Contribution of ultra-processed foods in the diet of adults from the French NutriNet-Santé study

Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns. Cross-sectional analysis o...

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Bibliographic Details
Published inPublic health nutrition Vol. 21; no. 1; pp. 27 - 37
Main Authors Julia, Chantal, Martinez, Lucien, Allès, Benjamin, Touvier, Mathilde, Hercberg, Serge, Méjean, Caroline, Kesse-Guyot, Emmanuelle
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.01.2018
Cambridge University Press (CUP)
Subjects
added sugars
Adult
Adults
Aged
beta-carotene
Beverages
Body weight
calcium
Carotene
Cohort Studies
Cross-Sectional Studies
Cultural heritage
Data processing
Design factors
Diet
Dietary Fiber - administration & dosage
eating habits
educational status
Energy intake
Epidemics
Fast Foods - adverse effects
Female
Food
Food consumption
Food groups
Food Handling
Food processing
Food supply
France
France - epidemiology
Fruit
fruits
Health Behavior
Health care
Humans
Internet
Life Sciences
Logistic Models
Male
males
Metabolic syndrome
Middle Aged
Monitoring and Surveillance
Nutrition research
Obesity
Obesity - epidemiology
Obesity - etiology
Overweight
Overweight - epidemiology
Overweight - etiology
Processed foods
Quartiles
Regression analysis
Research Papers
Smoking
sociodemographic characteristics
Sociodemographics
Socioeconomic Factors
Soft drinks
Studies
Sugar
Surveys and Questionnaires
Sweet taste
Vegetables
France
Epidemiology
Dietary behaviour
Ultra-processed foods
epidemiology
Online AccessGet full text
ISSN1368-9800
1475-2727
1475-2727
DOI10.1017/S1368980017001367

