Ultra-processed food consumption deteriorates the profile of micronutrients consumed by Portuguese adults and elderly: the UPPER project
Nenhuma Miniatura disponível
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER HEIDELBERG
Autores
MORAES, Milena Miranda de
AFONSO, Claudia
SANTOS, Cristina
LOPES, Carla
RODRIGUES, Sara
Citação
EUROPEAN JOURNAL OF NUTRITION, v.62, n.3, p.1131-1141, 2023
Resumo
Purpose This study aims to describe micronutrient intake according to food processing degree and to investigate the association between the dietary share of ultra-processed foods and micronutrient inadequacies in a representative sample of Portuguese adult and elderly individuals. Methods Cross-sectional data from the National Food, Nutrition and Physical Activity Survey (2015/2016) were used. Food consumption data were collected through two 24-h food recalls, and food items were classified according to the NOVA system. Linear regression models were used to assess the association between the micronutrient density and the quintiles of ultra-processed food consumption-crude and adjusted. Negative Binomial regressions were performed to measure the prevalence ratio of micronutrient inadequacy according to ultra-processed food quintiles. Results For adults, all evaluated vitamins had significantly lower content in the fraction of ultra-processed foods compared to unprocessed or minimally processed foods, except vitamin B2. For the elderly, out of ten evaluated vitamins, seven presented significantly less content in ultra-processed foods compared to non-processed ones. The higher energy contribution of ultra-processed foods in adults was associated with a lower density of vitamins and minerals. This association was not observed in the elderly. For adults, compared with the first quintile of ultra-processed food consumption, the fifth quintile was positively associated with inadequate intakes of vitamin B6 (PR 1.51), vitamin C (PR 1.32), folate (PR 1.14), magnesium (PR 1.21), zinc (PR 1.33), and potassium (PR 1.19). Conclusion Our results corroborate the importance of public health actions that promote a reduction in the consumption of ultra-processed foods.
Palavras-chave
Food processing, Ultra-processed foods, Diet quality, Micronutrients, Portugal
Referências
- Andrade GC, 2021, NUTRIENTS, V13, DOI 10.3390/nu13020682
- Askari M, 2020, INT J OBESITY, V44, P2080, DOI 10.1038/s41366-020-00650-z
- Baker P, 2020, OBES REV, V21, DOI 10.1111/obr.13126
- Blanco-Rojo R, 2019, INNOV FOOD SCI EMERG, V51, P126, DOI 10.1016/j.ifset.2018.04.015
- Chen XJ, 2020, NUTR J, V19, DOI 10.1186/s12937-020-00604-1
- Chen YC, 2018, FOOD NUTR RES, V62, DOI 10.29219/fnr.v62.1565
- Cherubini A, 2005, CURR PHARM DESIGN, V11, P2017, DOI 10.2174/1381612054065783
- Cordova R, 2021, CLIN NUTR, V40, P5079, DOI 10.1016/j.clnu.2021.08.009
- Cornwell B, 2018, PUBLIC HEALTH NUTR, V21, P142, DOI 10.1017/S1368980017000891
- de Miranda RC, 2021, CURR OPIN LIPIDOL, V32, P24, DOI 10.1097/MOL.0000000000000728
