Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Canhada SL, Luft VC, Giatti L, Duncan BB, Chor D, Fonseca MJMD, Matos SMA, Molina MDCB, Barreto SM, Levy RB, Schmidt MI
Public health nutrition · 178 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
- Ministério da Ciência, Tecnologia e Inovação
- Government
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Government
- Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
- Government
- Financiadora de Estudos e Projetos
- Government
- Ministério da Saúde
- Grants
- Ministério da Saúde (0106 0278.00); Ministério da Saúde (01 06 0010.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01 06 0115.00); Ministério da Saúde (01 06 0300.00); 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 Ciência, Tecnologia e Inovação (01 06 0278.00); Ministério da Ciência, Tecnologia e Inovação (01 06 0115.00); Ministério da Saúde (01 06 0212.00); Ministério da Ciência, Tecnologia e Inovação (01 06 0010.00); Financiadora de Estudos e Projetos (01060212.00); Ministério da Ciência, Tecnologia e Inovação (01 06 0212.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01060071.00); Ministério da Saúde (01 06 0071.00); Ministério da Ciência, Tecnologia e Inovação (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 (01060010.00); Financiadora de Estudos e Projetos (01 06 0071.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01060010.00); Ministério da Ciência, Tecnologia e Inovação (01 06 0300.00); Conselho Nacional de Desenvolvimento Científico e Tecnológico (01 06 0212.00)
Based on 5 listed funder(s).
Publication
- Published
- 2019-10-17 · Public Health Nutr · vol. 23 · issue 6 · pp. 1076–1086
- Publisher
- Cambridge University Press
- Cited
- 262 citations · more than 100% of similar papers · 25.9× the field average
- Impact
- Top 10% most cited in its field
- References
- 58 works
- Access
- Open access (hybrid journal) · CC-BY
- Research areas
- Consumer Attitudes and Food Labeling · Global Public Health Policies and Epidemiology · Obesity, Physical Activity, Diet
- Keywords
- Waist, Overweight, Medicine, Obesity, Circumference, Quartile, Body mass index, Poisson regression, Cohort, Longitudinal study, Demography, Cohort study, Percentile, Environmental health, Internal medicine, Confidence interval, Population, Mathematics, Statistics
- MeSH
- humans, obesity, body weight, nutrition surveys, incidence, longitudinal studies, follow-up studies, adult, aged, middle aged, brazil, female, male, overweight, waist circumference, fast foods, body-weight trajectory
11 authors
From BR
- Scheine CanhadaConselho Nacional de Desenvolvimento Científico e Tecnológico; Universidade Federal do Rio Grande do Sul
- Vivian Cristine Luft · correspondingUniversidade Federal do Rio Grande do Sul; Hospital de Clínicas de Porto Alegre
- Luana GiattiUniversidade Federal de Minas Gerais
- Bruce Bartholow DuncanConselho Nacional de Desenvolvimento Científico e Tecnológico; Universidade Federal do Rio Grande do Sul
- Dóra ChorFundação Oswaldo Cruz
- Maria de Jesus Mendes da FonsecaFundação Oswaldo Cruz
Abstract
Objective
To evaluate the association of ultra-processed food (UPF) consumption with gains in weight and waist circumference, and incident overweight/obesity, in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort.
Design
We applied FFQ at baseline and categorized energy intake by degree of processing using the NOVA classification. Height, weight and waist circumference were measured at baseline and after a mean 3·8-year follow-up. We assessed associations, through Poisson regression with robust variance, of UPF consumption with large weight gain (1·68 kg/year) and large waist gain (2·42 cm/year), both being defined as ≥90th percentile in the cohort, and with incident overweight/obesity.
Setting
Brazil.
Participants
Civil servants of Brazilian public academic institutions in six cities (n 11 827), aged 35-74 years at baseline (2008-2010).
Results
UPF provided a mean 24·6 (sd 9·6) % of ingested energy. After adjustment for smoking, physical activity, adiposity and other factors, fourth (>30·8 %) v. first (17·8 % of energy as UPF.
Conclusions
Greater UPF consumption predicts large gains in overall and central adiposity and may contribute to the inexorable rise in obesity seen worldwide.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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