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dc.contributor.author | Martinez-Perez, Celia | |
dc.contributor.author | San-Cristobal, Rodrigo | |
dc.contributor.author | Guallar-Castillon, Pilar | |
dc.contributor.author | Martínez-González, Miguel Ángel | |
dc.contributor.author | Salas-Salvadó, Jordi | |
dc.contributor.author | Corella, Dolores | |
dc.contributor.author | Castañer, Olga | |
dc.contributor.author | Martinez, Jose Alfredo | |
dc.contributor.author | Alonso-Gómez, Ángel M. | |
dc.contributor.author | Wärnberg, Julia | |
dc.contributor.author | Vioque, Jesús | |
dc.contributor.author | Romaguera, Dora | |
dc.contributor.author | López-Miranda, José | |
dc.contributor.author | Estruch, Ramon | |
dc.contributor.author | Tinahones, Francisco J. | |
dc.contributor.author | Lapetra, José | |
dc.contributor.author | Serra-Majem, Lluis | |
dc.contributor.author | Bueno-Cavanillas, Aurora | |
dc.contributor.author | Tur, Josep A. | |
dc.contributor.author | Martín Sánchez, Vicente | |
dc.contributor.author | Pintó, Xavier | |
dc.contributor.author | Gaforio, José J. | |
dc.contributor.author | Matía-Martín, Pilar | |
dc.contributor.author | Vidal, Josep | |
dc.contributor.author | Vázquez, Clotilde | |
dc.contributor.author | Ros, Emilio | |
dc.contributor.author | ||
dc.contributor.author | Babio, Nancy | |
dc.contributor.author | Sorlí, Jose V. | |
dc.contributor.author | Lassale, Camille | |
dc.contributor.author | Pérez-Sanz, Beatriz | |
dc.contributor.author | Vaquero-Luna, Jessica | |
dc.contributor.author | Ajejas Bazán, María Julia | |
dc.contributor.author | Barceló-Iglesias, María Concepción | |
dc.contributor.author | Konieczna, Jadwiga | |
dc.contributor.author | Ríos, Antonio García | |
dc.contributor.author | Bernal-López, María Rosa | |
dc.contributor.author | Santos-Lozano, José Manuel | |
dc.contributor.author | Toledo, Estefanía | |
dc.contributor.author | Becerra-Tomás, Nerea | |
dc.contributor.author | Portoles, Olga | |
dc.contributor.author | Zomeño, María Dolores | |
dc.contributor.author | Abete, Itziar | |
dc.contributor.author | Moreno-Rodriguez, Anai | |
dc.contributor.author | Lecea-Juarez, Oscar | |
dc.contributor.author | Nishi, Stephanie K. | |
dc.contributor.author | Muñoz-Martínez, Júlia | |
dc.contributor.author | Ordovás, José M. | |
dc.contributor.author | Daimiel, Lidia | |
dc.date.accessioned | 2024-02-19T15:29:41Z | |
dc.date.available | 2024-02-19T15:29:41Z | |
dc.date.issued | 2021-07-20 | |
dc.identifier.other | http://hdl.handle.net/10668/4560 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/18408 | |
dc.description.abstract | The association between ultra-processed food (UPF) and risk of cardiometabolic disorders is an ongoing concern. Different food processing-based classification systems have originated discrepancies in the conclusions among studies. To test whether the association between UPF consumption and cardiometabolic markers changes with the classification system, we used baseline data from 5636 participants (48.5% female and 51.5% male, mean age 65.1 ± 4.9) of the PREDIMED-Plus ("PREvention with MEDiterranean DIet") trial. Subjects presented with overweight or obesity and met at least three metabolic syndrome (MetS) criteria. Food consumption was classified using a 143-item food frequency questionnaire according to four food processing-based classifications: NOVA, International Agency for Research on Cancer (IARC), International Food Information Council (IFIC) and University of North Carolina (UNC). Mean changes in nutritional and cardiometabolic markers were assessed according to quintiles of UPF consumption for each system. The association between UPF consumption and cardiometabolic markers was assessed using linear regression analysis. The concordance of the different classifications was assessed with intra-class correlation coefficients (ICC3, overall = 0.51). The highest UPF consumption was obtained with the IARC classification (45.9%) and the lowest with NOVA (7.9%). Subjects with high UPF consumption showed a poor dietary profile. We detected a direct association between UPF consumption and BMI (p = 0.001) when using the NOVA system, and with systolic (p = 0.018) and diastolic (p = 0.042) blood pressure when using the UNC system. Food classification methodologies markedly influenced the association between UPF consumption and cardiometabolic risk markers. | |
