Department of Nutrition, Federal University of Pernambuco, Recife, PE, Brazil.
Department of Nutrition, CAV, Federal University of Pernambuco, Vitória de Santo Antão, PE, Brazil.
Nutr Health. 2023 Sep;29(3):557-565. doi: 10.1177/02601060221084816. Epub 2022 Mar 7.
Ultra-processed foods (UPFs) consumption is associated with pediatric overweight and obesity. To evaluate the UPFs consumption in children classified either as eutrophic or with excess weight (overweight and obesity). It was also described the fasting plasma glucose, total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL) and low-density lipoprotein (LDL) and the correlation between UPFs consumption and cardiometabolic risk factors. A total of 139 children aged 7-10years of both sexes, living in Northeast Brazil were classified as eutrophic ( = 65) or excess weight ( = 62). Waist circumference (WC), percentage of body fatness (% BF), fat-free-mass and fat mass were evaluated. Fasting blood sample were collected for biochemical analysis. Food consumption was classified according to the degree of processing. Children with excess weight had a reduction in plasma HDL concentration (45.00; IQR:36.00-54.50 mg/dL vs. 40.00; IQR:35.75-45.25 mg/dL; = 0.021) and an increase in blood glucose (82.00; IQR:79.00-86.00 mg/dL 86.00; IQR:81.00-90.00 mg/dL; < 0.001) and TG (64.00; IQR:45.00-92.50 mg/dL 81.00; IQR:57.50-111.75 mg/dL; < 0.021) when compared with the eutrophic children. UPFs accounted for 43.43% of the total calories consumed by children. Children with excess weight had higher total energy consumption resulting from consumption of UPFs (714.30 ± 26.32 kcal 848.06 ± 349.46 kcal; = 0.011). The absolute consumption of the UPFs showed a positive correlation with WC ( = 0.202; = 0.023) and %BF ( = 0.198; = 0.026). UPFs consumption was higher for children with excess weight and positively correlated with two cardiometabolic risk factors, suggesting the need for strengthening public policies that discourage the consumption of these foods.
超加工食品（UPFs）的消费与儿童超重和肥胖有关。为了评估超重或超重（超重和肥胖）儿童的 UPFs 消费情况。还描述了空腹血糖、总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白（HDL）和低密度脂蛋白（LDL）以及 UPFs 消费与心血管代谢危险因素之间的相关性。共有 139 名年龄在 7-10 岁的男女儿童，居住在巴西东北部，根据体重状况分为正常（ = 65）或超重（ = 62）。评估腰围（WC）、体脂肪百分比（% BF）、无脂肪质量和脂肪质量。采集空腹血样进行生化分析。根据加工程度对食物消费进行分类。超重儿童的血浆 HDL 浓度降低（45.00；IQR：36.00-54.50mg/dL 比 40.00；IQR：35.75-45.25mg/dL； = 0.021），血糖（82.00；IQR：79.00-86.00mg/dL 比 86.00；IQR：81.00-90.00mg/dL； < 0.001）和 TG（64.00；IQR：45.00-92.50mg/dL 比 81.00；IQR：57.50-111.75mg/dL； < 0.021）与正常体重儿童相比。UPFs 占儿童总热量摄入的 43.43%。超重儿童的总能量消耗较高，这是由于 UPFs 的消耗（714.30 ± 26.32kcal 比 848.06 ± 349.46kcal； = 0.011）。UPFs 的绝对摄入量与 WC（ = 0.202； = 0.023）和 % BF（ = 0.198； = 0.026）呈正相关。超重儿童的 UPFs 消费较高，与两种心血管代谢危险因素呈正相关，表明需要加强政策，以遏制这些食品的消费。
