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Research paper thumbnail of Predictive power of indicators to the perception of food and nutritional insecurity in the Bolsa Família Program

Gestão & produção, 2020

The objective was to analyze the predictive power of indicators of the perception of food and nut... more The objective was to analyze the predictive power of indicators of the perception of food and nutritional insecurity comparing beneficiary and non-beneficiary families of the Bolsa Família Program, through a cross-sectional study with 150 families. Demographic, socioeconomic, food insecurity (Brazilian Food Insecurity Scale), nutritional status (Body Mass Index) and household consumption patterns were collected. The correlation between the demographic, socioeconomic, nutritional status and level of food insecurity were tested using the Pearson correlation coefficient; the association with Chi-square and ANOVA tests; and the prevalence ratio and 95% confidence intervals with Poisson Regression model. The predictive power of indicators of food insecurity was evaluated with the ROC curve. Patterns of food consumption, demographic and health characteristics were not significantly correlated with food insecurity. In the analyzes with the ROC curve, among the beneficiary families, the income derived only from the Bolsa Família and the Renda Cidadã Program with the Bolsa Família presented a better predictive power of food insecurity, covering the curve by 70%, followed by the difference between the income from wages and rent and gas (70%). The proportions of the total income of families spent on rent and gas had low predictive power (67%). Income components, mainly rent and gas spending, showed a better performance in the prediction of Predictive power of indicators… 2/17 Gestão & Produção, 27(3), e5168, 2020 food insecurity among beneficiaries of Bolsa Família, and could be a complementary quantitative indicator to the Brazilian Scale of Food Insecurity.

Research paper thumbnail of Development, Validation, and Reproducibility of Food Group-Based Frequency Questionnaires for Clinical Use in Brazil: A Pre-Hypertension and Hypertension Diet Assessment

Nutrients, Oct 29, 2021

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Diet Data Collected Using 48-h Dietary Recall: Within—and Between-Person Variation

Frontiers in Nutrition, Jul 6, 2021

Research paper thumbnail of P29-014-23 Ultra-Processed Foods, Unprocessed/ Minimally Processed Foods and Risk of Frailty in U.S. Women

Current developments in nutrition, Jul 1, 2023

Research paper thumbnail of Intakes of Unprocessed and Minimally Processed and Ultraprocessed Food Are Associated with Diet Quality in Female and Male Health Professionals in the United States: A Prospective Analysis

Journal of the Academy of Nutrition and Dietetics, Aug 1, 2023

Research paper thumbnail of Padrões alimentares e (in)segurança alimentar e nutricional no Programa Bolsa Família

Interações, Jun 4, 2020

Resumo: O Programa Bolsa Família (PBF) apresenta diversos efeitos na população com riscos e vulne... more Resumo: O Programa Bolsa Família (PBF) apresenta diversos efeitos na população com riscos e vulnerabilidades sociais, principalmente em relação à alimentação, educação e saúde. O objetivo foi identificar padrões alimentares de famílias beneficiárias ou não do PBF em município paulista, analisando sua associação com níveis de insegurança alimentar (IA). O estudo incluiu 150 famílias. Aspectos socioeconômicos, demográficos, antropométricos e de consumo alimentar foram avaliados por meio de questionários validados. A IA foi avaliada pela Escala Brasileira de Insegurança Alimentar (EBIA). Os padrões alimentares foram calculados utilizando a análise de Cluster. A associação entre a IA e o PBF com padrões alimentares foi testada utilizando o modelo de regressão de Poisson. Foram identificados três padrões alimentares: restrito, saudável e tradicional. O padrão restrito foi associado com menor escolaridade, histórico de anemia, IA moderada (IAM) ou IA grave (IAG) e maior idade média. Na análise não ajustada e ajustada para idade, as famílias com IAM ou IAG foram, respectivamente, 55% e 57% mais propensas a aderir um padrão restrito e 41% menos propensas a seguir um padrão saudável. Ter um padrão saudável ou tradicional foi relacionado à origem dessa população, revelando um elemento importante dentro do conceito de SAN: a soberania alimentar. Palavras-chave: saúde pública; políticas públicas; renda familiar; hábitos alimentares; população carente.

