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Published on: August 7, 2017
Ultra-Processed Foods and Markers of Systemic Inflammation in Children
Camila Awad1,2,3, Paola Rubilar3, Macarena Hirmas-Adauy3
1Universitat Pompeu Fabra Barcelona Spain.
Insights
Ultra-processed food (UPF) intake may be linked to inflammation in children. This study suggests a potential mechanism for adverse health effects associated with UPF consumption in young populations.
Area of Science:
- Pediatric Nutrition
- Inflammation and Immunology
- Public Health
Background:
- Ultra-processed foods (UPF) are increasingly consumed by children globally.
- Existing research links UPF to adverse health outcomes in adults, but mechanisms in children are less understood.
- Systemic inflammation is a potential pathway connecting UPF intake to poor health in pediatric populations.
Purpose of the Study:
- To investigate the association between UPF consumption and systemic inflammation markers in primary school children.
- To explore potential age-related differences in the UPF-inflammation relationship.
- To identify inflammation as a possible mechanism underlying UPF's impact on child health.
Main Methods:
- Cross-sectional study of 450 children aged 7-10 years in Arica, Chile.
- UPF intake quantified as %kcal using a 44-item food frequency questionnaire and the NOVA classification.
- Cytokine levels (IL-6, IL-8, IL-10, IL-12, IL1β, TNF-α) measured and analyzed using multiple linear regression, adjusted for covariates.
Main Results:
- Mean UPF intake was 29% of total energy.
- A suggestive trend between UPF intake tertiles and Interleukin-1 beta (IL-1β) levels was observed (trend p=0.01).
- An association between UPF intake and Interleukin-6 (IL-6) was found in older children (≥9 years, p-interaction=0.02).
Conclusions:
- UPF intake shows potential associations with specific cytokine levels in school-aged children.
- Inflammation may be a key mechanism linking UPF consumption to adverse health effects in children.
- Further research is warranted to elucidate the long-term health implications of UPF in pediatric populations.
Abstract:
Diets high in ultra-processed foods (UPF) have been associated with negative health outcomes in adults; however, UPF's impact on children's health and their underlying mechanisms remain underexplored, despite the rising prevalence of their intake in younger populations. We aimed to investigate the association between UPF intake and systemic inflammation in primary school children. This study included 450 children aged 7-10 years participating in a birth cohort in Arica, Chile (2023). Using the NOVA food classification system, we calculated the intake of UPF (expressed in %kcal) from a 44-item food frequency questionnaire (FFQ). The associations between UPF intake (exposure) and an array of cytokine levels (IL-6, IL-8, IL-10, IL-12, IL1β, TNF-α) were assessed using multiple linear regression models, adjusted for relevant covariates. The mean (SD) UPF intake was 29% (10.5%) of the total energy intake. Some of the associations appeared non-linear; therefore, participants were grouped into tertiles of UPF intake. In adjusted models, a suggestive trend across tertiles was observed for IL-1β (trend p-value 0.01). Stratified analyses by age suggested an association between UPF intake and IL-6 in older children (≥ 9 years) only (p-value for interaction = 0.02). We found potential associations between UPF intake and cytokine levels in school-aged children. These results may suggest inflammation as a mechanism underlying the adverse health consequences of UPF consumption in children.
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