Association Between Ultra-Processed Food Consumption and Functional Gastrointestinal Disorders: Results From the French NutriNet-Santé Cohort
Schnabel L, Buscail C, Sabate JM, Bouchoucha M, Kesse-Guyot E, Allès B, Touvier M, Monteiro CA, Hercberg S, Benamouzig R, Julia C
The American journal of gastroenterology · 116 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 diaries or recalls
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2018-06-14 · Am J Gastroenterol · vol. 113 · issue 8 · pp. 1217–1228
- Publisher
- Lippincott Williams & Wilkins
- Cited
- 174 citations · more than 99% of similar papers · 16.1× the field average
- Impact
- Top 10% most cited in its field
- References
- 73 works
- Access
- Paywalled
- Research areas
- Consumer Attitudes and Food Labeling · Gastrointestinal motility and disorders · Food composition and properties
- Keywords
- Medicine, Confounding, Irritable bowel syndrome, Quartile, Cohort, Logistic regression, Constipation, Diarrhea, Internal medicine, Cohort study, Confidence interval
- MeSH
- humans, gastrointestinal diseases, irritable bowel syndrome, diet, logistic models, cohort studies, prospective studies, feeding behavior, adolescent, adult, aged, middle aged, france, female, male, young adult, fast foods, surveys and questionnaires
11 authors
From FR, BR
- Laure SchnabelInserm; Université Paris Cité; Université Sorbonne Paris Nord; Sorbonne Paris Cité; Santé Publique France; Assistance Publique – Hôpitaux de Paris; Hôpital Avicenne; Centre de Recherche Épidémiologie et Statistique
- Camille BuscailInserm; Université Paris Cité; Université Sorbonne Paris Nord; Sorbonne Paris Cité; Santé Publique France; Assistance Publique – Hôpitaux de Paris; Hôpital Avicenne; Centre de Recherche Épidémiologie et Statistique
- Jean‐Marc SabatéInserm; Université Paris Cité; Université Sorbonne Paris Nord; Sorbonne Paris Cité; Assistance Publique – Hôpitaux de Paris; Hôpital Avicenne; Hôpital Ambroise-Paré; Centre de Recherche Épidémiologie et Statistique
- Michel L. BouchouchaInserm; Université Paris Cité; Université Sorbonne Paris Nord; Sorbonne Paris Cité; Assistance Publique – Hôpitaux de Paris; Hôpital Avicenne; Centre de Recherche Épidémiologie et Statistique
- Emmanuelle Kesse‐GuyotInserm; Université Paris Cité; Université Sorbonne Paris Nord; Sorbonne Paris Cité; Assistance Publique – Hôpitaux de Paris; Hôpital Avicenne; Centre de Recherche Épidémiologie et Statistique
- Benjamin AllèsInserm; Université Paris Cité; Université Sorbonne Paris Nord; Sorbonne Paris Cité; Assistance Publique – Hôpitaux de Paris; Hôpital Avicenne; Centre de Recherche Épidémiologie et Statistique
Abstract
Objectives
Ultra-processed foods (UPF) consumption has increased over the last decades and is raising concerns about potential adverse health effects. Our objective was to assess the association between UPF consumption and four functional gastrointestinal disorders (FGIDs): irritable bowel syndrome (IBS), functional constipation (FC), functional diarrhea (FDh), and functional dyspepsia (FDy), in a large sample of French adults.
Methods
We analyzed dietary data of 33,343 participants from the web-based NutriNet-Santé cohort, who completed at least three 24 h food records, prior to a Rome III self-administered questionnaire. Proportion (in weight) of UPF in the diet (UPFp) was computed for each subject. The association between UPFp quartiles and FGIDs was estimated by multivariable logistic regression.
Results
Participants included in the analysis were mainly women (76.4%), and the mean age was 50.4 (SD = 14.0) years. UPF accounted for 16.0% of food consumed in weight, corresponding to 33.0% of total energy intake. UPF consumption was associated with younger age, living alone, lower incomes, higher BMI, and lower physical activity level (all p aOR Q4 vs. Q1 [95% CI]: 1.25 [1.12-1.39], p-trend < 0.0001).
Conclusions
This study suggests an association between UPF and IBS. Further longitudinal studies are needed to confirm those results and understand the relative impact of the nutritional composition and specific characteristics of UPF in this relationship.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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