Contribution of ultra-processed foods in visceral fat deposition and other adiposity indicators: Prospective analysis nested in the PREDIMED-Plus trial

Autor: Itziar Abete, Josep Vidal, Dora Romaguera, Miguel Fiol, Miguel Ruiz-Canela, Antoni J Jover, Marga Morey, Rosa Casas, Jesús Vioque, Maira Bes-Rastrollo, Sandra González-Palacios, Jordi Salas-Salvadó, Tania Fernández-Villa, Nancy Babio, Pilar Buil-Cosiales, Romina Olbeyra, Jadwiga Konieczna, Silvia Canudas, Ramon Estruch, J. Alfredo Martínez, Helmut Schröder, PREDIMED-Plus Investigators, Miguel Ángel Martínez-González, Lidia Daimiel, Vicente Martín
Rok vydání: 2021
Předmět:
Zdroj: CLINICAL NUTRITION
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname
ISSN: 0261-5614
DOI: 10.1016/j.clnu.2021.01.019
Popis: Background & aims: Ultra-processed food and drink products (UPF) consumption has been associated with obesity and its-related comorbidities. Excess of visceral fat, which appears with increasing age, has been considered as the culprit contributing to adiposity-associated adverse health outcomes. However, none of previous studies elucidated the link between UPF and directly quantified adiposity and its distribution. We aimed to prospectively investigate the association between concurrent changes in UPF consumption and objectively assessed adiposity distribution. Methods: A subsample of 1485 PREDIMED-Plus participants (Spanish men and women aged 55-75 years with overweight/obesity and metabolic syndrome) underwent body composition measurements. Consumption of UPF at baseline, 6 and 12 months was evaluated using a validated 143-item semiquantitative Food Frequency Questionnaire. Food items (g/day) were categorized according to their degree of processing using NOVA system. Regional adiposity (visceral fat (in g) and android-to-gynoid fat & nbsp; ratio) and total fat mass (in g) at three time points were measured with dual-energy X-ray absorpti-ometry (DXA) and were normalized using sex-specific z-scores. The association of changes in UPF consumption, expressed as the percentage of total daily intake (daily g of UPF/total daily g of food and beverage intake*10 0), with adiposity changes was evaluated using linear mixed-effects models. Results: On average, the consumption of UPF accounted for 8.11% (SD 7.41%) of total daily intake (in grams) at baseline. In multivariable-adjusted model, 10% daily increment in consumption of UPF was associated with significantly (all p-values
Databáze: OpenAIRE