Nutritional Status and Consumption of Fruits, Vegetables, Legumes, Processed and Ultra-Processed Foods in Adult Population of Santiago, Chile

Authors

  • Ximena Rodríguez Escuela de Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Bernardo O´Higgins, Santiago, Chile.
  • Claudio Villota Escuela de Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Bernardo O´Higgins, Santiago, Chile.
  • Álvaro Toledo Departamento de Matemáticas y Ciencias de la Ingeniería, Facultad de Ingeniería, Ciencia y Tecnología, Universidad Bernardo O’Higgins, Santiago, Chile.
  • Rocío Salva Escuela de Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Bernardo O´Higgins, Santiago, Chile.
  • Valeria Cortés Escuela de Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Bernardo O´Higgins, Santiago, Chile.

DOI:

https://doi.org/10.14306/renhyd.27.3.1889

Keywords:

Obesity, Fruit, Vegetables, Food, Processed

Abstract

Introduction: A sedentary lifestyle and the consumption of unhealthy foods are associated with overweight and obesity in the population. The consumption of fruits, vegetables and legumes has decreased over time and a large part of the Chilean population does not meet the daily intake recommendations.

Objective: To determine the relationship between the BMI of Chilean adults and the consumption and frequency of various natural, processed, and ultra-processed foods.

Methods: Analytical cross-sectional study in 516 subjects between 18 and 68 years of age. Nutritional status was determined by means of BMI. To analyze the consumption of natural foods and processed food, the survey on eating habits was used. The participants signed an informed consent. The values obtained were analyzed with the statistical program SPSS®. The results obtained were analyzed using T-Student, Pearson's Chi-square, one-way ANOVA and Fisher's exact test, to define the association between them.

Results: 0.8% of those evaluated were classified as low weight; 42.2% with normal nutritional status; 42.8% overweight and 14.0% obese. 37.8% of those evaluated do not consume fruits daily; 22.9% do not consume vegetables during the day and 26.4% do not consume legumes weekly. 39.5% of people drink 1 or more servings of sugary drinks per day and 35.3% consume fried foods 1 or more times per week. A higher consumption of fruits (p=0.04), vegetables (p=0.002) and legumes (p=0.03) was associated with a lower BMI. High consumption of sugary drinks and juices was associated with a higher BMI (p=0.002). Finally, a significant association was found between the consumption of vegetables per day, legumes per week, and sweetened juices with respect to nutritional status (95% confidence).

Conclusions: A high frequency of overweight and obesity was observed, accompanied by a low consumption of fruits, vegetables and legumes. Adults who had a higher intake of natural foods had a lower BMI, in contrast to those who had a higher intake of sugary drinks and junk food.

Author Biography

Ximena Rodríguez, Escuela de Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Bernardo O´Higgins, Santiago, Chile.

Coordinadora de Vinculación con el Medio de la Escuela de Nutrición y Dietética de la Universidad Bernardo O'Higgins.

References

(1) Malo-Serrano M, Castillo M N, Pajita D D. La obesidad en el mundo. Anales de la Facultad de Medicina. 2017;78(2):173-8, doi: 10.15381/anales.v78i2.13213.

(2) Ramos-Pino JM, Carballeira-Abella M, Ramos-Pino JM, Carballeira-Abella M. Obesidad y sobrepeso: conceptualización e intervención desde la enfermería en España. Ene. 2021;15(2).

(3) Aguilera C, Labbé T, Busquets J, Venegas P, Neira C, Valenzuela Á, et al. Obesidad: ¿Factor de riesgo o enfermedad? Revista médica de Chile. 2019;147(4):470-4, doi: 10.4067/S0034-98872019000400470.

(4) Rodríguez Palleres X, Piñuñuri Flores R, Flores Rivera K, Rivera Brito K, Di Capua Ramírez G, Toledo San Martín Á, et al. Asociación entre el consumo de desayuno, estado nutricional y riesgo cardiovascular en escolares chilenos de 6 a 9 años edad. Rev Esp Nut Hum Diet. 2019;23(4):222-30, doi: 10.14306/renhyd.23.4.643.

(5) Mohammadian Khonsari N, Khashayar P, Shahrestanaki E, Kelishadi R, Mohammadpoor Nami S, Heidari-Beni M, et al. Normal Weight Obesity and Cardiometabolic Risk Factors: A Systematic Review and Meta-Analysis. Front Endocrinol (Lausanne). 2022;13:857930, doi: 10.3389/fendo.2022.857930.

