Association between ultraprocessed food intake and cardiovascular health in US adults: a cross-sectional analysis of the NHANES 2011-2016
Zhang Z, Jackson SL, Martinez E, Gillespie C, Yang Q
The American journal of clinical nutrition · 57 citas
Etiquetas de revisión
Sin ajuste declarado por estilo de vidaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Estudio transversal (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
- Consumo medido con
- Diarios o recordatorios de alimentación
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- U.S. Department of Health and Human Services
- Gobierno
- National Institutes of Health
- Gobierno
- Centers for Disease Control and Prevention
- Gobierno
- Intramural CDC HHS
- Subvenciones
- National Institutes of Health (CC999999)
Según 4 financiadores declarados.
Publicación
- Publicado
- 2020-09-07 · Am J Clin Nutr · vol. 113 · número 2 · págs. 428–436
- Editorial
- Elsevier BV
- Citado
- 79 citas · más que el 98% de estudios similares · 7.6× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 52 trabajos
- Acceso
- Acceso abierto (revista híbrida) · PUBLIC-DOMAIN
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Nutritional Studies and Diet
- Palabras clave
- Quartile, Medicine, National Health and Nutrition Examination Survey, Cross-sectional study, Demography, Logistic regression, Calorie, Cardiovascular health, Environmental health, Disease, Confidence interval, Internal medicine, Population
- MeSH
- humans, cardiovascular diseases, nutrition surveys, cross-sectional studies, feeding behavior, health status, food handling, adult, aged, middle aged, united states, female, male, young adult
5 autores
- Zefeng Zhang🇺🇸 · autor de correspondenciaCenters for Disease Control and Prevention
- Sandra L. Jackson🇺🇸Centers for Disease Control and Prevention
- Euridice Martinez🇧🇷Universidade de São Paulo
- Cathleen Gillespie🇺🇸Centers for Disease Control and Prevention
- Quanhe Yang🇺🇸Centers for Disease Control and Prevention
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Higher intake of ultraprocessed foods (UPFs) might be associated with increased risk of cardiovascular disease.
Objectives
Our objective was to examine the association between usual percentage of calories (%kcal) from UPFs and the American Heart Association's "Life's Simple 7" cardiovascular health (CVH) metrics in US adults.
Methods
We analyzed data from 11,246 adults aged ≥20 y from the NHANES 2011-2016 (a cross-sectional, nationally representative survey). UPF designation was assigned on the basis of the NOVA classification system, according to the extent and purpose of food processing. Each CVH metric was given a score of 0, 1, or 2 representing poor, intermediate, or ideal health, respectively. Scores of the 6 metrics (excluding diet) were summed, and CVH was categorized as inadequate (0-4), average (5-8), or optimum (9-12). We used the National Cancer Institute's methods to estimate the usual %kcal from UPFs, and multivariable linear and multinomial logistic regression to assess the association between UPFs and CVH, adjusted for age, sex, race and Hispanic origin, education, and poverty.
Results
The weighted prevalence of inadequate, average, and optimum CVH was 8.0%, 51.7%, and 40.3%, respectively. The mean usual %kcal from UPFs was 55.4%, and midpoint of quartiles of intake ranged from 40.4% (quartile 1) to 70.5% (quartile 4). Every 5% increase in calories from UPFs was associated with 0.14 points lower CVH score (P < 0.001). The adjusted ORs for inadequate CVH were 1.40 (95% CI: 1.23, 1.60), 1.82 (1.45, 2.29), and 2.57 (1.79, 3.70), respectively, comparing quartiles 2, 3, and 4 with quartile 1 of UPF intake. The pattern of association was largely consistent across subgroups.
Conclusions
Usual %kcal from UPFs represented more than half of total calorie intake in US adults. A graded inverse association between %kcal from UPFs and CVH was observed.
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