Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review

Background: The ultra-processed food (UPF) contributed 20-85% of total daily calories. The consumption of UPF can be triggered by food security status. Many studies revealed that UPF consumption has a direct negative impact on health, mainly in overweight and obesity.  Objectives: To review publis...

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Main Authors: Farah Faza, Unun Fitry Febria Bafani, Idri Iqra Fikha
Format: Article
Language:English
Published: Universitas Airlangga 2023-03-01
Series:Amerta Nutrition
Subjects:
Online Access:https://e-journal.unair.ac.id/AMNT/article/view/34252
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author Farah Faza
Unun Fitry Febria Bafani
Idri Iqra Fikha
author_facet Farah Faza
Unun Fitry Febria Bafani
Idri Iqra Fikha
author_sort Farah Faza
collection DOAJ
description Background: The ultra-processed food (UPF) contributed 20-85% of total daily calories. The consumption of UPF can be triggered by food security status. Many studies revealed that UPF consumption has a direct negative impact on health, mainly in overweight and obesity.  Objectives: To review published studies assessing food security, UPF consumption, and overweight or obesity and find the possible links between those three factors. Methods: A literature review of scientific articles about food security, UPF consumption, and overweight or obesity, selected systematically according to the PRISMA Diagram. All articles were gathered through medical search engines, including PubMed, ScienceDirect, and Scopus, from December 2021 to February 2022. The bias risk of each selected paper was assessed using the checklist from The Joanna Briggs Institute (JBI) Critical Appraisal. Peer review and group discussions were performed to assess the quality of all articles gathered as objectively as possible using the STROBE Checklist. A narrative synthesis approach was opted to unify all findings across included studies systematically.  Results: Nineteen (19) scientific published papers were filtered. The association between food security status and UPF consumption showed inconsistent findings. However, UPF consumption revealed a consistent association with overweight/obesity, where the higher the UPF intake, the greater odds of being overweight/obese. The relationship between food security status and overweight or obesity tended to have a similar pattern. In high-income countries, the association was negative (the more food insecure, the higher overweight or obesity), while in low- and middle-income countries showed the opposite. The pathway could be: (1) food-insecure adults have higher UPF intake, hence gaining body weight, or (2) food-secure adults have higher UPF intake, hence gaining body weight.  Conclusions: UPF consumption is indicated as a potential mediator for food security status and nutritional status (overweight/obesity) through two pathways involving socio-demographic factors, psychological factors, social protections, and food choice motives.
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spelling doaj.art-d2b2bfbc624e4f3d97517aebdce4e8d42023-03-03T05:41:26ZengUniversitas AirlanggaAmerta Nutrition2580-11632580-97762023-03-017116117410.20473/amnt.v7i1.2023.161-17428105Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature ReviewFarah Faza0https://orcid.org/0000-0001-7898-9910Unun Fitry Febria Bafani1Idri Iqra Fikha2Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Nutrition, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaNutrition Science Undergraduate Study Program, STIKes Pekanbaru Medical Center, Riau, IndonesiaBackground: The ultra-processed food (UPF) contributed 20-85% of total daily calories. The consumption of UPF can be triggered by food security status. Many studies revealed that UPF consumption has a direct negative impact on health, mainly in overweight and obesity.  Objectives: To review published studies assessing food security, UPF consumption, and overweight or obesity and find the possible links between those three factors. Methods: A literature review of scientific articles about food security, UPF consumption, and overweight or obesity, selected systematically according to the PRISMA Diagram. All articles were gathered through medical search engines, including PubMed, ScienceDirect, and Scopus, from December 2021 to February 2022. The bias risk of each selected paper was assessed using the checklist from The Joanna Briggs Institute (JBI) Critical Appraisal. Peer review and group discussions were performed to assess the quality of all articles gathered as objectively as possible using the STROBE Checklist. A narrative synthesis approach was opted to unify all findings across included studies systematically.  Results: Nineteen (19) scientific published papers were filtered. The association between food security status and UPF consumption showed inconsistent findings. However, UPF consumption revealed a consistent association with overweight/obesity, where the higher the UPF intake, the greater odds of being overweight/obese. The relationship between food security status and overweight or obesity tended to have a similar pattern. In high-income countries, the association was negative (the more food insecure, the higher overweight or obesity), while in low- and middle-income countries showed the opposite. The pathway could be: (1) food-insecure adults have higher UPF intake, hence gaining body weight, or (2) food-secure adults have higher UPF intake, hence gaining body weight.  Conclusions: UPF consumption is indicated as a potential mediator for food security status and nutritional status (overweight/obesity) through two pathways involving socio-demographic factors, psychological factors, social protections, and food choice motives.https://e-journal.unair.ac.id/AMNT/article/view/34252ultra-processed foodfood securityoverweightobesityadults
spellingShingle Farah Faza
Unun Fitry Febria Bafani
Idri Iqra Fikha
Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review
Amerta Nutrition
ultra-processed food
food security
overweight
obesity
adults
title Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review
title_full Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review
title_fullStr Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review
title_full_unstemmed Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review
title_short Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review
title_sort ultra processed food can be a mediator between food security status and overweight or obesity among adults a literature review
topic ultra-processed food
food security
overweight
obesity
adults
url https://e-journal.unair.ac.id/AMNT/article/view/34252
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AT idriiqrafikha ultraprocessedfoodcanbeamediatorbetweenfoodsecuritystatusandoverweightorobesityamongadultsaliteraturereview