Consumption of ultra-processed foods associated with weight gain and obesity in adults: A multi-national cohort study

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Consumption of ultra-processed foods associated with weight gain and obesity in adults : A multi-national cohort study. / Cordova, Reynalda; Kliemann, Nathalie; Huybrechts, Inge; Rauber, Fernanda; Vamos, Eszter P.; Levy, Renata Bertazzi; Wagner, Karl-Heinz; Viallon, Vivian; Casagrande, Corinne; Nicolas, Genevieve; Dahm, Christina C.; Zhang, Jie; Halkjær, Jytte; Tjonneland, Anne; Boutron-Ruault, Marie-Christine; Mancini, Francesca Romana; Laouali, Nasser; Katzke, Verena; Srour, Bernard; Jannasch, Franziska; Schulze, Matthias B.; Masala, Giovanna; Grioni, Sara; Panico, Salvatore; van der Schouw, Yvonne T.; Derksen, Jeroen W. G.; Rylander, Charlotta; Skeie, Guri; Jakszyn, Paula; Rodriguez-Barranco, Miguel; Huerta, Jose Maria; Barricarte, Aurelio; Brunkwall, Lousie; Ramne, Stina; Boden, Stina; Perez-Cornago, Aurora; Heath, Alicia K.; Vineis, Paolo; Weiderpass, Elisabete; Monteiro, Carlos Augusto; Gunter, Marc J.; Millett, Christopher; Freisling, Heinz.

In: Clinical Nutrition, Vol. 40, No. 9, 2021, p. 5079-5088.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Cordova, R, Kliemann, N, Huybrechts, I, Rauber, F, Vamos, EP, Levy, RB, Wagner, K-H, Viallon, V, Casagrande, C, Nicolas, G, Dahm, CC, Zhang, J, Halkjær, J, Tjonneland, A, Boutron-Ruault, M-C, Mancini, FR, Laouali, N, Katzke, V, Srour, B, Jannasch, F, Schulze, MB, Masala, G, Grioni, S, Panico, S, van der Schouw, YT, Derksen, JWG, Rylander, C, Skeie, G, Jakszyn, P, Rodriguez-Barranco, M, Huerta, JM, Barricarte, A, Brunkwall, L, Ramne, S, Boden, S, Perez-Cornago, A, Heath, AK, Vineis, P, Weiderpass, E, Monteiro, CA, Gunter, MJ, Millett, C & Freisling, H 2021, 'Consumption of ultra-processed foods associated with weight gain and obesity in adults: A multi-national cohort study', Clinical Nutrition, vol. 40, no. 9, pp. 5079-5088. https://doi.org/10.1016/j.clnu.2021.08.009

APA

Cordova, R., Kliemann, N., Huybrechts, I., Rauber, F., Vamos, E. P., Levy, R. B., Wagner, K-H., Viallon, V., Casagrande, C., Nicolas, G., Dahm, C. C., Zhang, J., Halkjær, J., Tjonneland, A., Boutron-Ruault, M-C., Mancini, F. R., Laouali, N., Katzke, V., Srour, B., ... Freisling, H. (2021). Consumption of ultra-processed foods associated with weight gain and obesity in adults: A multi-national cohort study. Clinical Nutrition, 40(9), 5079-5088. https://doi.org/10.1016/j.clnu.2021.08.009

Vancouver

Cordova R, Kliemann N, Huybrechts I, Rauber F, Vamos EP, Levy RB et al. Consumption of ultra-processed foods associated with weight gain and obesity in adults: A multi-national cohort study. Clinical Nutrition. 2021;40(9):5079-5088. https://doi.org/10.1016/j.clnu.2021.08.009

Author

Cordova, Reynalda ; Kliemann, Nathalie ; Huybrechts, Inge ; Rauber, Fernanda ; Vamos, Eszter P. ; Levy, Renata Bertazzi ; Wagner, Karl-Heinz ; Viallon, Vivian ; Casagrande, Corinne ; Nicolas, Genevieve ; Dahm, Christina C. ; Zhang, Jie ; Halkjær, Jytte ; Tjonneland, Anne ; Boutron-Ruault, Marie-Christine ; Mancini, Francesca Romana ; Laouali, Nasser ; Katzke, Verena ; Srour, Bernard ; Jannasch, Franziska ; Schulze, Matthias B. ; Masala, Giovanna ; Grioni, Sara ; Panico, Salvatore ; van der Schouw, Yvonne T. ; Derksen, Jeroen W. G. ; Rylander, Charlotta ; Skeie, Guri ; Jakszyn, Paula ; Rodriguez-Barranco, Miguel ; Huerta, Jose Maria ; Barricarte, Aurelio ; Brunkwall, Lousie ; Ramne, Stina ; Boden, Stina ; Perez-Cornago, Aurora ; Heath, Alicia K. ; Vineis, Paolo ; Weiderpass, Elisabete ; Monteiro, Carlos Augusto ; Gunter, Marc J. ; Millett, Christopher ; Freisling, Heinz. / Consumption of ultra-processed foods associated with weight gain and obesity in adults : A multi-national cohort study. In: Clinical Nutrition. 2021 ; Vol. 40, No. 9. pp. 5079-5088.

