Cohort study2020

Longitudinal associations between ultra-processed foods and blood lipids in childhood

Leffa PS, Hoffman DJ, Rauber F, Sangalli CN, Valmórbida JL, Vitolo MR

The British journal of nutrition · 70 citations

Review labels

No stated lifestyle adjustment

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
Independent funding
Government
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Government
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Government
Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
Government
Ministério da Saúde
Grants
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (88881); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (577/200); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (14_2013); Conselho Nacional de Desenvolvimento Científico e Tecnológico (14/2013-47731/2013-8); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (14/2013-47731/2013-8); Ministério da Saúde (577/200); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (14/2013); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (2019‐01); Conselho Nacional de Desenvolvimento Científico e Tecnológico (14/2013); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (PPSUS/2006/1537‐7); Conselho Nacional de Desenvolvimento Científico e Tecnológico (88881); Conselho Nacional de Desenvolvimento Científico e Tecnológico (2013-8); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (88881)

Based on 4 listed funder(s).

Publication

Published
2020-04-06 · Br J Nutr · vol. 124 · issue 3 · pp. 341–348
Publisher
Cambridge University Press
Cited
91 citations · more than 98% of similar papers · 8.8× the field average
Impact
Top 10% most cited in its field
References
60 works
Access
Free to read
Research areas
Consumer Attitudes and Food Labeling · Obesity, Physical Activity, Diet · Nutritional Studies and Diet
Keywords
Medicine, Blood lipids, Food consumption, Cholesterol, Animal science, Internal medicine, Biology
MeSH
humans, lipids, diet, diet surveys, linear models, longitudinal studies, follow-up studies, energy intake, poverty, food handling, child, child, preschool, brazil, female, male, randomized controlled trials as topic

6 authors

From BR, US

  • Paula dos Santos Leffa · correspondingUniversidade Federal de Ciências da Saúde de Porto Alegre
  • Daniël J. HoffmanRutgers, The State University of New Jersey
  • Fernanda RauberUniversidade de São Paulo
  • Caroline Nicola SangalliUniversidade Federal de Ciências da Saúde de Porto Alegre
  • Julia Luzzi ValmórbidaUniversidade Federal de Ciências da Saúde de Porto Alegre
  • Márcia Regina VítoloUniversidade Federal de Ciências da Saúde de Porto Alegre

Abstract

Emerging evidence suggests that the consumption of ultra-processed foods (UPF) plays a role in the development of chronic diseases, but evidence of their influence in children is limited. Our objective was to study longitudinal trends of UPF intake and determine their impact on blood lipids in young children. The present study was a follow-up of a randomised field trial of children (n 308) from Porto Alegre, Brazil. Dietary intake was collected using two 24-h recalls at 3 and 6 years of age, and consumption of UPF was classified according to the NOVA system, a food classification based on the extent and purpose of industrial food processing. At age 6 years, blood tests were performed to measure lipid profile. Contribution of UPF to total energy intake increased by 10 % during the follow-up period, from 43·4 % at 3 years to 47·7 % at 6 years of age. Linear regression models showed that children in the highest tertile of UPF consumption at age 3 years had higher levels of total cholesterol (TC; β 0·22 mmol/l; 95 % CI 0·04, 0·39) and TAG at age 6 years (β 0·11 mmol/l, 95 % CI 0·01, 0·20) compared with those in the lowest tertile. A positive dose-response was observed for an absolute increment of 10 % of UPF on TC (β 0·07 mmol/l, 95 % CI 0·00, 0·14) and TAG (β 0·04 mmol/l, 95 % CI 0·01, 0·07). Based on our data, consumption of UPF increased significantly over time and was associated with higher blood lipid levels in children from a low-income community. Our findings highlight the need for effective strategies to minimise the consumption of UPF in early life.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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