Supermarkets play a prominent role in the interface between consumers and the food system. Circulars influence buying behavior and may excessively promote foods that contradict nutritional guidelines. This cross-sectional study aimed to evaluate food promotion in circulars of five different supermarket chains according to the NOVA classification in Rio de Janeiro, Brazil, from June 2019 to May 2020. Foods were grouped and analyzed according to the NOVA classification and the scope, target audience, and type of circle used. Absolute frequencies, relative frequencies, positions, and dispersion measurements were described according to the distribution of the data. Differences between groups were evaluated using the chi-square test with Bonferroni correction. Of the 68,110 items, 52.0% were ultra-processed foods (UPF), 30.5% were fresh or minimally processed foods (UP/MPF), 14.0% were processed foods (PF), and 3.5% were processed culinary ingredients (PCI). The special and traditional circular were the ones that most promoted UPF (57.7% and 54.6%, respectively). Vegetables and fruit circulars promoted 63.2% of UP/MPF, but one quarter was UPF. Statistically significant differences were found between NOVA groups and supermarket chain profiles (coverage and target audience). Those with local coverage promoted more UPFs (53.9%) than those with national coverage (48.3%). The supermarket chain focused on a high purchasing power target audience promoted more UP/MPF (34.5%) than the medium/low target audience (30.3%). Circulars display a high promotion of UPF, with differences between chains. Interventions are needed to restrict the promotion of UPFs and to stimulate consumption of healthy foods.
| [1] | Malta DC, França E, Abreu DMX, Perillo RD, Salmen MC, Teixeira RA, et al. Mortality due to noncommunicable diseases in Brazil, 1990 to 2015, according to estimates from the Global Burden of Disease study. Sao Paulo Med J. 2017; 135: 213-21.View Article PubMed |
| [2] | Who. World Health Organization. Leading causes of death and disability. A visualized overview of global and regional trends in the leading causes of death and disability 2000-2019. [Internet]. 2020 [Cited 31 August 21]. Available from: https://www.who.int/data/stories/leading-causes-of-death-and-disability-2000-2019-a-visual-summary. |
| [3] | Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise de Situação de Saúde. Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil: 2011-2022. 1ª edição. Brasília, DF: Ministério da Saúde; 2011. 160 p. (Série B. Textos básicos de saúde).View Article |
| [4] | Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis. Vigitel Brasil 2018: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2018 / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis. – Brasília: Ministério da Saúde, 2019. |
| [5] | Schmidt MI, Duncan BB, Azevedo e Silva G, Menezes, AM, Monteiro, CA, Barreto SM, et al. Chronic non-communicable diseases in Brazil: Burden and current challenges. Lancet, 2011; 4; 377(9781): 1949-61.View Article |
| [6] | Who. World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. 2013, Geneva. |
| [7] | Louzada ML da C, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM, et al. Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saude Publica. 2015; 49: 38.View Article PubMed |
| [8] | Monteiro CA, Cannon G, Lawrence M, Louzada ML da C, Machado PP. Ultra-processed foods: What they are and how to identify them. Public Health Nutr., 2019; 22, 936-941.View Article PubMed |
| [9] | Monteiro CA, Cannon G, Moubarac JC, Levy RB, Louzada MLC, Jaime PC. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutr., 2018; 21 (1): 5-17.View Article PubMed |
| [10] | Monteiro CA, Cannon G, Levy R, Moubarac JC, Jaime P, Martins AP, et al. Food classification. Public Heath. NOVA. The star shines bright. World Nutrition, 2016;7, 1-3. |
