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Studies in humans

Consumption of unprocessed or minimally processed foods and their association with cardiovascular events and cardiometabolic risk factors in Brazilians with established cardiovascular events

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Pages 107-119 | Received 07 Jul 2022, Accepted 01 Jan 2023, Published online: 09 Jan 2023

References

  • ABESO. 2016. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica (ABESO). 4th ed. São Paulo: ABESO.
  • Abete I, Romaguera D, Vieira AR, Lopez de Munain A, Norat T. 2014. Association between total, processed, red and white meat consumption and all-cause, CVD and IHD mortality: a meta-analysis of cohort studies. Br J Nutr. 112(5):762–775.
  • Adams J, White M. 2015. Characterisation of UK diets according to degree of food processing and associations with socio-demographics and obesity: cross-sectional analysis of UK National Diet and Nutrition Survey (2008–12). Int J Behav Nutr Phys Act. 12(1):1–11.
  • Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS, Mullany EC, Abate KH, Abbafati C, Abebe Z, et al. 2019. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 393(10184):1958–1972.
  • AHA. 2021. High blood pressure. https://www.heart.org/en/health-topics/high-blood-pressure.
  • Bechthold A, Boeing H, Schwedhelm C, Hoffmann G, Knüppel S, Iqbal K, De Henauw S, Michels N, Devleesschauwer B, Schlesinger S, et al. 2019. Food groups and risk of coronary heart disease, stroke and heart failure: a systematic review and dose-response meta-analysis of prospective studies. Crit Rev Food Sci Nutr. 59(7):1071–1090.
  • Brasil. 2014. Guia alimentar para a população brasileira. 2nd ed. Brasília: Ministério da Saúde.
  • Brick AV, Souza DSRD, Braile DM, Buffolo E, Lucchese FA, Silva FPDV, Branco JN, Filho JGL, Mendonça JT, Neto JW, et al. 2004. Sociedade Brasileira de Cardiologia. Diretrizes da Cirúrgia de Revascularização Miocárdica [Guidelines for myocardial revascularization surgery]. Arq Bras Cardiol. 82(suppl 5):1–20.
  • Cavallo DN, Horino M, McCarthy WJ. 2016. Adult intake of minimally processed fruits and vegetables: associations with cardiometabolic disease risk factors. J Acad Nutr Diet. 116(9):1387–1394.
  • Costantino S, Paneni F, Cosentino F. 2016. Ageing, metabolism and cardiovascular disease. J Physiol. 594(8):2061–2073.
  • Cui K, Liu Y, Zhu L, Mei X, Jin P, Luo Y. 2019. Association between intake of red and processed meat and the risk of heart failure: a meta-analysis. BMC Public Health. 19(1):354.
  • da Silva A, Brum Felício M, Caldas APS, Hermsdorff HH, Torreglosa CR, Bersch-Ferreira ÂC, Weber B, Marcadenti A, Bressan J. 2021. Ultra-processed foods consumption is associated with cardiovascular disease and cardiometabolic risk factors in Brazilians with established cardiovascular events. Int J Food Sci Nutr. 72(8):1128–1137.
  • de Jesus Santana G, de Jesus Silva N, Oliveira Costa J, Passos Vásquez CM, Santos Vila-Nova TM, dos Santos Vieira DA, Pires LV, Fagundes AA, Barbosa KBF. 2021. Contribución de los alimentos mínimamente procesados y ultraprocesados al riesgo cardiometabólico de adultos jóvenes brasileños: un estudio transversal. Nutr Hosp. 38(2):328–336.
  • de Medeiros GCBS, Mesquita GXB, Lima SCVC, Silva DFDO, de Azevedo KPM, Pimenta IDSF, Oliveira AKSG, Lyra CO, Martínez DG, Piuvezam G. 2022. Associations of the consumption of unprocessed red meat and processed meat with the incidence of cardiovascular disease and mortality, and the dose-response relationship: a systematic review and meta-analysis of cohort studies. Crit Rev Food Sci Nutr. 1–14.
  • Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. 2001. Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA. 285(19):2486–2497.
  • Fardet A. 2016. Minimally processed foods are more satiating and less hyperglycemic than ultra-processed foods: a preliminary study with 98 ready-to-eat foods. Food Funct. 7(5):2338–2346.
  • Francula-Zaninovic S, Nola IA. 2018. Management of measurable variable cardiovascular disease’risk factors. Curr Cardiol Rev. 14(3):153–163.
  • Galante AP. 2007. Desenvolvimento e validação de um método computadorizado para avaliação do consumo alimentar, preenchido por indivíduos adultos utilizando a Web. São Paulo: Universidade de São Paulo.
