Ultra-Processed Food Consumption and Risk of Incident Hypertension in US Middle-Aged Adults

Consumption of ultra-processed food, which is manufactured food that is high in additives and sparse in intact foods, is adversely associated with cardiovascular health, primarily in non-US study populations. We aimed to estimate the association between ultra-processed food consumption and incident...

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Bibliographic Details
Published in:Journal of the American Heart Association 2024-09, Vol.13 (17), p.e035189
Main Authors: Rivera, Nikolaos, Du, Shutong, Bernard, Lauren, Kim, Hyunju, Matsushita, Kunihiro, Rebholz, Casey M
Format: Article
Language:English
Subjects:
Atherosclerosis Risk in Communities study
Blood Pressure
diet and nutrition
Fast Foods - adverse effects
Female
Food Handling
Food, Processed
Humans
hypertension
Hypertension - epidemiology
Incidence
Male
Middle Aged
nova classification
Original Research
Risk Assessment
Risk Factors
ultra‐processed foods
United States - epidemiology
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Summary:Consumption of ultra-processed food, which is manufactured food that is high in additives and sparse in intact foods, is adversely associated with cardiovascular health, primarily in non-US study populations. We aimed to estimate the association between ultra-processed food consumption and incident hypertension in middle-aged adults in the United States. We included 8923 ARIC (Atherosclerosis Risk in Communities) study participants who were hypertension free at baseline and had complete dietary, covariate, and hypertension data from visit 1 (1987-1989). Over a median (25th, 75th percentile) follow-up of 13 (6-21) years, 79% of participants developed hypertension. Participants in the highest quartile of ultra-processed food consumption had 15% higher risk of incident hypertension than those in the lowest quartile (hazard ratio [HR], 1.15 [95% CI, 1.08-1.23]). Participants in the highest quartile of consumption of sugar-sweetened beverages, red and processed meat, and margarine had 16% (HR, 1.16 [95% CI, 1.08-1.24]; p-trend
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.124.035189