Types of ultra-processed foods consumed in Brazil: A systematic review / Tipos de alimentos ultra-processados consumidos no Brasil: Uma revisão sistemática

Authors

  • Chirle Oliveira Raphaelli
  • Elisa dos Santos Pereira
  • Thaynã Ramos Flores
  • Jardel Araújo Ribeiro
  • Gabriel Ollé Dalmazo
  • Márcia Vizzotto
  • Leonardo Nora

DOI:

https://doi.org/10.34115/basrv5n1-008

Keywords:

Food Consumption, Nutritive Value, Food Quality, Ultra-processed foods.

Abstract

To investigate the consumption of ultra-processed foods (UPF) based on the NOVA food classification, comparing the types of foods consumed between the age groups. A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The articles were selected using the descriptors searched for MeSH in the databases: Pubmed / Medline, Lilacs and Scielo. 4,239 articles were selected in the initial research, 45 were included. The contribution of ultra-processed foods to the total amount of energy ranged from 15.0% to 54.7%, being greater in children and adolescents. For babies, this happens before the age of six months, consuming instant noodles, chocolate and stuffed cookies, expanding the variety of UPF foods as they age. For teenagers, the most consumed foods are soft drinks, pizza, gelatin, cakes, cookies, candies and hamburgers, in addition to those consumed in childhood. Among adults and elderly, the most consumed foods were bread, hot dog bread, sweet bread, sugary drinks, treats, cakes, cookies, pizza, snacks and sausages. UPF consumption varies according to the age group in Brazil, being higher among children and adolescents. The introduction occurs at the beginning of infant feeding and the types of UPF expands with increasing age.

References

ALMEIDA, A. K. D. A. et al. Consumo de ultraprocessados e estado nutricional de crianças com transtorno do espectro do autismo. Revista Brasileira em Promoção da Saúde, 2018. v. 31, n. 3, p. 1–10.

ALMEIDA, L. B. et al. Barriers to and facilitators of ultra-processed food consumption: Perceptions of Brazilian adults. Public Health Nutrition, 2018. v. 21, n. 1, p. 68–76.

ALVES-SANTOS, N. H. et al. Dietary intake variations from pre-conception to gestational period according to the degree of industrial processing: A Brazilian cohort. Appetite, 2016. v. 105, p. 164–171. Disponível em: <http://dx.doi.org/10.1016/j.appet.2016.05.027>.

ANDRADE, G. C. et al. Out-of-home food consumers in Brazil: What do they eat? Nutrients, 2018. v. 10, n. 2, p. 1–12.

______ et al. The consumption of ultra-processed foods according to eating out occasions. Public Health Nutrition, 2019. p. 1–8.

ANDRETTA, V. et al. Ultraprocessed food consumption and factors associated with a sample of public school bases in the south of Brazil. Ciência & Saúde Coletiva, 2019. v. 23, p. 1–12.

ARAUJO, M. C. et al. Quality of food choices of Brazilian adolescents according to individual earnings. Public Health Nutrition, 2017. v. 20, n. 17, p. 3145–3150.

ARES, G. et al. Consumers’ conceptualization of ultra-processed foods. Appetite, 2016. v. 105, p. 611–617. Disponível em: <http://dx.doi.org/10.1016/j.appet.2016.06.028>.

AUDI, C. et al. Ultra-processed foods consumption among inmates in a women’s prison in São Paulo, Brazil. Revista espanola de sanidad penitenciaria, 2018. v. 20, n. 3, p. 87–94. Disponível em: <http://www.ncbi.nlm.nih.gov/pubmed/30908571>.

AYTON, A.; IBRAHIM, A. The dramatic rise of ultra-processed foods. Bmj, 2019. v. 4970, n. August, p. l4970. Disponível em: <http://www.bmj.com/lookup/doi/10.1136/bmj.l4970>.

BARALDI, Larissa Galastri et al. Consumption of ultra-processed foods and associated sociodemographic factors in the USA between 2007 and 2012?: evidence from a nationally representative cross-sectional study. 2018.

BATALHA, M. A. et al. Processed and ultra-processed food consumption among children aged 13 to 35 months and associated factors. Cadernos de Saúde Pública, 2017. v. 33, n. 11, p. 1–16.

