Ultra-Processed Food Consumption and Increased Risk of Metabolic Syndrome in Adults: The ELSA-Brasil
Canhada SL, Vigo Á, Luft VC, Levy RB, Alvim Matos SM, Del Carmen Molina M, Giatti L, Barreto S, Duncan BB, Schmidt MI
Diabetes care · 47 citas
Etiquetas de revisión
Cuestionario de frecuencia de consumoDatos 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 de cohortes (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
- Consumo medido con
- Cuestionario de frecuencia de consumo
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Brazilian Ministry of Health (Department of Science and Technology) and Ministry of Science, Technology and Innovation (Financiadora de Estudos e Projetos
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2022-12-14 · Diabetes Care · vol. 46 · número 2 · págs. 369–376
- Editorial
- American Diabetes Association
- Citado
- 66 citas · más que el 99% de estudios similares · 10.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 41 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Global Public Health Policies and Epidemiology · Health, Technology, Consumer Behavior
- Palabras clave
- Medicine, Quartile, Metabolic syndrome, Poisson regression, Abdominal obesity, Obesity, Incidence (geometry), Diabetes mellitus, Blood pressure, Relative risk, Environmental health, Demography, Internal medicine, Gerontology, Confidence interval, Population, Endocrinology
- MeSH
- humans, diet, longitudinal studies, adult, middle aged, brazil, female, male, fast foods, metabolic syndrome, food, processed
10 autores
- Scheine Canhada🇧🇷 · autor de correspondenciaUniversidade Federal do Rio Grande do Sul
- Álvaro Vigo🇧🇷Universidade Federal do Rio Grande do Sul
- Vivian Cristine Luft🇧🇷Universidade Federal do Rio Grande do Sul; Hospital de Clínicas de Porto Alegre
- Renata Bertazzi Levy🇧🇷Universidade de São Paulo
- Sheila Maria Alvim Matos🇧🇷Universidade Federal da Bahia; Instituto de Saúde
- María del Carmen Bisi Molina🇧🇷Universidade Federal do Espírito Santo
- Luana Giatti🇧🇷Universidade Federal de Minas Gerais
- Sandhi Maria Barreto🇧🇷Universidade Federal de Minas Gerais
- Bruce Bartholow Duncan🇧🇷Universidade Federal do Rio Grande do Sul
- María Inês Schmidt🇧🇷Universidade Federal do Rio Grande do Sul
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To investigate the association between ultra-processed food (UPF) consumption and the incidence of metabolic syndrome (MetS).
Research design and methods
From 2008 to 2010, we enrolled 15,105 adults, aged 35-74 years, who were employees from six public education and research institutions to assemble the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). We used a food frequency questionnaire to assess UPF consumption (measured in grams per day) at baseline. We then assessed the outcomes of those returning to visits between 2012 and 2014 and between 2017 and 2019. We defined incident MetS by the presence of at least three of the following five abnormalities: high fasting glucose level, high triglyceride level, low HDL cholesterol level, high blood pressure, and abdominal obesity, after excluding those meeting such criteria at baseline. We also excluded those who had missing data or an implausible energy intake, leaving 8,065 participants in the study.
Results
The median age was 49 years, 59% of participants were women, and the median consumption of UPFs was 366 g/day. After 8 years, there were 2,508 new cases of MetS. In robust Poisson regression, adjusting for sociodemographics, behavioral factors, and energy intake, we found a 7% (relative risk [RR] 1.07; 95% CI 1.05-1.08) higher risk of incident MetS for an increase of 150 g/day in UPF consumption. Similarly, those in the fourth quartile (compared with the first quartile) had a 33% increased risk (RR 1.33; 95% CI 1.20-1.47). Further adjustment for BMI attenuated these associations (for 150 g/day increases in UPF consumption and for the fourth quartile compared to the first one, respectively, RR = 1.04, 95% CI 1.02-1.06; RR = 1.19, 95% CI 1.07-1.32).
Conclusions
Greater consumption of UPFs is associated with an increased risk of MetS. These findings have important implications for diabetes and cardiovascular disease prevention and management.
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