Abstract

This study aimed to verify the association between perceived barriers to consumption of fruits (CF) and vegetables (CV) with demographic characteristics. A cross-sectional study was performed (n = 877 people with ≤44 years from Cambé (PR), a medium-sized Brazilian city). We investigated five barriers to CF and CV. We used binary logistic regression analysis adjusted for demographic variables. "Cost burdens family budget" was the most prevalent barrier (CF 57.7%, CV 49.9%), with a greater probability of barrier to CF in women and people with lower schooling (0-4 years/study) and to CV in women, people with lower schooling and economic level B/C. "Family doesn't have the habit" was mentioned for 16.4% for CF and 10.9% for CV, with a greater probability for people aged 50-59 years in CF. "Does not have the time to buy fresh food" was quoted by 8.0% (CF) and 7.6% (CV), with a greater probability of the CF barrier in women and single individuals. "Need to prepare" had a prevalence of 7.6% for CF, with greater probability for those aged 44-59 years and 9.7% for CV, and was higher in women. The prevalence for "Not liking the taste" was 6.2% for CF and 6.6% for CV, with a greater probability in black/brown/indigenous people.

Highlights

  • The first principle shown by the second edition of the Food Guide for the Brazilian Population is that food is more than the mere intake of nutrients, since it is influenced by cultural and social realms and should be treated beyond merely functional aspects

  • In the Brazilian case, it seems that the main changes involve the replacement of fresh or processed foods of vegetable origin and culinary preparations based on these foods by ready-to-eat industrialized products

  • Among middle-income populations, it is estimated that 0.9 million deaths/year are attributed to this risk factor (3.9% of all deaths) and approximately 0.2 million deaths/year (2.5% of total deaths)[2] occur among high-income populations

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Summary

Introduction

The first principle shown by the second edition of the Food Guide for the Brazilian Population is that food is more than the mere intake of nutrients, since it is influenced by cultural and social realms and should be treated beyond merely functional aspects. In the Brazilian case, it seems that the main changes involve the replacement of fresh or processed foods of vegetable origin (rice, beans, cassava, potatoes and vegetables) and culinary preparations based on these foods by ready-to-eat industrialized products. These changes have contributed to the imbalanced supply of nutrients and the excessive intake of calories[1]. Results from meta-analyses with prospective studies have shown that greater fruit or vegetable consumption is associated with a significantly reduced risk of diabetes type 23-5 and cardiovascular diseases[6]

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