• Overview
  • Obesity prevalence
  • Trends over time
  • Population breakdowns
  • Drivers
  • Comorbidities
  • Economic impact
  • Policies
  • Contextual factors
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Obesity prevalence

Adults, 2019

Survey type:Measured
Age:18+
Sample size:8057
Area covered:National
References:Pesquisa nacional de saúde : 2019 : ciclos de vida : Brasil / IBGE, Coordenação de Trabalho e Rendimento. - Rio de Janeiro : IBGE, 2021. Available at https://www.ibge.gov.br/en/statistics/social/health/16840-national-survey-of-health.html?=&t=resultados (last accessed 04.04.23)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2019

Survey type:Self-reported
Age:18+
Sample size:52443
Area covered:National
References:Vigitel Brazil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2019 - report translation provided to WOF by Dra.Andrea Pereira, Presidente e co-fundadora da ONG Obesidade Brasil
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2015

Survey type:Self-reported
Age:18+
Area covered:National
References:BRASIL. Ministério da Saúde. Vigitel Brasil 2015: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília, DF: Ministério da Saúde, 2016.
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2013-2014

Survey type:Measured
Age:18+
Sample size:59402
Area covered:National
References:FERREIRA, Arthur Pate de Souza; SZWARCWALD, Célia Landmann and DAMACENA, Giseli Nogueira. Prevalence of obesity and associated factors in the Brazilian population: a study of data from the 2013 National Health Survey. Rev. bras. epidemiol. [online]. 2019, vol.22 [cited 2019-05-16], e190024. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2019000100420&lng=en&nrm=iso. Epub Apr 01, 2019. ISSN 1415-790X. http://dx.doi.org/10.1590/1980-549720190024.
Notes:NB. Combined adult data estimated. These estimates were calculated by weighting male and female survey results. Weighting based on World Bank Population % total female 2019 (https://data.worldbank.org/indicator/SP.POP.TOTL.FE.ZS - accessed 30.09.20)'
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2012

Survey type:Self-reported
Age:18+
Area covered:National
References:BRASIL. Ministério da Saúde. Vigitel Brasil 2012: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília, DF: Ministério da Saúde, 2013.
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2009

Survey type:Self-reported
Age:18+
Area covered:National
References:BRASIL. Ministério da Saúde. Vigitel Brasil 2009: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde, 2010.
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2008-2009

Survey type:Measured
Age:20+
Sample size:121081
Area covered:National
References:Ministério da Saúde. Pesquisa de Orcamentos Familiares 2008-9. Antrompoetria E Esado Nutricional de Crianças, Adolescentes E Adultos No Brasil. Instituto Brasileiro de Geografi a e Estatística (IBGE) 2010.
Notes:Please note self reported (estimated height & weight) survey data exists for 2015 from the Brazil National Health and Wellness Survey
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2006

Survey type:Self-reported
Age:18+
Area covered:National
References:BRASIL. Ministério da Saúde. Vigitel Brasil 2006: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde, 2007. Data published in Vigitel Brazil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2019 - report translation provided to WOF by Dra.Andrea Pereira, Presidente e co-fundadora da ONG Obesidade Brasil
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2002-2003

Survey type:Measured
Age:20+
Sample size:93329
Area covered:National
References:Monteiro CA, Conde WL and Popkin BA. (2007). Income-specific trends in obesity in Brazil: 1975 - 2003. American Journal of Public Health, 97 (10): 1808 - 1812.
Notes:Data from National Househood Budget Survey.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2001

Survey type:Measured
Age:20-64
Sample size:1252
References:Peixoto Mdo R, Benício MH, Jardim PC. The relationship between body mass index and lifestyle in a Brazilian adult population: a cross-sectional survey. Cad Saude Publica. 2007 Nov;23(11):2694-740
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 1997

Survey type:Measured
Age:20+
Sample size:Not specified
References:Filozof C, Gonzales C, Sereday M, Mazza C, Braguinsky J. Obesity prevalence and trends in Latin American countries. Obesity Reviews, 2001;2:99-196
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 1989

Survey type:Measured
Age:25-64
Sample size:Not specified
References:Barguinsky J. Obesity prevalence in Latin America. Anales Sis San Navarra 2002;25(Suppl 1):S109-115
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 1975

Survey type:Measured
Age:20+
Sample size:78031
References:Monteiro CA, Conde WL, Popking BM. Is obesity replacing or adding to undernutrition? Evidence from different social classes in Brazil. 2002. Public Health Nutrition:51(1A), 105-112
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2019

Survey type:Measured
Age:15-17
Area covered:National
References:Pesquisa nacional de saúde : 2019 : ciclos de vida : Brasil / IBGE, Coordenação de Trabalho e Rendimento. - Rio de Janeiro : IBGE, 2021. Available at https://www.ibge.gov.br/en/statistics/social/health/16840-national-survey-of-health.html?=&t=resultados (last accessed 04.04.23)
Cutoffs:WHO

Children, 2013-2014

Survey type:Measured
Age:12-17
Sample size:73399
Area covered:National
References:Bloch KV, Klein CH,Szklo M, Kuschnir MCC, Abreu GA, Barufaldi LA et al. ERICA: prevalences of hypertension and obesity in Brazilian adolescents. Rev Saude Publica. 2016;50(suppl 1):9s.
Notes:Z Score Cut Off (1 to <2) Overweight, >2 Obesity
Cutoffs:WHO

