Socio-demographic Correlates of Ultra-processed Food Consumption in Canada

Overview

Journal Public Health Nutr

Publisher Cambridge University Press

Date 2024 Sep 26

PMID 39324345

Authors

Jane Y Polsky

Sara Jovovic

Milena Nardocci

Jean-Claude Moubarac

Affiliations

Soon will be listed here.

Abstract

Objective: To characterise consumption of ultra-processed foods and drinks (UPF) across a range of socio-demographic characteristics of Canadians.

Design: Cross-sectional study. The national-level 2015 Canadian Community Health Survey-Nutrition provided data on all foods and drinks consumed on the previous day via a 24-hour dietary recall. All food items were classified according to the type of industrial processing using the NOVA system. Multivariable linear regression models examined associations between a range of socio-demographic characteristics and the mean energy contribution (% of total daily energy intake) from total UPF and UPF subgroups.

Setting: The ten Canadian provinces.

Participants: Canadians aged 2 or older ( 20 103).

Results: UPF contributed, on average, nearly half (44·9 %) of total daily energy intake of Canadians. Children aged 6-12 and adolescents aged 13-18 consumed over half of total daily energy from UPF (adjusted means of 51·9 % and 50·7 %, respectively). Recent and long-term immigrants consumed a significantly lower share of energy from UPF (adjusted means of 42·2 % and 45·1 %, respectively) compared with non-immigrants (54·4 %), as did the food secure (42·8 %) . those in moderately (48·1 %) or severely food-insecure households (50·8 %). More modest differences were observed for intake of total UPF and UPF subgroups by sex, education, income adequacy and region of residence.

Conclusion: Levels of UPF consumption in 2015 in Canada were pervasive in all socio-demographic groups and highest among children and adolescents, non-immigrants and those living in food-insecure households. These findings can inform public health interventions to reduce UPF consumption and promote healthier diets in various socio-demographic groups.

References

Monteiro C, Cannon G, Levy R, Moubarac J, Louzada M, Rauber F . Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019; 22(5):936-941. PMC: 10260459. DOI: 10.1017/S1368980018003762. View

Potvin Kent M, Hatoum F, Wu D, Remedios L, Bagnato M . Benchmarking unhealthy food marketing to children and adolescents in Canada: a scoping review. Health Promot Chronic Dis Prev Can. 2022; 42(8):307-318. PMC: 9514213. DOI: 10.24095/hpcdp.42.8.01. View

Gupta S, Hawk T, Aggarwal A, Drewnowski A . Characterizing Ultra-Processed Foods by Energy Density, Nutrient Density, and Cost. Front Nutr. 2019; 6:70. PMC: 6558394. DOI: 10.3389/fnut.2019.00070. View

Gundersen C, Ziliak J . Food Insecurity And Health Outcomes. Health Aff (Millwood). 2015; 34(11):1830-9. DOI: 10.1377/hlthaff.2015.0645. View

Olstad D, Nejatinamini S, Victorino C, Kirkpatrick S, Minaker L, McLaren L . Socioeconomic inequities in diet quality among a nationally representative sample of adults living in Canada: an analysis of trends between 2004 and 2015. Am J Clin Nutr. 2021; 114(5):1814-1829. PMC: 8574630. DOI: 10.1093/ajcn/nqab249. View

Andrade G, Julia C, Deschamps V, Srour B, Hercberg S, Kesse-Guyot E . Consumption of Ultra-Processed Food and Its Association with Sociodemographic Characteristics and Diet Quality in a Representative Sample of French Adults. Nutrients. 2021; 13(2). PMC: 7924346. DOI: 10.3390/nu13020682. View

Abel T . Cultural capital and social inequality in health. J Epidemiol Community Health. 2008; 62(7):e13. DOI: 10.1136/jech.2007.066159. View

Baker P, Machado P, Santos T, Sievert K, Backholer K, Hadjikakou M . Ultra-processed foods and the nutrition transition: Global, regional and national trends, food systems transformations and political economy drivers. Obes Rev. 2020; 21(12):e13126. DOI: 10.1111/obr.13126. View

Nackers L, Appelhans B . Food insecurity is linked to a food environment promoting obesity in households with children. J Nutr Educ Behav. 2013; 45(6):780-4. DOI: 10.1016/j.jneb.2013.08.001. View

10.

Lane M, Gamage E, Du S, Ashtree D, McGuinness A, Gauci S . Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses. BMJ. 2024; 384:e077310. PMC: 10899807. DOI: 10.1136/bmj-2023-077310. View

11.

Marchese L, Livingstone K, Woods J, Wingrove K, Machado P . Ultra-processed food consumption, socio-demographics and diet quality in Australian adults. Public Health Nutr. 2021; 25(1):94-104. PMC: 8825971. DOI: 10.1017/S1368980021003967. View

12.

Vang Z, Sigouin J, Flenon A, Gagnon A . Are immigrants healthier than native-born Canadians? A systematic review of the healthy immigrant effect in Canada. Ethn Health. 2016; 22(3):209-241. DOI: 10.1080/13557858.2016.1246518. View

13.

Baraldi L, Martinez Steele E, Canella D, Monteiro C . Consumption of ultra-processed foods and associated sociodemographic factors in the USA between 2007 and 2012: evidence from a nationally representative cross-sectional study. BMJ Open. 2018; 8(3):e020574. PMC: 5855172. DOI: 10.1136/bmjopen-2017-020574. View

14.

. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019; 393(10184):1958-1972. PMC: 6899507. DOI: 10.1016/S0140-6736(19)30041-8. View

15.

Pachipala K, Shankar V, Rezler Z, Vittal R, Ali S, Srinivasan M . Acculturation and Associations with Ultra-processed Food Consumption among Asian Americans: NHANES, 2011-2018. J Nutr. 2022; 152(7):1747-1754. PMC: 9258532. DOI: 10.1093/jn/nxac082. View

16.

Galobardes B, Shaw M, Lawlor D, Lynch J, Davey Smith G . Indicators of socioeconomic position (part 1). J Epidemiol Community Health. 2005; 60(1):7-12. PMC: 2465546. DOI: 10.1136/jech.2004.023531. View

17.

Kamphuis C, Groeniger J, van Lenthe F . Does cultural capital contribute to educational inequalities in food consumption in the Netherlands? A cross-sectional analysis of the GLOBE-2011 survey. Int J Equity Health. 2018; 17(1):168. PMC: 6238371. DOI: 10.1186/s12939-018-0884-z. View

18.

Hutchinson J, Tarasuk V . The relationship between diet quality and the severity of household food insecurity in Canada. Public Health Nutr. 2021; 25(4):1013-1026. PMC: 9991759. DOI: 10.1017/S1368980021004031. View

19.

Moubarac J, Batal M, Bortoletto Martins A, Claro R, Levy R, Cannon G . Processed and ultra-processed food products: consumption trends in Canada from 1938 to 2011. Can J Diet Pract Res. 2014; 75(1):15-21. DOI: 10.3148/75.1.2014.15. View

20.

Groeniger J, van Lenthe F, Beenackers M, Kamphuis C . Does social distinction contribute to socioeconomic inequalities in diet: the case of 'superfoods' consumption. Int J Behav Nutr Phys Act. 2017; 14(1):40. PMC: 5369222. DOI: 10.1186/s12966-017-0495-x. View