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

被引：49

作者：

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
]}

机构：

[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

来源：

AMERICAN JOURNAL OF PREVENTIVE MEDICINE | 2022年 / 62卷 / 02期

基金：

巴西圣保罗研究基金会;

关键词：

ULTRA-PROCESSED FOODS; NUTRITIONAL QUALITY; ASSOCIATION; MORTALITY; OBESITY; DISEASE; HEALTH;

D O I：

10.1016/j.amepre.2021.08.014

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：252 / 264

页数：13

共 45 条

[1] Consumption of Ultra-Processed Food and Its Association with Sociodemographic Characteristics and Diet Quality in a Representative Sample of French Adults [J].