ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2022
Relationship Between Ultraprocessed Food Intake and Cardiovascular Health Among U.S. Adolescents: Results From the National Health and Nutrition Examination Survey 2007-2018.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Causality or confounding? Applying E values to examine associations between ultra-processed food consumption and risk of weight gain.International journal of obesity (2005) · 2024Pooled it
- The Influence of Ultraprocessed Food Consumption on Energy Intake in Emerging Adulthood: A Controlled Feeding Trial.Obesity (Silver Spring, Md.) · 2026Trial
- Plant-Based Diets in Adolescence: Cardiometabolic Benefits, Developmental Risks, and the Role of Fortification.Nutrients · 2026Review
- Ultraprocessed Food and Corporate Influence: Evidence, Regulation, and Policy Pathways to Address Chronic Disease in the United States.American journal of public health · 2026Article
- Blood pressure is associated with ultra-processed food intake in a sex- and age-specific manner during the transition to adulthood in Cebu, Philippines.The British journal of nutrition · 2026Article
- Decreased ultra-processed food consumption as a mediator for lowering cardiovascular risk after a lifestyle program in pediatric obesity: a randomized clinical trial.Frontiers in nutrition · 2026Article
- The impact of ultra-processed foods on pediatric health.Obesity pillars · 2025Review
- Ultra-processed food intake and dietary behaviors in Korean adolescents: a cross-sectional study based on the 2019-2023 Korea National Health and Nutrition Examination Survey.Korean journal of community nutrition · 2025Article
- Associations between Food Insecurity and Supplemental Nutrition Assistance Program (SNAP) participation with ultra-processed food intake in lower-income U.S. adolescents.Journal of nutritional science · 2025Article
- Relationship Between Ultra-Processed and Minimally Processed Food Intake and Cardiovascular Health Among US Women of Reproductive Age.Journal of women's health (2002) · 2024Article
- Association Between Ultra-Processed Food Consumption and Cognitive Performance Among Adolescent Students From Underdeveloped Cities in Brazil: A Cross-Sectional Study.International journal of public health · 2024Article
- Determinants of Diet Quality in Adolescents: Results from the Prospective Population-Based EVA-Tyrol and EVA4YOU Cohorts.Nutrients · 2023Article
- Industrial Use of Phosphate Food Additives: A Mechanism Linking Ultra-Processed Food Intake to Cardiorenal Disease Risk?Nutrients · 2023Review
- Embedding the Community and Individuals in Disease Prevention.Frontiers in medicine · 2022Article
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5 authors.
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Abstract
purposeStudies of the association between ultraprocessed foods (UPF) and cardiovascular disease risk factors have been mainly focused on the adult population. This study examined the association between usual percentage of calories (%kcal) from UPF and the American Heart Association's seven cardiovascular health (CVH) metrics among U.S. adolescents aged 12-19 years.
methodsWe used data from the National Health and Nutrition Examination Survey 2007-2018 (n = 5,565). The NOVA food system was used to classify UPF according to the extent and purpose of food processing. Each CVH metric was given a score of 0, 1, or 2 (poor, intermediate, or ideal health, respectively). Scores of six metrics were summed (excluding diet) to categorize CVH as low (0-7), moderate (8-10), or high (11-12). The National Cancer Institute's methods were used to estimate usual %kcal from UPF. Multivariable linear regression and multinomial logistic regression were used to evaluate the association between UPF and CVH.
resultsAmong youth, 12.1% had low CVH, 56.3% moderate, and 31.6% high. The mean usual %kcal from UPF was 65.7%. Every 5% increase in calories from UPF was associated with .13 points lower CVH scores (p < .001). Comparing Q2, Q3, and Q4 to Q1 of UPF intake, the adjusted odds ratios for low versus high CVH were 1.43 (95% confidence interval 1.16-1.76), 1.86 (1.29-2.66), and 2.59 (1.49-4.55), respectively. The pattern of association was largely consistent across subgroups.
conclusionsU.S. adolescents consume about two thirds of daily calorie from UPF. There was a graded inverse association between %kcal from UPF and CVH score.
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