Zapata María Elisa, Rovirosa Alicia, Carmuega Esteban
Centro de Estudios sobre Nutrición Infantil Dr. Alejandro O'Donnell, Buenos Aires, Argentina.
Cad Saude Publica. 2022 Jun 8;38(5):e00252021. doi: 10.1590/0102-311XES252021. eCollection 2022.
Growing evidence of the global transition in food systems exists, affecting the availability, accessibility, affordability, and convenience of highly processed foods. This study aimed to evaluate the apparent consumption of energy, saturated fat, added sugars, and sodium according to the degree of food processing in Argentina from 1996 to 2018 and according to income level. This is a descriptive and cross-sectional study with data on food and beverage expenditures and income from the National Household Expenditure Survey for years 1996-1997, 2004-2005, 2012-2013, and 2017-2018, including more than 20,000 households in each period. The apparent daily consumption of energy, saturated fat, added sugars, and sodium per adult for: (1) minimally processed foods; (2) processed culinary ingredients; (3) processed foods; and (4) ultra-processed products, was calculated for each period and according to per capita income quintile in each household. Descriptive statistical analysis was performed. Reductions in the proportion of energy and all nutrients evaluated from minimally processed foods, culinary ingredients and processed foods were observed, as well as an increase in the consumption of ultra-processed products. One also observes a greater share from ultra-processed foods as household income increases but with decreasing differences over time. Therefore, future strategies in Argentina should promote the consumption of minimally processed foods and discourage the availability and accessibility of ultra-processed ones, especially for the most vulnerable groups.
全球粮食系统转型的证据越来越多,这影响了高度加工食品的可获得性、可及性、可负担性和便利性。本研究旨在根据1996年至2018年阿根廷食品加工程度以及收入水平,评估能量、饱和脂肪、添加糖和钠的表观消费量。这是一项描述性横断面研究,数据来自1996 - 1997年、2004 - 2005年、2012 - 2013年和2017 - 2018年的全国家庭支出调查中的食品和饮料支出以及收入情况,每个时期包括超过20000户家庭。计算了每个时期以及每户家庭按人均收入五分位数划分的成年人每日能量、饱和脂肪、添加糖和钠的表观消费量:(1) 最低加工食品;(2) 加工烹饪原料;(3) 加工食品;(4) 超加工产品。进行了描述性统计分析。观察到最低加工食品、烹饪原料和加工食品中能量及所有评估营养素的比例下降,以及超加工产品消费量增加。还观察到随着家庭收入增加,超加工食品的份额更大,但随着时间推移差异在减小。因此,阿根廷未来的策略应促进最低加工食品的消费,并抑制超加工食品的可获得性和可及性,尤其是对最弱势群体而言。