Whole grain products in Brazil: the need for regulation to ensure nutritional benefits and prevent the misuse of marketing strategies

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorANDRADE, Giovanna Calixto
dc.contributor.authorMAIS, Lais Amaral
dc.contributor.authorRICARDO, Camila Zancheta
dc.contributor.authorDURAN, Ana Clara
dc.contributor.authorMARTINS, Ana Paula Bortoletto
dc.date.accessioned2024-04-05T19:36:32Z
dc.date.available2024-04-05T19:36:32Z
dc.date.issued2023
dc.description.abstractOBJECTIVE: This study aims to evaluate the use of ""whole grains"" claims in food products marketed in Brazil and evaluate the nutrient profile of these products. METHODS: Data from 775 grain-based packaged foods collected in Brazil from April to July 2017 were analyzed. Based on the INFORMAS protocol for food labeling, the prevalence of packaged foods with ""whole grains"" claims was estimated. Information on the list of ingredients was analyzed to evaluate the presence and amount of whole or refined grains in six food groups. The nutrient profiles of the products with and without ""whole grains"" claims were compared using the Pan American Health Organization (PAHO) nutrient profile model. RESULTS: The packages of about 19% of the evaluated products showed ""whole grains"" claims in their front panel. Of these, 35% lacked any whole grains among their top three ingredients. Breakfast cereals, granola bars, bread, cakes and other bakery products, cookies, and pasta had higher amounts of refined flour than whole grain ingredients in their compositions. We found 66% of products with ""whole grains"" claims were high in nutrients of concern according to PAHO's criteria. CONCLUSION: Our results showed that over a third of the products in Brazil with ""whole grains"" claims lacked whole grains as one of their main ingredients. Most had a high content of nutrients associated with noncommunicable chronic disease risk factors, indicating the overestimation of their health benefits.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.description.indexScielo
dc.description.sponsorshipInternational Development Research Centre (IDRC) [108166-001]
dc.description.sponsorshipBloomberg Philanthropies [5104695]
dc.identifier.citationREVISTA DE SAUDE PUBLICA, v.57, article ID 58, 9p, 2023
dc.identifier.doi10.11606/s1518-8787.2023057004790
dc.identifier.eissn1518-8787
dc.identifier.issn0034-8910
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59103
dc.language.isoeng
dc.publisherREVISTA DE SAUDE PUBLICAeng
dc.relation.ispartofRevista de Saude Publica
dc.rightsopenAccesseng
dc.rights.holderCopyright REVISTA DE SAUDE PUBLICAeng
dc.subjectWhole Grainseng
dc.subjectFood Labelingeng
dc.subjectNutritive Valueeng
dc.subject.otherdiseaseeng
dc.subject.otherriskeng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.titleWhole grain products in Brazil: the need for regulation to ensure nutritional benefits and prevent the misuse of marketing strategieseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryChile
hcfmusp.affiliation.countryisocl
hcfmusp.author.externalMAIS, Lais Amaral:Inst Brasileiro Defesa Consumidor, Sao Paulo, SP, Brazil
hcfmusp.author.externalRICARDO, Camila Zancheta:Univ Sao Paulo, Nucleo Pesquisas Epidemiol Nutr & Saude, Sao Paulo, SP, Brazil; Univ Chile, Escuela Salud Publ, Fac Med, Santiago, Chile
hcfmusp.author.externalDURAN, Ana Clara:Univ Sao Paulo, Nucleo Pesquisas Epidemiol Nutr & Saude, Sao Paulo, SP, Brazil; Univ Estadual Campinas, Nucleo Estudos & Pesquisas Alimentacao, Campinas, SP, Brazil
hcfmusp.author.externalMARTINS, Ana Paula Bortoletto:Univ Sao Paulo, Nucleo Pesquisas Epidemiol Nutr & Saude, Sao Paulo, SP, Brazil; Inst Brasileiro Defesa Consumidor, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcGIOVANNA CALIXTO ANDRADE
hcfmusp.description.articlenumber58
hcfmusp.description.volume57
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1164347285
hcfmusp.origem.pubmed37878844
hcfmusp.origem.scieloSCIELO:S0034-89102023000100247
