Ultra-processed food consumption and adult obesity risk: a systematic review and dose-response meta-analysis

被引:91
作者
Moradi, Sajjad [1 ]
Entezari, Mohammad Hassan [1 ]
Mohammadi, Hamed [2 ]
Jayedi, Ahmad [3 ]
Lazaridi, Anastasia-Viktoria [4 ]
Kermani, Mohammad ali Hojjati [5 ]
Miraghajani, Maryam [6 ]
机构
[1] Isfahan Univ Med Sci, Sch Nutr & Food Sci, Dept Clin Nutr, Esfahan, Iran
[2] Univ Tehran Med Sci, Sch Nutr Sci & Dietet, Dept Clin Nutr, Tehran, Iran
[3] Univ Tehran Med Sci, Sch Nutr Sci & Dietet, Dept Community Nutr, Tehran, Iran
[4] Univ Nottingham, Div Child Hlth Obstet & Gynaecol, Early Life Res Unit, Nottingham, England
[5] Shahid Beheshti Univ Med Sci, Natl Res Inst TB & Lung Dis NRITLD, Masih Daneshvari Hosp, Clin TB & Epidemiol Res Ctr, Tehran, Iran
[6] Shahid Beheshti Univ Med Sci, Canc Res Ctr, Tehran, Iran
关键词
Ultra-processed food; obesity; overweight; abdominal obesity; meta-analysis; TREND ESTIMATION; OVERWEIGHT;
D O I
10.1080/10408398.2021.1946005
中图分类号
TS2 [食品工业];
学科分类号
0832 ;
摘要
We performed this systematic review and meta-analysis to evaluate observational studies assessing the association between ultra-processed food (UPF) consumption and the risk of overweight, obesity, and abdominal obesity in the general population. We searched the databases PubMed/MEDLINE, Scopus, Embase, and ISI Web of Science from inception until December 2020. Data were extracted from 12 studies (nine cross-sectional and three cohort studies). Odds ratio (OR) were pooled using a random-effects model. UPF consumption was associated with an increased risk of obesity (OR = 1.55; 95% CI: 1.36, 1.77; I-2 = 55%), overweight (OR = 1.36; 95% CI: 1.14, 1.63; I-2 = 73%), and abdominal obesity (OR = 1.41; 95% CI: 1.18, 1.68; I-2 = 62%). Furthermore, every 10% increase of UPF consumption in daily calorie intake was associated with a 7%, a 6%, and a 5% higher risk of overweight, obesity, and abdominal obesity, respectively. Dose-response meta-analysis of cross-sectional studies showed a positive linear association between UPF consumption and abdominal obesity. There was also a positive linear association between UPF consumption and risk of overweight/obesity in the analysis of cross-sectional studies and a positive monotonic association in the analysis of cohort studies. Our study suggests that UPF consumption is associated with an increased risk of excess weight or abdominal obesity.
引用
收藏
页码:249 / 260
页数:12
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