Research paper thumbnail of Associação entre o teor de sódio dos alimentos segundo o grau de processamento e controle pressórico de pacientes hipertensos em tratamento

Research paper thumbnail of Obesidade central associa-se com pressão sistólica elevada em indivíduos com índice de massa corporal normal

Research paper thumbnail of Associação entre o consumo de alimentos ultra-processados e pressão arterial

Associação entre o consumo de alimentos ultra-processados e pressão arterial RUCHELLI F LIMA,

Research paper thumbnail of Abstract MP56: Intake of Ultra-Processed Foods is Associated With an Increase in Risk for Type Two Diabetes: Results From Three U.S. Cohort Studies and a Meta-Analysis

Circulation

Introduction: There is limited evidence on the association between long-term consumption of ultra... more Introduction: There is limited evidence on the association between long-term consumption of ultra-processed foods (UPF) and the risk of type 2 diabetes (T2D), among the U.S population. The overall strength of this association has also not been established. Hypothesis: Higher intake of UPF is associated with a higher risk of T2D in U.S. adults. The pooled risk estimates from published literature reinforce the positive relationship between the UPF intakes and T2D. Methods: We first assessed this relationship among 71,871 women from the Nurses’ Health Study (NHS, 1984-2016), 87,918 women from NHSII (1991-2017), and 38,847 men from the Health Professionals Follow-up Study (HPFS, 1986-2016) who were all free of T2D at baseline. Diet was assessed using food frequency questionnaires, every 2-4 years. UPF were categorized according to the Nova classification. Information on incident cases of T2D was obtained through follow-up questionnaires every 2 years. The association between UPF intake ...

Research paper thumbnail of Abstract 21: Ultra-Processed Food Consumption is Associated With Higher Coronary Heart Disease Risk in United States Women From Two Large Prospective Cohorts

Circulation, Feb 28, 2023

Research paper thumbnail of Intakes of Unprocessed and Minimally Processed and Ultraprocessed Food Are Associated with Diet Quality in Female and Male Health Professionals in the United States: A Prospective Analysis

Journal of the Academy of Nutrition and Dietetics

Research paper thumbnail of Estratificação de risco para diabetes tipo 2 com base no Findrisc e fatores associados

Revista Baiana de Saúde Pública

Os objetivos deste estudo são estratificar os usuários de um centro de atenção primária segundo o... more Os objetivos deste estudo são estratificar os usuários de um centro de atenção primária segundo o risco de desenvolver diabetes mellitus tipo 2 (DM2), utilizando o Escore Finlandês de Risco de Diabetes (Findrisc), e avaliar fatores associados ao risco elevado de desenvolver DM2. Trata-se de um estudo transversal, com amostra aleatória de duzentos adultos, não diabéticos, de um centro de saúde escola. Utilizou-se regressão logística para investigar fatores associados ao escore elevado (≥ 15 pontos) no Findrisc. Observou-se que 33,5% apresentavam risco discretamente aumentado, 17% risco moderado e 34,5% risco alto/muito alto para desenvolver DM2. Aqueles com menor escolaridade (OR: 3,21; IC: 1,52-6,77) e com histórico de hipercolesterolemia (OR: 2,47; IC: 1,27-4,81) exibiram maior chance de apresentar escore elevado. Em conclusão, a frequência de indivíduos com risco alto/muito alto de desenvolver DM2 foi elevada na população estudada, e o menor nível de escolaridade e o histórico de ...

