Study2020Open access

Ultra-processed food consumption and indicators of obesity in the United Kingdom population (2008-2016)

Rauber F, Steele EM, Louzada MLDC, Millett C, Monteiro CA, Levy RB

PloS one · 157 citations

How it was studied

Design
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food diaries or recalls

Who paid for it

Funding
Independent funding
Government
Fundação de Amparo à Pesquisa do Estado de São Paulo
Grants
Fundação de Amparo à Pesquisa do Estado de São Paulo (2015/); Fundação de Amparo à Pesquisa do Estado de São Paulo (2016/14302-7 and 2018/19820-1); Fundação de Amparo à Pesquisa do Estado de São Paulo (15/14900-9); Fundação de Amparo à Pesquisa do Estado de São Paulo (2016/14302-7); Fundação de Amparo à Pesquisa do Estado de São Paulo (2018/19820-1)

Based on 1 listed funder(s) and full-text disclosure statement.

Publication

Published
2020-05-01 · PLoS One · vol. 15 · issue 5 · p. e0232676
Publisher
Public Library of Science
Cited
239 citations · more than 100% of similar papers · 23.9× the field average
Impact
Top 10% most cited in its field
References
49 works
Access
Open access (journal) · CC-BY
Research areas
Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
Keywords
Waist, Medicine, Body mass index, Obesity, Quartile, Abdominal obesity, Odds ratio, Odds, Demography, Population, Overweight, Logistic regression, Environmental health, Confidence interval, Internal medicine
MeSH
humans, obesity, body mass index, nutrition surveys, sex factors, adult, middle aged, female, male, adiposity, waist circumference, young adult, obesity, abdominal, fast foods, united kingdom

6 authors

From BR, GB

  • Fernanda Rauber · correspondingUniversidade de São Paulo
  • Eurídice Martínez SteeleUniversidade de São Paulo
  • Maria Laura da Costa LouzadaUniversidade de São Paulo
  • Christopher J. MillettUniversidade de São Paulo; Public Health England; Imperial College London
  • Carlos Augusto MonteiroUniversidade de São Paulo
  • Renata Bertazzi LevyUniversidade de São Paulo

Abstract

We examined the association between the consumption of ultra-processed foods and adiposity in a nationally representative sample of the UK adult population. We studied 6,143 participants (19 to 96 years, 51.6% female) sampled by the UK National Diet and Nutrition Survey (2008-16). Food items reported in four-day food diary were classified according to the NOVA system. Multiple linear and logistic regressions were used to evaluate associations between the dietary contribution of ultra-processed foods (sex-specific quartile and continuous) and Body Mass Index (BMI), Waist Circumference (WC) and obesity (BMI>30kg/m2) and abdominal obesity (men: WC≥102cm, women: WC≥88cm) status. Models were adjusted for sociodemographic and lifestyle characteristics. In multivariable analyses, the highest consumption of ultra-processed food was associated with 1.66 kg/m2 higher BMI (95%CI 0.96-2.36), 3.56 cm greater WC (95%CI 1.79-5.33) and 90% higher odds for being obese (OR = 1.90, 95%CI 1.39-2.61), compared with the lowest consumption. A 10% increase in the consumption of ultra-processed foods was associated with an increase of 0.38 kg/m2 in BMI (95%CI 0.20-0.55), 0.87 cm in WC (95%CI 0.40-1.33) and 18% higher odds of being obese (OR = 1.18, 95%CI 1.08-1.28). The consumption of ultra-processed food was associated with an increase in BMI, WC and prevalence of obesity in both sexes. A dose response relationship was observed in both sexes, with a 10% increase in the consumption of ultra-processed foods being associated with a 18% increase in the prevalence of obesity in men and a 17% increase in women. Higher consumption of ultra-processed food is associated with greater adiposity in the UK adult population. Policy makers should consider actions that promote consumption of unprocessed or minimally processed foods and reduce consumption of ultra-processed foods.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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