- Louzada MLD, 2018, PUBLIC HEALTH NUTR, V21, P94, DOI 10.1017/S1368980017001434
- Louzada MLD, 2015, REV SAUDE PUBL, V49, DOI 10.1590/S0034-8910.2015049006132
- Das JK, 2019, COCHRANE DB SYST REV, DOI [10.1002/14651858.CD011400.pub2, 10.1002/14551858.CD011400.pub2]
- de Miranda RC, 2021, BRIT J NUTR, V125, P1177, DOI 10.1017/S000711452000344X
- Draganidis D, 2018, NUTRIENTS, V10, DOI 10.3390/nu10050566
- Dratva J, 2009, MENOPAUSE, V16, P385, DOI 10.1097/gme.0b013e31818aefef
- European Food Safety Authority, 2017, DIET REF VAL NUTR SU, DOI 10.2903/SP.EFSA.2017.E15121
- Gonçalves C, 2020, NUTRIENTS, V12, DOI 10.3390/nu12113447
- Harttig U, 2011, EUR J CLIN NUTR, V65, pS87, DOI 10.1038/ejcn.2011.92
- Kaliora AC, 2006, ATHEROSCLEROSIS, V187, P1, DOI 10.1016/j.atherosclerosis.2005.11.001
- Koiwai K, 2019, PUBLIC HEALTH NUTR, V22, P2999, DOI 10.1017/S1368980019001514
- Lane MM, 2021, OBES REV, V22, DOI 10.1111/obr.13146
- Lopes C., 2017, EFSA Supporting Publications, V14, p1341E
- Lopes C, 2018, JMIR RES PROTOC, V7, DOI 10.2196/resprot.8990
- Machado PP, 2019, BMJ OPEN, V9, DOI 10.1136/bmjopen-2019-029544
- Magalhaes V, 2021, J NUTR SCI, V10, DOI 10.1017/jns.2021.61
- Marrón-Ponce JA, 2019, J ACAD NUTR DIET, V119, P1852, DOI 10.1016/j.jand.2019.04.020
- McLean RM, 2018, J CLIN HYPERTENS, V20, P1360, DOI 10.1111/jch.13391
- Monteiro CA, 2019, PUBLIC HEALTH NUTR, V22, P936, DOI 10.1017/S1368980018003762
- Monteiro CA, 2018, PUBLIC HEALTH NUTR, V21, P5, DOI 10.1017/S1368980017000234
- Monteiro CA, 2011, PUBLIC HEALTH NUTR, V14, P5, DOI 10.1017/S1368980010003241
- Moreira P, 2018, FOOD NUTR RES, V62, DOI [10.29219/fnr.v62.1288, 10.29219/fnrv62.1288]
- Moubarac JC, 2017, APPETITE, V108, P512, DOI 10.1016/j.appet.2016.11.006
- National Institute of Health Doutor Ricardo Jorge, 2006, FOOD COMP TABL
- Ohanenye IC, 2021, SCI AFR, V11, DOI 10.1016/j.sciaf.2020.e00667
- Pagliai G, 2021, BRIT J NUTR, V125, P308, DOI 10.1017/S0007114520002688
- Popkin BM, 2021, LANCET DIABETES ENDO, V9, P462, DOI 10.1016/S2213-8587(21)00078-4
- Rauber F, 2021, EUR J NUTR, V60, P2169, DOI 10.1007/s00394-020-02367-1
- Rauber F, 2018, NUTRIENTS, V10, DOI 10.3390/nu10050587
- Reinivuo H, 2009, J FOOD COMPOS ANAL, V22, P410, DOI 10.1016/j.jfca.2009.04.003
- Roe MA., 2013, EFSA SUPPORT PUBL, V10, p355E, DOI 10.2903/SP.EFSA.2013.EN-355
- StataCorp, 2019, Stata Statistical Software: Release 16
- Steele EM, 2017, POPUL HEALTH METR, V15, DOI 10.1186/s12963-017-0119-3
- Steele EM, 2016, BMJ OPEN, V6, DOI 10.1136/bmjopen-2015-009892
- Vandevijvere S, 2019, EUR J NUTR, V58, P3267, DOI 10.1007/s00394-018-1870-3
- WHO, 2003, WHO TECH REP SER, V916, P1
- WHO, 2021, Fact sheets-Malnutrition
- WHO (World Health Organization), 2012, WHO LIB CAT IN PUBL
- World Health Organization, 2013, WHO ISS NEW GUID DIE
- World Health Organization Food and Agriculture Organization of the United Nations, 2006, GUIDELINES FOOD FORT
- Zhang PY, 2014, EUR REV MED PHARMACO, V18, P3091
- Zhou HL, 2021, J AGR FOOD CHEM, V69, P4223, DOI 10.1021/acs.jafc.1c01525