Diet quality partially mediates the association between ultraprocessed food consumption and adiposity indicators
Shim JS, Ha KH, Kim DJ, Kim HC
Obesity (Silver Spring, Md.) · 8 citations
Review labels
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
- Health markers and function
- Intake measured by
- Food frequency questionnaire
Who paid for it
- Funding
- Independent funding
- Government
- National Research Foundation of Korea
- Grants
- National Research Foundation of Korea (NRF- 2020R1I1A1A01064904); National Research Foundation of Korea (NRF-2019R1A4A1028155)
Based on 1 listed funder(s).
Publication
- Published
- 2023-08-07 · Obesity (Silver Spring) · vol. 31 · issue 9 · pp. 2430–2439
- Publisher
- Wiley
- Cited
- 10 citations · more than 88% of similar papers · 2.3× the field average
- References
- 42 works
- Access
- Paywalled
- Research areas
- Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
- Keywords
- Waist, Medicine, Body mass index, Confounding, Mediation, Body fat percentage, Cohort study, Obesity, Cohort, Body adiposity index, Internal medicine, Environmental health, Physiology, Demography, Classification of obesity, Fat mass
- MeSH
- humans, obesity, body mass index, diet, cohort studies, adult, adiposity
4 authors
From KR
- Jee‐Seon Shim · correspondingYonsei University
- Kyoung Hwa HaAjou University
- Dae Jung KimAjou University
- Hyeon Chang KimYonsei University
Abstract
Objective
This study evaluated the potential role of overall diet quality in the associations between ultraprocessed food (UPF) consumption and adiposity indicators among Korean adults.
Methods
Baseline data of participants (n = 4331) of the Cardiovascular and Metabolic Diseases Etiology Research Center (CMERC) cohort study were obtained. Dietary information was collected by a validated food frequency questionnaire. UPF was defined using the NOVA classification. Overall diet quality was assessed using the Korean Healthy Eating Index. Adiposity indicators included BMI, waist circumference, percentage body fat by bioimpedance, and visceral fat mass by whole-body dual-energy x-ray absorptiometry. Mediation analysis after adjustment for potential confounders was performed.
Results
UPF intake was associated with higher adiposity indicators after adjustment for confounders. The mediating effect of the Korean Healthy Eating Index on the relationship between UPF consumption and each adiposity indicator was 35.6% (95% CI: 4.9% to 255.9%) for BMI, 38.3% (17.9% to 132.1%) for waist circumference, 40.2% (8.3% to 259.4%) for percentage body fat, and 60.7% (-396.4% to 662.7%) for visceral fat mass.
Conclusions
UPF consumption was positively associated with adiposity indicators, which were partially attributed to the overall diet quality. Further studies are needed to better understand the causal mechanisms of these associations.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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