Higher consumption of ultra-processed foods is associated with higher odds of overweight and obesity amongst under-five children: A national cross-sectional study in Lebanon.

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-09-24 DOI:10.1111/ijpo.13177

Fatima Al Zahraa Chokor, Krystel Ouaijan, Nahla Hwalla, Lamis Jomaa, Lara Nasreddine

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Abstract

Introduction: Limited evidence exists on the relationship between ultra-processed food (UPF) consumption and overweight/obesity amongst young children. This study aimed to assess UPF consumption, its socioeconomic correlates and its association with overweight/obesity amongst under-five children in Lebanon.

Materials and methods: Data pertinent to children aged 6 months to 4.9 years (n = 893) from a cross-sectional national survey were used. Anthropometric measurements were obtained, and multi-component questionnaires were administered to mothers. Dietary intake was assessed using the 24-h recall approach. NOVA classification was used to assign food items into four groups according to the extent of industrial processing. Contributions of each group to total energy intake (EI) and macronutrient and micronutrient intakes were estimated. Regression models were conducted to explore the correlates of UPF consumption as well as the association between UPF consumption and overweight/obesity status.

Results: UPFs were found to contribute 47% of daily EI. Girls and children with higher household income had significantly higher UPF intakes. Children whose mothers had an intermediate, high school, or technical diploma and were employed and whose fathers had higher education levels consumed significantly less EI from UPFs. Children whose %EI fell within the second and third tertiles of UPF intake had significantly higher odds of overweight/obesity as compared to those in the first tertile (adjusted odds ratio [AOR]: 1.21, 95% confidence interval [CI]: 1.09, 1.32 and AOR: 1.61, 95% CI: 1.47, 1.76, respectively), after adjusting for confounders.

Conclusion: The high intake of UPFs coupled with its association with overweight/obesity call for public health nutrition interventions aimed at improving feeding and dietary practices in this age group.

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五岁以下儿童超重和肥胖的几率较高与超加工食品的消费量较高有关：黎巴嫩全国横断面研究。

导言：有关超加工食品（UPF）消费与幼儿超重/肥胖之间关系的证据有限。本研究旨在评估黎巴嫩五岁以下儿童的超加工食品消费量、其社会经济相关性及其与超重/肥胖之间的关系：研究使用了一项横断面全国调查中有关 6 个月至 4.9 岁儿童（n = 893）的数据。对母亲进行了人体测量和多成分问卷调查。膳食摄入量采用 24 小时回忆法进行评估。采用 NOVA 分类法，根据工业加工程度将食品分为四组。估算了各组对总能量摄入量（EI）、常量营养素和微量营养素摄入量的贡献。通过回归模型探讨了UPF摄入量的相关因素以及UPF摄入量与超重/肥胖状况之间的联系：结果发现，UPF占每日EI的47%。女孩和家庭收入较高的儿童的 UPF 摄入量明显较高。母亲拥有中级、高级或技术文凭并有工作的儿童，以及父亲拥有较高教育水平的儿童，从 UPF 中摄入的 EI 明显较少。EI%属于UPF摄入量第二和第三分位数的儿童与第一分位数的儿童相比，超重/肥胖的几率明显更高（调整后的几率比[AOR]：1.21，95%置信区间）：1.21，95% 置信区间 [CI]：结论：UPFs的高摄入量及其与超重/肥胖的关联要求采取公共卫生营养干预措施，以改善该年龄组的喂养和饮食习惯。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.