Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review

Background and AimsChanges in eating patterns have been leading to an increase in the consumption of ultra-processed foods (UPF), negatively impacting the quality of the diet and generating risk of harm to the health of the adult population, however, there is no systematized evidence of the impact o...

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Main Authors: Priscila Gomes de Oliveira, Juliana Morais de Sousa, Débora Gabriela Fernandes Assunção, Elias Kelvin Severiano de Araujo, Danielle Soares Bezerra, Juliana Fernandes dos Santos Dametto, Karla Danielly da Silva Ribeiro
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.821657/full
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author Priscila Gomes de Oliveira
Juliana Morais de Sousa
Débora Gabriela Fernandes Assunção
Elias Kelvin Severiano de Araujo
Danielle Soares Bezerra
Juliana Fernandes dos Santos Dametto
Karla Danielly da Silva Ribeiro
Karla Danielly da Silva Ribeiro
author_facet Priscila Gomes de Oliveira
Juliana Morais de Sousa
Débora Gabriela Fernandes Assunção
Elias Kelvin Severiano de Araujo
Danielle Soares Bezerra
Juliana Fernandes dos Santos Dametto
Karla Danielly da Silva Ribeiro
Karla Danielly da Silva Ribeiro
author_sort Priscila Gomes de Oliveira
collection DOAJ
description Background and AimsChanges in eating patterns have been leading to an increase in the consumption of ultra-processed foods (UPF), negatively impacting the quality of the diet and generating risk of harm to the health of the adult population, however, there is no systematized evidence of the impact of UPF in maternal-child health. Thus, in this study we aimed to evaluated the association between UPF consumption and health outcomes in the maternal-child population.MethodsSystematic review registered on the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42021236633), conducted according to the PRISMA diagram in the following databases: PubMed, Medline, Scopus, Web of Science, Scielo, and CAPES thesis and dissertation directory. We included original cross-sectional, case-control and cohort studies in any language. Eligibility criteria were (a) food consumption assessment by the NOVA classification, (b) health outcome (nutritional or diseases), and (c) maternal-child population (pregnant, lactating women and infants/children). All data were analyzed and extracted to a spreadsheet structured by two independent reviewers. We evaluated the methodological quality of the studies included using the Newcastle-Otawa Scale and RoB 2.ResultsSearches retrieved 7,801 studies and 15 contemplated the eligibility criteria. Most studies included were cohort studies (n = 8, 53%), had children as their population (n = 9, 60%) and only one study evaluated UPF consumption in infants and lactating women. Panoramically, we observed that a higher participation of UPF in children’s diet has been associated with different maternal-child outcomes, such as increase of weight gain, adiposity measures, overweight, early weaning, lower diet quality, metabolic alterations, diseases, and consumption of plastic originated from packaging. Only one of the studies included did not present high methodological quality.ConclusionDespite the limited literature on UPF consumption and health outcomes in the maternal-child population, the highest UPF consumption negatively impacted nutrition and disease development indicators in pregnant, lactating women and children. Considering the expressive participation of these foods in the diet, other studies should be conducted to further investigate the impact of UPF consumption on different health indicators, especially in the lactation phase for this was the one to present the most important knowledge gap.Systematic Review Registration[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021236633], identifier [CRD42021236633].
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spelling doaj.art-8c671213e9314392b63bce3d3067497b2022-12-22T03:27:39ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-05-01910.3389/fnut.2022.821657821657Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic ReviewPriscila Gomes de Oliveira0Juliana Morais de Sousa1Débora Gabriela Fernandes Assunção2Elias Kelvin Severiano de Araujo3Danielle Soares Bezerra4Juliana Fernandes dos Santos Dametto5Karla Danielly da Silva Ribeiro6Karla Danielly da Silva Ribeiro7Post Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Natal, BrazilPost Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Natal, BrazilPost Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Natal, BrazilNutrition Undergraduate Program, Federal University of Rio Grande do Norte, Natal, BrazilHealth Sciences College of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, BrazilDepartment of Nutrition, Federal University of Rio Grande do Norte, Natal, BrazilPost Graduate Program in Nutrition, Federal University of Rio Grande do Norte, Natal, BrazilDepartment of Nutrition, Federal University of Rio Grande do Norte, Natal, BrazilBackground and AimsChanges in eating patterns have been leading to an increase in the consumption of ultra-processed foods (UPF), negatively impacting the quality of the diet and generating risk of harm to the health of the adult population, however, there is no systematized evidence of the impact of UPF in maternal-child health. Thus, in this study we aimed to evaluated the association between UPF consumption and health outcomes in the maternal-child population.MethodsSystematic review registered on the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42021236633), conducted according to the PRISMA diagram in the following databases: PubMed, Medline, Scopus, Web of Science, Scielo, and CAPES thesis and dissertation directory. We included original cross-sectional, case-control and cohort studies in any language. Eligibility criteria were (a) food consumption assessment by the NOVA classification, (b) health outcome (nutritional or diseases), and (c) maternal-child population (pregnant, lactating women and infants/children). All data were analyzed and extracted to a spreadsheet structured by two independent reviewers. We evaluated the methodological quality of the studies included using the Newcastle-Otawa Scale and RoB 2.ResultsSearches retrieved 7,801 studies and 15 contemplated the eligibility criteria. Most studies included were cohort studies (n = 8, 53%), had children as their population (n = 9, 60%) and only one study evaluated UPF consumption in infants and lactating women. Panoramically, we observed that a higher participation of UPF in children’s diet has been associated with different maternal-child outcomes, such as increase of weight gain, adiposity measures, overweight, early weaning, lower diet quality, metabolic alterations, diseases, and consumption of plastic originated from packaging. Only one of the studies included did not present high methodological quality.ConclusionDespite the limited literature on UPF consumption and health outcomes in the maternal-child population, the highest UPF consumption negatively impacted nutrition and disease development indicators in pregnant, lactating women and children. Considering the expressive participation of these foods in the diet, other studies should be conducted to further investigate the impact of UPF consumption on different health indicators, especially in the lactation phase for this was the one to present the most important knowledge gap.Systematic Review Registration[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021236633], identifier [CRD42021236633].https://www.frontiersin.org/articles/10.3389/fnut.2022.821657/fulldiet qualitypregnancylactationinfantchildNOVA classification
spellingShingle Priscila Gomes de Oliveira
Juliana Morais de Sousa
Débora Gabriela Fernandes Assunção
Elias Kelvin Severiano de Araujo
Danielle Soares Bezerra
Juliana Fernandes dos Santos Dametto
Karla Danielly da Silva Ribeiro
Karla Danielly da Silva Ribeiro
Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review
Frontiers in Nutrition
diet quality
pregnancy
lactation
infant
child
NOVA classification
title Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review
title_full Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review
title_fullStr Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review
title_full_unstemmed Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review
title_short Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review
title_sort impacts of consumption of ultra processed foods on the maternal child health a systematic review
topic diet quality
pregnancy
lactation
infant
child
NOVA classification
url https://www.frontiersin.org/articles/10.3389/fnut.2022.821657/full
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