Ultra-Processed Food Consumption Is Associated With Poor Diet Quality and Nutrient Intake Among Adolescents in Urban Slums, Kenya.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2025-03-05 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1607891

Milkah N Wanjohi, Gershim Asiki, Calistus Wilunda, Michelle Holdsworth, Rebecca Pradeilles, Linda Simon Paulo, Nelson Langat, Dickson A Amugsi, Simon Kimenju, Elizabeth W Kimani-Murage, Kerstin Klipstein-Grobusch

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引用次数: 0

Abstract

Objectives: To assess the caloric contribution of ultra-processed foods (UPFs), factors associated with UPFs energy intake and investigate the relationship between UPFs energy intake, diet quality and nutrient intake among adolescents in urban slums, Kenya.

Methods: A cross-sectional household study amongst adolescents (10-19 years, N = 621) collected socio-demographic and dietary intake data. Global Diet Quality Score (GDQS); mean and percentage total energy intake (%TEI) from UPFs; and nutrient intakes were computed. Regression analysis assessed the factors associated with UPFs energy intake, and the association between %TEI from UPFs and diet quality.

Results: Mean daily energy intake was 1,604 kcal (±550), 25.2% from UPFs. Higher leisure screen time (≥2 h/day) [OR = 1.9 (1.2-3.1)] was associated with UPFs energy intake. Household wealth index (quintile five vs. one) [OR = 2.6 (1.3-6.0)] was associated with non-UPFs energy intake. UPFs (%TEI) was inversely associated with GDQS score (quartile four vs. one) [β = -2.9 (-3.4 to -2.1)]. Adolescents with higher %TEI from UPFs (quartile four) had highest total energy, total fat and saturated fat; and lowest protein, fibre, iron, calcium and zinc intake.

Conclusion: UPFs contribute substantially to adolescents' energy intake and are linked to poor diet quality and nutrient intake.

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.