FOOD INSECURITY AND THE CONSUMPTION OF SWEETENED BEVERAGES IN ADULTS AND ELDERLY IN THE BRAZUCA NATAL STUDY
Food insecurity, Sugar-sweetened beverages, Food consumption, Adult, Elderly
Food Insecurity (FI) occurs when there is a lack of regular access to food in sufficient quantity and quality for an active and healthy life. Several interconnected factors contribute to the occurrence of FI and directly influence the population's food consumption, especially in contexts of economic vulnerability, where limited financial resources favor the consumption of more affordable products, but with low nutritional quality and high caloric density, such as sweetened beverages. This study aimed to investigate the association between FI and the consumption of sweetened beverages among adults and older adults in the BRAZUCA Natal Study. This is a cross-sectional, population-based study conducted between June 2019 and March 2020 with 411 adults and older adults from the city of Natal, Rio Grande do Norte. Data collection was carried out through household interviews, which provided information on socioeconomic and demographic conditions, FI status according to the Brazilian Food Insecurity Scale (EBIA), and food consumption obtained through two 24-hour Food Recalls (R24h). Information regarding the consumption of sweetened beverages was analyzed considering as a cutoff point the average daily consumption (58.1281 mL/day) and the percentage of total caloric contribution of the population (0.86%). The association between FI and the consumption of sweetened beverages was analyzed by logistic regression, estimating the odds ratios (OR) and respective 95% confidence intervals (95% CI). Among participants in FI situations, the majority were female (66%), adults (61.5%), non-white (73%), with education up to elementary school (51.4%), and 39.5% had a per capita income below half the minimum wage. The average consumption of sweetened beverages was 88.3 mL/day among participants in FI, corresponding to 1.26% of total daily energy. Logistic regressions showed that FI was associated with the consumption of sweetened beverages. Individuals in FI were 3.15 times more likely to consume above-average sweetened beverages (OR = 3.15; 95% CI = 1.81–5.47), as well as 5.57 times more likely to have a daily energy percentage from these beverages above the average (OR = 5.57; 95% CI = 2.65–11.69). Thus, the study demonstrated that FI is associated with higher consumption of sweetened beverages, resulting in higher chances of consumption and daily energy intake from these beverages. Therefore, public policy strategies are needed to ensure food and nutritional security and promote adequate and healthy eating, given the population's vulnerability.