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Household availability of ultra-processed foods and obesity in nineteen European countries.
Public Health Nutr. 2018 Jan; 21(1):18-26.PH

Abstract

OBJECTIVE

To assess household availability of NOVA food groups in nineteen European countries and to analyse the association between availability of ultra-processed foods and prevalence of obesity.

DESIGN

Ecological, cross-sectional study.

SETTING

Europe.

SUBJECTS

Estimates of ultra-processed foods calculated from national household budget surveys conducted between 1991 and 2008. Estimates of obesity prevalence obtained from national surveys undertaken near the budget survey time.

RESULTS

Across the nineteen countries, median average household availability amounted to 33·9 % of total purchased dietary energy for unprocessed or minimally processed foods, 20·3 % for processed culinary ingredients, 19·6 % for processed foods and 26·4 % for ultra-processed foods. The average household availability of ultra-processed foods ranged from 10·2 % in Portugal and 13·4 % in Italy to 46·2 % in Germany and 50·4 % in the UK. A significant positive association was found between national household availability of ultra-processed foods and national prevalence of obesity among adults. After adjustment for national income, prevalence of physical inactivity, prevalence of smoking, measured or self-reported prevalence of obesity, and time lag between estimates on household food availability and obesity, each percentage point increase in the household availability of ultra-processed foods resulted in an increase of 0·25 percentage points in obesity prevalence.

CONCLUSIONS

The study contributes to a growing literature showing that the consumption of ultra-processed foods is associated with an increased risk of diet-related non-communicable diseases. Its findings reinforce the need for public policies and actions that promote consumption of unprocessed or minimally processed foods and make ultra-processed foods less available and affordable.

Authors+Show Affiliations

1Department of Nutrition,School of Public Health,University of São Paulo,Av. Dr Arnaldo 715,São Paulo,SP 01246-904,Brazil.2Center for Epidemiological Research in Nutrition and Health,University of São Paulo,São Paulo,Brazil.2Center for Epidemiological Research in Nutrition and Health,University of São Paulo,São Paulo,Brazil.2Center for Epidemiological Research in Nutrition and Health,University of São Paulo,São Paulo,Brazil.2Center for Epidemiological Research in Nutrition and Health,University of São Paulo,São Paulo,Brazil.2Center for Epidemiological Research in Nutrition and Health,University of São Paulo,São Paulo,Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28714422

Citation

Monteiro, Carlos Augusto, et al. "Household Availability of Ultra-processed Foods and Obesity in Nineteen European Countries." Public Health Nutrition, vol. 21, no. 1, 2018, pp. 18-26.
Monteiro CA, Moubarac JC, Levy RB, et al. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutr. 2018;21(1):18-26.
Monteiro, C. A., Moubarac, J. C., Levy, R. B., Canella, D. S., Louzada, M. L. D. C., & Cannon, G. (2018). Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutrition, 21(1), 18-26. https://doi.org/10.1017/S1368980017001379
Monteiro CA, et al. Household Availability of Ultra-processed Foods and Obesity in Nineteen European Countries. Public Health Nutr. 2018;21(1):18-26. PubMed PMID: 28714422.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Household availability of ultra-processed foods and obesity in nineteen European countries. AU - Monteiro,Carlos Augusto, AU - Moubarac,Jean-Claude, AU - Levy,Renata Bertazzi, AU - Canella,Daniela Silva, AU - Louzada,Maria Laura da Costa, AU - Cannon,Geoffrey, Y1 - 2017/07/17/ PY - 2017/7/18/pubmed PY - 2018/8/24/medline PY - 2017/7/18/entrez KW - DAFNE KW - European countries KW - Household budget surveys KW - Obesity KW - Ultra-processed foods SP - 18 EP - 26 JF - Public health nutrition JO - Public Health Nutr VL - 21 IS - 1 N2 - OBJECTIVE: To assess household availability of NOVA food groups in nineteen European countries and to analyse the association between availability of ultra-processed foods and prevalence of obesity. DESIGN: Ecological, cross-sectional study. SETTING: Europe. SUBJECTS: Estimates of ultra-processed foods calculated from national household budget surveys conducted between 1991 and 2008. Estimates of obesity prevalence obtained from national surveys undertaken near the budget survey time. RESULTS: Across the nineteen countries, median average household availability amounted to 33·9 % of total purchased dietary energy for unprocessed or minimally processed foods, 20·3 % for processed culinary ingredients, 19·6 % for processed foods and 26·4 % for ultra-processed foods. The average household availability of ultra-processed foods ranged from 10·2 % in Portugal and 13·4 % in Italy to 46·2 % in Germany and 50·4 % in the UK. A significant positive association was found between national household availability of ultra-processed foods and national prevalence of obesity among adults. After adjustment for national income, prevalence of physical inactivity, prevalence of smoking, measured or self-reported prevalence of obesity, and time lag between estimates on household food availability and obesity, each percentage point increase in the household availability of ultra-processed foods resulted in an increase of 0·25 percentage points in obesity prevalence. CONCLUSIONS: The study contributes to a growing literature showing that the consumption of ultra-processed foods is associated with an increased risk of diet-related non-communicable diseases. Its findings reinforce the need for public policies and actions that promote consumption of unprocessed or minimally processed foods and make ultra-processed foods less available and affordable. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/28714422/Household_availability_of_ultra_processed_foods_and_obesity_in_nineteen_European_countries_ L2 - https://www.cambridge.org/core/product/identifier/S1368980017001379/type/journal_article DB - PRIME DP - Unbound Medicine ER -