Associations of ultra-processed food and drink products with asthma and wheezing among Brazilian adolescents
Melo B, Rezende L, Machado P, Gouveia N, Levy R
Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 59 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
- Cross-sectional study (classified by our AI screen)
- Studied in
- People
- Main outcome
- Clinical events such as disease or death
- Intake measured by
- Food frequency questionnaire
Who paid for it
- Funding
- Independent funding
- Government
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Government
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Grants
- Fundação de Amparo à Pesquisa do Estado de São Paulo (2014/25614‐4); Conselho Nacional de Desenvolvimento Científico e Tecnológico (444794/2014‐0); Conselho Nacional de Desenvolvimento Científico e Tecnológico (103813/2015‐2)
Based on 2 listed funder(s).
Publication
- Published
- 2018-04-21 · Pediatr Allergy Immunol · vol. 29 · issue 5 · pp. 504–511
- Publisher
- Wiley
- Cited
- 99 citations · more than 99% of similar papers · 11.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 30 works
- Access
- Paywalled
- Research areas
- Consumer Attitudes and Food Labeling · Consumer Packaging Perceptions and Trends · Sodium Intake and Health
- Keywords
- Medicine, Asthma, Consumption (sociology), Odds ratio, Environmental health, Epidemiology, Odds, Pediatrics, Logistic regression, Internal medicine
- MeSH
- humans, asthma, food hypersensitivity, respiratory sounds, allergens, diet, food handling, beverages, food, adolescent, brazil, female, male
5 authors
From BR
- Beatriz Cantalice de MeloHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
- Leandro F. M. RezendeHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Fundação Faculdade de Medicina
- Priscila Pereira MachadoUniversidade de São Paulo; Instituto de Saúde
- Nélson GouveiaHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Fundação Faculdade de Medicina
- Renata Bertazzi Levy · correspondingHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Fundação Faculdade de Medicina
Abstract
Background
Although both consumptions of ultra-processed products and asthma are common during adolescence, the epidemiological evidence in regarding their association is unclear. We investigated the associations of ultra-processed products consumption with asthma and wheezing in a representative sample of Brazilian adolescents.
Methods
We used data from a representative sample of 109 104 Brazilian adolescents enrolled in the National Survey of School Health, 2012. The consumption of ultra-processed products was based on the weekly consumption (0-2, 3-4, ≥5 d/wk) of sweet biscuits, salty biscuits, ultra-processed meats, sweets/candies, soft drinks, and packaged snacks over the previous 7 days. We also calculated an ultra-processed consumption score by adding partial scores corresponding to weekly frequency intake of each ultra-processed product. The ultra-processed consumption score ranged from 0 to 42, the higher score, the higher the intake of these products. The presence of wheezing in the previous 12 months and asthma at any time in the past was self-reported.
Results
The adjusted odds ratios of asthma comparing the extreme categories ranged from 1.08 (95% CI 1.03-1.13) for sweets/candies to 1.30 (1.21-1.40) for ultra-processed meats. Similar magnitude of associations was found for wheezing outcome. The ultra-processed consumption score was positively associated with the presence of asthma and wheezing in a dose-response manner. The adjusted OR of asthma and wheezing comparing highest to lowest quintile of ultra-processed consumption score was 1.27 (95% CI 1.15-1.41) and 1.42 (1.35-1.50), respectively.
Conclusions
The consumption of ultra-processed products was positively associated with the presence of asthma and wheezing in adolescents.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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