Ultra-Processed Food Consumption Is Related to Higher Trans Fatty Acids, Sugar Intake, and Micronutrient-Impaired Status in Schoolchildren of Bahia, Brazil

Nutrients. 2023 Jan 12;15(2):381. doi: 10.3390/nu15020381.

Abstract

Ultra-processed food (UPF) consumption impacts nutrient intake and plays an important role in non-communicable diseases (NCD), even among schoolchildren. This cross-sectional study aimed to characterize the food consumption of this population and its relationship with laboratory and anthropometric aspects. A sample of 190 subjects aged 5 to 19 y was randomly selected for dietary, laboratory, and anthropometric assessment. Statistical inference was calculated using Spearman's correlation. Excess weight was observed in 34%, a high Waist-to-Height Ratio in 9%, and hypertriglyceridemia in 17% of the subjects, higher among those from urban schools (45%, p = 0.011; 15%, p = 0.015; 24%, p = 0.026, respectively). UPF consumption represented 21% of caloric intake and showed a positive correlation with trans fatty acids (r = 0.70) and sugar (r = 0.59) intake. Unprocessed food consumption showed a weak, but significant, correlation with Body Mass Index (r = 0.22) and Waist Circumference (r = 0.23), while processed meat showed a negative correlation with serum ferritin (r = -0.16) and vitamins D (r = -0.20) and B12 (r = -0.15). These findings highlight the need for public policies to promote Food and Nutritional Security for schoolchildren to prevent NCD and nutritional deficiencies.

Keywords: diet quality; food consumption; nutrition; nutritional status; school-age population; ultra-processed food.

MeSH terms

  • Brazil / epidemiology
  • Child
  • Cross-Sectional Studies
  • Diet
  • Energy Intake
  • Fast Foods / adverse effects
  • Food Handling
  • Food, Processed
  • Humans
  • Micronutrients
  • Noncommunicable Diseases* / epidemiology
  • Sugars
  • Trace Elements*
  • Trans Fatty Acids* / adverse effects

Substances

  • Trans Fatty Acids
  • Micronutrients
  • Trace Elements
  • Sugars