Consumption of ultra-processed food and obesity: cross sectional results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort (2008-2010)
Silva FM, Giatti L, de Figueiredo RC, Molina MDCB, de Oliveira Cardoso L, Duncan BB, Barreto SM
Public health nutrition · 92 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Cohort study (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
- Intake measured by
- Food frequency questionnaire
Who paid for it
- Funding
- Independent funding
- Government
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Government
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Government
- Financiadora de Estudos e Projetos
- Government
- Ministério da Saúde
- Grants
- Ministério da Saúde (0106 0278.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01060212.00BA); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01 06 0115.00); Ministério da Saúde (01 06 0300.00); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (01 06 0071.00); Financiadora de Estudos e Projetos (01060278.00); Financiadora de Estudos e Projetos (01 06 0115.00); Financiadora de Estudos e Projetos (01 06 0300.00); Ministério da Saúde (01 06 0115.00); Ministério da Saúde (01 06 0212.00); Financiadora de Estudos e Projetos (01060212.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01060071.00); Ministério da Saúde (01 06 0071.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01 06 0278.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01060300.00); Financiadora de Estudos e Projetos (01 06 0071.00); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (01 06 0300.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01 06 0212.00); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (01 06 0115.00)
Based on 4 listed funder(s).
Publication
- Published
- 2018-04-12 · Public Health Nutr · vol. 21 · issue 12 · pp. 2271–2279
- Publisher
- Cambridge University Press
- Cited
- 170 citations · more than 100% of similar papers · 19.1× the field average
- Impact
- Top 10% most cited in its field
- References
- 43 works
- Access
- Free to read
- Research areas
- Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Consumer Packaging Perceptions and Trends
- Keywords
- Quartile, Overweight, Waist, Medicine, Obesity, Cohort, Cross-sectional study, Confounding, Longitudinal study, Environmental health, Body mass index, Demography, Logistic regression, Cohort study, Gerontology, Confidence interval, Internal medicine
- MeSH
- humans, obesity, body mass index, diet, longitudinal studies, cross-sectional studies, feeding behavior, energy intake, adult, middle aged, brazil, female, male, waist circumference, fast foods
7 authors
From BR
- Fernanda Marcelina SilvaUniversidade Federal de Minas Gerais
- Luana GiattiUniversidade Federal de Minas Gerais
- Roberta Carvalho de FigueiredoFederal University of São João del-Rei; Federal University of São João del-Rei
- María del Carmen Bisi MolinaUniversidade Federal do Espírito Santo
- Letícia de Oliveira CardosoEscola Nacional de Saúde Pública; Fundação Oswaldo Cruz
- Bruce Bartholow DuncanEscola Nacional de Saúde Pública; Fundação Oswaldo Cruz
Abstract
Objective
To verify if the intake of ultra-processed foods is associated with higher BMI and waist circumference (WC) among participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort.
Design
Cross-sectional analysis of the ELSA-Brasil baseline (2008-2010). Dietary information obtained through an FFQ was classified according to characteristics of food processing (NOVA) and used to estimate the percentage energy contribution from ultra-processed foods (i.e. industrial formulations, elaborated from food processing, synthetic constituents and food additives) to individuals' total energy intake. BMI and WC and their respective cut-off points served as response variables. Associations were estimated through linear and multinomial logistic regression models, after adjusting for confounders and total energy intake.
Setting
Six Brazilian capital cities, 2008-2010.
Subjects
Active and retired civil servants, aged 35-64 years, from universities and research organizations (n 8977).
Results
Ultra-processed foods accounted for 22·7 % of total energy intake. After adjustments, individuals in the fourth quartile of percentage energy contribution from ultra-processed foods presented (β; 95 % CI) a higher BMI (0·80; CI 0·53, 1·07 kg/m2) and WC (1·71; 1·02, 2·40 cm), and higher chances (OR; 95 % CI) of being overweight (1·31; 1·13, 1·51), obese (1·41; 1·18, 1·69) and having significantly increased WC (1·41; 1·20, 1·66), compared with those in the first quartile. All associations suggest a dose-response gradient.
Conclusions
Results indicate the existence of associations between greater energy contribution from ultra-processed foods and higher BMI and WC, which are independent of total energy intake. These findings corroborate public policies designed to reduce the intake of this type of food.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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