| [11] | Bortolini GA, Moura ALP, de Lima AMC, Moreira HOM, Medeiros O, Diefenthaler ICM, et al. Guias alimentares: estratégia para redução do consumo de alimentos ultraprocessados e prevenção da obesidade. Rev Panam Salud Publica. 2019; 43: e59.View Article PubMed |
| [12] | Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia Alimentar para a População Brasileira. 2. ed. Brasília: Ministério da Saúde, 2014. |
| [13] | Askari M, Heshmati J, Shahinfar H, Tripathi N, Daneshzad E. Ultra-processed food and the risk of overweight and obesity: a systematic review and meta-analysis of observational studies. Int J Obes. 2020; 44(10): 2080-2091.View Article PubMed |
| [14] | Chen X, Zhang Z, Yang H, Qiu P, Wang H, Wang F, et al. Consumption of ultra-processed foods and health outcomes: a systematic review of epidemiological studies. Nutr J. 2020; 19: 86.View Article PubMed |
| [15] | Lane MM, Davis JA, Beattie S, Gómez-Donoso C, Loughman A, O'Neil A, et al. Ultraprocessed food and chronic noncommunicable diseases: A systematic review and meta-analysis of 43 observational studies. Obes Rev., 2021; 22(3): e13146.View Article PubMed |
| [16] | Pagliai G, Dinu M, Madarena MP, Bonaccio M, Iacoviello L, Sofi F. Consumption of ultra-processed foods and health status: A systematic review and meta-Analysis. Br J Nutr. 2021; 125(3): 308-318.View Article PubMed |
| [17] | Charlton EL, Kähkönen LA, Sacks G, Cameron AJ. Supermarkets and unhealthy food marketing: An international comparison of the content of supermarket catalogues/circulars. Prev Med. dezembro de 2015; 81: 168-173.View Article PubMed |
| [18] | Hawkes C. Dietary implications of supermarket development: A global perspective. Dev Policy Rev. 2008; 26(6): 657-92.View Article |
| [19] | Ravensbergen EA, Waterlander WE, Kroeze W, Steenhuis IH. Healthy or Unhealthy on Sale? A cross-sectional study on the proportion of healthy and unhealthy foods promoted through flyer advertising by supermarkets in the Netherlands. BMC Public Health. 2015; 15(1): 470.View Article PubMed |
| [20] | Pulker. What are the position and power of supermarkets in the Australian food system, and the implications for public health? A systematic scoping review. Obes Rev. 2018; 19(2): 198-218.View Article PubMed |
| [21] | Machado PP, Claro RM, Martins APB, Costa JC, Levy RB. Is food store type associated with the consumption of ultra-processed food and drink products in Brazil? Public Health Nutr., 21, 201-209.View Article PubMed |
| [22] | Cameron AJ, Sayers SJ, Sacks G, Thornton LE. Do the foods advertised in Australian supermarket catalogues reflect national dietary guidelines? Health Promot Int. 2017; 32(1): 113-121. |
| [23] | Camargo AM de, Farias JP de, Mazzonetto AC, Dean M, Fiates GMR. Content of Brazilian supermarket circulars do not reflect national dietary guidelines. Health Promot Int. 2019; 35(5): 1052-1060.View Article PubMed |
| [24] | Ethan D, Samuel L, Basch CH. An analysis of Bronx-based online grocery store circulars for nutritional content of food and beverage products. J Community Health. 2013; 38(3): 521-8.View Article PubMed |
| [25] | Hendriksen A, Jansen R, Dijkstra SC, Huitink M, Seidell JC, Poelman MP. How healthy and processed are foods and drinks promoted in supermarket sales flyers? A cross-sectional study in the Netherlands. Public Health Nutr., 2021; 24(10): 3000-3008.View Article PubMed |
| [26] | Jahns L, Scheett AJ, Johnson LAK, Krebs-Smith SM, Payne CR, Whigham LD, et al. Diet Quality of Items Advertised in Supermarket Sales Circulars Compared to Diets of the US Population, as Assessed by the Healthy Eating Index-2010. J Acad Nutr Diet. 2016; 116(1): 115-122. e1.View Article PubMed |
| [27] | Jahns L, Payne CR, Whigham LD, Johnson LK, Scheett AJ, Hoverson BS, et al. Foods advertised in US weekly supermarket sales circulars over one year: a content analysis. Nutr J. 2014; 13: 95.View Article PubMed |
