Availability and access to food in supermarkets before and during the Covid-19 pandemic in a mid-size city


  • Priscila Moreira de Lima Pereira Universidade Federal de Juiz de Fora
  • Pollyana Ferreira Pereira Universidade Federal de Juiz de Fora
  • Mariana Lamha Castellões Universidade Federal de Juiz de Fora
  • Ramon Simonis Pequeno Universidade Federal de Juiz de Fora
  • Mário Círio Nogueira Universidade Federal de Juiz de Fora
  • Ana Paula Carlos Cândido Universidade Federal de Juiz de Fora


Food and Nutrition Security, Food Production, Food supply, Food. Infections



To investigate the availability and price of fresh and ultra-processed foods in supermarkets before and during the Covid-19 pandemic in a mid-size city in the Brazilian state of Minas Gerais.

Ecological and longitudinal study. A proportionate stratified random sampling method was applied to supermarkets in the municipality. To assess the availability, variety, and price of fresh and ultra-processed foods, we applied the Estudo do Ambiente Obesogênico em São Paulo (ESAO, Obesogenic Environment Study in São Paulo, Brazil) Food Store Observation Tool questionnaire and calculated the Healthy Food Store Index. The audits took place from December 2019 to January 2020, and we returned to the establishments in September 2020. Descriptive analyzes, McNemar tests, paired Student’s T or Wilcoxon tests were performed using the SPSS software, version 20.0, with a 5% significance level.
Ten supermarkets were evaluated. The prices of oranges (p=0.012), bananas (p=0.043), apples (p=0.004), and onions (p=0.004) were significantly increased during the time frame. Sugar-free soft drinks (p=0.044), powdered drinks (p=0.032), and corn snacks (p=0.015) showed a greater variety of brands and flavors during the pandemic. The Healthy Food Store Index score was 9.50±0.85 before the pandemic and 9.00±1.15 during it.
The prices of some fruits and vegetables increased, and supermarkets sold a greater variety of ultra-processed foods. Such findings highlight the importance of assessing the consequences of the Covid-19 pandemic on the food environment.


World Health Organization. Coronavirus Disease (COVID-19) Advice for the Public: Mythbusters. Geneva; Organization, 2020 [cited 2020 Nov. 1]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advicefor-public/myth-busters

The White House (United States). Coronavirus Guidelines for America. Washigton: The White House; 2020 [cited 2020 Nov. 1] Available from: https://www.whitehouse.gov/briefings-statements/coronavirus-guidelines-america/

Devereux, S., Béné, C. Hoddinott, J. Conceptualising COVID-19’s impact on family food security. Food Sec. 2020;12:769-72. https://doi.org/10.1007/s12571-020-01085-0

Food and Agriculture Organization. Urban Food Systems and COVID-19: the role of cities and local governments in responding to the emergency . Rome: Organiation; 2020 [cited 2020 Nov. 1]. Available from: http://www.fao.org/documents/card/en/c/ca8600en

Food and Agriculture Organization. Responding to the impact of the COVID-19 outbreak on food value chains through efficient logistics. Rome: Organization; 2020 [cited 2020 Nov. 1]. Available from: http://www.fao.org/policy-support/tools-and-publications/resources-details/en/c/1270169/

United Nations Sustainable Development Group. Policy Brief. the impact of COVID-19 on food security and nutrition. New York: United Nations; 2020 [cited 2020 Nov. 1]. Available from: https://unsdg.un.org/resources/policy-briefimpact-covid-19-food-security-and-nutrition

Steele EM, Rauber F, Costa CS, Leite MA, Gabe KT, Louzada MLC, et al. Mudanças alimentares na coorte NutriNet Brasil durante a pandemia de covid-19. Rev Saúde Pública. 2020;54:91. https://doi.org/10.11606/s1518-8787.2020054002950

Oliveira TC, Abranches MV, Lana RM. (In) Segurança alimentar no contexto da pandemia por SARS-CoV-2. Cad Saúde Pública. 2020;36(4). https://doi.org/10.1590/0102-311x00055220

Tan M, He FJ, Macgregor GA. Obesity and covid-19: the role of the food industry. Bmj. 2020;369:m2237. https://doi.org/10.1136/bmj.m2237

