Consumption of Ultraprocessed Foods and Diet Quality Among US Children and Adult

Autor(es)

Liu, Junxiu ^{[1, 2]} ; Steele, Euridice Martinez ^{[3, 4]} ; Li, Yan ^{[1, 5]} ; Karageorgou, Dimitra ^[2] ; Micha, Renata ^[2] ; Monteiro, Carlos A. ^{[3, 4]} ; Mozaffarian, Dariush ^[2]

Afiliação do(s) autor(es)

^[1] Icahn Sch Med Mt Sinai, Dept Populat Hlth Sci & Policy, 1 Gustave L Levy Pl, New York, NY 10029 - USA

^[2] Tufts Univ, Gerald J & Dorothy R Friedman Sch Nutr Sci & Poli, Boston, MA 02111 - USA

^[3] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo - Brazil

^[4] Univ Sao Paulo, Ctr Epidemiol Studies Hlth & Nutr, Sao Paulo - Brazil

^[5] Icahn Sch Med Mt Sinai, Dept Obstet Gynecol & Reprod Sci, New York, NY 10029 - USA

• Tipo de documento: Artigo Científico
• Fonte: AMERICAN JOURNAL OF PREVENTIVE MEDICINE; v. 62, n. 2, p. 252-264, FEB 2022.
• Citações Web of Science: 0

Resumo

Introduction: Consumption of ultraprocessed foods has been linked with higher intake of added sugars, sodium, and unhealthful fats, but the associations of ultraprocessed foods with overall diet quality and major food groups are not well known. Methods: Data were derived from the National Health and Nutrition Examination Survey (2015 -2018), including 9,758 adults (aged >20 years) and 5,280 children (aged 2-19 years) with 24hour dietary recalls (>1), with analysis performed in 2020. Ultraprocessed foods were identified using the NOVA classification, with intake (% energy) assessed in quintiles. Diet quality was assessed using the validated American Heart Association 2020 continuous primary and secondary diet scores and Healthy Eating Index 2015. Poor diet was defined as <40% adherence to the American Heart Association secondary score. Generalized linear regressions estimated relationships between ultraprocessed food intake and diet quality. Results: Compared with the lowest quintile of ultraprocessed food consumption (<39.1% energy), the American Heart Association primary score in adults was progressively lower in Quintile 2 (-1.99, 95% CI= -2.73, -1.25), Quintile 3 (-3.60, 95% CI= -4.47, -2.72), Quintile 4 (-5.29, 95% CI= -6.28, -4.30), and Quintile 5 (-7.24, 95% CI= -8.13, -6.36; >70.7% energy). Corresponding values in children were -2.05 (95% CI= -3.01, -1.09), -2.97 (95% CI= -4.16, -1.79), -3.82 (95% CI= -5.20, -2.44), and -6.22 (95% CI= -7.20, -5.25; >79.0% energy). The estimated proportion of children having poor diet progressively increased from 31.3% (95% CI=26.2%, 36.5%) in Quintile 1 up to 71.6% (95% CI=68.1%, 75.1%) in Quintile 5. Corresponding proportions of adults having poor diet increased from 18.1% (95% CI=14.3%, 22.0%) in Quintile 1 up to 59.7% (95% CI=55.3%, 64.1%) in Quintile 5. Findings were similar using the American Heart Association secondary score and Healthy Eating Index 2015 score. Conclusions: Higher ultraprocessed food consumption is associated with substantially lower diet quality among children and adults. (AU)

• Processo FAPESP: 18/17972-9 - Alimentos ultraprocessados e o 'protein leverage hypothesis': estudo em sete países
• Beneficiário: Eurídice Martínez Steele
• Linha de fomento: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 15/14900-9 - Consumo de alimentos ultraprocessados, perfil nutricional da dieta e obesidade em sete países
• Beneficiário: Carlos Augusto Monteiro
• Linha de fomento: Auxílio à Pesquisa - Temático