dc.description.sponsorship | The PREDIMED-Plus trial was supported by the European Research Council (Advanced Research grant 2014–2019; agreement #340918; granted to M.Á.M.-G.); the official Spanish institutions for funding scientific biomedical research, CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN) and Instituto de Salud Carlos III (ISCIII) through the Fondo de Investigación para la Salud (FIS) which is co-funded by the European Regional Development Fund (coordinated FIS projects led by J.S-S. and J.V., including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI14/00972, PI14/00728, PI14/01471, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926, PI19/00957, PI19/00386, PI19/00309, PI19/01032, PI19/00576, PI19/00017, PI19/01226, PI19/00781, PI19/01560, PI19/01332), and the Especial Action Project “Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-Plus” (J.S.-S.); the Recercaixa (grant number 2013ACUP00194) (J.S.-S.). Moreover, J.S-S. gratefully acknowledges the financial support by ICREA under the ICREA Academia program; the SEMERGEN grant; Department of Health of the Government of Navarra (61/2015), the Fundació La Marató de TV (Ref. 201630.10); the AstraZeneca Young Investigators Award in Category of Obesity and T2D 2017 (D.R.); grants from the Consejería de Salud de la Junta de Andalucía (PI0458/2013; PS0358/2016; PI0137/2018), the PROMETEO/2017/017 grant from the Generalitat Valenciana, the SEMERGEN grant; grant of support to research groups 35/2011 (Balearic Islands Government; FEDER funds) (J.A.T.). R.S.-C. acknowledges financial support from the Juan de la Cierva Program Training Grants of the Spanish State Research Agency of the Spanish Ministerio de Ciencia e Innovación y Ministerio de Universidades (FJC2018-038168- I). N.B.-T. acknowledges financial support from the Juan de la Cierva Formación Program Training Grants of the Spanish State Research Agency of the Spanish Ministerio de Ciencia e Innovación y Ministerio de Universidades (FJC2018-036016-I). M.R.B.-L. was supported by “Miguel Servet Type I” program (CP15/00028) from the ISCIII-Madrid (Spain), cofinanced by the Fondo Europeo de Desarrollo Regional-FEDER. S.K.N. acknowledges financial support from the Canadian Institute for Health Research, CIHR Fellowship. J.K. was supported by the ‘FOLIUM’ programme within the FUTURMed project from the Fundación Instituto de Investigación Sanitaria Illes Balears (financed by 2017 annual plan of the sustainable tourism tax and at 50% with charge to the ESF Operational Program 2014–2020 of the Balearic Islands. C.M.-P. was financially supported by a joint grant from the Community of Madrid and the European Social Fund (grant PEJD-2019-POST/SAL-15892). The METHYL-UP project was supported by the Spanish Ministry of Science and Innovation (RTI2018-095569-B-I00, Programa de Proyectos Orientados a los Retos de la Sociedad “Projects Toward Society Challenges Program”). | |
dc.language.iso | eng | |
dc.publisher | Multidisciplinary Digital Publishing Institute (MDPI) | |
dc.type.hasVersion | VoR | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Cardiometabolic risk | |
dc.subject | Classification systems | |
dc.subject | Diet | |
dc.subject | Food processing | |
dc.subject | IARC | |
dc.subject | IFIC | |
dc.subject | NOVA | |
dc.subject | PREDIMED-Plus | |
dc.subject | Ultra-processed food | |
dc.subject | UNC | |
dc.subject | Overweight | |
dc.subject | Mediterranean diet | |
dc.subject | Metabolic syndrome | |
dc.subject | Body mass index | |
dc.subject | Obesity | |
