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Ultra-processed food consumption and obesity indicators in individuals with and without type 1 diabetes mellitus

A longitudinal analysis of the prospective Coronary Artery Calcification in Type 1 Diabetes (Cacti) cohort study

Bibliographic Data

ID15095374
AuthorsTiantian Pang (0000-0002-0749-1450, University of South Florida, corresponding author), Heewon L Gray (0000-0002-5257-5012, University of South Florida), Amy C Alman (0000-0003-3609-2595, University of South Florida), Acadia W Buro (0000-0001-9639-4240, Moffitt Cancer Center), Arpita Basu (0000-0002-8359-9295, University of Nevada, Las Vegas), Shi Lu, Lu Shi (0000-0003-4811-1271, Oregon State University), Janet K Snell-Bergeon, Janet K Snell‐Bergeon (0000-0002-9337-3740, University of Colorado Denver)
Year2023
Volume26
Issue8
Pages1626-1633
Publication date2023-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980023000848
PMID37129091
OpenAlexW4367668561
LanguageEN
References cited41

Objective: To evaluate the associations of ultra-processed food (UPF) consumption and obesity indicators among individuals with and without type 1 diabetes mellitus (T1DM) from the Coronary Artery Calcification in Type 1 Diabetes cohort study. Design: A secondary analysis. The consumption of UPF was assessed using the dietary data collected with the Harvard FFQ, and each food item was categorised according to the NOVA food processing classification. Height, weight and waist circumference were measured at baseline and after a mean of 14·6-year follow-up. Generalised estimating equations stratified by diabetes status were used to assess the associations between UPF intake and obesity indicators over 14 years of follow-up. Setting: USA. Participants: A total of 600 adults (256 T1DM and 344 non-diabetic controls) aged 39 ± 9·1 years at baseline and followed up for over 14 years were included. Results: Participants with T1DM consumed significantly more UPF than non-diabetic controls at baseline: 7·6 ± 3·8 v . 6·6 ± 3·4 servings per day of UPF, respectively ( P β Q4 v . Q1 = 3·07) and BMI ( β Q4 v . Q1 = 1·02, all P Conclusions: Individuals with T1DM may consume more UPF than non-diabetic controls. Positive associations between UPF consumption and obesity indicators suggest that limiting UPF can be recommended for obesity prevention and management. Further research is needed to confirm these findings

Cohort · Cohort study · Diabetes mellitus · Obesity · Prospective cohort study · Type 1 diabetes · Type 2 diabetes · Waist · Consumer Attitudes and Food Labeling · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Endocrinology · Internal Medicine

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