Consumption of Ultraprocessed Foods and Diet Quality Among U.S. Children and Adults.
Consumption of Ultraprocessed Foods and Diet Quality Among U.S. Children and Adults.
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DOI：
10.1016/j.amepre.2021.08.014
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发表时间：
2022-03
影响因子：
5.5
通讯作者：
Mozaffarian, Dariush
中科院分区：
文献类型：
--
作者：
Liu, Junxiu;Steele, Euridice Martinez;Li, Yan;Karageorgou, Dimitra;Micha, Renata;Monteiro, Carlos A.;Mozaffarian, Dariush
超加工食品（UPFs）的消费与添加糖，钠和不健康脂肪的摄入量增加有关，但UPFs与整体饮食质量和主要食物组的关系尚不清楚。数据来自国家健康和营养检查调查（2015-2018），包括9，758名成人（年龄≥20岁）和5，280名儿童（年龄2-19岁），24小时饮食回忆（≥1），分析于2020年进行。使用NOVA分类确定UPFs，以五分位数评估摄入量（能量%）。使用经验证的美国心脏协会（AHA）2020连续主要和次要饮食评分和2015年健康饮食指数评估饮食质量。不良饮食定义为AHA二级评分依从性<40%。广义线性回归估计UPF摄入量和饮食质量之间的关系。与UPF消费量最低的五分之一相比，（<39.1%能量），成人的AHA主要评分在五分位数2中逐渐降低（−1.99，95%CI = −2.73，−1.25）、3（−3.60，95%CI = −4.47，-2.72）、4（−5.29，95%CI = −6.28，−4.30）和5（−7.24，95%CI = −8.13，−6.36; >70.7%能量）。儿童的相应值分别为−2.05（95% CI= −3.01，−1.09）、−2.97（95% CI= −4.16，−1.79）、−3.82（95% CI= −5.20，−2.44）和−6.22（95% CI=-7.20，−5.25; >79.0%能量）。饮食不良儿童的估计比例从第1组的31.3%（95% CI= 26.2%，36.5%）逐渐增加至第5组的71.6%（95% CI= 68.1%，75.1%）。饮食不良的成人相应比例从五分位1的18.1%（95% CI= 14.3%，22.0%）增加至五分位5的59.7%（95% CI= 55.3%，64.1%）。使用AHA二级评分和健康饮食指数2015评分的结果相似。较高的UPF消费量与儿童和成人的饮食质量显著降低有关。
Consumption of ultra-processed foods (UPFs) has been linked with higher intakes of added sugars, sodium, and unhealthful fats, but the associations of UPFs with overall diet quality and major food groups are not well known. Data were derived from the National Health and Nutrition Examination Survey (2015–2018) including 9,758 adults (aged ≥20 years) and 5,280 children (aged 2–19 years) with 24-hour dietary recalls (≥1), with analysis performed in 2020. UPFs were identified using the NOVA classification, with intake (% energy) assessed in quintiles. Diet quality was assessed using the validated American Heart Association (AHA) 2020 continuous primary and secondary diet score and Healthy Eating Index 2015. Poor diet was defined as <40% adherence to the AHA secondary score. Generalized linear regressions estimated relationships between UPF intake and diet quality. Compared with the lowest quintile of UPF consumption (<39.1% energy), the AHA primary score in adults was progressively lower in Quintile 2 (−1.99, 95% CI= −2.73, −1.25), 3 (−3.60, 95% CI= −4.47, –2.72), 4 (−5.29, 95% CI= −6.28, −4.30), and 5 (−7.24, 95% CI= −8.13, −6.36; >70.7% energy). Corresponding values in children were −2.05 (95% CI= −3.01, −1.09), −2.97 (95% CI= −4.16, −1.79), −3.82 (95% CI= −5.20, −2.44), and −6.22 (95% CI= –7.20, −5.25; >79.0% energy). The estimated proportions of children having poor diet progressively increased from 31.3% (95% CI=26.2%, 36.5%) in Quintile 1 and up to 71.6% (95% CI=68.1%, 75.1%) in Quintile 5. Corresponding proportions of adults having poor diet increased from 18.1% (95% CI=14.3%, 22.0%) in Quintile 1 and up to 59.7% (95% CI=55.3%, 64.1%) in Quintile 5. Findings were similar using the AHA secondary score and Healthy Eating Index 2015 score. Higher UPF consumption is associated with substantially lower diet quality among children and adults.
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DOI：
10.1136/bmj.k322
发表时间：
2018-02-14
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Fiolet T;Srour B;Sellem L;Kesse-Guyot E;Allès B;Méjean C;Deschasaux M;Fassier P;Latino-Martel P;Beslay M;Hercberg S;Lavalette C;Monteiro CA;Julia C;Touvier M
通讯作者：
Touvier M
影响因子：
8.9
作者：
Corvalan, Camila;Reyes, Marcela;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
3.2
作者：
Juul, Filippa;Simoes, Barbara dos Santos;Parekh, Niyati
通讯作者：
Parekh, Niyati
影响因子：
3.6
作者：
Juul, Filippa;Martinez-Steele, Euridice;Chang, Virginia W.
通讯作者：
Chang, Virginia W.
DOI：
10.1017/s0007114520002688
发表时间：
2021-02-14
期刊：
The British journal of nutrition
影响因子：
--
作者：
Pagliai G;Dinu M;Madarena MP;Bonaccio M;Iacoviello L;Sofi F
通讯作者：
Sofi F