Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Street Leopoldo Bulhões, 1,480, Manguinhos, Rio de Janeiro, RJ21041-210, Brazil.
Postgraduate Program in Collective Health, Institute of Collective Health, Universidade Federal da Bahia, Salvador, BA, Brazil.
Public Health Nutr. 2021 Aug;24(11):3352-3360. doi: 10.1017/S136898002100094X. Epub 2021 Mar 4.
To estimate changes in blood pressure and the incidence of hypertension associated with consumption of ultra-processed foods (UPF) by Brazilian civil servants at a 4-year follow-up.
Longitudinal analysis of the ELSA-Brasil with non-hypertensive individuals at baseline. We applied the FFQ at the baseline and categorised energy intake by degree of processing, using the NOVA classification. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured at baseline (2008-2010) and again at first follow-up (2012-2014). Incidence of arterial hypertension was defined as SBP ≥ 140 mmHg or DBP ≥ 90 mmHg or antihypertensive medication during the previous 2 weeks. A mixed-effect linear regression model and mixed-effect logistic regression model were used to estimate associations between UPF consumption and, respectively, changes in blood pressure and incidence of hypertension.
Brazil.
Civil servants of Brazilian public academic institutions in six cities (n 8754), aged 35-74 years at baseline (2008-2010).
UPF consumption contributed 25·2 % (sd = 9·6) of total energies consumed. After adjustment, participants with high UPF consumption presented a 23 % greater risk of developing hypertension (OR = 1·23, 95 % CI 1·06, 1·44) than those with low UPF consumption. We did not find association between UPF consumption and changes in blood pressure over time.
The higher the UPF consumption, the higher the risk of hypertension in adults. Reducing UPF consumption is thus important to promote health and prevent hypertension.
在巴西公务员的 4 年随访中，估计与食用超加工食品（UPF）相关的血压变化和高血压发病率。
ELSA-Brasil 的纵向分析，基线时无高血压个体。我们在基线时应用了 FFQ，并根据加工程度对能量摄入进行了分类，使用 NOVA 分类。收缩压（SBP）和舒张压（DBP）在基线（2008-2010 年）和首次随访（2012-2014 年）时进行了测量。动脉高血压的发病率定义为 SBP≥140mmHg 或 DBP≥90mmHg 或在过去 2 周内使用抗高血压药物。采用混合效应线性回归模型和混合效应逻辑回归模型来估计 UPF 消费与血压变化和高血压发病率之间的关联。
巴西。
巴西六座城市公立学术机构的公务员（n=8754），基线时年龄为 35-74 岁（2008-2010 年）。
UPF 消费占总能量消耗的 25.2%（标准差=9.6%）。经过调整，高 UPF 消费组发生高血压的风险比低 UPF 消费组高 23%（OR=1.23，95%CI 1.06，1.44）。我们未发现 UPF 消费与随时间变化的血压之间存在关联。
UPF 消费越高，成年人患高血压的风险越高。因此，减少 UPF 消费对于促进健康和预防高血压非常重要。
