ltra-processed foods in institutional food services: what are diners eating?

Authors

  • Marina Padovan Department of Nutrition, Postgraduate Program in Nutrition - Federal University of Santa Catarina https://orcid.org/0000-0001-7547-732X
  • Diogo Thimoteo da Cunha Faculty of Applied Sciences (FCA), Multidisciplinary Laboratory of Food and Health (LabMAS), Postgraduate Program in Nutritional Sciences https://orcid.org/0000-0001-5928-9265
  • Carla Adriano Martins Multidisciplinary Center, Federal University of Rio de Janeiro https://orcid.org/0000-0002-6902-0232
  • Alyne Michelle Botelho Department of Nutrition, Postgraduate Program in Nutrition - Federal University of Santa Catarina https://orcid.org/0000-0001-5108-4812
  • Nicole de Souza Bim Faculty of Applied Sciences (FCA), Multidisciplinary Laboratory of Food and Health (LabMAS), Postgraduate Program in Nutritional Sciences, Sports and Metabolism (CNEM) - State University of Campinas https://orcid.org/0000-0003-3925-8511
  • Anne Rodrigues Nicoletto Faculty of Applied Sciences (FCA), Multidisciplinary Laboratory of Food and Health (LabMAS), Postgraduate Program in Nutritional Sciences, Sports and Metabolism (CNEM) - State University of Campinas https://orcid.org/0000-0003-3365-1777
  • Giovanna medeiros Rataichesck Fiates Department of Nutrition, Postgraduate Program in Nutrition - Federal University of Santa Catarina https://orcid.org/0000-0001-7830-1215
  • Caroline Dário Capitani Faculty of Applied Sciences (FCA), Multidisciplinary Laboratory of Food and Health (LabMAS), Postgraduate Program in Nutritional Sciences, Sports and Metabolism (CNEM) - State University of Campinas https://orcid.org/0000-0002-3466-6148

DOI:

https://doi.org/10.37527/2023.73.1.002

Keywords:

Ultra-Processed Foods, Institutional Food Service, Lunch Menus, Diner’s Health

Abstract

Introduction. Frequent use of ultra-processed foods (UPF) leads to poor health outcomes, and the population must avoid their consumption. Objective. To assess the occurrence of ultra-processed foods (UPFs) in culinary lunch menus from various institutional food services. Materials and methods. Over one month, the five institutional food services analyzed served 1,128 culinary preparations; and a total of 3,863 ingredients were classified according to the extent and purpose of processing using the NOVA classification system. Associations between the occurrence of UPFs and the type, size, and management of food service establishments were analyzed. Five institutional food services in three municipalities (Bauru, Limeira, and Campinas), Brazil. Results. We found 8.4 % up to 12.6 % UPF ingredients used in culinary preparations. The highest frequency of UPFs was associated with private cafeterias (p = 0.002). Most UPFs were part of the recipe or the main ingredient in protein dishes and desserts (p < 0.05) and in university and hospital food services, respectively. UPF use was associated with food service size and type of management (p ≤ 0.003) and was more prevalent in protein dishes (p = 0.003) and large-size institutional food services (28.8 %). Self-managed units (p = 0.03) also use high amounts of UPFs in protein dishes (20.3 %). Conclusions. The presence of UPF rounded 10%; the validity of this value needs further studies. There are no comparative data in the scientific literature regarding the use of these ingredients in institutional food service culinary preparations. Therefore, it is necessary to stimulate reflection to promote healthy food habits and adequate nutrition for diners.

Downloads

Download data is not yet available.

References

Monteiro CA, Cannon G, Levy RB et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22(5):936-941. doi:10.1017/s1368980018003762

Monteiro CA, Cannon G, Lawrence M, Costa Louzada ML, Pereira Machado P. 2019. Ultra-processed foods, diet quality, and health using the NOVA classification system. Rome, FAO

Blanco-Rojo R, Sandoval-Insausti H, López-Garcia E et al. Consumption of ultra-processed foods and mortality: a National Prospective Cohort in Spain. Mayo Clin Proc. 2019;94(11):2178–2188. doi: 10.1016/j.mayocp.2019.03.035

Kim H, Hu EA, Rebholz CM. Ultra-processed food intake and mortality in the USA: results from the third National Health and nutrition examination survey (NHANES III, 1988-1994). Public Health Nutr. 2019;22(10):1777-1785. doi: 10.1017/S1368980018003890.