Feeding America (Chicago). The impact of the coronavirus on food insecurity. Chicago: Feeding America; 2020 [cited 2020 Nov. 1] Available from: https://hungerandhealth.feedingamerica.org/wp-content/uploads/2020/03/Brief_Impact-of-Covid-on-Food-Insecurity-4.22.pdf

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17:1729.https://doi.org/10.3390/ijerph17051729

Uggioni PL, Elpo CMF, Geraldo APG, Fernandes AC, Mazzonetto AC, Bernardo GL. Cooking skills during the Covid-19 pandemic. Rev Nutr. 2020;33:e200172. https://doi.org/10.1590/1678-9865202033e200172

Matsuo LH, Tureck C, Lima LP, Hinnig PF, Trindade EBSM, Vasconcelos FAG. Impact of social isolation by Coronavirus disease 2019 in food: a narrative review. Rev. Nutr. 2021;34:e200211. https://doi.org/10.1590/1678-9865202134e200211

Downs SM, Ahmed S, Fanzo J, Herforth A. Food environment typology: advancing an expanded definition, framework, and methodological approach for improved characterization of wild, cultivated, and built food environments toward sustainable diets. Foods. 2020;9(4):532. https://doi.org/10.3390/foods9040532

Machado PP, Claro RM, Martins APB, Costa JC, Levy RB. Is food store type associated with the consumption of ultra-processed food and drink products in Brazil? Public Health Nutr. 2018;21(1):201-9. https://doi.org/10.1017/S1368980017001410

Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attinà A, Cinelli G, et al. Hábitos alimentares e mudanças no estilo de vida durante o bloqueio COVID-19: uma pesquisa italiana. J Transl Med. 2020;18:229. https://doi.org/10.1186/s12967-020-02399-5

Zachary Z, Brianna F, Brianna L, Garrett P, Jade W, Alyssa D, et al. Fatores de risco relacionados à auto-quarentena e ao ganho de peso durante a pandemia de COVID-19. Obes Res Clin Pract. 2020;14(3):210-6. https://doi.org/10.1016/j.orcp.2020.05.004

Freire MCM, Pattussi MP. Tipos de estudos. In: Estrela C. Metodologia científica: ciência, ensino e pesquisa. 3a. ed. Porto Alegre: Artes Médicas, 2018.

Duran AC, Lock K, Latorre MRDO, Jaime PC. Avaliando o uso de medidas in-store em lojas de varejo de alimentos e restaurantes no Brasil. Rev Saúde Pública. 2015;49:80. https://doi.org/10.1590/S0034-8910.2015049005420

Duran ACFL. Ambiente alimentar urbano em São Paulo, Brasil: avaliação, desigualdades e associação com consumo alimentar. 276 f. [Tese]. São Paulo: Universidade Federal São Paulo; 2013.

Competition Commission (South Africa). Joint briefing to the portfolio committee on trade and industry and select committee on economic development, Small Business Development, Tourism, Employment and Labour. Pretoria: Commission; 2020 [cited 2020 Nov 1] Available from: http://www.thedtic.gov.za/wp-content/uploads/CompetitionCommission19-May-2020.pdf

World Bank. Brief: food security and Covid-19. Washington: Bank; 2020 [cited 2020 Nov 1]. Available from: https://www.worldbank.org/en/topic/agriculture/brief/food-security-and-covid-19.

Fundação Oswaldo Cruz (Brasil). ConVid Adolescentes: pesquisa de Comportamentos. Rio de Janeiro: Fundação; 2020 [cited 2020 Nov 1]. Available from: https://convid.fiocruz.br

Scarmozzino F, Visioli F. Covid-19 e o subsequente bloqueio modificaram os hábitos alimentares de quase metade da população em uma amostra italiana. Foods (Basel, Suíça). 2020;9(5):675. https://doi.org/10.3390/foods9050675

White M, Nieto C, Barquera S. Good deeds and cheap marketing: the food industry in the time of COVID-19. Obesity (Silver Spring). 2020;28(9):1578-9. https://doi.org/10.1002/oby.22910

Food and Agriculture Organization of the United Nations Nutrition and food systems: a report by The High Level Panel of Experts on Food Security and Nutrition. Rome: Organization; 2017 [cited 2020 Nov 1]. Available from: http://www.fao.org/3/a-i7846e.pdf