Children, 2009-2011

Survey type:Measured
Age:7-10
Sample size:1947
Area covered:National
References:Flores LS, Gaya AR, Petersen RD, Gaya AC. Trends of underweight, overweight, and obesity in Brazilian children and adolescents. J Pediatr (Rio J). 2013;89:456–61.
Notes:The subject was classified as underweight, normal weight, overweight, or living with obesity, according to the categories proposed by Conde and Monteiro.
Cutoffs:Other

Children, 2008-2009

Survey type:Measured
Age:5-9
Sample size:17491
Area covered:National
References:http://www.ibge.gov.br/home/estatistica/populacao/condicaodevida/pof/2008_2009/POFpublicacao.pdf
Notes:WHO 2007 Cut off
Cutoffs:WHO

Children, 2002

Survey type:Measured
Age:7-10
Sample size:2936
Area covered:Regional
References:de Assis MAA, Rolland-Cachera MF, Grosseman S, de Vasconcelos FAG, Luna MEP, Calvo MCM, Barros MVG, Pires MMS and Bellisle F. 2005. Obesity, overweight and thiness in schoolchildren of the city of Florianópolis, Southern Brazil. European Journal of Clinical Nutrition, 59: 1015 - 1021.
Notes:IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3.
Cutoffs:IOTF

Children, 1997

Survey type:Measured
Age:5-17
Sample size:4875
References:Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China and Russia. AM J Clin Nutr. 2002;75:971-7
Notes:IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3.
Cutoffs:IOTF

Children, 1989

Survey type:Measured
Age:10
Sample size:783
References:Bellizzi MC, Horgan GW, Guillaume M, Dietz WH. Prevalence of childhood and adolescent overweight and obesity in Asian and European countries. In: Obesity in Childhood and Adolescence. Editors: Chunming Chen, William H. Dietz. Nestle Nutrition Workshop Series Pediatric Program. Philadelphia: Lippincott Williams and Wilkins, 2002.
Notes:IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3.
Cutoffs:IOTF

Children, 1974

Survey type:Measured
Age:5-17
Sample size:56295
References:Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China and Russia. AM J Clin Nutr. 2002;75:971-7
Notes:IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3.
Cutoffs:IOTF

Overweight/obesity by education

Men, 2019

Survey type:Self-reported
Age:18+
Sample size:52443
Area covered:Regional
References:Vigitel Brazil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2019 - report translation provided to WOF by Dra.Andrea Pereira, Presidente e co-fundadora da ONG Obesidade Brasil
Notes:Data from Capitals of 26 Brazilian States and the Federal District Education based on years of education
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2019

Survey type:Self-reported
Age:18+
Sample size:52443
Area covered:Regional
References:Vigitel Brazil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2019 - report translation provided to WOF by Dra.Andrea Pereira, Presidente e co-fundadora da ONG Obesidade Brasil
Notes:Data from Capitals of 26 Brazilian States and the Federal District Education based on years of education
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2011

Survey type:Self-reported
Age:18+
Sample size:Approx. 54,000
Area covered:Regional
References:MALTA, Deborah Carvalho et al. Trends in prevalence of overweight and obesity in adults in 26 Brazilian state capitals and the Federal District from 2006 to 2012. Rev. bras. epidemiol. [online]. 2014, vol.17, suppl.1 [cited 2017-11-13], pp.267-276. Available from: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000500267&lng=en&nrm=iso>. ISSN 1415-790X. http://dx.doi.org/10.1590/1809-4503201400050021
Notes:Prevalence of overweight and obesity by educational level (years of study)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2008-2010

Survey type:Measured
Age:20-59
Sample size:527
Area covered:Regional - N.Eastern Brazil
References:Lima R P A, Pereira D C, Luna R C P, et al. BMI, Overweight Status and Obesity Adjusted by Various Factors in All Age Groups in the Population of a City in Northeastern Brazil. Int. J. Environ. Res. Public Health 2015, 12, 4422-4438; doi:10.3390/ijerph120404422
Notes:< elementary school, corresponding to 9 years or less of schooling, and ≥incomplete high school, corresponding to more than 9 years of education.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Boys, 2007

Survey type:Measured
Age:7-14
Sample size:2826
Area covered:Subnational - Municipality of Florianópolis
References:Bernardo, Carla de Oliveira, & Vasconcelos, Francisco de Assis Guedes de. (2012). Association of parents' nutritional status, and sociodemographic and dietary factors with overweight/obesity in schoolchildren 7 to 14 years old. Cadernos de Saúde Pública,28(2), 291-304. Retrieved April 04, 2016, from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2012000200008&lng=en&tlng=en.
Notes:Prevalence of obesity based on Father's schooling years. For the analyses, the schoolchildren were classified into two groups: not overweight or obese (values equivalent to BMI < 25kg/m2 in adults) and overweight or obese (values equivalent to BMI ≥ 25kg/m2 in adults)
Cutoffs:IOTF

Girls, 2007

Survey type:Measured
Age:7-14
Sample size:2826
Area covered:Subnational - Municipality of Florianópolis
References:Bernardo, Carla de Oliveira, & Vasconcelos, Francisco de Assis Guedes de. (2012). Association of parents' nutritional status, and sociodemographic and dietary factors with overweight/obesity in schoolchildren 7 to 14 years old. Cadernos de Saúde Pública,28(2), 291-304. Retrieved April 04, 2016, from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2012000200008&lng=en&tlng=en.
Notes:Prevalence of obesity based on Father's schooling years. For the analyses, the schoolchildren were classified into two groups: not overweight or obese (values equivalent to BMI < 25kg/m2 in adults) and overweight or obese (values equivalent to BMI ≥ 25kg/m2 in adults)
Cutoffs:IOTF

