Evidence map›Paper›PMID 39363048›Full record

ArticleEuropean journal of nutrition2024

Ultra-processed food intake in toddlerhood and mid-childhood in the UK: cross sectional and longitudinal perspectives.

Rana E Conway, Gabriella N Heuchan, Lisa Heggie, Fernanda Rauber, Natalie Lowry, Hannah Hallen, Clare H Llewellyn

Abstract readTwin Study
In one paragraph

Article in European journal of nutrition, 2024. 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.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Observational
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  12. Review
  13. Packed Lunch Provision and Consumption in Early Years Settings in Sheffield: A Cross-Sectional Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Observational
  14. 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.

Rana E ConwayResearch Department of Behavioral Science and Health, University College London, London, UK. r.conway@ucl.ac.uk.ORCID http://orcid.org/0000-0003-0955-7107
Gabriella N HeuchanResearch Department of Behavioral Science and Health, University College London, London, UK.
Lisa HeggieResearch Department of Behavioral Science and Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-4846-2357
Fernanda RauberCentre for Epidemiological Research in Nutrition and Health, University of São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-9693-7954
Natalie LowryResearch Department of Behavioral Science and Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-9137-5005
Hannah HallenResearch Department of Behavioral Science and Health, University College London, London, UK.
Clare H LlewellynResearch Department of Behavioral Science and Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-0066-2827

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose(i) Characterize ultra-processed food (UPF) intakes in toddlerhood and mid-childhood, including identifying principal UPF sub-groups and associations with nutrient profile; (ii) explore stability and change in UPF intake between toddlerhood and mid-childhood.

methodsData were from children in the UK Gemini twin cohort at 21 months (n = 2,591) and 7 years (n = 592) of age. UPF intakes were estimated using diet diaries and Nova classification. Complex samples general linear or logistic regression models were used to explore associations between UPF intake, UPF sub-groups and nutrients, and changes in intake over time.

resultsThe contribution of UPF to total energy was 46.9% (± 14.7) at 21 months and 59.4% (± 12.5) at 7 years. Principal UPF sub-groups were yogurts, higher-fiber breakfast cereals, and wholegrain breads in toddlerhood, and puddings and sweet cereal products and white breads in mid-childhood. At both ages, mean free sugar and sodium intakes exceeded recommended maximums and higher UPF consumption was associated with consuming more of each nutrient (P < 0.001). UPF intake was negatively associated with fat, saturated fat and protein intake in toddlerhood, and fiber intake in mid-childhood (P < 0.001). Being in the highest UPF intake quintile in toddlerhood was predictive of being in the highest quintile in mid-childhood (OR 9.40, 95%CI 3.94-22.46).

conclusionsUPF accounted for nearly half of toddlers' energy, increasing to 59% in mid-childhood. Higher UPF consumers had higher intakes of free sugar and sodium. UPF intake in toddlerhood was predictive of mid-childhood intake. Effective policies are needed to reduce UPF intakes in the early years.

Indexed as

DietEnergy IntakeFast FoodsChildChild, PreschoolCohort StudiesCross-Sectional StudiesDietary FatsDietary FiberDiet RecordsFemaleFood HandlingFood, ProcessedHumansInfantLongitudinal StudiesDietary FatsDietary FiberChildrenDiet qualityToddlersUKUltra-processed foods

Identifiers

PMID39363048
PMCPMC11519182

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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.