Williamson EJ, Walker AJ, Bhaskaran K, Bacon S, Bates C, Morton CE, et al. Factors associated with COVID-19-related death using OpenSAFELY. Nature. 2020;584(7821):430-6. https://doi.org/10.1038/s41586-020-2521-4

Ho FK, Celis-Morales, CA, Gray SR, Katikireddi SV, Niedzwiedz CL, Hastie C, et al. Modifiable and non-modifiable risk factors for COVID-19: results from UK Biobank. MedRxiv. 2020. https://doi.org/10.1101/2020.04.28.20083295

Simonnet A, Chetboun M, Poissy J, Raverdy V, Noulette J, Duhamel A, et al. LICORN and the Lille COVID-19 and obesity study group. high prevalence of obesity in severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation. Obesity (Silver Spring). 2020;28(7):1195-9. https://doi.org/10.1002/oby.22831

Lighter J, Phillips M, Hochman S, Sterling S, Johnson D, Francois F, et al. Obesity in patients younger than 60 years is a risk factor for Covid-19 hospital admission. Clin Infect Dis. 2020;71(15):896-7. https://doi.org/10.1093/cid/ciaa415

Petrilli CM, Jones SA, Yang J, Rajagopalan H, O’Donnell L, Chernyak Y, et al. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study. Bmj. 2020;369:m1966. https://doi.org/10.1136/bmj.m1966

Huang R, Zhu L, Xue L, Liu L, Yan X, Wang J, et al. Clinical findings of patients with coronavirus disease 2019 in Jiangsu province, China: a retrospective, multi-center study. Plos Negl Trop Dis. 2020;14(5):e0008280. https://doi.org/10.1371/journal.pntd.0008280

Menezes MC, Diez Roux AV, Costa BVL, Lopes ACS. Individual and food environmental factors: association with diet. Public Health Nutr. 2018;21(15):2782-92. htpps://doi.org/10.1017/S1368980018001623

Leite MA, Assis MM, Carmo ASD, Costa BVL, Claro RM, Castro IR, et al. Is neighbourhood social deprivation in a Brazilian city associated with the availability, variety, quality and price of food in supermarkets? Public Health Nutr. 2019;22(18):3395-404. htpps://doi.org/10.1017/S1368980019002386

Associação Brasileira de Supermercados. Concentração de supermercados sobe para 46% no país. São Paulo: Associação; 2017 [cited 2020 Nov 1]. Available from: https://www.abrasnet.com.br/clipping.php?area=20&clipping=21585

Stanton RA. Food retailers and obesity. Curr Obes Rep. 2015;4(1):54-9. https://doi.org/10.1007/s13679-014-0137-4 37. Ministério da Saúde (Brasil). Dietary Guidelines for the Brazilian Population. Brasília: Ministério; 2015 [cited 2020 Nov 1]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/dietary_guidelines_brazilian_population.pdf

Vedovato GM, Trude AC, Kharmats AY, Martins PA. Degree of food processing of household acquisition patterns in a Brazilian urban area is related to food buying preferences and perceived food environment. Appetite. 2015;87:296-302. https://doi.org/10.1016/j.appet.2014.12.229

Martinelli SS, Cavalli SB, Fabri RK, Veiros MB, Reis ABC, Amparo-Santos L. Strategies for the promotion of healthy, adequate and sustainable food in Brazil in times of Covid-19. Rev Nutr. 2020;33:e200181. https://doi.org/10.1590/1678-9865202032e200181.

Cavalli SB, Soares P, Martinelli SS, Schneider S. Agricultura familiar na época de Covid-19. Rev Nutr. 2020;33:e200180.https://doi.org/10.1590/1678-9865202033e200180




Como Citar

Moreira de Lima Pereira, P. ., Ferreira Pereira, P., Lamha Castellões, M., Simonis Pequeno, R., Círio Nogueira, M., & Carlos Cândido, A. P. (2022). Availability and access to food in supermarkets before and during the Covid-19 pandemic in a mid-size city. Revista De Nutrição, 34, 1–11. Recuperado de https://seer.sis.puc-campinas.edu.br/nutricao/article/view/5761