Diets, Nutrition, and Health
Diet quality, nutritional status, double burden, diet-related diseases, children's feeding practices.
Adolescents: Average daily frequency of consumption of sugary carbonated drinks
Average number of times per day that adolescents (13–17 years old) reported consuming carbonated soft drinks. Global data were collected through the Global School-based Student Health Surveys. The National School Health Survey (PENSE) includes the questions: "IN THE LAST 7 DAYS, on how many days did you drink soda?" (weekly frequency) and "YESTERDAY, did you drink soda?", with a YES or NO answer, without reference to daily frequency.
Adult diabetes prevalence (%)
Proportion of adults aged 18 years and older with self-reported, medically diagnosed diabetes.
Adult obesity (%)
Proportion of adults aged 18 and older with BMI > 30 kg/m². Estimates are age-standardized.
Adult overweight (%)
Proportion of adults aged 19 and older with BMI equal or above 25 kg/m², meaning this indicator includes overweight and obesity combined.
Adult raised blood pressure (%)
Proportion of adults aged 18 years and older with self-reported, medically diagnosed raised blood pressure.
Adults: Soft drink consumption (%)
Proportion of the population age 15 years and older who consumed a sugar-sweetened soft drink during the previous day or night. Sugarsweetened soft drinks include soda, energy drinks, and sports drinks.
Adults: Zero fruit or vegetable consumption (%)
Proportion of the population age 15 years and older who did not consume any vegetables or fruits in the previous day.
All-5: Consumption of all five food groups (%)
Proportion of the population age 15 years and older consuming all five food groups typically recommended for daily consumption: fruits; vegetables; pulses, nuts, or seeds; animal-source foods; and starchy staples.
Children (6-23 months): Zero fruit or vegetable consumption (%)
Percentage of children 6–23 months of age who did not consume any vegetables or fruits during the previous day.
Consumption of deep-fried foods
Proportion of the population aged 15 or older who consumed deep-fried foods the previous day. The food consumption data from the 2017–2018 POF (Brazilian Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.
Consumption of nuts or seeds
Proportion of the population aged 15 or older who consumed nuts or seeds the previous day. The food consumption data from the 2017–2018 POF (Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.
Consumption of processed meats
Proportion of the population aged 15 or older who consumed processed meat the previous day. The food consumption data from the 2017–2018 POF (Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.
Consumption of salty snacks, instant noodles, or fast food.
Proportion of the population aged 15 or older who consumed processed snacks, instant noodles, or fast food the previous day. The food consumption data from the 2017–2018 POF (Brazilian Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.
Consumption of sweet foods
Proportion of the population aged 15 or older who consumed sweet foods the previous day. The food consumption data from the 2017–2018 POF (Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.
Consumption of unprocessed red meat
Proportion of the population aged 15 or older who consumed unprocessed red meat the previous day. The food consumption data from the 2017–2018 POF (Brazilian Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.
Cost of a healthy diet (current USD/capita)
The lowest cost of a 2,329 kcal diet composed of a minimum variety of foods. This expected variety is defined as follows: two items from the "starchy staples" group (e.g., rice, corn, wheat, cassava, potatoes); two items from the "legumes, fresh meats, and eggs" group; one dairy product; three items from the "vegetables" group; two items from the "fruits" group; and one item from the "oils and fats" group. To estimate this cost, the least expensive locally available foods from each group are used. Further information on the methodology can be found in: https://doi.org/10.4060/cc1169en
Dietary diversity score
The Dietary Diversity Score (DDS) is the number of food groups consumed the previous day or night, of the ten food groups used in the MDD-W indicator: 1) grains, white roots and tubers, and plantains, 2) pulses (beans, peas and lentils), 3) nuts and seeds, 4) dairy, 5) meat, poultry, and fish, 6) eggs, 7) dark green leafy vegetables, 8) other vitamin A-rich fruits and vegetables, 9) other vegetables, and 10) other fruits. The score ranges from 0 to 10 expressed as an average score for the population with a higher score indicating inclusion of more food groups in the diet.
Disability-adjusted life years attributed to nutritional deficiencies (DALYs/100,000)
Disability-adjusted life years attributed to nutritional deficiencies combines the number of years lost due to premature deaths and due to time lived in states of less than full health in the population. This indicator is a marker of nutritional deficiency burden to the population health and well-being.