| [28] | Martin-Biggers J, Yorkin M, Aljallad C, Ciecierski C, Akhabue I, McKinley J, et al. What foods are US supermarkets promoting? A content analysis of supermarket sales circulars. Appetite. 2013; 62: 160-5.View Article PubMed |
| [29] | Mendes C, Miranda L, Claro R, Horta, P. Food marketing in supermarket circulars in Brazil: An obstacle to healthy eating. Prev Med Rep. 2021; 21: 101304.View Article PubMed |
| [30] | Abras. Associação Brasileira de Supermercados. Ranking Abras 2019: o Retrato oficial do autosserviço brasileiro. Superhiper Conteúdo que Transforma. 2019; 45, 1-172. |
| [31] | Asserj. Associação de Supermercados do Estado do Rio de Janeiro. Associados da ASSERJ estão entre as cinco marcas mais lembradas pelos cariocas. [Internet]. 2019 [Cited 07 July 2021]. Available from: https://asserj.com.br/supermercados/2018/12/associados-da-asserj-estao-entre-as-cinco-marcas-mais-lembradas-pelos-cariocas/. |
| [32] | Soares LO. Guanabara: tudo por você: uma análise sobre os Supermercados Guanabara pela perspectiva das ferramentas de marketing com ênfase no composto de promoção. 2006; 82. [Cited 12 June 2021] Available from: https://www. https://1library.org/document/qoreevkq-guanabara-supermercados-guanabara-perspectiva-ferramentas-marketing-composto-promocao.html. |
| [33] | Portal Folhetos [Internet]. [Cited 12 June 2021]. Available from: https://www.portafolhetos.com.br/. |
| [34] | IBGE. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares 2008-2009: Análise do Consumo Alimentar Pessoal no Brasil. Rio de Janeiro: IBGE; 2011. |
| [35] | IBGE. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares 2017-2018 POF: Avaliação Nutricional da Disponibilidade Domiciliar de Alimentos no Brasil. Rio de Janeiro: IBGE; 2020. |
| [36] | Steele EM, Baraldi LG, Louzada ML, Moubarac JC, Mozaffarian D, Monteiro CA. Ultra-processed foods and added sugars in the US diet: Evidence from a nationally representative cross-sectional study. BMJ Open., 2016; 6(3): e009892.View Article PubMed |
| [37] | Brasil. Conselho Nacional de Saúde. Resolução No. 466, de 12 de Dezembro de 2012, que aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos; 2012. |
| [38] | Botelho AM, Camargo AM, Medeiros KJ, Irmão GB, Dean M, Fiates GMR. Supermarket circulars promoting the sales of ‘healthy’ foods: Analysis based on degree of processing. Nutrients, 2020; 12(9): 2877.View Article PubMed |
| [39] | Samuel L, Basch CH, Ethan D, Hammond R, Chiazzese K. An analysis of sodium, total fat and saturated fat contents of packaged food products advertised in Bronx-based supermarket circulars. J. Community Health. 2014;39, 775-782.View Article PubMed |
| [40] | Vandevijvere S, Van Dam I. The nature of food promotions over one year in circulars from leading Belgian supermarket chains. Arch Public Health. 2021;19;79(1): 84.View Article PubMed |
| [41] | Hu D, Reardon T, Rozelle S, Timmer P, Wang H. The emergence of supermarkets with Chinese characteristics: Challenges and opportunities for China’s agricultural development. Development Policy Review. 2004;22, 557-586.View Article |
| [42] | Chandon P, Wansink B. Does food marketing need to make us fat? A review and solutions. Nut Rev. 2012; 70(10): 571-593.View Article PubMed |
| [43] | Beaulac J, Kristjansson E, Cummins S. A systematic review of food deserts, 1966-2007. Prev Chronic Dis.2009; 6(3): A105. |
| [44] | Moore LV, Diez Roux AV. Association of neighborhood characteristics with the location and type of food stores. Am J Public Health Association. 2006; 96(2): 325-31.View Article PubMed |
| [45] | Duran AC, de Almeida SL, Latorre M do R, DO, Jaime, PC. The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil. Public Health Nutr. 2016; 19(6): 1093-102.View Article PubMed |
| [46] | Nupens. Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde. Dialogue on Ultra-processed food produtcts: solutions for healthy and sustainable food systems. Universidade de São Paulo (USP); 2021. |