Consumption of ultra-processed foods, dietary nutrient profile diet and obesity in seven countries

• Grant number: 15/14900-9
• Support type: Research Projects - Thematic Grants
• Duration: April 01, 2016 - May 31, 2021
• Field of knowledge: Health Sciences - Nutrition - Nutritional Analysis of Population
• Principal researcher: Carlos Augusto Monteiro
• Grantee: Carlos Augusto Monteiro
• Home Institution: Faculdade de Saúde Pública (FSP). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Pesquisadores principais: Patricia Constante Jaime ; Renata Bertazzi Levy
• Assoc. researchers: Aluísio Jardim Dornellas de Barros ; Ana Paula Bortoletto Martins ; Bernardo Lessa Horta ; Camila Corvalan ; Catarina Machado Azeredo ; Christopher Joseph Millett ; Daniela Silva Canella ; Denise Petrucci Gigante ; Diana Celmira Parra Perez ; Fernanda Baeza Scagliusi ; Gyorgy Scrinis ; Iná da Silva dos Santos ; Jean-Claude Moubarac ; Malek Batal ; Marcela Reyes Jedlicki ; Maria Cecília Formoso Assunção ; Maria Helena D'Aquino Benicio ; Maria Laura da Costa Louzada ; Rafael Moreira Claro ; Ricardo Uauy Dagach ; Roberto de Vogli
• Associated scholarship(s): 19/24124-7 - Prospective association of ultra-processed food consumption and physical inactivity in the prediction of depressive symptoms among adults, BP.DR; 19/18854-2 - Trend of ultra-processed food consumption in Australian population (1995-2012), BP.PD; 18/26660-0 - Ultra-processed food consumption and incidence of diabetes in the English population: Biobank cohort, BE.PQ; + associated scholarships 19/06852-5 - Ultra-processed food consumption and Obesity risk, BP.PD; 18/21929-1 - Association between the consumption of ultra-processed foods and snacking patterns in Brazil in 2008-2009, BP.IC; 18/17972-9 - Ultra-processed foods and 'protein leverage hypothesis': a study in seven countries, BP.PD; 18/01028-0 - Distribution of the consumption of ultraprocessed foods in the U.K. population, BP.IC; 17/24744-0 - What do we know and what should we know? An analysis of the corporate political activity of the food industry in three South American countries, BP.PD; 16/25853-4 - Consumption of ultra-processed foods, dietary profile and obesity among U.S. children and adolescents, BP.PD; 16/25064-0 - Ultra processed foods and dietary fiber consumption in Brazil, BP.IC; 16/25013-6 - Ultraprocessed foods and free sugar in Brazilian diet, BP.IC; 16/13168-5 - Consumption of ultra-processed foods, dietary nutrient profile and obesity in seven countries. An Australian population study, BP.DR; 16/13522-3 - Consumption of ultra-processed foods and indicators of diet quality in Chile, BP.PD; 16/14302-7 - Consumption of ultra-processed foods and indicators of diet quality in Australia, BP.PD; 16/13669-4 - Ultra-processed food consumption and dietary quality indicators in the United Kingdom, BP.PD - associated scholarships

Abstract

This project studies patterns of consumption of ultra-processed foods and their influence on the dietary nutrient profile and the risk of obesity in seven countries. The study is coordinated by NUPENS/USP and counts with research teams in each country. It involves the analysis of food intake data (24 h recalls or food registries) and weight and height measurements collected by national probabilistic household surveys undertaken in Brazil (n=34,003 individuals aged 10 y and plus), Colombia (n=37,211, 0-64 y), Chile (n=4,920, e 2 y), United States (n=19,903, all ages), Canada (n=35,107, all ages), United Kingdom (n=6,828, all ages), and Australia (n=12,153 e 2 y). Food items will be classified as ultra-processed when they refer to industrial formulations made of substances extracted from foods or synthetized from food substrates or other organic sources, with no or little whole food - concept developed at NUPENS/USP and increasingly used in the international scientific literature, the development of national dietary guidelines and proposals of regulatory policies). In each country, and in the seven countries taken together, cross-sectional associations between consumption of ultra-processed foods, dietary nutrient profile and obesity status will be studied with the control of potential confounding factors. Procedures to detect and control reversal causality will be applied in the case of obesity. In Brazil, the associations will be tested also longitudinally on three cohorts of individuals born in 1982 (n=5,914), in 1993 (n=5,249) and in 2004 (n=4,231). (AU)

Scientific publications

(30)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

LIU, JUNXIU; STEELE, EURIDICE MARTINEZ; LI, YAN; KARAGEORGOU, DIMITRA; MICHA, RENATA; MONTEIRO, CARLOS A.; MOZAFFARIAN, DARIUSH. Consumption of Ultraprocessed Foods and Diet Quality Among US Children and Adult. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, v. 62, n. 2, p. 252-264, FEB 2022. Web of Science Citations: 0.

