Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review
de Oliveira PG, de Sousa JM, Assunção DGF, de Araujo EKS, Bezerra DS, Dametto JFDS, Ribeiro KDDS
Frontiers in nutrition · 50 citations
How it was studied
- Design
- Systematic review (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
- Intake measured by
- Not stated
Who paid for it
- Funding
- Independent funding
- Government
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Government
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Grants
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (Code 001); Conselho Nacional de Desenvolvimento Científico e Tecnológico (421916/2018‐4); Conselho Nacional de Desenvolvimento Científico e Tecnológico (2018‐4)
Based on 2 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2022-05-13 · Front Nutr · vol. 9 · p. 821657
- Publisher
- Frontiers Media
- Cited
- 74 citations · more than 95% of similar papers · 3.7× the field average
- Impact
- Top 10% most cited in its field
- References
- 68 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Global Public Health Policies and Epidemiology
- Keywords
- Medicine, Population, Environmental health, Overweight, Systematic review, Scopus, MEDLINE, Pediatrics, Obesity
7 authors
From BR
- Priscila Gomes de OliveiraUniversidade Federal do Rio Grande do Norte
- Juliana Morais de SousaUniversidade Federal do Rio Grande do Norte
- Débora Gabriela Fernandes AssunçãoUniversidade Federal do Rio Grande do Norte
- Elias Kelvin Severiano de AraújoUniversidade Federal do Rio Grande do Norte
- Danielle Soares BezerraUniversidade Federal do Rio Grande do Norte
- Juliana Fernandes dos Santos DamettoUniversidade Federal do Rio Grande do Norte
Abstract
Background and aims
Changes in eating patterns have been leading to an increase in the consumption of ultra-processed foods (UPF), negatively impacting the quality of the diet and generating risk of harm to the health of the adult population, however, there is no systematized evidence of the impact of UPF in maternal-child health. Thus, in this study we aimed to evaluated the association between UPF consumption and health outcomes in the maternal-child population.
Methods
Systematic review registered on the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42021236633), conducted according to the PRISMA diagram in the following databases: PubMed, Medline, Scopus, Web of Science, Scielo, and CAPES thesis and dissertation directory. We included original cross-sectional, case-control and cohort studies in any language. Eligibility criteria were (a) food consumption assessment by the NOVA classification, (b) health outcome (nutritional or diseases), and (c) maternal-child population (pregnant, lactating women and infants/children). All data were analyzed and extracted to a spreadsheet structured by two independent reviewers. We evaluated the methodological quality of the studies included using the Newcastle-Otawa Scale and RoB 2.
Results
Searches retrieved 7,801 studies and 15 contemplated the eligibility criteria. Most studies included were cohort studies (n = 8, 53%), had children as their population (n = 9, 60%) and only one study evaluated UPF consumption in infants and lactating women. Panoramically, we observed that a higher participation of UPF in children's diet has been associated with different maternal-child outcomes, such as increase of weight gain, adiposity measures, overweight, early weaning, lower diet quality, metabolic alterations, diseases, and consumption of plastic originated from packaging. Only one of the studies included did not present high methodological quality.
Conclusion
Despite the limited literature on UPF consumption and health outcomes in the maternal-child population, the highest UPF consumption negatively impacted nutrition and disease development indicators in pregnant, lactating women and children. Considering the expressive participation of these foods in the diet, other studies should be conducted to further investigate the impact of UPF consumption on different health indicators, especially in the lactation phase for this was the one to present the most important knowledge gap.
Systematic review registration
[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021236633], identifier [CRD42021236633].
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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