Data

Year of publication

2019

Type

Quantitative

Design

Longitudinal

Classification

NOVA

Country studied

United Kingdom, Portugal, Ireland, Germany and France

Data

Secondary

Data Collected

One food frequency questionnaire, One 24-hours

Study setting

Household, laboratory, clinic

Age group of participant

Adults/20+

Participant sex

Mixed

Target population

General

Sample size

n=11 898 (participamts)

Ultra-processed food intake and mortality in the USA: results from the Third National Health and Nutrition Examination Survey (NHANES III, 1988–1994)

Goal

Evaluate the association between ultra-processed food intake and all-cause mortality and CVD mortality in a nationally representative sample of US adults.

Results

Over a median follow-up of 19 years, individuals in the highest quartile of frequency of ultra-processed food intake (e.g. sugar-sweetened or artificially sweetened beverages, sweetened milk, sausage or other reconstructed meats, sweetened cereals, confectionery, desserts) had a 31% higher risk of all-cause mortality, after adjusting for demographic and socio-economic confounders and health behaviours (adjusted hazard ratio=1·31; 95% CI 1·09, 1·58; P-trend = 0·001). No association with CVD mortality was observed (P-trend = 0·86). Conclusions: Higher frequency of ultra-processed food intake was associated with higher risk of all-cause mortality in a representative sample of US adults. More Longitudinalstudies with dietary data reflecting the modern food supply are needed to confirm our results.

Authors

Kim H, Hu EA, Rebholz CM

Journal

Public Health Nutrition

DOI