1 Cadernos de Saúde Pública 2010 Vol: 26(11):. DOI: 10.1590/S0102-311X2010001100018

Discrepancies among ecological, household, and individual data on fruits and vegetables consumption in Brazil

Information on fruits and vegetables consumption in Brazil in the three levels of dietary data was analyzed and compared. Data about national supply came from Food Balance Sheets compiled by the FAO; household availability information was obtained from the Brazilian National Household Budget Survey (HBS); and actual intake information came from a large individual dietary intake survey that was representative of the adult population of São Paulo city. All sources of information were collected between 2002 and 2003. A subset of the HBS, representative of São Paulo city, was used in our analysis in order to improve the quality of the comparison with actual intake data. The ratio of national supply to household availability of fruits and vegetables was 2.6 while the ratio of national supply to actual intake was 4.0. The discrepancy ratio in the comparison between household availability and actual intake was smaller, 1.6. While the use of supply and availability data has advantages, as lower cost, must be taken into account that these sources tend to overestimate actual intake of fruits and vegetables.RESUMO

  1. World Health Organization. Report of a Joint WHO/FAO Expert Consultation. Diet, nutrition and the prevention of chronic diseases. Geneva: World Health Organization; (WHO Technical Report Series, 916) , (2003) .
  2. Krauss RM, Deckelbaum RJ, Ernst N, Fisher E, Howard BV, Knopp RH, et al. Dietary guidelines for healthy American adults: a statement for health professionals from the Nutrition Committee, American Heart Association. Circulation 94 , 1795-800 (1996) .
  3. Joshipura KJ, Hu FB, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, et al. The effect of fruits and vegetable intake on risk for coronary heart disease. Ann Intern Med 134 , 1106-14 (2001) .
  4. Liu S, Manson JE, Lee IM, Cole SR, Hennekens CH, Willett WC, et al. Fruits and vegetable intake and risk of cardiovascular disease: the Women's Health Study. Am J Clin Nutr 72 , 922-8 (2000) .
  5. Ford ES, Mokdad AH. Fruits and vegetable consumption and diabetes mellitus incidence among U.S. adults. Prev Med 32 , 33-9 (2001) .
  6. Newby PK, Muller D, Hallfrisch J, Qiao N, Andres R, Tucker KL. Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr 77 , 1417-25 (2003) .
  7. Togo P, Osler M, Sorensen TIA, Heitmann BL. A longitudinal study of food intake patterns and obesity in adult Danish men and women. Int J Obes Relat Metab Disord 28 , 583-93 (2004) .
  8. Togo P, Osler M, Sorensen TIA, Heitmann BL. Food intake patterns and body mass index in observational studies. Int J Obes Relat Metab Disord 25 , 1741-51 (2001) .
  9. Galeazzi MAM, Domene SM, Sichieri R. Estudo multicêntrico sobre consumo alimentar. Cadernos de Debates v. esp , 1-62 (1997) .
  10. Fisberg RM, Morimoto JM, Slater B, Barros MBA, Carandina L, Goldbaum M, et al. Dietary quality and associated factors among adults living in State of São Paulo, Brazil. J Am Diet Assoc 106 , 2067-72 (2006) .
  11. Serra-Majem L. Food availability and consumption at national, household and individual levels: implications for food-based dietary guidelines development. Public Health Nutr 4 , 673-6 (2001) .
  12. Willett WC. Nutritional epidemiology. 2nd Ed. New York: Oxford University Press , (1998) .
  13. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares - POF 2002/2003: análise da disponibilidade domiciliar de alimentos e do estado nutricional no Brasil. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística , (2004) .
  14. World Cancer Research Fund/American Institute for Cancer Research. Food, nutrition and the prevention of cancer: a global perspective. Washington DC: American Institute for Cancer Research , (1997) .
  15. Becker W, Helsing E. Food and health data. Their use in nutrition policy-making. Copenhagen: WHO Regional Office for Europe; (European Series, 39) , (1991) .
  16. Instituto Brasileiro de Geografia e Estatística. Estudo Nacional das Despesas Familiares - ENDEF: 1974- Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 1978 , (1975) .
  17. Alves MCGP. ISA-Capital: plano de amostragem. Link (accessed on 13/Aug/ , (2009) .
  18. World Health Organization. Global strategy on diet, physical activity and health. Geneva: World Health Organization , (2004) .
  19. Asfaw A. Fruits and vegetables availability for human consumption in Latin American and Caribbean countries: patterns and determinants. Food Policy 33 , 444-54 (2008) .
  20. Food and Agriculture Organization. Food balance sheets: history, sources, concepts and definitions. Link (accessed on 13/Aug/ , (2009) .
  21. Kantor LS, Kipton K, Manchester A, Oliveira V. Estimating and addressing America's food losses. Washington DC: Economic Research Service, U.S. Department of Agriculture , (1997) .
  22. Pomerleau J, Lock K, McKee M. Discrepancies between ecological and individual data on fruit and vegetable consumption in fifteen countries. Br J Nutr 89 , 827-34 (2003) .
  23. Naska A, Berg M, Cuadrado C, Freisling H, Gedrich K, Gregoric M, et al. Food balance sheet and household budget survey dietary data and mortality patterns in Europe. Br J Nutr 102 , 166-71 (2009) .
  24. Kelly A, Becker W, Helsing E. Food balance sheets. In: Becker W, Helsing E, editors. Food and health data: their use in nutrition policy-making. Copenhagen: WHO Regional Office for Europe; (European Series, 39). p , 39-47 (1991) .
  25. Sarno F, Claro RM, Levy RB, Bandoni DH, Ferreira SRG, Monteiro CA. Estimativa de consumo de sódio pela população brasileira, 2002- Rev Saúde Pública 2009 43, 219-25 (2003) .
  26. Moura EC, Morais Neto OL, Malta DC, Moura L, Silva NN, Bernal R, et al. Vigilância de fatores de risco para doenças crônicas por inquérito telefônico nas capitais dos 26 estados brasileiros e no Distrito Federal. Rev Bras Epidemiol 2008 11, 20-37 (2006) .
  27. Bingham SA, Nelson M, Paul AA, Haraldsdottir J, Bjørge Løken E, van Staveren WA. Methods for data collection at an individual level. In: Cameron ME, van Staveren WA, editors. Manual on methodology for food consumption studies. New York: Oxford University Press; p , 53-106 (1988) .
  28. Emmett P. Workshop 2: the use of surrogate reporters in the assessment of dietary intake. Eur J Clin Nutr 63 Suppl 1:S , 78-9 (2009) .
  29. Vries JHM, Zock PL, Mensink RP, Katan MB. Underestimation of energy intake by 3-d records compared with energy intake to maintain body weight in 269 nonobese adults. Am J Clin Nutr 60 , 855-60 (1994) .
  30. Kortzinger I, Bierwag A, Mast M, Muller MJ. Dietary underreporting: validity of dietary measurements of energy intake using a 7-day dietary record and a diet history in nonobese subjects. Ann Nutr Metab 41 , 37-44 (1997) .
  31. Black AE, Cole TJ. Within and between-subject variation in energy expenditure measured by the doubly-labelled water technique: implications for validating reported dietary energy intake. Eur J Clin Nutr 54 , 386-94 (2000) .
  32. Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA, et al. Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off values to identify under-recording. Eur J Clin Nutr 45:.[ Links ] , 569-81 (1991) .