Rico-Campa A, Martínez-Gonzalez MA, Alvarez-Alvarez I. et al. Association between consumption of ultraprocessed foods and all cause mortality: SUN prospective cohort study. BMJ. 2019 May 29;365: l1949. doi: 10.1136/bmj.l1949.

Schnabel L, Kesse-Guyot E, Alles B. et al. Association between Ultraprocessed food consumption and risk of mortality among middle-aged adults in France. JAMA Intern Med. 2019;179(4):490–498. doi: 10.1001/jamainternmed.2018.7289.

Mendonça RD, Pimenta AM, Gea A. et al. Ultraprocessed food consumption and risk of overweight and obesity: the University of Navarra Follow-Up (SUN) cohort study. Am J Clin Nutr. 2016;104(5):1433-1440. doi: 10.3945/ajcn.116.135004.

Srour B, Fezeu LK, Kesse-Guyot E, Alles B, Mejean C. et al. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ. 2019;365: l1451. doi: 10.1136/bmj. l1451.

Lavigne-Robichaud M, Moubarac JC, Lantagne-Lopez S. et al. Diet quality indices in relation to metabolic syndrome in an Indigenous Cree (Eeyouch) population in northern Québec, Canada. Public Health Nutr. 2018;21 (1): 172–180. doi: 10.1017/S136898001700115X.

Martínez-Steele E, Juul F, Neri D, Rauber F, Monteiro CA. Dietary share of ultra- processed foods and metabolic syndrome in the US adult population. Prev Med. 2019; 125:40–48. doi: 10.1016/j.ypmed.2019.05.004.

Louzada MLC, Baraldi LG, Steele et al. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Prev Med. 2015; 81:9–15. doi: 10.1016/j.ypmed.2015.07.018.

Juul F, Martinez-Steele E, Parekh N, Monteiro CA, Chang VW. Ultra-processed food consumption and excess weight among US adults. Bri J Nutr. 2018; 120(1):90–100. doi: 10.1017/S0007114518001046.

Nardocci M, Leclerc BS, Louzada ML, Monteiro CA, Batal M, Moubarac JC. Consumption of ultra-processed foods and obesity in Canada. Can J. Public Health. 2019;110(1): 4–14. doi: 10.17269/s41997-018-0130-x.

Canhada SL, Luft VC, Giatti L et al. Ultraprocessed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference: the Brazilian Longitudinal Study of Adult Health (ELSABrasil). Public Health Nutr. 2020; 23 (6):1076-1086. doi:10.1017/s1368980019002854

Adjibade M, Julia C, Alles B et al. Prospective association between ultra-processed food consumption and incidente depressive symptoms in the French NutriNet-Santé cohort. BMC Med. 2019; 17:78. doi: 10.1186/s12916-019-1312-y.

Schnabel L, Buscail C, Sabate JM, et al. Association Between Ultra-Processed Food Consumption and Functional Gastrointestinal Disorders: Results From the French NutriNet-Santé Cohort. The Am J Gastroenterol 2018, 113(8), 1217–1228. doi: 10.1038/s41395-018-0137-1

ABIA - Associação Brasileira das Indústrias de Alimentação. Mercado Food Service, 2017. Available in: https://www.abia.org.br/cfs2017/mercado.html.

Guilherme RC, Canuto R, Clark SGF et al. Alimentação do Trabalhador: uma avaliação em indústrias no nordeste do Brasil. Cien Saúde Colet. 2020;25(10):4013-4020. doi:10.1590/1413-812320202510.29512018.