  • Gandhi S, Chen S, Hong L, Sun K, Gong E, Li C, Yan LL, Schwalm J-D. 2017. Effect of mobile health interventions on the secondary prevention of cardiovascular disease: systematic review and meta-analysis. Can J Cardiol. 33(2):219–231.
  • Grace SL, Turk-Adawi KI, Contractor A, Atrey A, Campbell N, Derman W, Melo Ghisi GL, Oldridge N, Sarkar BK, Yeo TJ, et al. 2016. Cardiac rehabilitation delivery model for low-resource settings. Heart. 102(18):1449–1455.
  • Greenlund KJ, Giles WH, Keenan NL, Croft JB, Mensah GA. 2002. Physician advice, patient actions, and health-related quality of life in secondary prevention of stroke through diet and exercise. Stroke. 33(2):565–570.
  • Hajar R. 2017. Risk factors for coronary artery disease: historical perspectives. Heart Views. 18(3):109–114.
  • IBGE. 2011. Pesquisa de Orçamentos Familiares 2008–2009: tabelas de Composição Nutricional dos Alimentos Consumidos no Brasil. https://biblioteca.ibge.gov.br/visualizacao/livros/liv50002.pdf.
  • IBGE. 2020. Pesquisa de orçamentos familiares 2017–2018: analise do consumo alimentar pessoal no Brasil. https://edisciplinas.usp.br/pluginfile.php/7222745/mod_resource/content/2/relatorio%20publicado%20IBGE_POF_2017_2018.pdf.
  • Kim K, Hyeon J, Lee SA, Kwon SO, Lee H, Keum N, Lee J, Park SM. 2017. Role of total, red, processed, and white meat consumption in stroke incidence and mortality: a systematic review and meta-analysis of prospective cohort studies. J Am Heart Assoc. 6(9):e005983.
  • Koliaki C, Liatis S, Kokkinos A. 2019. Obesity and cardiovascular disease: revisiting an old relationship. Metabolism. 92:98–107.
  • Kondo T, Nakano Y, Adachi S, Murohara T. 2019. Effects of tobacco smoking on cardiovascular disease. Circ Res. 83(10):1980–1985.
  • Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. 2019. Sedentary behavior, exercise, and cardiovascular health. Circ Res. 124(5):799–815.
  • Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, et al. 2011. 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol. 58(24):e44–e122.
  • Litwin SE. 2008. Which measures of obesity best predict cardiovascular risk? J Am Coll Cardiol. 52(8):616–619.
  • Louzada MLDC, Baraldi LG, Steele EM, Martins APB, Canella DS, Moubarac JC, Levy RB, Cannon G, Afshin A, Imamura F, et al. 2015. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Prev Med. 81:9–15.
  • Louzada MLDC, Canella DS, Jaime, PC, Monteiro CA. 2019. Alimentação e saúde: a fundamentação científica do guia alimentar para a população brasileira. São Paulo: Faculdade de Saúde Pública da Universidade de São Paulo.
  • Louzada MLDC, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM, Moubarac JC, Cannon G, Monteiro CA. 2015. Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saude Publica. 49:38.
  • Luévano-Contreras C, Gómez-Ojeda A, Macías-Cervantes MH, Garay-Sevilla M. 2017. Dietary advanced glycation end products and cardiometabolic risk. Curr Diabetes Rep. 17(8):1–11.
  • Lupoli R, Vitale M, Calabrese I, Giosue A, Riccardi G, Vaccaro O. 2021. White meat consumption, all-cause mortality, and cardiovascular events: a meta-analysis of prospective cohort studies. Nutrients. 13(2):676–691.
  • Mach F, Baigent C, Catapano AL, Koskinas KC, Casula M, Badimon L, Chapman MJ, De Backer GG, Delgado V, Ference BA, et al. 2020. ESC/EAS guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J. 41(1):111–188.
  • Martínez-González MA, Salas-Salvadó J, Estruch R, Corella D, Fitó M, Ros E. 2015. Benefits of the Mediterranean diet: insights from the PREDIMED study. Prog Cardiovasc Dis. 58(1):50–60.
  • Mattei J, Sotos-Prieto M, Bigornia SJ, Noel SE, Tucker KL. 2017. The Mediterranean diet score is more strongly associated with favorable cardiometabolic risk factors over 2 years than other diet quality indexes in Puerto Rican adults. J Nutr. 147(4):661–669.
  • McRae MP. 2017. Health benefits of dietary whole grains: an umbrella review of meta-analyses. J Chiropr Med. 16(1):10–18.
  • Melo ISVD, Costa CACB, Santos JVLD, Santos AFD, Florêncio T, Bueno NB. 2017. Consumption of minimally processed food is inversely associated with excess weight in adolescents living in an underdeveloped city. PLOS One. 12(11):e0188401.
