Ultra-processed foods and added sugars in the Chilean diet (2010)

Cediel, Gustavo; Reyes, Marcela; Louzada, Maria Laura da Costa; Steele, Eurídice Martinez; Corvalán, Camila; Uauy, Ricardo

doi:10.1017/s1368980017001161

Cited by 243 publications

(286 citation statements)

References 25 publications

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“…It has been noted that ultra-processed foods contribute substantially to population intakes of micronutrients across many countries (12) . Findings from the studies in this special issue challenge that assertion and demonstrate an association between higher consumption of ultra-processed foods and poorer nutritional intakes, including higher intakes of energy and free/added sugar (9,11) and lower intakes of fibre (9) , micronutrients (9) and protein (8) . Epidemiological evidence has previously demonstrated that ultra-processed food consumption is associated with poorer diet quality in the USA (13) , Canada (14) and Brazil (15) ; obesity in Brazil (16) , Guatemala (17) , Spain (18) and Sweden (19) ; hypertension in Spain (20) ; metabolic syndrome in Brazil (21) ; and dyslipidaemia in children in Brazil (22) .…”

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confidence: 74%

Public Health Nutritionspecial issue on ultra-processed foods

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Jacoby

2017

Public Health Nutr.

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confidence: 74%

Public Health Nutritionspecial issue on ultra-processed foods

Kelly

Jacoby

2017

Public Health Nutr.

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“…Further, many existing studies acknowledged the use of a dietary assessment methods not designed for assessment of food processing as an important study limitation [18, 33, 36, 49, 55, 56, 61, 77]. The lack of specificity of FFQ food item questions may lead to misclassification of ultra-processed foods that could potentially attenuate or bias associations between these foods and health outcomes [78].…”

Section: Future Research Needsmentioning

confidence: 99%

“…This limitation extends to household expenditure surveys, which distinguish relatively few items [50]. Several studies using 24-hour dietary recalls also acknowledge that only limited information indicative of food processing is collected and collected inconsistently for different food items [36, 49]. Misclassification is particularly likely for foods such as pizza, mixed dishes, cookies, or other baked goods, which could be either culinary preparations or ultra-processed pre-prepared products [33].…”

Section: Future Research Needsmentioning

confidence: 99%

“…Ultra-processed food purchasing and consumption patterns have been described in several countries [4], with studies in Brazil [17, 32-35], Chile [16, 36], Colombia [37], Indonesia [38], Kenya [39], multiple European countries [9, 40], France [41], Norway [42, 43], Sweden [44], Australia [45, 46], New Zealand [47], USA [19, 20, 48, 49], Canada [18, 50, 51], and the UK [15, 40, 52]. …”

Section: Introductionmentioning

confidence: 99%

“…Among school-aged children in Colombia, 34% of energy intake came from processed and ultra-processed foods in 2011 [37]. Ultra-processed foods provided 29% of total energy intake among Chileans in 2010 [36]. In Europe, the contribution of ultra-processed products to household food purchases ranged from 18% of calories purchased in Croatia (2004), 20% in Slovakia (2003), and 21% in Hungary (1991) to 26% in Lithuania (2004) and 33% in Latvia (2004) [40].…”

Section: Introductionmentioning

confidence: 99%

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Ultra-processed Food Intake and Obesity: What Really Matters for Health—Processing or Nutrient Content?

2017

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Purpose of Review The aim of this narrative review was to summarize and critique recent evidence evaluating the association between ultra-processed food intake and obesity. Recent Findings Four of five studies found that higher purchases or consumption of ultra-processed food was associated with overweight/obesity. Additional studies reported relationships between ultra-processed food intake and higher fasting glucose, metabolic syndrome, increases in total and LDL cholesterol, and risk of hypertension. It remains unclear whether associations can be attributed to processing itself or the nutrient content of ultra-processed foods. Only three of nine studies used a prospective design, and the potential for residual confounding was high. Summary Recent research provides fairly consistent support for the association of ultra-processed food intake with obesity and related cardiometabolic outcomes. There is a clear need for further studies, particularly those using longitudinal designs and with sufficient control for confounding, to potentially confirm these findings in different populations and to determine whether ultra-processed food consumption is associated with obesity independent of nutrient content.

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Association Between Ultraprocessed Food Consumption and Risk of Mortality Among Middle-aged Adults in France

et al. 2019

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IMPORTANCE Growing evidence indicates that higher intake of ultraprocessed foods is associated with higher incidence of noncommunicable diseases. However, to date, the association between ultraprocessed foods consumption and mortality risk has never been investigated. OBJECTIVE To assess the association between ultraprocessed foods consumption and all-cause mortality risk. DESIGN, SETTING, AND PARTICIPANTS This observational prospective cohort study selected adults, 45 years or older, from the French NutriNet-Santé Study, an ongoing cohort study that launched on May 11, 2009, and performed a follow-up through December 15, 2017 (a median of 7.1 years). Participants were selected if they completed at least 1 set of 3 web-based 24-hour dietary records during their first 2 years of follow-up. Self-reported data were collected at baseline, including sociodemographic, lifestyle, physical activity, weight and height, and anthropometrics. EXPOSURES The ultraprocessed foods group (from the NOVA food classification system), characterized as ready-to-eat or-heat formulations made mostly from ingredients usually combined with additives. Proportion (in weight) of ultraprocessed foods in the diet was computed for each participant. MAIN OUTCOMES AND MEASURES The association between proportion of ultraprocessed foods and overall mortality was the main outcome. Mean dietary intakes from all of the 24-hour dietary records available during the first 2 years of follow-up were calculated and considered as the baseline usual food-and-drink intakes. Mortality was assessed using CépiDC, the French national registry of specific mortality causes. Hazard ratios (HRs) and 95% CIs were determined for all-cause mortality, using multivariable Cox proportional hazards regression models, with age as the underlying time metric. RESULTS A total of 44 551 participants were included, of whom 32 549 (73.1%) were women, with a mean (SD) age at baseline of 56.7 (7.5) years. Ultraprocessed foods accounted for a mean (SD) proportion of 14.4% (7.6%) of the weight of total food consumed, corresponding to a mean (SD) proportion of 29.1% (10.9%) of total energy intake. Ultraprocessed foods consumption was associated with younger age (45-64 years, mean [SE] proportion of food in weight, 14.50% [0.04%]; P < .001), lower income (<€1200/mo, 15.58% [0.11%]; P < .001), lower educational level (no diploma or primary school, 15.50% [0.16%]; P < .001), living alone (15.02% [0.07%]; P < .001), higher body mass index (calculated as weight in kilograms divided by height in meters squared; Ն30, 15.98% [0.11%]; P < .001), and lower physical activity level (15.56% [0.08%]; P < .001). A total of 602 deaths (1.4%) occurred during follow-up. After adjustment for a range of confounding factors, an increase in the proportion of ultraprocessed foods consumed was associated with a higher risk of all-cause mortality (HR per 10% increment, 1.14; 95% CI, 1.04-1.27; P = .008). CONCLUSIONS AND RELEVANCE An increase in ultraprocessed foods consumption appears to be associated with an o...

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Ultra-processed foods and added sugars in the Chilean diet (2010)

Cited by 243 publications

References 25 publications

Public Health Nutritionspecial issue on ultra-processed foods

Public Health Nutritionspecial issue on ultra-processed foods

Ultra-processed Food Intake and Obesity: What Really Matters for Health—Processing or Nutrient Content?

Association Between Ultraprocessed Food Consumption and Risk of Mortality Among Middle-aged Adults in France

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