Mostrar registro simples

dc.contributor.authorCanhada, Scheine Leitept_BR
dc.contributor.authorVigo, Álvaropt_BR
dc.contributor.authorLevy, Renata Bertazzipt_BR
dc.contributor.authorLuft, Vivian Cristinept_BR
dc.contributor.authorFonseca, Maria de Jesus Mendes dapt_BR
dc.contributor.authorGiatti, Luanapt_BR
dc.contributor.authorMolina, Maria Del Carmen Bisipt_BR
dc.contributor.authorDuncan, Bruce Bartholowpt_BR
dc.contributor.authorSchmidt, Maria Inêspt_BR
dc.date.accessioned2024-01-11T03:25:11Zpt_BR
dc.date.issued2023pt_BR
dc.identifier.issn1758-5996pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/270823pt_BR
dc.description.abstractBackground: Ultra-processed food (UPF) consumption increases the risk of type 2 diabetes in various high-income countries, with some variation in the magnitude across studies. Our objective was to investigate the association of UPF consumption and specific subgroups with incident type 2 diabetes in Brazilian adults. Methods: The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) is a multicenter cohort study of 15,105 adults (35–74 years) enrolled in public institutions in Brazil (2008–2010). We followed participants with two clinic visits (2012–2014; 2017–2019) and annual telephone surveillance. After excluding those with diabetes at baseline, who died or were lost in the follow-up, with missing data, with implausible energy food intake, or reporting bariatric surgery, there were 10,202 participants. We used the NOVA classification to assess UPF consumption based on a food frequency questionnaire. We defined type 2 diabetes by self-report, medication use, or comprehensive laboratory tests. We estimated relative risks (RR) and 95% confidence intervals (95% CI) using robust Poisson regression. Results: Median UPF consumption was 372 g/day. Over 8.2 (0.7) years of follow-up, we detected 1799 (17.6%) incident cases. After adjustment for socio-demographics, family history of diabetes, and behavioral risk factors, comparing the fourth (≥ 566 g/day) with the first (< 236 g/day) quartile of UPF distribution, RR was 1.24 (1.10–1.39); every 150 g/day increments in UPF consumption resulted in a RR of 1.05 (1.03–1.07). Reclassifying natural beverages with added sweeteners as UPF increased risk (RR 1.40; 1.25–1.58). Among UPF subgroupings, consumption of processed meats and sweetened beverages increased diabetes risk, while yogurt and dairy sweets decreased the risk (p < 0.05). Conclusions: UPF consumption increased the incidence of type 2 diabetes in Brazilian adults, with heterogeneity across specific food items. These findings add to previous evidence for the role of UPFs in the development of diabetes and other chronic diseases, supporting recommendations to avoid their intake in diabetes prevention and management.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofDiabetology & metabolic syndrome. London. Vol. 15 (2023), 233, 10 p.pt_BR
dc.rightsOpen Accessen
dc.subjectEpidemiologyen
dc.subjectEpidemiologiapt_BR
dc.subjectNon-communicable diseasesen
dc.subjectDoenças não transmissíveispt_BR
dc.subjectPublic healthen
dc.subjectSaúde públicapt_BR
dc.subjectType 2 diabetesen
dc.subjectDiabetes mellitus tipo 2pt_BR
dc.subjectAlimento processadopt_BR
dc.subjectUltra-processed fooden
dc.titleAssociation between ultra-processed food consumption and the incidence of type 2 diabetes : the ELSA-Brasil cohortpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001189697pt_BR
dc.type.originEstrangeiropt_BR


Thumbnail
Thumbnail
   

Este item está licenciado na Creative Commons License

Mostrar registro simples