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The Challenging Inclusion of the First Brazilian Individual Dietary Survey in the 2008-2009 Household Expenditures Survey. Rosangela A Pereira 1 Dirce M L Marchioni 2 Regina M Fisberg 2 Rosely Sichieri 3.
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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 Fisberg2 RoselySichieri3 1 Departamento de Nutrição Social e AplicadaUniversidade Federal do Rio de Janeiro, Brazil 2Departamento de Nutrição Universidade de São Paulo, Brazil 3 Departamento de Epidemiologia Universidade do Estado do Rio de Janeiro, Brazil • CNPq - Brazilian National Council for Scientific and Technological Development # 200686/2011-9 – PDEE
ENDEF 1974-75 POF 1986-87 POF 1995-96 Household Expenditures Surveys in Brazil POF 2008-09 POF 2002-03 Widely used in food consumption monitoring
Changes in Brazil • Prompted for the realization of a nationwide dietary survey • to picture the food intake at the individual level • Designed: • MinistryofHealth • researchers from diverse universities • Brazilian Institute of Geography and Statistics (IBGE)
ENDEF 1974-75 POF 1986-87 POF 1995-96 2008-2009 Household Expenditures Survey and the Individual Dietary Survey in Brazil 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 MinistryofHealth IBGE Researchersfrom 9 universities • Workshop • March 2006 IBGE Researchersfrom 5 universities • Adapting food database • First semester 2006 IBGE IDS Technical Coordination • Pre test • Second semester 2006 • Workshop • December 2006 • Participation: • Antonia Trichopoulou Ministry of Health IBGE Researchersfrom 10 universities
Sampling HES sample: 68,373 households • estimated IDS sample: 25% • Two-stage cluster sampling • Censustracts • Households All census tracts selected for main sample were represented in the IDS sample • householdsincluded in the IDS: 13,659 • subjectsincluded in the IDS: 34,032 • 29 excluded Equally allocated among the four quarters of the survey to reproduce seasonal variations • nonresponse: 19%
Data collection • Nine days: • Firstday: general informationonthehouseholdandresidents • Forms to include informationonfoodacquisitionandconsumption • Fromthesecond to theeighthdays: • Interviewersvisitthehousehold to followthefillingoftheforms • Twononconsecutivefoodrecords • Ninethday: closing
Dietaryassessment • 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
Validationstudy • Studycomparedenergyintakeestimatedbythe application ofthe IDS methodagainstenergyexpenditureestimatedby DLW • Meanunderreport: 17%
Publicationsand data availability http://www.ibge.gov.br/home/xml/pof_2008_2009.shtm
Data availability • Afterthe release of microdata • Meeting withresearchersfromall over the country • Training onprocedures to use the data
Future improvements in the dietary assessment methods for nationwide IDS* • To include otherinformation in order to betterestimatefoodconsumptionandcharacterizeeatinghabits • Occasionofconsumption • breakfast, snack, lunch, dinner, supper, brunch, other • Away-from-home local ofconsumption • Restaurant, bar etc • Waterintake • Sugar andothersweetenersintake *Basedon a presentationofIlana Bezerra (UniversityoftheStateof Rio de Janeiro)
Future improvements in the dietary assessment methods for nationwide IDS • To use a software to standardize the data collection *Basedon a presentationofIlana Bezerra (UniversityoftheStateof Rio de Janeiro)
Planning, coordination and execution of the first Brazilian IDS • Resulted from a politically and technically committed dynamic environment brought up by the partnership between the Ministry of Health, the IBGE, and the research team