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Consumption of ultra-processed products and wheezing respiratory diseases in children: The SENDO project
Laura Moreno-Galarraga1, Iratxe Martín-Álvarez2, Alejandro Fernández-Montero3
1Servicio de Pediatría, Complejo Hospital de Navarra, Servicio Navarro de Salud, Pamplona, Navarra, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain.
Insights
High consumption of ultra-processed foods (UP) in children is linked to a higher prevalence of wheezing respiratory diseases like asthma and bronchitis. This study highlights the importance of diet in pediatric respiratory health.
Area of Science:
- Pediatric Nutrition
- Respiratory Health
- Public Health
Background:
- Ultra-processed foods (UP) consumption is linked to various adult diseases.
- The impact of UP on pediatric respiratory conditions remains less understood.
Purpose of the Study:
- To investigate the association between ultra-processed food consumption and wheezing respiratory diseases in children.
- Specifically examining asthma and bronchitis/recurrent wheezing prevalence.
Main Methods:
- Cross-sectional study within the Spanish SENDO project involving 513 children.
- Ultra-processed food intake quantified via semi-quantitative food frequency questionnaires.
- Statistical analysis using Odds Ratios and mixed regression models to assess associations.
Main Results:
- High UP consumption (39.9% of total calories) was associated with an 87% increase in wheezing disease prevalence (OR: 1.87).
- Higher UP intake significantly multiplied the prevalence of bronchitis/recurrent wheezing by 2.12 (95% CI: 1.10-4.05).
Conclusions:
- A direct relationship exists between ultra-processed food consumption and the prevalence of wheezing diseases in children.
- Findings suggest dietary patterns significantly influence pediatric respiratory health.
Introduction:
The consumption of ultra-processed products (UP) is associated with many diseases in the adult, such as arterial hypertension, diabetes, or asthma.
Objective:
To determine whether the consumption of UP in children is associated with wheezing respiratory diseases (asthma or bronchitis/recurrent wheezing).
Material And Methods:
A cross-sectional study was conducted within the Follow-up of the Child for Optimal Development (SENDO) project (an open, multidisciplinary and multiple outcome study of Spanish children). The consumption of UP was calculated using semi-quantitative questionnaires on the frequency of food consumption. The foods were grouped according to the NOVA classification, and the daily consumption was estimated along with the percentage of Kilocalories from the UP. The exposure was grouped into "high" and "low" from the median consumption. Odds Ratios and 95% confidence intervals were calculated for wheezing respiratory diseases associated with the high consumption UP, using low consumption as a reference. Crude and multi-adjusted estimators were calculated, and mixed regression models were used to take into account the correlation between siblings.
Results:
In the 513 children studied (51.8% males, mean age 5.2 years), the mean consumption of UP was 446.76 g/day, representing 39.9% of the total calories ingested. A high consumption of UP was associated with an increase of 87% in the prevalence of wheezing respiratory diseases (OR: 1.87, 95% CI: 1.01-3.45). It was found that a higher consumption of UP multiplied by 2.12 (95% CI: 1.10-4.05) the prevalence of bronchitis/recurrent wheezing.
Conclusions:
The results of this study show a direct relationship between UP consumption and the prevalence of wheezing diseases in children.
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