Ultra-Processed Food Consumption and Incidence of Obesity and Cardiometabolic Risk Factors in Adults: A Systematic Review of Prospective Studies
Mambrini SP, Menichetti F, Ravella S, Pellizzari M, De Amicis R, Foppiani A, Battezzati A, Bertoli S, Leone A
Nutrients · 79 citations
How it was studied
- Design
- Systematic review (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
Based on full-text disclosure statement.
Publication
- Published
- 2023-05-31 · Nutrients · vol. 15 · issue 11 · p. 2583
- Publisher
- Multidisciplinary Digital Publishing Institute
- Cited
- 111 citations · more than 99% of similar papers · 7.1× the field average
- Impact
- Top 10% most cited in its field
- References
- 63 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
- Keywords
- Environmental health, Obesity, Incidence (geometry), Medicine, Prospective cohort study, Consumption (sociology), Internal medicine
- MeSH
- humans, hypertension, obesity, diet, incidence, prospective studies, food handling, adult, obesity, abdominal, fast foods, cardiometabolic risk factors, food, processed
9 authors
From IT
- Sara Paola MambriniUniversity of Milan; Ospedale San Giuseppe
- Francesca MenichettiUniversity of Milan
- Simone RavellaUniversity of Milan
- Marta PellizzariIstituti di Ricovero e Cura a Carattere Scientifico
- Ramona Silvana De AmicisUniversity of Milan; Istituti di Ricovero e Cura a Carattere Scientifico
- Andrea FoppianiUniversity of Milan
Abstract
Ultra-processed foods (UPF) are energy-dense, nutritionally unbalanced products, low in fiber but high in saturated fat, salt, and sugar. Recently, UPF consumption has increased likewise the incidence of obesity and cardiometabolic diseases. To highlight a possible relationship, we conducted a systematic review of prospective studies from PubMed and Web of Science investigating the association between UPF consumption and the incidence of obesity and cardiometabolic risk factors. Seventeen studies were selected. Eight evaluated the incidence of general and abdominal obesity, one the incidence of impaired fasting blood glucose, four the incidence of diabetes, two the incidence of dyslipidemia, and only one the incidence of metabolic syndrome. Studies' quality was assessed according to the Critical Appraisal Checklist for cohort studies proposed by the Joanna Briggs Institute. Substantial agreement emerged among the studies in defining UPF consumption as being associated with the incident risk of general and abdominal obesity. More limited was the evidence on cardiometabolic risk. Nevertheless, most studies reported that UPF consumption as being associated with an increased risk of hypertension, diabetes, and dyslipidemia. In conclusion, evidence supports the existence of a relationship between UPF consumption and the incidence of obesity and cardiometabolic risk. However, further longitudinal studies considering diet quality and changes over time are needed.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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