Public Health Nutrition最新文献

{"title":"Analysing celebrity and influencer marketing of food and beverages to adolescents on Instagram.","authors":"Rida Khan, Afifa Tanweer, L Suzanne Suggs","doi":"10.1017/S1368980025101006","DOIUrl":"10.1017/S1368980025101006","url":null,"abstract":"<p><strong>Objective: </strong>To assess the nutritional quality of foods and beverages (F&B) advertised to adolescents and analyse marketing techniques and persuasive appeals used by celebrities and influencers on Instagram.</p><p><strong>Design: </strong>A content analysis study was conducted using the WHO's CLICK Monitoring Framework and Nutrient Profile Model.</p><p><strong>Setting: </strong>Instagram, a popular social media platform among adolescents with frequent F&B advertisements by celebrities and influencers.</p><p><strong>Participants: </strong>The top forty-eight Instagram accounts of celebrities and influencers posting F&B advertisements were selected based on follower count and engagement metrics. Nutrient profiling of advertised F&B (<i>n</i> 344) and content analysis of posts featuring F&B (<i>n</i> 326) between January 2021 and May 2023 were performed. Data collected included characteristics of celebrities and influencers, marketing techniques, online engagement and persuasive appeals in the posts.</p><p><strong>Results: </strong>Carbonated beverages and flavored waters (28·5 %), energy drinks (20·6 %) and ready-made foods (15·4 %) were most frequently advertised, with the majority (89·2 %) of products not permitted for advertisement to adolescents, according to WHO. Common marketing techniques included tagging brand (96·9 %) and using brand logo (94·2 %). The most frequently used persuasive appeals were taste (20·9 %), energy (10·7 %), link to sports events (10·7 %), new product (9·5 %) and fun (7·4 %).</p><p><strong>Conclusion: </strong>Most F&B advertised on Instagram by celebrities and influencers are prohibited from being advertised to adolescents by the WHO. This highlights the need for stricter regulation of user-generated content and for users and parents to be better educated about persuasive techniques used on social media to make them less vulnerable to the influence of marketing.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e144"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Student and school characteristics modify the impact of SNAP-Ed on student dietary and physical activity outcomes.","authors":"Amanda Linares, Sridharshi C Hewawitharana, Kaela Plank, Carolyn D Rider, Gail Woodward-Lopez, Miranda Westfall Brown","doi":"10.1017/S136898002510092X","DOIUrl":"10.1017/S136898002510092X","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impacts of school-based CalFresh Healthy Living (CFHL-California's SNAP-Ed) interventions post-COVID-19-related school closures and whether student and school characteristics modified intervention impacts on student diet and physical activity (PA).</p><p><strong>Design: </strong>Quasi-experimental, two-group, pre-post, self-report.</p><p><strong>Setting: </strong>CFHL-eligible public schools (<i>n</i>_intervention = 51; <i>n</i>_comparison = 18).</p><p><strong>Participants: </strong>4th/5th grade students (<i>n</i>_intervention = 2115; <i>n</i>_comparison = 1102).</p><p><strong>Results: </strong>CFHL interventions were associated with an increase in consumption frequency of fruit (0·19 times/d (<i>P</i> = 0·015)) and vegetables (0·35 times/d (<i>P</i> = 0·006)). Differences in baseline diet and PA behaviours were observed by student race and gender and by whether the proportion of free and reduced-price meal (FRPM)-eligible students was above the state average. Notably, students in schools with FRPM above the state average reported more frequent consumption of sugar-sweetened beverages (Mean (se): 3·18 (0·10) <i>v</i>. 2·58 (0·11); <i>P</i> = 0·001) and fewer days/week with 60+ min of moderate-to-vigorous PA (MVPA) (Mean (se): 2·8 (0·10) <i>v</i>. 3·21 (0·12); <i>P</i> = 0·020) than those at schools with FRPM at/below the state average. Student gender, school urbanicity and school FRPM modified the relationship between the interventions and certain dietary and/or PA outcomes. Interventions were associated with greater increases in vegetable consumption in more urban schools (<i>β</i> (95 % CI) = 0·67 (0·15, 1·20)), and greater increases in fruit consumption (<i>β</i> (95 % CI) = 0·37 (0·07, 0·66)) and in MVPA in higher FRPM schools (<i>β</i> (95 % CI) = 0·86 (0·33, 1·39)).