Cross-sectional study2021

Ultraprocessed Food Consumption is Strongly and Dose-Dependently Associated with Excess Body Weight in Swiss Women

Pestoni G, Habib L, Reber E, Rohrmann S, Staub K, Stanga Z, Faeh D

Obesity (Silver Spring, Md.) · 18 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
Cross-sectional 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
Bundesamt für Lebensmittelsicherheit und Veterinärwesen
Grants
Bundesamt für Lebensmittelsicherheit und Veterinärwesen (5.17.02ERN)

Based on 1 listed funder(s).

Publication

Published
2021-02-23 · Obesity (Silver Spring) · vol. 29 · issue 3 · pp. 601–609
Publisher
Wiley
Cited
20 citations · more than 92% of similar papers · 3.4× the field average
Impact
Top 10% most cited in its field
References
43 works
Access
Open access (repository copy) · CC-BY
Research areas
Consumer Attitudes and Food Labeling · Obesity, Physical Activity, Diet · Global Public Health Policies and Epidemiology
Keywords
Medicine, Obesity, Waist, Body mass index, Odds ratio, Abdominal obesity, Demography, Multinomial logistic regression, Excess weight, Logistic regression, Odds, Environmental health, Food group, Cross-sectional study, Food consumption, Weight loss, Internal medicine
MeSH
humans, obesity, food additives, body mass index, diet, nutrition surveys, cross-sectional studies, feeding behavior, food preferences, sex factors, energy intake, food handling, adolescent, adult, aged, middle aged, switzerland, female, male, young adult, food quality

7 authors

From CH

  • Giulia Pestoni · correspondingUniversity of Zurich
  • Linda HabibUniversity of Bern; University Hospital of Bern; Solothurner Spitäler
  • Emilie ReberUniversity of Bern; University Hospital of Bern
  • Sabine RohrmannUniversity of Zurich
  • Kaspar StaubUniversity of Zurich; Swiss Integrative Center for Human Health
  • Zeno Giovanni StangaUniversity of Bern; University Hospital of Bern

Abstract

Objective

This study investigated the association between ultraprocessed food consumption and excess body weight in a Swiss nationally representative study.

Methods

Data stem from the cross-sectional Swiss National Nutrition Survey menuCH (n = 2,057). Dietary information was collected with 24-hour dietary recalls, and food items were categorized into non-ultraprocessed or ultraprocessed using the NOVA food classification system. The following three excess body weight indicators were considered: BMI, waist circumference (WC), and a BMI-WC composite outcome. Multinomial logistic regression models stratified by sex were fitted.

Results

Women in the highest quintile of ultraprocessed food weight proportion had significantly higher odds of having obesity (odds ratio [OR] 3.01, 95% CI: 1.48-6.11), having abdominal obesity (OR 2.69, 95% CI: 1.43-5.05), and being in the highest category of the BMI-WC composite outcome (OR 3.28, 95% CI: 1.59-6.77). No relevant associations were observed in men.

Conclusions

Ultraprocessed food weight proportion was strongly and dose-dependently associated with excess body weight in women but not in men. Further studies are required to elucidate potential mechanisms behind this association. Increasing evidence of the detrimental effect of ultraprocessed food consumption on health stresses the need to consider these products in future public health strategies.

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

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