  • Meneguelli TS, Juvanhol LL, da Silva Leite A, Bressan J, Hermsdorff HHM. 2022. Minimally processed versus processed and ultra-processed food in individuals at cardiometabolic risk. BFJ. 124(3):811–832.
  • Meneguelli TS, Viana Hinkelmann J, Hermsdorff HHM, Zulet MÁ, Martínez JA, Bressan J. 2020. Food consumption by degree of processing and cardiometabolic risk: a systematic review. Int J Food Sci Nutr. 71(6):678–692.
  • Micha R, Shulkin ML, Penalvo JL, Khatibzadeh S, Singh GM, Rao M, Fahimi S, Powles J, Mozaffarian D. 2017. Etiologic effects and optimal intakes of foods and nutrients for risk of cardiovascular diseases and diabetes: systematic reviews and meta-analyses from the Nutrition and Chronic Diseases Expert Group (NutriCoDE). PLOS One. 12(4):e0175149.
  • Miller V, Mente A, Dehghan M, Rangarajan S, Zhang X, Swaminathan S, Dagenais G, Gupta R, Mohan V, Lear S, et al. 2017. Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study. Lancet. 390(10107):2037–2049.
  • Monteiro CA, Cannon G, Levy R, Moubarac JC, Jaime P, Martins AP, Canella D, Louzada M, Parra D. 2016. NOVA. The star shines bright. World Nutr J. 7(1–3):28–38.
  • Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada ML, Rauber F, Khandpur N, Cediel G, Neri D, Martinez-Steele E, et al. 2019. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 22(5):936–941.
  • Vasconcelos Leitão Moreira P, da Costa Pereira de Arruda Neta A, Leite de Lima Ferreira FE, de Araújo JM, da Costa Louzada ML, Lira Formiga Cavalcanti de Lima R, Pinheiro de Toledo Vianna R, Moreira da Silva Neto J, Colombet Z, O'Flaherty M. 2022. Projected impact of change in the percentage of energy from each NOVA group intake on cardiovascular disease mortality in Brazil: a modelling study. BMJ Open. 12(4):e057953.
  • Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, Paul DR, Sebastian RS, Kuczynski KJ, Ingwersen LA, et al. 2008. The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr. 88(2):324–332.
  • Nascimento BR, Brant LCC, Oliveira GMMD, Malachias MVB, Reis GMA, Teixeira RA, Malta DC, França E, Souza MFM, Roth GA, et al. 1990–2016. Cardiovascular disease epidemiology in portuguese-speaking countries: data from the Global Burden of Disease. Arq Bras Cardiol. 110(6):500–511.
  • Nasreddine L, Tamim H, Itani L, Nasrallah MP, Isma’eel H, Nakhoul NF, Abou-Rizk J, Naja F. 2018. A minimally processed dietary pattern is associated with lower odds of metabolic syndrome among Lebanese adults. Public Health Nutr. 21(1):160–171.
  • NEPA. 2011. Tabela brasileira de composição de alimentos. http://www.unicamp.br/nepa/taco/.
  • Nicolau JC, Feitosa Filho GS, Petriz JL, Furtado RHdM, Précoma DB, Lemke W, Lopes RD, Timerman A, Marin Neto JA, Bezerra Neto L, et al. 2021. Brazilian Society of Cardiology guidelines on unstable angina and acute myocardial infarction without ST-segment elevation – 2021. Arq Bras Cardiol. 117(1):181–264.
  • O’Gara PT, Kushner FG, Ascheim DD, Casey DE, Chung MK, de Lemos JA, Ettinger SM, Fang JC, Fesmire FM, Franklin BA, et al. 2013. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 61(4):e78–e140.
  • OPAS 2002. Encuesta Multicentrica salud beinestar y envejecimiento (SABE) em América Latina el Caribe: Informe Preliminar. https://iris.paho.org/handle/10665.2/45890?locale-attribute=pt.
  • Philippi ST, Latterza AR, Cruz ATR, Ribeiro LC. 1999. Pirâmide alimentar adaptada: guia para escolha dos alimentos. Rev Nutr. 12(1):65–80.
  • Qian F, Riddle MC, Wylie-Rosett J, Hu FB. 2020. Red and processed meats and health risks: how strong is the evidence? Diabetes Care. 43(2):265–271.
  • Salomé M, Arrazat L, Wang J, Dufour A, Dubuisson C, Volatier JL, Huneau JF, Mariotti F. 2021. Contrary to ultra-processed foods, the consumption of unprocessed or minimally processed foods is associated with favorable patterns of protein intake, diet quality and lower cardiometabolic risk in French adults (INCA3). Eur J Nutr. 60(7):4055–4067.
  • Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, Ngo de la Cruz J, Bach-Faig A, Donini LM, Medina FX, Belahsen R, et al. 2020. Updating the Mediterranean diet pyramid towards sustainability: focus on environmental concerns. IJERPH. 17(23):8758.
  • Shufelt CL, Pacheco C, Tweet MS, Miller VM. 2018. Sex-specific physiology and cardiovascular disease. Adv Exp Med Biol. 1065:433–454.
  • Silva FM, Giatti L, de Figueiredo RC, Molina MDCB, de Oliveira Cardoso L, Duncan BB, Barreto SM. 2018. Consumption of ultra-processed food and obesity: cross sectional results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort. Public Health Nutr. 21(12):2271–2279.
  • Smith SC, Allen J, Blair SN, Bonow RO, Brass LM, Fonarow GC, Grundy SM, Hiratzka L, Jones D, Krumholz HM, et al. 2006. AHA/ACC; National Heart, Lung, and Blood Institute. AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update: endorsed by the National Heart, Lung, and Blood Institute. Circulation. 113(19):2363–2372.
  • Srour B, Fezeu LK, Kesse-Guyot E, Allès B, Méjean C, Andrianasolo RM, Chazelas E, Deschasaux M, Hercberg S, Galan P, et al. 2019. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ. 365:l1451.
  • Tune JD, Goodwill AG, Sassoon DJ, Mather KJ. 2017. Cardiovascular consequences of metabolic syndrome. Transl Res. 183:57–70.
  • U.S. Department of Agriculture. 2007. USDA table of nutrient retention factors. Beltsville (MD): U.S. Dept. of Agriculture, Agricultural Research Service.
  • Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Cheng S, Delling FN, et al. 2021. Heart disease and stroke statistics—2021 update: a report from the American Heart Association. Circulation. 143(8):e254–e743.
  • Wang X, Lin X, Ouyang YY, Liu J, Zhao G, Pan A, Hu FB. 2016. Red and processed meat consumption and mortality: dose-response meta-analysis of prospective cohort studies. Public Health Nutr. 19(5):893–905.
  • Weber B, Bersch-Ferreira ÂC, Torreglosa CR, Ross-Fernandes MB, da Silva JT, Galante AP, Lara ES, Costa RP, Soares RM, Cavalcanti AB, et al. 2016. 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. 171(1):73–81.
  • Weltärztebund. 2013. WMA Deklaration von Helsinki-Ethische Grundsätze für die medizinische Forschung am Menschen. WMA-Generalversammlung. 35:1–10.
  • WHO. 1995. Physical status: the use an interpretation of anthropometry. https://apps.who.int/iris/handle/10665/37003.
  • WHO. 2008. WHO Expert Consultation. Waist circumference and waist–hip ratio: report of a 2008. https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf?ua=1.
  • WHO 2013. Global action plan for the prevention and control of noncommunicable diseases 2013–2020. https://www.who.int/publications/i/item/9789241506236.
  • WHO. 2018. Technical package for cardiovascular disease management in primary health care: healthy-lifestyle counselling. https://apps.who.int/iris/handle/10665/260422.
  • WHO. 2021. Cardiovascular diseases. https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1.
  • Wilkins E, Wilson L, Wickramasinghe K, Bhatnagar P, Leal J, Luengo-Fernandez R, Burns R, Rayner M, Townsend N. 2017. European cardiovascular disease statistics 2017. http://www.ehnheart.org/images/CVD-statistics-report-August-2017.pdf.
  • Willett W. 1998. Nutritional epidemiology. Vol. 30. New York: Oxford University Press; p. 514.
  • Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, Clement DL, Coca A, Simone G, Dominiczak A, et al. 2018. 2018 ESC/ESH Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). Eur Heart J. 39(33):3021–3104.
  • Xavier HT, Izar MC, Faria Neto JR, Assad MH, Rocha VZ, Sposito AC, Fonseca FA, dos Santos JE, Santos RD, Bertolami MC, et al. 2013. V Diretriz brasileira de dislipidemias e prevenção da aterosclerose. Arq Bras Cardiol. 101(4 Suppl 1):1–20.
  • Xi B, Huang Y, Reilly KH, Li S, Zheng R, Barrio-Lopez MT, Martinez-Gonzalez MA, Zhou D. 2015. Sugar-sweetened beverages and risk of hypertension and CVD: a dose–response meta-analysis. Br J Nutr. 113(5):709–717.
  • Zhong VW, Van Horn L, Greenland P, Carnethon MR, Ning H, Wilkins JT, Lloyd-Jones DM, Allen NB. 2020. Associations of processed meat, unprocessed red meat, poultry, or fish intake with incident cardiovascular disease and all-cause mortality. JAMA Intern Med. 180(4):503–512.

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