(6) Kroker-Lobos MF, Mazariegos M, Guamuch M, Ramirez-Zea M. Ultraprocessed Products as Food Fortification Alternatives: A Critical Appraisal from Latin America. Nutrients. 2022;14(7):1413, doi: 10.3390/nu14071413.

(7) Rodríguez X, Pino C, Villota C, Riveros C, Toledo Á, Piñuñuri R, et al. Ingesta dietética y comportamiento alimentaria en población chilena durante cuarentena por COVID-19. Rev. chil. nutr. 2022;49(6):695-703, doi: 10.4067/S0717-75182022000700695.

(8) Krešić G, Dujmić E, Lončarić D, Zrnčić S, Liović N, Pleadin J. Fish Consumption: Influence of Knowledge, Product Information, and Satisfaction with Product Attributes. Nutrients. 2022;14(13):2691, doi: 10.3390/nu14132691.

(9) Ministerio de Salud (MINSAL). Encuesta Nacional de Salud 2016-2017. Primeros y segundos resultados. Gobierno de Chile 2018. Disponible en: http://epi.minsal.cl/resultados-encuestas/.

(10) Pinheiro A, Ivanovic C, Rodríguez L, Pinheiro A, Ivanovic C, Rodríguez L. Consumo de legumbres en Chile. Perspectivas y desafíos. Rev. chil. nutr. 2018;45:14-20, doi: 10.4067/S0717-75182018000200014.

(11) Vázquez C, Escalante A, Huerta J, Villarreal ME, Vázquez C, Escalante A, et al. Efectos de la frecuencia de consumo de alimentos ultraprocesados y su asociación con los indicadores del estado nutricional de una población económicamente activa en México. Rev. chil. nutr. 2021;48(6):852-61, doi: 10.4067/S0717-75182021000600852.

(12) Srour B, Fezeu LK, Kesse-Guyot E, Allès B, Méjean C, Andrianasolo RM, 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.

(13) Durán A S, Valdés B P, Godoy C A, Herrera V T Hábitos alimentarios y condición física en estudiantes de pedagogía en educación física. Rev. chil. nutr. 2014;41(3):251-9, doi: 10.4067/S0717-75182014000300004.

(14) Anderson JW, Baird P, Davis RH, Ferreri S, Knudtson M, Koraym A, et al. Health benefits of dietary fiber. Nutr Rev. 2009;67(4):188-205, doi: 10.1111/j.1753-4887.2009.00189.x.

(15) Hernández-López I, Ortiz-Solà J, Alamprese C, Barros L, Shelef O, Basheer L, et al. Valorization of Local Legumes and Nuts as Key Components of the Mediterranean Diet. Foods. 2022;11(23):3858, doi: 10.3390/foods11233858.

(16) Vera V, Crovetto M, Valladares M, Oñate G, Fernández M, Espinoza V, et al. Consumo de frutas, verduras y legumbres en universitarios chilenos. Rev chil nutr. 2019:436-42, doi: http://dx.doi.org/10.4067/S0717-75182019000400436

(17) Hall KD, Ayuketah A, Brychta R, Cai H, Cassimatis T, Chen KY, 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.

(18) Mora Vergara AP, López Espinoza A, Martínez Moreno AG, Bernal Gómez SJ, Martínez Rodríguez TY, Hun Gamboa N, et al. Determinantes socioeconómicos y sociodemográficos asociados al consumo de frutas y verduras de las madres de familia y los hogares de escolares de Jalisco. Nutr Hosp. 2022;39(1):111-7, doi: 10.20960/nh.03668.

(19) Gamboa E, López N, Prada G, Franco J, Landínez A. Factores asociados al consumo de frutas y verduras en Bucaramanga, Colombia. ALAN. 2010; 60(3): 247-253.

(20) Araneda F J, Ruiz N M, Vallejos V T, Oliva M P. Consumo de frutas y verduras por escolares adolescentes de la ciudad de Chillán. Chile. Rev chil nutr. 2015;42(3):248-53, doi: 10.4067/S0717-75182015000300004.

(21) Arribas-Harten C, Battistini-Urteaga T, Rodriguez-Teves MG, Bernabé-Ortiz A. Asociación entre obesidad y consumo de frutas y verduras: un estudio de base poblacional en Perú. Rev chil nutr. 2015;42(3):241-7, doi: 10.4067/S0717-75182015000300003.

