The Challenging Inclusion of the First Brazilian Individual Dietary Survey in the 2008-

2009 Household Expenditures Survey

Rosangela A Pereira 1

Dirce M L Marchioni2

Regina M Fisberg 2

Rosely Sichieri 3

1 Departamento de Nutrição Social e Aplicada Universidade Federal do Rio de

Janeiro, Brazil2 Departamento de Nutrição

Universidade de São Paulo, Brazil

3 Departamento de EpidemiologiaUniversidade do Estado do Rio de Janeiro,

BrazilCNPq - Brazilian National Council for Scientific and Technological Development # 200686/2011-

9 – PDEE

2

Household Expenditures Surveys in Brazil

ENDEF 1974-75

POF 1986-87

POF 1995-96

POF 2002-03

POF 2008-09

Widely used in food consumption monitoring

Changes in Brazil

Modification in the dietary pattern

•Reduction in the consumption of traditional foods

•Increase in the consumption of processed foods

•Increase of away-from-home eating

Increasing prevalence of

food and nutrition related

disorders

•Obesity•Cardiovascular diseases•Diabetes•Cancer

Changes in Brazil Prompted for the realization of a

nationwide dietary surveyo to picture the food intake at

the individual level

Designed:Ministry of Healthresearchers from diverse universities Brazilian Institute of Geography and Statistics (IBGE)

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2008-2009 Household Expenditures Survey and the Individual Dietary Survey in Brazil

ENDEF 1974-75

POF 1986-87

POF 1995-96

POF 2002-03

POF 2008-09

Included the first Brazilian Individual Dietary Survey

Information on food consumption of ≥10 years old individuals

Subsample of households included the main study

Planning the first Individual Dietary Survey in Brazil

Ministry of HealthIBGE

Researchers from 9 universities

WorkshopMarch 2006

IBGEResearchers from 5

universities

Adapting food database

First semester 2006

IBGEIDS Technical Coordination

Pre testSecond semester 2006

Ministry of HealthIBGE

Researchers from 10 universities

WorkshopDecember 2006Participation:

Antonia Trichopoulou

Sampling Two-stage cluster

samplingoCensus tractsoHouseholds

HES sample: 68,373 households

estimated IDS sample: 25%

subjects included in the IDS: 34,032

29 excluded

households included in the IDS: 13,659

non response: 19%

All census tracts selected for main

sample were represented in the IDS sample

Equally allocated among the four quarters of the

survey to reproduce seasonal variations

Data collection Nine days:oFirst day: general information on the

household and residents• Forms to include information on food acquisition and consumption

oFrom the second to the eighth days:• Interviewers visit the household to follow the filling of the forms▫Two non consecutive food records

oNineth day: closing

•Food records ▫foods and drinks consumed

time amount place of intake (inside or outside home) preparation mode

▫consumption of sugar / artificial sweeteners

▫water drinking and nutritional supplements = not collected

Dietary assessment

Validation study Study compared energy intake estimated

by the application of the IDS method against energy expenditure estimated by DLWoMean underreport: 17%

Publications and data availability

http://www.ibge.gov.br/home/xml/pof_2008_2009.shtm

Data availability After the release of microdataoMeeting with researchers from all over the

countryTraining on procedures to use the data

Future improvements in the dietary assessment methods for nationwide IDS* To include other information in order to better estimate

food consumption and characterize eating habits

Occasion of consumption breakfast, snack, lunch, dinner, supper, brunch, other

Away-from-home local of consumptionRestaurant, bar etc

Water intake

Sugar and other sweeteners intake

*Based on a presentation of Ilana Bezerra (University of the State of Rio de Janeiro)

Future improvements in the dietary assessment methods for nationwide IDS

To use a software to standardize the data collection

*Based on a presentation of Ilana Bezerra (University of the State of Rio de Janeiro)

Planning, coordination and execution of the first Brazilian IDS

oResulted from a politically and technically committed dynamic environment brought up by the partnership between the Ministry of Health, the IBGE, and the research team