The consumption of ultra-processed foods according to eating out occasions
The consumption of ultra-processed foods according to eating out occasions
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DOI：
10.1017/s1368980019002623
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发表时间：
2020-04-01
影响因子：
3.2
通讯作者：
Levy, Renata Bertazzi
中科院分区：
文献类型：
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作者：
Andrade, Giovanna Calixto;Gombi-Vaca, Maria Fernanda;Levy, Renata Bertazzi
目的：考虑到个体内部和个体之间的差异，根据工业加工的目的和程度描述外出消费，并评估外出就餐与超加工食品消费之间的关系。设计：横断面研究。设置:巴西。参与者：该研究基于巴西家庭预算调查的个人食物摄入量，在2008年5月至2009年5月期间对34003名10岁或以上的人进行了调查。根据食品加工水平对所有食品进行分类。通过每个人报告外出就餐的天数频率来评估外出就餐的习惯，并根据社会人口学特征进行描述。每个组和亚组的食物能量贡献是根据外出就餐的频率来估计的。此外，采用多层次模型来评估外出就餐与超加工食品消费之间的关系。结果：在巴西，烹饪准备占据了外出消费的大部分能量。然而，随着外出消费频率的增加，超加工食品，特别是含糖饮料和即食食品的贡献可能会更高。与在家消费相比，外出就餐使超加工食品的消费在个人内部和个人之间增加了0.41个百分点。结论：在巴西，同一个人和不同的人在外面吃饭时比在家里吃饭时消费了更多的超加工食品。因此，有必要实施公共政策，不鼓励在户外消费超加工食品，并提供负担得起和可获得的低加工食品选择。
Objective: To describe out-of-home consumption according to the purpose and extent of industrial processing and also evaluate the association between eating out and ultra-processed food consumption, taking account of variance within and between individuals. Design: Cross-sectional study. Setting: Brazil. Participants: The study was based on the Individual Food Intake of the Brazilian Household Budget Survey, carried out with 34 003 individuals aged 10 years or more, between May 2008 and May 2009. All food items were classified according to food processing level. The habit of eating out was evaluated through the frequency of days each individual reported eating out, described according to sociodemographic characteristics. The contribution of food energy per group and subgroup was estimated according to the frequency of eating out. In addition, multilevel modelling was employed to evaluate the association between eating out and ultra-processed food consumption. Results: In Brazil, culinary preparations accounted for most of the energy eaten out. However, it was possible to observe a higher contribution of ultra-processed foods, especially sugary beverages and ready-to-eat meals, as the frequency of out-of-home consumption increased. Compared with food consumption exclusively at home, eating out increased the consumption of ultra-processed foods by 0 center dot 41 percentage points within and between individuals. Conclusion: In Brazil, the same individual and different individuals had greater consumption of ultra-processed foods when they ate out of home compared with when they ate at home. So, it is necessary to implement public policies which discourage the out-of-home consumption of ultra-processed foods and that provide affordable and accessible less-processed food options.