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The Association of Ultra-Processed Food Intake With Neurodegenerative Disorders: A Systematic Review and Dose-Response Meta-Analysis of Large-Scale Cohorts Publisher Pubmed



Pourmotabbed A1 ; Talebi S2, 3 ; Mehrabani S4 ; Babaei A1 ; Khosroshahi RA3 ; Bagheri R5 ; Wong A6 ; Ghoreishy SM7, 8 ; Amirian P9 ; Zarpoosh M9 ; Hojjati Kermani MA10 ; Moradi S11
Authors
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Authors Affiliations
  1. 1. Department of Physiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
  2. 2. Students’ Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Nutrition and Food Security Research Center, Isfahan University of Medical Sciences, Ira, Isfahan, Iran
  5. 5. Department of Exercise Physiology, University of Isfahan, Isfahan, Iran
  6. 6. Department of Health and Human Performance, Marymount University, Arlington, VA, United States
  7. 7. Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Student research committee, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  9. 9. General Practitioner, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran
  10. 10. Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  11. 11. Department of Nutrition and Food Sciences, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran

Source: Nutritional Neuroscience Published:2025


Abstract

Objectives: Our systematic review and meta-analysis aimed to uncover the relationship between UPFs intake and neurodegenerative disorders, including multiple sclerosis (MS), Parkinson’s disease (PD), Alzheimer’s disease (AD), cognitive impairment, and dementia. Setting: A systematic search was conducted using the Scopus, PubMed/MEDLINE, and ISI Web of Science databases without any limitation until June 24, 2023. Relative risk (RR) and 95% confidence interval (CI) were pooled by using a random-effects model, while validated methods examined quality and publication bias via Newcastle-Ottawa Scale, Egger’s regression asymmetry, and Begg’s rank correlation tests, respectively. Results: Analysis from 28 studies indicated that a higher UPFs intake was significantly related to an enhanced risk of MS (RR = 1.15; 95% CI: 1.00, 1.33; I2= 37.5%; p = 0.050; n = 14), PD (RR = 1.56; 95% CI: 1.21, 2.02; I2= 64.1%; p = 0.001; n = 15), and cognitive impairment (RR = 1.17; 95% CI: 1.06, 1.30; I2= 74.1%; p = 0.003; n = 17), although not AD or dementia. We observed that a 25 g increment in UPFs intake was related to a 4% higher risk of MS (RR = 1.04; 95% CI: 1.01, 1.06; I2= 0.0%; p = 0.013; n = 7), but not PD. The non-linear dose–response relationship indicated a positive non-linear association between UPF intake and the risk of MS (Pnonlinearity = 0.031, Pdose-response= 0.002). This association was not observed for the risk of PD (Pnonlinearity = 0.431, Pdose-response= 0.231). Conclusion: These findings indicate that persistent overconsumption of UPFs may have an adverse impact on neurodegenerative conditions, potentially leading to a decline in quality of life and reduced independence as individuals age. © 2024 Informa UK Limited, trading as Taylor & Francis Group.
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