</p><p><strong>Conclusions: </strong>Findings reaffirmed effectiveness of school-based CFHL interventions. We identified existing student and school-level disparities and then observed that interventions were associated with greater increases in MVPA in the highest FRPM schools. Findings can inform an equity-centred approach to delivery of school-based interventions that facilitate equal opportunity for all children to achieve lifelong health.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e143"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fruit and vegetable intake in minority ethnic groups in the UK: analysis from 'Understanding Society' and UK Biobank.","authors":"Pooja Shah, Mayada Demashkieh, Basma Ellahi, Hibbah Osei-Kwasi, Sophia D Amenyah, Reena Vijayakumaran, Jane Murphy, Rebecca Hardy","doi":"10.1017/S136898002510102X","DOIUrl":"10.1017/S136898002510102X","url":null,"abstract":"<p><strong>Objective: </strong>To examine differences in fruit and vegetable intake and food insecurity between Black African and Caribbean and South Asian (Indian, Pakistani and Bangladeshi) ethnic minority groups with a White British/Irish reference population in the UK. This study was part of the TANGERINE project (nuTritional heAlth aNd aGeing in oldER ethnIc miNoritiEs).</p><p><strong>Design: </strong>Longitudinal analysis using multilevel logistic regression from Understanding Society and a cross-sectional comparison with UK Biobank.</p><p><strong>Setting: </strong>Understanding Society waves 2 (2010-2012), 5 (2013-2015), 7 (2015-2017), 9 (2017-2019) 11 (2019-2021) and 13 (2021-2023). UK Biobank baseline data (2006-2010).</p><p><strong>Participants: </strong>Understanding Society: adults aged 16 years and above (approximately 44 000 households). UK Biobank: participants aged 37-73 years (<i>n</i> = 502 412).</p><p><strong>Results: </strong>At wave 2, African, Caribbean, Pakistani and Bangladeshi participants in Understanding Society had lower odds of daily vegetable intake than White British/Irish participants, with Pakistanis showing the lowest intake. These disparities persisted after adjusting for socio-economic position (SEP) at individual and area levels, particularly for Caribbean and Pakistani groups. Indians consistently had higher odds of vegetable intake. Ethnic differences in fruit intake were smaller and largely attenuated by SEP adjustment. Food insecurity was more prevalent in all ethnic minority groups (except Indians) and associated with lower vegetable and fruit intake, though SEP explains more of the ethnic difference.</p><p><strong>Conclusions: </strong>Ethnic differences in fruit and vegetable intake are at least partially explained by SEP, with persistent vegetable consumption disparities after adjustment. Culturally tailored interventions addressing affordability, accessibility and SEP disparities are needed to improve dietary behaviours among minority ethnic groups.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e159"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case study evaluation of the Nutrition Society of Australia's mentoring program for Registered Nutritionists.","authors":"Melanie Vandegraaff, Aimee L Dordevic, Katherine M Livingstone, Hannah Papendorf, Tammie S T Choi","doi":"10.1017/S1368980025101043","DOIUrl":"10.1017/S1368980025101043","url":null,"abstract":"<p><strong>Objective: </strong>To explore the development of the Nutrition Society of Australia's (NSA) mentoring program for Registered Nutritionists and evaluate the experience of the nutrition professionals participating in the mentoring program.</p><p><strong>Design: </strong>Case study evaluation utilising a focus group, individual semi-structured interviews, open-ended survey responses and document analysis, via an interpretivist lens.</p><p><strong>Setting: </strong>Australia.</p><p><strong>Participants: </strong>Three members of the NSA's inaugural Mentoring Program Committee participated in a focus group. Eleven program mentees and ten mentors from three consecutive cohorts of the NSA mentoring program for Registered Nutritionists (paired in 2021-2022) agreed to participate.</p><p><strong>Results: </strong>Data were analysed from survey responses, document analysis, in addition to focus group and in-depth interviews with twelve program participants. Mentoring was seen as a pathway beyond tertiary training to negotiate challenges associated with career development; mentors were seen as facilitators of growth through 'real world' skill-set acquisition. Successful partnerships were facilitated by program flexibility and the perception of professional compatibility. Participation in the NSA's mentoring program was perceived to value-add to society membership, strengthening the society and professional practice, promoting networking within the nutrition community and public health field.