BENTO, B. M. A. et al. A higher number of school meals is associated with a less-processed diet. Jornal de Pediatria, 2018. v. 94, n. 4, p. 404–409. Disponível em: <http://dx.doi.org/10.1016/j.jped.2017.07.016>.

BERTI, T. L. et al. Food consumption according to degree of processing and sociodemographic characteristics: Estudo pró-saúde, brazil. Revista Brasileira de Epidemiologia, 2019. v. 22, p. 1–14.

BIELEMANN, Renata M et al. Early feeding practices and consumption of ultraprocessed foods at 6 y of age?: Findings from the 2004 Pelotas ( Brazil ) Birth Cohort Study. Nutrition, 2018. v. 47, p. 27–32. Disponível em: <https://doi.org/10.1016/j.nut.2017.09.012>.

BIELEMANN, Renata Moraes et al. Consumption of ultra-processed foods and their impact on the diet of young adults. Revista de Saude Publica, 2015. v. 49.

BLANCO-ROJO, R. et al. Consumption of Ultra-Processed Foods and Mortality: A National Prospective Cohort in Spain. Mayo Clinic Proceedings, 2019. v. 94, n. 11, p. 1–11. Disponível em: <https://doi.org/10.1016/j.mayocp.2019.03.035>.

BLITSTEIN, J. L.; GUTHRIE, J. F.; RAINS, C. Low-Income Parents’ Use of Front-of-Package Nutrition Labels in a Virtual Supermarket. Journal of Nutrition Education and Behavior, 2020. v. 000, n. 2020, p. 1–9. Disponível em: <https://doi.org/10.1016/j.jneb.2020.04.003>.

BOJANOWSKA, E.; CIOSEK, J. Can We Selectively Reduce Appetite for Energy-Dense Foods?? An Overview of Pharmacological Strategies for Modification of Food Preference Behavior. 2016. p. 118–142.

BRASIL. Guia alimentar para a população brasileira. Ministério da Saúde, [S.l.], 2014.

______. Guia alimentar para crianças menores de 2 anos. [S.l.]: [s.n.], 2019.

BRAZ DOS SANTOS GRADUANDA NUTRIÇÃO UERJ, C. Consumo de ultraprocessados por escolares: revisão de literatura Consumption of ultra-processed foods by schoolchildren: a literature review. [s.d.]. p. 137–144.

CANELLA, D. S. et al. Consumption of vegetables and their relation with ultra-processed foods in Brazil TT - Consumo de hortaliças e sua relação com os alimentos ultraprocessados no Brasil. Rev. saúde pública (Online), 2018. v. 52, p. 50. Disponível em: <http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102018000100243>.

CASTRO, S. E. De; SILVA, T. E. S. Da. Analysis of industrial bread products with whomeal claim, sold in Natal/RN. Brazilian Applied Science Review, 2020. v. 4, n. 4, p. 2324–2335.

CHANDON, P.; WANSINK, B. Does food marketing need to make us fat? A review and solutions. Nutrition Reviews, 2012. v. 70, n. 10, p. 571–593.

CLARO, R. M. et al. Preço dos alimentos no Brasil: prefira preparações culinárias a alimentos ultraprocessados. Cadernos de Saúde Pública, 2016. v. 32, n. 8, p. 1–13.

CONCEIÇÃO, A. R. DA; CASTRO MORAIS, D. DE; SOUZA, E. C. G. DE. Impact of food processing on antioxidants in adults living in rural areas. Mundo da Saude, 2018. v. 42, n. 2, p. 516–533.

CORRÊA, E. N. et al. Utilization of food outlets and intake of minimally processed and ultra-processed foods among 7 to 14-year-old schoolchildren. A cross-sectional study. Sao Paulo Medical Journal, 2018. v. 136, n. 3, p. 200–207.

COSMI, V. DE; SCAGLIONI, S.; AGOSTONI, C. Early taste experiences and later food choices. Nutrients, 2017. v. 9, n. 2, p. 1–9.

