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Ultra-processed food consumption and excess weight among US adults
| Content Provider | Scilit |
|---|---|
| Author | Juul, Filippa Martinez-Steele, Euridice Parekh, Niyati Monteiro, Carlos A. Chang, Virginia W. |
| Copyright Year | 2018 |
| Abstract | Ultra-processed foods provide 58 % of energy intake and 89 % of added sugars in the American diet. Nevertheless, the association between ultra-processed foods and excess weight has not been investigated in a US sample. The present investigation therefore aims to examine the association between ultra-processed foods and excess weight in a nationally representative sample of US adults. We performed a cross-sectional analysis of anthropometric and dietary data from 15 977 adults (20–64 years) participating in the National Health and Nutrition Examination Survey 2005–2014. Dietary data were collected by 24-h recall. Height, weight and waist circumference (WC) were measured. Foods were classified as ultra-processed/non-ultra-processed according to the NOVA classification. Multivariable linear and logistic regression was used to evaluate the association between ultra-processed food consumption (% energy) and BMI, WC and odds of BMI≥25 $kg/m^{2}$, BMI≥30 $kg/m^{2}$ and abdominal obesity (men: WC≥102 cm, women: WC≥88 cm). Prevalence of BMI≥25 $kg/m^{2}$, BMI≥30 $kg/m^{2}$ and abdominal obesity was 69·2, 36·1 and 53·0 %, respectively. Consuming ≥74·2 v. ≤36·5 % of total energy from ultra-processed foods was associated with 1·61 units higher BMI (95 % CI 1·11, 2·10), 4·07 cm greater WC (95 % CI 2·94, 5·19) and 48, 53 and 62 % higher odds of BMI≥25 $kg/m^{2}$, BMI≥30 $kg/m^{2}$ and abdominal obesity, respectively (OR 1·48; 95 % CI 1·25, 1·76; OR 1·53; 95 % CI 1·29, 1·81; OR 1·62; 95 % CI 1·39, 1·89, respectively; $P_{for trend}$<0·001 for all). A significant interaction between being female and ultra-processed food consumption was found for BMI $(F_{4,79}$=4·89, P=0·002), WC $(F_{4,79}$=3·71, P=0·008) and BMI≥25 $kg/m^{2}$ $(F_{4,79}$=5·35, P<0·001). As the first study in a US population, our findings support that higher consumption of ultra-processed food is associated with excess weight, and that the association is more pronounced among women. |
| Related Links | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/5D2D713B3A85F5C94B0C98A1F224D04A/S0007114518001046a.pdf/div-class-title-ultra-processed-food-consumption-and-excess-weight-among-us-adults-div.pdf |
| ISSN | 00071145 |
| e-ISSN | 14752662 |
| DOI | 10.1017/s0007114518001046 |
| Journal | British Journal of Nutrition |
| Issue Number | 1 |
| Volume Number | 120 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2018-07-14 |
| Access Restriction | Open |
| Subject Keyword | British Journal of Nutrition Nutrition and Dietetics processed Foods Food Processing Waist Circumference National Health and Nutrition Examination Survey National Health and Nutrition Examination Surveywaist Circumference |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Medicine |
