Meta-analysis2021Open access

Ultra-Processed Food Consumption and Adult Mortality Risk: A Systematic Review and Dose-Response Meta-Analysis of 207,291 Participants

Suksatan W, Moradi S, Naeini F, Bagheri R, Mohammadi H, Talebi S, Mehrabani S, Hojjati Kermani MA, Suzuki K

Nutrients · 107 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2021-12-30 · Nutrients · vol. 14 · issue 1 · p. 174
Publisher
Multidisciplinary Digital Publishing Institute
Cited
137 citations · more than 98% of similar papers · 6.1× the field average
Impact
Top 10% most cited in its field
References
46 works
Access
Open access (journal) · CC-BY
Research areas
Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
Keywords
Meta-analysis, Medicine, Consumption (sociology), Environmental health, Food science, Internal medicine, Biology
MeSH
humans, cardiovascular diseases, cause of death, risk, cohort studies, feeding behavior, eating, adult, aged, aged, 80 and over, middle aged, female, male, young adult, fast foods

9 authors

From TH, IR, JP

  • Wanich SuksatanChulabhorn Hospital; Chulabhorn Royal Academy; HRH Princess Chulabhorn College of Medical Science
  • Sajjad Moradi · correspondingKermanshah University of Medical Sciences; Niroo Research Institute
  • Fatemeh NaeiniUniversity of Tehran
  • Reza BagheriUniversity of Isfahan
  • Hamed MohammadiUniversity of Tehran
  • Sepide TalebiUniversity of Tehran

Abstract

We performed a systematic review and dose-response meta-analysis of observational studies assessing the association between UPF consumption and adult mortality risk. A systematic search was conducted using ISI Web of Science, PubMed/MEDLINE, and Scopus electronic databases from inception to August 2021. Data were extracted from seven cohort studies (totaling 207,291 adults from four countries). Using a random-effects model, hazard ratios (HR) of pooled outcomes were estimated. Our results showed that UPF consumption was related to an enhanced risk of all-cause mortality (HR = 1.21; 95% CI: 1.13, 1.30; I2 = 21.9%; p 2 = 0.0%; p 2 = 0.0%; p = 0.022), but not cancer-cause mortality. Furthermore, our findings revealed that each 10% increase in UPF consumption in daily calorie intake was associated with a 15% higher risk of all-cause mortality (OR = 1.15; 95% CI: 1.09, 1.21; I2 = 0.0%; p Pnonlinearity = 0.879, Pdose-response = p Pnonlinearity = 0.868, Pdose-response = p Pnonlinearity = 0.774, Pdose-response = p < 0.001). It seems that higher consumption of UPF is significantly associated with an enhanced risk of adult mortality. Despite this, further experimental studies are necessary to draw a more definite conclusion.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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