Ultra-processed foods, changes in blood pressure and incidence of hypertension: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Scaranni PODS, Cardoso LO, Chor D, Melo ECP, Matos SMA, Giatti L, Barreto SM, da Fonseca MJM
Public health nutrition · 56 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
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Government
- Financiadora de Estudos e Projetos
Based on 2 listed funder(s).
Publication
- Published
- 2021-03-04 · Public Health Nutr · vol. 24 · issue 11 · pp. 3352–3360
- Publisher
- Cambridge University Press
- Cited
- 76 citations · more than 99% of similar papers · 12.0× the field average
- Impact
- Top 10% most cited in its field
- References
- 52 works
- Access
- Open access (repository copy)
- Research areas
- Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Global Public Health Policies and Epidemiology
- Keywords
- Blood pressure, Medicine, Incidence (geometry), Logistic regression, Consumption (sociology), Cardiology, Civil servants, Diastole, Internal medicine, Environmental health, Demography
- MeSH
- humans, hypertension, diet, incidence, longitudinal studies, blood pressure, adult, health promotion, brazil, fast foods
8 authors
From BR
- Patrícia de Oliveira da Silva ScaranniEscola Nacional de Saúde Pública; Fundação Oswaldo Cruz
- Letícia de Oliveira CardosoEscola Nacional de Saúde Pública; Fundação Oswaldo Cruz
- Dóra ChorEscola Nacional de Saúde Pública; Fundação Oswaldo Cruz
- Enirtes Caetano Prates MeloEscola Nacional de Saúde Pública; Fundação Oswaldo Cruz
- Sheila Maria Alvim MatosUniversidade Federal da Bahia
- Luana GiattiUniversidade Federal de Minas Gerais
Abstract
Objective
To estimate changes in blood pressure and the incidence of hypertension associated with consumption of ultra-processed foods (UPF) by Brazilian civil servants at a 4-year follow-up.
Design
Longitudinal analysis of the ELSA-Brasil with non-hypertensive individuals at baseline. We applied the FFQ at the baseline and categorised energy intake by degree of processing, using the NOVA classification. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured at baseline (2008-2010) and again at first follow-up (2012-2014). Incidence of arterial hypertension was defined as SBP ≥ 140 mmHg or DBP ≥ 90 mmHg or antihypertensive medication during the previous 2 weeks. A mixed-effect linear regression model and mixed-effect logistic regression model were used to estimate associations between UPF consumption and, respectively, changes in blood pressure and incidence of hypertension.
Setting
Brazil.
Participants
Civil servants of Brazilian public academic institutions in six cities (n 8754), aged 35-74 years at baseline (2008-2010).
Results
UPF consumption contributed 25·2 % (sd = 9·6) of total energies consumed. After adjustment, participants with high UPF consumption presented a 23 % greater risk of developing hypertension (OR = 1·23, 95 % CI 1·06, 1·44) than those with low UPF consumption. We did not find association between UPF consumption and changes in blood pressure over time.
Conclusions
The higher the UPF consumption, the higher the risk of hypertension in adults. Reducing UPF consumption is thus important to promote health and prevent hypertension.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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