Double burden of malnutrition
The double burden of malnutrition is defined by the coexistence of a high prevalence of undernutrition and overweight in at least one population group. This is a categorical indicator, classified as: 0 - absence of double burden of malnutrition (DBM); 1 - presence of undernutrition combined with a prevalence of overweight greater than 20%; 3 - presence of undernutrition combined with a prevalence of overweight greater than 30%; and 4 - presence of undernutrition and a prevalence of overweight greater than 40%. The presence of undernutrition in the population is defined as: wasting >15% or stunting >30% in children under 5 years of age, or a prevalence of low weight in women >20%.
Estimated pesticide intake (g/day)
Using information on the average pesticide content in 22 foods in Brazil, this indicator estimates the daily pesticide intake of people living in the country.
Eutrophication of food consumption per person (g PO43eq/capita)
The increase in phosphorous and nitrogen concentration (measured in phosphate equivalent) in water and soil as a result of current food consumption patterns. Food consumption from the Brazilian National Diet Survey.
Foodborne disease burden estimates (DALYs/100,000)
The annual incidence of foodborne disease in disability-adjusted life years (DALYs)/100,000 people. This provides a cumulative burden estimate, combining 31 hazards spanning diarrheal disease agents, invasive infectious disease agents, helminths, and chemicals and toxins. Data are available for groups of countries of similar levels of development within a same continent but not by individual country (e.g. Africa is represented in two clusters, or “regions")
Global dietary recommendations score
The global dietary recommendations (GDR) score has two components, NCD-Protect and NCD-Risk. It is based on food consumption from nine health-protective food groups (NCD-Protect) and eight food groups to limit or avoid (NCD-Risk) during the previous day or night. The score ranges from 0 to 18 with higher scores indicating more recommendations met.
Greenhouse gas emissions of food consumption per person (kg CO2eq/capita)
Greenhouse gas emissions (measured in carbon dioxide equivalent) related to current food consumption patterns. Food consumption from the Brazilian National Diet Survey.
Growth in number of grocery retailers that predominantly offer in natura foods, 5 year (%)
Percent change in the number of retailers that predominantly (50% or more items) offer in natura foods, estimated using projections from two time-points: 2016 and 2023. This Brazilian initiative mapped vendors at 91 municipalities with more than 300,000 inhabitants. The stores classified as healthy by the technical study "Mapping Food Deserts in Brazil" based on the National Classification of Economic Activities (CNAE), included: fishmongers (throughout Brazil); fruit and vegetable markets (throughout Brazil); butcher shops (throughout Brazil); supermarkets (in all states in the North and Central-West regions; in addition to Ceará, Maranhão, Piá, and Rio Grande do Norte; and Espírito Santo); minimarkets (Amazonas, AP, PA, and RR; Alagoas, Ceará, MA, and Piaui; Mato Grosso do Sul; and Espírito Santo); and Mobile Food Services (AP; Alagoas, CE, PI, and RN; Goiás, MT; and Paraná).
Growth in the number of establishments that predominantly offer fresh or minimally processed foods, over a period of 1 year (%)
Annual percentage change in the number of establishments that predominantly offer (50% or more of the items) natural foods, estimated based on projections for two periods: 2016 and 2023. The Brazilian initiative mapped vendors in 91 municipalities with more than 300,000 inhabitants.
Individuals >=10y.o: Caloric contribution from ultraprocessed food intake (%)
Percentage of total caloric intake attributed to ultraprocessed foods.
Infants (0-5 months): Exclusive breastfeeding (%)
Proportion of infants 0–5 months who are fed exclusively with breast milk.
Infants (6-8 months): Introduction of solid, semi-solid, or soft foods (%)
Proportion of infants 6–8 months who receive solid, semi-solid, or soft foods.
Legume consumption
Proportion of the population aged 15 or older who consumed legumes the previous day. The food consumption data from the 2017–2018 POF (Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.
Loss of biodiversity associated with individual food consumption (species/day)
Estimated loss of biodiversity (measured in number of species) related to current food consumption patterns. Quantifies the fraction of species richness that may disappear from an ecosystem due to pressures generated by food production, such as the use of natural resources and pollution.
MDD (IYCF): Minimum dietary diversity for infants and young children (%)
Percentage of children 6–23 months of age who consumed foods and beverages from at least five out of eight defined food groups during the previous day.
