Associated factors to the consumption of ultra-processed foods and its relation with dietary sources in Portugal

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMAGALHAES, Vania
dc.contributor.authorSEVERO, Milton
dc.contributor.authorCORREIA, Daniela
dc.contributor.authorTORRES, Duarte
dc.contributor.authorMIRANDA, Renata Costa de
dc.contributor.authorRAUBER, Fernanda
dc.contributor.authorLEVY, Renata
dc.contributor.authorRODRIGUES, Sara
dc.contributor.authorLOPES, Carla
dc.date.accessioned2021-12-16T14:42:00Z
dc.date.available2021-12-16T14:42:00Z
dc.date.issued2021
dc.description.abstractUltra-processed foods (UPFs) are common worldwide and associated with poorer health outcomes. This work aimed to explore the UPF consumption associated factors and its main dietary sources, by sex, in Portugal. Participants from the National Food, Nutrition and Physical Activity Survey (IAN-AF) 2015-2016, aged 3-84 years, were included (n 5005). Dietary intake was assessed through two 1-day food diaries/24 h recalls. UPFs were identified using the NOVA classification. Associations were evaluated through linear regression models. Median UPF consumption was 257 g/d (10.6 % of total quantity; 23.8 % of total energy). Adolescents were those with higher consumption (490 g/d). Compared to adults, younger ages were positively associated with UPF consumption (e.g. adolescents ((beta) over cap -females: 192, 95 % confidence interval (CI): 135, 249; (beta) over cap -males: 327, 95 % CI: 277, 377)). A lower educational level was associated with lower UPF consumption ((beta) over cap -females: -63; 95 % CI: -91, -34; (beta) over cap -males: -68; 95 % CI: -124, -12). Also, a lower UPF consumption was observed in married males/couples compared to singles ((beta) over cap: -48, 95 % CI: -96, -1). Furthermore, female current/former smokers were associated with a higher UPF consumption v. never smokers ((beta) over cap: 79, 95 % CI: 41, 118; (beta) over cap: 42, 95 % CI: 8, 75, respectively). Main UPF sources were yoghurts, soft drinks and cold meats/sausages differing strongly by sex, age and education level. Yoghurts containing additives were the main contributors to the UPF consumption in children and adult females from all education (similar to 20 %). Soft drinks were leaders in adolescents (females: 26.0 %; males: 31.6 %) and young male adults (24.4 %). Cold meats/sausages stood out among low-educated males (20.5 %). Males, younger age groups, higher education, children with less-educated parents, married/couple males and smoking females were positively associated with UPF consumption.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipCompetitiveness and Internationalisation Operational Programme (POCI), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF)
dc.description.sponsorshipFCT - Fundacao para a Ciencia e a Tecnologia (FCT/FEDER) [POCI-01-0145-FEDER-032090]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2019/05972-7, 2018/07391-9, 2016/14302-7]
dc.description.sponsorshipEEA Grants Programme, Public Health Initiatives [PT06 - 000088SI3]
dc.description.sponsorshipFCT, I.P. [UIDB/04750/2020, UID/QUI/50006/2020]
dc.description.sponsorshipFCTPortuguese Foundation for Science and TechnologyEuropean Commission [SFRH/BD/143747/2019]
dc.identifier.citationJOURNAL OF NUTRITIONAL SCIENCE, v.10, article ID e89, 11p, 2021
dc.identifier.doi10.1017/jns.2021.61
dc.identifier.issn2048-6790
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/44015
dc.language.isoeng
dc.publisherCAMBRIDGE UNIV PRESSeng
dc.relation.ispartofJournal of Nutritional Science
dc.rightsopenAccesseng
dc.rights.holderCopyright CAMBRIDGE UNIV PRESSeng
dc.subjectNational surveyeng
dc.subjectNovaeng
dc.subjectPortugaleng
dc.subjectUltra-processed foodseng
dc.subject.otherpatternseng
dc.subject.otherchildhoodeng
dc.subject.otheradultseng
dc.subject.otherhealtheng
dc.subject.otherimpacteng
dc.subject.wosNutrition & Dieteticseng
dc.titleAssociated factors to the consumption of ultra-processed foods and its relation with dietary sources in Portugaleng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryPortugal
hcfmusp.affiliation.countryisopt
hcfmusp.author.externalMAGALHAES, Vania:Univ Porto, EPIUnit, Inst Saude Publ, Rua Taipas 135, P-4050600 Porto, Portugal; Univ Porto, Dept Ciencias Saude Publ & Forenses & Educ Med, Fac Med, Alameda Prof Hernani Monteiro, P-4200319 Porto, Portugal
hcfmusp.author.externalSEVERO, Milton:Univ Porto, EPIUnit, Inst Saude Publ, Rua Taipas 135, P-4050600 Porto, Portugal; Univ Porto, Dept Ciencias Saude Publ & Forenses & Educ Med, Fac Med, Alameda Prof Hernani Monteiro, P-4200319 Porto, Portugal
hcfmusp.author.externalCORREIA, Daniela:Univ Porto, EPIUnit, Inst Saude Publ, Rua Taipas 135, P-4050600 Porto, Portugal; Univ Porto, Dept Ciencias Saude Publ & Forenses & Educ Med, Fac Med, Alameda Prof Hernani Monteiro, P-4200319 Porto, Portugal
hcfmusp.author.externalTORRES, Duarte:Univ Porto, EPIUnit, Inst Saude Publ, Rua Taipas 135, P-4050600 Porto, Portugal; Univ Porto, Fac Ciencias Nutr & Alimentacao, Rua Campo Alegre 823, P-4150180 Porto, Portugal
hcfmusp.author.externalRAUBER, Fernanda:Univ Sao Paulo, Nucleo Pesquisas Epidemiol Nutr & Saude, BR-01246904 Sao Paulo, Brazil; Univ Sao Paulo, Dept Nutr, Escola Saude Publ, BR-01246904 Sao Paulo, Brazil
hcfmusp.author.externalRODRIGUES, Sara:Univ Porto, EPIUnit, Inst Saude Publ, Rua Taipas 135, P-4050600 Porto, Portugal; Univ Porto, Fac Ciencias Nutr & Alimentacao, Rua Campo Alegre 823, P-4150180 Porto, Portugal
hcfmusp.author.externalLOPES, Carla:Univ Porto, EPIUnit, Inst Saude Publ, Rua Taipas 135, P-4050600 Porto, Portugal; Univ Porto, Dept Ciencias Saude Publ & Forenses & Educ Med, Fac Med, Alameda Prof Hernani Monteiro, P-4200319 Porto, Portugal
hcfmusp.citation.scopus15
hcfmusp.contributor.author-fmusphcRENATA COSTA DE MIRANDA
hcfmusp.contributor.author-fmusphcRENATA BERTAZZI LEVY
hcfmusp.description.articlenumbere89
hcfmusp.description.volume10
hcfmusp.origemWOS
hcfmusp.origem.pubmed34733501
hcfmusp.origem.scopus2-s2.0-85117717715
hcfmusp.origem.wosWOS:000721262200001
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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