The Intersection of Diet Quality and Ultraprocessed Food Intake: Using Evidence-Based Categories to Characterize Differences in Cardiometabolic Profiles
Sheinberg E, Schmidt LA, Mande JR, Martinez-Steele E, Tobias DK, Leung CW
American journal of public health · 1 cita
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- Estudio transversal (indexado por PubMed)
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Quién lo pagó
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- Financiación no declarada
Publicación
- Publicado
- 2026-07-01 · Am J Public Health · vol. 116 · número 7 · págs. 993–1003
- Editorial
- National Institutes of Health
- Citado
- 0 citas · más que el 48% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 0 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Nutritional Studies and Diet · Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease
- Palabras clave
- Intersection (aeronautics), Quality (philosophy), Food quality, Food consumption, Population
- MeSH
- humans, body mass index, diet, nutrition surveys, cross-sectional studies, energy intake, adult, middle aged, united states, female, male, diet, healthy, cardiometabolic risk factors, food, processed
6 autores
- Elise Sheinberg🇺🇸Philip R. Lee Institute for Health Policy Studies
- Laura A Schmidt🇺🇸Philip R. Lee Institute for Health Policy Studies
- Jerold R. Mande🇺🇸Philip R. Lee Institute for Health Policy Studies
- Euridice Martinez-Steele🇺🇸Philip R. Lee Institute for Health Policy Studies
- Deirdre K Tobias🇺🇸Philip R. Lee Institute for Health Policy Studies
- Cindy W. Leung🇺🇸Philip R. Lee Institute for Health Policy Studies
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objectives. To examine how ultraprocessed food (UPF) consumption and diet quality jointly relate to cardiometabolic health. Methods. This serial cross-sectional study used data from 15 760 US adults (aged ≥ 20 years) in the 2009-2018 National Health and Nutrition Examination Surveys. Participants completed two 24-hour recalls and did not have a chronic disease. Diet quality was categorized using Healthy Eating Index-2020 (HEI) scores as high (70 to 100), moderate (60 to ≥ 40% energy intake) and low (Results. Among US adults, only 0.3% had high HEI-low UPF consumption, while 45.3% had very low HEI-high UPF consumption. Those with very low HEI-high UPF intake had the least favorable metabolic profiles, including the highest mean body mass index (29.6, defined as weight in kilograms divided by the square of height in meters) and fasting glucose (106.2 milligrams per deciliter). Conclusions. Diet quality was more consistently associated with cardiometabolic health than UPF intake. Public Health Implications. Overall diet quality is a strong predictor of cardiometabolic health, even with varying UPF consumption. (Am J Public Health. 2026;116(7):993-1003. https://doi.org/10.2105/AJPH.2026.308494).
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