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Intake of ultra-processed foods and sleep-related outcomes: A systematic review and meta-analysis

  • Felipe Mendes Delpino
  • , Lílian Munhoz Figueiredo
  • , Thaynã Ramos Flores
  • , Erika Aparecida Silveira
  • , Francine Silva dos Santos
  • , André Oliveira Werneck
  • , Maria Laura da Costa Louzada
  • , Ricardo Alexandre Arcêncio
  • , Bruno Pereira Nunes

Research output: Contribution to journalReview articlepeer-review

Abstract

The aim of this review article was to evaluate the association between the intake of ultra-processed foods and sleep-related outcomes through a systematic review and meta-analysis. Pubmed, LILACS, Scielo, Scopus, Embase, and Web of Science were searched on December 31, 2021, for studies that evaluated the association between ultra-processed foods and sleep-related outcomes (self-reported sleep duration and quality). Pooled odds ratios were assessed through a random-effects model; heterogeneity was evaluated using the I2 statistic. Fifteen cross-sectional studies were included; 14 showed that the high intake of ultra-processed foods was statistically significantly associated with sleep-related outcomes (sleep duration and quality). In the crude analysis, compared with low intake, high intake of ultra-processed foods increased the odds of sleep-related outcomes, with increased odds among children and/or adolescents, and null results among adults. When adjusted for cofounders, we found statistically significant results for all ages. The high intake of ultra-processed foods was associated with sleep-related outcomes, with moderate credibility of the evidence. Longitudinal studies and clinical trials confirming these findings are necessary.

Original languageEnglish (US)
Article number111908
JournalNutrition
Volume106
DOIs
StatePublished - Feb 2023
Externally publishedYes

Keywords

  • NOVA classification
  • Short sleep duration
  • Sleep-related outcomes
  • Systematic review
  • Ultra-processed

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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