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Noncommunicable Diseases and Mental Health

Washington D.C., 2015

978-92-75-31864-5

are reserved. iii (University of California-Davis, United States); Prof. Carlos Augusto v

Contents

Foreword .......................................................................

Summary

1.

What are ultra-processed products?

1.2. Problems with ultra-processed products

...................................9 2.

Methodology

...............................11 3.

Ultra-processed products sales

......................14 .........22 ..........................24 .....26

3.6. Summary

..............................30 4.

Social and economic drivers

31
.......................32 .............34 .......36

4.4. Changes in retail sector

..37 .............................39

4.6. Summary

..............................40 5.

Impact on obesity

......................41 6. ......................45 ...............47 ...........49

6.4. Conclusion

...........................51

References

......................................59 Annex B: Countries included in this report (n = 80) by region . .......60 vii

Foreword

with disease in the Americas. sales volumes remain higher in high-income countries, the rate of growth was faster in lower-income countries during the period 2000 to 2013. to this epidemic of unhealthy diets can be found in sound public policies and this monograph provides clear guidance on the way forward.

Anselm Hennis

Director

ix

Summary

drink products are no longer the fully industrialized high-income countries deregulate markets. While sales volume remains higher in high-income countries, the rate of growth was faster in lower-income countries during

America.

products throughout the Americas needs to be checked by statutory x xi children and adolescents to halt further increase of obesity in children and adolescents in the region (3). processed food and drink products; and improvement of school food and and meal-based dietary guidelines (4). PAHO also emphasizes the need of food supplies to reduce the incidence of overweight and obesity, on use of tobacco is well-documented xii neglect the role of modern industrial food processing and its impact on diet middle-and low-income countries (9). based on meals and dishes prepared from unprocessed or minimally processed foods by those that are increasingly based on ultra-processed food and drink products density, high in free sugars and unhealthy fats and salt, and low in dietary (20). to formulate, agree on, implement, and monitor policies and programs to (21) and food types. (8-11, 13-16). Assessments of the xiii (22) and is (4).

Scope of this report

(21) plus an overview of impact on human health. Chapter 2 describes the methodology used in this report, including data sources and analysis. retail sector in the Americas.

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1 (24,25). century, food processing has developed very rapidly and been profoundly transformed through food science and other types of technology (26). impact of all forms of food processing on food systems and supplies; processing are harmful in terms of human health and in other ways. A

Chapter 1

processing 1. 2. 3. 4. enables the study of individual food groups within the system.

Unprocessed or minimally processed foods

Unprocessed foods are parts of plants or animals that have not undergone foods altered in ways that do not add or introduce any new substance (such as fats, sugars, and salt) but may involve the removal of parts of the food. palatability. Processed culinary ingredients include fats, oils, salt, and sugars. They are used to prepare foods, and to make palatable, diverse, nourishing and enjoyable dishes and meals. 3

Processed culinary ingredients

with others.

Processed foods

Processed foods are manufactured by adding fats, oils, sugars, salt, and other culinary ingredients to minimally processed foods to make them simple breads and cheeses; salted and cured meats, and seafood; and preserved fruits, legumes, and vegetables.

Chapter 1

Processed culinary ingredients include fats, oils, salt, and sugars. They are used to prepare foods, and to make palatable, diverse, nourishing and enjoyable dishes and meals. Unprocessed or minimally processed foods prepared with processed result in handmade dishes. When such dishes are made from a variety of minimally processed foods, mostly of plant origin, and with moderate use of culinary ingredients, the meals and diets they comprise protect health and promote well-being (4) and the proposed 2015

U.S. dietary guidelines

(29) recommend mostly plant-based diets based on minimally processed foods. Handmade dishes combining unprocessed or minimally processed foods prepared with culinary ingredients and combined with some processed foods are the basis of healthy meals. 5

Ultra-processed products

manufactured from substances derived from foods or synthesized from Some substances used to make ultra-processed products, such as fats, oils, starches, and sugar, are directly derived from foods. Others are

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Chapter 1

them. packaged breads, buns, cookies (biscuits), pastries, and cakes; sweetened breakfast cereals; energy bars; preserves; margarines; carbonated drinks and energy drinks; sugar-sweetened milk drinks, including fruit yogurt drinks; fruit and fruit nectar drinks; cocoa drinks; infant formulas, follow- ready-to-heat or ready-to-consume products are now very commonly the same as home-cooked meals or dishes, but their ingredients lists show that they are not.

1.2 Problems with ultra-processed products

7 Ultra-processed food and drink products are energy-dense and with other food substances, is unknown or disputed. engineered into these types of products through food science and other (31,34). control dietary habits.

