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dc.contributor.authorCanhada, Scheine Leitept_BR
dc.contributor.authorLuft, Vivian Cristinept_BR
dc.contributor.authorGiatti, Luanapt_BR
dc.contributor.authorDuncan, Bruce Bartholowpt_BR
dc.contributor.authorChor, Dorapt_BR
dc.contributor.authorFonseca, Maria de Jesus Mendes dapt_BR
dc.contributor.authorMatos, Sheila Maria Alvim dept_BR
dc.contributor.authorMolina, Maria Del Carmen Bisipt_BR
dc.contributor.authorBarreto, Sandhi Mariapt_BR
dc.contributor.authorLevy, Renata Bertazzipt_BR
dc.contributor.authorSchmidt, Maria Inêspt_BR
dc.date.accessioned2020-11-14T04:22:52Zpt_BR
dc.date.issued2020pt_BR
dc.identifier.issn1368-9800pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/215043pt_BR
dc.description.abstractObjective: 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.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofPublic Health Nutrition. Wallingford. Vol. 23, no.6 (2020), p. 1076-1086pt_BR
dc.rightsOpen Accessen
dc.subjectAlimentos industrializadospt_BR
dc.subjectUltra-processed fooden
dc.subjectObesityen
dc.subjectObesidadept_BR
dc.subjectGanho de pesopt_BR
dc.subjectWeight gainen
dc.subjectFood handlingen
dc.subjectManipulação de alimentospt_BR
dc.titleUltra-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.typeArtigo de periódicopt_BR
dc.identifier.nrb001117964pt_BR
dc.type.originEstrangeiropt_BR


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