Evidence map›Paper›PMID 32888008›Full record

ArticleInternational journal of epidemiology2021

Role of ultra-processed food in fat mass index between 6 and 11 years of age: a cohort study.

Caroline Dos Santos Costa, Maria Cecília Formoso Assunção, Christian Loret de Mola, Juliane de Souza Cardoso, Alicia Matijasevich, Aluísio J D Barros, Iná S Santos

Open access · bronzeAbstract read
In one paragraph

Article in International journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Trait Emotional Intelligence and Children's Eating Practices.Behavioral sciences (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Human Milk Feeding and Ultraprocessed Food Intake in Toddlerhood.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Caroline Dos Santos CostaDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Maria Cecília Formoso AssunçãoPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Christian Loret de MolaPost-Graduate Program in Public Health, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.
Juliane de Souza CardosoPost-Graduate Program in Biochemistry and Bioprospecting, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Alicia MatijasevichDepartment of Preventive Medicine, Faculty of Medicine FMUSP, University of São Paulo, São Paulo, Brazil.
Aluísio J D BarrosPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Iná S SantosPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Universidade Federal de Pelotas · BRUniversidade de São Paulo · BRUniversidade Federal do Rio Grande · BR

Funding

Wellcome TrustWellcome Trust 086974/Z/08/Z
6 · The paper itself

Abstract

backgroundUltra-processed food consumption and obesity have been highlighted as an important relationship to public health. We aimed to evaluate the association between ultra-processed food consumption and body fat from 6 to 11 years of age.

methodsWe assessed the association between ultra-processed food consumption (from food frequency questionnaires) and body fat (measured by air displacement plethysmography) between 6 and 11 years of age among participants of the Pelotas-Brazil 2004 Birth Cohort. The NOVA classification was used to classify foods according to the processing degree. Body fat was evaluated relative to the height using fat mass index (FMI). Generalized estimating equations were used to answer the main research question and mediation analyses were run to assess the direct and indirect effect of ultra-processed food in body fat.

resultsAt fully adjusted analysis, an increase of 100 g in contribution from ultra-processed food to daily food intake at between 6 and 11 years of age was associated with a gain of 0.14 kg/m² in FMI in the same period; 58% of the total effect of ultra-processed food intake at 6 years (in grams) over the change in FMI from 6 to 11 years was mediated by its calorie content.

conclusionsUltra-processed food consumption was associated with an increase in body fat from childhood to early adolescence, and this association was not just due to the effect of ultra-processed food on calorie content.

Indexed as

Energy IntakeFast FoodsAdolescentBrazilChildCohort StudiesDietHumansObesityadolescencebody fatchildhoodcohort studiesUltra-processed food

Identifiers

PMID32888008
PMCPMC7938497
OpenAlexW3083072607

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.