</p><p><strong>Conclusions: </strong>Mentoring programs may provide access to diverse skillsets required in a non-vocational profession, promoting greater confidence and a stronger professional identity. These skills are essential for fostering a resilient nutrition workforce that can help combat the burden of non-communicable disease.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e157"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity among older adult Asian Americans: concerning trends.","authors":"Lilly Nhan, Lisa G Rosas, Lan Xiao, Wei-Ting Chen, May Wang","doi":"10.1017/S1368980025100979","DOIUrl":"10.1017/S1368980025100979","url":null,"abstract":"<p><strong>Objective: </strong>Little is known about food insecurity in Asian Americans (AA). We examined age/ethnic subgroup differences in food insecurity among AA in California.</p><p><strong>Design: </strong>We examined associations between food insecurity and socio-demographic characteristics among AA (Chinese, Filipino, Korean, and Vietnamese) using the <i>χ</i>² test. Rolling averages were calculated to examine food insecurity trends.</p><p><strong>Setting: </strong>California.</p><p><strong>Participants: </strong>We used data from the California Health Interview Survey (2011-2018) for AA categorised by age (18-39, 40-59 and 60+ years).</p><p><strong>Results: </strong>Food insecurity prevalence varied by subgroup, with the highest observed in older adult (aged 60+ years) Vietnamese (26 %). Between 2011-2014 and 2015-2018, food insecurity prevalence increased 20-45 % across older adults, but showed a decreasing trend among younger adults. Being foreign born and speaking a language other than English at home were associated with increased food insecurity.</p><p><strong>Conclusions: </strong>Community-engaged research to develop culturally appropriate strategies for mitigating food insecurity among older AA is warranted.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e160"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined participation in the Supplemental Nutrition Assistance Program (SNAP) and Head Start is associated with healthy household dietary environments for young children in low-income families.","authors":"Tirna Purkait, Dipti A Dev, Natalie Koziol, Lisa Franzen-Castle, Virginia C Stage, Alison Tovar","doi":"10.1017/S1368980025100864","DOIUrl":"https://doi.org/10.1017/S1368980025100864","url":null,"abstract":"<p><strong>Objective: </strong>To compare the association of participation in Supplemental Nutrition Assistance Program (SNAP) alone <i>v</i>. in combination with Head Start (HS), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) or both on household dietary environment (HDE) indicators: food security, nutrition security, healthfulness choice, dietary choice, perceived food store availability, utilisation barriers and healthy food access barriers in families with young children.</p><p><strong>Design: </strong>This study, part of SNAP-Ed Nebraska's Needs and Assets Assessment 'Healthy People, Healthy State', utilised a cross-sectional design. HDE indicator means were compared across the federal assistance program (FAP) participation groups using multivariate ANCOVA, controlling for significant demographics, with Benjamini-Hochberg-adjusted <i>P</i> values compared with <i>α</i> = 0·05.</p><p><strong>Setting: </strong>Nebraska's low-income households.</p><p><strong>Participants: </strong>Households (<i>n</i> 821) with at least one child aged 2-6 years participating in SNAP-only (<i>n</i> 257), SNAP + HS (<i>n</i> 349), SNAP + WIC (<i>n</i> 132) and SNAP + WIC + HS (<i>n</i> 83).</p><p><strong>Results: </strong>Compared with other groups, SNAP + HS reported comparatively higher levels of household food security, whereas SNAP + HS + WIC reported lower levels (<i>P</i> < 0·01). SNAP + HS also showed higher levels of nutrition security, dietary choices, perceived availability of healthy foods in stores, fewer healthy food access and utilisation barriers (<i>P</i> < 0·05).