Effect of ultraprocessed food intake on cardiometabolic risk is mediated by diet quality: a cross-sectional study
Griffin J, Albaloul A, Kopytek A, Elliott P, Frost G
BMJ nutrition, prevention & health · 24 citas
Etiquetas de revisión
Vínculos de autores con la industriaDatos 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 (clasificado por nuestro filtro de IA)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
- Consumo medido con
- Diarios o recordatorios de alimentación
Quién lo pagó
- Financiación
- Posiblemente financiado por la industria
- Gobierno
- National Institute for Health Research Health Protection Research Unit
- Gobierno
- National Institute for Health and Care Research
- Gobierno
- Department of Health and Social Care
- Gobierno
- Home Office
- Gobierno
- Public Health England
- Universidad u hospital
- UK Dementia Research Institute
- Gobierno
- Medical Research Council
- Universidad u hospital
- NIHR Imperial Biomedical Research Centre
- Gobierno
- National Institute for Health Research (NIHR)
- Autores
- Al menos un autor declara un vínculo económico con la industria
- Subvenciones
- Medical Research Council (MR/L01341X/1); NIHR Imperial Biomedical Research Centre (BRC-P38084); Home Office (780‐TETRA); Medical Research Council (MR/L01341X/1); National Institute for Health and Care Research (NF-SI-0508-10112); Medical Research Council (MR/L01632X/1); Medical Research Council (MR/R023484/1); NIHR Imperial Biomedical Research Centre (HPRU-2012-10141); National Institute for Health and Care Research (NF-SI-0513-10029); Public Health England (MR/L01341X/1); National Institute for Health and Care Research (HPRU-2012-10141); Medical Research Council (MR/M501669/1)
Según 9 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2021-04-07 · BMJ Nutr Prev Health · vol. 4 · número 1 · págs. 174–180
- Editorial
- BMJ
- Citado
- 32 citas · más que el 96% de estudios similares · 5.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 44 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Food Waste Reduction and Sustainability · Nutrition, Genetics, and Disease
- Palabras clave
- Medicine, Cohort, Cross-sectional study, Saturated fat, Cohort study, Mediation, Food frequency questionnaire, Environmental health, Internal medicine, Animal science, Cholesterol, Biology
5 autores
- Jennifer Griffin🇺🇸🇬🇧Academy of Nutrition and Dietetics; Imperial College London
- Anwar H. AlBaloul🇺🇸🇬🇧Academy of Nutrition and Dietetics; Imperial College London
- Alexandra Kopytek🇺🇸🇬🇧Academy of Nutrition and Dietetics; Imperial College London
- Paul Elliott🇬🇧Faculty of Public Health; Imperial College London
- Gary Steven Frost🇺🇸🇬🇧 · autor de correspondenciaAcademy of Nutrition and Dietetics; Imperial College London
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To examine the effect of the consumption of ultraprocessed food on diet quality, and cardiometabolic risk (CMR) in an occupational cohort.
Design
Cross-sectional.
Setting
Occupational cohort.
Participants
53 163 British police force employees enrolled (2004-2012) into the Airwave Health Monitoring Study. A total of 28 forces across the UK agreed to participate. 9009 participants with available 7-day diet record data and complete co-variate data are reported in this study.
Main outcome measures
A CMR and Dietary Approaches to Stop Hypertension score were treated as continuous variables and used to generate measures of cardiometabolic health and diet quality. Secondary outcome measures include percentage of energy from fat, saturated fat, carbohydrate, protein and non-milk extrinsic sugars (NMES) and fibre grams per 1000 kcal of energy intake.
Results
In this cohort, 58.3%±11.6 of total energy intake was derived from ultraprocessed (NOVA 4) foods. Ultraprocessed food intake was negatively correlated with diet quality (r=-0.32, p<0.001), fibre (r=-0.20, p<0.001) and protein (r = -0.40, p<0.001) and positively correlated with fat (r=0.18, p<0.001), saturated fat (r=0.14, p<0.001) and nmes (r=0.10, p<0.001) intake. Multivariable analysis suggests a positive association between ultraprocessed food (NOVA 4) consumption and CMR. However, this main effect was no longer observed after adjustment for diet quality (p=0.209). Findings from mediation analysis indicate that the effect of ultraprocessed food (NOVA 4) intake on CMR is mediated by diet quality (p<0.001).
Conclusions
Ultraprocessed food consumption is associated with a deterioration in diet quality and positively associated with CMR, although this association is mediated by and dependent on the quality of the diet. The negative impact of ultraprocessed food consumption on diet quality needs to be addressed and controlled studies are needed to fully comprehend whether the relationship between ultraprocessed food consumption and health is independent to its relationship with poor diet quality.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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