Ultraprocessed Food Consumption and Obesity Development in Canadian Children
Chen ZH, Mousavi S, Mandhane PJ, Simons E, Turvey SE, Moraes TJ, Subbarao P, Miliku K
JAMA network open · 21 citas
Etiquetas de revisión
Cuestionario de frecuencia de consumoSin 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
- Marcadores de salud y funcionamiento
- Consumo medido con
- Cuestionario de frecuencia de consumo
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Genome Canada
- Universidad u hospital
- McMaster University
- Universidad u hospital
- BC Children's Hospital
- Universidad u hospital
- University of Alberta
- Universidad u hospital
- University of Toronto
- Universidad u hospital
- Hospital for Sick Children
- Gobierno
- Canadian Institutes of Health Research
- Universidad u hospital
- Faculty of Medicine and Health, University of Sydney
Según 8 financiadores declarados.
Publicación
- Publicado
- 2025-01-31 · JAMA Netw Open · vol. 8 · número 1 · pág. e2457341
- Editorial
- American Medical Association
- Citado
- 27 citas · más que el 100% de estudios similares · 24.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 41 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Global Public Health Policies and Epidemiology · Nutrition, Genetics, and Disease
- Palabras clave
- Medicine, Anthropometry, Body mass index, Obesity, Waist, Demography, Population, Cohort, Childhood obesity, Prospective cohort study, Environmental health, Pediatrics, Overweight, Internal medicine
- MeSH
- humans, body mass index, diet, prospective studies, food handling, child, preschool, canada, female, male, adiposity, fast foods, pediatric obesity
8 autores
- Zheng Hao Chen🇨🇦University of Toronto
- Sara Mousavi🇨🇦University of Toronto
- Piush J. Mandhane🇨🇦🇲🇾University of Alberta; UCSI University
- Elinor Simons🇨🇦University of Manitoba
- Stuart E. Turvey🇨🇦University of British Columbia; BC Children's Hospital
- Theo J. Moraes🇨🇦University of Toronto; Hospital for Sick Children; SickKids Foundation
- Padmaja Subbarao🇨🇦University of Toronto; Hospital for Sick Children; SickKids Foundation; McMaster University
- Kozeta Miliku🇨🇦 · autor de correspondenciaUniversity of Toronto; McMaster University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Importance
Ultraprocessed foods (UPF), characterized as shelf-stable but nutritionally imbalanced foods, pose a public health crisis worldwide. In adults, UPF consumption is associated with increased obesity risk, but findings among children are inconsistent.
Objectives
To examine the associations among UPF intake, anthropometric adiposity indicators, and obesity status in Canadian children.
Design, setting, and participants
In the CHILD Cohort Study, one of the largest prospective, multicenter, population-based pregnancy cohorts in Canada, diet was assessed during the 3-year visit (September 2011 to June 2016), and anthropometric measurements were assessed at the 5-year visit (December 2013 to April 2018). Data analysis was performed between July 1, 2023, and June 30, 2024.
Exposure
Diet intake was assessed using a semiquantitative food frequency questionnaire at 3 years of age. UPFs were identified using the NOVA classification system.
Main outcomes and measures
Anthropometric adiposity indicators were measured at 5 years of age and used to calculate age- and sex-standardized z scores for body mass index (BMI), waist to height ratio, and subscapular and triceps skinfold thicknesses, and obesity, which was defined using BMI z score cutoffs. Multivariable-adjusted regression analyses were used to examine the associations of UPF with adiposity and obesity development, accounting for parental, birth, and early-childhood factors.
Results
Among 2217 participants included in this study, median age at the outcome assessment was 5.0 (IQR, 5.0-5.1) years, and 1175 (53.0%) were males. At 3 years of age, UPF contributed 45.0% of total daily energy intake. UPF energy contribution was higher in males vs females (46.0% vs 43.9%; P < .001). Among all participants, higher UPF intake at 3 years of age was associated with higher anthropometric adiposity indicators at 5 years of age, primarily driven by males. In males, every 10% UPF energy increase was associated with higher adiposity indicator z scores for BMI (β, 0.08; 95% CI, 0.03-0.14), waist to height ratio (β, 0.07; 95% CI, 0.01-0.12), and subscapular (β, 0.12; 95% CI, 0.06-0.18) and triceps (β, 0.09; 95% CI, 0.03-0.15) skinfold thickness and higher odds of living with overweight or obesity (odds ratio, 1.19; 95% CI, 1.03-1.36). No significant associations were observed among females.
Conclusions and relevance
In this cohort study of Canadian children, high UPF consumption during early childhood was associated with obesity development, primarily in males. These findings can inform targeted public health initiatives for early childhood centers and caregiver education programs to reduce UPF intake and prevent obesity.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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