Ana Clara Da Fonseca Leitão Duran
Biographic Data
| ID | 1781190 |
|---|---|
| NAME | Ana Clara Da Fonseca Leitão Duran |
| GIVEN NAMES | Ana Clara Da Fonseca Leitão |
| FAMILY NAME | Duran |
| SIGNATURE | DURAN A C F L |
| AFFILIATIONS | Universidade de São Paulo |
| ORCID | 0000-0001-7317-5790 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 93 |
| WORKS AS AUTHOR | 26 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Applying the Nova food classification to food product databases using discriminative ingredients
Background: Growing interest in the Nova food classification system surged among various stakeholders, driven primarily by compelling evidence linking the consumption of ultra-processed foods (UPFs) to negative health outcomes. This growing interest underscores the potential value of identifying clear markers to classify UPFs, particularly to support research and regulatory efforts. Objective: To propose replicable methods to identify UPFs, by te…
Food additives in Latin America
BACKGROUND: Latin America is distinguished by diverse regulatory frameworks and evolving dietary patterns, including the weakening of traditional diets and the increasing consumption of ultra-processed foods (UPFs). Predominantly produced by transnational corporations, UPFs rely heavily on food additives to achieve desirable sensory properties (e.g., flavor, color), ensure food safety, and extend shelf life. Over the past decade, research has inc…
Perceptions of non-sugar sweeteners and front-of-package labels among parents of preschool and school-aged children in Brazil
Objective: To describe Brazilian parents’ perceptions of non-sugar sweeteners (NSS) in beverages consumed by children and their views for NSS front-of-package labels (FOPL). Design: A qualitative-driven mixed-methods embedded design was used. Seven focus groups with parents of children explored perceptions of NSS. Qualitative data were coded and analyzed using thematic analysis. Participants also completed a closed-ended survey assessing familiar…
Using commercial dataset for extracting information on nutrition composition for policy evaluation purposes
Objective: This study assessed the suitability of nutritional composition data from a commercial dataset for policy evaluation in Brazil. Design: We compared the proportions of packaged foods and beverages, classified according to the Nova food classification and the nutritional composition of matched products using data from a commercial database of food labels (Mintel-Global New Products Database (GNPD)) and the Brazilian Food Labels Database (…
Equity-Driven fiscal Policies
Promoting individual health and enhancing the global food system requires prioritizing healthy and sustainable food choices. The escalating consumption of ultra-processed products (UPP) in many countries significantly contribute to the obesity epidemic and associated diseases, alongside posing environmental challenges as these products are claimed to increase natural resource use, greenhouse gas emissions and agrobiodiversity loss. To address the…
Whole grain products in Brazil
OBJECTIVE: This study aims to evaluate the use of “whole grains” claims in food products marketed in Brazil and evaluate the nutrient profile of these products. METHODS: Data from 775 grain-based packaged foods collected in Brazil from April to July 2017 were analyzed. Based on the INFORMAS protocol for food labeling, the prevalence of packaged foods with “whole grains” claims was estimated. Information on the list of ingredients was analyzed to …
Promotion of ultra-processed foods in Brazil
OBJECTIVE: To assess the availability of different promotional strategies applied for UPF sales in Brazilian food retailers. METHODS: Information available on food packaging was gathered from all packaged products sold in the five largest food retail chains in Brazil in 2017. UPF were identified using the NOVA food classification system. From this sample, data related to promotional characteristics, nutrition claims and health claims were collect…
Food swamps in Campinas, Brazil
The characteristics of the food environment can interfere with physical access to healthy foods and accentuate health inequalities. The presence of food swamps, i.e., the greater availability of ultra-processed food and commercial establishments compared to those that sell healthier options, are associated with the consumption of unhealthy foods. This study identified the spatial distribution of these establishments in Campinas, São Paulo. Fast-f…
Mapeamento de pântanos alimentares em Campinas, Brasil
As características do ambiente alimentar podem interferir no acesso físico a alimentos saudáveis e acentuar as desigualdades em saúde. A presença de pântanos alimentares, ou seja, a maior disponibilidade de estabelecimentos de comercialização de alimentos ultraprocessados em relação aos que comercializam opções mais saudáveis, associado a características de vulnerabilidade da vizinhança, pode estar relacionado ao consumo de alimentos não saudávei…
Adesão aos acordos voluntários de redução de sódio no Brasil
