Academic Journal
Ultra-processed food intake is associated with a displacement of the traditional diet of Costa Rican adolescents.
| Τίτλος: | Ultra-processed food intake is associated with a displacement of the traditional diet of Costa Rican adolescents. |
|---|---|
| Συγγραφείς: | Mendoza K; Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA., Monge-Rojas R; Nutrition and Health Unit, Costa Rican Institute for Research and Education on Nutrition and Health (INCIENSA), Ministry of Health, Tres Rios, Costa Rica., Vargas-Quesada R; Nutrition and Health Unit, Costa Rican Institute for Research and Education on Nutrition and Health (INCIENSA), Ministry of Health, Tres Rios, Costa Rica., Mattei J; Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA. Electronic address: jmattei@hsph.harvard.edu. |
| Πηγή: | Nutrition research (New York, N.Y.) [Nutr Res] 2025 Apr; Vol. 136, pp. 1-14. Date of Electronic Publication: 2025 Feb 19. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 8303331 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0739 (Electronic) Linking ISSN: 02715317 NLM ISO Abbreviation: Nutr Res Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2004- > : Tarrytown, NY : Elsevier Science Original Publication: New York : Pergamon Press, c1981- |
| Ιατρικοί όροι (MeSH): | Fast Foods* , Diet* , Feeding Behavior*, Humans ; Adolescent ; Female ; Costa Rica ; Male ; Cross-Sectional Studies ; Energy Intake ; Diet Records ; Snacks ; Rural Population ; Socioeconomic Factors ; Food, Processed |
| Περίληψη: | Ultra-processed food (UPF) intake is high among adolescent populations worldwide. This study aimed to characterize the UPF intake and assess its contribution to the traditional diet of Costa Rican adolescents. Using cross-sectional data from 3-day food records obtained from 818 adolescents (13-18 years) from San José, Costa Rica, we calculated the daily % of total energy intake (TEI) from Nova-defined UPF, the Traditional Costa Rica Adolescents Diet Score (TCRAD; higher score reflecting higher traditional adherence), other nutrients, and fiber. The multivariable-adjusted mean UPF intakes were compared across participants' characteristics, mealtime, and days of the week, and assessed for association with TCRAD (continuous score and by adherence categories) and dietary components. UPF intake represented 35.9% of the TEI and was higher on weekdays (vs. weekends), among female adolescents (vs males), urban areas (vs. rural), and higher socioeconomic status. UPF were consumed mostly as snacks (43.5%), in the morning: (58.5%) and afternoon (41.5%). Each 10-percentage-point increase in the total UPF energy contribution was associated with -0.44 (SE = 0.04; P < .0001) lower TCRAD score. UPF was inversely associated with fiber and beneficial micronutrients, and directly associated with added sugars and trans fats. The multivariable-adjusted UPF intake was lower at moderate (38.5%, P < .0001) and high (29.9%, P < .0001) adherence to the TCRAD, compared with low adherence (43.9%). Our results support widespread trends of UPF displacing healthy diets. Strategies to reduce UPF consumption, especially during school hours, and encourage healthy traditional diets, are needed for Costa Rican adolescents. (Copyright © 2025 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Author declarations None. |
| Contributed Indexing: | Keywords: Adolescents; Costa Rica; Nova; Traditional diet; Ultra-processed food |
| Entry Date(s): | Date Created: 20250318 Date Completed: 20250411 Latest Revision: 20260731 |
| Update Code: | 20260801 |
| DOI: | 10.1016/j.nutres.2025.02.002 |
| PMID: | 40101373 |
| Βάση Δεδομένων: | MEDLINE |
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