronary heart disease mortality, cardiovascular disease mortality and all-cause mortality attributable to dietary intake over 20 years in Brazil

Author(s)

Machado de Rezende, Leandro Fornias ^[1] ; Azeredo, Catarina Machado ^[2] ; Canella, Daniela Silva ^[3] ; Luiz, Olinda do Carmo ^[1] ; Levy, Renata Bertazzi ^[1] ; Eluf-Neto, Jose ^[1]

Affiliation

^[1] Univ Sao Paulo, Dept Prevent Med, Fac Med, Av Dr Arnaldo 455, 2 Andar, BR-01246903 Sao Paulo, SP - Brazil

^[2] Univ Fed Uberlandia, Curso Nutr, Fac Med, Av Para 1720, Bloco 2U, Sala 20, Campus Umuarama, BR-38 40532 Uberlandia, MG - Brazil

^[3] Univ Estado Rio de Janeiro, Inst Nutr, Dept Nutr Aplicada, Rua Sao Francisco Xavier 524, BR-20559900 Rio De Janeiro, RJ - Brazil

• Document type: Journal article
• Source: INTERNATIONAL JOURNAL OF CARDIOLOGY; v. 217, p. 64-68, AUG 15 2016.
• Web of Science Citations: 7

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 20 years 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 20 years in Brazil. These findings suggest a need for a population prevention approach, focused on dietary intake to reduce the burden of disease. (C) 2016 Elsevier Ireland Ltd. All rights reserved. (AU)

• FAPESP's process: 14/25614-4 - Physical inactivity and cancer: from evaluation of etiological evidence to public health impact
• Grantee: Leandro Fórnias Machado de Rezende
• Support Opportunities: Scholarships in Brazil - Doctorate