O objetivo do trabalho foi avaliar a adesão aos acordos voluntários de redução de sódio firmados entre indústrias de alimentos e o Ministério da Saúde e comparar as metas adotadas com o limite de sódio proposto no modelo de perfil nutricional da Organização Pan-Americana da Saúde (OPAS). Utilizaram-se informações de 1.553 alimentos de 32 categorias incluídas nos acordos e comercializados nas maiores redes de supermercados brasileiras em 2017. For…
Role of different nutrient profiling models in identifying targeted foods for front-of-package food labelling in Brazil
Objective: To compare the degree of strictness and agreement of different nutrient profiling models (NPM) used to identify which foods would be required to show front-of-package (FOP) warning labels. Design: Using data of 11 434 packaged foods found in the five largest food retailers in Brazil, we used two published NPM: the Pan American Health Organization (PAHO) model and the NPM used in the Chilean nutritional FOP labelling policy, and compare…
The Effects of Conditionality Monitoring on Educational Outcomes
Conditional cash transfer programmes have been adopted by several developing countries. Despite their acceptance, the independent role of the conditionalities on education and health remain under scrutiny. We have used an ecological design to study the association between conditionality monitoring and educational outcomes in Brazil’s Bolsa Família programme. As programme coverage (taken as a proxy of cash transfers) and monitoring and enforcement…
Medidas regulatórias de proteção da alimentação adequada e saudável no Brasil
Medidas regulatórias estão entre as estratégias de promoção da alimentação adequada e saudável preconizadas pela Política Nacional de Alimentação e Nutrição (PNAN). Embora outras ações de promoção da alimentação adequada e saudável tenham avançado no Brasil, essas medidas progridem lentamente. O objetivo do trabalho é identificar e descrever fatores relacionados ao desenvolvimento e à implementação das principais medidas regulatórias de proteção …
Nutritional quality of foods and non-alcoholic beverages advertised on Brazilian free-to-air television
The findings of the present study indicate a high exposure of the Brazilian population to unhealthy food marketing and an inefficient enforcement of existing regulations. Further research to monitor population exposure to unhealthy food marketing and understand the policy inertia that is preventing policy progress, is highly recommended
Malnutrition in all its forms and social inequalities in Brazil
Objective: To describe malnutrition (undernutrition and excess weight) by income, education and race/ethnicity in the Brazilian population. Design: Cross-sectional study. Setting: Brazil. Participants: Children aged n 14 580), adolescents aged 11–19 years ( n 31 892) and adults aged 20–49 years ( n 84 660). Results: Among children, prevalence of excess weight, wasting and stunting was 16·9, 2·8 and 6·0 %, respectively. Differences related to inco…
The price of ultra-processed foods and beverages and adult body weight
Barriers to and facilitators of ultra-processed food consumption
Objective To explore how individuals perceive the availability of ultra-processed foods in their neighbourhoods and the barriers to and facilitators of consumption of such foods. Design A qualitative design was chosen. In-depth, face-to-face semi-structured interviews were conducted and a content analysis was performed. Setting São Paulo, Brazil. Subjects A purposeful sample of adults ( n 48), stratified by sex and age group (20–39 years and 40–5…
Food and Beverage Availability in Small Food Stores Located in Healthy Food Financing Initiative Eligible Communities
Food deserts are a major public health concern. This study aimed to assess food and beverage availability in four underserved communities eligible to receive funding from the Healthy Food Financing Initiative (HFFI). Data analyzed are part of a quasi-experimental study evaluating the impact of the HFFI on the retail food environment in selected Illinois communities. In 2015, 127 small grocery and limited service stores located in the four selecte…
The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil
Objective To examine the relationship between the local retail food environment and consumption of fruits and vegetables (FV) and sugar-sweetened beverages (SSB) in São Paulo, Brazil, as well as the moderation effects of income in the studied relationships. Design Cross-sectional study design that drew upon neighbourhood- and individual-level data. For each participant, community (density and proximity) and community food environment (availabilit…
Socioeconomic and regional differences in active transportation in Brazil
OBJECTIVE To present national estimates regarding walking or cycling for commuting in Brazil and in 10 metropolitan regions. METHODS By using data from the Health section of 2008’s Pesquisa Nacional por Amostra de Domicílio (Brazil’s National Household Sample Survey), we estimated how often employed people walk or cycle to work, disaggregating our results by sex, age range, education level, household monthly income per capita, urban or rural addr…
Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
OBJECTIVE To assess inter-rater reliability, test-retest reliability, and construct validity of retail food store, open-air food market, and restaurant observation tools adapted to the Brazilian urban context.METHODS This study is part of a cross-sectional observation survey conducted in 13 districts across the city of Sao Paulo, Brazil in 2010-2011. Food store and restaurant observational tools were developed based on previously available tools,…
Neighborhood socioeconomic characteristics and differences in the availability of healthy food stores and restaurants in Sao Paulo, Brazil
Ambiente alimentar urbano em São Paulo, Brasil
Minha
Impact of a nutritional counseling program on prevention of Haart-related metabolic and morphologic abnormalities
The advent of highly active antiretroviral therapy (HAART) improved HIV infection prognosis. However, adverse metabolic and morphologic effects emerged, highlighting a lack of investigation into the role of nutritional interventions among this population. The present study evaluated the impact of a nutritional counseling program on prevention of morphologic and metabolic changes in patients living with HIV/AIDS receiving HAART. A 12-month randomi…
Investigating Environmental Determinants of Diet, Physical Activity, and Overweight among Adults in Sao Paulo, Brazil
Neighborhood socioeconomic characteristics and differences in the availability of healthy food stores and restaurants in Sao Paulo, Brazil
Investigating Environmental Determinants of Diet, Physical Activity, and Overweight among Adults in Sao Paulo, Brazil
Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
OBJECTIVE To assess inter-rater reliability, test-retest reliability, and construct validity of retail food store, open-air food market, and restaurant observation tools adapted to the Brazilian urban context.METHODS This study is part of a cross-sectional observation survey conducted in 13 districts across the city of Sao Paulo, Brazil in 2010-2011. Food store and restaurant observational tools were developed based on previously available tools,…
Medidas regulatórias de proteção da alimentação adequada e saudável no Brasil
Medidas regulatórias estão entre as estratégias de promoção da alimentação adequada e saudável preconizadas pela Política Nacional de Alimentação e Nutrição (PNAN). Embora outras ações de promoção da alimentação adequada e saudável tenham avançado no Brasil, essas medidas progridem lentamente. O objetivo do trabalho é identificar e descrever fatores relacionados ao desenvolvimento e à implementação das principais medidas regulatórias de proteção …
Diet quality index adjusted for energy requirements in adults
This study aimed to develop a diet quality index (DQI-a) adjusted for energy requirement. Dietary intake of adults was assessed using 24-hour food recall. The DQI was developed for scores evenly distributed across ten items characterizing different aspects of diet: food groups, nutrients, and variety. The components categorized under the food groups from the Dietary Guide for Brazilians were adjusted according to the estimated energy requirements…
Equity-Driven fiscal Policies
Promoting individual health and enhancing the global food system requires prioritizing healthy and sustainable food choices. The escalating consumption of ultra-processed products (UPP) in many countries significantly contribute to the obesity epidemic and associated diseases, alongside posing environmental challenges as these products are claimed to increase natural resource use, greenhouse gas emissions and agrobiodiversity loss. To address the…
Diet quality index adjusted for energy requirements in adults
This study aimed to develop a diet quality index (DQI-a) adjusted for energy requirement. Dietary intake of adults was assessed using 24-hour food recall. The DQI was developed for scores evenly distributed across ten items characterizing different aspects of diet: food groups, nutrients, and variety. The components categorized under the food groups from the Dietary Guide for Brazilians were adjusted according to the estimated energy requirements…
Impact of a nutritional counseling program on prevention of Haart-related metabolic and morphologic abnormalities
The advent of highly active antiretroviral therapy (HAART) improved HIV infection prognosis. However, adverse metabolic and morphologic effects emerged, highlighting a lack of investigation into the role of nutritional interventions among this population. The present study evaluated the impact of a nutritional counseling program on prevention of morphologic and metabolic changes in patients living with HIV/AIDS receiving HAART. A 12-month randomi…
Investigating Environmental Determinants of Diet, Physical Activity, and Overweight among Adults in Sao Paulo, Brazil
Neighborhood socioeconomic characteristics and differences in the availability of healthy food stores and restaurants in Sao Paulo, Brazil
