Systematic review2024

Association between ultraprocessed food consumption and excess adiposity in children and adolescents: A systematic review

Robles B, Mota-Bertran A, Saez M, Solans M

Obesity reviews : an official journal of the International Association for the Study of Obesity · 12 citations

Review labels

Funding not disclosed

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
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Funding not disclosed

Publication

Published
2024-07-02 · Obes Rev · vol. 25 · issue 10 · p. e13796
Publisher
Wiley
Cited
18 citations · more than 88% of similar papers · 2.3× the field average
References
64 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Consumer Attitudes and Food Labeling · Obesity, Physical Activity, Diet · Nutritional Studies and Diet
Keywords
Overweight, Operationalization, Medicine, Systematic review, Confounding, Environmental health, Obesity, Scopus, Psychological intervention, Anthropometry, Cohort study, Childhood obesity, Gerontology, Demography, MEDLINE
MeSH
humans, diet, food handling, adolescent, child, adiposity, fast foods, pediatric obesity, food, processed

4 authors

From ES

  • Brenda RoblesUniversitat de Girona; Instituto de Salud Carlos III; Centro de Investigación Biomédica en Red; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública; Universitat Rovira i Virgili
  • Anna Mota‐Bertran · correspondingUniversitat de Girona; Instituto de Salud Carlos III; Centro de Investigación Biomédica en Red; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
  • Marc SáezUniversitat de Girona; Instituto de Salud Carlos III; Centro de Investigación Biomédica en Red; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
  • Marta SolansUniversitat de Girona; Instituto de Salud Carlos III; Centro de Investigación Biomédica en Red; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública

Abstract

Ultraprocessed foods (UPF) consumption is associated with excess adiposity in adults, but this linkage remains unclear among children and adolescents. The present systematic review sought to address this research gap. Publications up to November 2023 were retrieved from PubMed, Web of Science, and Scopus databases. Outcomes included overweight/obesity anthropometric and body composition indicators; the exposure was UPF consumption based on the NOVA classification system. The review included 23 studies (i.e., 8 cohort and 15 cross-sectional); approximately half were carried out in Brazil. Inconclusive and heterogeneous evidence exists as few cohort studies found positive/mixed associations between UPF consumption and excess adiposity in pediatric populations, whereas most cross-sectional studies reported null associations. Such inconsistencies may be attributed to underlying methodological issues, especially heterogeneity in the outcomes assessed and UPF consumption operationalization and/or categorization. Future studies should adopt longitudinal designs with sufficiently extended follow-up periods, account for relevant confounding factors, employ validated and standardized measurement tools to assess dietary exposure, ensure consistent operationalization of variables, and encompass diverse geographic contexts. Ultimately, strengthening the quality of existing research evidence may better inform current and forthcoming policy and practice interventions aimed at mitigating the increasing prevalence of overweight/obesity in childhood and across the life course.

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

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