</p><p><strong>Conclusions: </strong>The findings support recent joint policy changes by Administration for Children and Families and Food and Nutrition Service, facilitating SNAP households' access to HS. HS performance standards for nutrition and family engagement can serve as a model for creating healthy HDE. Future research should employ quasi-experimental or longitudinal designs to establish causal relationships between FAP participation and HDE outcomes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e139"},"PeriodicalIF":3.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet quality of Marshallese mothers of young children in Northwest Arkansas: an exploratory study.","authors":"Eliza Short, Alice Ammerman, Rachel Novotny, Chloe Cline, Sarah K Council, Britni L Ayers","doi":"10.1017/S1368980025100918","DOIUrl":"10.1017/S1368980025100918","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the dietary patterns of Marshallese mothers of young children in Northwest Arkansas, informing the cultural adaptation of nutrition education curricula.</p><p><strong>Design: </strong>An exploratory cross-sectional study was conducted, in which Marshallese women with children under 12 months completed 3 telephone-administered 24-hour dietary recalls with a trained bilingual Marshallese interviewer. Diet quality was characterized using the Healthy Eating Index (HEI)-2020. A food-level analysis identified top food groupings contributing to total energy and HEI-2020 components.</p><p><strong>Setting: </strong>Northwest Arkansas.</p><p><strong>Participants: </strong>Marshallese mothers with children < 12 months.</p><p><strong>Results: </strong>29 women were recruited, 20 completed 2 or 3 dietary recalls. Median age was 25·5 years. Diet quality by HEI-2020 was 46·4 (max score 100). White rice was the top contributor to total energy; high seafood/plant protein and fatty acid diet quality component scores were influenced by high fish intakes.</p><p><strong>Conclusions: </strong>Diet quality was low. Key adaptations include reducing rice portion sizes, while emphasizing lean proteins and fruits/vegetables. Cultural adaptation of nutrition education is essential to improve diet quality among communities with varying dietary practices.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e146"},"PeriodicalIF":3.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between coffee consumption and life expectancy: a prospective cohort study from NHANES 2001-2018.","authors":"Guangcan Yan, Xiaoqi Dai, Yun Yan, Jie Yan, Wei Tian, Rui Jiang","doi":"10.1017/S1368980025100888","DOIUrl":"https://doi.org/10.1017/S1368980025100888","url":null,"abstract":"<p><strong>Objective: </strong>To assess the association between coffee consumption and life expectancy among the US adults.</p><p><strong>Design: </strong>Prospective cohort.</p><p><strong>Setting: </strong>National representative survey in the United States, 2001-2018.</p><p><strong>Participants: </strong>A total of 43 114 participants aged 20 years or older with complete coffee consumption data were included from National Health and Nutrition Examination Survey 2001-2018.</p><p><strong>Results: </strong>Over a median follow-up of 8·7 years, 6234 total deaths occurred, encompassing 1929 deaths from CVD and 1411 deaths from cancer. Based on the nationally representative survey, we found that coffee consumption is associated with longer life expectancy. The estimated life expectancy at age 50 was 30·06 years (95 % CI, 29·68, 30·44), 30·82 years (30·12, 31·57), 32·08 years (31·52, 32·70), 31·24 years (30·29, 32·19), and 31·45 years (30·39, 32·60) in participants consuming 0, ≤ 1, 1 to ≤ 2, 2 to ≤ 3, and > 3 cups of coffee per day, respectively. Consequently, compared with non-coffee drinkers, participants who consumed 1 to ≤ 2 cups/day had a gain of 2·02 years (1·17, 2·85) in life expectancy on average, attributable to a 0·61-year (29·72 %) reduction in CVD deaths. Similar benefits were found in both males and females.</p><p><strong>Conclusion: </strong>Our findings suggest that moderate coffee consumption (approximately 2 cups per day) could be recommended as a valuable component of a healthy diet and may be an adjustable effective intervention measure to increase life expectancy.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e141"},"PeriodicalIF":3.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overweight risk in early adolescence according to children's BMI growth channelling changes in international growth standard/references.","authors":"Mariane Helen de Oliveira, Joana Araújo, Milton Severo, Kévin Allan Sales Rodrigues, Camila Medeiros da Silva Mazzeti, Natalie Grafft, Wolney Lisboa Conde","doi":"10.1017/S136898002510089X","DOIUrl":"https://doi.org/10.1017/S136898002510089X","url":null,"abstract":"<p><strong>Objective: </strong>To compare the international BMI standard/references of the International Obesity Task Force (IOTF), MULT and the WHO and to analyse the association between changes in BMI growth channelling (BMI-GC) during childhood and the risk of being overweight in early adolescence.