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dc.contributor.authorda, Costa Louzada Maria Lauraen
dc.contributor.authorBaraldi, Larissa Galastrien
dc.contributor.authorSteele, Euridice Martinezen
dc.contributor.authorMartins, Ana Paula Bortolettoen
dc.contributor.authorCanella, Daniela Silvaen
dc.contributor.authorClaude-Moubarac, Jeanen
dc.contributor.authorLevy, Renata Bertazzien
dc.contributor.authorCannon, Geoffreyen
dc.contributor.authorAfshin, Ashkanen
dc.contributor.authorImamura, Fumiakien
dc.contributor.authorMozaffarian, Dariushen
dc.contributor.authorMonteiro, Carlos Augustoen
dc.date.accessioned2015-07-24T14:01:22Z
dc.date.available2015-07-24T14:01:22Z
dc.date.issued2015-07-29en
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/m2; 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.languageEnglishen
dc.language.isoenen
dc.publisherElsevier
dc.rightsAttribution-NonCommercial-NoDerivs 2.0 UK: England & Wales*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.0/uk/*
dc.subjectFooden
dc.subjectNutritionen
dc.subjectRisk Factoren
dc.subjectObesityen
dc.subjectPreventionen
dc.titleConsumption of Ultra-processed Foods and Obesity in Brazilian Adolescents and Adultsen
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.2015.07.018en
prism.endingPage15
prism.publicationDate2015en
prism.publicationNamePreventive Medicineen
prism.startingPage9
prism.volume81en
dc.rioxxterms.funderMRC
dc.rioxxterms.funderMC_UU_12015/5
dcterms.dateAccepted2015-07-21en
rioxxterms.versionofrecord10.1016/j.ypmed.2015.07.018en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2015-07-29en
dc.contributor.orcidImamura, Fumiaki [0000-0002-6841-8396]
dc.identifier.eissn1096-0260
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MC_UU_12015/5)
rioxxterms.freetoread.startdate2016-07-29


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