Cohort study2021

Role of ultra-processed food in fat mass index between 6 and 11 years of age: a cohort study

Costa CDS, Assunção MCF, Loret de Mola C, Cardoso JS, Matijasevich A, Barros AJD, Santos IS

International journal of epidemiology · 48 citations

Review labels

Food frequency questionnaireNo 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 frequency questionnaire

Who paid for it

Funding
Independent funding
Nonprofit
Wellcome Trust
Government
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Government
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Unclassified
DECIT
Government
Conselho Nacional de Desenvolvimento Científico e Tecnológico- Brazil CNPq
Grants
Wellcome Trust (086974/Z/08/Z); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior ((Code 001)); Conselho Nacional de Desenvolvimento Científico e Tecnológico (2013-1); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (2013-1); Conselho Nacional de Desenvolvimento Científico e Tecnológico (400943/2013-1)

Based on 5 listed funder(s).

Publication

Published
2020-07-17 · Int J Epidemiol · vol. 50 · issue 1 · pp. 256–265
Publisher
Oxford University Press
Cited
65 citations · more than 98% of similar papers · 6.9× the field average
Impact
Top 10% most cited in its field
References
48 works
Access
Free to read
Research areas
Consumer Attitudes and Food Labeling · Obesity, Physical Activity, Diet · Nutritional Studies and Diet
Keywords
Body mass index, Obesity, Medicine, Cohort, Calorie, Food consumption, Cohort study, Consumption (sociology), Environmental health, Body fat percentage, Childhood obesity, Demography, Food science, Overweight, Endocrinology, Biology, Internal medicine, Agricultural economics
MeSH
humans, obesity, diet, cohort studies, energy intake, adolescent, child, brazil, fast foods

7 authors

From BR

  • Caroline dos Santos Costa · correspondingUniversidade de São Paulo
  • Maria Cecília Formoso AssunçãoUniversidade Federal de Pelotas
  • Christian Loret de MolaUniversidade Federal do Rio Grande
  • Juliane de Souza CardosoUniversidade Federal de Pelotas
  • Alícia MatijasevichUniversidade de São Paulo
  • Aluísio J. D. BarrosUniversidade Federal de Pelotas

Abstract

Background

Ultra-processed food consumption and obesity have been highlighted as an important relationship to public health. We aimed to evaluate the association between ultra-processed food consumption and body fat from 6 to 11 years of age.

Methods

We assessed the association between ultra-processed food consumption (from food frequency questionnaires) and body fat (measured by air displacement plethysmography) between 6 and 11 years of age among participants of the Pelotas-Brazil 2004 Birth Cohort. The NOVA classification was used to classify foods according to the processing degree. Body fat was evaluated relative to the height using fat mass index (FMI). Generalized estimating equations were used to answer the main research question and mediation analyses were run to assess the direct and indirect effect of ultra-processed food in body fat.

Results

At fully adjusted analysis, an increase of 100 g in contribution from ultra-processed food to daily food intake at between 6 and 11 years of age was associated with a gain of 0.14 kg/m² in FMI in the same period; 58% of the total effect of ultra-processed food intake at 6 years (in grams) over the change in FMI from 6 to 11 years was mediated by its calorie content.

Conclusions

Ultra-processed food consumption was associated with an increase in body fat from childhood to early adolescence, and this association was not just due to the effect of ultra-processed food on calorie content.

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

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