Perspective: A Research Roadmap about Ultra-Processed Foods and Human Health for the United States Food System: Proceedings from an Interdisciplinary, Multi-Stakeholder Workshop.

Autor:	O'Connor LE; Agricultural Research Service, US Department of Agriculture, Beltsville, MD, United States. Electronic address: lauren.oconnor@usda.gov., Higgins KA; Agricultural Research Service, US Department of Agriculture, Beltsville, MD, United States., Smiljanec K; Archer Daniels Midland (ADM), Erlanger, KY, United States., Bergia R; Archer Daniels Midland (ADM), Decatur, IL, United States., Brown AW; University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock, AR, United States., Baer D; Agricultural Research Service, US Department of Agriculture, Beltsville, MD, United States., Davis C; Agricultural Research Service, US Department of Agriculture, Beltsville, MD, United States., Ferruzzi MG; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States; Arkansas Children's Nutrition Center, Little Rock, AR, United States., Miller K; Bell Institute of Health & Nutrition, General Mills, Minneapolis, MN, United States., Rowe S; SR Strategy, Washington, DC, United States., Rueda JMW; Archer Daniels Midland (ADM), Decatur, IL, United States., Andres A; University of Arkansas for Medical Sciences and Arkansas Children's Nutrition Center, Little Rock, AR, United States., Cash SB; Friedman School of Nutrition Science and Policy at Tufts University, Boston, MA, United States., Coupland J; Penn State University, University Park, PA, United States., Crimmins M; University of Arkansas for Medical Sciences and Arkansas Children's Nutrition Center, Little Rock, AR, United States., Fiecke C; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States; Arkansas Children's Nutrition Center, Little Rock, AR, United States., Forde CG; Wageningen University and Research, Wageningen, The Netherlands., Fukagawa NK; Agricultural Research Service, US Department of Agriculture, Beltsville, MD, United States., Hall KD; National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, United States., Hamaker B; Purdue University, West Lafayette, IN, United States., Herrick KA; National Cancer Institute, National Institutes of Health, Rockville, MD, United States., Hess JM; Agricultural Research Service, US Department of Agriculture, Grand Forks, ND, United States., Heuven LA; Wageningen University and Research, Wageningen, The Netherlands., Juul F; New York University School of Global Public Health, New York, NY, United States., Malcomson FC; Newcastle University, Newcastle upon Tyne, United Kingdom., Martinez-Steele E; Faculdade de Saude Pública, Universidade de São Paulo, São Paulo, Brazil., Mattes RD; Purdue University, West Lafayette, IN, United States., Messina M; Soy Nutrition Institute Global, Pittsfield, MA, United States., Mitchell A; Food Science and Technology, University of California at Davis, CA, United States., Zhang FF; Friedman School of Nutrition Science and Policy at Tufts University, Boston, MA, United States.
Jazyk:	angličtina
Zdroj:	Advances in nutrition (Bethesda, Md.) [Adv Nutr] 2023 Nov; Vol. 14 (6), pp. 1255-1269. Date of Electronic Publication: 2023 Sep 16.
DOI:	10.1016/j.advnut.2023.09.005
Abstrakt:	Our objective was to convene interdisciplinary experts from government, academia, and industry to develop a Research Roadmap to identify research priorities about processed food intake and risk for obesity and cardiometabolic diseases (CMD) among United States populations. We convened attendees at various career stages with diverse viewpoints in the field. We held a "Food Processing Primer" to build foundational knowledge of how and why foods are processed, followed by presentations about how processed foods may affect energy intake, obesity, and CMD risk. Breakout groups discussed potential mechanistic and confounding explanations for associations between processed foods and obesity and CMD risk. Facilitators created research questions (RQs) based on key themes from discussions. Different breakout groups convened to discuss what is known and unknown for each RQ and to develop sub-RQs to address gaps. Workshop attendees focused on ultra-processed foods (UPFs; Nova Group 4) because the preponderance of evidence is based on this classification system. Yet, heterogeneity and subjectivity in UPF classification was a challenge for RQ development. The 6 RQs were: 1) What objective methods or measures could further categorize UPFs, considering food processing, formulation, and the interaction of the two? 2) How can exposure assessment of UPF intake be improved? 3) Does UPF intake influence risk for obesity or CMDs, independent of diet quality? 4) What, if any, attributes of UPFs influence ingestive behavior and contribute to excess energy intake? 5) What, if any, attributes of UPFs contribute to clinically meaningful metabolic responses? 6) What, if any, external environmental factors lead people to consume high amounts of UPFs? Uncertainty and complexity around UPF intake warrant further complementary and interdisciplinary causal, mechanistic, and methodological research related to obesity and CMD risk to understand the utility of applying classification by degree of processing to foods in the United States. (Published by Elsevier Inc.)
Databáze:	MEDLINE
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