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dc.contributor.authorLouzada, Maria Laura da Costa
dc.contributor.authorBaraldi, Larissa Galastri
dc.contributor.authorSteele, Euridice Martinez
dc.contributor.authorMartins, Ana Paula Bortoletto
dc.contributor.authorCanella, Daniela Silva
dc.contributor.authorMoubarac, Jean-Claude
dc.contributor.authorLevy, Renata Bertazzi
dc.contributor.authorCannon, Geoffrey
dc.contributor.authorAfshin, Ashkan
dc.contributor.authorImamura, Fumiaki
dc.contributor.authorMozaffarian, Dariush
dc.contributor.authorMonteiro, Carlos Augusto
dc.date.accessioned2015-07-24T14:01:22Z
dc.date.available2015-07-24T14:01:22Z
dc.date.issued2015-12
dc.identifier.issn0091-7435
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/249066
dc.description.abstractOBJECTIVES: The aim of this study was to evaluate the relationship between the consumption of ultra-processed foods and obesity indicators among Brazilian adults and adolescents. METHODS: We used cross-sectional data on 30,243 individuals aged ≥10 years from the 2008-2009 Brazilian Dietary Survey. Food consumption data were collected through 24-h food records. We classified food items according to characteristics of food processing. Ultra-processed foods were defined as formulations made by the food industry mostly from substances extracted from foods or obtained with the further processing of constituents of foods or through chemical synthesis, with little if any whole food. Examples included candies, cookies, sugar-sweetened beverages, and ready-to-eat dishes. Regression models were fitted to evaluate the association of the consumption of ultra-processed foods (% of energy intake) with body-mass-index, excess weight, and obesity status, controlling for socio-demographic characteristics, smoking, and physical activity. RESULTS: Ultra-processed foods represented 30% of the total energy intake. Those in the highest quintile of consumption of ultra-processed foods had significantly higher body-mass-index (0.94 kg/m(2); 95% CI: 0.42,1.47) and higher odds of being obese (OR=1.98; 95% CI: 1.26,3.12) and excess weight (OR=1.26; 95% CI: 0.95,1.69) compared with those in the lowest quintile of consumption. CONCLUSION: Our findings support the role of ultra-processed foods in the obesity epidemic in Brazil.
dc.description.sponsorshipM.L.C. Louzada was funded by the São Paulo Research Foundation (2013/08260-1). J-C. Moubarac was funded by the São Paulo Research Foundation (2011/08425-5). F. Imamura was supported by Medical Research Council Epidemiology Unit Core Support (MC_UU_12015/5).
dc.languageEnglish
dc.language.isoen
dc.publisherElsevier BV
dc.rightsAttribution-NonCommercial-NoDerivs 2.0 UK: England & Wales
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.0/uk/
dc.subjectFood
dc.subjectNutrition
dc.subjectRisk Factor
dc.subjectObesity
dc.subjectPrevention
dc.titleConsumption of ultra-processed foods and obesity in Brazilian adolescents and adults.
dc.typeArticle
dc.description.versionThis is the author accepted manuscript. The final version is available from Elsevier via http://dx.doi.org/10.1016/j.ypmed.2015.07.018
prism.endingPage15
prism.publicationDate2015
prism.publicationNamePrev Med
prism.startingPage9
prism.volume81
dc.rioxxterms.funderMRC
dc.rioxxterms.funderMC_UU_12015/5
dcterms.dateAccepted2015-07-21
rioxxterms.versionofrecord10.1016/j.ypmed.2015.07.018
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2015-07-29
dc.contributor.orcidImamura, Fumiaki [0000-0002-6841-8396]
dc.identifier.eissn1096-0260
rioxxterms.typeJournal Article/Review
pubs.funder-project-idMedical Research Council (MC_UU_12015/5)
cam.issuedOnline2015-07-29
rioxxterms.freetoread.startdate2016-07-29


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