Evaluation of Dietary Patterns and All-Cause Mortality

English, Laural; Ard, Jamy D.; Bailey, Regan L; Bates, Marlana; Bazzano, Lydia A.; Boushey, Carol J.; Brown, Clarissa; Butera, Gisela; Callahan, Emily; Jesus, Janet de; Mattes, Richard D.; Mayer‐Davis, Elizabeth J.; Novotny, Rachel; Obbagy, Julie; Rahavi, Elizabeth; Sabaté, Joan; Snetselaar, Linda; Stoody, Eve; Horn, Linda Van; Venkatramanan, Sudha; Heymsfield, Steven B.

doi:10.1001/jamanetworkopen.2021.22277

Cited by 114 publications

(93 citation statements)

References 173 publications

(963 reference statements)

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“…Globally, more than half of the deaths annually are due to CVDs and cancers [ 39 ]. A healthy diet plays a profound role in these conditions [ 40 ]. UPFs, food, and drink products that have undergone specified types of food processing have been shown to markedly increase the risk of mortality in many countries [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Ultra-Processed Food Consumption and Adult Mortality Risk: A Systematic Review and Dose–Response Meta-Analysis of 207,291 Participants

et al. 2021

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We performed a systematic review and dose–response meta-analysis of observational studies assessing the association between UPF consumption and adult mortality risk. A systematic search was conducted using ISI Web of Science, PubMed/MEDLINE, and Scopus electronic databases from inception to August 2021. Data were extracted from seven cohort studies (totaling 207,291 adults from four countries). Using a random-effects model, hazard ratios (HR) of pooled outcomes were estimated. Our results showed that UPF consumption was related to an enhanced risk of all-cause mortality (HR = 1.21; 95% CI: 1.13, 1.30; I2 = 21.9%; p < 0.001), cardiovascular diseases (CVDs)-cause mortality (HR = 1.50; 95% CI: 1.37, 1.63; I2 = 0.0%; p < 0.001), and heart-cause mortality (HR = 1.66; 95% CI: 1.50, 1.85; I2 = 0.0%; p = 0.022), but not cancer-cause mortality. Furthermore, our findings revealed that each 10% increase in UPF consumption in daily calorie intake was associated with a 15% higher risk of all-cause mortality (OR = 1.15; 95% CI: 1.09, 1.21; I2 = 0.0%; p < 0.001). The dose–response analysis revealed a positive linear association between UPF consumption and all-cause mortality (Pnonlinearity = 0.879, Pdose–response = p < 0.001), CVDs-cause mortality (Pnonlinearity = 0.868, Pdose–response = p < 0.001), and heart-cause mortality (Pnonlinearity = 0.774, Pdose–response = p < 0.001). It seems that higher consumption of UPF is significantly associated with an enhanced risk of adult mortality. Despite this, further experimental studies are necessary to draw a more definite conclusion.

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Section: Discussionmentioning

confidence: 99%

Ultra-Processed Food Consumption and Adult Mortality Risk: A Systematic Review and Dose–Response Meta-Analysis of 207,291 Participants

et al. 2021

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“…In a systemic review, a total of 1 randomized clinical trial and 152 observational studies were included comprising of adults and older adults, aged 17-84 years from 28 countries with high or very high Human Development Index [19]. The findings suggested that dietary patterns (possibly rich in flavonoids), including higher intake of vegetables, fruits, legumes, nuts, whole grains, unsaturated vegetable oils, fish, and lean meat or poultry, were associated with a decreased risk of all-cause mortality.…”

Section: Foods Requiring Masticationmentioning

confidence: 99%

Why And How Indo-mediterranean Diet, May Be Superior To Other Diets? The Role Of Antioxidants In The Diets

