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The NutriNet-Sante study is supported by the French Ministry of Solidarity and Health, the National Agency for Public Health (Sante Publique France), the National Institute for Health and Medical Research (INSERM), the National Research Institute for Agriculture, Food and Environment (INRAE), the National Conservatory of Arts and Crafts (CNAM), the Center for Epidemiological Research and Statistics (CRESS) and Sorbonne Paris Nord University. Junko Kose and Eloi Chazelas are funded by doctoral fellowships provided by the French Ministry of Education via Sorbonne Paris Nord University. Charlotte Debras is supported by a doctoral fellowship provided by the French National Cancer Institute (INCA). Indira Paz Graniel is supported by a doctoral grant from the Spanish Ministry of Universities (#EST19/00261). The funders had no role in the design of the study; in the collection, analysis, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

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Ultra-processed food intake and eating disorders: Cross-sectional associations among French adults

Publicat a:Journal Of Behavioral Addictions. 11 (2): 588-599 - 2022-06-01 11(2), DOI: 10.1556/2006.2022.00009

Autors: Figueiredo, Natasha; Kose, Junko; Srour, Bernard; Julia, Chanta; Kesse Guyot, Emmanuelle; Peneau, Sandrine; Alles, Benjamin; Graniel, Indira Paz; Chazelas, Eloi; Deschasaux Tanguy, Melaninie; Debbas, Charlott; Hercberg, Serge; Galan, Pilar; Monteiro, Carlos A; Touvier, Mathilde; Andreeva, Valentina A

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Data regarding the association between ultra-processed food (UPF) consumption and eating disorders (ED) are scarce. Our aim was to investigate whether UPF intake was associated with different ED types in a large population-based study.43,993 participants (mean age = 51.0 years; 76.1% women) of the French NutriNet-Santé web-cohort who were screened for ED in 2014 via the Sick-Control-One stone-Fat-Food (SCOFF) questionnaire, were included in the analysis. The clinical algorithm Expali TM tool was used to identify four ED types: restrictive, bulimic, binge eating, and other (not otherwise specified). Mean dietary intake was evaluated from at least 2 self-administered 24-h dietary records (2013-2015); categorization of food as ultra-processed or not relied on the NOVA classification. The associations between UPF intake (as percent and reflecting mean daily UPF quantity (g/d) within the dietary intake, %UPF) and ED types were evaluated using polytomous logistic regression models.5,967 participants (13.6%) were categorized as likely ED (restrictive n = 444; bulimic n = 1,575; binge eating n = 3,124; other ED n = 824). The fully-adjusted analyses revealed a positive association between UPF intake and bulimic, binge eating, and other ED: ED risk (odds ratio, OR) for an absolute 10-percentage point incremental increase in %UPF intake were 1.08 (1.01-1.14; P = 0.02), 1.21 (1.16-1.26; P < 0.0001), and 1.11 (1.02-1.20; P = 0.02), respectively. No significant association was detected for restrictive ED.This study revealed an association of UPF intake with different ED types among French adults. Future research is needed to elucidate the direction of the observed associations.

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