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 |
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Rok vydání: | 2021 |
Předmět: |
Male
0301 basic medicine medicine.medical_specialty 030209 endocrinology & metabolism Intra-Abdominal Fat Overweight Critical Care and Intensive Care Medicine Diet Surveys Culprit Adiposity distribution law.invention 03 medical and health sciences Absorptiometry Photon 0302 clinical medicine Randomized controlled trial law Internal medicine Ultra-processed foods Humans Medicine Longitudinal Studies Obesity Prospective Studies Visceral fat Adiposity Aged Metabolic Syndrome DXA 030109 nutrition & dietetics Nutrition and Dietetics business.industry Middle Aged The PREDIMED-Plus trial medicine.disease Predimed Diet Spain Food processing Fast Foods Female Metabolic syndrome medicine.symptom business |
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 |
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