Research paper thumbnail of Ultra-Processed Food Consumption and Risk of Type 2 Diabetes: Three Large Prospective U.S. Cohort Studies

Diabetes Care

OBJECTIVE We examined the relationship between ultra-processed food (UPF) intake and type 2 diabe... more OBJECTIVE We examined the relationship between ultra-processed food (UPF) intake and type 2 diabetes (T2D) risk among 3 large U.S. cohorts, conducted a meta-analysis of prospective cohort studies, and assessed meta-evidence quality. RESEARCH DESIGN AND METHODS We included 71,871 women from the Nurses’ Health Study, 87,918 women from the Nurses’ Health Study II, and 38,847 men from the Health Professional Follow-Up Study. Diet was assessed using food frequency questionnaires and UPF was categorized per the NOVA classification. Associations of total and subgroups of UPF with T2D were assessed using Cox proportional hazards models. We subsequently conducted a meta-analysis of prospective cohort studies on total UPF and T2D risk, and assessed meta-evidence quality using the NutriGrade scoring system. RESULTS Among the U.S. cohorts (5,187,678 person-years; n = 19,503 T2D cases), the hazard ratio for T2D comparing extreme quintiles of total UPF intake (percentage of grams per day) was 1.4...

Research paper thumbnail of Ultra-processed food consumption and risk of colorectal cancer precursors: results from 3 prospective cohorts

JNCI: Journal of the National Cancer Institute

Background Growing evidence indicates the adverse effect of ultra-processed food (UPF) consumptio... more Background Growing evidence indicates the adverse effect of ultra-processed food (UPF) consumption. However, it remains unknown whether UPF consumption influences the risk of colorectal cancer (CRC) precursors, namely conventional adenomas and serrated lesions. Methods We drew data from the Nurses’ Health Study, Nurses’ Health Study II, and Health Professionals Follow-up Study, comprising 142 052 participants who had undergone at least 1 lower gastrointestinal endoscopy during follow-up. To handle multiple records per participants, we used multivariable logistic regression for clustered data to calculate odds ratios (OR) and 95% confidence intervals (CIs) of colorectal polyps in relation to cumulative average consumption of UPFs. All statistical tests were 2-sided. Results We documented 11 644 patients with conventional adenomas and 10 478 with serrated lesions during 18-20 years of follow-up. Compared with participants in the lowest quintile of UPF consumption, those in the highest...

Research paper thumbnail of Diet Data Collected Using 48-h Dietary Recall: Within—and Between-Person Variation

Frontiers in Nutrition

Background and Aims: Forty-eight-hour dietary recall is a valuable source of information regardin... more Background and Aims: Forty-eight-hour dietary recall is a valuable source of information regarding food consumption in a population-based sample. This method covers 2 consecutive days in a single interview. Nevertheless, the number of assessments and the sample size necessary to estimate usual intake are unknown. We aimed to assess sources of variation, sample sizes, and numbers of days necessary to estimate usual nutrient intake using the 48-h dietary recall.Methods: This was a population-based cross-sectional study including 237 participants, 11–90 years old, selected using multistage probabilistic sampling to obtain data using 48-h dietary recall. Analysis of variance was used to calculate within- and between-person variation and determine the statistical parameters necessary to calculate sample size and the number of days required to calculate the usual energy and nutrient intake.Results: Within-person variation was generally lower than between-person variation, except for calci...

Research paper thumbnail of 116: Association Between Ultra-Processed Food Consumption and Risk of Colorectal Cancer Precursors in Three Us Cohorts

Research paper thumbnail of Associação entre o teor de sódio dos alimentos segundo o grau de processamento e controle pressórico de pacientes hipertensos em tratamento

Research paper thumbnail of Associação entre o consumo de alimentos ultra-processados e pressão arterial

Associação entre o consumo de alimentos ultra-processados e pressão arterial RUCHELLI F LIMA,

Research paper thumbnail of Efeito dos dias da semana sobre a ingestão de macro-nutrientes avaliado por questionário de freqüência alimentar

