Department of Nutrition and Health, Federal University of Viçosa (UFV), Viçosa, Brazil.
Department of Nutrition, Food Science and Physiology, Center for Nutrition Research (CIN), Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.
Int J Food Sci Nutr. 2020 Sep;71(6):678-692. doi: 10.1080/09637486.2020.1725961. Epub 2020 Feb 13.
Processed and ultra-processed foods (UPF) consumption has been associated with development of noncommunicable chronic diseases (NCD). This systematic review aims to summarise and discuss evidence of the relationship between food consumption according to degree of food processing and cardiometabolic risk. Data search was conducted in databases as PubMed, Bireme and Science Direct until July 2018. Studies have shown a positive association of UPF consumption with excess body weight, hypertension, dyslipidemia and metabolic syndrome features. However, disparities found in the studies analysed regarding dietary assessment, confounding factors and differences in food classifications makes comparisons between studies difficult. In conclusion, current evidences indicate the need to monitor UPF intake in global population. However, more studies are necessary to interpret better these associations with similar methodologies used in the studies. As well as longitudinal analyses can help to improve comparisons between outcomes and establish cause-effect relationship between UPF intake and cardiometabolic risk.
加工食品和超加工食品（UPF）的消费与非传染性慢性病（NCD）的发展有关。本系统评价旨在总结和讨论根据食品加工程度来分析食物消费与心血管代谢风险之间关系的证据。数据检索在 2018 年 7 月之前在 PubMed、Bireme 和 Science Direct 数据库中进行。研究表明，超加工食品的消费与超重、高血压、血脂异常和代谢综合征特征呈正相关。然而，分析中研究之间在饮食评估、混杂因素和食物分类差异方面存在差异，使得研究之间的比较变得困难。总之，目前的证据表明需要在全球人口中监测 UPF 的摄入量。然而，需要更多的研究来更好地解释这些与使用相似方法学的研究之间的关联。以及纵向分析可以帮助改善结果之间的比较，并在 UPF 摄入和心血管代谢风险之间建立因果关系。