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Chapter 1

impression that ultra-processed products are healthy by including pictures compounds, which allows them to imply or make health claims.

Conducive to snacking

Ultra-processed products are usually sold in the form of snacks, drinks, food retailers, as well as many non-food venues, many of which are open foods, and dishes and meals made from them, served at home or outside the home (e.g., in restaurants and bars). and other vulnerable groups (32). derived from sustainable food systems and established food cultures. Diets largely composed of the ready-to-consume ultra-processed products of the globalized 9 processed products can also damage social and cultural fabric, and support local businesses, rural economies, and biodiversity (35). All of ultra-processed products produced by the global industrial food system. derived from sustainable food systems and established food cultures. Diets largely composed of the ready-to-consume ultra-processed products of the globalized important factors that promote weight gain and obesity, as well as

Chapter 1

products are most likely the main dietary cause of weight gain and chronic researchers (32). is associated with dyslipidemia in children (17), and thus higher risk for cardiovascular disease; metabolic syndrome in adolescents (19); and adult (16). ultra-processed products such as cookies (biscuits), white bread, candy adults (36). data that can be compared across countries. However, the lack of which could serve as a guide for other regions. based on meals made from unprocessed or minimally processed food prepared with culinary ingredients are consistently associated with relatively low incidence of disease, as well as good health and well- being and ingredients as well as the emotional, mental, and social benefits of preparing and sharing them in meals with others (24,37). 11 retail outlets are reported by volume (in kilotons 1 ) and per capita countries studied are also described, and compared with data for Canada and the United States. Chapter 3 also includes data on ultra-processed product retail sales 1

1 kiloton = 1000 metric tons.

Chapter 2

stores, discounters, forecourt retailers 2 , hypermarkets, and supermarkets) specialty food sellers, and other food retailers, including those selling (39). incomplete data on social and economic factors). in partnership with the Wall Street Journal of ultra-processed products and obesity prevalence in 2010 in 12 of the data) plus Canada and the United States. Obesity prevalence was taken 2 13 in annual sales per capita of ultra-processed food and drink products (42).

Chapter 2

3.1 Global trends

growth for the period, year-to-year growth, and global market share of sales in 2000 and 2013. period (from 328 055 kilotons in 2000 to 471 476 kilotons in 2013), with 15

Table 1

Region

Volume sales (kilotons*)Growth (%)Market share (%)

200020132000-2013Yearly20002013

Database (2014) (38).

America as the overall global market leader in terms of volume sales,

Chapter 3

market for this leading range of ultra-processed products is now greater in

Figure 1

2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Sales Latin North

Passport Database (2014)

America (from 328.9 kg to 299.6 kg), and showed only a slight increase in Australasia (from 192 kg to 200.5 kg). During the same period, sales grew the fourth biggest market in terms of sales per capita. 17

Figure 2

050100150200250300350

North

AmericaAustralasiaWestern

EuropeLatin

AmericaEastern

EuropeMiddleEast

andAfricaAsiaPacific328.9 192
139.5
102.3
52
23

18.4299.6

200.5
152.4
129.6
93.3
28.6
33.6

Annualretailsalespercapitaof

ultraͲprocessedproducts(kg) 2000
2013
18

Figure 3

(38). 19 and 2013, plus some comparisons with the United States and Canada.

247.9 kg (Canada).

(44). sales growth for the 2000-2013 period and year-to-year growth.

Chapter 3

Figure 4

20406080100120140160180200220240

2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013

Argentina

Bolivia

Brazil

Chile

Colombia

CostaRica

DominicanRepublic

Ecuador

Mexico

Peru

Uruguay

Venezuela

Guatemala

LatinAmerica

21

CountriesUltra-processed food productsUltra-processed drink products Ultra-processed food and drink products

Sales (kg)Growth (%)Sales (l)Growth (%)Sales (kg)Growth (%)

20002013PeriodYearly20002013PeriodYearly2000 2013Period Yarly

Chile 21.330.442.72.8104.2170.263.33.8125.5200.659.83.7

Chapter 3

3.3 Fast-food purchases

(number of single, complete purchases, which may include more than one

2013, with some comparisons with the United States and Canada.

between 2002 and 2013. remain, however, far behind Canada and the United States, were purchases 23

Figure 5

0 2 46810
12 14 16 18 20 22
24

262830

32

Annual number of purchases per capita in fast

-food outlets

Argentina

Bolivia

Brazil

Chile

Colombia

Costa Rica

Dominican Republic

Ecuador

Latin America

Guatemala

Mexico

Peru

Uruguay

Venezuela

store-based retail sales of ultra-processed products occurred at groceryquotesdbs_dbs24.pdfusesText_30

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