Overweight/obesity by age

Adults, 2019

Survey type:Measured
Sample size:8057
Area covered:National
References:Pesquisa nacional de saúde : 2019 : ciclos de vida : Brasil / IBGE, Coordenação de Trabalho e Rendimento. - Rio de Janeiro : IBGE, 2021. Available at https://www.ibge.gov.br/en/statistics/social/health/16840-national-survey-of-health.html?=&t=resultados (last accessed 04.04.23)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2019

Survey type:Self-reported
Sample size:52443
Area covered:Regional
References:Vigitel Brazil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2019 - report translation provided to WOF by Dra.Andrea Pereira, Presidente e co-fundadora da ONG Obesidade Brasil
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2013

Survey type:Measured
Sample size:59402
Area covered:National
References:FERREIRA, Arthur Pate de Souza; SZWARCWALD, Célia Landmann  and  DAMACENA, Giseli Nogueira. Prevalence of obesity and associated factors in the Brazilian population: a study of data from the 2013 National Health Survey. Rev. bras. epidemiol. [online]. 2019, vol.22 [cited  2020-06-11], e190024. Available from: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2019000100420&lng=en&nrm=iso>.  Epub Apr 01, 2019. ISSN 1980-5497.  https://doi.org/10.1590/1980-549720190024.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2008-2009

Survey type:Measured
Sample size:121081
Area covered:National
References:Ministério da Saúde. Pesquisa de Orcamentos Familiares 2008-9. Antrompoetria E Esado Nutricional de Crianças, Adolescentes E Adultos No Brasil. Instituto Brasileiro de Geografi a e Estatística (IBGE) 2010.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2013-2014

Survey type:Measured
Sample size:73399
Area covered:National
References:Bloch KV, Klein CH,Szklo M, Kuschnir MCC, Abreu GA, Barufaldi LA et al. ERICA: prevalences of hypertension and obesity in Brazilian adolescents. Rev Saude Publica. 2016;50(suppl 1):9s.
Definitions:WHO
Cutoffs:WHO

Children, 2009-2011

Survey type:Measured
Sample size:4140
Area covered:National
References:Flores LS, Gaya AR, Petersen RD, Gaya AC. Trends of underweight, overweight, and obesity in Brazilian children and adolescents. J Pediatr (Rio J). 2013;89:456–61.
Notes:The subject was classified as underweight, normal weight, overweight, or obese, according to the categories proposed by Conde and Monteiro.
Cutoffs:Other

Overweight/obesity by region

Men, 2019

Survey type:Self-reported
Age:18+
Sample size:52443
Area covered:Regional
References:Vigitel Brazil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2019 - report translation provided to WOF by Dra.Andrea Pereira, Presidente e co-fundadora da ONG Obesidade Brasil
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2019

Survey type:Self-reported
Age:18+
Sample size:52443
Area covered:Regional
References:Vigitel Brazil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey: estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2019 - report translation provided to WOF by Dra.Andrea Pereira, Presidente e co-fundadora da ONG Obesidade Brasil
Notes:Data from Capitals of 26 Brazilian States and the Federal District
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2012

Survey type:Self-reported
Age:18+
Sample size:Approx 54000
Area covered:National
References:MALTA, Deborah Carvalho et al. Trends in prevalence of overweight and obesity in adults in 26 Brazilian state capitals and the Federal District from 2006 to 2012. Rev. bras. epidemiol. [online]. 2014, vol.17, suppl.1 [cited 2016-04-20], pp.267-276.
Notes:Prevalence of Obesity by Cities in each Region. The VIGITEL data analyzed in this study include weight and height reported by the respondents as well as their age, gender and level of schooling/education. In 2012, the VIGITEL performed the imputation of the missing data on weight and height.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Boys, 2004-2005

Survey type:Measured
Age:10-15
Sample size:36976
Area covered:National
References:Pelegrini, Andreia, Luiz Petroski, Edio, da Silva Coqueiro, Raildo, & Araujo Gaya, Adroaldo César. (2008). Overweight and obesity in brazilian schoolchildren aged 10 to 15 years: data from a Brazilian sports project. Archivos Latinoamericanos de Nutrición, 58(4), 343-349. Recuperado en 04 de abril de 2016, de http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0004-06222008000400004&lng=es&tlng=en.
Notes:International cut-off BMI values were used for the evaluation of nutritional status (Cole et al)
Cutoffs:IOTF

Girls, 2004-2005

Survey type:Measured
Age:10-15
Sample size:36976
Area covered:National
References:Pelegrini, Andreia, Luiz Petroski, Edio, da Silva Coqueiro, Raildo, & Araujo Gaya, Adroaldo César. (2008). Overweight and obesity in brazilian schoolchildren aged 10 to 15 years: data from a Brazilian sports project. Archivos Latinoamericanos de Nutrición, 58(4), 343-349. Recuperado en 04 de abril de 2016, de http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0004-06222008000400004&lng=es&tlng=en.
Notes:International cut-off BMI values were used for the evaluation of nutritional status (Cole et al)
Cutoffs:IOTF