Bibtex

@article{128f6f87daac40178c1f53110182ccf8,
title = "Consumption of ultra-processed foods associated with weight gain and obesity in adults: A multi-national cohort study",
abstract = "Background: There is a worldwide shift towards increased consumption of ultra-processed foods (UPF) with concurrent rising prevalence of obesity. We examined the relationship between the consumption of UPF and weight gain and risk of obesity. Methods: This prospective cohort included 348 748 men and women aged 25-70 years. Participants were recruited between 1992 and 2000 from 9 European countries in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Two body weight measures were available, at baseline and after a median follow-up time of 5 years. Foods and drinks were assessed at baseline by dietary questionnaires and classified according to their degree of processing using NOVA classification. Multilevel mixed linear regression was used to estimate the association between UPF consumption and body weight change (kg/5 years). To estimate the relative risk of becoming overweight or obese after 5 years we used Poisson regression stratified according to baseline body mass index (BMI). Results: After multivariable adjustment, higher UPF consumption (per 1 SD increment) was positively associated with weight gain (0.12 kg/5 years, 95% CI 0.09 to 0.15). Comparing highest vs. lowest quintile of UPF consumption was associated with a 15% greater risk (95% CI 1.11, 1.19) of becoming overweight or obese in normal weight participants, and with a 16% greater risk (95% CI 1.09, 1.23) of becoming obese in participants who were overweight at baseline. Conclusions: These results are supportive of public health campaigns to substitute UPF for less processed alternatives for obesity prevention and weight management. (c) 2021 Published by Elsevier Ltd.",
keywords = "Ultra-processed foods, Obesity, NOVA, Weight gain, Europe, Adults, RISK, PARTICIPANTS, PRODUCTS, VALIDITY, DISEASE, CANCER, AGES, DIET",
author = "Reynalda Cordova and Nathalie Kliemann and Inge Huybrechts and Fernanda Rauber and Vamos, {Eszter P.} and Levy, {Renata Bertazzi} and Karl-Heinz Wagner and Vivian Viallon and Corinne Casagrande and Genevieve Nicolas and Dahm, {Christina C.} and Jie Zhang and Jytte Halkj{\ae}r and Anne Tjonneland and Marie-Christine Boutron-Ruault and Mancini, {Francesca Romana} and Nasser Laouali and Verena Katzke and Bernard Srour and Franziska Jannasch and Schulze, {Matthias B.} and Giovanna Masala and Sara Grioni and Salvatore Panico and {van der Schouw}, {Yvonne T.} and Derksen, {Jeroen W. G.} and Charlotta Rylander and Guri Skeie and Paula Jakszyn and Miguel Rodriguez-Barranco and Huerta, {Jose Maria} and Aurelio Barricarte and Lousie Brunkwall and Stina Ramne and Stina Boden and Aurora Perez-Cornago and Heath, {Alicia K.} and Paolo Vineis and Elisabete Weiderpass and Monteiro, {Carlos Augusto} and Gunter, {Marc J.} and Christopher Millett and Heinz Freisling",
year = "2021",
doi = "10.1016/j.clnu.2021.08.009",
language = "English",
volume = "40",
pages = "5079--5088",
journal = "Clinical Nutrition",
issn = "0261-5614",
publisher = "Elsevier",
number = "9",

}

RIS

TY - JOUR

T1 - Consumption of ultra-processed foods associated with weight gain and obesity in adults

T2 - A multi-national cohort study

AU - Cordova, Reynalda

AU - Kliemann, Nathalie

AU - Huybrechts, Inge

AU - Rauber, Fernanda

AU - Vamos, Eszter P.

AU - Levy, Renata Bertazzi

AU - Wagner, Karl-Heinz

AU - Viallon, Vivian

AU - Casagrande, Corinne

AU - Nicolas, Genevieve

AU - Dahm, Christina C.

