ArticleEuropean journal of pediatrics2023
High consumption of ultra-processed foods is associated with increased risk of micronutrient inadequacy in children: The SENDO project.
Article in European journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Ultra-Processed Foods and Mental Health in Children and Adolescents: Evidence from a Systematic Review.Nutrients · 2026Pooled it
- Early Childhood Obesity: Multifactorial Influences with a Prominent Familial ContributionJournal of clinical research in pediatric endocrinology · 2026Article
- Association Between Food Environment Characteristics and Overweight and Anemia in Socially Vulnerable Children Living in Favelas.International journal of environmental research and public health · 2026Article
- Healthy Diet Metrics for Children and Adolescents and Their Suitability for Global Monitoring: A Critical Review.Advances in nutrition (Bethesda, Md.) · 2026Review
- Longitudinal changes in processed food intake and their daily caloric contribution among Ghanaian populations living in Ghana and Europe: findings from the prospective Research on Obesity and Diabetes among African Migrants (RODAM) cohort study.BMC global and public health · 2026Article
- Ultra-processed foods and accelerated aging in adults: an emerging public health challenge for nutrition and functional health.Frontiers in nutrition · 2026Review
- Review
- Food-Based Dietary Guidelines in Countries of the Eastern Mediterranean Region: A Comparison and an Update.International journal of environmental research and public health · 2025Review
- Determinants of food retail outlet choice in an urban food environment: a qualitative study in Indonesia.BMC public health · 2025Article
- Article
- Nutrients of concern for older infants and young children in packaged food products available in Nepali retail stores.The Lancet regional health. Southeast Asia · 2025Article
- Thyroid Health and Selenium: The Critical Role of Adequate Intake from Fetal Development to Adolescence.Nutrients · 2025Review
- Association between ultra-processed foods and female infertility: a large cross-sectional study.BMC public health · 2025Article
- Article
- How to evaluate ultra-processed food intake in pediatrics? UPF score: an easy alternative.BMC nutrition · 2025Article
- Impact of inflammation on anemia in children: a cross-sectional study.BMC pediatrics · 2025Article
- Estimation of the nature and magnitude of mental distress in the population associated with ultra-processed food consumption.Frontiers in nutrition · 2025Article
- Association Between Ultraprocessed Food Consumption and Metabolic Disorders in Children and Adolescents with Obesity.Nutrients · 2024Article
- Preschool Children's Dietary Patterns Are Associated with Food Shopping Establishments: The SENDO Project.Foods (Basel, Switzerland) · 2024Article
- Ultraprocessing and presence of additives in commercially produced complementary foods in seven Southeast Asian countries: a cross-sectional study.The American journal of clinical nutrition · 2024Article
Corrections and comments
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Authors and funding
6 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Due to its rising prevalence, which parallels that of ultraprocessed food (UPF) consumption, inadequate micronutrient intake in childhood is a public health concern. This study aimed to evaluate the association between UPF consumption and inadequate intake of 20 micronutrients in a sample of children from the Mediterranean area. Cross-sectional information from participants in the "Seguimiento del Niño para un Desarrollo Óptimo" (SENDO) project 2015-2021 was used. Dietary information was gathered with a previously validated 147-item semi-quantitative food frequency questionnaire and the NOVA system was used to classify food items. Children were classified by tertiles of energy intake from UPF. Twenty micronutrients were evaluated, and inadequate intake was defined using the estimated average requirement as a cutoff. Crude and multivariable adjusted OR (95% CI) for the inadequacy of ≥ 3 micronutrients associated with UPF consumption were calculated fitting hierarchical models to take into account intra-cluster correlation between siblings. Analyses were adjusted for individual and family confounders. This study included 806 participants (51% boys) with a mean age of 5 years old (SD: 0.90) and an average energy intake from UPF of 37.64% (SD: 9.59). An inverse association between UPF consumption and the intake of 15 out of the 20 micronutrients evaluated was found (p < 0.01). After the adjustment for individual and family confounders, compared with children in the first tertile of UPF consumption, those in the third tertile showed higher odds of inadequate intake of ≥ 3 micronutrients (OR 2.57; 95%CI [1.51-4.40]). Conclusion: High UPF consumption is associated with increased odds of inadequate intake of micronutrients in childhood. What is Known: • Micronutrient deficiency is among the 20 most important risk factors for disease and affect around two billion people worldwide. • UPF are rich in total fat, carbohydrates and added sugar, but poor in vitamins and minerals. What is New: • Compared with children in the 1
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