Overweight/obesity by socio-economic group

Adults, 2008-2010

Survey type:Measured
Age:20-59
Sample size:527
Area covered:Regional - N. Eastern Brazil
References:Lima R P A, Pereira D C, Luna R C P, et al. BMI, Overweight Status and Obesity Adjusted by Various Factors in All Age Groups in the Population of a City in Northeastern Brazil. Int. J. Environ. Res. Public Health 2015, 12, 4422-4438; doi:10.3390/ijerph120404422
Notes:WHO BMI classification of 1995 used for Adults. Median family income, R$1000.00, or $492.02.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2010

Survey type:Measured
Age:6-10
Sample size:939
Area covered:Municipality of Cruzeiro do Oeste, Southern Brazil.
References:Azambuja, Ana Paula de O., Netto-Oliveira, Edna Regina, Oliveira, Amauri Aparecido B. de, Azambuja, Maximiliano dos Anjos, & Rinaldi, Wilson. (2013). Prevalence of overweight/obesity and economical status of schoolchildren. Revista Paulista de Pediatria, 31(2), 166-171. https://dx.doi.org/10.1590/S0103-05822013000200006
Notes:The socioeconomic status was defined through a questionnaire of economic classification by the Brazilian Association of Research Companies РAssociação Brasileira de Empresas de Pesquisa, ABEP. This classification is based on items such as ownership of goods (television, radio, car, vacuum cleaner, VCR and/or DVD player, fridge, freezer and washing machine), services (housemaid), household characteristics (number of bathrooms) and educational level of the head of the household. The total score for each item results in the classification of respondents into seven strata identified as "social classes" A1, A2, B1, B2, C, D, and E(17). For analysis purposes, the eight economic levels, proposed by ABEP, were regrouped and named as follows: A1, A2, and B1 in High Economic Level (H); B2, C1 and C2 in Medium Economic Level (M) and, D and E in Low Economic Level (L).
Cutoffs:Other

Children, 2008-2015

Survey type:Measured
Age:6-17
Sample size:5962
Area covered:11 towns around the Itaipu Lake, Western Paraná
References:Hobold, E., & Arruda, M. (2015). Prevalence of overweight and obesity in schoolchildren: relationship with socioeconomic status, gender and age. Brazilian Journal of Kinanthropometry and Human Performance, 17(2), 156-164. doi:http://dx.doi.org/10.5007/1980-0037.2015v17n2p156
Notes:IOTF Cut-offs used Socioeconomic status (SES) was defined as A (highest), B, C, and D (lowest)
Cutoffs:IOTF

Boys, 2007

Survey type:Measured
Age:7-14
Sample size:2826
Area covered:Municipality of Florianópolis
References:Bernardo, Carla de Oliveira, & Vasconcelos, Francisco de Assis Guedes de. (2012). Association of parents' nutritional status, and sociodemographic and dietary factors with overweight/obesity in schoolchildren 7 to 14 years old. Cadernos de Saúde Pública,28(2), 291-304. Retrieved April 04, 2016, from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2012000200008&lng=en&tlng=en.
Notes:Prevalence of obesity based on income (per capita monthly income R$). 1st tercile: < R$240.00, 2nd tercile: > R$240.00 and < R$500.00, and 3rd tercile: > R$500.00 For the analyses, the schoolchildren were classified into two groups: not overweight or obese (values equivalent to BMI < 25kg/m2 in adults) and overweight or obese (values equivalent to BMI > 25kg/m2 in adults)
Cutoffs:Other

Girls, 2007

Survey type:Measured
Age:7-14
Sample size:2826
Area covered:Municipality of Florianópolis
References:Bernardo, Carla de Oliveira, & Vasconcelos, Francisco de Assis Guedes de. (2012). Association of parents' nutritional status, and sociodemographic and dietary factors with overweight/obesity in schoolchildren 7 to 14 years old. Cadernos de Saúde Pública,28(2), 291-304. Retrieved April 04, 2016, from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2012000200008&lng=en&tlng=en.
Notes:Prevalence of obesity based on income (per capita monthly income R$). 1st tercile: < R$240.00, 2nd tercile: > R$240.00 and < R$500.00, and 3rd tercile: > R$500.00 For the analyses, the schoolchildren were classified into two groups: not overweight or obese (values equivalent to BMI < 25kg/m2 in adults) and overweight or obese (values equivalent to BMI > 25kg/m2 in adults)
Cutoffs:Other

Insufficient physical activity

Adults, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Men, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Women, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Children, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Boys, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Girls, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Children, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Boys, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Girls, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Estimated per capita fruit intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita fruit intake (g/day)

Estimated per-capita processed meat intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita processed meat intake (g per day)

Estimated per capita whole grains intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita whole grains intake (g/day)

Mental health - depression disorders

Adults, 2015

References:Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
Definitions:% of population with depression disorders

Mental health - anxiety disorders

Adults, 2015

References:Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
Definitions:% of population with anxiety disorders

% Infants exclusively breastfed 0-5 months

Children, 1998-2019

Area covered:National
References:Pesquisa nacional de demografia e saúde da criança e da mulher - PNDS 2006. Relatório da pesquisa. Sao Paulo: CEBRAP, 2008
Notes:See UNICEF website for further survey information. Available at : https://data.unicef.org/resources/dataset/infant-young-child-feeding/ (last accessed 28.9.21) Citation: United Nations Children’s Fund, Division of Data, Analysis, Planning and Monitoring (2021). Global UNICEF Global Databases: Infant and Young Child Feeding: Exclusive breastfeeding, New York, September 2021.
Definitions:% exclusively breastfed 0-5 months

Oesophageal cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Breast cancer

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Colorectal cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Pancreatic cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Gallbladder cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Kidney cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Cancer of the uterus

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2065
Definitions:Age-standardized indicence rates per 100 000

Raised blood pressure

Adults, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Men, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Women, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Raised cholesterol

Adults, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Men, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Women, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Raised fasting blood glucose

Men, 2014

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en
Definitions:Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication).

