Different Levels of Ultraprocessed Food and Beverage Consumption and Associations with Environmental Sustainability and All-cause Mortality in EPIC-NL
Vellinga RE, van den Boomgaard I, M A Boer J, van der Schouw YT, Harbers MC, Verschuren WMM, van 't Veer P, H M Temme E, Biesbroek S
The American journal of clinical nutrition · 19 citas
Etiquetas de revisión
Cuestionario de frecuencia de consumoFinanciación no declaradaSin 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 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 no declarada
Publicación
- Publicado
- 2023-05-17 · Am J Clin Nutr · vol. 118 · número 1 · págs. 103–113
- Editorial
- Elsevier BV
- Citado
- 27 citas · más que el 97% de estudios similares · 6.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 34 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Agriculture Sustainability and Environmental Impact
- Palabras clave
- Quartile, Medicine, Hazard ratio, Proportional hazards model, Environmental health, Consumption (sociology), Cohort, EPIC, Demography, Confidence interval, Internal medicine
- MeSH
- humans, diet, risk, prospective studies, food handling, beverages, food, adult, fast foods
9 autores
- Reina E. Vellinga🇳🇱 · autor de correspondenciaNational Institute for Public Health and the Environment; Wageningen University & Research
- Iris van den Boomgaard🇳🇱Wageningen University & Research
- Jolanda M.A. Boer🇳🇱National Institute for Public Health and the Environment
- Yvonne T. van der Schouw🇳🇱Utrecht University; University Medical Center Utrecht
- Marjolein C. Harbers🇳🇱Utrecht University; University Medical Center Utrecht
- W. M. Monique Verschuren🇳🇱Utrecht University; University Medical Center Utrecht; National Institute for Public Health and the Environment
- Pieter van 't Veer🇳🇱Wageningen University & Research
- Elisabeth H. M. Temme🇳🇱National Institute for Public Health and the Environment; Wageningen University & Research
- Sander Biesbroek🇳🇱Wageningen University & Research
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
The adverse health effects of high ultraprocessed food and drink (UPFD) consumption are well documented. However, the environmental impact remains unclear, and the separate effects of ultraprocessed foods (UPFs) and drinks (UPDs) on all-cause mortality have not been studied previously.
Objectives
To assess the association between levels of UPFD, UPF, and UPD consumption and diet-related environmental impacts and all-cause mortality in Dutch adults.
Methods
Habitual diets were assessed by a Food Frequency Questionnaire (FFQ) from 1993-1997 in 38,261 participants of the Dutch European Prospective Investigation into Cancer and Nutrition cohort. The mean follow-up time was 18.2 y (SD = 4.1); 4,697 deaths occurred. FFQ items were categorized according to the NOVA classification. Associations between quartiles of UPFD, UPF, and UPD consumption and environmental impact indicators were analyzed using general linear models and all-cause mortality by Cox proportional hazard models. The lowest UPFD, UPF, and UPD consumption quartiles were used as comparator.
Results
The average UPFD consumption was 181 (SD = 88) g/1000 kcal. High UPF consumption was statistically significantly inversely associated with all environmental impact indicators (Q4vsQ1: -13.6% to -3.0%), whereas high UPD consumption was, except for land use, statistically significant positively associated with all environmental impact indicators (Q4vsQ1: 1.2% to 5.9%). High UPFD consumption was heterogeneously associated with environmental impacts (Q4vsQ1: -4.0% to 2.6%). After multivariable adjustment, the highest quartiles of UPFD and UPD consumption were significantly associated with all-cause mortality (HRQ4vsQ1: 1.17, 95%CI: 1.08, 1.28 and HRQ4vsQ1: 1.16, 95%CI: 1.07, 1.26, respectively). UPF consumption of Q2 and Q3 were associated with a borderline significant lower risk of all-cause mortality (HRQ2vsQ1: 0.93, 95% CI: 0.85, 1.00; HRQ3vsQ1: 0.91, 95% CI: 0.84, 0.99) whereas Q4 was not statistically significant (HRQ4vsQ1: 1.06, 95% CI: 0.97, 1.15).
Conclusions
Reducing UPD consumption may lower environmental impact and all-cause mortality risk; however, this is not shown for UPFs. When categorizing food consumption by their degree of processing, trade-offs are observed for human and planetary health aspects.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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