Ultraprocessed beverages and processed meats increase the incidence of hypertension in Mexican women
Monge A, Silva Canella D, López-Olmedo N, Lajous M, Cortés-Valencia A, Stern D
The British journal of nutrition · 30 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
- Clinical events such as disease or death
- Intake measured by
- Food frequency questionnaire
Who paid for it
- Funding
- Independent funding
- Government
- Consejo Nacional de Ciencia y Tecnología
- Grants
- Consejo Nacional de Ciencia y Tecnología (S0008-2009-1:000000000115312); Consejo Nacional de Ciencia y Tecnología (S0008–2009-1); Consejo Nacional de Ciencia y Tecnología (000000000115312); Consejo Nacional de Ciencia y Tecnología (S0008)
Based on 1 listed funder(s).
Publication
- Published
- 2020-11-05 · Br J Nutr · vol. 126 · issue 4 · pp. 600–611
- Publisher
- Cambridge University Press
- Cited
- 39 citations · more than 93% of similar papers · 3.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 56 works
- Access
- Free to read
- Research areas
- Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
- Keywords
- Medicine, Incidence (geometry), Cohort, Prospective cohort study, Rate ratio, Cohort study, Confidence interval, Internal medicine
- MeSH
- humans, hypertension, diet, incidence, prospective studies, food handling, beverages, meat, female, fast foods
6 authors
From MX, BR, US
- Adriana MongeInstituto Nacional de Salud Pública
- Daniela Silva CanellaUniversidade do Estado do Rio de Janeiro
- Nancy López‐OlmedoInstituto Nacional de Salud Pública
- Martín LajousInstituto Nacional de Salud Pública; Harvard Global Health Institute
- Adrián Cortés-ValenciaInstituto Nacional de Salud Pública
- Dalia Stern · correspondingInstituto Nacional de Salud Pública
Abstract
Higher intake of ultraprocessed foods (UPF), which have undergone multiple processes and have poor nutrient quality, is associated with higher incidence of non-communicable diseases. Yet, its association with hypertension has scarcely been studied, especially in low- and middle-income countries (LMIC). We aimed to estimate the associations between consumption of UPF (total, liquid and solid) and UPF subgroups and incident hypertension in a prospective cohort study. We used data from the Mexican Teachers' Cohort including 64 934 disease-free women aged ≥25 years at baseline. We assessed baseline usual dietary intake using a validated FFQ, and each item was categorised according to NOVA, a degree of food processing classification system. UPF and UPF subgroups were categorised according to the distribution of their contribution to total energy intake. Hypertension was self-reported. We estimated incidence rate ratios (IRR) and their 95 % CI. During a median follow-up of 2·2 years, we identified 3752 incident cases of hypertension. Mean contribution of UPF to total energy intake was 29·8 (SD 9·4) % energy (23·4 (SD 8·9) % solid, 6·4 (SD 4·8) % liquid). Comparing extreme categories showed that higher total and solid UPF consumptions were not associated with incident hypertension (IRR 0·96, 95 % CI 0·79, 1·16; IRR 0·91, 95 % CI 0·82, 1·01, respectively). However, liquid UPF and processed meats were associated with increased hypertension (IRR 1·32, 95 % CI 1·10, 1·65; IRR 1·17, 95 % CI 1·01, 1·36, respectively). Addressing intake of liquid UPF and processed meats may help in managing hypertension in LMIC.
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