Women, 2014

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en
Definitions:Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication).

Diabetes prevalence

Adults, 2021

Age:20-79
Area covered:National
References:Reproduced with kind permission International Diabetes Federation.  IDF Diabetes Atlas, 10th edn. Brussels, Belgium:International Diabetes Federation, 2021. http://www.diabetesatlas.org
Definitions:Age-adjusted comparative prevalence of diabetes, %

Adults, 2019

Age:20-79
References:Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 9th edn. Brussels,Belgium: 2019. Available at: https://www.diabetesatlas.org
Definitions:Diabetes age-adjusted comparative prevalence (%).

Adults, 2017

References:Reproduced with kind permission of IDF, International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org
Definitions:Diabetes age-adjusted comparative prevalence (%).

Economic impact of overweight and obesity

Country comparisons

You can choose to compare this country’s data with the data for up to four other countries.

Policies, Interventions and Actions

Ban on products that contribute to childhood obesity in schools (including ultra-processed products) in schools in Niterói

In January 2023, Niterói in Brazil have passed legislation prohibiting the sale, marketing and distribution of products that contribute to childhood obesity in schools, including all ultra-processed products. Niteroi’s law provides a legally codified definition of ultra-proocessed foods for the first time in the country. The definition includes qualifying ingredients, additives, production processes and specific examples of products that should be prohibited (such as biscuits and cakes).

Categories:Evidence of School Food Regulations
Year(s):2023 (ongoing)
Target age group:Children
Organisation:Municpal of Niterói
Linked document:Download linked document
References:https://www.advocacyincubator.org/featured-stories/2023-08-09-breaking-the-cycle-of-unhealthy-eating-rio-de-janeiro-newest-brazilian-city-to-ban-ultra-processed-products-in-schools

Ban on ultra-processed products in schools in Rio de Janeiro

In July 2023, Rio de Janeiro passed municipal law No. 7987/2023 that prohibts the sale and offer of ultra-processed products in all preschool and elementary public and private schools. Schools were give 180 days to adapt to the law.

Categories:Evidence of School Food Regulations
Year(s):2023 (ongoing)
Target age group:Children
Organisation:Rio de Janeiro City Council
Find out more:ibee.com.br
Linked document:Download linked document
References:https://desiderata.org.br/rio-de-janeiro-on-the-road-to-healthier-schools/

Front-of-pack labelling

After a consultation process that started in 2014, the National Agency of Sanitary Surveillance (ANVISA) published new regulations on nutrition labeling of packaged food products in October 2020. Under the new regulation, the nutritional labeling must be placed on the front panel of packaged foods using simple and clear icons to emphasize high contents of saturated fat, added sugar, and sodium.

Categories:Labelling Regulation/Guidelines
Year(s):2022 (ongoing)
Target age group:Adults and children
Organisation:The Brazilian Health Regulatory Agency
Find out more:portal.apexbrasil.com.br

Trans-fat policy

In December 2019, a best-practice policy was passed in Brazil which cameinto effect in July 2021. Brazil’s National Agency of Sanitary Surveillance (ANVISA) adopted regulations setting a 2% limit for industrially produced TFA in all oils and foods (effective July 2021), and banning all PHO (effective January 2023).

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2021 (ongoing)
Target age group:Adults and children
Organisation:National Health Surveillance Agency
Find out more:extranet.who.int
Linked document:Download linked document
References:Countdown to 2023: WHO report on global trans-fat elimination 2020. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO

How is physical activity during the coronavirus pandemic

A roadmap on how to include movements in your routine in Covid-19 times

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2020 (ongoing)
Target age group:Adults and children
Organisation:ministry of health
Find out more:saudebrasil.saude.gov.br
Linked document:Download linked document
References:Admin, S.B. (n.d.) Como fica a prática de atividade física durante a pandemia de Coronavírus? [Online]. saudebrasil.saude.gov.br. Available from: https://saudebrasil.saude.gov.br/eu-quero-me-exercitar-mais/como-fica-a-pratica-de-atividade-fisica-durante-a-pandemia-de-coronavirus [Accessed: 14 July 2020]. ‌

Learning from Brazil’s Food and Nutrition Security Policies

This paper has been compiled by an inter-disciplinary team based in the UK and Brazil, coordinated by the Institute of Development Studies and funded by the Food Foundation, an independent think-tank which develops evidence-based policy solutions to address the challenges of the UK food system, putting low-income consumers first.

