Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

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Tytuł:: Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
Autorzy:: Canhada SL; Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Faculdade de Medicina - Campus Saúde, R. Ramiro Barcelos 2400, Porto Alegre, RS90035-003, Brazil.; National Health Technology Assessment Institute, CNPq, Porto Alegre, RS, Brazil.
Luft VC; Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Faculdade de Medicina - Campus Saúde, R. Ramiro Barcelos 2400, Porto Alegre, RS90035-003, Brazil.; Postgraduate Program in Food, Nutrition and Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.; Food and Nutrition Research Centre (CESAN) - Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Giatti L; Postgraduate Program in Public Health and School of Medicine & Clinical Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Duncan BB; Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Faculdade de Medicina - Campus Saúde, R. Ramiro Barcelos 2400, Porto Alegre, RS90035-003, Brazil.; National Health Technology Assessment Institute, CNPq, Porto Alegre, RS, Brazil.
Chor D; National School of Public Health, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Fonseca MJMD; National School of Public Health, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Matos SMA; Postgraduate Program in Collective Health, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brazil.
Molina MDCB; Postgraduate Program in Nutrition and Health, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.
Barreto SM; Postgraduate Program in Public Health and School of Medicine & Clinical Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Levy RB; Department of Preventive Medicine, School of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.
Schmidt MI; Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Faculdade de Medicina - Campus Saúde, R. Ramiro Barcelos 2400, Porto Alegre, RS90035-003, Brazil.; National Health Technology Assessment Institute, CNPq, Porto Alegre, RS, Brazil.
Źródło:: Public health nutrition [Public Health Nutr] 2020 Apr; Vol. 23 (6), pp. 1076-1086. Date of Electronic Publication: 2019 Oct 17.
Typ publikacji:: Evaluation Study; Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: <2007- > : Oxford : Cambridge University Press
Original Publication: Wallingford, Oxon, UK : Published on behalf of the Nutrition Society by CAB International, c1998-
MeSH Terms:: Body-Weight Trajectory*
Waist Circumference*
Fast Foods/*statistics & numerical data
Obesity/*epidemiology
Overweight/*epidemiology
Adult ; Aged ; Body Weight ; Brazil ; Fast Foods/adverse effects ; Female ; Follow-Up Studies ; Humans ; Incidence ; Longitudinal Studies ; Male ; Middle Aged ; Nutrition Surveys ; Obesity/etiology ; Obesity/physiopathology ; Overweight/etiology ; Overweight/physiopathology
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Contributed Indexing:: Keywords: Food handling; Obesity; Ultra-processed food; Weight gain
Entry Date(s):: Date Created: 20191018 Date Completed: 20210330 Latest Revision: 20230619
Update Code:: 20240105
PubMed Central ID:: PMC7282862
DOI:: 10.1017/S1368980019002854
PMID:: 31619309
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Objective: To evaluate the association of ultra-processed food (UPF) consumption with gains in weight and waist circumference, and incident overweight/obesity, in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort.
Design: We applied FFQ at baseline and categorized energy intake by degree of processing using the NOVA classification. Height, weight and waist circumference were measured at baseline and after a mean 3·8-year follow-up. We assessed associations, through Poisson regression with robust variance, of UPF consumption with large weight gain (1·68 kg/year) and large waist gain (2·42 cm/year), both being defined as ≥90th percentile in the cohort, and with incident overweight/obesity.
Setting: Brazil.
Participants: Civil servants of Brazilian public academic institutions in six cities (n 11 827), aged 35-74 years at baseline (2008-2010).
Results: UPF provided a mean 24·6 (sd 9·6) % of ingested energy. After adjustment for smoking, physical activity, adiposity and other factors, fourth (>30·8 %) v. first (<17·8 %) quartile of UPF consumption was associated (relative risk (95 % CI)) with 27 and 33 % greater risk of large weight and waist gains (1·27 (1·07, 1·50) and 1·33 (1·12, 1·58)), respectively. Similarly, those in the fourth consumption quartile presented 20 % greater risk (1·20 (1·03, 1·40)) of incident overweight/obesity and 2 % greater risk (1·02; (0·85, 1·21)) of incident obesity. Approximately 15 % of cases of large weight and waist gains and of incident overweight/obesity could be attributed to consumption of >17·8 % of energy as UPF.
Conclusions: Greater UPF consumption predicts large gains in overall and central adiposity and may contribute to the inexorable rise in obesity seen worldwide.

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