AU - Zhang, Jie

AU - Halkjær, Jytte

AU - Tjonneland, Anne

AU - Boutron-Ruault, Marie-Christine

AU - Mancini, Francesca Romana

AU - Laouali, Nasser

AU - Katzke, Verena

AU - Srour, Bernard

AU - Jannasch, Franziska

AU - Schulze, Matthias B.

AU - Masala, Giovanna

AU - Grioni, Sara

AU - Panico, Salvatore

AU - van der Schouw, Yvonne T.

AU - Derksen, Jeroen W. G.

AU - Rylander, Charlotta

AU - Skeie, Guri

AU - Jakszyn, Paula

AU - Rodriguez-Barranco, Miguel

AU - Huerta, Jose Maria

AU - Barricarte, Aurelio

AU - Brunkwall, Lousie

AU - Ramne, Stina

AU - Boden, Stina

AU - Perez-Cornago, Aurora

AU - Heath, Alicia K.

AU - Vineis, Paolo

AU - Weiderpass, Elisabete

AU - Monteiro, Carlos Augusto

AU - Gunter, Marc J.

AU - Millett, Christopher

AU - Freisling, Heinz

PY - 2021

Y1 - 2021

N2 - Background: There is a worldwide shift towards increased consumption of ultra-processed foods (UPF) with concurrent rising prevalence of obesity. We examined the relationship between the consumption of UPF and weight gain and risk of obesity. Methods: This prospective cohort included 348 748 men and women aged 25-70 years. Participants were recruited between 1992 and 2000 from 9 European countries in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Two body weight measures were available, at baseline and after a median follow-up time of 5 years. Foods and drinks were assessed at baseline by dietary questionnaires and classified according to their degree of processing using NOVA classification. Multilevel mixed linear regression was used to estimate the association between UPF consumption and body weight change (kg/5 years). To estimate the relative risk of becoming overweight or obese after 5 years we used Poisson regression stratified according to baseline body mass index (BMI). Results: After multivariable adjustment, higher UPF consumption (per 1 SD increment) was positively associated with weight gain (0.12 kg/5 years, 95% CI 0.09 to 0.15). Comparing highest vs. lowest quintile of UPF consumption was associated with a 15% greater risk (95% CI 1.11, 1.19) of becoming overweight or obese in normal weight participants, and with a 16% greater risk (95% CI 1.09, 1.23) of becoming obese in participants who were overweight at baseline. Conclusions: These results are supportive of public health campaigns to substitute UPF for less processed alternatives for obesity prevention and weight management. (c) 2021 Published by Elsevier Ltd.

AB - Background: There is a worldwide shift towards increased consumption of ultra-processed foods (UPF) with concurrent rising prevalence of obesity. We examined the relationship between the consumption of UPF and weight gain and risk of obesity. Methods: This prospective cohort included 348 748 men and women aged 25-70 years. Participants were recruited between 1992 and 2000 from 9 European countries in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Two body weight measures were available, at baseline and after a median follow-up time of 5 years. Foods and drinks were assessed at baseline by dietary questionnaires and classified according to their degree of processing using NOVA classification. Multilevel mixed linear regression was used to estimate the association between UPF consumption and body weight change (kg/5 years). To estimate the relative risk of becoming overweight or obese after 5 years we used Poisson regression stratified according to baseline body mass index (BMI). Results: After multivariable adjustment, higher UPF consumption (per 1 SD increment) was positively associated with weight gain (0.12 kg/5 years, 95% CI 0.09 to 0.15). Comparing highest vs. lowest quintile of UPF consumption was associated with a 15% greater risk (95% CI 1.11, 1.19) of becoming overweight or obese in normal weight participants, and with a 16% greater risk (95% CI 1.09, 1.23) of becoming obese in participants who were overweight at baseline. Conclusions: These results are supportive of public health campaigns to substitute UPF for less processed alternatives for obesity prevention and weight management. (c) 2021 Published by Elsevier Ltd.

KW - Ultra-processed foods

KW - Obesity

KW - NOVA

KW - Weight gain

KW - Europe

KW - Adults

KW - RISK

KW - PARTICIPANTS

KW - PRODUCTS

KW - VALIDITY

KW - DISEASE

KW - CANCER

KW - AGES

KW - DIET

U2 - 10.1016/j.clnu.2021.08.009

DO - 10.1016/j.clnu.2021.08.009

M3 - Journal article

C2 - 34455267

VL - 40

SP - 5079

EP - 5088

JO - Clinical Nutrition

JF - Clinical Nutrition

SN - 0261-5614

IS - 9

ER -

ID: 280550859