MARIA LAURA DA COSTA LOUZADA; CAROLINE DOS SANTOS COSTA; THAYS NASCIMENTO SOUZA; GABRIELA LOPES DA CRUZ; RENATA BERTAZZI LEVY; CARLOS AUGUSTO MONTEIRO. Impacto do consumo de alimentos ultraprocessados na saúde de crianças, adolescentes e adultos: revisão de escopo. Cadernos de Saúde Pública, v. 37, 2022-04-20.

NERI, DANIELA; STEELE, EURIDICE MARTINEZ; KHANDPUR, NEHA; CEDIEL, GUSTAVO; ZAPATA, MARIA ELISA; RAUBER, FERNANDA; MARRON-PONCE, JOAQUIN A.; MACHADO, PRISCILA; DA COSTA LOUZADA, MARIA LAURA; ANDRADE, GIOVANNA CALIXTO; BATIS, CAROLINA; BABIO, NANCY; SALAS-SALVADO, JORDI; MILLETT, CHRISTOPHER; MONTEIRO, CARLOS AUGUSTO; LEVY, RENATA BERTAZZI; ULTRA-PR, NOVA MULTI-CTY STUDY GRP. ltraprocessed food consumption and dietary nutrient profiles associated with obesity: A multicountry study of children and adolescent. Obesity Reviews, v. 23, n. 1, SI DEC 2021. Web of Science Citations: 1.

BARALDI, LARISSA GALASTRI; STEELE, EURIDICE MARTINEZ; LOUZADA, MARIA LAURA C.; MONTEIRO, CARLOS A. Associations between ultraprocessed food consumption and total water intake in the US population. JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, v. 121, n. 9, p. 1695-1703, SEP 2021. Web of Science Citations: 1.

STEELE, EURIDICE MARTINEZ; BATIS, CAROLINA; CEDIEL, GUSTAVO; LOUZADA, MARIA LAURA DA COSTA; KHANDPUR, NEHA; MACHADO, PRISCILA; MOUBARAC, JEAN-CLAUDE; RAUBER, FERNANDA; JEDLICKI, MARCELA REYES; LEVY, RENATA BERTAZZI; MONTEIRO, CARLOS A. he burden of excessive saturated fatty acid intake attributed to ultra-processed food consumption: a study conducted with nationally representative cross-sectional studies from eight countrie. JOURNAL OF NUTRITIONAL SCIENCE, v. 10, JUN 4 2021. Web of Science Citations: 2.

RAUBER, FERNANDA; CHANG, KIARA; VAMOS, ESZTER P.; DA COSTA LOUZADA, MARIA LAURA; MONTEIRO, CARLOS AUGUSTO; MILLETT, CHRISTOPHER; LEVY, RENATA BERTAZZI. Ultra-processed food consumption and risk of obesity: a prospective cohort study of UK Biobank. EUROPEAN JOURNAL OF NUTRITION, v. 60, n. 4, p. 2169-2180, JUN 2021. Web of Science Citations: 7.

LEVY, RENATA B.; RAUBER, FERNANDA; CHANG, KIARA; LOUZADA, MARIA LAURA DA C.; MONTEIRO, CARLOS A.; MILLETT, CHRISTOPHER; VAMOS, ESZTER P. Ultra-processed food consumption and type 2 diabetes incidence: A prospective cohort study. Clinical Nutrition, v. 40, n. 5, p. 3608-3614, MAY 2021. Web of Science Citations: 3.

MACHADO, PRISCILA PEREIRA; STEELE, EURIDICE MARTINEZ; LEVY, RENATA BERTAZZI; DA COSTA LOUZADA, MARIA LAURA; RANGAN, ANNA; WOODS, JULIE; GILL, TIMOTHY; SCRINIS, GYORGY; MONTEIRO, CARLOS AUGUSTO. Ultra-processed food consumption and obesity in the Australian adult population. NUTRITION & DIABETES, v. 10, n. 1 DEC 5 2020. Web of Science Citations: 1.

STEELE, EURIDICE MARTINEZ; KHANDPUR, NEHA; SUN, QI; MONTEIRO, CARLOS A. The impact of acculturation to the US environment on the dietary share of ultra-processed foods among US adults. PREVENTIVE MEDICINE, v. 141, DEC 2020. Web of Science Citations: 0.

