Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach

dc.creatorVictor, Audêncio
dc.creatorSilva, Rita de Cassia Ribeiro
dc.creatorSilva, Natanael de Jesus
dc.creatorFerreira, Andrea
dc.creatorBarreto, Maurício L.
dc.creatorCampello, Tereza
dc.date2023-01-25T14:09:45Z
dc.date2023-01-25T14:09:45Z
dc.date2023
dc.date.accessioned2023-09-27T00:15:02Z
dc.date.available2023-09-27T00:15:02Z
dc.identifierVICTOR, Audêncio et al. Influence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach. American Journal of Preventive Medicine, v. 64, n. 2, p. 1-8, 2023.
dc.identifier0749-3797
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/56614
dc.identifier10.1016/j.amepre.2022.09.018
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8898955
dc.descriptionCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.descriptionIntroduction: Cardiovascular disease is the main cause of general and premature death of adults aged 30–69 years in Brazil and around the world. Unhealthy food environments have been implicated as one of the factors associated with cardiovascular disease morbimortality because they affect people's health conditions and nutrition. This study aims to explore the association between unhealthy food environments (deserts/swamps) and premature cardiovascular disease mortality in the Brazilian population. Methods: This is an ecologic study using data from 5,558 Brazilian municipalities in 2016. The cardiovascular disease mortality data were obtained from the Mortality Information System of the Ministry of Health. The study on mapping food deserts in Brazil, developed by the Interministerial Chamber of Food and Nutrition Security, was used to evaluate the physical dimension of food access. The authors calculated the standardized rates of premature general and specific cardiovascular disease (stroke and ischemic heart disease) causes of death in the same period. To characterize food environments, the density of unprocessed and ultraprocessed foods per 10,000 population in tertiles was used. Crude and adjusted negative binomial regression models were used to study the associations of interest. Results: After the necessary adjustments (human development index, gross domestic product per capita, unemployment rate, Gini index and Family Health Strategy coverage), it was found that municipalities with low unprocessed food supply were at the highest risk of increased mortality among women with ischemic heart disease (rate ratio first tertile: 1.08 [95% CI=1.01, 1.15]). Conversely, the municipalities where there was a greater offer of ultraprocessed foods showed a higher risk of death from cardiovascular diseases (rate ratio second tertile: 1.17 [95% CI=1.12, 1.22]; rate ratio third tertile: 1.20 [95% CI=1.14, 1.26]), from strokes (rate ratio second tertile: 1.19 [95% CI=1.13, 1.25]; rate ratio third tertile: 1.22 [95% CI=1.15, 1.30]), and ischemic heart disease (rate ratio second tertile: 1.19 [95% CI=1.12, 1.25]; rate ratio third tertile: 1.22 [95% CI=1.13, 1.29]). Conclusions: This study's findings show an increase in the risk of cardiovascular disease, stroke, and ischemic heart disease mortality, especially in the municipalities where there was a greater offer of ultraprocessed foods. Initiatives aiming to minimize the effects of these food environments are urgently needed in the Brazilian context.
dc.formatapplication/pdf
dc.languageeng
dc.publisherElsevier
dc.rightsopen access
dc.subjectAlimentos não saudáveis
dc.subjectDoença cardiovascular prematura
dc.subjectMortalidade
dc.subjectBrasil
dc.subjectUnhealthy food
dc.subjectPremature cardiovascular disease
dc.subjectMortality
dc.subjectBrazil
dc.subjectAlimentos
dc.subjectDoenças Cardiovasculares
dc.subjectMortalidade
dc.subjectBrasil
dc.titleInfluence of unhealthy food environment on premature cardiovascular disease mortality in Brazil: an ecologic approach
dc.typeArticle


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