{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:21:03Z","timestamp":1793654463664,"version":"4.5.1"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Jornal de Pediatria"],"published-print":{"date-parts":[[2024,3]]},"DOI":"10.1016\/j.jped.2023.09.006","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T05:27:02Z","timestamp":1697779622000},"page":"S18-S30","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":66,"special_numbering":"S1","title":["Ultra-processed food consumption and children and adolescents\u2019 health"],"prefix":"10.1016","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1201-1877","authenticated-orcid":false,"given":"Samantha Bittencourt","family":"Mescoloto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8390-6217","authenticated-orcid":false,"given":"Gabriela","family":"Pongiluppi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3003-2153","authenticated-orcid":false,"given":"Sem\u00edramis Martins \u00c1lvares","family":"Domene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jped.2023.09.006_bib0001","article-title":"Minist\u00e9rio da Sa\u00fade, Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade, Departamento de Aten\u00e7\u00e3o B\u00e1sica","year":"2014","journal-title":"Guia Alimentar para a Popula\u00e7\u00e3o Brasileira"},{"key":"10.1016\/j.jped.2023.09.006_bib0002","article-title":"Impact of the consumption of ultra-processed foods on children, adolescents and adults' health: scope review","volume":"37","author":"Louzada","year":"2021","journal-title":"Cad Saude Publica"},{"key":"10.1016\/j.jped.2023.09.006_bib0003","doi-asserted-by":"crossref","DOI":"10.3389\/fnut.2021.622714","article-title":"Review: the Consumption of ultra-processed foods and non-communicable diseases in Latin America","volume":"8","author":"Matos","year":"2021","journal-title":"Front Nutr"},{"key":"10.1016\/j.jped.2023.09.006_bib0004","doi-asserted-by":"crossref","first-page":"e13146","DOI":"10.1111\/obr.13146","article-title":"Ultraprocessed food and chronic noncommunicable diseases: a systematic review and meta-analysis of 43 observational studies","volume":"22","author":"Lane","year":"2021","journal-title":"Obes Rev"},{"key":"10.1016\/j.jped.2023.09.006_bib0005","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.3390\/nu12071955","article-title":"Ultra-processed foods and health outcomes: a narrative review","volume":"12","author":"Elizabeth","year":"2020","journal-title":"Nutrients"},{"key":"10.1016\/j.jped.2023.09.006_bib0006","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/S0140-6736(20)30752-2","article-title":"Global burden of 87 risk factors in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"396","year":"2020","journal-title":"Lancet"},{"key":"10.1016\/j.jped.2023.09.006_bib0007","series-title":"Noncommunicable Diseases","year":"2018"},{"key":"10.1016\/j.jped.2023.09.006_bib0008","doi-asserted-by":"crossref","first-page":"5e17","DOI":"10.1017\/S1368980017000234","article-title":"The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing","volume":"21","author":"Monteiro","year":"2018","journal-title":"Publ Health Nutr"},{"key":"10.1016\/j.jped.2023.09.006_bib0009","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.ypmed.2015.07.018","article-title":"Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults","volume":"81","author":"Louzada","year":"2015","journal-title":"Prev Med"},{"key":"10.1016\/j.jped.2023.09.006_bib0010","doi-asserted-by":"crossref","DOI":"10.1590\/1980-549720220013","article-title":"Temporal trend of simultaneous risk factors for chronic non-communicable diseases: national School Health Survey 2009, 2012, 2015","volume":"25","author":"Araujo","year":"2022","journal-title":"Rev Bras Epidemiol"},{"key":"10.1016\/j.jped.2023.09.006_bib0011","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2021.728841","article-title":"Lifestyle clusters and cardiometabolic risks in adolescents: a Chinese school-based study using a latent class analysis approach","volume":"9","author":"Zhao","year":"2021","journal-title":"Front Pediatr"},{"key":"10.1016\/j.jped.2023.09.006_bib0012","article-title":"Factors associated with inflammatory biomarkers in adolescents: analysis by structural equation modeling","volume":"37","author":"Bogea","year":"2021","journal-title":"Cad Saude Publica"},{"key":"10.1016\/j.jped.2023.09.006_bib0013","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0219370","article-title":"Co-occurrence and clustering of the four major non-communicable disease risk factors in Brazilian adolescents: analysis of a national