COSTA, C. Dos S. et al. Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes Brasileiros: Pesquisa nacional de saúde do escolar (PeNSE), 2015. Cadernos de Saude Publica, 2018. v. 34, n. 3, p. 1–12.

COSTA, C. S. et al. Ultra-processed food consumption and its effects on anthropometric and glucose profile: A longitudinal study during childhood. Nutrition, Metabolism and Cardiovascular Diseases, 2019. v. 29, n. 2, p. 177–184. Disponível em: <https://doi.org/10.1016/j.numecd.2018.11.003>.

COSTA, Caroline Santos et al. Consumption of ultra-processed foods and body fat during childhood and adolescence: A systematic review. Public Health Nutrition, 2018. v. 21, n. 1, p. 148–159.

COSTA LOUZADA, M. L. DA et al. The share of ultra-processed foods determines the overall nutritional quality of diets in Brazil. Public Health Nutrition, 2018. v. 21, n. 1, p. 94–102.

CUNHA, D. B. et al. Ultra-processed food consumption and adiposity trajectories in a Brazilian cohort of adolescents: ELANA study. Nutrition and Diabetes, 2018. v. 8, n. 1. Disponível em: <http://dx.doi.org/10.1038/s41387-018-0043-z>.

D’AVILA, H. F.; KIRSTEN, V. R. Consumo Energético Proveniente De Alimentos Ultraprocessados Por Adolescentes. Revista Paulista de Pediatria, 2017. v. 35, n. 1, p. 54–60.

DURAN, A. C. et al. The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil. Public Health Nutrition, 2016. v. 19, n. 6, p. 1093–1102.

ELIAS, B. C. et al. Factors Associated With Asthma in Brazilian Adolescents: National Adolescent School-Based Health Survey (Pense-2012). Revista Paulista de Pediatria, 2019.

ENES, C. C.; CAMARGO, C. M. De; JUSTINO, M. I. C. Ultra-processed food consumption and obesity in adolescents. Revista de Nutrição, 2019. v. 32, n. 0, p. 1–11.

FERNANDES, D. C. Relação entre o estado nutricional pré-gestacional e o tipo de processamento de alimentos consumidos por gestantes de alto risco. 2019. v. 19, n. 2, p. 363–374.

FERREIRA, C. S. et al. Consumption of Minimally Processed and Ultra-Processed Foods among Students from Public and Private Schools. Revista Paulista de Pediatria, 2019. v. 37, n. 2, p. 173–180.

FIOLET, T. et al. Consumption of ultra-processed foods and cancer risk: Results from NutriNet-Santé prospective cohort. BMJ (Online), 2018. v. 360.

FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS. Ultra-processed foods, diet quality, and health using the NOVA classification system. [S.l.]: [s.n.], 2019.

GIESTA, J. M. et al. Fatores associados à introdução precoce de alimentos ultraprocessados na alimentação de crianças menores de dois anos. Ciência & Saúde Coletiva, 2019. v. 24, n. 7, p. 2387–2397. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232019000702387&tlng=pt>.

GOETSCHEL, L. et al. Guias Alimentarias Basadas en Alimentos del Ecuador. [S.l.]: [s.n.], 2018.

GOMES, C. De B. et al. Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals. Maternal and Child Health Journal, 2019. v. 23, n. 5, p. 692–703. Disponível em: <http://dx.doi.org/10.1007/s10995-018-2690-z>.

GOVERNMENT CANADA, G. O. Canada’s Food Guide. Canada: [s.n.], 2019.

GRAAF, C. DE; KOK, F. J. Slow food, fast food and the control of food intake. Nature Reviews Endocrinology, 2010. v. 6, n. 5, p. 290–293. Disponível em: <http://dx.doi.org/10.1038/nrendo.2010.41>.

HALL, K. D. et al. Clinical and Translational Report Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake Cell Metabolism Clinical and Translational Report Ultra-Processed Diets Cause Excess Ca. Cell Metabolism, 2019. v. 30, n. 1, p. 1–11. Disponível em: <https://doi.org/10.1016/j.cmet.2019.05.008>.

KARNOPP, E. V. N. et al. Food consumption of children younger than 6 years according to the degree of food processing. Jornal de Pediatria (Versão em Português), 2017. v. 93, n. 1, p. 70–78.

