Study2024

Association of Ultraprocessed Food Consumption with Risk of Cardiovascular Disease Among Individuals with Type 2 Diabetes: Findings from the UK Biobank

Li Y, Lai Y, Geng T, Xia PF, Chen JX, Tu ZZ, Yang K, Liao YF, Liu G, Pan A

Molecular nutrition & food research · 13 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 (classified by our AI screen)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food diaries or recalls

Who paid for it

Funding
Independent funding
University or hospital
Deutsches Krebsforschungszentrum
Government
National Natural Science Foundation of China
Government
National Key Research and Development Program of China
Government
Fundamental Research Funds for the Central Universities
Government
Hubei Province Science Fund for Distinguished Young Scholars
Government
National Basic Research Program of China
Grants
National Key Research and Development Program of China (82073554); Fundamental Research Funds for the Central Universities (82021005); Fundamental Research Funds for the Central Universities (2021GCRC076); National Natural Science Foundation of China (82073554); National Key Research and Development Program of China (2022YFC3600600); National Natural Science Foundation of China (82 021 005); National Key Research and Development Program of China (82021005); Fundamental Research Funds for the Central Universities (81,930,124); National Natural Science Foundation of China (81930124); National Key Research and Development Program of China (82273623); National Natural Science Foundation of China (82,273,623); National Natural Science Foundation of China (2022YFC3600600); National Natural Science Foundation of China (2021CFA048); National Natural Science Foundation of China (82192902); National Key Research and Development Program of China (81930124)

Based on 6 listed funder(s).

Publication

Published
2024-04-19 · Mol Nutr Food Res · vol. 68 · issue 9 · p. e2300314
Publisher
Wiley
Cited
11 citations · more than 94% of similar papers · 4.2× the field average
Impact
Top 10% most cited in its field
References
44 works
Access
Free to read
Research areas
Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Nutrition, Genetics, and Disease
Keywords
Medicine, Hazard ratio, Type 2 diabetes, Internal medicine, Body mass index, Disease, Diabetes mellitus, Cystatin C, Lower risk, Confidence interval, Physiology, Endocrinology, Renal function
MeSH
humans, cardiovascular diseases, diabetes mellitus, type 2, diet, risk factors, food handling, adult, aged, middle aged, female, male, united kingdom, food, processed, uk biobank

10 authors

From CN

  • Yue LiHuazhong University of Science and Technology
  • Yuwei LaiHuazhong University of Science and Technology
  • Tingting GengFudan University; Huazhong University of Science and Technology
  • Peng‐Fei XiaHuazhong University of Science and Technology
  • Jun‐Xiang ChenHuazhong University of Science and Technology
  • Zhou‐Zheng TuHuazhong University of Science and Technology

Abstract

Scope

Among patients with diabetes, who have modified nutritional behavior and a higher risk of cardiovascular disease (CVD), the influence of ultraprocessed foods (UPFs) on CVD remains unknown. The study aims to evaluate the association between UPF intake and the risk of CVD among individuals with type 2 diabetes (T2D) and further examine the potential biological pathways linking the association.

Methods and results

This study includes 5405 participants with T2D who provided at least one 24-h dietary recall from the UK Biobank study. In the fully adjusted models, a 10% increase in the proportion of UPFs is associated with higher hazards of overall CVD (hazard ratio [HR]: 1.10; 95% confidence interval [CI]: 1.04, 1.15), coronary heart disease (HR: 1.10; 95% CI: 1.04, 1.16), heart failure (HR: 1.14; 95% CI: 1.05, 1.25), but not stroke (HR: 1.01; 95% CI: 0.90, 1.12). Cystatin C, high-density lipoprotein cholesterol (HDL-C), apolipoprotein A, C-reactive protein, and body mass index collectively explain 26.9% (12.8%, 48.5%) of the association between UPF intake and the risk of overall CVD.

Conclusion

Higher UPF intakes are associated with increased hazards of CVD among individuals with T2D, and the association is partly mediated through worsening biomarkers of renal function, lipid metabolism, inflammation, and body weight.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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