| Texto completo | |
| Autor(es): |
Yang, Quanhe
[1]
;
Zhang, Zefeng
[1]
;
Steele, Euridice Martinez
[2, 3]
;
Moore, V, Latetia
;
Jackson, Sandra L.
[1]
Número total de Autores: 5
|
| Afiliação do(s) autor(es): | [1] Ctr Dis Control & Prevent, Div Heart Dis & Stroke Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 - USA
[2] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo - Brazil
[3] Univ Sao Paulo, Ctr Epidemiol Studies Hlth & Nutr, Sao Paulo - Brazil
Número total de Afiliações: 3
|
| Tipo de documento: | Artigo Científico |
| Fonte: | AMERICAN JOURNAL OF PREVENTIVE MEDICINE; v. 59, n. 5, p. E197-E206, NOV 2020. |
| Citações Web of Science: | 0 |
| Resumo | |
Introduction: A high percentage of total calories from ultra-processed foods has been associated with several cardiovascular disease risk factors. No study has examined the association between ultra-processed foods and heart age. This study examines the association between ultra-processed foods and excess heart age (difference between estimated heart age and chronological age) among U.S. adults. Methods: The National Health and Nutrition Examination Survey (2009-2016) data for participants aged 30-74 years without cardiovascular disease or stroke (n=12,640) was used. Ultra-processed food was assigned based on NOVA classification of food processing, with ultra-processed food being the highest level. This study estimated the usual percentage of calories from ultra-processed foods and used sex-specific Framingham heart age algorithms to calculate heart age. The multivariable linear or logistic regression was used to examine the association between ultra-processed foods and excess heart age or likelihood of excess heart age being >= 10 years. Data analyses were conducted in 2020. Results: The median usual percentage of calories from ultra-processed foods was 54.5% (IQR=45.8%-63.1%). Adjusted excess heart age increased from 7.0 years (95% CI=6.4, 7.6) in the lowest quintile (Q1) to 9.9 years (95% CI=9.2, 10.5) in the highest quintile (Q5) (p<0.001). Compared with Q1, AORs for excess heart age of >= 10 years were 1.16 (95% CI=1.08, 1.25) in Q2, 1.29 (95% CI=1.14, 1.46) in Q3, 1.43 (95% CI=1.20, 1.71) in Q4, and 1.66 (95% CI=1.29, 2.14) in Q5 (p<0.001). The pattern of association was largely consistent across subgroups. Conclusions: U.S. adults consumed more than half of total daily calories from ultra-processed foods. A higher percentage of calories from ultra-processed foods was associated with higher excess heart age and likelihood of excess heart age of >= 10 years. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine. (AU) | |
| Processo FAPESP: | 18/17972-9 - Alimentos ultraprocessados e o 'protein leverage hypothesis': estudo em sete países |
| Beneficiário: | Eurídice Martínez Steele |
| Modalidade de apoio: | Bolsas no Brasil - Pós-Doutorado |