hcfmusp.origem.scopus2-s2.0-85175220878
hcfmusp.origem.wosWOS:001155297100004
hcfmusp.publisher.citySAO PAULOeng
hcfmusp.publisher.countryBRAZILeng
hcfmusp.relation.referenceAgencia Nacional de Vigilancia Sanitaria, 2018, Alimentos a base de cereais integrais: documento de base para discussao regulatoriaeng
hcfmusp.relation.reference[Anonymous], 2004, Global strategy on diet, physical activity and health: Physical activity and older adultseng
hcfmusp.relation.reference[Anonymous], 2016, PAN AM HLTH ORG NUTReng
hcfmusp.relation.referenceAune D, 2016, BMJ-BRIT MED J, V353, DOI 10.1136/bmj.i2716eng
hcfmusp.relation.referenceAune D, 2013, EUR J EPIDEMIOL, V28, P845, DOI 10.1007/s10654-013-9852-5eng
hcfmusp.relation.referenceBrasil. Ministerio da Saude. Conselho Nacional de Normas e Padroes para Alimentos, 1978, Resolucao N 12, de 1978. Aprovar as seguintes NORMAS TECNICAS ESPECIAIS, do Estado de Sao Paulo, revistas pela CNNPA, relativas a alimentos (e bebidas), para efeito em todo territorio brasileiroeng
hcfmusp.relation.referenceEuromonitor I, 2016, Passport: grocery retailers in Brazileng
hcfmusp.relation.referenceHallgren Kevin A, 2012, Tutor Quant Methods Psychol, V8, P23eng
hcfmusp.relation.referenceInstituto Brasileiro de Geografia e Estatistica, 2011, Pesquisa de orcamentos familiares (POF) 2008-2009: analise do consumo alimentar pessoal no Brasileng
hcfmusp.relation.referenceInstituto Brasileiro de Geografia e Estatistica, 2010, Censo Demografico 2010eng
hcfmusp.relation.referenceKanter R, 2017, CURR DEV NUTR, V1, DOI 10.3945/cdn.117.001016eng
hcfmusp.relation.referenceMachado PP, 2016, BRIT FOOD J, V118, P1579, DOI 10.1108/BFJ-10-2015-0353eng
hcfmusp.relation.referenceMartins CA, 2015, PUBLIC HEALTH NUTR, V18, P1206, DOI 10.1017/S1368980014001736eng
hcfmusp.relation.referenceMinisterio da Saude (BR), 2002, Agencia Nacional de Vigilancia Sanitaria. Resolucao-RDC n 184, de 22 de outubro de 2001. O registro de produtos saneantes domissanitarios e afins, de uso domiciliar, institucional e profissional e efetuado levando-se em conta a avaliacao e o gerenciamento do riscoeng
hcfmusp.relation.referenceMinisterio da Saude (BR), 2005, Regulamento tecnico para produtos de cereais, amidos, farinhas e fareloseng
hcfmusp.relation.referenceMinisterio da Saude (BR), 2020, Diario Oficial Uniaoeng
hcfmusp.relation.referenceMorenga LT, 2013, BMJ-BRIT MED J, V346, DOI 10.1136/bmj.e7492eng
hcfmusp.relation.referenceMozaffarian D, 2009, EUR J CLIN NUTR, V63, pS5, DOI 10.1038/sj.ejcn.1602973eng
hcfmusp.relation.referencePan American Health Organization World Health Organization, 2015, Ultra-processed products in Latin America: trends, impact on obesity, policy implicationseng
hcfmusp.relation.referenceRayner M, 2017, INFORMAS Protocol: Food Labelling Moduleeng
hcfmusp.relation.referenceRicardo CZ, 2019, NUTRIENTS, V11, DOI 10.3390/nu11092130eng
hcfmusp.relation.referenceSchwartz MB, 2008, J AM DIET ASSOC, V108, P702, DOI 10.1016/j.jada.2008.01.003eng
hcfmusp.relation.referenceSilva VC, 2014, DEMETRA, V9, P985, DOI [10.12957/demetra.2014.11979, DOI 10.12957/DEMETRA.2014.11979]eng
hcfmusp.relation.referenceSlavin JL, 2001, J AM DIET ASSOC, V101, P780, DOI 10.1016/S0002-8223(01)00194-8eng
hcfmusp.relation.referenceSumanac D, 2013, APPETITE, V62, P1, DOI 10.1016/j.appet.2012.11.010eng
hcfmusp.relation.referenceUnited Kingdom, 1998, Instruments UKS: the bread and flour regulationseng
hcfmusp.relation.referenceUnited States of America, 1994, Food and Drug A. 21 Code of Federal Regulationseng
hcfmusp.relation.referenceWHO, 2003, WHO TECH REP SER, V916, P1eng
hcfmusp.relation.referenceWorld Health Organization, 2015, Guideline: sugars intake for adults and childreneng
hcfmusp.relation.referenceYe EQ, 2012, J NUTR, V142, P1304, DOI 10.3945/jn.111.155325eng
hcfmusp.scopus.lastupdate2024-05-17
relation.isAuthorOfPublication53326a77-b693-42a6-8c68-2456e36e6c17
relation.isAuthorOfPublication.latestForDiscovery53326a77-b693-42a6-8c68-2456e36e6c17
Arquivos