Cohort study2022Open access

Associations of ultra-processed food consumption with cardiovascular disease and all-cause mortality: UK Biobank

Chen X, Chu J, Hu W, Sun N, He Q, Liu S, Feng Z, Li T, Han Q, Shen Y

European journal of public health · 59 citations

Review labels

No 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
Cohort study (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
Government
National Natural Science Foundation of China
Government
Priority Academic Program Development of Jiangsu Higher Education Institutions
Government
Medical Research Council
Grants
Medical Research Council (MC_PC_17228); National Natural Science Foundation of China (81973143)

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2022-08-25 · Eur J Public Health · vol. 32 · issue 5 · pp. 779–785
Publisher
Oxford University Press
Cited
69 citations · more than 99% of similar papers · 11.1× the field average
Impact
Top 10% most cited in its field
References
41 works
Access
Open access (journal) · CC-BY
Research areas
Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Nutritional Studies and Diet
Keywords
Medicine, Hazard ratio, Confidence interval, Internal medicine, Incidence (geometry), Proportional hazards model, Cause of death, Cohort study, Disease
MeSH
humans, cardiovascular diseases, diet, risk factors, prospective studies, biological specimen banks, fast foods, united kingdom

10 authors

From CN

  • Xuanli ChenSoochow University
  • Jiadong ChuSoochow University
  • Wei HuSoochow University
  • Na SunSoochow University
  • Qida HeSoochow University
  • Siyuan LiuSoochow University

Abstract

Background

This study aimed to investigate the associations between ultra-processed food (UPF) consumption and the risk of cardiovascular disease and all-cause mortality in the UK Biobank Cohort.

Methods

This observational prospective study evaluated 60 298 participants aged 40 years or older. We used the NOVA classification system to identify and categorize UPF. The associations among UPF consumption, cardiovascular disease (CVD) incidence and all-cause mortality were estimated using multivariable Cox proportional hazards models. Dose-response analysis of UPF consumption and CVD incidence and mortality was performed using a restricted cubic spline.

Results

After a median follow-up of 10.9 years, 6048 participants (10.0%) experienced CVD events, and 5327 (8.8%) and 1503 (2.5%) experienced coronary heart and cerebrovascular diseases, respectively. There were 2590 (4.3%) deaths, of which 384 (0.6%) deaths were caused by CVD. A higher intake of UPF was associated with a higher risk of CVD and all-cause mortality (all P 0.30).

Conclusions

A higher proportion of UPF consumption was associated with CVD and all-cause mortality. Thus, actions to limit UPF consumption should be incorporated into the CVD and all-cause mortality prevention recommendations.

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

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