Bielemann Renata M, Motta Janaína V Santos, Minten Gicele C, Horta Bernardo L, Gigante Denise P
Rev Saude Publica. 2015;49:28. doi: 10.1590/s0034-8910.2015049005572. Epub 2015 May 26.
OBJECTIVE To evaluate the consumption of ultra-processed foods, its associated factors, and its influence on nutrient intake in young adults. METHODS In 2004-2005, the individuals belonging to the Pelotas birth cohort of 1982 were identified for a home interview. A total of 4,297 individuals were interviewed and 4,202 individuals were included in the study (follow-up rate of 77.4%). Diet was assessed using a questionnaire on dietary intake and the percentage of daily caloric intake attributed to ultra-processed foods as well as the intake of macro- and micronutrients were estimated. The association between cohort characteristics and the consumption of ultra-processed foods was assessed using linear regression. Analysis of variance and Pearson's Chi-square test were used to evaluate the association between the quintiles of the consumption of ultra-processed food, nutrient intake and adequacy of nutrient intake, respectively. RESULTS The consumption of ultra-processed foods corresponded to 51.2% of the total caloric intake. The consumption of ultra-processed foods was higher among women, individuals with higher education, and individuals who were never poor and eutrophic. The increased consumption of ultra-processed foods was positively correlated with the consumption of fat, cholesterol, sodium, iron, calcium, and calories (p < 0.001) and was negatively correlated with the consumption of carbohydrates, protein, and dietary fiber (p < 0.001). CONCLUSIONS The high consumption of ultra-processed foods and its positive correlation with the intake of sodium, cholesterol, and fats underscores the need to perform interventions aimed at decreasing the intake of this food group.
目的 评估超加工食品的消费量、相关因素及其对年轻人营养摄入的影响。方法 在2004 - 2005年,对1982年佩洛塔斯出生队列中的个体进行家庭访谈。共访谈了4297人,4202人纳入研究(随访率77.4%)。通过饮食摄入问卷评估饮食情况,并估算超加工食品占每日热量摄入的百分比以及常量和微量营养素的摄入量。使用线性回归评估队列特征与超加工食品消费之间的关联。分别采用方差分析和Pearson卡方检验评估超加工食品消费五分位数、营养摄入和营养摄入充足性之间的关联。结果 超加工食品的消费量占总热量摄入的51.2%。女性、受过高等教育的个体以及从未贫困且营养良好的个体中超加工食品的消费量更高。超加工食品消费量的增加与脂肪、胆固醇、钠、铁、钙和热量的消费呈正相关(p < 0.001),与碳水化合物、蛋白质和膳食纤维的消费呈负相关(p < 0.001)。结论 超加工食品的高消费量及其与钠、胆固醇和脂肪摄入的正相关突出了开展旨在减少这类食品摄入量的干预措施的必要性。