Ultra-processed food consumption, appetitive traits and BMI in children: a prospective study
Vedovato GM, Vilela S, Severo M, Rodrigues S, Lopes C, Oliveira A
The British journal of nutrition · 69 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
- 2020-09-23 · Br J Nutr · vol. 125 · issue 12 · pp. 1427–1436
- Publisher
- Cambridge University Press
- Cited
- 85 citations · more than 97% of similar papers · 6.2× the field average
- Impact
- Top 10% most cited in its field
- References
- 46 works
- Access
- Free to read
- Research areas
- Consumer Attitudes and Food Labeling · Obesity, Physical Activity, Diet · Nutritional Studies and Diet
- Keywords
- Intraclass correlation, Anthropometry, Demography, Medicine, Body mass index, Cohort, Prospective cohort study, Population, Environmental health, Internal medicine, Psychometrics
- MeSH
- humans, body mass index, diet, prospective studies, feeding behavior, energy intake, child, child, preschool, diet records, fast foods, snacks
6 authors
From BR, PT
- Gabriela Milhassi Vedovato · correspondingUniversidade Federal de São Paulo
- Sofia VilelaUniversidade do Porto; Instituto de Saúde; i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto; Institute of Public Health, University of Porto
- Mílton SeveroUniversidade do Porto; Instituto de Saúde; i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto; Institute of Public Health, University of Porto
- Sara RodriguesUniversidade do Porto; Instituto de Saúde; i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto; Institute of Public Health, University of Porto
- Carla Maria Moura LopesUniversidade do Porto; Instituto de Saúde; i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto; Institute of Public Health, University of Porto
- Andréia OliveiraUniversidade do Porto; Instituto de Saúde; i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto; Institute of Public Health, University of Porto
Abstract
This study aimed to investigate the association of ultra-processed food consumption at 4 and 7 years of age with appetitive traits at 7 years and BMI at 10 years of age. Participants were 1175 children of the population-based birth cohort Generation XXI, who provided food diaries and complete data on socio-demographic variables, anthropometric measures and the Portuguese Children's Eating Behaviour Questionnaire (P-CEBQ). Foods were grouped according to NOVA classification into: 'unprocessed, minimally or moderately processed, and culinary preparations'; 'processed' and 'ultra-processed'. To assess tracking of groups' consumption, Pearson's correlation coefficient (r) and the intraclass correlation coefficient (ICC) were calculated. Generalised linear models were fitted to test main associations, mediators and interactions among the variables. Ultra-processed consumption exhibited a fair level of stability between ages 4 and 7 years (r 0·34; ICC = 0·32; 95 % CI 0·25, 0·39), corresponding, respectively, to 27·3 % (1881·9 (SD 908·8) kJ/d) and 29·3 % (2204·5 (SD 961·1) kJ/d) of total energy intake. After adjusting for maternal and child characteristics, higher ultra-processed consumption at 4 years was associated directly with 'Food Responsiveness' (β = 0·019; 95 % CI 0·007, 0·037) and indirectly through energy intake with avoidant traits: 'Food Fussiness' (β = -0·007; 95 % CI 0·002, 0·012) and 'Satiety Responsiveness' (β = -0·007; 95 % CI 0·003, 0·012). Ultra-processed consumption at 4 years old was associated with BMI at 10 years old, but appetitive behaviours were not powerful mediators of this association. The results suggest a path by which ultra-processed products may impact on later appetitive traits and higher BMI in children.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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