Ultra-processed food consumption and BMI-Z among children at risk for obesity from low-income households
Heerman WJ, Sneed NM, Sommer EC, Truesdale KP, Matheson D, Noerper TE, Samuels LR, Barkin SL
Pediatric obesity · 11 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (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
- Universidad u hospital
- Vanderbilt University
- Gobierno
- National Institutes of Health
- Gobierno
- Agency for Healthcare Research and Quality
- Gobierno
- National Heart, Lung, and Blood Institute
- Gobierno
- National Institute of Diabetes and Digestive and Kidney Diseases
- Gobierno
- National Center for Advancing Translational Sciences
- Gobierno
- AHRQ HHS
- Gobierno
- NCATS NIH HHS
- Gobierno
- NIDDK NIH HHS
- Gobierno
- NHLBI NIH HHS
- Subvenciones
- National Center for Advancing Translational Sciences (TR-000445); National Heart, Lung, and Blood Institute (R03 HL154243); Vanderbilt University (TR000445); National Heart, Lung, and Blood Institute (TR000445); Vanderbilt University (UL1‐TR000445); National Heart, Lung, and Blood Institute (U01HL103620); Agency for Healthcare Research and Quality (T32 HS026122); National Institutes of Health (UL1TR000445); National Institutes of Health (TR000445); National Institutes of Health (U01 HL103620); National Institute of Diabetes and Digestive and Kidney Diseases (P30DK056350)
Según 10 financiadores declarados.
Publicación
- Publicado
- 2023-04-18 · Pediatr Obes · vol. 18 · número 8 · pág. e13037
- Editorial
- Wiley
- Citado
- 17 citas · más que el 94% de estudios similares · 3.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 39 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Obesity, Physical Activity, Diet · Consumer Attitudes and Food Labeling · Nutrition, Health and Food Behavior
- Palabras clave
- ultra-processed foods, childhood obesity, BMI z-score, early childhood, low-income households, child weight status, dietary intake, Hispanic children
- MeSH
- humans, obesity, body mass index, diet, prospective studies, energy intake, child, preschool, female, male, fast foods, food, processed
8 autores
- William J. Heerman🇺🇸 · autor de correspondenciaVanderbilt University Medical Center
- Nadia Markie Sneed🇺🇸Vanderbilt University; Vanderbilt University Medical Center
- Evan C. Sommer🇺🇸Vanderbilt University Medical Center
- Kimberly Parker Truesdale🇺🇸University of North Carolina at Chapel Hill
- Donna Matheson🇺🇸Stanford University
- Tracy E. Noerper🇺🇸Lipscomb University
- Lauren R. Samuels🇺🇸Vanderbilt University Medical Center
- Shari L. Barkin🇺🇸Virginia Commonwealth University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To evaluate the association between baseline ultra-processed food consumption in early childhood and child BMI Z-score over 36 months.
Methods
We conducted a prospective cohort analysis as a secondary data analysis of the Growing Right Onto Wellness randomised trial. Dietary intake was measured via 24-h diet recalls. The primary outcome was child BMI-Z, measured at baseline and at 3-, 9-, 12-, 24- and 36-month timepoints. Child BMI-Z was modelled using a longitudinal mixed-effects model, adjusting for covariates and stratifying by age.
Results
Among 595 children, median (Q1-Q3) baseline age was 4.3 (3.6-5.0) years, 52.3% of the children were female, 65.4% had normal weight, 33.8% were overweight, 0.8% were obese and 91.3% of parents identified as Hispanic. Model-based estimates suggest that, compared with low ultra-processed consumption (300 kcals/day), high ultra-processed intake (1300 kcals/day) was associated with a 1.2 higher BMI-Z at 36 months for 3-year-olds (95% CI = 0.5, 1.9; p < 0.001) and a 0.6 higher BMI-Z for 4-year-olds (95% CI = 0.2, 1.0; p = 0.007). The difference was not statistically significant for 5-year-olds or overall.
Conclusions
In 3- and 4-year-old children, but not in 5-year-old children, high ultra-processed food intake at baseline was significantly associated with higher BMI-Z at 36-month follow-up, adjusting for total daily kcals. This suggests that it might not be only the total number of calories in a child's daily intake that influences child weight status, but also the number of calories from ultra-processed foods.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.