dc.subject | Factores de riesgo cardiometabólico | |
dc.subject | Clasificación | |
dc.subject | Dieta | |
dc.subject | Manipulación de alimentos | |
dc.subject | Alimentos ultraprocesados | |
dc.subject | Sobrepeso | |
dc.subject | Dieta mediterránea | |
dc.subject | Síndrome metabólico | |
dc.subject | Índice de masa corporal | |
dc.subject | Obesidad | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Cohort Studies | |
dc.subject.mesh | Diet | |
dc.subject.mesh | Diet Surveys | |
dc.subject.mesh | Diet, Mediterranean | |
dc.subject.mesh | Fast Foods | |
dc.subject.mesh | Female | |
dc.subject.mesh | Food Handling | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Incidence | |
dc.subject.mesh | Linear Models | |
dc.subject.mesh | Male | |
dc.subject.mesh | Metabolic Syndrome X | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Spain | |
dc.subject.mesh | Overweight | |
dc.subject.mesh | Body Mass Index | |
dc.subject.mesh | Obesity | |
dc.subject.mesh | International Agencies | |
dc.subject.mesh | Cardiovascular Diseases | |
dc.subject.mesh | Questionnaires | |
dc.title | Use of Different Food Classification Systems to Assess the Association between Ultra-Processed Food Consumption and Cardiometabolic Health in an Elderly Population with Metabolic Syndrome (PREDIMED-Plus Cohort) | |
dc.type | research article | |
dc.rights.license | Attribution 4.0 International | * |
dc.identifier.pubmedID | 34371982 | es_ES |
dc.identifier.doi | 10.3390/nu13072471 | |
dc.identifier.e-issn | 2072-6643 | es_ES |
dc.relation.publisherversion | https://www.mdpi.com/2072-6643/13/7/2471 | es |
dc.identifier.journal | Nutrients | es_ES |
dc.rights.accessRights | open access | es_ES |
dc.contributor.authoraffiliation | [Martinez-Perez,C; Ordovás,JM; Daimiel,L] Nutritional Genomics and Epigenomics Group, Precision Nutrition and Obesity Program, IMDEA Food, CEI UAM + CSIC, Madrid, Spain. [San-Cristobal,R; Martinez;JA] Cardiometabolic Nutrition Group, Precision Nutrition and Cardiometabolic Health Program, IMDEA Food, CEI UAM + CSIC, Madrid, Spain. [Guallar-Castillon,P] Cardiovascular and Nutritional Epidemiology Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain. [Guallar-Castillon,P] Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid—IdiPaz Hospital, Madrid, Spain. [Guallar-Castillon,P; Vioque,J; Bueno-Cavanillas,A; Martín Sánchez,V; Gaforio,JJ] Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. [Guallar-Castillon,P] Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, USA. [Martínez-González,MA; Salas-Salvadó,J; Corella,D; Castañer,O; Martinez,JA; Alonso-Gómez,AM; Wärnberg,J; Romaguera,D; López-Miranda,J; Estruch,R; Tinahones,FJ; Lapetra,J; Serra-Majem,L; Tur,JA; Pintó,X; Vázquez,C; Ros,E; Bes-Rastrollo,M; Babio,N; Sorlí,JV; Lassale,C; Vaquero-Luna,J; Konieczna,J; García Ríos,A; Santos-Lozano,JM; Toledo,E; Becerra-Tomás,N; Portoles,O; Abete,I; Moreno-Rodriguez,A] Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Martínez-González,MA; Bes-Rastrollo,M; Toledo,E] Department of Preventive Medicine and Public Health, University of Navarra, IdiSNA, Pamplona, Spain. [Martínez-González,MA] Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA. [Salas-Salvadó,J; Babio,N; Becerra-Tomás,T; Nishi,SK] Unitat de Nutrició Humana, Departament de Bioquímica i Biotecnologia, Universitat Rovira i Virgili, Reus, Spain. [Salas-Salvadó,J; Babio,N; Becerra-Tomás,N] Human Nutrition Unit, Institut d’Investigació Sanitària Pere Virgili (IISPV), Reus, Spain. [Corella,D; Sorlí,JV; Becerra-Tomás,N; Portoles,O] Department of Preventive Medicine, University of Valencia, Valencia, Spain. [Castañer,O; Lassale,C; Zomeño,MD; Muñoz-Martínez,J] Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain. [Martinez,JA; Pérez-Sanz,B; Abete,I] Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain. [Alonso-Gómez,AM; Vaquero-Luna,J; Moreno-Rodriguez,A] Bioaraba Health Research Institute, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain. [Wärnberg;J; Ajejas Bazán,MJ] Department