(22) Olvera Castillo M del C, Palos Lucio AG, Aradillas García C, Padrón Salas A. Relación entre el índice de masa corporal con la ingesta de frutas, verduras y la realización de actividad física. Tlatemoani: revista académica de investigación. 2018;9(27):110-30.

(23) Adrogué C, Orlicki ME. Factores relacionados al consumo de frutas y verduras en base a la Encuesta Nacional de Factores de Riesgo en Argentina: Factors related to the consumption of fruits and vegetables based on the National Survey of Risk Factors in Argentina. Revista Pilquen. 2019;22(3):70-82.

(24) Ajete Careaga SB, Martínez De Armas L. Consumo de frutas y verduras y su relación con la imagen corporal deseada en adolescentes cubanos, 2018. Población y Salud en Mesoamérica. 2019;17(1):21-40, doi: 10.15517/psm.v17i1.37784.

(25) Beal T, Morris SS, Tumilowicz A. Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-Food Consumption: A Meta-Analysis of Global School-Based Student Health Surveys. Food Nutr Bull. 2019;40(4):444-59, doi: 10.1177/0379572119848287.

(26) Barbosa JMA, Silva AAM da, Kac G, Simões VMF, Bettiol H, Cavalli RC, et al. Is soft drink consumption associated with gestational hypertension? Results from the BRISA cohort. Braz J Med Biol Res. 2021;54(1):e10162, doi: 10.1590/1414-431X202010162.

(27) Tahmassebi JF, BaniHani A. Impact of soft drinks to health and economy: a critical review. Eur Arch Paediatr Dent. 2020;21(1):109-17, doi: 10.1007/s40368-019-00458-0.

(28) Ferretti F, Mariani M. Sugar-sweetened beverage affordability and the prevalence of overweight and obesity in a cross section of countries. Global Health. 2019;15(1):30, doi: 10.1186/s12992-019-0474-x.

(29) Azzeh FS, Hamouh AE. Predictors of sugar-sweetened carbonated beverage consumption and its effect on adiposity parameters of female Saudi students. Medicine (Baltimore). 2022;101(49):e31983, doi: 10.1097/MD.0000000000031983.

(30) Syed NK, Syed MH, Meraya AM, Albarraq AA, Al-Kasim MA, Alqahtani S, et al. The association of dietary behaviors and practices with overweight and obesity parameters among Saudi university students. PLoS One. 2020;15(9):e0238458, doi: 10.1371/journal.pone.0238458.

(31) Rodríguez X, Toledo A, Di Capua G. Nutritional Status of Diet Soft Drinks Consumption Among Chilean School Children". ASNH. 2021; 5(2): 60-66.

(32) Díaz-Casasola L, Luna-Pichardo D. Productos finales de glicación avanzada en la enfermedad cardiovascular como complicación de la diabetes. Rev Med Inv. 2016;4(1):52-7, doi: 10.1016/j.mei.2016.02.002.

(33) Dunford EK, Popkin B, Ng SW. Junk Food Intake Among Adults in the United States. J Nutr. 2022;152(2):492-500, doi: 10.1093/jn/nxab205.

(34) Fryar CD, Hughes JP, Herrick KA, Ahluwalia N. Fast Food Consumption Among Adults in the United States, 2013-2016. NCHS Data Brief. 2018;(322):1-8.

(35) Liu J, Lee Y, Micha R, Li Y, Mozaffarian D. Trends in junk food consumption among US children and adults, 2001-2018. Am J Clin Nutr. 2021;114(3):1039-48, doi: 10.1093/ajcn/nqab129

(36) De Lorenzo A, Romano L, Di Renzo L, Di Lorenzo N, Cenname G, Gualtieri P. Obesity: A preventable, treatable, but relapsing disease. Nutrition. 2020;71:110615, doi: 10.1016/j.nut.2019.110615.

(37) Boza S, Muñoz J, Núñez A, Díaz-Lanchas J, Boza S, Muñoz J, et al. Dinámica de las exportaciones frutícolas chilenas desde una perspectiva regional (2008-2018). Chil j agric anim sci. 2020;36(1):26-34, doi: 10.4067/S0719-38902020005000103.

Published

2023-07-31

How to Cite

Rodríguez, X., Villota, C., Toledo, Álvaro, Salva, R., & Cortés, V. (2023). Nutritional Status and Consumption of Fruits, Vegetables, Legumes, Processed and Ultra-Processed Foods in Adult Population of Santiago, Chile. Spanish Journal of Human Nutrition and Dietetics, 27(3), 232–240. https://doi.org/10.14306/renhyd.27.3.1889