Nova diet quality scores and risk of weight gain in the NutriNet-Brasil cohort study

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
CAMBRIDGE UNIV PRESS
Autores
SANTOS, Francine Silva dos
STEELE, Euridice Martinez
COSTA, Caroline dos Santos
GABE, Kamila Tiemman
CLARO, Rafael Moreira
TOUVIER, Mathilde
SROUR, Bernard
LOUZADA, Maria Laura da Costa
Citação
PUBLIC HEALTH NUTRITION, v.26, n.11, p.2366-2373, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective:To assess the prospective association of two diet quality scores based on the Nova food classification with BMI gain. Design:The NutriNet-Brasil cohort is an ongoing web-based prospective study with continuous recruitment of participants aged & GE; 18 years since January 2020. A short 24-h dietary recall screener including 'yes/no' questions about the consumption of whole plant foods (WPF) and ultra-processed foods (UPF) was completed by participants at baseline. The Nova-WPF and the Nova-UPF scores were computed by adding up positive responses regarding the consumption of thirty-three varieties of WPF and twenty-three varieties of UPF, respectively. Participants reported their height at baseline and their weight at both baseline and after approximately 15 months of follow-up. A 15-month BMI (kg/m(2)) increase of & GE;5 % was coded as BMI gain. Setting:Brazil. Participants:9551 participants from the NutriNet-Brasil cohort. Results:Increasing quintiles of the Nova-UPF score were linearly associated with higher risk of BMI gain (relative risk Q5/Q1 = 1 & BULL;34; 95 % CI 1 & BULL;15, 1 & BULL;56), whereas increasing quintiles of the Nova-WPF score were linearly associated with lower risk (relative risk Q5/Q1 = 0 & BULL;80; 95 % CI 0 & BULL;69, 0 & BULL;94). We identified a moderate inverse correlation between the two scores (-0 & BULL;33) and a partial mediating effect of the alternative score: 15 % for the total effect of the Nova-UPF score and 25 % for the total effect of the Nova-WPF score. Conclusions:The Nova-UPF and Nova-WPF scores are independently associated with mid-term BMI gain further justifying their use in diet quality monitoring systems.
Palavras-chave
Food processing, Diet quality metrics, BMI, Cohort studies, Brazil
URI
https://observatorio.fm.usp.br/handle/OPI/58066
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Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/38