Singh¹,

Fatima²,

Fedačko³

et al. 2022

Preprint

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The Seven Country study showed that traditional Japanese diet and Mediterranean diets are protective against cardiovascular diseases (CVDs). Japanese diet is considered the healthiest because it provides highest longevity and health to Japanese. DASH diet and Mediterranean style diets are also considered the healthy diets, although, it is possible that Indo-Mediterranean style diet may provide better protective effects among patients with CVDs, compared to other diets. The concept of Indo-Mediterranean type of diets was developed, after examining its role in the prevention of CVDs in India, the value of which was confirmed by a landmark study from France; The Lyon Heart Study. These workers found that eating alpha-linolenic acid rich Mediterranean style diet can cause significant decline in CVDs and all-cause mortality. Later on in 2018, PREDIMED Study from Spain also reported that a modified Mediterranean style diet can cause significant decline in CVDs, type 2 diabetes mellitus (T2DM) and cancer. The Indo-Mediterranean diet may be superior to DASH diet and Mediterranean diet because it contains millets, porridge, beans and spices; turmeric, cumin, fenugreek and coriander which may have better anti-inflammatory and cardio-protective effects. These foods are rich sources of nutrients; flavonoids, calcium and iron as well as proteins which are useful in the prevention of under as well as over-nutrition and related diseases. It is known that DASH diet and Mediterranean style diets have similar influence on CVDs. However, Indo-Mediterranean style diet, may be as good as Japanese diet, due to improved food diversity and high content of antioxidants in the diets.

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“…To account for the overall diet quality, we defined a healthy diet score based on the following diet factors: vegetable intake (< median = 0 and ≥ median = 1), fruit intake (< median = 0 and ≥ median = 1), unprocessed red meat intake (< median = 1 and ≥ median = 0), and fish intake (< median = 0 and ≥ median = 1) [27]. These diet factors consider several common components of a priori healthy eating patterns [28]; thus, it could roughly reflect the overall diet quality [27]. The healthy diet score ranged from 0 to 4.…”

Section: Dietary Assessment and Upf Intakementioning

confidence: 99%

Ultra-processed food intake is associated with grip strength decline in middle-aged and older adults: a prospective analysis of the TCLSIH study

Zhang

Rayamajhi

et al. 2021

Eur J Nutr

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Purpose Ultra-processed foods make up more than 50% of daily energy consumed in Western countries and are rapidly increasing in China. However, little is known about the association between ultra-processed food intake and muscle strength, a predictor for physical disability in senior years. We aimed to investigate the association of ultra-processed food intake with longitudinal changes in grip strength among middle-aged and older Chinese adults. Methods This prospective cohort study included a total of 5409 adults aged 40 years and over (61.3% men). Ultra-processed food intake was obtained by means of a validated food frequency questionnaire and classified according to the NOVA classification system. Grip strength was measured annually using a handheld digital dynamometer. Multivariable linear regression models were used to examine the association between ultra-processed food intake and annualized change in grip strength and weight-adjusted grip strength. Results In the fully adjusted models, annualized changes in grip strength and weight-adjusted grip strength per 10% increment in the proportion of ultra-processed foods in the diet were − 0.3708 kg (95% confidence interval − 0.5687, − 0.1730; P < 0.001) and − 0.0057 kg/kg (95% confidence interval − 0.0086, − 0.0029; P < 0.0001), respectively. In analyses stratified by age, sex, body mass index, physical activity, hypertension, hyperlipidemia, diabetes, and healthy diet score, such associations were largely consistent in most subgroups (all P for interaction > 0.05). Conclusions Our data indicate that higher ultra-processed food intake was associated with faster grip strength decline in middle-aged and older Chinese adults.

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Evaluation of Dietary Patterns and All-Cause Mortality

Cited by 114 publications

References 173 publications

Ultra-Processed Food Consumption and Adult Mortality Risk: A Systematic Review and Dose–Response Meta-Analysis of 207,291 Participants

Ultra-Processed Food Consumption and Adult Mortality Risk: A Systematic Review and Dose–Response Meta-Analysis of 207,291 Participants

Why And How Indo-mediterranean Diet, May Be Superior To Other Diets? The Role Of Antioxidants In The Diets

Ultra-processed food intake is associated with grip strength decline in middle-aged and older adults: a prospective analysis of the TCLSIH study

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