of Nursing, School of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga, Málaga. [Vioque,J] Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL-UMH), Alicante, Spain. [Romaguera,D; Konieczna,J] Research Group on Nutritional Epidemiology & Cardiovascular Physiopathology (NUTRECOR), Health Research Institute of the Balearic Islands (IdISBa), University Hospital Son Espases (HUSE), Palma de Mallorca, Spain. [López-Miranda,J; García Ríos,A] Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Córdoba, Spain. [Estruch,R] Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain. [Tinahones,FJ] Department of Endocrinology, Instituto de Investigación Biomédica de Málaga (IBIMA), Virgen de la Victoria Hospital, University of Málaga, Málaga, Spain. [Lapetra,J; Santos-Lozano,JM] Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, Sevilla, Spain. [Serra-Majem,L] Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria and Service of Preventive Medicine, Complejo Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canary Health Service, Las Palmas de Gran Canaria, Spain. [Bueno-Cavanillas,A] Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain. [Tur,JA] Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands-IUNICS & IDISBA, Palma de Mallorca, Spain. [Martín Sánchez,V] Institute of Biomedicine (IBIOMED), University of León, León, Spain. [Pintó,X] Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain. [Gaforio,JJ] Departamento de Ciencias de la Salud, Centro de Estudios Avanzados en Olivar y Aceites de Oliva, Universidad de Jaén, Jaén, Spain. [Matía-Martín,P] Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), Madrid, Spain. [Vidal,J] Biomedical Research Centre for Diabetes and Metabolic Diseases Network (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Vidal,J; Ros,E] Endocrinology and Nutrition Service, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain. [Vázquez,C] Department of Endocrinology and Nutrition, Hospital Fundación Jiménez Díaz, Instituto de Investigaciones Biomédicas IISFJD, University Autónoma, Madrid, Spain. [Ajejas Bazán,MJ] Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid, Spain. [Barceló-Iglesias,MC] Centro Salud Cabo Huertas, Alicante, Spain. [Bernal-López,MR] Internal Medicine Department, Instituto de Investigación Biomédica de Málaga (IBIMA), Regional University Hospital of Malaga, Malaga, Spain. [Zomeño,MD] School of Health Sciences, Blanquerna-Ramon Llull University, Barcelona, Spain. [Lecea-Juarez,O] Atención Primaria, Osasunbidea, Servicio Navarro de Salud, Pamplona, Spain. [Ordovás,JM] Nutrition and Genomics Laboratory, JM_USDA Human Nutrition Research Center on Aging, Tufts University, Boston, USA. |
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IdisBa - Instituto de Investigación Sanitaria Illes Balears (Baleares)
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IMIBIC - Instituto Maimónides de Investigación Biomédica de Córdoba (Andalucía)
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IMIM - Hospital del Mar Research Institute-Barcelona (Cataluña)
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IDIBAPS - Instituto de Investigaciones Biomédicas August Pi i Sunyer (Cataluña)
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IBIMA-Plataforma BIONAND - Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina (Andalucía)
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IdiPAZ - Instituto de Investigación Sanitaria Hospital La Paz (Madrid)
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IdiSNA - Instituto de Investigación Sanitaria de Navarra (Navarra)
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IdISSC - Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (Madrid)
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IIS-FJD - Instituto de Investigación Sanitaria Fundación Jiménez Díaz (Madrid)
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ISABIAL - Instituto de Investigación de Sanitaria y Biomédica de Alicante (C. Valenciana)