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Ultraprocessed food consumption and dietary nutrient profiles associated with obesity: A multicountry study of children and adolescents

Neri, Daniela, Steele, Eurídice Martínez, Khandpur, Neha, Cediel, Gustavo, Zapata, Maria Elisa, Rauber, Fernanda, Marrón‐Ponce, Joaquín A., Machado, Priscila, da Costa Louzada, Maria Laura, Andrade, Giovanna Calixto, Batis, Carolina, Babio, Nancy, Salas‐Salvadó, Jordi, Millett, Christopher, Monteiro, Carlos Augusto, Levy, Renata Bertazzi, for the NOVA Multi‐Country Study Group on Ultra‐Processed Foods, Diet Quality and Human Health·2022·Obesity Reviews
DOI 10.1111/obr.13387
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Abstract

Summary: This study assessed associations between ultraprocessed food consumption and dietary nutrient profile linked to obesity in children and adolescents in Argentina, Australia, Brazil, Chile, Colombia, Mexico, the United Kingdom, and the United States using nationally representative data collected between 2004 and 2014. Linear regression models were used to evaluate associations between dietary share of ultraprocessed foods (country and age group‐specific quintiles and a 10% share increase) and the energy density of diets and their content of free sugars and fiber. Ultraprocessed foods, defined by the NOVA system, ranged from 18% of total energy intake among preschool children in Colombia to 68% among adolescents in the United Kingdom. In almost all countries and age groups, increases in the dietary share of ultraprocessed foods were associated with increases in energy density and free sugars and decreases in fiber, suggesting that ultraprocessed food consumption is a potential determinant of obesity in children and adolescents. Effective global policy action to address growing ultraprocessed food consumption and childhood obesity is urgently needed.

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Crossref · 10.1111/obr.13387

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10 of 10 references verified0 citation errors · 0 not checkable

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  • Strong evidence already supports the plausibility of several mechanisms acting alone or in combination: gross nutrient imbalances; overeating driven by UPFs with high energy densities and hyper-palatability, as well as degraded food matrices and soft textures; reduced intake of healthy phytochemicals; and increased exposure to toxic compounds, endocrine disruptors, and harmful classes and mixtures

    “Strong evidence already supports the plausibility of several mechanisms acting alone or in combination: gross nutrient imbalances; [46][47][48][49][50][51][52] overeating 46,55,56,58 driven by UPFs with high energy densities and hyper-palatability, 57 as well as degraded food matrices and soft textures; [58][59][60][61][62] reduced intake of healthy phytochemicals; 66,67 and increased exposure to”

    From Ultra-processed foods and human health: the main thesis and the evidence (2025) · cites this paper as [48]

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Metadata

Authors
Neri, D., Steele, E. M., Khandpur, N., Cediel, G., Zapata, M. E., Rauber, F., Marrón‐Ponce, J. A., Machado, P., da Costa Louzada, M. L., Andrade, G. C., Batis, C., Babio, N., Salas‐Salvadó, J., Millett, C., Monteiro, C. A., Levy, R. B., & for the NOVA Multi‐Country Study Group on Ultra‐Processed Foods, D. Q. A. H. H.
Affiliations
  • Center for Epidemiological Research in Nutrition and Health University of São Paulo São Paulo Brazil
  • School of Nutrition and Dietetics University of Antioquia Medellín Colombia
  • Child Nutrition Study Center Dr. Alejandro O'Donnell (CESNI) Autonomous City of Buenos Aires Argentina
  • Center for Nutrition and Health Research National Institute of Public Health Mexico City Mexico
  • Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences Deakin University Geelong Australia
  • Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Hospital Universitari San Joan de Reus Institut d'Investigació Pere Virgili (IISPV) Reus Spain
  • Public Health Policy Evaluation Unit, School of Public Health Imperial College London London UK
Venue
Obesity Reviews
Publisher
Wiley
Published
2021-12-09
Volume
23
Issue
S1
ISSN
  • 1467-7881
  • 1467-789X
DOI
10.1111/obr.13387
Cited by
172
References
10
Language
en
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Funders
Fundação de Amparo à Pesquisa do Estado de São Paulo (2018/17972‐9, 2016/14302‐7, 2016/25853‐4, 2015/14900‐9)

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