Research paper thumbnail of Predictive power of indicators to the perception of food and nutritional insecurity in the Bolsa Família Program

Gestão & produção, 2020

The objective was to analyze the predictive power of indicators of the perception of food and nut... more The objective was to analyze the predictive power of indicators of the perception of food and nutritional insecurity comparing beneficiary and non-beneficiary families of the Bolsa Família Program, through a cross-sectional study with 150 families. Demographic, socioeconomic, food insecurity (Brazilian Food Insecurity Scale), nutritional status (Body Mass Index) and household consumption patterns were collected. The correlation between the demographic, socioeconomic, nutritional status and level of food insecurity were tested using the Pearson correlation coefficient; the association with Chi-square and ANOVA tests; and the prevalence ratio and 95% confidence intervals with Poisson Regression model. The predictive power of indicators of food insecurity was evaluated with the ROC curve. Patterns of food consumption, demographic and health characteristics were not significantly correlated with food insecurity. In the analyzes with the ROC curve, among the beneficiary families, the income derived only from the Bolsa Família and the Renda Cidadã Program with the Bolsa Família presented a better predictive power of food insecurity, covering the curve by 70%, followed by the difference between the income from wages and rent and gas (70%). The proportions of the total income of families spent on rent and gas had low predictive power (67%). Income components, mainly rent and gas spending, showed a better performance in the prediction of Predictive power of indicators… 2/17 Gestão & Produção, 27(3), e5168, 2020 food insecurity among beneficiaries of Bolsa Família, and could be a complementary quantitative indicator to the Brazilian Scale of Food Insecurity.

Research paper thumbnail of Development, Validation, and Reproducibility of Food Group-Based Frequency Questionnaires for Clinical Use in Brazil: A Pre-Hypertension and Hypertension Diet Assessment

Nutrients, Oct 29, 2021

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Diet Data Collected Using 48-h Dietary Recall: Within—and Between-Person Variation

Frontiers in Nutrition, Jul 6, 2021

Research paper thumbnail of P29-014-23 Ultra-Processed Foods, Unprocessed/ Minimally Processed Foods and Risk of Frailty in U.S. Women

Current developments in nutrition, Jul 1, 2023

Research paper thumbnail of Intakes of Unprocessed and Minimally Processed and Ultraprocessed Food Are Associated with Diet Quality in Female and Male Health Professionals in the United States: A Prospective Analysis

Journal of the Academy of Nutrition and Dietetics, Aug 1, 2023

Research paper thumbnail of Padrões alimentares e (in)segurança alimentar e nutricional no Programa Bolsa Família

Interações, Jun 4, 2020

Resumo: O Programa Bolsa Família (PBF) apresenta diversos efeitos na população com riscos e vulne... more Resumo: O Programa Bolsa Família (PBF) apresenta diversos efeitos na população com riscos e vulnerabilidades sociais, principalmente em relação à alimentação, educação e saúde. O objetivo foi identificar padrões alimentares de famílias beneficiárias ou não do PBF em município paulista, analisando sua associação com níveis de insegurança alimentar (IA). O estudo incluiu 150 famílias. Aspectos socioeconômicos, demográficos, antropométricos e de consumo alimentar foram avaliados por meio de questionários validados. A IA foi avaliada pela Escala Brasileira de Insegurança Alimentar (EBIA). Os padrões alimentares foram calculados utilizando a análise de Cluster. A associação entre a IA e o PBF com padrões alimentares foi testada utilizando o modelo de regressão de Poisson. Foram identificados três padrões alimentares: restrito, saudável e tradicional. O padrão restrito foi associado com menor escolaridade, histórico de anemia, IA moderada (IAM) ou IA grave (IAG) e maior idade média. Na análise não ajustada e ajustada para idade, as famílias com IAM ou IAG foram, respectivamente, 55% e 57% mais propensas a aderir um padrão restrito e 41% menos propensas a seguir um padrão saudável. Ter um padrão saudável ou tradicional foi relacionado à origem dessa população, revelando um elemento importante dentro do conceito de SAN: a soberania alimentar. Palavras-chave: saúde pública; políticas públicas; renda familiar; hábitos alimentares; população carente.

