Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil; Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil.
Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Prev Med. 2023 Sep;174:107598. doi: 10.1016/j.ypmed.2023.107598. Epub 2023 Jun 28.
Ultra-processed food (UPF) consumption has been associated with cardiovascular disease and cancer. Acrylamide is a probable human carcinogen commonly found in foods that are processed at high temperatures. The aim of this study was to examine the association between dietary energy contribution of UPF and acrylamide exposure, in the US. Among the 4418 participants from cross-sectional 2013-2016 National Health and Nutrition Examination Survey, aged 6+ years, with hemoglobin biomarkers of acrylamide exposure, 3959 that completed the first 24-h dietary recall and had information on all covariates were included in the study. UPF were identified based on the Nova classification system, a four-group food classification based on the extent and purpose of industrial food processing. Linear regression was used to compare average acrylamide and glycidamide hemoglobin (HbAA+HbGA) concentrations across quintiles of daily energy contribution of UPF. Adjusted geometric means of acrylamide and glycidamide hemoglobin concentrations increased monotonically from the lowest to the highest quintile of UPF consumption in the overall population. Compared to the lowest quintile, the highest quintile had 9.1% higher levels of HbAA+HbGA (94.1 vs. 86.3 pmol/g Hb). These positive associations were statistically significant among males and in the young adult population and were largely driven by UPF which are known potential sources of acrylamide. The main effects remained unchanged when excluding current smokers. As both acrylamides and UPF have been previously associated with cardiovascular disease and cancer, our results suggest that acrylamides in UPF may partially explain previously observed links between UPF consumption and these health outcomes.
超加工食品(UPF)的消费与心血管疾病和癌症有关。丙烯酰胺是一种常见于高温加工食品中的可能人类致癌物。本研究旨在检验美国饮食中超加工食品的能量贡献与丙烯酰胺暴露之间的关系。在 2013-2016 年全国健康和营养调查的横断面研究中,共有 4418 名年龄在 6 岁以上、有血红蛋白丙烯酰胺暴露生物标志物的参与者,其中 3959 名完成了首次 24 小时膳食回忆,并提供了所有协变量的信息,被纳入了研究。超加工食品是根据 Nova 分类系统确定的,这是一种基于工业食品加工程度和目的的四组食品分类。线性回归用于比较 UPF 日能量贡献的五分位数之间平均丙烯酰胺和缩水甘油酰胺血红蛋白(HbAA+HbGA)浓度。在整个人群中,丙烯酰胺和缩水甘油酰胺血红蛋白浓度的调整后几何平均值从 UPF 消耗的最低五分位数到最高五分位数呈单调递增。与最低五分位数相比,最高五分位数的 HbAA+HbGA 水平高出 9.1%(94.1 与 86.3 pmol/g Hb)。这些正相关在男性和年轻成年人中具有统计学意义,主要是由已知丙烯酰胺潜在来源的 UPF 驱动的。当排除当前吸烟者时,主要影响保持不变。由于丙烯酰胺和 UPF 都曾与心血管疾病和癌症有关,因此我们的结果表明,UPF 中的丙烯酰胺可能部分解释了之前观察到的 UPF 消费与这些健康结果之间的联系。
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