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| DOI | 10.1017/S1368980019004737 | ||||
| Año | 2021 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Objectives: To assess the consumption of ultra-processed foods and its association with the overall dietary content of nutrients related to non-communicable diseases (NCD) in the Chilean diet and to estimate the population attributable fraction of ultra-processed food consumption on the unhealthy nutrient content. Design: Cross-sectional analysis of dietary data collected through a national survey (2010). Setting: Chile. Participants: Chilean population aged ≥2 years (n 4920). Results: In Chile, ultra-processed foods represented 28·6 % of the total energy intake. A significant positive association was found between the dietary share of ultra-processed foods and NCD-promoting nutrients such as dietary energy density (standardised regression coefficient (β) = 0·22), content of free sugars (β = 0·45), total fats (β = 0·26), saturated fats (β = 0·19), trans fats (β = 0·09) and Na:K ratio (β = 0·04), while a significant negative association was found with the content of NCD-protective nutrients such as K (β =-0·19) and fibre (β =-0·31). The content of Na (β = 0·02) presented no significant association. Except for Na, the prevalence of inadequate intake of all nutrients (WHO recommendations) increased across quintiles of the dietary share of ultra-processed foods. With the reduction of ultra-processed foods consumption to the level seen among the 20 % lowest consumers (3·8 % (0-9·3 %) of the total energy from ultra-processed foods), the prevalence of nutrient inadequacy would be reduced in almost three-fourths for trans fats; in half for energy density (foods); in around one-third for saturated fats, energy density (beverages), free sugars and total fats; in near 20 % for fibre and Na:K ratio and in 13 % for K. Conclusions: In Chile, decreasing the consumption of ultra-processed foods is a potentially effective way to achieve the WHO nutrient goals for the prevention of diet-related NCD.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | CEDIEL-GIRALDO, GUSTAVO ANDRES | Hombre |
Universidade de Sao Paulo - USP - Brasil
Universidad de Antioquia - Colombia UNIV SAO PAULO - Brasil UNIV ANTIOQUIA - Colombia Center of Epidemiological Studies in Health and Nutrition - Brasil Universidade de São Paulo - Brasil |
| 2 | REYES-JEDLICKI, MARCELA ADRIANA | Mujer |
Universidad de Chile - Chile
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| 3 | Corvalan, Camila | Mujer |
Universidad de Chile - Chile
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| 4 | Levy, Renata Bertazzi | Mujer |
Universidade de Sao Paulo - USP - Brasil
UNIV SAO PAULO - Brasil Universidade de São Paulo - Brasil |
| 5 | UAUY-DAGACH, RICARDO | Hombre |
Universidad de Chile - Chile
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| 6 | Monteiro, Carlos | Hombre |
Universidade de Sao Paulo - USP - Brasil
UNIV SAO PAULO - Brasil Center of Epidemiological Studies in Health and Nutrition - Brasil Universidade de São Paulo - Brasil |
| Fuente |
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| Fundação de Amparo à Pesquisa do Estado de São Paulo |
| International Development Research Centre |
| FAPESP-Process |
| Agradecimiento |
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| The analyses were supported by the Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (grant number 2015/14900-9, G.C. is beneficiary of Postdoctoral fellowship, FAPESP-Process 2016/13522-3). |
| Acknowledgements: The Ministry of Health of Chile supplied the Database (Chilean National Dietary Survey, 2010). Information from nutrients fact panels obtained from packaged foods in 2015 was supported by the International Development Research Center. Financial support: The analyses were supported by the Fundaçâo de Amparo à Pesquisa do Estado de São Paulo (grant number 2015/14900-9, G.C. is beneficiary of Postdoctoral fellowship, FAPESP-Process 2016/13522-3). Conflict of interest: The authors declare no conflict of interest. Authorship: G.C. and C.A.M. designed the research. G.C. and M.R. took care of data management and analyses. G.C., C.A.M., M.R., C.C., R.B.L. and R.U. interpreted the data. G.C. wrote the first draft of the manuscript. All authors read, edited and approved the final manuscript. Ethics of human subject participation: Not applicable. |