Research paper thumbnail of Associação entre o teor de sódio dos alimentos segundo o grau de processamento e controle pressórico de pacientes hipertensos em tratamento

Research paper thumbnail of Obesidade central associa-se com pressão sistólica elevada em indivíduos com índice de massa corporal normal

Research paper thumbnail of Associação entre o consumo de alimentos ultra-processados e pressão arterial

Associação entre o consumo de alimentos ultra-processados e pressão arterial RUCHELLI F LIMA,

Research paper thumbnail of Abstract MP56: Intake of Ultra-Processed Foods is Associated With an Increase in Risk for Type Two Diabetes: Results From Three U.S. Cohort Studies and a Meta-Analysis

Circulation

Introduction: There is limited evidence on the association between long-term consumption of ultra... more Introduction: There is limited evidence on the association between long-term consumption of ultra-processed foods (UPF) and the risk of type 2 diabetes (T2D), among the U.S population. The overall strength of this association has also not been established. Hypothesis: Higher intake of UPF is associated with a higher risk of T2D in U.S. adults. The pooled risk estimates from published literature reinforce the positive relationship between the UPF intakes and T2D. Methods: We first assessed this relationship among 71,871 women from the Nurses’ Health Study (NHS, 1984-2016), 87,918 women from NHSII (1991-2017), and 38,847 men from the Health Professionals Follow-up Study (HPFS, 1986-2016) who were all free of T2D at baseline. Diet was assessed using food frequency questionnaires, every 2-4 years. UPF were categorized according to the Nova classification. Information on incident cases of T2D was obtained through follow-up questionnaires every 2 years. The association between UPF intake ...

Research paper thumbnail of Abstract 21: Ultra-Processed Food Consumption is Associated With Higher Coronary Heart Disease Risk in United States Women From Two Large Prospective Cohorts

Circulation, Feb 28, 2023

Research paper thumbnail of Intakes of Unprocessed and Minimally Processed and Ultraprocessed Food Are Associated with Diet Quality in Female and Male Health Professionals in the United States: A Prospective Analysis

Journal of the Academy of Nutrition and Dietetics

Research paper thumbnail of Estratificação de risco para diabetes tipo 2 com base no Findrisc e fatores associados

Revista Baiana de Saúde Pública

Os objetivos deste estudo são estratificar os usuários de um centro de atenção primária segundo o... more Os objetivos deste estudo são estratificar os usuários de um centro de atenção primária segundo o risco de desenvolver diabetes mellitus tipo 2 (DM2), utilizando o Escore Finlandês de Risco de Diabetes (Findrisc), e avaliar fatores associados ao risco elevado de desenvolver DM2. Trata-se de um estudo transversal, com amostra aleatória de duzentos adultos, não diabéticos, de um centro de saúde escola. Utilizou-se regressão logística para investigar fatores associados ao escore elevado (≥ 15 pontos) no Findrisc. Observou-se que 33,5% apresentavam risco discretamente aumentado, 17% risco moderado e 34,5% risco alto/muito alto para desenvolver DM2. Aqueles com menor escolaridade (OR: 3,21; IC: 1,52-6,77) e com histórico de hipercolesterolemia (OR: 2,47; IC: 1,27-4,81) exibiram maior chance de apresentar escore elevado. Em conclusão, a frequência de indivíduos com risco alto/muito alto de desenvolver DM2 foi elevada na população estudada, e o menor nível de escolaridade e o histórico de ...