United States Department of Agriculture (USDA). Food Service Industry. Disponível em https://www.ers.usda.gov/topics/food-marketsprices/food-service-industry.aspx. Acesso dia 04 de Novembro de 2021

Conner D.S. Institutional Food Service. In: Thompson P.B., Kaplan D.M. (eds) Encyclopedia of Food and Agricultural Ethics. Springer, Dordrecht. 2014. doi:10.1007/978-94-007-0929-4_80

Brazil. Lei nº 8.234, de 17 de setembro de 1991. Regulamenta a profissão de Nutricionista e determina outras providências [Law #8.234, of 17 September 1991.

Burlandy L, Anjos L. Access to food stamps and nutritional status of adults from Northeastern and Southeastern Brazil, 1997. Cad Saúde Pública. 2001; 17(6):1457-1464. doi: 10.1590/s0102-311x2001000600016.

Veloso IS, Santana VS. Impacto nutricional do programa de alimentação do trabalhador no Brasil Rev Panam Salud Pública. 2002;11(1):23-31

Savio K, Costa TH, Miazaki E, Schmitz B. Avaliação do almoço servido a participantes do programa de alimentação do trabalhador Rev Saúde Publica 2005 39(2):148-155. doi: 10.1590/s0034-89102005000200002.

Veloso IS, Santana VS, Oliveira NF. The Brazilian Workers' Food Program and its impact on weight gain and overweight. Rev Saúde Publica, 2007; 41(5): 769–776. doi:10.1590/s0034-89102007000500011

Bandoni DH, Brasil BG, Jaime PC. Programa de Alimentação do trabalhador: Representações sociais de gestores locais. Rev Saúde Pública. 2008;40(5):837-842. doi: 10.1590/S0034-89102006000600013

Geraldo APG, Bandoni DH, Jaime PC. Aspectos dietéticos das refeições oferecidas por empresas participantes do Programa de Alimentação do Trabalhador na Cidade de São Paulo, Brasil. Rev Panam Salud Pública. 2008;23(1):19-25. doi: 10.1590/S1020-49892008000100003

Sarno F, Bandoni DH, Jaime PC. Excesso de peso e hipertensão arterial em trabalhadores de empresas beneficiadas pelo Programa de Alimentação do Trabalhador (PTA). Rev Bras Epidemiol 2008; 11(3): 453-462. doi: 10.1590/S1415-790X2008000300012.

Botelho AM, Camargo AM, Dean M, Fiates GMR. Effect of a health reminder on consumers' selection of ultra-processed foods in a supermarket. Food Qual Prefer 2019; 71: 431–437. doi: 10.1016/j.foodqual.2018.08.017.

Martínez Steele E, Baraldi LG, Louzada MLC, Moubarac JC, Mozaffarian D, Monteiro CA. Ultraprocessed foods and added sugars in the US diet: evidence from a nationally representative cross-sectional study. BMJ Open. 2016;6 (3):e009892. doi:10.1136/bmjopen-2015-009892.

Pinheiro Sant’Ana, Helena M. Planejamento físico-funcional de unidades de alimentação e nutrição. Rio de Janeiro: Rubio. ISBN: 9788564956155 2012.

Brazil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira / Ministério da Saúde, secretaria de atenção à saúde, departamento de Atenção Básica 2. ed. – Brasília: Ministry of Health, 2014.

Magri Ferreira C, Freitas Barrigossi J.A.: Arroz e feijão: tradição e segurança alimentar. Technical editors. -Brasília, DF: Embrapa, 2021. (164 p.). ISBN 978-65-87380-27-8

Martins CA, de Sousa AA, Veiros MB, González-Chica DA, Proença RP. Sodium content and labelling of processed and ultra-processed food products marketed in Brazil. Public Health Nutr. 2015;18(7):1206-1214. doi: 10.1017/S1368980014001736

IBGE, Instituto Brasileiro de Geografia e Estadística. Pesquisa de Orçamentos Familiares 2017-2018: Avaliação Nutricional da Disponibilidade Domiciliar de Alimentos no Brasil/ IBGE. 2020. Coordenação de Trabalho e Rendimento. - Rio de Janeiro.