school-based survey","volume":"14","author":"Ricardo","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.jped.2023.09.006_bib0014","first-page":"914","article-title":"Risk behavior patterns for chronic diseases and associated factors among adolescents","volume":"34","author":"Sena","year":"2017","journal-title":"Nutr Hosp"},{"key":"10.1016\/j.jped.2023.09.006_bib0015","doi-asserted-by":"crossref","first-page":"393","DOI":"10.3389\/fped.2018.00393","article-title":"Childhood overweight and obesity and associated factors in Iranian children and adolescents: a multilevel analysis; the CASPIAN-IV study","volume":"6","author":"Khashayar","year":"2018","journal-title":"Front Pediatr"},{"key":"10.1016\/j.jped.2023.09.006_bib0016","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0272266","article-title":"Co-occurrence of non-communicable disease risk factors and its determinants among school-going adolescents of Kathmandu Metropolitan City","volume":"17","author":"Tandon","year":"2022","journal-title":"PLoS One"},{"key":"10.1016\/j.jped.2023.09.006_bib0017","doi-asserted-by":"crossref","first-page":"98","DOI":"10.15343\/0104-7809.2018420198122","article-title":"Characterization of adolescents\u2019 diet with the Dietary Guidelines for the Brazilian population","volume":"42","author":"Nicolau","year":"2018","journal-title":"Mundo Saude"},{"key":"10.1016\/j.jped.2023.09.006_bib0018","first-page":"786","article-title":"Obesity and overweight in schools: the importance of diagnosis to subsidiate health promotion initiatives in school space","volume":"12","author":"Souza","year":"2018","journal-title":"Braz J Obes Nutr Weight Loss"},{"key":"10.1016\/j.jped.2023.09.006_bib0019","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.3390\/nu13041335","article-title":"Data-driven dietary patterns, nutrient intake and body weight status in a cross-section of Singaporean children aged 6-12 years","volume":"13","author":"Choy","year":"2021","journal-title":"Nutrients"},{"key":"10.1016\/j.jped.2023.09.006_bib0020","doi-asserted-by":"crossref","first-page":"223","DOI":"10.3233\/MNM-180278","article-title":"Association of nutrient patterns with anthropometric indices in children and adolescents: the weight disorders survey of the CASPIAN-IV study","volume":"12","author":"Kelishadi","year":"2019","journal-title":"Mediterranean J Nutr Metab"},{"key":"10.1016\/j.jped.2023.09.006_bib0021","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1038\/s41387-018-0043-z","article-title":"Ultra-processed food consumption and adiposity trajectories in a Brazilian cohort of adolescents: ELANA study","volume":"8","author":"Cunha","year":"2018","journal-title":"Nutr Diabetes"},{"key":"10.1016\/j.jped.2023.09.006_bib0022","first-page":"54","article-title":"Energy intake from ultra-processed foods among adolescents","volume":"35","author":"D'Avila","year":"2017","journal-title":"Rev Paul Pediatr"},{"key":"10.1016\/j.jped.2023.09.006_bib0023","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.jped.2015.01.007","article-title":"Ultra-processed food consumption in children from a Basic Health Unit","volume":"91","author":"Sparrenberger","year":"2015","journal-title":"J Pediatr"},{"key":"10.1016\/j.jped.2023.09.006_bib0024","article-title":"Consumption of minimally processed food is inversely associated with excess weight in adolescents living in an underdeveloped city","volume":"12","author":"de Melo","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.jped.2023.09.006_bib0025","first-page":"669","article-title":"Consumption of ultra-processed foods and nutritional status of schoolchildren in the state of Pernambuco","volume":"15","author":"Dantas","year":"2021","journal-title":"Braz J Obes Nutr Weight Loss"},{"key":"10.1016\/j.jped.2023.09.006_bib0026","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1177\/0022034517745326","article-title":"Added sugar consumption and chronic oral disease burden among adolescents in Brazil","volume":"97","author":"Carmo","year":"2018","journal-title":"J Dent Res"},{"key":"10.1016\/j.jped.2023.09.006_bib0027","article-title":"Factors associated with the consumption of ultra-processed food by Brazilian adolescents: National Survey of School Health, 2015","volume":"40","author":"Silva","year":"2021","journal-title":"Rev Paul Pediatr"},{"key":"10.1016\/j.jped.2023.09.006_bib0028","doi-asserted-by":"crossref","first-page":"2243","DOI":"10.1590\/1413-81232021266.15042019","article-title":"Association of regular consumption of breakfast and health-related behavior among