Ambiente alimentar urbano em São Paulo, Brasil
Minha
Evaluating the use of in-store measures in retail food stores and restaurants in Brazil
OBJECTIVE To assess inter-rater reliability, test-retest reliability, and construct validity of retail food store, open-air food market, and restaurant observation tools adapted to the Brazilian urban context.METHODS This study is part of a cross-sectional observation survey conducted in 13 districts across the city of Sao Paulo, Brazil in 2010-2011. Food store and restaurant observational tools were developed based on previously available tools,…
The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil
Objective To examine the relationship between the local retail food environment and consumption of fruits and vegetables (FV) and sugar-sweetened beverages (SSB) in São Paulo, Brazil, as well as the moderation effects of income in the studied relationships. Design Cross-sectional study design that drew upon neighbourhood- and individual-level data. For each participant, community (density and proximity) and community food environment (availabilit…
Socioeconomic and regional differences in active transportation in Brazil
OBJECTIVE To present national estimates regarding walking or cycling for commuting in Brazil and in 10 metropolitan regions. METHODS By using data from the Health section of 2008’s Pesquisa Nacional por Amostra de Domicílio (Brazil’s National Household Sample Survey), we estimated how often employed people walk or cycle to work, disaggregating our results by sex, age range, education level, household monthly income per capita, urban or rural addr…
Food and Beverage Availability in Small Food Stores Located in Healthy Food Financing Initiative Eligible Communities
Food deserts are a major public health concern. This study aimed to assess food and beverage availability in four underserved communities eligible to receive funding from the Healthy Food Financing Initiative (HFFI). Data analyzed are part of a quasi-experimental study evaluating the impact of the HFFI on the retail food environment in selected Illinois communities. In 2015, 127 small grocery and limited service stores located in the four selecte…
Barriers to and facilitators of ultra-processed food consumption
Objective To explore how individuals perceive the availability of ultra-processed foods in their neighbourhoods and the barriers to and facilitators of consumption of such foods. Design A qualitative design was chosen. In-depth, face-to-face semi-structured interviews were conducted and a content analysis was performed. Setting São Paulo, Brazil. Subjects A purposeful sample of adults ( n 48), stratified by sex and age group (20–39 years and 40–5…
The price of ultra-processed foods and beverages and adult body weight
Nutritional quality of foods and non-alcoholic beverages advertised on Brazilian free-to-air television
The findings of the present study indicate a high exposure of the Brazilian population to unhealthy food marketing and an inefficient enforcement of existing regulations. Further research to monitor population exposure to unhealthy food marketing and understand the policy inertia that is preventing policy progress, is highly recommended
Malnutrition in all its forms and social inequalities in Brazil
Objective: To describe malnutrition (undernutrition and excess weight) by income, education and race/ethnicity in the Brazilian population. Design: Cross-sectional study. Setting: Brazil. Participants: Children aged n 14 580), adolescents aged 11–19 years ( n 31 892) and adults aged 20–49 years ( n 84 660). Results: Among children, prevalence of excess weight, wasting and stunting was 16·9, 2·8 and 6·0 %, respectively. Differences related to inco…
Role of different nutrient profiling models in identifying targeted foods for front-of-package food labelling in Brazil
Objective: To compare the degree of strictness and agreement of different nutrient profiling models (NPM) used to identify which foods would be required to show front-of-package (FOP) warning labels. Design: Using data of 11 434 packaged foods found in the five largest food retailers in Brazil, we used two published NPM: the Pan American Health Organization (PAHO) model and the NPM used in the Chilean nutritional FOP labelling policy, and compare…
The Effects of Conditionality Monitoring on Educational Outcomes
Conditional cash transfer programmes have been adopted by several developing countries. Despite their acceptance, the independent role of the conditionalities on education and health remain under scrutiny. We have used an ecological design to study the association between conditionality monitoring and educational outcomes in Brazil’s Bolsa Família programme. As programme coverage (taken as a proxy of cash transfers) and monitoring and enforcement…
Medidas regulatórias de proteção da alimentação adequada e saudável no Brasil
