Global trends in ultraprocessed food and drink product sales and their association with adult body mass index trajectories. (17th May 2019)

• Record Type: Journal Article
• Authors: Vandevijvere, Stefanie; Jaacks, Lindsay M.; Monteiro, Carlos A.; Moubarac, Jean‐Claude; Girling‐Butcher, Martin; Lee, Arier C.; Pan, An; Bentham, James; Swinburn, Boyd
• Other Names: Kraak Vivica guestEditor.; Vandevijvere Stefanie guestEditor.
• Is Part Of: Obesity reviews. Volume 20(2019)Supplement 2
• Page Start: 10
• Page End: 19
• Publication Date: 2019-05-17
• Subjects: body mass index -- nutrition transition -- obesity -- ultraprocessed foods; Obesity -- Periodicals; 616.398005
• DOI: 10.1111/obr.12860
• Languages: English
• ISSNs: 1467-7881

Abstract

Summary: This study evaluated global trends in ultraprocessed food and drink (UPFD) volume sales/capita and associations with adult body mass index (BMI) trajectories. Total food/drink volume sales/capita from Euromonitor for 80 countries (2002‐2016) were matched to mean adult BMI from the NCD Risk Factor Collaboration (2002‐2014). Products were classified as UPFD/non‐UPFD according to the NOVA classification system. Mixed models for repeated measures were used to analyse associations between UPFD volume sales/capita and adult BMI trajectories, controlling for confounding factors. The increase in UPF volume sales was highest for South and Southeast Asia (67.3%) and North Africa and the Middle East (57.6%), while for UPD, the increase was highest for South and Southeast Asia (120.0%) and Africa (70.7%). In 2016, baked goods were the biggest contributor to UPF volume sales (13.1%‐44.5%), while carbonated drinks were the biggest contributor to UPD volume sales (40.2%‐86.0%). For every standard deviation increase (51 kg/capita, 2002) in UPD volume sales, mean BMI increased by 0.195 kg/m 2 for men ( P < .001) and 0.072 kg/m 2 for women ( P = .003). For every standard deviation (40 kg/capita, 2002) increase in UPF volume sales, mean BMI increased by 0.316 kg/m 2 for men ( P < .001), while the association was not significant for women. Increases in UPFD volume sales/capita were positively associated with population‐level BMI trajectories.