Potential reductions in ultra-processed food consumption substantially improve population cardiometabolic-related dietary nutrient profiles in eight countries

BACKGROUND AND AIMSThe negative effect on dietary nutrient profiles is the most obvious mechanism explaining the higher risk of cardiometabolic diseases associated with increased dietary share of UPF observed in large cohort studies. We estimate the proportion of diets with excessive energy density,...

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Published in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2022-12, Vol.32 (12), p.2739-2750
Main Authors: Martinez Steele, E., Marrón Ponce, J.A., Cediel, G., Louzada, M.L.C., Khandpur, N., Machado, P., Moubarac, J.-C., Rauber, F., Corvalán, C., Levy, R.B., Monteiro, C.A.
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cited_by cdi_FETCH-LOGICAL-c199t-edee380f62a44a8ba21d4c4766e1438eec088342e3ce839c1aba0b03dbcb86b73
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container_end_page 2750
container_issue 12
container_start_page 2739
container_title Nutrition, metabolism, and cardiovascular diseases
container_volume 32
creator Martinez Steele, E.
Marrón Ponce, J.A.
Cediel, G.
Louzada, M.L.C.
Khandpur, N.
Machado, P.
Moubarac, J.-C.
Rauber, F.
Corvalán, C.
Levy, R.B.
Monteiro, C.A.
description BACKGROUND AND AIMSThe negative effect on dietary nutrient profiles is the most obvious mechanism explaining the higher risk of cardiometabolic diseases associated with increased dietary share of UPF observed in large cohort studies. We estimate the proportion of diets with excessive energy density, excessive free sugars or saturated fat contents and insufficient fiber that could be avoided, if UPF consumption was reduced to levels among lowest consumers across eight countries, as well as the proportion of diets with multiple inadequacies. METHODS AND RESULTSUsing nationally-representative cross-sectional surveys from Brazil (2008-09), Chile (2010), Colombia (2005), Mexico (2012), Australia (2011-12), the UK (2008-16), Canada (2015), and the US (2015-16), inadequate energy density (≥2.25 kcal/g) or contents of free sugars (>10% of total energy intake), saturated fats (>10% of total energy intake) and fiber (
doi_str_mv 10.1016/j.numecd.2022.08.018
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We estimate the proportion of diets with excessive energy density, excessive free sugars or saturated fat contents and insufficient fiber that could be avoided, if UPF consumption was reduced to levels among lowest consumers across eight countries, as well as the proportion of diets with multiple inadequacies. METHODS AND RESULTSUsing nationally-representative cross-sectional surveys from Brazil (2008-09), Chile (2010), Colombia (2005), Mexico (2012), Australia (2011-12), the UK (2008-16), Canada (2015), and the US (2015-16), inadequate energy density (≥2.25 kcal/g) or contents of free sugars (&gt;10% of total energy intake), saturated fats (&gt;10% of total energy intake) and fiber (&lt;25 g/2000 kcal) population attributable fractions were quantified. Substantial reductions in nutrient inadequacies would be observed ranging from 50.4% in Chile to 76.8% in US for dietary energy density, from 15.5% in Colombia to 68.4% in Australia for free sugars, from 9.5% in Canada to 35.0% in Mexico for saturated fats, and from 10.3% in UK to 37.9% in Mexico for fiber. Higher reductions would be observed for diets with multiple nutrient inadequacies: from 27.3% in UK to 77.7% in Australia for ≥3 and from 69.4% in Canada to 92.1% in US, for 4 inadequacies. CONCLUSIONSLowering dietary contribution of UPF to levels among country-specific lowest consumers is a way to improve population cardiometabolic-related dietary nutrient profiles.</description><identifier>ISSN: 0939-4753</identifier><identifier>EISSN: 1590-3729</identifier><identifier>DOI: 10.1016/j.numecd.2022.08.018</identifier><language>eng</language><ispartof>Nutrition, metabolism, and cardiovascular diseases, 2022-12, Vol.32 (12), p.2739-2750</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c199t-edee380f62a44a8ba21d4c4766e1438eec088342e3ce839c1aba0b03dbcb86b73</citedby><cites>FETCH-LOGICAL-c199t-edee380f62a44a8ba21d4c4766e1438eec088342e3ce839c1aba0b03dbcb86b73</cites><orcidid>0000-0002-2907-3153 ; 0000-0002-4766-8361 ; 0000-0003-4023-5181</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Martinez Steele, E.