Maternal Consumption of Ultra-Processed Foods-Rich Diet and Perinatal Outcomes: A Systematic Review and Meta-Analysis
Paula WO, Patriota ESO, Gonçalves VSS, Pizato N
Nutrients · 49 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
- University or hospital
- DPG/DPI/University of Brasilia and PPGNH/UnB
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2022-08-08 · Nutrients · vol. 14 · issue 15 · p. 3242
- Publisher
- Multidisciplinary Digital Publishing Institute
- Cited
- 77 citations · more than 96% of similar papers · 4.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 110 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Obesity, Physical Activity, Diet · Birth, Development, and Health · Consumer Attitudes and Food Labeling
- Keywords
- Medicine, Gestational diabetes, Meta-analysis, Odds ratio, Confidence interval, Systematic review, Population, Pregnancy, Cohort study, Preeclampsia, Obstetrics, Environmental health, MEDLINE, Gestation, Internal medicine
- MeSH
- humans, diabetes, gestational, pre-eclampsia, diet, cohort studies, pregnancy, infant, newborn, female, fast foods
4 authors
From BR
- Walkyria O. PaulaUniversidade de Brasília
- Érika S. O. PatriotaUniversidade de Brasília
- Vivian Siqueira Santos GonçalvesUniversidade de Brasília
- Nathalia Pizato · correspondingUniversidade de Brasília
Abstract
The consumption of ultra-processed food (UPF)-rich diets represents a potential threat to human health. Considering maternal diet adequacy during pregnancy is a major determinant for perinatal health outcomes, this study aimed to systematically review and meta-analyze studies investigating the association between maternal consumption of a UPF-rich diet and perinatal outcomes. Conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, five electronic databases and gray literature using Google Scholar and ProQuest Dissertations and Theses Global were searched up to 31 May 2022. No restrictions were applied on language and publication date. Two reviewers independently conducted the study selection and data extraction process. Meta-analysis was conducted according to the random-effects model. In total, 61 studies were included in the systematic review and the overall population comprised 698,803 women from all gestational trimesters. Meta-analysis of cohort studies showed that maternal consumption of UPF-rich diets was associated with an increased risk of gestational diabetes mellitus (odds ratio (OR): 1.48; 95% confidence interval (CI): 1.17, 1.87) and preeclampsia (OR: 1.28; 95% CI: 1.15, 1.42). Neonatal outcomes showed no association. The overall GRADE quality of the evidence for the associations was very low. The findings highlight the need to monitor and reduce UPF consumption, specifically during the gestational period, as a strategy to prevent adverse perinatal outcomes.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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