Impact of ultra-processed foods on dietary micronutrient content in patients with cardiovascular disease / Impacto de alimentos ultraprocessados sobre o teor de micronutrientes da dieta de pacientes com doença cardiovascular

Bruna Novato de Braga Mello Lima, Débora Pinto Gapanowicz, Michelle Ribeiro Santos, Annie Seixas Bello Moreira

Abstract


Background: Cardiovascular diseases (CVDs) are a global public health problem. Dietary patterns can modulate different aspects of the atherosclerotic process and cardiovascular risk factors. The analysis of ultra-processed foods (UPF) consumption has been an important indicator of diet quality.

Objective: The aim of this study was to evaluate food intake according to levels of processing and investigate the association between UPF consumption and dietary inadequacy in patients with coronary artery disease.

Methods: Cross-sectional study with 276 patients in tertiary prevention of CVDs. Clinical, anthropometric and laboratory evaluations were performed. Food intake was evaluated in relation to macronutrients and micronutrients, and the consumed food items classified according to NOVA. The Kruskal-Wallis tests were used and p<0.05 level of significance adopted. Analyses were performed using the SPSS statistical package.

Results: The mean age of participants was 64.8 (± 8.9), mostly males (61.2%). UPF intake represented only 16.6% of the daily caloric intake. Participants showed low consumption of all micronutrients evaluated, mainly Potassium with 100%, Vitamin E with 98.9% and Magnesium with 96% of inadequacy. Patients in the highest tertile of ultraprocessed consumption had higher carbohydrates (P = 0.040) and saturated fatty acids (P = 0.043) intake, and lower intake of Potassium (P = 0.017), Vitamin B2 (P = 0.036), Vitamin C (P = 0.027), Magnesium (P = 0.001), Zinc (P = 0.001) and Selenium (P = 0.001).

Conclusion: Coronary artery disease patients have low intake of UPF, however a high inadequacy in the dietary lipid profile and a low micronutrient intake.


Keywords


Cardiovascular Diseases, Dietary Assessment, Assessment Of Ultra-Processed Food Intake.

References


Naghavi M, Abajobir AA, Abbafati C, Abbas KM, Abd-Allah F, Abera SF, et al. Global, regional, and national age-sex specifc mortality for 264 causes of death, 1980-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1151–210.

Mach F, Baigent C, Catapano AL, Koskinas KC, Casula M, Badimon L, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J. 2019;

De Rezende LFM, Azeredo CM, Canella DS, Luiz ODC, Levy RB, Eluf-Neto J. Coronary heart disease mortality, cardiovascular disease mortality and all-cause mortality attributable to dietary intake over 20 years in Brazil. Int J Cardiol [Internet]. 2016;217(October 2017):64–8. Available from: http://dx.doi.org/10.1016/j.ijcard.2016.04.176

Louzada ML da C, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM, et al. Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saude Publica. 2015;49:1–11.

Moreira PVL, Baraldi LG, Moubarac JC, Monteiro CA, Newton A, Capewell S, et al. Comparing different policy scenarios to reduce the consumption of ultra-processed foods in UK: Impact on cardiovascular disease mortality using a modelling approach. PLoS One. 2015;10(2).

Steele EM, Baraldi LG, Da Costa Louzada ML, Moubarac JC, Mozaffarian D, Monteiro CA. Ultra-processed foods and added sugars in the US diet: Evidence from a nationally representative cross-sectional study. BMJ Open. 2016;6(3):1–8.

Monteiro C. The big issue is ultra-processing. World Nutr [Internet]. 2010;1(6):237–69. Available from: http://200.144.190.38/handle/2012.1/14074

Weber B, Bersch-Ferreira ÂC, Torreglosa CR, Ross-Fernandes MB, Da Silva JT, Galante AP, et al. The Brazilian Cardioprotective Nutritional Program to reduce events and risk factors in secondary prevention for cardiovascular disease: study protocol (The BALANCE Program Trial). Am Heart J. 2016;171(1):73-81.e2.

Edição VS. Tabela brasileira de composição de alimentos: TACO. Núcleo Estud E Pesqui Em Aliment Unicamp. 2006;30.