Categories:Health Effectiveness Reviews (obesity related)
Year(s):2018 (ongoing)
Target age group:Adults and children
Organisation:Institute of Development Studies
Find out more:foodfoundation.org.uk
Linked document:Download linked document
References:Santarelli, M., Vieira, L. & Constantine (2018) Learning from Brazil’s Food and Nutrition Security Policies. [Online]. Available from: https://foodfoundation.org.uk/wp-content/uploads/2018/02/Learning-from-Brazilian-Food-and-Nutrition-Security-Policies_final_clean_rev_FF.pdf [Accessed: 14 July 2020]. ‌

NCD Country Profiles 2018 (Obesity Targets)

The profiles also provide data on the key metabolic risk factors, namely raised blood pressure, raised blood glucose and obesity and National Targets on Obesity (as of 2017)

Categories:Evidence of Obesity Target
Year(s):2017 (ongoing)
Target age group:Adults and children
Organisation:World Health Organisation
References:Noncommunicable diseases country profiles 2018. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO.

BRAZIL’S FOOD AND NUTRITIONAL GOVERNANCE PLAN

This briefing pack provides a snapshot of Brazil’s national framework for food and nutritional security policy, and showcases a number of specific programmes aimed at improving nutritional outcomes, including school meals, breastfeeding, community restaurants and nutritional surveillance systems. These documents are available online from the Food Foundation and Institute of Development Studies.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Evidence of NCD strategy
Year(s):2016 (ongoing)
Target age group:Adults and children
Organisation:Food foundation
Find out more:foodfoundation.org.uk
Linked document:Download linked document
References:Brazil (2017) INTERNATIONAL LEARNING SERIES 4 / BRAZIL’S FOOD AND NUTRITIONAL GOVERNANCE PLAN INTERNATIONAL LEARNING SERIES / 4 PUBLISHED. [Online]. Available from: https://foodfoundation.org.uk/wp-content/uploads/2017/07/4-Briefing-Brazil_vF.pdf [Accessed: 14 July 2020]. ‌

Brazilian Obesity Guidelines - 2016

Brazilian Obesity Guidelines - 2016

Categories:Evidence of Management/treatment guidelines
Year(s):2016 (ongoing)
Target age group:Adults and children
Organisation:Associação Brasileira para o Estudo da Obesidade e Síndrome Metabólica
Find out more:abeso.org.br
Linked document:Download linked document
References:Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica Diretrizes brasileiras de obesidade 2016 / ABESO - Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. – 4.ed. - São Paulo, SP

National plan for food and nutritional security

Document outlining the plan to implement access to healthier food throughout the nation.

Categories (partial):Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2016-2019
Target age group:Adults and children
Organisation:INTERMINISTERIAL CHAMBER OF FOOD AND NUTRITIONAL SECURITY - CAISAN
Find out more:extranet.who.int
Linked document:Download linked document
References:Anon (n.d.) Policy - Plano Nacional de Segurança Alimentar E Nutricional (PLANSAN 2016-2019) | Global database on the Implementation of Nutrition Action (GINA). [Online]. extranet.who.int. Available from: https://extranet.who.int/nutrition/gina/en/node/24695.

Procurement guidelines for food purchases in the Ministry of Health

In July 2016, the Brazilian Ministry of Health implemented procurement guidelines for any food served or sold within the Ministry’s facilities and in its entities (Ordinance No 1.274 of 7 July 2016). The guidelines also apply to independent companies contracted to provide food services on the premises of the Ministry and its entities. The Ordinance aims to address overweight, obesity and non-communicable diseases, and is based on the right to adequate food. The guidelines are based on the Food Guide for the Brazilian Population, and state that only unprocessed and minimally processed food may be procured.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2016 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health
References:https://policydatabase.wcrf.org/level_one?page=nourishing-level-one#step2=6#step3=338

Smart commitments: United Nations (UN) Decade of Action on Nutrition 2016–2025

Stop the growth in the adult obesity rate (which currently stands at 20.8%) Reduce by at least 30% consumption of sugar-sweetened beverages among adults Increase by at least 17.8% the proportion of adults who regularly eat fruit and vegetables

Categories (partial):Evidence of National Obesity Strategy/Policy or Action plan
Year(s):2016-2025
Target age group:Adults and children
Organisation:Ministry of Health
Find out more:www.who.int
Linked document:Download linked document
References:Anon (n.d.) WHO | Brazil first country to make specific commitments in UN Decade of Action on Nutrition. [Online]. WHO. Available from: https://www.who.int/nutrition/decade-of-action/brazil-commitment-22may2017/en/ [Accessed: 14 July 2020ci]. ‌

Ultra-processed food and drink products in Latin America: Trends, impact on obesity, policy implications

A report on the sales of ultra-processed food and drink products and the connection between the surge in market share and the epidemic of obesity in Latin America.

Categories:Health Effectiveness Reviews (obesity related)
Year(s):2015 (ongoing)
Target age group:Adults and children
Organisation:Pan American Health Organization (PAHO)
Find out more:www.paho.org
Linked document:Download linked document
References:Ultra-processed food and drink products in Latin America: Trends, impact on obesity, policy implications. Washington, D.C: PAHO, 2015.

CONANDA Resolution 163: Ban on advertising directed at children under 12 years of age

Brazil bans all advertising directed at children (under 12 years of age) in its constitution through the Child and Adolescent Statute and the National Council for the Rights of Children and Adolescent (CONANDA) Resolution 163 (2014). This resolution can be applied to food publicity, where "abusive publicity" includes any form of market communication (including TV, radio, internet, apps) intended to persuade children and adolescents to consume a product or service. The Conanda resolution is enforced by the Consumer Defense Code (Law 8078/1990) and the Child and Adolescent Statute (Law 8069/1990) but it is widely reported that the the ban is not properly enforced.

