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cc by (c) Martinez Perez, Celia et al., 2021
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/179810

Use of Different Food Classification Systems to Assess the Association between Ultra-Processed Food Consumption and Cardiometabolic Health in an Elderly Population with Metabolic Syndrome (PREDIMED-Plus Cohort)

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The association between ultra-processed food (UPF) and risk of cardiometabolic disorders is an ongoing concern. Different food processing-based classification systems have originated discrepancies in the conclusions among studies. To test whether the association between UPF consumption and cardiometabolic markers changes with the classification system, we used baseline data from 5636 participants (48.5% female and 51.5% male, mean age 65.1 +/- 4.9) of the PREDIMED-Plus ("PREvention with MEDiterranean DIet") trial. Subjects presented with overweight or obesity and met at least three metabolic syndrome (MetS) criteria. Food consumption was classified using a 143-item food frequency questionnaire according to four food processing-based classifications: NOVA, International Agency for Research on Cancer (IARC), International Food Information Council (IFIC) and University of North Carolina (UNC). Mean changes in nutritional and cardiometabolic markers were assessed according to quintiles of UPF consumption for each system. The association between UPF consumption and cardiometabolic markers was assessed using linear regression analysis. The concordance of the different classifications was assessed with intra-class correlation coefficients (ICC3, overall = 0.51). The highest UPF consumption was obtained with the IARC classification (45.9%) and the lowest with NOVA (7.9%). Subjects with high UPF consumption showed a poor dietary profile. We detected a direct association between UPF consumption and BMI (p = 0.001) when using the NOVA system, and with systolic (p = 0.018) and diastolic (p = 0.042) blood pressure when using the UNC system. Food classification methodologies markedly influenced the association between UPF consumption and cardiometabolic risk markers.

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MARTINEZ PEREZ, Celia, SAN CRISTOBAL, Rodrigo, GUALLAR CASTILLÓN, Pilar, MARTÍNEZ-GONZÁLEZ, Miguel ángel, SALAS SALVADÓ, Jordi, CORELLA PIQUER, Dolores, CASTAÑER, Olga, MARTÍNEZ, J. alfredo, ALONSO GÓMEZ, Ángel m., WÄRNBERG, Julia, VIOQUE, Jesús, ROMAGUERA, Dora, LÓPEZ MIRANDA, José, ESTRUCH RIBA, Ramon, TINAHONES, Francisco j., LAPETRA, José, SERRA MAJEM, Lluís, BUENO CAVANILLAS, Aurora, TUR, Josep a., SÁNCHEZ, Vicente martín, PINTÓ SALA, Xavier, GAFORIO, José j., MATÍA MARTÍN, Pilar, VIDAL I CORTADA, Josep, VÁZQUEZ, Clotilde, ROS RAHOLA, Emilio, BES RASTROLLO, Maira, BABIO, Nancy, SORLÍ, José v., LASSALE, Camille, PÉREZ SANZ, Beatriz, VAQUERO LUNA, Jessica, AJEJAS BAZÁN, María julia, BARCELÓ IGLESIAS, María concepción, KONIECZNA, Jadwiga, GARCÍA RÍOS, Antonio, BERNAL LÓPEZ, M. rosa, SANTOS LOZANO, José manuel, TOLEDO ATUCHA, Estefanía, BECERRA TOMÁS, Nerea, PORTOLES, Olga, ZOMEÑO FAJARDO, María dolores, ABETE, Itziar, MORENO RODRIGUEZ, Anai, LECEA JUÁREZ, Oscar, NISHI, Stephanie k., MUÑOZ MARTÍNEZ, Júlia, ORDOVÁS, José maría, DAIMIEL, Lidia. Use of Different Food Classification Systems to Assess the Association between Ultra-Processed Food Consumption and Cardiometabolic Health in an Elderly Population with Metabolic Syndrome (PREDIMED-Plus Cohort). _Nutrients_. 2021. Vol. 13, núm. 7, pàgs. 2471. [consulta: 6 de gener de 2026]. [Disponible a: https://hdl.handle.net/2445/179810]

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