Medidas regulatórias estão entre as estratégias de promoção da alimentação adequada e saudável preconizadas pela Política Nacional de Alimentação e Nutrição (PNAN). Embora outras ações de promoção da alimentação adequada e saudável tenham avançado no Brasil, essas medidas progridem lentamente. O objetivo do trabalho é identificar e descrever fatores relacionados ao desenvolvimento e à implementação das principais medidas regulatórias de proteção …
Food swamps in Campinas, Brazil
The characteristics of the food environment can interfere with physical access to healthy foods and accentuate health inequalities. The presence of food swamps, i.e., the greater availability of ultra-processed food and commercial establishments compared to those that sell healthier options, are associated with the consumption of unhealthy foods. This study identified the spatial distribution of these establishments in Campinas, São Paulo. Fast-f…
Mapeamento de pântanos alimentares em Campinas, Brasil
As características do ambiente alimentar podem interferir no acesso físico a alimentos saudáveis e acentuar as desigualdades em saúde. A presença de pântanos alimentares, ou seja, a maior disponibilidade de estabelecimentos de comercialização de alimentos ultraprocessados em relação aos que comercializam opções mais saudáveis, associado a características de vulnerabilidade da vizinhança, pode estar relacionado ao consumo de alimentos não saudávei…
Adesão aos acordos voluntários de redução de sódio no Brasil
O objetivo do trabalho foi avaliar a adesão aos acordos voluntários de redução de sódio firmados entre indústrias de alimentos e o Ministério da Saúde e comparar as metas adotadas com o limite de sódio proposto no modelo de perfil nutricional da Organização Pan-Americana da Saúde (OPAS). Utilizaram-se informações de 1.553 alimentos de 32 categorias incluídas nos acordos e comercializados nas maiores redes de supermercados brasileiras em 2017. For…
Whole grain products in Brazil
OBJECTIVE: This study aims to evaluate the use of “whole grains” claims in food products marketed in Brazil and evaluate the nutrient profile of these products. METHODS: Data from 775 grain-based packaged foods collected in Brazil from April to July 2017 were analyzed. Based on the INFORMAS protocol for food labeling, the prevalence of packaged foods with “whole grains” claims was estimated. Information on the list of ingredients was analyzed to …
Promotion of ultra-processed foods in Brazil
OBJECTIVE: To assess the availability of different promotional strategies applied for UPF sales in Brazilian food retailers. METHODS: Information available on food packaging was gathered from all packaged products sold in the five largest food retail chains in Brazil in 2017. UPF were identified using the NOVA food classification system. From this sample, data related to promotional characteristics, nutrition claims and health claims were collect…
Equity-Driven fiscal Policies
Promoting individual health and enhancing the global food system requires prioritizing healthy and sustainable food choices. The escalating consumption of ultra-processed products (UPP) in many countries significantly contribute to the obesity epidemic and associated diseases, alongside posing environmental challenges as these products are claimed to increase natural resource use, greenhouse gas emissions and agrobiodiversity loss. To address the…
Applying the Nova food classification to food product databases using discriminative ingredients
Background: Growing interest in the Nova food classification system surged among various stakeholders, driven primarily by compelling evidence linking the consumption of ultra-processed foods (UPFs) to negative health outcomes. This growing interest underscores the potential value of identifying clear markers to classify UPFs, particularly to support research and regulatory efforts. Objective: To propose replicable methods to identify UPFs, by te…
Food additives in Latin America
BACKGROUND: Latin America is distinguished by diverse regulatory frameworks and evolving dietary patterns, including the weakening of traditional diets and the increasing consumption of ultra-processed foods (UPFs). Predominantly produced by transnational corporations, UPFs rely heavily on food additives to achieve desirable sensory properties (e.g., flavor, color), ensure food safety, and extend shelf life. Over the past decade, research has inc…
Perceptions of non-sugar sweeteners and front-of-package labels among parents of preschool and school-aged children in Brazil
Objective: To describe Brazilian parents’ perceptions of non-sugar sweeteners (NSS) in beverages consumed by children and their views for NSS front-of-package labels (FOPL). Design: A qualitative-driven mixed-methods embedded design was used. Seven focus groups with parents of children explored perceptions of NSS. Qualitative data were coded and analyzed using thematic analysis. Participants also completed a closed-ended survey assessing familiar…
Medicine (19 works) · Environmental health (15 works) · Consumer Attitudes and Food Labeling (14 works) · Obesity, Physical Activity, Diet (14 works) · Business (12 works) · Food Science (10 works) · Geography (8 works) · Nutritional Studies and Diet (7 works) · Economics (6 works) · Food products (6 works)