The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil

卷:19

Duran, Ana Clara ; de Almeida, Samuel Luna ; Latorre, Maria do Rosario D. O. ; Jaime, Patricia Constante

Univ Sao Paulo

关键词: Food environment;    Neighbourhoods;    Fruits;    Vegetables;    Sugar-sweetened beverages;   

DOI  :  10.1017/S1368980015001524

学科分类：食品科学和技术

【 摘 要 】

Objective: To examine the relationship between the local retail food environment and consumption of fruits and vegetables (FV) and sugar-sweetened beverages (SSB) in SAo Paulo, Brazil, as well as the moderation effects of income in the studied relationships. Design: Cross-sectional study design that drew upon neighbourhood- and individual-level data. For each participant, community (density and proximity) and community food environment (availability, variety, quality and price) measures of FV and SSB were assessed in retail food stores and specialized fresh produce markets within 1.6 km of their homes. Poisson generalized estimating equations (GEE) were used to model the associations of food consumption with food environment measures, adjusted by individual-level characteristics. Setting: SAo Paulo, Brazil. Subjects: Adults (n 1842) residing in the same census tracts (n 52) in SAo Paulo, Brazil as those where the neighbourhood-level measures were taken. Results: FV availability in neighbourhoods was associated with regular FV consumption (>= 5 times/week; prevalence ratio=1.41; 95 % CI 1.19, 1.67). Regular FV consumption prevalence was significantly lower among lower-income individuals living in neighbourhoods with fewer supermarkets and fresh produce markets (P-interaction <0.05). A greater variety of SSB was associated with a 15 % increase in regular SSB consumption (>= 5 times/week) prevalence, after adjustment for confounding variables. Conclusions: Our findings suggest that the local retail food environment is associated with FV and SSB consumption in a Brazilian urban sample.