LEIFERT, R. M.; LUCINDA, C. R. De. Análise dos efeitos de um imposto sobre alimentos engordativos no mercado brasileiro. 40° Encontro nacional de economia.

LEITE, F. H. M. et al. Association of neighbourhood food availability with the consumption of processed and ultra-processed food products by children in a city of Brazil: A multilevel analysis. Public Health Nutrition, 2018. v. 21, n. 1, p. 189–200.

LESLIE, W.; HANKEY, C. Aging, Nutritional Status and Health. 2015. p. 648–658.

LIM, S. S. et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 2012. v. 380, n. 9859, p. 2224–2260.

LONGO-SILVA, G. et al. Ultra-processed foods: Consumption among children at day-care centers and their classification according to Traffic Light Labelling system. Revista de Nutricao, 2015. v. 28, n. 5, p. 543–553.

______ et al. Factors associated with regular consumption of obesogenic foods: National School-Based Student Health Hurvey, 2012. Revista de Nutricao, 2016a. v. 29, n. 5, p. 609–633.

______ et al. Factors associated with regular consumption of obesogenic foods: National School-Based Student Health Hurvey, 2012. Revista de Nutricao, 2016b. v. 29, n. 5, p. 609–633.

______ et al. Idade de introdução de alimentos ultraprocessados entre pré-escolares frequentadores de centros de educação infantil. Jornal de Pediatria, 2017. v. 93, n. 5, p. 508–516. Disponível em: <http://dx.doi.org/10.1016/j.jped.2016.11.015>.

LOPES, A. E. Da S. C. et al. Association between consumption of ultra-processed foods and serum C-reactive protein levels: cross-sectional results from the ELSA-Brasil study. Sao Paulo Medical Journal, 2019. v. 137, n. 2, p. 169–176.

LOUZADA, M. L. Da C.; MARTINS, Ana Paula Bortoletto; et al. Ultra-processed foods and the nutritional dietary profile in Brazil. Revista de Saude Publica, 2015a. v. 49, p. 1–11.

______; BARALDI, Larissa Galastri; et al. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Preventive Medicine, 2015. v. 81, p. 9–15. Disponível em: <http://dx.doi.org/10.1016/j.ypmed.2015.07.018>.

______; MARTINS, Ana Paula Bortoletto; et al. Impact of ultra-processed foods on micronutrient content in the Brazilian diet. Revista de Saude Publica, 2015b. v. 49.

MACHADO, Priscila P et al. Ultra-processed foods and recommended intake levels of nutrients linked to non-communicable diseases in Australia?: evidence from a nationally representative cross-sectional study. 2019.

MACHADO, Priscila Pereira et al. Price and convenience: The influence of supermarkets on consumption of ultra-processed foods and beverages in Brazil. Appetite, 2017. v. 116, p. 381–388. Disponível em: <http://dx.doi.org/10.1016/j.appet.2017.05.027>.

MAIS, L. A. et al. Sociodemographic, anthropometric and behavioural risk factors for ultra-processed food consumption in a sample of 2-9-year-olds in Brazil. Public Health Nutrition, 2018. v. 21, n. 1, p. 77–86.

MARCHESI, G. S.; CONDE, S. R. Food consumption of elderly residents in the rural area of Caxias do Sul municipal, RS. ABCS Health Science, 2018. v. 43, n. 3, p. 169–174.

MARRÓN-PONCE, J. A. et al. Associations between Consumption of Ultra-Processed Foods and Intake of Nutrients Related to Chronic Non-Communicable Diseases in Mexico. Journal of the Academy of Nutrition and Dietetics, 2019. Disponível em: <https://doi.org/10.1016/j.jand.2019.04.020>.

MARTÍNEZ STEELE, E. et al. Ultra-processed foods, protein leverage and energy intake in the USA. Public Health Nutrition, 2018. v. 21, n. 1, p. 114–124.

MARTINS, Ana Paula Bortoletto et al. Increased contribution of ultra-processed food products in the Brazilian diet (1987-2009). Revista de Saude Publica, 2013. v. 47, n. 4, p. 656–665.

