scholarly journals Consumption of ultra-processed foods and socioeconomic position: a cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health

2018 ◽  
Vol 34 (3) ◽  
Author(s):  
Bárbara dos Santos Simões ◽  
Sandhi Maria Barreto ◽  
Maria del Carmen Bisi Molina ◽  
Vivian Cristine Luft ◽  
Bruce Bartholow Duncan ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Social Class ◽  
Socioeconomic Position ◽  
Caloric Intake ◽  
Processed Foods ◽  
Adult Health ◽  
Linear Regression Models ◽  
Minimally Processed ◽  
Total Caloric Intake ◽  
Occupational Social Class

The objective of the study was to estimate the contribution of ultra-processed foods to total caloric intake and investigate whether it differs according to socioeconomic position. We analyzed baseline data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil 2008-2010; N = 14.378) and data on dietary intake using a food frequency questionnaire, assigning it into three categories: unprocessed or minimally processed foods and processed culinary ingredients, processed foods, and ultra-processed foods. We measured the associations between socioeconomic position (education, per capita household income, and occupational social class) and the percentage of caloric contribution of ultra-processed foods, using generalized linear regression models adjusted for age and sex. Unprocessed or minimally processed foods and processed culinary ingredients contributed to 65.7% of the total caloric intake, followed by ultra-processed foods (22.7%). After adjustments, the percentage of caloric contribution of ultra-processed foods was 20% lower among participants with incomplete elementary school when compared to postgraduates. Compared to individuals from upper income classes, the caloric contribution of ultra-processed foods was 10%, 15% and 20% lower among the ones from the three lowest income, respectively. The caloric contribution of ultra-processed foods was also 7%, 12%, 12%, and 17% lower among participants in the lowest occupational social class compared to those from high social classes. Results suggest that the caloric contribution of ultra-processed foods is higher among individuals from high socioeconomic positions with a dose-response relationship for the associations.

scholarly journals Gender and Socioeconomic Disparities in Reasons for Not Smoking Cigarettes Among Danish Adolescents

2020 ◽  
Author(s):  
Simone Gad Kjeld ◽  
Stine Glenstrup Lauemøller ◽  
Lotus Sofie Bast
Keyword(s):  
Social Class ◽  
Socioeconomic Position ◽  
Socioeconomic Disparities ◽  
Socioeconomic Differences ◽  
Occupational Social Class ◽  
Reported Data

Abstract Objective: To examine gender and socioeconomic differences in adolescents’ reasons for not smoking cigarettes using self-reported data from Danish 14-year-olds (N = 1,559) collected in 2018. χ2-tests were used to assess whether the proportion of students who rated 12 statements as important reasons for not smoking cigarettes differed according to gender and family occupational social class (OSC).Results: More girls than boys stated that thinking the taste of cigarettes is disgusting, not being allowed to smoke by parents, knowing smoking is dangerous, not being allowed to smoke before the age of 18, not wanting to be addicted to smoking, and that smoking makes you smell bad were important reasons for choosing not to smoke cigarettes. More boys than girls reported exercising a lot and having a partner that does not smoke as important reasons for not smoking cigarettes. More students with a high OSC compared with a low OSC stated exercising a lot and that smoking makes you smell bad were important reasons. In conclusion, reasons for not smoking cigarettes differed substantially across gender and less according to socioeconomic position.

scholarly journals Inequalities in time from stopping paid work to death: findings from the ONS Longitudinal Study, 2001–2011

2019 ◽  
Vol 73 (12) ◽  
pp. 1101-1107 ◽  
Author(s):  
Emily T Murray ◽  
Ewan Carr ◽  
Paola Zaninotto ◽  
Jenny Head ◽  
Baowen Xue ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Social Class ◽  
Life Expectancy ◽  
Good Health ◽  
Average Life Expectancy ◽  
Class Differences ◽  
Occupational Social Class ◽  
The Difference ◽  
Mean Differences ◽  
State Pension

BackgroundUK state pension eligibility ages are linked to average life expectancy, which ignores wide socioeconomic disparities in both healthy and overall life expectancy.ObjectivesInvestigate whether there are occupational social class differences in the amount of time older adults live after they stop work, and how much of these differences are due to health.MethodsParticipants were 76 485 members of the Office for National Statistics Longitudinal Study (LS), who were 50–75 years at the 2001 census and had stopped work by the 2011 census. Over 10 years of follow-up, we used censored linear regression to estimate mean differences in years between stopping work and death by occupational social class.ResultsAfter adjustment for age, both social class and health were independent predictors of postwork duration (mean difference (95% CI): unskilled class vs professional: 2.7 years (2.4 to 3.1); not good vs good health: 2.4 years (1.9 to 2.9)), with LS members in the three manual classes experiencing ~1 additional year of postwork duration than professional workers (interaction p values all <0.001). Further adjustment for gender and educational qualifications was reduced but did not eliminate social class and postwork duration associations. We estimate the difference in postwork years between professional classes in good health and unskilled workers not in good health as 5.1 years for women (21.0 vs 26.1) and 5.5 years for men (19.5 vs 25.0).ConclusionsLower social class groups are negatively affected by uniform state pension ages, because they are more likely to stop work at younger ages due to health reasons.

scholarly journals Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

2019 ◽  
Vol 23 (6) ◽  
pp. 1076-1086 ◽  
Author(s):  
Scheine Leite Canhada ◽  
Vivian Cristine Luft ◽  
Luana Giatti ◽  
Bruce Bartholow Duncan ◽  
Dora Chor ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Waist Circumference ◽  
Overweight And Obesity ◽  
Processed Foods ◽  
Adult Health ◽  
Processed Food ◽  
Central Adiposity ◽  
Robust Variance ◽  
Large Weight