</creatorcontrib><creatorcontrib>Marrón Ponce, J.A.</creatorcontrib><creatorcontrib>Cediel, G.</creatorcontrib><creatorcontrib>Louzada, M.L.C.</creatorcontrib><creatorcontrib>Khandpur, N.</creatorcontrib><creatorcontrib>Machado, P.</creatorcontrib><creatorcontrib>Moubarac, J.-C.</creatorcontrib><creatorcontrib>Rauber, F.</creatorcontrib><creatorcontrib>Corvalán, C.</creatorcontrib><creatorcontrib>Levy, R.B.</creatorcontrib><creatorcontrib>Monteiro, C.A.</creatorcontrib><title>Potential reductions in ultra-processed food consumption substantially improve population cardiometabolic-related dietary nutrient profiles in eight countries</title><title>Nutrition, metabolism, and cardiovascular diseases</title><description>BACKGROUND AND AIMSThe negative effect on dietary nutrient profiles is the most obvious mechanism explaining the higher risk of cardiometabolic diseases associated with increased dietary share of UPF observed in large cohort studies. We estimate the proportion of diets with excessive energy density, excessive free sugars or saturated fat contents and insufficient fiber that could be avoided, if UPF consumption was reduced to levels among lowest consumers across eight countries, as well as the proportion of diets with multiple inadequacies. METHODS AND RESULTSUsing nationally-representative cross-sectional surveys from Brazil (2008-09), Chile (2010), Colombia (2005), Mexico (2012), Australia (2011-12), the UK (2008-16), Canada (2015), and the US (2015-16), inadequate energy density (≥2.25 kcal/g) or contents of free sugars (&gt;10% of total energy intake), saturated fats (&gt;10% of total energy intake) and fiber (&lt;25 g/2000 kcal) population attributable fractions were quantified. Substantial reductions in nutrient inadequacies would be observed ranging from 50.4% in Chile to 76.8% in US for dietary energy density, from 15.5% in Colombia to 68.4% in Australia for free sugars, from 9.5% in Canada to 35.0% in Mexico for saturated fats, and from 10.3% in UK to 37.9% in Mexico for fiber. Higher reductions would be observed for diets with multiple nutrient inadequacies: from 27.3% in UK to 77.7% in Australia for ≥3 and from 69.4% in Canada to 92.1% in US, for 4 inadequacies. 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We estimate the proportion of diets with excessive energy density, excessive free sugars or saturated fat contents and insufficient fiber that could be avoided, if UPF consumption was reduced to levels among lowest consumers across eight countries, as well as the proportion of diets with multiple inadequacies. METHODS AND RESULTSUsing nationally-representative cross-sectional surveys from Brazil (2008-09), Chile (2010), Colombia (2005), Mexico (2012), Australia (2011-12), the UK (2008-16), Canada (2015), and the US (2015-16), inadequate energy density (≥2.25 kcal/g) or contents of free sugars (&gt;10% of total energy intake), saturated fats (&gt;10% of total energy intake) and fiber (&lt;25 g/2000 kcal) population attributable fractions were quantified. Substantial reductions in nutrient inadequacies would be observed ranging from 50.4% in Chile to 76.8% in US for dietary energy density, from 15.5% in Colombia to 68.4% in Australia for free sugars, from 9.5% in Canada to 35.0% in Mexico for saturated fats, and from 10.3% in UK to 37.9% in Mexico for fiber. Higher reductions would be observed for diets with multiple nutrient inadequacies: from 27.3% in UK to 77.7% in Australia for ≥3 and from 69.4% in Canada to 92.1% in US, for 4 inadequacies. CONCLUSIONSLowering dietary contribution of UPF to levels among country-specific lowest consumers is a way to improve population cardiometabolic-related dietary nutrient profiles.</abstract><doi>10.1016/j.numecd.2022.08.018</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-2907-3153</orcidid><orcidid>https://orcid.org/0000-0002-4766-8361</orcidid><orcidid>https://orcid.org/0000-0003-4023-5181</orcidid></addata></record>
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title Potential reductions in ultra-processed food consumption substantially improve population cardiometabolic-related dietary nutrient profiles in eight countries
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