Dietary changes in the NutriNet Brasil cohort during the covid-19 pandemic
To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic. Our data stem from an adult cohort created to prospectively investigate the relationship between diet and morbidity and mortality from chronic non-communicable d...
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| Vydané v: | Revista de saúde pública Ročník 54; s. 91 |
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| Hlavní autori: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English Portuguese |
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Brazil
Faculdade de Saúde Pública da Universidade de São Paulo
01.01.2020
Universidade de São Paulo |
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| ISSN: | 1518-8787, 0034-8910, 1518-8787 |
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| Abstract | To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic.
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.
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.
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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| AbstractList | To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic.
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.
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.
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. ABSTRACT 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. To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic.OBJECTIVETo describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic.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.METHODSOur 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.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.RESULTSFor 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.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.CONCLUSIONSIf 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. |
| Author | Costa, Caroline Dos Santos Gabe, Kamila Tiemann Louzada, Maria Laura da Costa Steele, Eurídice Martínez Rauber, Fernanda Levy, Renata Bertazzi Leite, Maria Alvim Monteiro, Carlos Augusto |
| AuthorAffiliation | III Universidade de São Paulo Faculdade de Saúde Pública Departamento de Nutrição São Paulo SP Brasil Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Nutrição . São Paulo , SP , Brasil II Universidade de São Paulo Faculdade de Medicina Departamento de Medicina Preventiva São Paulo SP Brasil Universidade de São Paulo . Faculdade de Medicina . Departamento de Medicina Preventiva . São Paulo , SP , Brasil I Universidade de São Paulo Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde São Paulo SP Brasil Universidade de São Paulo . Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde da USP (NUPENS). São Paulo , SP , Brasil |
| AuthorAffiliation_xml | – name: II Universidade de São Paulo Faculdade de Medicina Departamento de Medicina Preventiva São Paulo SP Brasil Universidade de São Paulo . Faculdade de Medicina . Departamento de Medicina Preventiva . São Paulo , SP , Brasil – name: III Universidade de São Paulo Faculdade de Saúde Pública Departamento de Nutrição São Paulo SP Brasil Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Nutrição . São Paulo , SP , Brasil – name: I Universidade de São Paulo Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde São Paulo SP Brasil Universidade de São Paulo . Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde da USP (NUPENS). São Paulo , SP , Brasil – name: Universidade de São Paulo |
| Author_xml | – sequence: 1 givenname: Eurídice Martínez orcidid: 0000-0002-2907-3153 surname: Steele fullname: Steele, Eurídice Martínez organization: Universidade de São Paulo . Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde da USP (NUPENS). São Paulo , SP , Brasil – sequence: 2 givenname: Fernanda orcidid: 0000-0001-9693-7954 surname: Rauber fullname: Rauber, Fernanda organization: Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Nutrição . São Paulo , SP , Brasil – sequence: 3 givenname: Caroline Dos Santos orcidid: 0000-0002-3522-1546 surname: Costa fullname: Costa, Caroline Dos Santos organization: Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Nutrição . São Paulo , SP , Brasil – sequence: 4 givenname: Maria Alvim orcidid: 0000-0002-2774-7126 surname: Leite fullname: Leite, Maria Alvim organization: Universidade de São Paulo . Faculdade de Medicina . Departamento de Medicina Preventiva . São Paulo , SP , Brasil – sequence: 5 givenname: Kamila Tiemann orcidid: 0000-0001-5138-9552 surname: Gabe fullname: Gabe, Kamila Tiemann organization: Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Nutrição . São Paulo , SP , Brasil – sequence: 6 givenname: Maria Laura da Costa orcidid: 0000-0002-3756-2301 surname: Louzada fullname: Louzada, Maria Laura da Costa organization: Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Nutrição . São Paulo , SP , Brasil – sequence: 7 givenname: Renata Bertazzi orcidid: 0000-0001-5388-7002 surname: Levy fullname: Levy, Renata Bertazzi organization: Universidade de São Paulo . Faculdade de Medicina . Departamento de Medicina Preventiva . São Paulo , SP , Brasil – sequence: 8 givenname: Carlos Augusto orcidid: 0000-0002-3777-1533 surname: Monteiro fullname: Monteiro, Carlos Augusto organization: Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Nutrição . São Paulo , SP , Brasil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32901755$$D View this record in MEDLINE/PubMed |
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| Keywords | Consumo de Alimentos Alimentos Industrializados Coronavirus infections Whole Foods Food Consumption Industrialized Foods Infecções por Coronavirus Alimentos Integrais |
| Language | English Portuguese |
| License | This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This work is licensed under a Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0 |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Authors’ Contribution: Study design and planning: EMS, FR, CSC, MAL, KTG, MLCL, RBL, CAM. Data collection, analysis and interpretation: EMS, FR, CSC, MAL, KTG, MLCL, RBL, CAM. Manuscript development or revision: EMS, FR, CSC, MAL, KTG, MLCL, RBL, CAM. Approval of the final version: EMS, FR, CSC, MAL, KTG, MLCL, RBL, CAM. Public responsibility for the content of the article: EMS, FR, CSC, MAL, KTG, MLCL, RBL, CAM. Conflict of Interest: The authors declare no conflict of interest. |
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| References | Godlee, F 2020; 370 2019 Elizabeth, L; Machado, P; Zinöcker, M; Baker, P; Lawrence, M 2020; 12 White, M; Nieto, C; Barquera, S 2020 Fagerberg, P; Langlet, B; Oravsky, A; Sandborg, J; Löf, M; Ioakimidis, I 2019; 19 Williamson, EJ; Walker, AJ; Bhaskaran, K; Bacon, S; Bates, C; Morton, CE 2020 2010 2020 Andrade, GC; Gombi-Vaca, MF; Louzada, MLC; Azeredo, CM; Levy, RB 2020; 22 |
| References_xml | – year: 2020 publication-title: Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019 – year: 2020 article-title: Open SAFELY: factors associated with COVID-19 death in 17 million patients publication-title: Nature – year: 2020 article-title: Good deeds and cheap marketing: the food industry in the times of COVID-19 publication-title: Obesity – year: 2010 publication-title: Censo 2010 – year: 2020 publication-title: Mapa brasileiro da COVID-19 – start-page: c2018 end-page: c2020 publication-title: Estudo NutriNet Brasil: você pode ajudar a promover a saúde da população brasileira – volume: 370 year: 2020 article-title: Covid-19: What we eat matters all the more now publication-title: BMJ – year: 2020 publication-title: ConVid Adolescentes: pesquisa de Comportamentos – volume: 19 issue: 1 year: 2019 article-title: Ultra-processed food advertisements dominate the food advertising landscape in two Stockholm areas with low vs high socioeconomic status. Is it time for regulatory action? publication-title: BMC Public Health – year: 2019 publication-title: Pesquisa Nacional de Saúde do Escolar (PeNSE) – volume: 22 start-page: 1041 issue: 6 year: 2020 end-page: 1048 article-title: The consumption of ultra-processed foods according to eating out occasions publication-title: Public Health Nutr – publication-title: Pesquisa Nacional de Saúde (PNS) – volume: 12 issue: 7 year: 2020 article-title: Ultra-processed foods and health outcomes: a narrative review publication-title: Nutrients |
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Our data stem from... To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic.OBJECTIVETo describe... ABSTRACT OBJECTIVE To describe the dietary characteristics of participants in the NutriNet Brasil cohort immediately before and during the covid-19 pandemic.... |
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| SubjectTerms | Adult Betacoronavirus Brazil Cohort Studies Coronavirus infections Coronavirus Infections - epidemiology COVID-19 Diet - trends Food Consumption Humans Industrialized Foods Morbidity Noncommunicable Diseases - mortality Original Pandemics Pneumonia, Viral - epidemiology PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH SARS-CoV-2 SOCIOLOGY Whole Foods |
| Title | Dietary changes in the NutriNet Brasil cohort during the covid-19 pandemic |
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