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Ultra-Processed Food Intakes and Health Outcomes in Adults Older Than 60 Years: A Systematic Review
Fay A Shahatah1, Tom R Hill1, Andrea Fairley1,2
1Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.
High ultraprocessed food (UPF) intake is linked to negative health outcomes in older adults, including frailty and cognitive decline. More research is needed to understand these diet-health relationships in aging populations.
Area of Science:
- Gerontology
- Nutritional Science
- Public Health
Background:
- Evidence linking ultraprocessed food (UPF) intake to health is established in adults but limited in older adults.
- Understanding diet's role in maintaining health during aging is crucial due to demographic shifts.
- This review addresses the knowledge gap regarding UPF consumption and health in individuals aged 60 years and above.
Purpose of the Study:
- To systematically review and identify health outcomes associated with ultraprocessed food consumption in adults aged 60 years and older.
- To synthesize current evidence on the impact of UPF on geriatric health.
- To inform potential policy and practice recommendations for healthy aging.
Main Methods:
- Systematic review of observational studies published up to June 2023.
- Searched Medline, Web of Science, Scopus, and Embase databases for studies on UPF and health outcomes in individuals aged ≥60 years.
- Included studies using the Nova food classification, with independent screening by two researchers.
Main Results:
- Prospective cohort studies (n=4) associated highest UPF intake with incident frailty, dyslipidemia, renal function decline, and abdominal obesity.
- Cross-sectional studies (n=2) linked high UPF intake to nutritional frailty and worse cognitive performance, mirroring findings in younger populations.
- A total of 6 studies with 652-2713 participants (mean age 67-73 years) were included.
Conclusions:
- Limited research currently hinders policy and practice recommendations regarding UPF for older adults.
- High ultraprocessed food intake is associated with adverse health outcomes in older adults.
- Further research is essential to elucidate the specific impacts of UPF on geriatric health.
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