在巴西出生队列中探索学龄儿童超加工食品消费与肠道微生物群之间的关系。
Exploring the relationship between ultra-processed food consumption and gut microbiota at school age in a Brazilian birth cohort.
作者信息
Alves Etiene Dias, Carpena Marina Xavier, Barros Aluísio J D, Comelli Elena M, López-Domínguez Lorena, Bandsma Robert H J, Santos Iná da Silva Dos, Matijasevich Alicia, Vaz Juliana Dos Santos, Buffarini Romina, Bierhals Isabel Oliveira, Borges Maria Carolina, Tovo-Rodrigues Luciana
机构信息
Universidade Federal de Pelotas, Pelotas, Brasil.
Universidade Federal de Rio Grande, Rio Grande, Brasil.
出版信息
Cad Saude Publica. 2025 Mar 31;41(2):e00094424. doi: 10.1590/0102-311XEN094424. eCollection 2025.
Dietary patterns significantly impact health outcomes and gut microbiota composition. However, longitudinal studies associating ultra-processed food consumption with gut microbiota composition, especially among adolescents in low- and middle-income countries, are lacking. This study aimed to explore this association using data collected from 364 participants at ages 6, 11, and 12 years from the 2004 Pelotas (Brazil) Birth Cohort. Microbiota data was obtained at age 12 after 16S rRNA gene sequencing of self-collected fecal samples. Linear or logistic regression models evaluated the relationship between age groups and gut microbiota outcomes (alpha diversity, beta diversity and relative abundances at the phylum and genus levels), considering dietary covariates and demographic, socioeconomic, health-related, and behavioral factors. No significant associations between ultra-processed food consumption and alpha diversity were observed after multiple testing corrections, and there was no strong evidence linking ultra-processed food consumption and beta diversity, with unweighted metrics explaining little variance at ages 11 and 12. Nominal associations were found between ultra-processed food and relative abundances of Actinobacteria (p = 0.032) and Proteobacteria (p = 0.045) (phyla), Bacteroides (p = 0.037 at age 6; p = 0.015 at age 11) and Peptostreptococcus (p = 0.025 at age 6; p = 0.010 at age 11) (genera). However, these associations lost statistical significance after adjustments for multiple comparisons. These findings highlight the need for more longitudinal studies to better understand the complex interaction between ultra-processed food intake and gut microbiota composition in adolescent populations in low- and middle-income countries.
饮食模式对健康结果和肠道微生物群组成有显著影响。然而,缺乏将超加工食品消费与肠道微生物群组成相关联的纵向研究,尤其是在低收入和中等收入国家的青少年中。本研究旨在利用2004年佩洛塔斯(巴西)出生队列中364名6岁、11岁和12岁参与者的数据来探索这种关联。在对自行采集的粪便样本进行16S rRNA基因测序后,于12岁时获得微生物群数据。线性或逻辑回归模型评估了年龄组与肠道微生物群结果(α多样性、β多样性以及门和属水平的相对丰度)之间的关系,同时考虑了饮食协变量以及人口统计学、社会经济、健康相关和行为因素。在进行多次检验校正后,未观察到超加工食品消费与α多样性之间存在显著关联,也没有强有力的证据表明超加工食品消费与β多样性有关,未加权指标在11岁和12岁时解释的方差很小。在超加工食品与放线菌门(p = 0.032)和变形菌门(p = 0.045)(门)、拟杆菌属(6岁时p = 0.037;11岁时p = 0.015)和消化链球菌属(6岁时p = 0.025;11岁时p = 0.010)(属)的相对丰度之间发现了名义上的关联。然而,在进行多重比较调整后,这些关联失去了统计学意义。这些发现凸显了需要更多纵向研究,以更好地理解低收入和中等收入国家青少年人群中超加工食品摄入与肠道微生物群组成之间的复杂相互作用。