CEPEA. Centro de Estudos Avançados em Economia Aplicada. Universidade de São Paulo - Escola Superior de Agricultura Luiz de Queiroz (Esalq) [Centre for Advanced Studies in Applied Economics. University of São Paulo - Luiz de Queiroz University of Agriculture]. 2021. Available in: <https://www.cepea.esalq.usp.br/br/indicador/boigordo.aspx>.

Maia E, Dos Passos C, Levy R, Bortoletto Martins A, Mais, Claro R. What to expect from the price of healthy and unhealthy foods over time? The case from Brazil. Public Health Nutr. 2020; 23(4): 579-588. doi:10.1017/S1368980019003586

Scholliers P. Convenience foods. What, why, and when. Appetite. 2015; 94:2-6. doi: 10.1016/j.appet.2015.02.017.

Brunner TA, Van der Horst K, Siegrist M. Convenience food products. Drivers for consumption. Appetite. 2010; 55 (3), 498-506. doi: 10.1016/j.appet.2010.08.017.

Koiwai K, Takemi Y, Hayashi F et al. Consumption of ultra-processed foods decreases the quality of the overall diet of middle-aged Japanese adults. Public Health Nutr 2019; 22 (16): 2999-3008. doi:10.1017/S1368980019001514.

Abreu, Edeli Simoni de. Gestão De unidades de alimentação e nutrição: um modo de fazer Edeli Simoni de Abreu, Mônica Glória Neumann Spinelli, Ana Maria de Souza Pinto. 6 ed. São Paulo: Editora Metha. ISBN: 9788588888371. 2016.

Brazil, Conselho Federal de Nutricionistas. Resolução CFN nº 417, de 18 de Março de 2008

Chen X, Zhang Z, Yang H et al. Consumption of ultraprocessed foods and health outcomes: a systematic review of epidemiological studies. Nutr J. 2020; 19:86. doi:10.1186/s12937-020-00604-1.

Hall KD, Ayuketah A, Brychta R et al. Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake. Cell Metab 2019; 30(1), 67–77. e3. doi: 10.1016/j.cmet.2019.05.008

Machado PP, Steele EM., Levy RB, Sui Z, Rangan A, Woods J, Gill T, Scrinis G, Monteiro CA. Ultra-processed foods and recommended intake levels of nutrients linked to noncommunicable diseases in Australia: evidence from a nationally representative cross-sectional study. BMJ Open 2019; 9(8): e029544. doi:10.1136/bmjopen-2019-029544

Marrón-Ponce JA, Flores M, Cediel G, Monteiro CA, Batis C. Associations between Consumption of Ultra-Processed Foods and Intake of Nutrients Related to Chronic Non-Communicable Diseases in Mexico. J Acad Nutr Diet 2019; 119(11), 1852-1865. doi: 10.1016/j.jand.2019.04.020

Vandevijvere S, Jaacks LM, Monteiro CA, et al. Global trends in ultraprocessed food and drink product sales and their association with adult body mass index trajectories. Obes Rev 2019;20(S2):10–19. doi: 10.1111/obr.12860

Brazil, Ministério do Trabalho. Portaria Interministerial N° 66 de agosto de 2006. Programa de Alimentação do Trabalhador.

Fernandes AC., Oliveira RC., Proença RP, Curioni CC., Rodrigues VM., Fiates GM: Influence of menu labeling on food choices in real-life settings: a systematic review. Nutr Rev 2016. 74 (8), 534–548. doi: 10.1093/nutrit/nuw013

Downloads

Published

2023-05-03

How to Cite

Padovan, M., Thimoteo da Cunha, D., Adriano Martins, C., Michelle Botelho, A., de Souza Bim, N., Rodrigues Nicoletto, A., medeiros Rataichesck Fiates, G., & Dário Capitani, C. (2023). ltra-processed foods in institutional food services: what are diners eating?. Archivos Latinoamericanos De Nutrición (ALAN), 73(1), 8–18. https://doi.org/10.37527/2023.73.1.002

Issue

Section

Artículo Original