Cross-sectional study2022Industry fundedOpen access

Funded in part by Amgen, Regeneron Pharmaceuticals

Cross-sectional examination of ultra-processed food consumption and adverse mental health symptoms

Hecht EM, Rabil A, Martinez Steele E, Abrams GA, Ware D, Landy DC, Hennekens CH

Public health nutrition · 41 citations

Review labels

Author industry tiesIndustry fundedNo 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
Industry funded
Company
Amgen
Nonprofit
Fondation Bertarelli
Company
Regeneron Pharmaceuticals
Nonprofit
British Heart Foundation
Government
Canadian Institutes of Health Research
Government
CIHR
Authors
At least one author declares a financial tie to industry

Based on 6 listed funder(s) and full-text disclosure statement.

Publication

Published
2022-07-28 · Public Health Nutr · vol. 25 · issue 11 · pp. 3225–3234
Publisher
Cambridge University Press
Cited
59 citations · more than 99% of similar papers · 8.6× the field average
Impact
Top 10% most cited in its field
References
48 works
Access
Open access (journal) · CC-BY
Research areas
Consumer Attitudes and Food Labeling · Health, Technology, Consumer Behavior · Global Public Health Policies and Epidemiology
Keywords
Medicine, National Health and Nutrition Examination Survey, Depression (economics), Confounding, Cross-sectional study, Mental health, Environmental health, Adverse effect, Calorie, Demography, Psychiatry, Population, Internal medicine
MeSH
humans, methamphetamine, heroin, cocaine, diet, nutrition surveys, cross-sectional studies, mental health, energy intake, food handling, adult, fast foods

7 authors

From US, BR

  • Eric Michael Hecht · correspondingUniversity of Miami; Florida Atlantic University
  • Anna M. RabilFlorida Atlantic University
  • Eurídice Martínez SteeleUniversidade de São Paulo
  • Gary A. AbramsPrisma Health; University of South Carolina
  • Deanna P. WareGeorgetown University; Georgetown University Medical Center
  • David C. LandyUniversity of Kentucky

Abstract

Objective

To explore whether individuals who consume higher amounts of ultra-processed food (UPF) have more adverse mental health symptoms.

Design

Using a cross-sectional design, we measured the consumption of UPF as a percentage of total energy intake in kilo-calories using the NOVA food classification system. We explored whether individuals who consume higher amounts of UPF were more likely to report mild depression, more mentally unhealthy days and more anxious days per month using multivariable analyses adjusting for potential confounding variables.

Setting

Representative sample from the United States National Health and Nutrition Examination Survey between 2007 and 2012.

Participants

10 359 adults aged 18+ without a history of cocaine, methamphetamine or heroin use.

Results

After adjusting for covariates, individuals with the highest level of UPF consumption were significantly more likely to report at least mild depression (OR: 1·81; 95 % CI1·09, 3·02), more mentally unhealthy (risk ratio (RR): 1·22; 95 % CI 1·18, 1·25) and more anxious days per month (RR: 1·19; 95 % CI 1·16, 1·23). They were also significantly less likely to report zero mentally unhealthy (OR: 0·60; 95 % CI 0·41, 0·88) or anxious days (OR: 0·65; 95 % CI 0·47, 0·90).

Conclusions

Individuals reporting higher intakes of UPF were significantly more likely to report mild depression, more mentally unhealthy and more anxious days and less likely to report zero mentally unhealthy or anxious days. These data add important information to a growing body of evidence concerning the potential adverse effects of UPF consumption on mental health.

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

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