An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project
This study aimed to identify dietary patterns (DPs) and their associations with sociodemographic factors and diet quality in Portuguese adults and the elderly. Cross-sectional data were obtained from the National Food, Nutrition and Physical Activity Survey (2015–2016), with two non-consecutive diet...
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2021
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oai:doaj.org-article:979e82893db64226a9baa43e29f26a6c2021-11-25T18:36:54ZAn Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project10.3390/nu131141192072-6643https://doaj.org/article/979e82893db64226a9baa43e29f26a6c2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4119https://doaj.org/toc/2072-6643This study aimed to identify dietary patterns (DPs) and their associations with sociodemographic factors and diet quality in Portuguese adults and the elderly. Cross-sectional data were obtained from the National Food, Nutrition and Physical Activity Survey (2015–2016), with two non-consecutive dietary 24 h recalls. Food items were classified according to the NOVA system and its proportion (in grams) in the total daily diet was considered to identify DPs by latent class analysis, using age and sex as concomitant variables. Multinomial logistic and linear regressions were performed to test associations of DPs with sociodemographic characteristics and diet quality, respectively. Three DPs were identified: “Traditional” (higher vegetables, fish, olive oil, breads, beer and wine intake), “Unhealthy” (higher pasta, sugar-sweetened beverages, confectionery and sausages intake) and “Diet concerns” (lower intake of cereals, red meat, sugar-sweetened and alcoholic beverages). “Unhealthy” was associated with being younger and lower intake of dietary fiber and vitamins and the highest free sugars and ultra-processed foods (UPF). “Diet concerns” was associated with being female and a more favorable nutrient profile, but both DPs presented a higher contribution of UPF than the “Traditional” DP. These findings should be considered for the design of food-based interventions and public policies for these age groups in Portugal.Milena Miranda de MoraesBruno OliveiraCláudia AfonsoCristina SantosDuarte TorresCarla LopesRenata Costa de MirandaFernanda RauberLuiza AntoniazziRenata Bertazzi LevySara RodriguesMDPI AGarticledietary patternslatent class analysisultra-processed foodsdiet qualityfeeding behaviorNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4119, p 4119 (2021) |
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| topic |
dietary patterns latent class analysis ultra-processed foods diet quality feeding behavior Nutrition. Foods and food supply TX341-641 |
| spellingShingle |
dietary patterns latent class analysis ultra-processed foods diet quality feeding behavior Nutrition. Foods and food supply TX341-641 Milena Miranda de Moraes Bruno Oliveira Cláudia Afonso Cristina Santos Duarte Torres Carla Lopes Renata Costa de Miranda Fernanda Rauber Luiza Antoniazzi Renata Bertazzi Levy Sara Rodrigues An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project |
| description |
This study aimed to identify dietary patterns (DPs) and their associations with sociodemographic factors and diet quality in Portuguese adults and the elderly. Cross-sectional data were obtained from the National Food, Nutrition and Physical Activity Survey (2015–2016), with two non-consecutive dietary 24 h recalls. Food items were classified according to the NOVA system and its proportion (in grams) in the total daily diet was considered to identify DPs by latent class analysis, using age and sex as concomitant variables. Multinomial logistic and linear regressions were performed to test associations of DPs with sociodemographic characteristics and diet quality, respectively. Three DPs were identified: “Traditional” (higher vegetables, fish, olive oil, breads, beer and wine intake), “Unhealthy” (higher pasta, sugar-sweetened beverages, confectionery and sausages intake) and “Diet concerns” (lower intake of cereals, red meat, sugar-sweetened and alcoholic beverages). “Unhealthy” was associated with being younger and lower intake of dietary fiber and vitamins and the highest free sugars and ultra-processed foods (UPF). “Diet concerns” was associated with being female and a more favorable nutrient profile, but both DPs presented a higher contribution of UPF than the “Traditional” DP. These findings should be considered for the design of food-based interventions and public policies for these age groups in Portugal. |
| format |
article |
| author |
Milena Miranda de Moraes Bruno Oliveira Cláudia Afonso Cristina Santos Duarte Torres Carla Lopes Renata Costa de Miranda Fernanda Rauber Luiza Antoniazzi Renata Bertazzi Levy Sara Rodrigues |
| author_facet |
Milena Miranda de Moraes Bruno Oliveira Cláudia Afonso Cristina Santos Duarte Torres Carla Lopes Renata Costa de Miranda Fernanda Rauber Luiza Antoniazzi Renata Bertazzi Levy Sara Rodrigues |
| author_sort |
Milena Miranda de Moraes |
| title |
An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project |
| title_short |
An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project |
| title_full |
An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project |
| title_fullStr |
An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project |
| title_full_unstemmed |
An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project |
| title_sort |
ultra-processed food dietary pattern is associated with lower diet quality in portuguese adults and the elderly: the upper project |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/979e82893db64226a9baa43e29f26a6c |
| work_keys_str_mv |
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