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2014 (ongoing)
Target age group:Children
Organisation:National Council for the Rights of Children and Adolescent
Linked document:Download linked document
References:http://graphics.eiu.com/upload/pp/EIU-Alana-Report-WEB-FINAL.pdf

Dietary Guidelines for the Brazilian Population

These Dietary Guidelines for the Brazilian Population are designed to support and encourage healthy eating practices personally and collectively and also to support policies, programmes, and actions whose purpose is to encourage, protect, and promote the good health and the food and nutrition security of the whole Brazilian population.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2014 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health for Brazil: Secretariat of Health Care, Primary Health Care Department
Find out more:www.paho.org
Linked document:Download linked document
References:Cayon, A. & https://www.facebook.com/pahowho (2016) PAHO/WHO | Dietary Guidelines for the Brazilian population. [Online]. 14 January 2016. Pan American Health Organization / World Health Organization. Available from: https://www.paho.org/hq/index.php?option=com_content&view=article&id=11564:dietary-guidelines-brazilian-population&Itemid=4256&lang=en.‌

Intersectoral Strategy for Prevention and Control of Obesity: “guiding on ways of life and adequate and healthy food for the Brazilian population

To guide and encourage, through intersectoral strategies, actions for the prevention and control of obesity in the Brazilian population, promoting adequate and healthy food and the usual practice of physical activity.

Categories:Evidence of Physical Activity Guidelines/Policy
Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Evidence of National Obesity Strategy/Policy or Action plan
Year(s):2014 (ongoing)
Target age group:Adults and children
Organisation:Health ministry
Find out more:extranet.who.int
Linked document:Download linked document
References:Anon (n.d.) Policy - Estratégia Intersetorial de Prevenção e Controle da Obesidade: “orientando sobre modos de vida e alimentação adequada e saudável para a população brasileira | Global database on the Implementation of Nutrition Action (GINA). [Online]. extranet.who.int. Available from: https://extranet.who.int/nutrition/gina/en/node/39352 [Accessed: 15 July 2020az].‌

National Food and Nutrition Policy

This policy is an updated edition of the National Food and Nutrition Policy (PNAN) to improve food, nutrition and health conditions and to guarantee food and nutritional safety for the Brazilian population. On 25 August 2010, Brazil adopted a Policy on Food Security and Nutrition of Brazil (Decree 7.272) that firmly establishes the right to food in Brazil's food and nutrition efforts. The Policy is part of the efforts undertaken in view of the implementation of the Food and Nutrition Security Law (LOSAN) of 2006. It establishes the framework and principles for the development of a National Food and Nutrition Security Plan. The right to food is firmly anchored in the Policy. The National Food and Nutrition Policy (PNAN) aims to improve the conditions of food, nutrition and health of the Brazilian population, by promoting adequate and healthy eating practices, food and nutritional surveillance, prevention and comprehensive care of diseases related to food and nutrition.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2013 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health of Brazil
Find out more:extranet.who.int
Linked document:Download linked document
References:Anon (n.d.) Policy - Política Nacional de Alimentação e Nutrição 2012 | Global database on the Implementation of Nutrition Action (GINA). [Online]. extranet.who.int. Available from: https://extranet.who.int/nutrition/gina/en/node/23237.

Regulations of Food labelling

Guidelines outlining how food labelling should be conducted.

Categories:Labelling Regulation/Guidelines
Year(s):2012 (ongoing)
Target age group:Adults and children
Organisation:National Health Surveillance Agency
Find out more:portal.anvisa.gov.br
Linked document:Download linked document
References:Anon (n.d.) Policy - Regularização de produtos - Alimentos (Rotulagem de alimentos) | Global database on the Implementation of Nutrition Action (GINA). [Online]. extranet.who.int. Available from: https://extranet.who.int/nutrition/gina/en/node/25365 [Accessed: 15 July 2020bp]. ‌

National Non-communicable disease strategy

National Non-communicable disease strategy 2011-2022

Categories:Evidence of NCD strategy
Year(s):2011-2022
Target age group:Adults and children
Organisation:Ministry of Health
Linked document:Download linked document

Step by Step: health programme

Health and education policies aimed at children, adolescents, youth and adults in Brazilian public education are coming together to promote the full development of this audience.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Evidence of Physical Activity Guidelines/Policy
Year(s):2011 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health
Find out more:extranet.who.int
Linked document:Download linked document
References:Anon (n.d.) Policy - Passo a passo - Programa Saúde na Escola | Global database on the Implementation of Nutrition Action (GINA). [Online]. extranet.who.int. Available from: https://extranet.who.int/nutrition/gina/en/node/39351 [Accessed: 15 July 2020]. ‌

National Health Promotion Policy

The National Policy of Health Promotion (PNPS, in Portuguese) has been giving priority to several actions concerning healthy diet, physical activity, and prevention against tobacco and alcohol abuse.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2010 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health
Linked document:Download linked document

Brazil Public Commitment on Food and Beverage Advertising to Children (Brazil Pledge)

In August 2009, the Food and Drink Association of Brazil (ABIA) and the Association of Brazilian Advertisers (ABA) published a "public commitment on food and beverage advertising to children." The basic principles of the voluntary pledge follow those of the EU Pledge. The pledge was expanded and strenghtened in 2016 Brazil Pledge Nutrition Criteria

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2009 (ongoing)
Target age group:Children
Organisation:Food and Drink Association of Brazil (ABIA) and the Association of Brazilian Advertisers (ABA)
Find out more:pledges.uconnruddcenter.org
Linked document:Download linked document
References:Anon (n.d.) Rudd Center for Food Policy & Obesity — Marketing Pledges - Pledge Detail. [Online]. pledges.uconnruddcenter.org. Available from: http://pledges.uconnruddcenter.org/pledge.aspx?id=5 [Accessed: 14 July 2020cb].‌

National School Meal Programme

The Brazilian Ministry of Education sets food- and nutrition-based standards for the food available in the national school meal programme (Law 11.947/2009 – Regulamento del Programa Nacional de Alimentação Escolar). Resolution No. 6 of 2020 updated guidelines related to the National School Meals Program.