STEELE, EURIDICE MARTINEZ; KHANDPUR, NEHA; DA COSTA LOUZADA, MARIA LAURA; MONTEIRO, CARLOS AUGUSTO. Association between dietary contribution of ultra-processed foods and urinary concentrations of phthalates and bisphenol in a nationally representative sample of the US population aged 6 years and older. PLoS One, v. 15, n. 7 JUL 31 2020. Web of Science Citations: 2.

RAUBER, FERNANDA; STEELE, EURIDICE MARTINEZ; LOUZADA, MARIA LAURA COSTA; MILLETT, CHRISTOPHER; MONTEIRO, CARLOS AUGUSTO; LEVY, RENATA BERTAZZI. Ultra-processed food consumption and indicators of obesity in the United Kingdom population (2008-2016). PLoS One, v. 15, n. 5 MAY 1 2020. Web of Science Citations: 11.

ANDRADE, GIOVANNA CALIXTO; GOMBI-VACA, MARIA FERNANDA; DA COSTA LOUZADA, MARIA LAURA; AZEREDO, CATARINA MACHADO; LEVY, RENATA BERTAZZI. The consumption of ultra-processed foods according to eating out occasions. PUBLIC HEALTH NUTRITION, v. 23, n. 6, p. 1041-1048, APR 2020. Web of Science Citations: 0.

NERI, DANIELA; MARTINEZ-STEELE, EURIDICE; MONTEIRO, CARLOS AUGUSTO; LEVY, RENATA BERTAZZI. Consumption of ultra-processed foods and its association with added sugar content in the diets of US children, NHANES 2009-2014. PEDIATRIC OBESITY, v. 14, n. 12 DEC 2019. Web of Science Citations: 2.

MACHADO, PRISCILA PEREIRA; STEELE, EURIDICE MARTINEZ; DA COSTA LOUZADA, MARIA LAURA; LEVY, RENATA BERTAZZI; RANGAN, ANNA; WOODS, JULIE; GILL, TIMOTHY; SCRINIS, GYORGY; MONTEIRO, CARLOS AUGUSTO. Ultra-processed food consumption drives excessive free sugar intake among all age groups in Australia. EUROPEAN JOURNAL OF NUTRITION, v. 59, n. 6 NOV 2019. Web of Science Citations: 3.

MARTINES, RENATA MARIANA; MACHADO, PRISCILA PEREIRA; NERI, DANIELA ALMEIDA; LEVY, RENATA BERTAZZI; RAUBER, FERNANDA. Association between watching TV whilst eating and children's consumption of ultraprocessed foods in United Kingdom. MATERNAL AND CHILD NUTRITION, v. 15, n. 4 OCT 2019. Web of Science Citations: 0.

RAUBER, FERNANDA; DA COSTA LOUZADA, MARIA LAURA; STEELE, EURIDICE MARTINEZ; DE REZENDE, LEANDRO F. M.; MILLETT, CHRISTOPHER; MONTEIRO, CARLOS A.; LEVY, RENATA B. Ultra-processed foods and excessive free sugar intake in the UK: a nationally representative cross-sectional study. BMJ OPEN, v. 9, n. 10 OCT 2019. Web of Science Citations: 0.

MACHADO, PRISCILA P.; STEELE, EURIDICE M.; LEVY, RENATA B.; SUI, ZHIXIAN; RANGAN, ANNA; WOODS, JULIE; GILL, TIM; SCRINIS, GYORGY; MONTEIRO, CARLOS A. Ultra-processed foods and recommended intake levels of nutrients linked to non-communicable diseases in Australia: evidence from a nationally representative cross-sectional study. BMJ OPEN, v. 9, n. 8 AUG 2019. Web of Science Citations: 2.

STEELE, EURIDICE MARTINEZ; JUUL, FILIPPA; NERI, DANIELA; RAUBER, FERNANDA; MONTEIRO, CARLOS A. Dietary share of ultra-processed foods and metabolic syndrome in the US adult population. PREVENTIVE MEDICINE, v. 125, p. 40-48, AUG 2019. Web of Science Citations: 4.

MONTEIRO, CARLOS A.; CANNON, GEOFFREY; LEVY, RENATA B.; MOUBARAC, JEAN-CLAUDE; LOUZADA, MARIA L. C.; RAUBER, FERNANDA; KHANDPUR, NEHA; CEDIEL, GUSTAVO; NERI, DANIELA; MARTINEZ-STEELE, EURIDICE; BARALDI, LARISSA G.; JAIME, PATRICIA C. Ultra-processed foods: what they are and how to identify them. PUBLIC HEALTH NUTRITION, v. 22, n. 5, p. 936-941, APR 2019. Web of Science Citations: 27.

