Association between depression and ultra-processed food consumption: a population-based study (Vigitel, 2023).

OBJECTIVES: To evaluate the association of ultra-processed food (UPF) consumption with depression among Brazilian adults (≥18 years). STUDY DESIGN: Cross-sectional study. METHODS: Data were obtained from a population-based survey conducted in 2023 (n = 21,690). UPF consumption was investigated using a questionnaire regarding the consumption on the previous day of 13 subgroups of UPF selected from those most consumed in Brazil according to a previous national survey (cutoff score ≥5 subgroups). The medical diagnosis of depression was self-reported. Logistic regression models were used to estimate the adjusted (by sex, age, education, presence of partner/spouse, and overweight) Odds Ratio (aOR) of UPF consumption according to the presence of depression. Analyses were conducted for the total population and stratified by sex. RESULTS: Medical diagnosis of depression was reported by 12.3%. The prevalence of high UPF consumption (≥5 subgroups) was 17.7%, being higher in men (22.0%) and those with depression (19.3%). Depression increased the chance of presenting a high UPF consumption among the total population (aOR 1.35; CI 95% 1.08-1.68) and women (aOR 1.35; CI 95% 1.03-1.77), with no association among men. CONCLUSION: The presence of depression was associated with greater consumption of UPF among Brazilian adults, especially among the female population. Public health actions to reduce UPF consumption could benefit from targeting this population group.

Neighborhood food environment and consumption of fruit and leafy vegetables: Pro-Saude Study, Brazil.

OBJECTIVE: To explore the relationship between availability of different types of retail food stores and consumption of fruit and leafy vegetables. STUDY DESIGN: This study is a cross-sectional study. METHODS: Data were derived from 2032 adults living in the city of Rio de Janeiro, Brazil, participating in the longitudinal Pro-Saude Study. Exposure to street markets, fruit and vegetable stores, groceries and markets, unhealthy food outlets, restaurants, and supermarkets within 1600 m buffers was obtained by georeferencing residential addresses. Consumption of fruit and leafy vegetables was assessed via two single questions, categorized as 'yes' (≥4 days/week) and 'no' (<3 days/week). Multiple logistic regression models were used to assess relationships of interest adjusted for surrounding average monthly income, sex, age, education, and family income per capita. RESULTS: Except for supermarkets, the presence of a greater number of retail food stores - irrespective of the type - was associated with higher odds of consumption of fruit and leafy vegetables than with areas with a lower number (e.g. odds ratio = 1.47; 95% confidence interval = 1.13-1.91). CONCLUSIONS: The greater availability of several types of retail food stores close to participants' residences was associated with higher consumption of fruit and leafy vegetables in Rio de Janeiro.

Time trend of overweight and obesity prevalence among older people in Brazilian State Capitals and the Federal District from 2006 to 2019.

Although the share of older people has been growing in Brazil in past decades, studies investigating trends in overweight and obesity prevalence in this population remain scarce. The objective of this study was to analyze the time trend of overweight and obesity prevalence in older adults in Brazilian State Capitals and the Federal District from 2006 to 2019. This is a time trend study based on data from the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey. The subsample used was composed of individuals aged 60 years or older (n = 202,049). Self-reported weight and height data were used to calculate Body Mass Index (BMI). Overweight (BMI ≥ 25 kg/m2) and obesity (BMI ≥ 30 kg/m2) prevalence were estimated per year for the total population and according to sex, age, schooling, region, and NCD presence. Prais-Winsten regression models were used to identify significant trends in overweight and obesity prevalence over the years. Overweight prevalence increased (p < 0.05) from 53.7 to 61.4% (1.09% per year) within the assessed period, whereas obesity prevalence increased from 16.1 to 22.3% (2.28% per year). Greater increases were observed among men, those aged 70 years old and over, with more than 9-year of schooling, and from less developed regions. The highest increases were observed in groups with the lowest values at the beginning of the study period. Results evidenced the high and growing prevalence of overweight and obesity among older people in Brazilian.