Título:	Maternal consumption of ultra-processed foods-rich diet and perinatal outcomes : a systematic review and meta-analysis
Autor(es):	Paula, Walkyria Oliveira Patriota, Érika Soares de Oliveira Gonçalves, Vivian Siqueira Santos Pizato, Nathalia Marcolini Pelucio
ORCID:	https://orcid.org/0000-0002-1765-0347 https://orcid.org/0000-0001-6893-8263 https://orcid.org/0000-0001-5858-7076
Assunto:	Alimentação materna Saúde perinatal Dietas alimentares Alimentos ultraprocessados
Data de publicação:	8-Ago-2022
Editora:	MDPI
Referência:	PAULA, Walkyria O. et al. Maternal consumption of ultra-processed foods-rich diet and perinatal outcomes: a systematic review and meta-analysis. Nutrients, Basel, v. 14, n. 15, art. 3242, 2022. DOI 10.3390/nu14153242. Disponível em: https://www.mdpi.com/2072-6643/14/15/3242. Acesso em: 08 set. 2022.
Abstract:	The consumption of ultra-processed food (UPF)-rich diets represents a potential threat to human health. Considering maternal diet adequacy during pregnancy is a major determinant for perinatal health outcomes, this study aimed to systematically review and meta-analyze studies investigating the association between maternal consumption of a UPF-rich diet and perinatal outcomes. Conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, five electronic databases and gray literature using Google Scholar and ProQuest Dissertations and Theses Global were searched up to 31 May 2022. No restrictions were applied on language and publication date. Two reviewers independently conducted the study selection and data extraction process. Meta-analysis was conducted according to the random-effects model. In total, 61 studies were included in the systematic review and the overall population comprised 698,803 women from all gestational trimesters. Meta-analysis of cohort studies showed that maternal consumption of UPF-rich diets was associated with an increased risk of gestational diabetes mellitus (odds ratio (OR): 1.48; 95% confidence interval (CI): 1.17, 1.87) and preeclampsia (OR: 1.28; 95% CI: 1.15, 1.42). Neonatal outcomes showed no association. The overall GRADE quality of the evidence for the associations was very low. The findings highlight the need to monitor and reduce UPF consumption, specifically during the gestational period, as a strategy to prevent adverse perinatal outcomes.
Licença:	Nutrients - This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). Fonte: https://www.mdpi.com/openaccess. Acesso em: 08 set. 2022.
DOI:	https://doi.org/10.3390/nu14153242
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