MDD-W: Minimum dietary diversity for women (%)
Percentage of women 15-49 years of age who consumed at least five out of ten defined food groups the previous day or night. It is associated with a higher probability of nutrient adequacy for 11 micronutrients.
NCD-Protect
The NCD-Protect score is an indicator of dietary factors protective against NCDs, based on consumption during the previous day or night of nine food groups that are associated with meeting WHO recommendations on fruits, vegetables, whole grains, pulses, nuts and seeds, and fiber. The score ranges from zero to nine expressed as an average score for the population age 15 years and older.
NCD-Risk
The NCD-Risk score is an indicator of dietary risk factors for NCDs, based on consumption during the previous day or night of eight food groups that are negatively associated with meeting WHO recommendations on free sugar, salt, total and saturated fat, and red and processed meat. The score ranges from zero to nine expressed as an average score for the population age 15 years and older.
Noncommunicable disease mortality rate (Deaths/100,000)
Deaths per 100,000 individuals caused by type 2 diabetes, cancer, cardiovascular diseases and chronic obstructive pulmonary disease. Noncommunicable diseases mortality is a proxy of low-quality diet, because dietary habits are important factors for the onset of chronic noncommunicable diseases.
Number of grocery retailers that predominantly offer in natura foods per 10,000 population
The number of retailers that predominantly (50% or more items) offer in natura foods per 10000 inhabitants, mapped by a national initiative that classified vendors at 91 municipalities with more than 300,000 inhabitants
Number of modern supermarket retailers per 10,000 inhabitants.
Number of modern supermarket retailers per 100,000 inhabitants. These stores predominantly sell food and beverages and are usually part of large companies or brands with multiple branches. The types of establishments included in the "modern supermarket retailer" category are: hypermarkets, supermarkets, gas station retailers (grocery stores attached to gas stations), and convenience stores.
Nutrient Rich Diet 9.3 (nutritional adequacy) (score)
The "Nutrient-Rich Diet" score checks whether food intake is in line with dietary recommendations. Higher scores are assigned to individuals whose food intake meets the minimum reference intake for protein, dietary fiber, vitamin A, vitamin C, vitamin E, calcium, iron, magnesium, and potassium, and who do not have high intakes of nutrients essential for metabolic health, such as saturated fatty acids, added sugar, and sodium.
Overweight and obesity in children under 5 years (%)
Proportion of children under 5 years with BMI-for-age > 2 standard deviations from the median of the WHO growth reference for children.
Percent of noncommunicable disease deaths that are premature (%)
Deaths due to noncommunicable diseases (NCD) among people aging 30 to 69 years, as a percentage of NCD deaths among all ages.
Stunting in children under 5 years (%)
Percentage of children 0–59 months who are more than 2 standard deviations below the median height for age of the WHO Child Growth Standards.
Teenagers: Average weekly frequency of fast-food consumption
Average number of times per week that adolescents (13–17 years old) reported consuming fast food. Global data were collected through the Global School-based Student Health Surveys. The National School Health Survey (PENSE) includes the question: "IN THE LAST 7 DAYS, on how many days did you eat at snack bars, hot dog stands, pizzerias, fast food restaurants, etc.?"
Urban Water Security Index
The Urban Water Security Index (ISH-U) measures a city's ability to guarantee water in adequate quantity and quality. It ranges from 1 to 5 (or from Poor to Excellent) and assesses the efficiency of water production (vulnerability of water sources) and the efficiency of distribution (network coverage and loss control).
Wasting in children under 5 years (%)
Proportion of children 0–59 months who are more than two standard deviations below the median weight for height of the WHO Child Growth Standards. Children more than three standard deviations below the median are classified as severely wasted, while those between 2 and 3 standard deviations below the median are moderately wasted.
Water use linked to food consumption per person (litre/capita)
Freshwater used to produce food under current food consumption patterns. Includes irrigation water (for crops and livestock feed), animal drinking water, and water used during food processing.
Whole grain consumption
Proportion of the population aged 15 or older who consumed whole grains the previous day. The food consumption data from the 2017–2018 POF (Brazilian Household Budget Survey) provide information for individuals aged 10 or older, allowing for the estimation of indicators for the total population and its stratification by age groups, such as adolescents, adults, and the elderly.