AbstractObjective:To evaluate the association of ultra-processed food (UPF) consumption with gains in weight and waist circumference, and incident overweight/obesity, in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort.Design:We applied FFQ at baseline and categorized energy intake by degree of processing using the NOVA classification. Height, weight and waist circumference were measured at baseline and after a mean 3·8-year follow-up. We assessed associations, through Poisson regression with robust variance, of UPF consumption with large weight gain (1·68 kg/year) and large waist gain (2·42 cm/year), both being defined as ≥90th percentile in the cohort, and with incident overweight/obesity.Setting:Brazil.Participants:Civil servants of Brazilian public academic institutions in six cities (n 11 827), aged 35–74 years at baseline (2008–2010).Results:UPF provided a mean 24·6 (sd 9·6) % of ingested energy. After adjustment for smoking, physical activity, adiposity and other factors, fourth (>30·8 %) v. first (<17·8 %) quartile of UPF consumption was associated (relative risk (95 % CI)) with 27 and 33 % greater risk of large weight and waist gains (1·27 (1·07, 1·50) and 1·33 (1·12, 1·58)), respectively. Similarly, those in the fourth consumption quartile presented 20 % greater risk (1·20 (1·03, 1·40)) of incident overweight/obesity and 2 % greater risk (1·02; (0·85, 1·21)) of incident obesity. Approximately 15 % of cases of large weight and waist gains and of incident overweight/obesity could be attributed to consumption of >17·8 % of energy as UPF.Conclusions:Greater UPF consumption predicts large gains in overall and central adiposity and may contribute to the inexorable rise in obesity seen worldwide.

scholarly journals Is subjective social status a summary of life-course socioeconomic position?

2018 ◽  
Vol 34 (5) ◽  
Author(s):  
Wasney de Almeida Ferreira ◽  
Lidyane Camelo ◽  
Maria Carmen Viana ◽  
Luana Giatti ◽  
Sandhi Maria Barreto
Keyword(s):  
Social Class ◽  
Social Status ◽  
Socioeconomic Position ◽  
Maternal Education ◽  
Household Head ◽  
Adult Life ◽  
Subjective Social Status ◽  
Childhood And Adolescence ◽  
Occupational Social Class ◽  
First Job

Very little is known about the association between objective indicators of socioeconomic position in childhood and adolescence and low subjective social status in adult life, after adjusting for adult socioeconomic position. We used baseline data (2008-2010) from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a multicenter cohort study of 15,105 civil servants from six Brazilian states. Subjective social status was measured using the The MacArthur Scale of Subjective Social Status, which represents social hierarchy in the form of a 10-rung ladder with the top rung representing the highest subjective social status. Participants who chose the bottom four rungs in the ladder were assigned to the low subjective social status category. The following socioeconomic position indicators were investigated: childhood (maternal education), adolescence (occupational social class of the household head; participant’s occupational social class of first job; nature of occupation of household head; participant’s nature of occupation of first job), and adulthood (participant’s occupational social class, nature of occupation and education). The associations between low subjective social status and socioeconomic position were determined using multiple logistic regression, after adjusting for sociodemographic factors and socioeconomic position indicators from other stages of life. After adjustments, low socioeconomic position in childhood, adolescence and adulthood remained significantly associated with low subjective social status in adulthood with dose-response gradients. The magnitude of these associations was stronger for intra-individual than for intergenerational socioeconomic positions. Results suggest that subjective social status in adulthood is the result of a complex developmental process of acquiring socioeconomic self-perception, which is intrinsic to subjective social status and includes current and past, individual and family household experiences.

scholarly journals Consumption of ultra-processed food and obesity: cross sectional results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort (2008–2010)

2018 ◽  
Vol 21 (12) ◽  
pp. 2271-2279 ◽  
Author(s):  
Fernanda Marcelina Silva ◽  
Luana Giatti ◽  
Roberta Carvalho de Figueiredo ◽  
Maria del Carmen Bisi Molina ◽  
Letícia de Oliveira Cardoso ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Total Energy ◽  
Energy Intake ◽  
Food Processing ◽  
Multinomial Logistic Regression ◽  
Total Energy Intake ◽  
Processed Foods ◽  
Adult Health ◽  
Energy Contribution ◽  
Cross Sectional

AbstractObjectiveTo verify if the intake of ultra-processed foods is associated with higher BMI and waist circumference (WC) among participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort.DesignCross-sectional analysis of the ELSA-Brasil baseline (2008–2010). Dietary information obtained through an FFQ was classified according to characteristics of food processing (NOVA) and used to estimate the percentage energy contribution from ultra-processed foods (i.e. industrial formulations, elaborated from food processing, synthetic constituents and food additives) to individuals’ total energy intake. BMI and WC and their respective cut-off points served as response variables. Associations were estimated through linear and multinomial logistic regression models, after adjusting for confounders and total energy intake.SettingSix Brazilian capital cities, 2008–2010.SubjectsActive and retired civil servants, aged 35–64 years, from universities and research organizations (n8977).ResultsUltra-processed foods accounted for 22·7 % of total energy intake. After adjustments, individuals in the fourth quartile of percentage energy contribution from ultra-processed foods presented (β; 95 % CI) a higher BMI (0·80; CI 0·53, 1·07 kg/m2) and WC (1·71; 1·02, 2·40 cm), and higher chances (OR; 95 % CI) of being overweight (1·31; 1·13, 1·51), obese (1·41; 1·18, 1·69) and having significantly increased WC (1·41; 1·20, 1·66), compared with those in the first quartile. All associations suggest a dose–response gradient.ConclusionsResults indicate the existence of associations between greater energy contribution from ultra-processed foods and higher BMI and WC, which are independent of total energy intake. These findings corroborate public policies designed to reduce the intake of this type of food.

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