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Title: | 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) |
Author: | Martinez Perez, Celia San Cristobal, Rodrigo Guallar Castillón, Pilar Martínez-González, Miguel Ángel, 1957- Salas Salvadó, Jordi Corella Piquer, Dolores Castañer, Olga Martínez, J. Alfredo, 1957- 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 |
Keywords: | Persones grans Nutrició Síndrome metabòlica Older people Nutrition Metabolic syndrome |
Issue Date: | 20-Jul-2021 |
Publisher: | MDPI AG |
Abstract: | 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. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/nu13072471 |
It is part of: | Nutrients, 2021, vol. 13, num. 7, p. 2471 |
URI: | https://hdl.handle.net/2445/179810 |
Related resource: | https://doi.org/10.3390/nu13072471 |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Medicina) Publicacions de projectes de recerca finançats per la UE Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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