Healthful grain foods consumption by Sao Paulo residents: a 12-year analysis and future trends

Author(s)

Fontanelli, Mariane de M. ^[1] ; Sales, Cristiane H. ^[1] ; de Castro, Michelle A. ^[2] ; Fisberg, Regina M. ^[1]

Affiliation

^[1] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, BR-01246904 Sao Paulo, SP - Brazil

^[2] Sao Paulo City Hall, Secretariat Educ Sao Paulo, Sch Feeding Coordinat, Sao Paulo, SP - Brazil

• Document type: Journal article
• Source: PUBLIC HEALTH NUTRITION; v. 24, n. 10, p. 2987-2997, JUL 2021.
• Web of Science Citations: 0

Abstract

Objective: Understanding trends in grain consumption is essential to tackle the low consumption of healthful grain foods. This study aimed to evaluate trends and determinants of grain foods meeting the <= 10:1 carbohydrate:fibre ratio (<= 10:1 ratio) in Brazil and to estimate this intake for the next years. Design: Three editions of the cross-sectional, population-based study Health Survey of Sao Paulo (2003, 2008 and 2015). Setting: Urban area of Sao Paulo, Brazil. Participants: The sample included 5801 participants aged 12 years or more. Results: A growing trend in the intake of these foods (0 center dot 9 percentage of energy (%E) in 2003 to 1 center dot 5 %E in 2015) was observed. Also, the proportion of the population consuming at least one grain food meeting the <= 10:1 ratio increased from 8 center dot 7 % in 2003 to 15 center dot 8 % in 2015, and 20 center dot 3 % of the population would be consuming some kind of healthful grain food by 2030. Sociodemographic factors associated with the consumption of grain foods meeting the <= 10:1 ratio changed according to study edition, but overall, older individuals (+79 %), females (+28 %), those with higher education (+138 %) and higher family income (+135 %) were more likely to consume grain foods meeting the ratio, whereas participants who self-reported black, brown or indigenous ethnicity were less likely to consume these foods (-30 %). Conclusions: There was a growing trend to consume grain foods meeting the <= 10:1 ratio from 2003 to 2015, but this consumption continues to be far from recommended levels. Intersectoral changes are urgently needed in order to increase the intake of healthful grain foods. (AU)

• FAPESP's process: 16/18742-1 - Carbohydrate Quality Index: overview of the last decade, relation with micronutrient status and insulin resistance
• Grantee: Mariane de Mello Fontanelli
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 09/15831-0 - Dietary factors, homocystein, MTHFR gene polymorphisms, and cardiovascular risk in adults and the elderly: a population-based study - ISA - Capital
• Grantee: Regina Mara Fisberg
• Support Opportunities: Regular Research Grants
• FAPESP's process: 12/22113-9 - Biochemical indicators of micronutrient status and usual intakes of residents from the City of São Paulo - ISA-Capital Survey 2013
• Grantee: Regina Mara Fisberg
• Support Opportunities: Regular Research Grants