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哺乳期妇女超加工食品摄入量与肥胖指标之间的关联。

Association Between Consumption of Ultra-Processed Foods and Adiposity Measures in Lactating Women.

作者信息

de Lima Lara Virginia Pessoa, Garcia Lígia Rejane Siqueira, de Sousa Juliana Morais, de Oliveira Priscila Gomes, de Oliveira Nicolie Mattenhauer, Dos Santos Dametto Juliana Fernandes, Bezerra Danielle Soares, da Silva Ribeiro Karla Danielly

机构信息

Postgraduate Program in Nutrition Federal University of Rio Grande do Norte Natal Rio Grande do Norte Brazil.

Health Sciences College of Trairi Federal University of Rio Grande do Norte Santa Cruz Rio Grande do Norte Brazil.

出版信息

Food Sci Nutr. 2025 Jun 27;13(7):e70488. doi: 10.1002/fsn3.70488. eCollection 2025 Jul.

DOI:10.1002/fsn3.70488
PMID:40585505
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12203403/
Abstract

This study aimed to evaluate the association between the consumption of ultra-processed foods (UPF) and the anthropometric profile of lactating women in situations of socioeconomic vulnerability. In this cross-sectional study, we collected socioeconomic and health data, food consumption information, and anthropometric measurements of lactating women between 30 and 150 days postpartum. Food consumption was evaluated using a 24-h dietary recall adapted to UPF through the Nova classification, and the anthropometric profile was assessed according to postpartum weight retention (kilograms (kg)), current body mass index (BMI) (kg/m), and measurements of body perimeters (centimeters (cm)) and skinfolds (millimeters (mm)). Participants were grouped according to the proportion of dietary energy derived from UPF (tertile 1-2 vs. tertile 3). Adjusted linear regression models were employed to analyze associations. The study population consisted of 124 lactating women, most of had low income (102 (82.3%)) and lowest level of education (113 (91.1%)), and the average proportion of dietary energy from ultra-processed foods (UPF) was 25% (95% confidence interval (95% CI) 0%-76%). We found a positive association between the proportion of dietary energy from UPF and postpartum weight retention ( = 3.75, 95% CI 1.40-6.10,  < 0.002). Our findings suggest that a greater proportion of UPF in the diet of lactating women is related to postpartum weight retention, which reinforces the need for actions aimed at reducing UPF consumption during lactation. Our results require confirmation from future, more rigorous studies.

摘要

本研究旨在评估在社会经济脆弱状况下,超加工食品(UPF)的摄入量与哺乳期妇女身体测量指标之间的关联。在这项横断面研究中,我们收集了产后30至150天哺乳期妇女的社会经济和健康数据、食物消费信息以及身体测量数据。通过诺瓦分类法对24小时饮食回忆进行调整以评估食物消费情况,该分类法适用于超加工食品,同时根据产后体重保留量(千克(kg))、当前体重指数(BMI)(kg/m²)、身体周长测量值(厘米(cm))和皮褶厚度(毫米(mm))来评估身体测量指标。参与者根据超加工食品提供的膳食能量比例进行分组(三分位数1 - 2与三分位数3)。采用调整后的线性回归模型来分析关联。研究人群包括124名哺乳期妇女,其中大多数收入较低(102人(82.3%))且教育水平最低(113人(91.1%)),超加工食品提供的膳食能量平均比例为25%(95%置信区间(95%CI)0% - 76%)。我们发现超加工食品提供的膳食能量比例与产后体重保留之间存在正相关(β = 3.75,95%CI 1.40 - 6.10,P < 0.002)。我们的研究结果表明,哺乳期妇女饮食中超加工食品比例越高,与产后体重保留有关,这强化了在哺乳期采取旨在减少超加工食品消费的行动的必要性。我们的结果需要未来更严谨的研究加以证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9608/12203403/ea31358f751a/FSN3-13-e70488-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9608/12203403/bab967afccfe/FSN3-13-e70488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9608/12203403/ea31358f751a/FSN3-13-e70488-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9608/12203403/bab967afccfe/FSN3-13-e70488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9608/12203403/ea31358f751a/FSN3-13-e70488-g003.jpg

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本文引用的文献

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Association of Maternal Consumption of Ultra-Processed Foods with Feeding Practices and Malnutrition in Breastfed Infants: A Cross-Sectional Study.母亲食用超加工食品与母乳喂养婴儿的喂养方式和营养不良之间的关联:一项横断面研究。
Int J Environ Res Public Health. 2025 Apr 12;22(4):608. doi: 10.3390/ijerph22040608.
2
Ultra-processed Food and Obesity: What Is the Evidence?超加工食品与肥胖:有何证据?
Curr Nutr Rep. 2024 Mar;13(1):23-38. doi: 10.1007/s13668-024-00517-z. Epub 2024 Jan 31.
3
The relationship of pre-pregnancy body mass index with maternal anthropometric indices, weight retention and the baby's weight and nutrition in the first 6 months post-partum.
孕前体重指数与产妇人体测量指标、体重保留以及婴儿产后 6 个月内体重和营养的关系。
BMC Pregnancy Childbirth. 2023 Nov 20;23(1):802. doi: 10.1186/s12884-023-06116-0.
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Changes in dietary markers during the covid-19 pandemic in Brazil.巴西新冠疫情期间饮食指标的变化。
Rev Saude Publica. 2023 Sep 18;57:54. doi: 10.11606/s1518-8787.2023057004659. eCollection 2023.
5
Consumption of ultra-processed foods in Brazil: distribution and temporal evolution 2008-2018.巴西超加工食品消费:2008-2018 年的分布和时间演变。
Rev Saude Publica. 2023 Apr 14;57:12. doi: 10.11606/s1518-8787.2023057004744. eCollection 2023.
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Consumption of Ultraprocessed Foods and Body Fat Distribution Among U.S. Adults.超加工食品的消费与美国成年人的体脂分布。
Am J Prev Med. 2023 Sep;65(3):427-438. doi: 10.1016/j.amepre.2023.03.012. Epub 2023 Mar 21.
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The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey.新鲜/最低限度加工食品和超加工食品的联合消费与粮食不安全的关系:基于人群的 COVID 不确定因素调查。
Public Health Nutr. 2023 Jul;26(7):1414-1423. doi: 10.1017/S136898002300054X. Epub 2023 Mar 15.
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