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Intake of ultra-processed foods and sleep-related outcomes: A systematic review and meta-analysis
Abstract
The aim of this review article was to evaluate the association between the intake of ultra-processed foods and sleep-related outcomes through a systematic review and meta-analysis. Pubmed, LILACS, Scielo, Scopus, Embase, and Web of Science were searched on December 31, 2021, for studies that evaluated the association between ultra-processed foods and sleep-related outcomes (self-reported sleep duration and quality). Pooled odds ratios were assessed through a random-effects model; heterogeneity was evaluated using the I 2 statistic. Fifteen cross-sectional studies were included; 14 showed that the high intake of ultra-processed foods was statistically significantly associated with sleep-related outcomes (sleep duration and quality). In the crude analysis, compared with low intake, high intake of ultra-processed foods increased the odds of sleep-related outcomes, with increased odds among children and/or adolescents, and null results among adults. When adjusted for cofounders, we found statistically significant results for all ages. The high intake of ultra-processed foods was associated with sleep-related outcomes, with moderate credibility of the evidence. Longitudinal studies and clinical trials confirming these findings are necessary.
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Analysis of two to four cross-sectional designs found evidence supporting a direct association between greater ultra-processed food exposure and higher risk of prevalence of adverse sleep related outcomes (odds ratio 1.41, 95% confidence interval 1.24 to 1.61; credibility class II; GRADE low).
“Examining data from two to four cross sectional designs, we found evidence supporting direct associations between greater exposure to ultra-processed foods and a higher risk of the prevalence of adverse sleep related outcomes (odds ratio 1.41, 1.24 to 1.61; class II; low)”
From Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses (2024) · cites this paper as [49]
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Lane, M. M., Gamage, E., Du, S., Ashtree, D. N., McGuinness, A. J., Gauci, S., Baker, P., Lawrence, M., Rebholz, C. M., Srour, B., et al. (2024) · BMJ · doi:10.1136/bmj-2023-077310 · Cited by 1,153
Metadata
- Authors
- Delpino, F. M., Figueiredo, L. M., Flores, T. R., Silveira, E. A., Silva dos Santos, F., Werneck, A. O., Louzada, M. L. D. C., Arcêncio, R. A., & Nunes, B. P.
- Venue
- Nutrition
- Publisher
- Elsevier BV
- Published
- 2023-02
- Volume
- 106
- Pages
- 111908
- ISSN
- 0899-9007
- Cited by
- 58
- References
- 9
- Language
- en
- Licence
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
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