MARTINS, C. A. et al. Parents ’ cooking skills confidence reduce children ’ s consumption of ultra- processed foods. Appetite, 2020. v. 144, n. April 2019, p. 104452. Disponível em: <https://doi.org/10.1016/j.appet.2019.104452>.

MELO, B. et al. Associations of ultra-processed food and drink products with asthma and wheezing among Brazilian adolescents. Pediatric Allergy and Immunology, 2018. v. 29, n. 5, p. 504–511.

MELO, I. S. V. DE et al. Consumption of minimally processed food is inversely associated with excess weight in adolescents living in an underdeveloped city. PLoS ONE, 2017. v. 12, n. 11, p. 1–10.

MOHER, D. et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery, 2010. v. 8, p. 336–341.

MONTEIRO, Carlos A. et al. Ultra-processed foods: What they are and how to identify them. Public Health Nutrition, 2019. v. 22, n. 5, p. 936–941.

MONTEIRO, Carlos Augusto. Nutrition and health . The issue is not food , nor nutrients , so much as processing. Public Health Nutrition, 2009. v. 12, n. 5, p. 729–731.

______ et al. A new classification of foods based on the extent and purpose of their processing. Cadernos de Saúde Pública, 2010. v. 26, n. 11, p. 2039–2049.

______ et al. Increasing consumption of ultra-processed foods and likely impact on human health: Evidence from Brazil. Public Health Nutrition, 2011. v. 14, n. 1, p. 5–13.

______; CANNON, G.; et al. The un Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutrition, 2018. v. 21, n. 1, p. 5–17.

______; MOUBARAC, J. C.; et al. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutrition, 2018. v. 21, n. 1, p. 18–26.

MONTELES, L. et al. The impact of consumption of ultra-processed foods on the nutritional status of adolescents. Revista chilena de nutrición, 2019. v. 46, n. 4, p. 429–435.

MOUBARAC, J.-C.; PAN AMERICAN HEALTH ORGANIZATION; WORLD HEALTH ORGANIZATION. Ultra-processed food and drink products in Latin America: Trends, impact on obesity, policy implications. [S.l.]: [s.n.], 2015.

MOUBARAC, J. C. et al. International differences in cost and consumption of ready-to-consume food and drink products: United Kingdom and Brazil, 2008-2009. Global Public Health, 2013. v. 8, n. 7, p. 845–856. Disponível em: <http://dx.doi.org/10.1080/17441692.2013.796401>.

OLIVEIRA, A. S. D. DE et al. Co-occurrence of behavioral risk factors for chronic non-communicable diseases in adolescents: Prevalence and associated factors. Revista de Nutricao, 2017. v. 30, n. 6, p. 747–758.

OMENA MESSIAS, C. M. B. DE; SANTOS SOUZA, H. M. DOS; SILVA REIS, I. R. M. Consumption of ultra-processed food and food coloring agents by adolescents from a public school. Adolescencia e Saude, 2016. v. 13, n. 4, p. 7–14.

PARRA, D. C. et al. Association between ultra-processed food consumption and the nutrient profile of the Colombian diet in 2005. Salud Publica de Mexico, 2019. v. 61, n. 2, p. 147–154.

POPKIN, B. M. Global nutrition dynamics: The world is shifting rapidly toward a diet linked with noncommunicable diseases. American Journal of Clinical Nutrition, 2006. v. 84, n. 2, p. 289–298.

PROCTER-GRAY, E. et al. Comparison of Dietary Quality Assessment Using Food Frequency Questionnaire and 24-hour-recalls in Older Men and Women. AIMS Public Health, 2017. v. 4, n. 4, p. 326–346.

RAUBER, F. et al. Consumption of ultra-processed food products and its effects on children’s lipid profiles: A longitudinal study. Nutrition, Metabolism and Cardiovascular Diseases, 2015. v. 25, n. 1, p. 116–122. Disponível em: <http://dx.doi.org/10.1016/j.numecd.2014.08.001>.

RAUBER, Fernanda et al. Ultra-processed food consumption and chronic non-communicable diseases-related dietary nutrient profile in the UK (2008–2014). Nutrients, 2018. v. 10, n. 5.