adolescents","volume":"26","author":"Sim\u00f5es","year":"2021","journal-title":"Cien Saude Colet"},{"key":"10.1016\/j.jped.2023.09.006_bib0029","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.1590\/s01518-8787.2016050006678","article-title":"ERICA: prevalence of healthy eating habits among Brazilian adolescents","volume":"50","author":"Barufaldi","year":"2016","journal-title":"Rev Saude Publica"},{"key":"10.1016\/j.jped.2023.09.006_bib0030","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-029544","article-title":"Ultra-processed foods and recommended intake levels of nutrients linked to non-communicable diseases in Australia: evidence from a nationally representative cross-sectional study","volume":"9","author":"Machado","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.jped.2023.09.006_bib0031","doi-asserted-by":"crossref","first-page":"587","DOI":"10.3390\/nu10050587","article-title":"Ultra-processed food consumption and chronic non-communicable diseases-related dietary nutrient profile in the UK (2008-2014)","volume":"10","author":"Rauber","year":"2018","journal-title":"Nutrients"},{"key":"10.1016\/j.jped.2023.09.006_bib0032","doi-asserted-by":"crossref","first-page":"2338e46","DOI":"10.1039\/C6FO00107F","article-title":"Minimally processed foods are more satiating and less hyper-glycemic than ultra-processed foods: a preliminary study with 98 ready-to-eat foods","volume":"7","author":"Fardet","year":"2016","journal-title":"Food Funct"},{"key":"10.1016\/j.jped.2023.09.006_bib0033","unstructured":"World Obesity Federation, World Obesity Atlas 2023. [Cited 2023 Aug 28]. Available from: https:\/\/data.worldobesity.org\/publications\/?cat=19"},{"key":"10.1016\/j.jped.2023.09.006_bib0034","doi-asserted-by":"crossref","first-page":"1876","DOI":"10.1056\/NEJMoa1010112","article-title":"Childhood adiposity, adult adiposity, and cardiovascular risk factors","volume":"365","author":"Juonala","year":"2011","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jped.2023.09.006_bib0035","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/j.jped.2018.07.009","article-title":"Overview of meta-analysis on prevention and treatment of childhood obesity","volume":"95","author":"Bahia","year":"2019","journal-title":"J Pediatr"},{"key":"10.1016\/j.jped.2023.09.006_bib0036","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1590\/1413-81232023287.17402022","article-title":"The association between multiple cardiovascular risk factors and overweight in Brazilian adolescents: an analysis based on the grade of membership","volume":"28","author":"Silva","year":"2023","journal-title":"Cienc Saude Colet"},{"key":"10.1016\/j.jped.2023.09.006_bib0037","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1590\/1413-81232021262.07272019","article-title":"Association between parental supervision and sedentary behavior and physical inactivity and among Brazilian adolescents","volume":"26","author":"Santana","year":"2021","journal-title":"Cienc Saude Colet"},{"key":"10.1016\/j.jped.2023.09.006_bib0038","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1590\/s01518-8787.2016050006683","article-title":"ERICA: leisure-time physical inactivity in Brazilian adolescents","volume":"50","author":"Cureau","year":"2016","journal-title":"Rev Saude Publica"},{"key":"10.1016\/j.jped.2023.09.006_bib0039","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.jped.2018.09.002","article-title":"Adolescents\u2019 healthy lifestyle","volume":"96","author":"Marques","year":"2020","journal-title":"J Pediatr"},{"key":"10.1016\/j.jped.2023.09.006_bib0040","series-title":"Guideline: Sugars Intake for Adults and Children","year":"2015"}],"container-title":["Jornal de Pediatria"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021755723001213?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021755723001213?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T23:25:56Z","timestamp":1758151556000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0021755723001213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":40,"alternative-id":["S0021755723001213"],"URL":"https:\/\/doi.org\/10.1016\/j.jped.2023.09.006","relation":{},"ISSN":["0021-7557"],"issn-type":[{"value":"0021-7557","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Ultra-processed food consumption and children and adolescents\u2019 health","name":"articletitle","label":"Article Title"},{"value":"Jornal de Pediatria","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jped.2023.09.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda.","name":"copyright","label":"Copyright"}]}}