Ultra-processed Food Intake and Obesity: What Really Matters for Health-Processing or Nutrient Content?

Ultra-processed Food Intake and Obesity: What Really Matters for Health-Processing or Nutrient Content?
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DOI:
10.1007/s13679-017-0285-4
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发表时间:
2017-12-01
影响因子:
8.8
通讯作者:
Qin, Bo
Qin, Bo
中科院分区:
医学2区
文献类型:
--
作者:
Poti, Jennifer M.;Braga, Bianca;Qin, Bo

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回顾的目的-这一叙述性综述的目的是总结和批评最近的证据评估之间的关联超加工食品的摄入量和obesity.Recent调查结果四的五项研究发现,更高的购买或消费的超加工食品与超重/肥胖。其他研究报告了超加工食品摄入量与空腹血糖升高、代谢综合征、总胆固醇和低密度脂蛋白胆固醇增加以及高血压风险之间的关系。目前尚不清楚这种关联是否可归因于加工本身或超加工食品的营养成分。九项研究中只有三项采用了前瞻性设计,并且残留混杂的可能性很高。摘要最近的研究为超加工食品摄入与肥胖和相关心脏代谢结果的关联提供了相当一致的支持。显然需要进一步的研究,特别是那些使用纵向设计和充分控制混杂的研究,以在不同人群中证实这些发现,并确定超加工食品消费是否与营养成分无关的肥胖有关。
Purpose of Review The aim of this narrative review was to summarize and critique recent evidence evaluating the association between ultra-processed food intake and obesity.Recent Findings Four of five studies found that higher purchases or consumption of ultra-processed food was associated with overweight/obesity. Additional studies reported relationships between ultra-processed food intake and higher fasting glucose, metabolic syndrome, increases in total and LDL cholesterol, and risk of hypertension. It remains unclear whether associations can be attributed to processing itself or the nutrient content of ultra-processed foods. Only three of nine studies used a prospective design, and the potential for residual confounding was high.Summary Recent research provides fairly consistent support for the association of ultra-processed food intake with obesity and related cardiometabolic outcomes. There is a clear need for further studies, particularly those using longitudinal designs and with sufficient control for confounding, to potentially confirm these findings in different populations and to determine whether ultra-processed food consumption is associated with obesity independent of nutrient content.