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000170431 041__ $$aEnglish
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000170431 1001_ $$aCordova, Reynalda$$b0
000170431 245__ $$aConsumption of ultra-processed foods associated with weight gain and obesity in adults: A multi-national cohort study.
000170431 260__ $$aAmsterdam [u.a.]$$bElsevier$$c2021
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000170431 520__ $$aThere is a worldwide shift towards increased consumption of ultra-processed foods (UPF) with concurrent rising prevalence of obesity. We examined the relationship between the consumption of UPF and weight gain and risk of obesity.This prospective cohort included 348 748 men and women aged 25-70 years. Participants were recruited between 1992 and 2000 from 9 European countries in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Two body weight measures were available, at baseline and after a median follow-up time of 5 years. Foods and drinks were assessed at baseline by dietary questionnaires and classified according to their degree of processing using NOVA classification. Multilevel mixed linear regression was used to estimate the association between UPF consumption and body weight change (kg/5 years). To estimate the relative risk of becoming overweight or obese after 5 years we used Poisson regression stratified according to baseline body mass index (BMI).After multivariable adjustment, higher UPF consumption (per 1 SD increment) was positively associated with weight gain (0·12 kg/5 years, 95% CI 0·09 to 0·15). Comparing highest vs. lowest quintile of UPF consumption was associated with a 15% greater risk (95% CI 1·11, 1·19) of becoming overweight or obese in normal weight participants, and with a 16% greater risk (95% CI 1·09, 1·23) of becoming obese in participants who were overweight at baseline.These results are supportive of public health campaigns to substitute UPF for less processed alternatives for obesity prevention and weight management.
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000170431 650_7 $$2Other$$aAdults
000170431 650_7 $$2Other$$aEurope
000170431 650_7 $$2Other$$aNOVA
000170431 650_7 $$2Other$$aObesity
000170431 650_7 $$2Other$$aUltra-processed foods
000170431 650_7 $$2Other$$aWeight gain
000170431 7001_ $$aKliemann, Nathalie$$b1
000170431 7001_ $$aHuybrechts, Inge$$b2
000170431 7001_ $$aRauber, Fernanda$$b3
000170431 7001_ $$aVamos, Eszter P$$b4
000170431 7001_ $$aLevy, Renata Bertazzi$$b5
000170431 7001_ $$aWagner, Karl-Heinz$$b6
000170431 7001_ $$aViallon, Vivian$$b7
000170431 7001_ $$aCasagrande, Corinne$$b8
000170431 7001_ $$aNicolas, Geneviève$$b9
000170431 7001_ $$aDahm, Christina C$$b10
000170431 7001_ $$aZhang, Jie$$b11
000170431 7001_ $$aHalkjær, Jytte$$b12
000170431 7001_ $$aTjønneland, Anne$$b13
000170431 7001_ $$aBoutron-Ruault, Marie-Christine$$b14
000170431 7001_ $$aMancini, Francesca Romana$$b15
000170431 7001_ $$aLaouali, Nasser$$b16
000170431 7001_ $$0P:(DE-He78)fb68a9386399d72d84f7f34cfc6048b4$$aKatzke, Verena$$b17$$udkfz
000170431 7001_ $$0P:(DE-He78)0644671d309776d45e0fc705d1156cac$$aSrour, Bernard$$b18$$udkfz
000170431 7001_ $$aJannasch, Franziska$$b19
000170431 7001_ $$aSchulze, Matthias B$$b20
000170431 7001_ $$aMasala, Giovanna$$b21
000170431 7001_ $$aGrioni, Sara$$b22
000170431 7001_ $$aPanico, Salvatore$$b23
000170431 7001_ $$avan der Schouw, Yvonne T$$b24
000170431 7001_ $$aDerksen, Jeroen W G$$b25
000170431 7001_ $$aRylander, Charlotta$$b26
000170431 7001_ $$aSkeie, Guri$$b27
000170431 7001_ $$aJakszyn, Paula$$b28
000170431 7001_ $$aRodriguez-Barranco, Miguel$$b29
000170431 7001_ $$aHuerta, José María$$b30
000170431 7001_ $$aBarricarte, Aurelio$$b31
000170431 7001_ $$aBrunkwall, Lousie$$b32
000170431 7001_ $$aRamne, Stina$$b33
000170431 7001_ $$aBodén, Stina$$b34
000170431 7001_ $$aPerez-Cornago, Aurora$$b35
000170431 7001_ $$aHeath, Alicia K$$b36
000170431 7001_ $$aVineis, Paolo$$b37
000170431 7001_ $$aWeiderpass, Elisabete$$b38
000170431 7001_ $$aMonteiro, Carlos Augusto$$b39
000170431 7001_ $$aGunter, Marc J$$b40
000170431 7001_ $$aMillett, Christopher$$b41
000170431 7001_ $$aFreisling, Heinz$$b42
000170431 773__ $$0PERI:(DE-600)2009052-3$$a10.1016/j.clnu.2021.08.009$$gVol. 40, no. 9, p. 5079 - 5088$$n9$$p5079 - 5088$$tClinical nutrition$$v40$$x0261-5614$$y2021
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