Ultra-Processed Food, Reward System and Childhood Obesity

Obesity and overweight are a major public health problem globally. Diet quality is critical for proper child development, and an unhealthy diet is a preventable risk factor for noncommunicable diseases (NCDs), such as obesity. Consumption of sugar-sweetened beverages and ultra-processed foods (UPFs)...

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Main Authors: Valeria Calcaterra, Hellas Cena, Virginia Rossi, Sara Santero, Alice Bianchi, Gianvincenzo Zuccotti
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/5/804
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author Valeria Calcaterra
Hellas Cena
Virginia Rossi
Sara Santero
Alice Bianchi
Gianvincenzo Zuccotti
author_facet Valeria Calcaterra
Hellas Cena
Virginia Rossi
Sara Santero
Alice Bianchi
Gianvincenzo Zuccotti
author_sort Valeria Calcaterra
collection DOAJ
description Obesity and overweight are a major public health problem globally. Diet quality is critical for proper child development, and an unhealthy diet is a preventable risk factor for noncommunicable diseases (NCDs), such as obesity. Consumption of sugar-sweetened beverages and ultra-processed foods (UPFs) in childhood may increase the BMI/BMI z-score, body fat percentage, or likelihood of overweight. A strict feeding regulation system allows for sufficient food to be consumed to meet ongoing metabolic demands while avoiding overconsumption. This narrative review explores the issues of obesity and the regulation of food intake related to reward systems and UPF consumption. Nutrient composition alone cannot explain the influence of UPFs on the risk of obesity. Furthermore, the non-nutritional properties of UPFs may explain the mechanisms underlying the relationship with obesity and NCDs. UPFs are designed to be highly palatable, appealing, and energy dense with a unique combination of the main taste enhancer ingredients to generate a strong rewarding stimulus and influence the circuits related to feeding facilitation. How individual UPF ingredients influence eating behavior and reward processes remains not fully elucidated. To increase the knowledge on the relationship between UPFs and pediatric obesity, it may be useful to limit the rapid growth in the prevalence of obesity and subsequent related complications, and to develop new strategies for appropriate food and nutrition policies.
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spelling doaj.art-c151cbd341cc478f8a2a543678444fdb2023-11-18T00:55:09ZengMDPI AGChildren2227-90672023-04-0110580410.3390/children10050804Ultra-Processed Food, Reward System and Childhood ObesityValeria Calcaterra0Hellas Cena1Virginia Rossi2Sara Santero3Alice Bianchi4Gianvincenzo Zuccotti5Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, ItalyLaboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, ItalyPediatric Department, Buzzi Children’s Hospital, 20154 Milano, ItalyLaboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, ItalyPediatric Department, Buzzi Children’s Hospital, 20154 Milano, ItalyPediatric Department, Buzzi Children’s Hospital, 20154 Milano, ItalyObesity and overweight are a major public health problem globally. Diet quality is critical for proper child development, and an unhealthy diet is a preventable risk factor for noncommunicable diseases (NCDs), such as obesity. Consumption of sugar-sweetened beverages and ultra-processed foods (UPFs) in childhood may increase the BMI/BMI z-score, body fat percentage, or likelihood of overweight. A strict feeding regulation system allows for sufficient food to be consumed to meet ongoing metabolic demands while avoiding overconsumption. This narrative review explores the issues of obesity and the regulation of food intake related to reward systems and UPF consumption. Nutrient composition alone cannot explain the influence of UPFs on the risk of obesity. Furthermore, the non-nutritional properties of UPFs may explain the mechanisms underlying the relationship with obesity and NCDs. UPFs are designed to be highly palatable, appealing, and energy dense with a unique combination of the main taste enhancer ingredients to generate a strong rewarding stimulus and influence the circuits related to feeding facilitation. How individual UPF ingredients influence eating behavior and reward processes remains not fully elucidated. To increase the knowledge on the relationship between UPFs and pediatric obesity, it may be useful to limit the rapid growth in the prevalence of obesity and subsequent related complications, and to develop new strategies for appropriate food and nutrition policies.https://www.mdpi.com/2227-9067/10/5/804obesityadolescentschildrenultra-processed foodnutrients intakeunhealthy dietary pattern
spellingShingle Valeria Calcaterra
Hellas Cena
Virginia Rossi
Sara Santero
Alice Bianchi
Gianvincenzo Zuccotti
Ultra-Processed Food, Reward System and Childhood Obesity
Children
obesity
adolescents
children
ultra-processed food
nutrients intake
unhealthy dietary pattern
title Ultra-Processed Food, Reward System and Childhood Obesity
title_full Ultra-Processed Food, Reward System and Childhood Obesity
title_fullStr Ultra-Processed Food, Reward System and Childhood Obesity
title_full_unstemmed Ultra-Processed Food, Reward System and Childhood Obesity
title_short Ultra-Processed Food, Reward System and Childhood Obesity
title_sort ultra processed food reward system and childhood obesity
topic obesity
adolescents
children
ultra-processed food
nutrients intake
unhealthy dietary pattern
url https://www.mdpi.com/2227-9067/10/5/804
work_keys_str_mv AT valeriacalcaterra ultraprocessedfoodrewardsystemandchildhoodobesity
AT hellascena ultraprocessedfoodrewardsystemandchildhoodobesity
AT virginiarossi ultraprocessedfoodrewardsystemandchildhoodobesity
AT sarasantero ultraprocessedfoodrewardsystemandchildhoodobesity
AT alicebianchi ultraprocessedfoodrewardsystemandchildhoodobesity
AT gianvincenzozuccotti ultraprocessedfoodrewardsystemandchildhoodobesity