Philippi ST. Tabela de Composição de Alimentos: suporte para decisão nutricional. Ed Gráfica Coronário. 2002;(2):551.

Galante AP. Desenvolvimento e validação de um método computadorizado para avaliação do consumo alimentar , preenchido por indivíduos adultos utilizando a Web. Digit Libr Theses Diss USP. 2007;

USDA. USDA Table of Nutrient Retention Factors, Release 6. Natl Acad Press [Internet]. 2007;18. Available from: www.nal.usda.gov/fnic/foodcomp/Data/retn6/retn06.pdf

Manore MM, Meacham SL. New dietary reference intakes set for energy, carbohydrates, fiber, fat, fatty adds, cholesterol, proteins, and amino acids. Vol. 7, ACSM’s Health and Fitness Journal. 2003. 25–27 p.

Faludi A, Izar M, Saraiva J, Chacra A, Bianco H, Afiune Neto A, et al. Atualização Da Diretriz Brasileira De Dislipidemias E Prevenção Da Aterosclerose - 2017. Arq Bras Cardiol. 2017;109(1).

Novkovic M. Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. Dietary reference intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride. National Academies Press (US), [Internet]. Bosnia-Herzegovina. 1997. 661 p. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=psyc3&AN=2004-16447 019%5Cnhttp://vq2st5lq8v.search.serialssolutions.com?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:psyc3&rft.genre=article&rft_id=

Intakes DR, Committee FS, Evaluation S, Board N, Isbn M, Pdf T, et al. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. 1997.

Fisberg RM, Marchioni DML, Castro MA de, Verly Junior E, Araújo MC,

Bezerra IN, et al. Ingestão inadequada de nutrientes na população de idosos do Brasil: Inquérito Nacional de Alimentação 2008-2009. Rev Saude Publica. 2013;47(suppl 1):222s-230s.

Conflict I, After R, Committee CW, Resolution IC, Stern PC, Druckman D, et al. Dietary Reference Intakes for B1, B2, B3, B6, Folate, B12, Panthothenic Acid, Biotin and Choline. 2000.

Knight T, Savaşan S. 7a DIRETRIZ BRASILEIRA DE HIPERTENSÃO ARTERIAL. Soc Bras Cardiol •. 2016;40(4):306.

Institute of Medicine. Dietary reference intakes: water,potassium,sodium,chloride and sulfate. [Internet]. 2004. Available from: http://www.nal.usda.gov/fnic/DRI/DRI_Water/water_full_report.pdf

Carlos A. Monteiro, Geoffrey Cannon, Renata Levy, Jean-Claude Moubarac, Patrícia Jaime, Ana Paula Martins, Daniela Canella, Maria Louzada, Diana Parra. Com Camila Ricardo, Giovanna Calixto, Priscila Machado, Carla Martins, Eurídice Martinez, Larissa Baral IS. Classificação dos alimentos. Saúde Pública NOVA. A estrela brilha. 2016;7:28–40.

Cardoso L de O, Carvalho MS, Cruz OG, Melere C, Luft VC, Molina M del CB, et al. Eating patterns in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): an exploratory analysis. Cad Saude Publica. 2016;32(5):1–14.

2014 B. guia_alimentar2015.pdf.crdownload.

Précoma DB, Oliveira GMM de, Simão AF, Dutra OP, Coelho OR, Izar MC de O, et al. Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology - 2019. Arq Bras Cardiol. 2019 Nov;113(4):787–891.

Bortoli C, Bonatto S, Bruscato NM, Siviero J. Ingestão dietetica de gordura saturada e carboidrato. 2011;24(1):33–41. Available from: http://sociedades.cardiol.br/socerj/revista/2011_01/a_2011_v24_n01_04celiana.pdf

Araujo MC, Bezerra IN, Barbosa F dos S, Junger WL, Yokoo EM, Pereira RA, et al. Consumo de macronutrientes e ingestão inadequada de micronutrientes em adultos. Rev Saude Publica. 2013;47(suppl 1):177s-189s.




DOI: https://doi.org/10.34119/bjhrv4n3-169

Refbacks

  • There are currently no refbacks.