ArticleNutrition & diabetes2018
Ultra-processed food consumption and adiposity trajectories in a Brazilian cohort of adolescents: ELANA study.
Article in Nutrition & diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Ultra-processed foods and obesity and adiposity parameters among children and adolescents: a systematic review.European journal of nutrition · 2022Pooled it
- Brazilian Children's Dietary Intake in Relation to Brazil's New Nutrition Guidelines: a Systematic Review.Current nutrition reports · 2019Pooled it
- Association of ultra-processed food patterns with overweight and obesity in the German health interview and examination survey for children and adolescents (KiGGS): a longitudinal study.BMC public health · 2025Article
- Consumption of ultraprocessed foods and breast density in adolescence.Scientific reports · 2025Article
- Ultra-Processed Foods and Markers of Systemic Inflammation in Children.Food science & nutrition · 2025Article
- Ultra-processed food consumption and obesity among children and adolescents in China-Findings from China Health and Nutrition Survey.Pediatric obesity · 2025Article
- Ultra-processed food consumption and overweight in children, adolescents and young adults: Long-term data from the Kiel Obesity Prevention Study (KOPS).Pediatric obesity · 2025Article
- Article
- Refrigerator ownership and the nutrition-health trade-off: evidence from Chinese households.Frontiers in nutrition · 2025Article
- Association between consumption of nonessential energy-dense food and body mass index among Mexican school-aged children: a prospective cohort study.International journal of obesity (2005) · 2024Article
- Knowledge, Attitudes, and Practices Associated with the Selection of Sweetened Ultra-Processed Foods and Their Importance in Oral Health.Dentistry journal · 2024Article
- Factors Correlated With Ultra-Processed Food (UPF) Intake in Preschool-Aged Children and Association With Weight.Journal of nutrition education and behavior · 2024Article
- Food and Consumers' Environment Inside and around Federal Public Schools in Bahia, Brazil.Nutrients · 2024Article
- Consumption of ultra-processed foods and cardiometabolic risk factors in Brazilian adolescents: results from ERICA.European journal of clinical nutrition · 2023Article
- Individual and Socioeconomic Contextual Factors Associated with Obesity in Brazilian Adolescents: VigiNUTRI Brasil.International journal of environmental research and public health · 2022Article
- Fighting Obesity-Related Micronutrient Deficiencies through Biofortification of Agri-Food Crops with Sustainable Fertilization Practices.Plants (Basel, Switzerland) · 2022Review
- Ultra-processed Foods and Cardiometabolic Health Outcomes: from Evidence to Practice.Current atherosclerosis reports · 2022Review
- The Effects of Physical Activity and Sedentary Behaviors on Overweight and Obesity among Boys may Differ from those among Girls in China: An Open Cohort Study.The Journal of nutrition · 2022Article
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- Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesIn Brazil, the increase in obesity rates has been accompanied by increased consumption of ultra-processed food (UPF). The objective of this paper was to evaluate body mass index (BMI) and body fat percentage (%BF) trajectories in adolescents over a 3-year follow-up according to the frequency of UPF consumption. SUBJECTS/
methodsData of three consecutive years (2010, 2011, and 2012) were obtained from the Adolescent Nutritional Assessment Longitudinal Study (ELANA) that aimed to assess changes in anthropometric indicators of nutritional status, and 1035 adolescents enrolled in the 1st year of high school from six schools (four private and two public) in the metropolitan area of Rio de Janeiro, Brazil were included. At three follow-ups, they had their weights and heights measured. Body composition was measured at the first and second follow-ups. Mixed linear regression models were used to estimate BMI and %BF trajectories based on quartiles of UPF intake, adjusting for type of school, sex, physical activity, and underreporting.
resultsCompared to their counterparts in the 1st quartile, adolescents in the 4th quartile of UPF consumption had a lower daily intake of fruits, cooked vegetables, and raw vegetables and a higher intake of total sugar and physical activity levels (p < 0.001). There was an inverse association between UPF consumption and BMI both at baseline and at follow-up. Values for %BF followed the same trend. Adolescents in the 4th quartile had the greatest level of physical activity and lowest total energy intake.
conclusionThis study confirmed that greater intake of UPF is a marker of an unhealthy diet, but did not support the hypothesis of a high rate of change in BMI associated with greater UPF consumption, even after adjusting for physical activity.
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