Description and evaluation of an ultra-processed food consumption score for children

ABSTRACT OBJECTIVE To present a screener for consumption of ultra-processed foods for children in early childhood, evaluating the ability of the score generated by this screener to reflect the participation of ultra-processed foods in children’s diets. METHODS This study was conducted with a con...

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Main Authors: Anna Müller, Caroline dos Santos Costa, Romina Buffarini, Juliana dos Santos Vaz, Marlos Rodrigues Domingues, Pedro Curi Hallal, Janaina Vieira dos Santos Motta
Format: Article
Language:English
Published: Universidade de São Paulo 2025-03-01
Series:Revista de Saúde Pública
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102025000100203&lng=en&tlng=en
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author Anna Müller
Caroline dos Santos Costa
Romina Buffarini
Juliana dos Santos Vaz
Marlos Rodrigues Domingues
Pedro Curi Hallal
Janaina Vieira dos Santos Motta
author_facet Anna Müller
Caroline dos Santos Costa
Romina Buffarini
Juliana dos Santos Vaz
Marlos Rodrigues Domingues
Pedro Curi Hallal
Janaina Vieira dos Santos Motta
author_sort Anna Müller
collection DOAJ
description ABSTRACT OBJECTIVE To present a screener for consumption of ultra-processed foods for children in early childhood, evaluating the ability of the score generated by this screener to reflect the participation of ultra-processed foods in children’s diets. METHODS This study was conducted with a convenience subsample of the 2015 Pelotas Birth Cohort (n = 365). The mothers of the participating children answered a food consumption questionnaire the day before the interview (screener) containing 16 subgroups of ultra-processed foods, followed by a traditional 24-hour food recall (24hR). Each participant’s ultra-processed food consumption score corresponded to the number of food subgroups consumed and the percentage of energy derived from the participation of ultra-processed foods in the diet on the same day was calculated from the answers in the 24hR. The association between the score and the percentage of energy from ultra-processed foods was tested using linear regression models. The degree of agreement between the classification of participants according to approximate fifths of the percentage of calories from ultra-processed foods and according to the score intervals was assessed using the Pabak index. RESULTS The average percentage share of ultra-processed foods in the total caloric value of the diet, calculated using the 24hR, was directly and significantly associated with an increase in the ultra-processed food consumption score. There was substantial agreement between the ranges of the ultra-processed food consumption score obtained by the screener and the approximate fifths of the share of ultra-processed foods in the diet calculated by the 24hR (Pabak index = 0.65). CONCLUSIONS The ultra-processed food consumption score, obtained from an ultra-processed food consumption screener, a practical and agile instrument, is capable of reflecting the participation of ultra-processed foods in children’s diets, with regard to the 2015 Pelotas Birth Cohort.
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spelling doaj-art-c0c846fcda3e48aa89bf70fc9654253a2025-08-20T02:08:40ZengUniversidade de São PauloRevista de Saúde Pública1518-87872025-03-015910.11606/s1518-8787.2025059005816Description and evaluation of an ultra-processed food consumption score for childrenAnna Müllerhttps://orcid.org/0000-0003-0815-6168Caroline dos Santos Costahttps://orcid.org/0000-0002-3522-1546Romina Buffarinihttps://orcid.org/0000-0002-6905-8767Juliana dos Santos Vazhttps://orcid.org/0000-0002-2880-767XMarlos Rodrigues Domingueshttps://orcid.org/0000-0002-2503-2944Pedro Curi Hallalhttps://orcid.org/0000-0003-1470-6461Janaina Vieira dos Santos Mottahttps://orcid.org/0000-0002-3755-845XABSTRACT OBJECTIVE To present a screener for consumption of ultra-processed foods for children in early childhood, evaluating the ability of the score generated by this screener to reflect the participation of ultra-processed foods in children’s diets. METHODS This study was conducted with a convenience subsample of the 2015 Pelotas Birth Cohort (n = 365). The mothers of the participating children answered a food consumption questionnaire the day before the interview (screener) containing 16 subgroups of ultra-processed foods, followed by a traditional 24-hour food recall (24hR). Each participant’s ultra-processed food consumption score corresponded to the number of food subgroups consumed and the percentage of energy derived from the participation of ultra-processed foods in the diet on the same day was calculated from the answers in the 24hR. The association between the score and the percentage of energy from ultra-processed foods was tested using linear regression models. The degree of agreement between the classification of participants according to approximate fifths of the percentage of calories from ultra-processed foods and according to the score intervals was assessed using the Pabak index. RESULTS The average percentage share of ultra-processed foods in the total caloric value of the diet, calculated using the 24hR, was directly and significantly associated with an increase in the ultra-processed food consumption score. There was substantial agreement between the ranges of the ultra-processed food consumption score obtained by the screener and the approximate fifths of the share of ultra-processed foods in the diet calculated by the 24hR (Pabak index = 0.65). CONCLUSIONS The ultra-processed food consumption score, obtained from an ultra-processed food consumption screener, a practical and agile instrument, is capable of reflecting the participation of ultra-processed foods in children’s diets, with regard to the 2015 Pelotas Birth Cohort.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102025000100203&lng=en&tlng=enFood intakeProcessed FoodChild NutritionSurveys and QuestionnairesValidation Study
spellingShingle Anna Müller
Caroline dos Santos Costa
Romina Buffarini
Juliana dos Santos Vaz
Marlos Rodrigues Domingues
Pedro Curi Hallal
Janaina Vieira dos Santos Motta
Description and evaluation of an ultra-processed food consumption score for children
Revista de Saúde Pública
Food intake
Processed Food
Child Nutrition
Surveys and Questionnaires
Validation Study
title Description and evaluation of an ultra-processed food consumption score for children
title_full Description and evaluation of an ultra-processed food consumption score for children
title_fullStr Description and evaluation of an ultra-processed food consumption score for children
title_full_unstemmed Description and evaluation of an ultra-processed food consumption score for children
title_short Description and evaluation of an ultra-processed food consumption score for children
title_sort description and evaluation of an ultra processed food consumption score for children
topic Food intake
Processed Food
Child Nutrition
Surveys and Questionnaires
Validation Study
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102025000100203&lng=en&tlng=en
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