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Trends in Adults' Intake of Un-processed/Minimally Processed, and Ultra-processed foods at Home and Away from Home in the United States from 2003-2018.

作者信息

Wolfson Julia A, Tucker Anna Claire, Leung Cindy W, Rebholz Casey M, Garcia-Larsen Vanessa, Martinez-Steele Euridice

机构信息

Department of International Health and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

出版信息

J Nutr. 2025 Jan;155(1):280-292. doi: 10.1016/j.tjnut.2024.10.048. Epub 2024 Nov 2.


DOI:10.1016/j.tjnut.2024.10.048
PMID:39489418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11795699/
Abstract

BACKGROUND: Ultraprocessed foods (UPFs) comprise >50% of United States adults' energy intake, with the proportion of calories from UPFs increasing over time and the proportion of unprocessed/minimally processed foods (MPFs) decreasing over time. Whether UPFs are primarily consumed at home (AH) or away from home (AFH) is important to inform policies and messages to improve dietary quality. OBJECTIVES: We examined trends in consumption of UPFs and MPFs AH and AFH in a nationally representative sample of United States adults and within sociodemographic subgroups. METHODS: Data are from 34,628 adults (aged ≥20 y) with two 24-h dietary recalls from the 2003-2018 National Health and Nutrition Examination Survey. We examined trends over time in intake from MPFs and UPFs as a proportion of total energy intake and as a proportion of AH energy intake and AFH energy intake using generalized linear models adjusted for sex, age, race/ethnicity, education, and household income. We examined differences in trends by sociodemographic subgroups using interaction terms and stratified models. RESULTS: Overall, and for most demographic subgroups, UPFs comprised >50% of AH energy intake and >50% of AFH energy intake, with UPFs increasing and MPFs decreasing over time as a proportion of energy intake AH and AFH. The proportion of total energy intake from UPFs increased for food consumed AH (33.6%-37.1%, P-trend < 0.001), but not for UPFs consumed AFH (19.5%-18.8%, P-trend = 0.88). From 2003-2004 to 2017-2018, the proportion of total energy intake from MPFs declined for foods consumed AH (23.6%-20.8%, P-trend <0.001) and AFH (9.7%-7.5%, P-trend <0.001). Interaction terms testing differences in trends of MPF and UPF intake AH and AFH by sociodemographic subgroups were mostly nonsignificant. CONCLUSIONS: Findings highlight the ubiquity and increasing proportion of UPFs in United States adults' diets regardless of whether foods are consumed AH or AFH.

摘要

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本文引用的文献

[1]
Forecasting the Economic Burden of Cardiovascular Disease and Stroke in the United States Through 2050: A Presidential Advisory From the American Heart Association.

Circulation. 2024-7-23

[2]
Forecasting the Burden of Cardiovascular Disease and Stroke in the United States Through 2050-Prevalence of Risk Factors and Disease: A Presidential Advisory From the American Heart Association.

Circulation. 2024-7-23

[3]
Greater Frequency of Cooking Dinner at Home and More Time Spent Cooking Are Inversely Associated With Ultra-Processed Food Consumption Among US Adults.

J Acad Nutr Diet. 2024-12

[4]
Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses.

BMJ. 2024-2-28

[5]
Diet Quality and Multimorbidity in Older Adults: A Prospective Cohort Study.

J Gerontol A Biol Sci Med Sci. 2024-5-1

[6]
Menu Labeling and Calories Purchased in Restaurants in a US National Fast Food Chain.

JAMA Netw Open. 2023-12-1

[7]
Effects of 4 Interpretive Front-of-Package Labeling Systems on Hypothetical Beverage and Snack Selections: A Randomized Clinical Trial.

JAMA Netw Open. 2023-9-5

[8]
U.S. Policies Addressing Ultraprocessed Foods, 1980-2022.

Am J Prev Med. 2023-12

[9]
Identifying and Estimating Ultraprocessed Food Intake in the US NHANES According to the Nova Classification System of Food Processing.

J Nutr. 2023-1

[10]
Ultra-Processed Food Consumption and Risk of Type 2 Diabetes: Three Large Prospective U.S. Cohort Studies.

Diabetes Care. 2023-7-1

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