Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference : the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
dc.contributor.author | Canhada, Scheine Leite | pt_BR |
dc.contributor.author | Luft, Vivian Cristine | pt_BR |
dc.contributor.author | Giatti, Luana | pt_BR |
dc.contributor.author | Duncan, Bruce Bartholow | pt_BR |
dc.contributor.author | Chor, Dora | pt_BR |
dc.contributor.author | Fonseca, Maria de Jesus Mendes da | pt_BR |
dc.contributor.author | Matos, Sheila Maria Alvim de | pt_BR |
dc.contributor.author | Molina, Maria Del Carmen Bisi | pt_BR |
dc.contributor.author | Barreto, Sandhi Maria | pt_BR |
dc.contributor.author | Levy, Renata Bertazzi | pt_BR |
dc.contributor.author | Schmidt, Maria Inês | pt_BR |
dc.date.accessioned | 2020-11-14T04:22:52Z | pt_BR |
dc.date.issued | 2020 | pt_BR |
dc.identifier.issn | 1368-9800 | pt_BR |
dc.identifier.uri | http://hdl.handle.net/10183/215043 | pt_BR |
dc.description.abstract | Objective: To evaluate the association of ultra-processed food (UPF) consumption with gains in weight and waist circumference, and incident overweight/obesity, in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort. Design: We applied FFQ at baseline and categorized energy intake by degree of processing using the NOVA classification. Height, weight and waist circumference were measured at baseline and after a mean 3·8-year follow-up. We assessed associations, through Poisson regression with robust variance, of UPF consumption with large weight gain (1·68 kg/year) and large waist gain (2·42 cm/year), both being defined as ≥90th percentile in the cohort, and with incident overweight/obesity. Setting: Brazil. Participants: Civil servants of Brazilian public academic institutions in six cities (n 11 827), aged 35–74 years at baseline (2008–2010). Results: UPF provided a mean 24·6 (SD 9·6) % of ingested energy. After adjustment for smoking, physical activity, adiposity and other factors, fourth (>30·8 %) v. first (<17·8 %) quartile of UPF consumption was associated (relative risk (95 % CI)) with 27 and 33 % greater risk of large weight and waist gains (1·27 (1·07, 1·50) and 1·33 (1·12, 1·58)), respectively. Similarly, those in the fourth consumption quartile presented 20 % greater risk (1·20 (1·03, 1·40)) of incident overweight/obesity and 2 % greater risk (1·02; (0·85, 1·21)) of incident obesity. Approximately 15 % of cases of large weight and waist gains and of incident overweight/obesity could be attributed to consumption of >17·8 % of energy as UPF. Conclusions: Greater UPF consumption predicts large gains in overall and central adiposity and may contribute to the inexorable rise in obesity seen worldwide. | en |
dc.format.mimetype | application/pdf | pt_BR |
dc.language.iso | eng | pt_BR |
dc.relation.ispartof | Public Health Nutrition. Wallingford. Vol. 23, no.6 (2020), p. 1076-1086 | pt_BR |
dc.rights | Open Access | en |
dc.subject | Alimento processado | pt_BR |
dc.subject | Ultra-processed food | en |
dc.subject | Obesity | en |
dc.subject | Obesidade | pt_BR |
dc.subject | Ganho de peso | pt_BR |
dc.subject | Weight gain | en |
dc.subject | Food handling | en |
dc.subject | Manipulação de alimentos | pt_BR |
dc.title | Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference : the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) | pt_BR |
dc.type | Artigo de periódico | pt_BR |
dc.identifier.nrb | 001117964 | pt_BR |
dc.type.origin | Estrangeiro | pt_BR |
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