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Abstract Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns. Cross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake. France. UPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp, Δ=-180·3 g/d) and higher amounts of sweet products (Δ=68·5 g/d) and soft drinks (Δ=98·6 g/d; all P<0·0001). They had higher intakes of energy (Δ=610 kJ/d (145·7 kcal/d)) and added sugar (Δ=17·1 g/d), and lower intakes of fibre (Δ=-4·04 g/d), β-carotene (Δ=-1019·6 μg/d) and Ca (Δ=-87·8 mg/d; all P<0·0001). UPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.
AbstractList ObjectiveConcerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns.DesignCross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake.SettingFrance.ResultsUPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp,[...]=-180·3 g/d) and higher amounts of sweet products ([...]=68·5 g/d) and soft drinks ([...]=98·6 g/d; all P<0·0001). They had higher intakes of energy ([...]=610 kJ/d (145·7 kcal/d)) and added sugar ([...]=17·1 g/d), and lower intakes of fibre ([...]=-4·04 g/d),[...]-carotene ([...]=-1019·6[...]g/d) and Ca ([...]=-87·8 mg/d; all P<0·0001).ConclusionsUPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.
Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns. Cross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake. France. UPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp, Δ=-180·3 g/d) and higher amounts of sweet products (Δ=68·5 g/d) and soft drinks (Δ=98·6 g/d; all P<0·0001). They had higher intakes of energy (Δ=610 kJ/d (145·7 kcal/d)) and added sugar (Δ=17·1 g/d), and lower intakes of fibre (Δ=-4·04 g/d), β-carotene (Δ=-1019·6 μg/d) and Ca (Δ=-87·8 mg/d; all P<0·0001). UPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.
Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns.DESIGN:Cross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake.SETTING:France.RESULTS:UPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp, Δ=-180·3 g/d) and higher amounts of sweet products (Δ=68·5 g/d) and soft drinks (Δ=98·6 g/d; all P<0·0001). They had higher intakes of energy (Δ=610 kJ/d (145·7 kcal/d)) and added sugar (Δ=17·1 g/d), and lower intakes of fibre (Δ=-4·04 g/d), β-carotene (Δ=-1019·6 μg/d) and Ca (Δ=-87·8 mg/d; all P<0·0001).CONCLUSIONS:UPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.
Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns.OBJECTIVEConcerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns.Cross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake.DESIGNCross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake.France.SETTINGFrance.UPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp, Δ=-180·3 g/d) and higher amounts of sweet products (Δ=68·5 g/d) and soft drinks (Δ=98·6 g/d; all P<0·0001). They had higher intakes of energy (Δ=610 kJ/d (145·7 kcal/d)) and added sugar (Δ=17·1 g/d), and lower intakes of fibre (Δ=-4·04 g/d), β-carotene (Δ=-1019·6 μg/d) and Ca (Δ=-87·8 mg/d; all P<0·0001).RESULTSUPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp, Δ=-180·3 g/d) and higher amounts of sweet products (Δ=68·5 g/d) and soft drinks (Δ=98·6 g/d; all P<0·0001). They had higher intakes of energy (Δ=610 kJ/d (145·7 kcal/d)) and added sugar (Δ=17·1 g/d), and lower intakes of fibre (Δ=-4·04 g/d), β-carotene (Δ=-1019·6 μg/d) and Ca (Δ=-87·8 mg/d; all P<0·0001).UPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.CONCLUSIONSUPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.
Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns. Cross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake. France. UPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp, Δ=−180·3 g/d) and higher amounts of sweet products (Δ=68·5 g/d) and soft drinks (Δ=98·6 g/d; all P<0·0001). They had higher intakes of energy (Δ=610 kJ/d (145·7 kcal/d)) and added sugar (Δ=17·1 g/d), and lower intakes of fibre (Δ=−4·04 g/d), β-carotene (Δ=−1019·6 μg/d) and Ca (Δ=−87·8 mg/d; all P<0·0001). UPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.
Author Allès, Benjamin
Touvier, Mathilde
Kesse-Guyot, Emmanuelle
Martinez, Lucien
Méjean, Caroline
Hercberg, Serge
Julia, Chantal
AuthorAffiliation 2 Département de Santé Publique , Hôpital Avicenne (AP-HP) , F-93017 Bobigny Cedex , France
1 Université Paris 13 , Equipe de Recherche en Epidémiologie Nutritionnelle (EREN) , Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS) , Inserm U1153 , Inra U1125 , Cnam , COMUE Sorbonne-Paris-Cité , 74 rue Marcel Cachin , F-93017 Bobigny Cedex , France
AuthorAffiliation_xml – name: 1 Université Paris 13 , Equipe de Recherche en Epidémiologie Nutritionnelle (EREN) , Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS) , Inserm U1153 , Inra U1125 , Cnam , COMUE Sorbonne-Paris-Cité , 74 rue Marcel Cachin , F-93017 Bobigny Cedex , France
– name: 2 Département de Santé Publique , Hôpital Avicenne (AP-HP) , F-93017 Bobigny Cedex , France
Author_xml – sequence: 1
  givenname: Chantal
  surname: Julia
  fullname: Julia, Chantal
  email: c.julia@eren.smbh.univ-paris13.fr
  organization: Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, 74 rue Marcel Cachin, F-93017 Bobigny Cedex, France
– sequence: 2
  givenname: Lucien
  surname: Martinez
  fullname: Martinez, Lucien
  organization: Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, 74 rue Marcel Cachin, F-93017 Bobigny Cedex, France
– sequence: 3
  givenname: Benjamin
  surname: Allès
  fullname: Allès, Benjamin
  organization: Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, 74 rue Marcel Cachin, F-93017 Bobigny Cedex, France
– sequence: 4
  givenname: Mathilde
  surname: Touvier
  fullname: Touvier, Mathilde
  organization: Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, 74 rue Marcel Cachin, F-93017 Bobigny Cedex, France
– sequence: 5
  givenname: Serge
  surname: Hercberg
  fullname: Hercberg, Serge
  organization: Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, 74 rue Marcel Cachin, F-93017 Bobigny Cedex, France
– sequence: 6
  givenname: Caroline
  surname: Méjean
  fullname: Méjean, Caroline
  organization: Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, 74 rue Marcel Cachin, F-93017 Bobigny Cedex, France
– sequence: 7
  givenname: Emmanuelle
  surname: Kesse-Guyot
  fullname: Kesse-Guyot, Emmanuelle
  organization: Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d’Epidemiologie et Biostatistiques Sorbonne Paris Cité (CRESS), Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne-Paris-Cité, 74 rue Marcel Cachin, F-93017 Bobigny Cedex, France
BackLink https://www.ncbi.nlm.nih.gov/pubmed/28703085$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords Epidemiology
Dietary behaviour
Ultra-processed foods
epidemiology
Language English
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Snippet Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of...
ObjectiveConcerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the...
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StartPage 27
SubjectTerms added sugars
Adult
Adults
Aged
beta-carotene
Beverages
Body weight
calcium
Carotene
Cohort Studies
Cross-Sectional Studies
Cultural heritage
Data processing
Design factors
Diet
Dietary Fiber - administration & dosage
eating habits
educational status
Energy intake
Epidemics
Fast Foods - adverse effects
Female
Food
Food consumption
Food groups
Food Handling
Food processing
Food supply
France
France - epidemiology
Fruit
fruits
Health Behavior
Health care
Humans
Internet
Life Sciences
Logistic Models
Male
males
Metabolic syndrome
Middle Aged
Monitoring and Surveillance
Nutrition research
Obesity
Obesity - epidemiology
Obesity - etiology
Overweight
Overweight - epidemiology
Overweight - etiology
Processed foods
Quartiles
Regression analysis
Research Papers
Smoking
sociodemographic characteristics
Sociodemographics
Socioeconomic Factors
Soft drinks
Studies
Sugar
Surveys and Questionnaires
Sweet taste
Vegetables
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Title Contribution of ultra-processed foods in the diet of adults from the French NutriNet-Santé study
URI https://www.cambridge.org/core/product/identifier/S1368980017001367/type/journal_article
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Volume 21
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