Research paper thumbnail of Ultra-Processed Food Consumption and Risk of Type 2 Diabetes: Three Large Prospective U.S. Cohort Studies

Diabetes Care

OBJECTIVE We examined the relationship between ultra-processed food (UPF) intake and type 2 diabe... more OBJECTIVE We examined the relationship between ultra-processed food (UPF) intake and type 2 diabetes (T2D) risk among 3 large U.S. cohorts, conducted a meta-analysis of prospective cohort studies, and assessed meta-evidence quality. RESEARCH DESIGN AND METHODS We included 71,871 women from the Nurses’ Health Study, 87,918 women from the Nurses’ Health Study II, and 38,847 men from the Health Professional Follow-Up Study. Diet was assessed using food frequency questionnaires and UPF was categorized per the NOVA classification. Associations of total and subgroups of UPF with T2D were assessed using Cox proportional hazards models. We subsequently conducted a meta-analysis of prospective cohort studies on total UPF and T2D risk, and assessed meta-evidence quality using the NutriGrade scoring system. RESULTS Among the U.S. cohorts (5,187,678 person-years; n = 19,503 T2D cases), the hazard ratio for T2D comparing extreme quintiles of total UPF intake (percentage of grams per day) was 1.4...

Research paper thumbnail of Ultra-processed food consumption and risk of colorectal cancer precursors: results from 3 prospective cohorts

JNCI: Journal of the National Cancer Institute

Background Growing evidence indicates the adverse effect of ultra-processed food (UPF) consumptio... more Background Growing evidence indicates the adverse effect of ultra-processed food (UPF) consumption. However, it remains unknown whether UPF consumption influences the risk of colorectal cancer (CRC) precursors, namely conventional adenomas and serrated lesions. Methods We drew data from the Nurses’ Health Study, Nurses’ Health Study II, and Health Professionals Follow-up Study, comprising 142 052 participants who had undergone at least 1 lower gastrointestinal endoscopy during follow-up. To handle multiple records per participants, we used multivariable logistic regression for clustered data to calculate odds ratios (OR) and 95% confidence intervals (CIs) of colorectal polyps in relation to cumulative average consumption of UPFs. All statistical tests were 2-sided. Results We documented 11 644 patients with conventional adenomas and 10 478 with serrated lesions during 18-20 years of follow-up. Compared with participants in the lowest quintile of UPF consumption, those in the highest...

Research paper thumbnail of Diet Data Collected Using 48-h Dietary Recall: Within—and Between-Person Variation

Frontiers in Nutrition

Background and Aims: Forty-eight-hour dietary recall is a valuable source of information regardin... more Background and Aims: Forty-eight-hour dietary recall is a valuable source of information regarding food consumption in a population-based sample. This method covers 2 consecutive days in a single interview. Nevertheless, the number of assessments and the sample size necessary to estimate usual intake are unknown. We aimed to assess sources of variation, sample sizes, and numbers of days necessary to estimate usual nutrient intake using the 48-h dietary recall.Methods: This was a population-based cross-sectional study including 237 participants, 11–90 years old, selected using multistage probabilistic sampling to obtain data using 48-h dietary recall. Analysis of variance was used to calculate within- and between-person variation and determine the statistical parameters necessary to calculate sample size and the number of days required to calculate the usual energy and nutrient intake.Results: Within-person variation was generally lower than between-person variation, except for calci...

Research paper thumbnail of 116: Association Between Ultra-Processed Food Consumption and Risk of Colorectal Cancer Precursors in Three Us Cohorts

Research paper thumbnail of Associação entre o teor de sódio dos alimentos segundo o grau de processamento e controle pressórico de pacientes hipertensos em tratamento

Research paper thumbnail of Associação entre o consumo de alimentos ultra-processados e pressão arterial

Associação entre o consumo de alimentos ultra-processados e pressão arterial RUCHELLI F LIMA,

Research paper thumbnail of Efeito dos dias da semana sobre a ingestão de macro-nutrientes avaliado por questionário de freqüência alimentar