Evidence map›Paper›PMID 28885137›Full record

ArticlePublic health nutrition2018

Effects of reducing processed culinary ingredients and ultra-processed foods in the Brazilian diet: a cardiovascular modelling study.

Patrícia Vl Moreira, Lirije Hyseni, Jean-Claude Moubarac, Ana Paula B Martins, Larissa G Baraldi, Simon Capewell, Martin O'Flaherty, Maria Guzman-Castillo

Abstract read
In one paragraph

Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Ultra-Processed Food Availability and Noncommunicable Diseases: A Systematic Review.International journal of environmental research and public health · 2021
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  5. Costa Rica's trans-fat ban impact on cardiovascular disease: a macrosimulation study.Revista panamericana de salud publica = Pan American journal of public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Patrícia Vl Moreira1Department of Public Health,University of Liverpool,Whelan Building,Quadrangle,Liverpool L69 3GB,UK.
Lirije Hyseni1Department of Public Health,University of Liverpool,Whelan Building,Quadrangle,Liverpool L69 3GB,UK.
Jean-Claude Moubarac3Centre for Epidemiological Studies in Health and Nutrition, Public Health Faculty,University of São Paulo,São Paulo,Brazil.
Ana Paula B Martins3Centre for Epidemiological Studies in Health and Nutrition, Public Health Faculty,University of São Paulo,São Paulo,Brazil.
Larissa G Baraldi3Centre for Epidemiological Studies in Health and Nutrition, Public Health Faculty,University of São Paulo,São Paulo,Brazil.
Simon Capewell1Department of Public Health,University of Liverpool,Whelan Building,Quadrangle,Liverpool L69 3GB,UK.
Martin O'Flaherty1Department of Public Health,University of Liverpool,Whelan Building,Quadrangle,Liverpool L69 3GB,UK.
Maria Guzman-Castillo1Department of Public Health,University of Liverpool,Whelan Building,Quadrangle,Liverpool L69 3GB,UK.

Funding

Medical Research Council G0900847
6 · The paper itself

Abstract

objectiveTo estimate the impact of reducing saturated fat, trans-fat, salt and added sugar from processed culinary ingredients and ultra-processed foods in the Brazilian diet on preventing cardiovascular deaths by 2030.

designA modelling study.

settingData were obtained from the Brazilian Household Budget Survey 2008/2009. All food items purchased were categorized into food groups according to the NOVA classification. We estimated the energy and nutrient profile of foods then used the IMPACT Food Policy model to estimate the reduction in deaths from CVD up to 2030 in three scenarios. In Scenario A, we assumed that the intakes of saturated fat, trans-fat, salt and added sugar from ultra-processed foods and processed culinary ingredients were reduced by a quarter. In Scenario B, we assumed a reduction of 50 % of the same nutrients in ultra-processed foods and processed culinary ingredients. In Scenario C, we reduced the same nutrients in ultra-processed foods by 75 % and in processed culinary ingredients by 50 %.

resultsApproximately 390 400 CVD deaths might be expected in 2030 if current mortality patterns persist. Under Scenarios A, B and C, CVD mortality can be reduced by 5·5, 11·0 and 29·0 %, respectively. The main impact is on stroke with a reduction of approximately 6·0, 12·6 and 32·0 %, respectively.

conclusionsSubstantial potential exists for reducing the CVD burden through overall improvements of the Brazilian diet. This might require reducing the penetration of ultra-processed foods by means of regulatory policies, as well as improving the access to and promotion of fresh and minimally processed foods.

Indexed as

DietFamily CharacteristicsFast FoodsAgedBrazilCardiovascular DiseasesDietary SugarsFatty AcidsFemaleFood HandlingHumansMaleMicronutrientsMiddle AgedNutrition AssessmentNutrition PolicyDietary SugarsFatty AcidsMicronutrientsNutritive SweetenersSodium Chloride, DietaryTrans Fatty AcidsCVDFood policyProcessed culinary ingredientsProcessed foodsTraditional dietUltra-processed foods

Identifiers

PMID28885137
PMCPMC10260804

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.