</p><p><strong>Design: </strong>Participant data from the Millennium Cohort Study (MCS), young lives (YL) and Generation XXI (G21) cohorts were obtained at three time points. Lin's concordance correlation coefficient (CCC) and the weighted Kappa coefficient were used to assess the agreement among the BMI standard/references. The relative risk (RR) of being overweight at 9·5-13·5 years, based on an increase in BMI-GC (amplitude ≥ 0·67) between 3·5-6 years and 6·5-9 years, was calculated, with estimates adjusted for sex, ethnicity and socio-economic status.</p><p><strong>Setting: </strong>Ethiopia, India, Portugal, Vietnam and United Kingdom.</p><p><strong>Participants: </strong>Totally, 12 624 participants from the MCS, YL and G21 studies.</p><p><strong>Results: </strong>The prevalence of overweight across the three ages groups was higher when using the WHO standard/reference (12·8-25·9 %) compared with the MULT (17·1-22·9 %) and IOTF (13·0-19·3 %) references. However, substantial agreement (0·95 < CCC ≤ 0·99) was found among these standard/references. Children who increased their BMI-GC by ≥ 0·67 and < 0·86 were more likely to be overweight at 9·5-13·5 years (MULT-RR = 2·49, 95 % CI: 2·00, 3·09/ WHO-RR = 2·47, 95 % CI: 1·96, 3·12/ IOTF-RR = 2·31, 95 % CI: 1·82, 2·93), compared with those who have stayed in their BMI-GC.</p><p><strong>Conclusions: </strong>A change in the BMI-GC among normal-weight children during childhood was associated with a significantly higher risk of being overweight at 9·5-13·5 years. These findings suggest that monitoring BMI-GC in children could be a tool to intervene and to prevent overweight in early adolescence.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e142"},"PeriodicalIF":3.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the patterns of ultra-processed food consumption and their characteristics in the UK adults using the UK National Diet and Nutritional Surveys 2008/09 to 2018/19.","authors":"Martino Bussa, Federico Ambrogi, Valeria Edefonti, Martin O'Flaherty, Yanaina Chavez-Ugalde, Zoè Colombet","doi":"10.1017/S1368980025100840","DOIUrl":"10.1017/S1368980025100840","url":null,"abstract":"<p><strong>Objective: </strong>To identify the dietary patterns of ultra-processed food (UPF) consumption in UK adults and to explore their nutritional characteristics and associated demographic and socio-economic factors.</p><p><strong>Design: </strong>UPF-based dietary patterns were identified using weighted principal component analysis and k-means cluster analysis on UPF intakes (identified using Nova classification) from the cross-sectional National Diet and Nutrition Survey data (2008-2019). Weighted multivariable logistic regression models were employed to identify the demographic and socio-economic factors associated with the patterns.</p><p><strong>Setting: </strong>United Kingdom.</p><p><strong>Participants: </strong>8347 adults (≥ 18 years).</p><p><strong>Results: </strong>UPF accounted for 54 % of total energy intake in the UK adult diet. Three distinct UPF-clusters were identified, labelled as 'Sweet Foods', 'Fast Foods' and 'Traditional Foods' based on their predominant food intakes. Older participants (> 68 years) were more likely to adhere to the 'Sweet Foods' pattern (OR: 2·39; 95 % CI: 1·99, 2·87) and less likely to be part of the 'Fast Foods' pattern (OR: 0·47; 95 % CI: 0·40, 0·55) compared with younger individuals (< 29). Participants in lower occupations were less likely to adhere to the 'Fast Foods' pattern than participants in the higher occupations (OR: 0·82; 95 % CI: 0·72, 0·94) while being more likely to adhere to the 'Traditional Foods' pattern (OR: 1·23; 95 % CI: 1·06, 1·43).</p><p><strong>Conclusions: </strong>The UK diet was dominated by UPF products. Our analysis identified three distinct UPF dietary patterns with varying nutritional quality, influenced by key demographic and social factors. These findings provide valuable insights into the determinants of UPF consumption and highlight which population groups are more likely to consume certain types of UPF.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e149"},"PeriodicalIF":3.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}