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Published on: February 19, 2021
Association of ultraprocessed foods consumption and cognitive function among children aged 4-7 years: a
Shun Liu1, Caimei Mo2, Lidi Lei2
1Department of Child and Adolescent Health and Maternal and Child Health, School of Public Health, Guangxi Medical University, Nanning, China.
Insights
Frequent consumption of candy and sweet bakery products is linked to lower cognitive scores in Chinese preschoolers. This highlights potential risks of ultraprocessed foods on early childhood development and intelligence.
Area of Science:
- Pediatric Nutrition
- Developmental Psychology
- Food Science and Technology
Background:
- Sugar-sweetened beverage (SSB) consumption is linked to cognitive function in preschoolers.
- Research on other ultraprocessed foods' impact on cognitive function in Chinese children is limited.
- Ultraprocessed foods (UPFs) are common in modern diets, necessitating investigation into their effects.
Purpose of the Study:
- To investigate the relationship between ultraprocessed food consumption and cognitive function in Chinese preschoolers.
- To assess the impact of specific UPFs (candy, sweet bakery products) on intelligence quotient (IQ) and cognitive domains.
- To determine the risk of cognitive deficit associated with frequent UPF intake.
Main Methods:
- A cohort of 325 children aged 4-7 years in Guangxi, China, was studied.
- Parental interviews using a Food Frequency Questionnaire (FFQ) assessed consumption of seven UPFs.
- Cognitive function was evaluated using the Wechsler Preschool and Primary Scale of Intelligence (WPPSI-IV).
Main Results:
- Frequent candy and sweet bakery product consumption correlated with lower Full-Scale Intelligence Quotient (FSIQ) scores.
- Candy consumption was significantly associated with an increased risk of cognitive deficit.
- Higher intake of multiple UPFs (more than two types) was linked to decreased Verbal Comprehension Index (VCI) scores.
Conclusions:
- Frequent consumption of individual UPFs like candy and sweet bakery products may negatively impact cognitive function.
- Consumption of multiple UPFs can lead to decreased VCI scores, affecting overall cognitive abilities in young children.
- Findings underscore the importance of monitoring and potentially limiting UPF intake in early childhood for optimal cognitive development.
Background:
Sugar-sweetened beverage (SSB) consumption has shown associations with cognitive function in preschool children, but effects of other ultraprocessed foods consumption are rarely discussed in China. This study aimed to investigate the relationship between ultraprocessed food consumption and cognitive function among preschool children in China.
Methods:
A total of 325 children aged 4-7 years were included from Guangxi Zhuang Birth Cohort in Guangxi Zhuang Autonomous Region, China. Face-to-face interviews with parents using the Food Frequency Questionnaire (FFQ) was conducted to investigate the status of seven ultraprocessed foods consumption (i.e., chocolate, biscuits, candy, fast-food, ice cream, SSBs, and sweet bakery products). The mandarin-language version of the Wechsler Preschool and Primary Scale of Intelligence (WPPSI, Fourth Edition) was applied to assess the cognitive function of children. Multiple linear and logistic regression models were used to assess the associations between ultraprocessed food consumption and the full-scale intelligence quotient (FSIQ) and different domains and risk of cognitive deficit, respectively.
Results:
We found that frequent consumption of candy (β = -3.34, 95% CI: -5.62∼-1.06; p = 0.004) and sweet bakery products (β = -2.77, 95% CI: -5.58∼0.04; p = 0.054) were significant associated with decreased FSIQ scores in the linear regression models. However, only frequent consumption of candy was statistically significantly associated with an increased risk of cognitive deficit (OR = 2.05, 95% CI: 1.11∼3.79; p = 0.023) in the logistic regression models. For the different domains, we found frequent consumption of candy (β = -3.85, 95% CI: -6.28∼-1.43; p = 0.002) and sweet bakery products (β = -3.48, 95% CI: -6.47∼-0.49; p = 0.023) was also significantly associated with lower Verbal Comprehension Index (VCI). When combining the seven ultraprocessed foods, we found children who frequently consumed more than two kinds of ultraprocessed foods had a significant decrease of VCI scores (β = -2.66; 95% CI: -5.12∼-0.19; p = 0.035) too.
Conclusion:
Our results suggested that frequent consumption of individual (candy and sweet bakery products) and multiple ultraprocessed foods may decrease VCI scores and thereby impact cognitive function in children aged 4-7 years.
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