Categories:Evidence of School Food Regulations
Categories (partial):Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2009 (ongoing)
Target age group:Children
Organisation:Brazilian Government
Find out more:legislacao.presidencia.gov.br

Health at School Programme

The Health at School Program (PSE) aims at the permanent integration and articulation of education and health, providing improving the quality of life of the Brazilian population.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2007 (ongoing)
Target age group:Adults and children
Organisation:Presidencia da República
Find out more:extranet.who.int
Linked document:Download linked document
References:Anon (n.d.) Programa Saúde nas Escolas. [Online]. Available from: https://extranet.who.int/nutrition/gina/sites/default/files/BRA%202007%20_ProgramaSaudeEscolas.pdf [Accessed: 15 July 2020cf]. ‌

Interministerial Chamber for Food and Nutricional Security

The Interministerial Chamber coordinates all the intersectoral food and nutrition security policies of the Federal Government.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2007 (ongoing)
Target age group:Adults and children
Organisation:Government
Find out more:www.mds.gov.br

Nutrition education in public elementary schools of São Paulo, Brazil: the Reducing Risks of Illness and Death in Adulthood project

CONCLUSION: Even with a positive attitude regarding the development of this proposal, there was a lack of support from the studied schools. Future studies and a greater involvement by the Health and Education sectors could overcome such barriers, improving the results of school-based programs to prevent obesity.

Categories:Health Effectiveness Reviews (obesity related)
Year(s):2005 (ongoing)
Target age group:Children
Organisation:Nutrition Department, University of Sao Paulo
Find out more:www.scielo.br
Linked document:Download linked document
References:Gaglianone, C.P., Taddei, J.A. de A.C., Colugnati, F.A.B., Magalhães, C.G., et al. (2006) Nutrition education in public elementary schools of São Paulo, Brazil: the Reducing Risks of Illness and Death in Adulthood project. Revista de Nutrição. [Online] 19 (3), 309–320. Available from: doi:10.1590/S1415-52732006000300002. ‌

GNPR 2016-17 (q7) Breastfeeeding promotion and/or counselling

WHO Global Nutrition Policy Review 2016-2017 reported the evidence of breastfeeding promotion and/or counselling (q7)

Categories:Evidence of Breastfeeding promotion or related activity
Target age group:Adults
Organisation:Ministry of Health (information provided by the GINA progam)
Find out more:extranet.who.int
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en

No actions could be found for the above criteria.

Contextual factors

Disclaimer: These contextual factors should be interpreted with care. Results are updated as regularly as possible and use very specific criteria. The criteria used and full definitions are available for download at the bottom of this page.

Tap on a tick to find out more about policies influencing this factor.

Labelling

Is there mandatory nutrition labelling?Present
Front-of-package labelling?Present
Back-of-pack nutrition declaration?Present
Color coding?Absent
Warning label?Present

Regulation and marketing

Are there fiscal policies on unhealthy products?Absent
Tax on unhealthy foods?Absent
Tax on unhealthy drinks?Absent
Are there fiscal policies on healthy products?Absent
Subsidy on fruits?Absent
Subsidy on vegetables?Absent
Subsidy on other healthy products?Absent
Mandatory limit or ban of trans fat (all settings)?Present
Mandatory limit of trans fats in place (all settings)? Present
Ban on trans-fats or phos in place (all settings)? Incoming
Are there any mandatory policies/marketing restrictions on the promotion of unhealthy food/drinks to children?Present
Mandatory restriction on broadcast media?Present
Mandatory restriction on non-broadcast media?Present
Voluntary policies/marketing restrictions on the promotion of unhealthy food/drinks to children?Present-(voluntary)
Are there mandatory standards for food in schools?Present
Are there any mandatory nutrient limits in any manufactured food products?Absent
Nutrition standards for public sector procurement?Present

Political will and support

National obesity strategy or nutrition and physical activity national strategy?Present
National obesity strategy?Present
National childhood obesity strategy?Absent
Comprehensive nutrition strategy?Present
Comprehensive physical activity strategy?Present
Evidence-based dietary guidelines and/or RDAs?Present
National target(s) on reducing obesity?Present
Guidelines/policy on obesity treatment?Present
Promotion of breastfeeding?Present

Monitoring and surveillance

Monitoring of the prevalence and incidence for the main obesity-related NCDs and risk factors?Present
Within 5 years?Present

Governance and resource

Multi-sectoral national co-ordination mechanism for obesity or nutrition (including obesity)?Present

Key

Present
Present (voluntary)
Incoming
Absent
Unknown

Last updated June 9, 2023

See more policies here

Download contextual factors as a PDF Contextual factors definitions

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