Consumption of ultra-processed foods and health status: a systematic review and meta-analysis
Pagliai G, Dinu M, Madarena MP, Bonaccio M, Iacoviello L, Sofi F
The British journal of nutrition · 686 citas
Etiquetas de revisión
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Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
- Consumo medido con
- No se indica
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2020-08-14 · Br J Nutr · vol. 125 · número 3 · págs. 308–318
- Editorial
- Cambridge University Press
- Citado
- 1,054 citas · más que el 100% de estudios similares · 27.8× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 55 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
- Palabras clave
- Medicine, Overweight, Prospective cohort study, Relative risk, Cohort study, Waist, Population, Obesity, Meta-analysis, Metabolic syndrome, Internal medicine, Cohort, Environmental health, Confidence interval
- MeSH
- humans, diet, cohort studies, cross-sectional studies, health status, food handling
6 autores
- Giuditta Pagliai🇮🇹Azienda Ospedaliero-Universitaria Careggi; University of Florence
- Monica Gabriela Dinu🇮🇹 · autor de correspondenciaAzienda Ospedaliero-Universitaria Careggi; University of Florence
- Maria Pia Madarena🇮🇹University of Florence
- Marialaura Bonaccio🇮🇹Istituto Neurologico Mediterraneo
- Licia Iacoviello🇮🇹University of Insubria; Istituto Neurologico Mediterraneo
- Francesco Sofi🇮🇹Azienda Ospedaliero-Universitaria Careggi; University of Florence
Resumen
El texto original del estudio, en el idioma en que se publicó.
Increasing evidence suggests that high consumption of ultra-processed foods (UPF) is associated with an increase in non-communicable diseases, overweight and obesity. The present study systematically reviewed all observational studies that investigated the association between UPF consumption and health status. A comprehensive search of MEDLINE, Embase, Scopus, Web of Science and Google Scholar was conducted, and reference lists of included articles were checked. Only cross-sectional and prospective cohort studies were included. At the end of the selection process, twenty-three studies (ten cross-sectional and thirteen prospective cohort studies) were included in the systematic review. As regards the cross-sectional studies, the highest UPF consumption was associated with a significant increase in the risk of overweight/obesity (+39 %), high waist circumference (+39 %), low HDL-cholesterol levels (+102 %) and the metabolic syndrome (+79 %), while no significant associations with hypertension, hyperglycaemia or hypertriacylglycerolaemia were observed. For prospective cohort studies evaluating a total population of 183 491 participants followed for a period ranging from 3·5 to 19 years, highest UPF consumption was found to be associated with increased risk of all-cause mortality in five studies (risk ratio (RR) 1·25, 95 % CI 1·14, 1·37; P < 0·00001), increased risk of CVD in three studies (RR 1·29, 95 % CI 1·12, 1·48; P = 0·0003), cerebrovascular disease in two studies (RR 1·34, 95 % CI 1·07, 1·68; P = 0·01) and depression in two studies (RR 1·20, 95 % CI 1·03, 1·40; P = 0·02). In conclusion, increased UPF consumption was associated, although in a limited number of studies, with a worse cardiometabolic risk profile and a higher risk of CVD, cerebrovascular disease, depression and all-cause mortality.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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