______ et al. Ultra-processed foods and excessive free sugar intake in the UK?: a nationally representative cross-sectional study. 2019. p. 1–11.

RELVAS, G. R. B.; BUCCINI, G. Dos S.; VENANCIO, S. I. Ultra-processed food consumption among infants in primary health care in a city of the metropolitan region of São Paulo, Brazil. Jornal de Pediatria, 2019. v. 95, n. 5, p. 584–592. Disponível em: <https://doi.org/10.1016/j.jped.2018.05.004>.

RICO-CAMPÀ, A. et al. Association between consumption of ultra-processed foods and all cause mortality: SUN prospective cohort study. BMJ (Online), 2019. v. 365.

SALUD., M. De. Dietary guidelines for the Uruguayan population: for a healthy, shared and enjoyable diet. Montevideo, Uruguay: Ministerio de Salud, Montevideo: [s.n.], 2016.

SARTORELLI, D. S. et al. Relationship between minimally and ultra-processed food intake during pregnancy with obesity and gestational diabetes mellitus. Cadernos de saude publica, 2019. v. 35, n. 4, p. e00049318.

SCHNABEL, L. et al. Association between Ultraprocessed Food Consumption and Risk of Mortality among Middle-aged Adults in France. JAMA Internal Medicine, 2019. v. 179, n. 4, p. 490–498.

SERRANO, M. L. L.; CURI, C. H. D. Guías Alimentarias para la Población Peruana. Lima, Peru: [s.n.], 2019.

SILVEIRA, Jonas Augusto Cardoso Da et al. Association between overweight and consumption of ultra-processed food and sugar-sweetened beverages among vegetarians. Revista de Nutricao, 2017. v. 30, n. 4, p. 431–441.

SIMÕES, B. Dos S. et al. Consumption of ultra-processed foods and socioeconomic position: a cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health. Cadernos de Saúde Pública, 2018. v. 34, n. 3, p. 1–13.

SMITH, E. et al. Should we tax unhealthy food and drink? Proceedings of the Nutrition Society, 2018. v. 77, n. 3, p. 314–320.

SPARRENBERGER, K. et al. Ultra-processed food consumption in children from a Basic Health Unit. Jornal de Pediatria, 2015. v. 91, n. 6, p. 535–542. Disponível em: <http://dx.doi.org/10.1016/j.jped.2015.01.007>.

SPERANDIO, N. et al. Impacto do programa bolsa família no consumo de alimentos: Estudo comparativo das regiões Sudeste e nordeste do Brasil. Ciencia e Saude Coletiva, 2017. v. 22, n. 6, p. 1771–1780.

SROUR, B. et al. Ultra-processed food intake and risk of cardiovascular disease: Prospective cohort study (NutriNet-Santé). BMJ (Online), 2019. v. 365.

STEELE, Eurídice Martínez; MONTEIRO, Carlos A. Association between dietary share of ultra-processed foods and urinary concentrations of phytoestrogens in the US. Nutrients, 2017. v. 9, n. 3.

TAVARES, L. F. et al. Relationship between ultra-processed foods and metabolic syndrome in adolescents from a Brazilian Family Doctor Program. Public Health Nutrition, 2012. v. 15, n. 1, p. 82–87.

UNICEF. The State of the World’s Children 2019. Children; Food and Nutrition: Growing well; in a changing world. UNICEF; New York.: [s.n.], 2019.

VANDEVIJVERE, S. et al. Global trends in ultraprocessed food and drink product sales and their association with adult body mass index trajectories. Obesity Reviews, 2019. v. 20, n. 2, p. 10–19.

Published

2021-02-11

How to Cite

Raphaelli, C. O., Pereira, E. dos S., Flores, T. R., Ribeiro, J. A., Dalmazo, G. O., Vizzotto, M., & Nora, L. (2021). Types of ultra-processed foods consumed in Brazil: A systematic review / Tipos de alimentos ultra-processados consumidos no Brasil: Uma revisão sistemática. Brazilian Applied Science Review, 5(1), 100–143. https://doi.org/10.34115/basrv5n1-008

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