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0332/2025 - Do Food Environments Predict Adherence to the Dietary Guidelines for the Brazilian Population? An analysis of the Brazuca Natal study
Ambientes Alimentares predizem a adesão ao Guia Alimentar para População Brasileira? Uma análise do estudo Brazuca Natal

Author:

• Layanne Cristini Martin Sousa - Sousa, LCM - <layannecristini@gmail.com>
ORCID: https://orcid.org/0000-0003-4048-4604

Co-author(s):

• Severina Carla Vieira Cunha Lima - Lima, SCVC - <severina.lima@ufrn.br>
ORCID: https://orcid.org/0000-0001-8268-1986
• Mariana Silva Bezerra - Bezerra, MS - <marianabezerrarn@gmail.com>
ORCID: https://orcid.org/0000-0002-5095-5804
• Rosa Sá de Oliveira Neta - Oliveira Neta, RS - <rosa.sa.oliveira@ufrn.br>
ORCID: https://orcid.org/0000-0002-5383-6472
• Angelo Giuseppe Roncalli da Costa Oliveira - Oliveira, AGRC - <angelo.oliveira@ufrn.br>
ORCID: http://orcid.org/0000-0001-5311-697X
• Dirce Maria Lobo Marchioni - Marchioni, DML - <marchioni@usp.br>
ORCID: http://orcid.org/0000-0002-6810-5779
• Clélia de Oliveira Lyra - Lyra,C de.O. - <clelia.lyra@ufrn.br>
ORCID: http://orcid.org/0000-0002-1474-3812


Abstract:

The objective of this study was to ascertain the relationship between food environments and adherence to the Brazilian Food Guide among residents of a capital city in the northeastern region of Brazil. This is a cross-sectional study that employs data on the food environment (food deserts and swamps) in Natal/RN and individual data on adults and older people from the BRAZUCA Natal study. The data set includes information on gender, age, the monthly income of the person responsible, and an adherence score to the Food Guide, which refers to eating practices in line with and opposed to national recommendations for adequate and healthy eating. The association between the variables was analyzed using multiple linear regression by backward stepwise. The findings indicate that residing in a food desert is associated with a 2.41-point reduction in the adherence score to the Food Guide (p=0.014), irrespective of income, age, and gender. Additionally, living in a food desert is linked to a 1.39-point decrease in the adherence score for practices that are contrary to the Food Guide (p=0.006). Food swamps were not associated with adherence to the Food Guide (p=0.886). Consequently, only food deserts were found to be associated with adherence to the Food Guide among adults and the elderly in Natal/RN. This understanding provides a basis for the development of strategies to promote adequate and healthy eating among this population.

Keywords:

Access to Healthy Food; Food Guides. Built Environment.

Content:

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Sousa, LCM, Lima, SCVC, Bezerra, MS, Oliveira Neta, RS, Oliveira, AGRC, Marchioni, DML, Lyra,C de.O.. Do Food Environments Predict Adherence to the Dietary Guidelines for the Brazilian Population? An analysis of the Brazuca Natal study. Cien Saude Colet [periódico na internet] (2025/Sep). [Citado em 24/09/2026]. Está disponível em: http://www.cienciaesaudecoletiva.com.br/en/articles/do-food-environments-predict-adherence-to-the-dietary-guidelines-for-the-brazilian-population-an-analysis-of-the-brazuca-natal-study/19808



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