Revista de saude publicaPub Date : 2025-06-27eCollection Date: 2025-01-01DOI: 10.11606/s1518-8787.2025059006615
Leandro Teixeira Cacau, Maria Helena D'Aquino Benicio, Renata Bertazzi Levy, Maria Laura da Costa Louzada
{"title":"Estimating the share of ultra-processed foods in Brazilian municipalities.","authors":"Leandro Teixeira Cacau, Maria Helena D'Aquino Benicio, Renata Bertazzi Levy, Maria Laura da Costa Louzada","doi":"10.11606/s1518-8787.2025059006615","DOIUrl":"10.11606/s1518-8787.2025059006615","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the caloric share of ultra-processed foods (% UPF) in the 5,570 Brazilian municipalities.</p><p><strong>Methods: </strong>The estimation of % UPF in municipalities was performed using a statistical prediction model based on data from 46,164 individuals aged over >10 years who participated in the Household Budget Survey (HBS 2017-2018). Multiple linear regression was used to estimate the average % UPF (measured through two 24-hour dietary recalls) based on predictor variables (sex, age, income, education, race/color, urbanity, federative units, and geographic location). The model's adequacy was assessed through residual analysis and by comparing predicted values with those directly measured in POF 2017-2018 using Lin's concordance correlation coefficient (CCC). The linear coefficients obtained from the multiple linear regression model were applied to the sociodemographic data from the 2010 Census (measured similarly to POF) to estimate the % UPF for each municipality.</p><p><strong>Results: </strong>The statistical model proved adequate, showing normally distributed residuals and a CCC of 0.87, indicating almost perfect agreement. There was heterogeneity in the distribution of % UPF estimates, ranging from 5.75% in Aroeiras do Itaim (PI) to 30.5% in Florianópolis (SC). % UPF estimates were higher (>20%) in municipalities from the South region and the state of São Paulo. Capitals had higher estimates of caloric contribution from ultra-processed foods compared to other municipalities in their states.</p><p><strong>Conclusions: </strong>The predictive model revealed differences in % UPF among Brazilian municipalities. The generated estimates can contribute to monitoring ultra-processed food consumption at the municipal level and support the development of public policies focused on promoting healthy eating.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e22"},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista de saude publicaPub Date : 2025-06-27eCollection Date: 2025-01-01DOI: 10.11606/s1518-8787.2025059006669
Ricardo Abramovay, Nadine Marques Nunes-Galbes, Fernanda Helena Marrocos-Leite, Eduardo Augusto Fernandes Nilson, Maria Laura da Costa Louzada
{"title":"The protein deficit myth.","authors":"Ricardo Abramovay, Nadine Marques Nunes-Galbes, Fernanda Helena Marrocos-Leite, Eduardo Augusto Fernandes Nilson, Maria Laura da Costa Louzada","doi":"10.11606/s1518-8787.2025059006669","DOIUrl":"10.11606/s1518-8787.2025059006669","url":null,"abstract":"<p><p>Epidemiological data shows that the consumption of animal-based foods in high-income countries is excessive and harmful to health. But the association between poverty and protein deficiency is frequent, both in scientific literature and in the documents of multilateral organizations. There is a conceptual trap in this link, which consists of focusing on one nutrient and not on the whole dietary pattern. In 1974, in a text that has become a classic of nutrition science, Donald McLaren has already highlighted the mistake made by multilateral development organizations in focusing their efforts on protein supply-often in industrialized forms-without considering that, in most cases, once energy needs are met, protein deficiency is unlikely to occur. Data from the 2017-2018 Consumer Expenditure Survey helps to dispel this myth: even among the poorest 20% of the Brazilian population, the proportion of those with insufficient protein intake is tiny.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e21"},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista de saude publicaPub Date : 2025-06-16eCollection Date: 2025-01-01DOI: 10.11606/s1518-8787.2025059006206
Janielle Ferreira de Brito Lima, Rosângela Fernandes Lucena Batista, Liliana Yanet Gómez Aristizábal, Cecilia Claudia Costa Ribeiro de Almeida, Vanda Maria Ferreira Simões, Antônio Augusto Moura da Silva
{"title":"Do adversities in the intrauterine and neonatal periods interfere with intelligence?","authors":"Janielle Ferreira de Brito Lima, Rosângela Fernandes Lucena Batista, Liliana Yanet Gómez Aristizábal, Cecilia Claudia Costa Ribeiro de Almeida, Vanda Maria Ferreira Simões, Antônio Augusto Moura da Silva","doi":"10.11606/s1518-8787.2025059006206","DOIUrl":"10.11606/s1518-8787.2025059006206","url":null,"abstract":"<p><strong>Objective: </strong>Investigate the effects of intrauterine growth restriction and socioeconomic status at birth on intellectual development.</p><p><strong>Methods: </strong>Study conducted with 313 participants from a birth cohort from São Luís, in the state of Maranhão, assessed at birth and between 18 and 19 years of age. Variables at birth and early years of life (maternal age, maternal education, paternal education, occupation of the head of the household, family income, maternal gestational weight gain, intrauterine growth restriction, low birth weight, and breastfeeding duration), and education at 18 and 19 years were tested as determinants of intelligence quotient at 18 and 19 years using structural equation modeling.</p><p><strong>Results: </strong>Results: Intrauterine growth restriction did not have a total (p-value = 0.957), direct (p-value = 0.184), or indirect (p-value = 0.108) effect on the intelligence quotient at 18 and 19 years of age. Socioeconomic status at birth had a total positive effect of 0.406 standard deviations (p-value < 0.001) on its mean, corresponding to an increase of 4.54 points in the quotient for each increase in socioeconomic level at birth. This effect was not mediated by the other explanatory variables included in the model; however, a direct positive effect of 0.416 (p-value < 0.001) of socioeconomic status on education was identified, which showed a positive correlation (PC = 0.439; p-value < 0.001) with intelligence. Maternal age at birth also had a direct positive effect of 0.116 standard deviations (p-value = 0.042) on the mean intelligence quotient (QI) at 18 and 19 years, corresponding to an increase of 1.30 points for each 1-year increase in maternal age at birth.</p><p><strong>Conclusion: </strong>Higher socioeconomic levels at birth directly affected the participant's intelligence and education positively, increasing the mean QI and education level at 18 and 19 years. A positive correlation was also identified between the two variables.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e15"},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}