LATASA, P.; LOUZADA, M. L. D. C.; MARTINEZ STEELE, E.; MONTEIRO, C. A. Added sugars and ultra-processed foods in Spanish households (1990-2010). European Journal of Clinical Nutrition, v. 72, n. 10, p. 1404-1412, OCT 2018. Web of Science Citations: 10.

JUUL, FILIPPA; MARTINEZ-STEELE, EURIDICE; PAREKH, NIYATI; MONTEIRO, CARLOS A.; CHANG, VIRGINIA W. Ultra-processed food consumption and excess weight among US adults. BRITISH JOURNAL OF NUTRITION, v. 120, n. 1, p. 90-100, JUL 14 2018. Web of Science Citations: 28.

RAUBER, FERNANDA; DA COSTA LOUZADA, MARIA LAURA; STEELE, EURIDICE MARTINEZ; MILLETT, CHRISTOPHER; MONTEIRO, CARLOS AUGUSTO; LEVY, RENATA BERTAZZI. Ultra-Processed Food Consumption and Chronic Non-Communicable Diseases-Related Dietary Nutrient Profile in the UK (2008-2014). NUTRIENTS, v. 10, n. 5 MAY 2018. Web of Science Citations: 36.

BARALDI, LARISSA GALASTRI; STEELE, EURIDICE MARTINEZ; CANELLA, DANIELA SILVA; MONTEIRO, CARLOS AUGUSTO. Consumption of ultra-processed foods and associated sociodemographic factors in the USA between 2007 and 2012: evidence from a nationally representative cross-sectional study. BMJ OPEN, v. 8, n. 3 MAR 2018. Web of Science Citations: 23.

DA COSTA LOUZADA, MARIA LAURA; RICARDO, CAMILA ZANCHETA; STEELE, EURIDICE MARTINEZ; LEVY, RENATA BERTAZZI; CANNON, GEOFFREY; MONTEIRO, CARLOS AUGUSTO. The share of ultra-processed foods determines the overall nutritional quality of diets in Brazil. PUBLIC HEALTH NUTRITION, v. 21, n. 1, SI, p. 94-102, JAN 2018. Web of Science Citations: 47.

MARRON-PONCE, JOAQUIN A.; SANCHEZ-PIMIENTA, TANIA G.; DA COSTA LOUZADA, MARIA LAURA; BATIS, CAROLINA. Energy contribution of NOVA food groups and sociodemographic determinants of ultra-processed food consumption in the Mexican population. PUBLIC HEALTH NUTRITION, v. 21, n. 1, SI, p. 87-93, JAN 2018. Web of Science Citations: 21.

MONTEIRO, CARLOS AUGUSTO; MOUBARAC, JEAN-CLAUDE; LEVY, RENATA BERTAZZI; CANELLA, DANIELA SILVA; DA COSTA LOUZADA, MARIA LAURA; CANNON, GEOFFREY. Household availability of ultra-processed foods and obesity in nineteen European countries. PUBLIC HEALTH NUTRITION, v. 21, n. 1, SI, p. 18-26, JAN 2018. Web of Science Citations: 49.

STEELE, EURIDICE MARTINEZ; RAUBENHEIMER, DAVID; SIMPSON, STEPHEN J.; BARALDI, LARISSA GALASTRI; MONTEIRO, CARLOS A. Ultra-processed foods, protein leverage and energy intake in the USA. PUBLIC HEALTH NUTRITION, v. 21, n. 1, SI, p. 114-124, JAN 2018. Web of Science Citations: 11.

STEELE, EURIDICE MARTINEZ; MONTEIRO, CARLOS A. Association between Dietary Share of Ultra-Processed Foods and Urinary Concentrations of Phytoestrogens in the US. NUTRIENTS, v. 9, n. 3 MAR 2017. Web of Science Citations: 7.

STEELE, EURIDICE MARTINEZ; POPKIN, BARRY M.; SWINBURN, BOYD; MONTEIRO, CARLOS A. The share of ultra-processed foods and the overall nutritional quality of diets in the US: evidence from a nationally representative cross-sectional study. POPULATION HEALTH METRICS, v. 15, FEB 14 2017. Web of Science Citations: 55.

MOUBARAC, JEAN-CLAUDE; BATAL, M.; LOUZADA, M. L.; MARTINEZ STEELE, E.; MONTEIRO, C. A. Consumption of ultra-processed foods predicts diet quality in Canada. APPETITE, v. 108, p. 512-520, JAN 1 2017. Web of Science Citations: 88.