Fedde Svenja, Stolte Annalena, Plachta-Danielzik Sandra, Müller Manfred James, Bosy-Westphal Anja
Institute of Human Nutrition and Food Science, Kiel University, Kiel, Germany.
Kompetenznetz Darmerkrankungen e.V., Kiel, Germany.
Pediatr Obes. 2025 Apr;20(4):e13192. doi: 10.1111/ijpo.13192. Epub 2024 Dec 2.
The aim was to assess ultra-processed food (UPF) consumption, its impact on overweight and its association with weight trends from childhood and adolescence to young adulthood.
Long-term UPF consumption (13.3 years) by NOVA was analysed (children/adolescents and adults, n = 182) in the Kiel Obesity Prevention Study (KOPS, n = 10 750).
In children/adolescents (13.1 ± 1.9 years), a UPF-based dietary pattern showed an inverse association with BMI-SDS and fat mass index (males: r = -0.301, p = 0.01; r = -0.376, p = 0.001; females: r = -0.315, p < 0.001; r = -0.282, p = 0.003). Longitudinal analysis indicated that UPF consumption in childhood and adolescence was correlated with UPF consumption in adulthood among females (r = 0.272; p = 0.004) but not among males. In young adults (26.7 ± 2.2 years), UPF consumption accounted for nearly 50% of daily energy intake and was higher with overweight compared to normal weight and in incident overweight compared to persistent normal weight (both p < 0.05). High UPF consumption was associated with markers of poor diet quality (lower intake of fibre, higher intake of salt and energy-dense food, all p < 0.05).
High UPF consumption in young adults was associated with both prevalence and incidence of overweight from childhood and adolescence to adulthood.
评估超加工食品（UPF）的摄入量、其对超重的影响以及从儿童期、青春期到青年期的体重变化趋势之间的关联。
在基尔肥胖预防研究（KOPS，n = 10750）中分析了182名儿童/青少年及成年人的长期UPF摄入量（13.3年）。
在儿童/青少年（13.1±1.9岁）中，基于UPF的饮食模式与BMI-SDS和脂肪量指数呈负相关（男性：r = -0.301，p = 0.01；r = -0.376，p = 0.001；女性：r = -0.315，p < 0.001；r = -0.282，p = 0.003）。纵向分析表明，女性儿童期和青春期的UPF摄入量与成年期的UPF摄入量相关（r = 0.272；p = 0.004），而男性则不然。在青年成年人（26.7±2.2岁）中，UPF摄入量占每日能量摄入的近50%，超重者高于正常体重者，新发超重者高于持续正常体重者（均p < 0.05）。高UPF摄入量与不良饮食质量指标相关（纤维摄入量较低、盐摄入量较高和能量密集型食物摄入量较高，均p < 0.05）。
青年成年人中高UPF摄入量与从儿童期、青春期到成年期超重的患病率和发病率均相关。
