Cross-sectional study2022

Metabolic profiles of ultra-processed food consumption and their role in obesity risk in British children

Handakas E, Chang K, Khandpur N, Vamos EP, Millett C, Sassi F, Vineis P, Robinson O

Clinical nutrition (Edinburgh, Scotland) · 45 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
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
Independent funding
Nonprofit
Wellcome Trust
Government
UK Research and Innovation
Government
National Institute for Health and Care Research
Nonprofit
British Heart Foundation
Government
Department of Health and Social Care
Government
European Commission
University or hospital
University of Bristol
Government
National Institutes of Health
Government
Medical Research Council
University or hospital
School for Public Health Research
Grants
School for Public Health Research (Grant Reference Number PD-SPH2015); University of Bristol (MC_UU_12013/1); European Commission (774548); Medical Research Council (217065/Z/19/Z); University of Bristol (217065/Z/19/Z); Wellcome Trust (076467); University of Bristol (076467); Medical Research Council (076467); Medical Research Council (MC_UU_12013); National Institute for Health and Care Research (MC_UU_12013/1); National Institute for Health and Care Research (217065/Z/19/Z); Wellcome Trust (217065/Z/19/Z); Medical Research Council (076467/Z/05/Z); Medical Research Council (217065); University of Bristol (092731); British Heart Foundation (PD-SPH-2015); European Commission (HORIZON2020); Medical Research Council (PD-SPH-2015); National Institutes of Health (092731); Medical Research Council (MCUU12013/1); Wellcome Trust (092731); National Institutes of Health (217065/Z/19/Z); School for Public Health Research (PD‐SPH‐2015); Department of Health and Social Care (PD-SPH-2015); National Institute for Health and Care Research (PD‐SPH‐2015); Medical Research Council (092731); Medical Research Council (5R01HL071248-07); Medical Research Council (MR/M501669/1); Wellcome Trust (217065); Wellcome Trust (PD-SPH-2015); Wellcome Trust (076467/Z05/z); Wellcome Trust (086676/Z/08/Z); National Institutes of Health (R01 DK077659); National Institutes of Health (DK077659)

Based on 10 listed funder(s).

Publication

Published
2022-09-15 · Clin Nutr · vol. 41 · issue 11 · pp. 2537–2548
Publisher
Elsevier BV
Cited
57 citations · more than 98% of similar papers · 8.4× the field average
Impact
Top 10% most cited in its field
References
77 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Nutritional Studies and Diet
Keywords
Medicine, Obesity, Glutamine, Metabolic syndrome, Prospective cohort study, Metabolome, Internal medicine, Cohort, Endocrinology, Physiology, Food science, Amino acid, Metabolite, Biology, Biochemistry
MeSH
humans, citrates, fatty acids, monounsaturated, glutamine, amino acids, aromatic, diet, cross-sectional studies, food handling, child, metabolome, pediatric obesity

8 authors

From GB, US, BR, GR

  • Evangelos HandakasNatural Environment Research Council; Imperial College London; Medical Research Council
  • Kiara ChangImperial College London
  • Neha KhandpurHarvard University; Universidade de São Paulo
  • Eszter Panna VamosImperial College London
  • Christopher J. MillettPublic Health England; National School of Public Health; Imperial College London
  • Franco SassiImperial College London

Abstract

Background & aims

Higher consumption of ultra-processed foods (UPF) has been associated with childhood obesity, but underlying mechanisms remain unclear. We investigated plasma nuclear magnetic resonance metabolic profiles of higher UPF consumption and their role in obesity risk in the British ALSPAC cohort.

Methods

We performed cross-sectional and prospective metabolome wide association analyses of UPF, calculated from food diaries using the NOVA classification. In cross-sectional analysis, we tested the association between UPF consumption and metabolic profile at 7 years (N = 4528), and in the prospective analysis we tested the association between UPF consumption at 13 years and metabolic profile at 17 years (N = 3086). Effects of UPF-associated metabolites at 7 years on subsequent fat mass accumulation were assessed using growth curve models.

Results

At 7 years, UPF was associated with 115 metabolic traits including lower levels of branched-chain and aromatic amino acids and higher levels of citrate, glutamine, and monounsaturated fatty acids, which were also associated with greater fat mass accumulation. Reported intake of nutrients mediated associations with most metabolites, except for citrate.

Conclusions

UPF consumption among British children is associated with perturbation of multiple metabolic traits, many of which contribute to child obesity risk.

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

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