{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:36:52Z","timestamp":1785523012582,"version":"3.56.0"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2023,12,28]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Periconceptional maternal ultra-processed food (UPF) consumption impairs embryonic growth. Impacts of exposure to UPF on distinct components of fetal growth in late pregnancy are unknown. We investigated the influence of frequency of UPF consumption during pregnancy on fetal head circumference (HC), abdominal circumference (AC) and femur length (FL). This study included 417 live-born singleton pregnancies prospectively followed-up since the antenatal period in the MINA-Brazil Study, with an available ultrasound scan at &gt;24 gestational weeks. Frequency of food groups consumption in the previous month was categorised as no\/monthly, weekly or daily. Ultrasound scans were conducted at 27\u00b78 (<jats:sc>sd<\/jats:sc>: 1\u00b77) gestational weeks. HC, AC and FL z-scores were calculated for gestational age using the INTERGROWTH-21st Project standards. Simultaneous-quantile regression models were fitted at the 10th, 50th and 90th percentiles of the distribution of each ultrasound parameter according to UPF consumption, with adjustment for potential confounders. Participants were aged on average 24\u00b77 (<jats:sc>sd<\/jats:sc>: 6\u00b75) years, 44\u00b78 % were primiparous, and 26\u00b79 % and 24\u00b79 %, respectively, had weekly and daily UPF consumption. Compared with no\/monthly intake, daily UPF consumption impaired HC across its distribution, with significant effect sizes varying from \u20130\u00b724 to \u20130\u00b740 z-score. Weekly UPF consumption decreased HC at the 90th percentile by \u20130\u00b739 z-score (95 % CI: \u20130\u00b778, \u20130\u00b701) and FL at the 50th percentile by \u20130\u00b732 z-score (95 % CI: \u20130\u00b760, \u20130\u00b704). No association was noted with AC. Frequency of UPF consumption was negatively associated with skeletal components of fetal growth in late pregnancy. Infant body composition may benefit from healthy food practices since pregnancy.<\/jats:p>","DOI":"10.1017\/s0007114523001204","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T08:36:58Z","timestamp":1684226218000},"page":"2136-2145","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Exposure to ultra-processed foods during pregnancy and ultrasound fetal growth parameters"],"prefix":"10.1017","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2006-674X","authenticated-orcid":false,"given":"B\u00e1rbara Hatzlhoffer","family":"Louren\u00e7o","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia C.","family":"Castro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priscila","family":"de Morais Sato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1200-4725","authenticated-orcid":false,"given":"Paulo Augusto Ribeiro","family":"Neves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin","family":"Vivanco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Leal","family":"Lima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0973-3908","authenticated-orcid":false,"given":"Marly Augusto","family":"Cardoso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the MINA-Brazil Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"key":"S0007114523001204_ref28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2008.00982.x"},{"key":"S0007114523001204_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2016.01.008"},{"key":"S0007114523001204_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2022.06.006"},{"key":"S0007114523001204_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13126"},{"key":"S0007114523001204_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00394-9"},{"key":"S0007114523001204_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003423"},{"key":"S0007114523001204_ref39","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.2183"},{"key":"S0007114523001204_ref36","doi-asserted-by":"publisher","DOI":"10.1038\/s41413-020-00127-9"},{"key":"S0007114523001204_ref15","first-page":"115","article-title":"Estimating wealth effects without expenditure data--or tears: an application to educational enrollments in states of India","volume":"38","author":"Filmer","year":"2001","journal-title":"Demography"},{"key":"S0007114523001204_ref20","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980014001244"},{"key":"S0007114523001204_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2665"},{"key":"S0007114523001204_ref40","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6317"},{"key":"S0007114523001204_ref42","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.4091"},{"key":"S0007114523001204_ref46","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-020-04328-9"},{"key":"S0007114523001204_ref47","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntw228"},{"key":"S0007114523001204_ref29","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.013854"},{"key":"S0007114523001204_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034513"},{"key":"S0007114523001204_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(22)00169-8"},{"key":"S0007114523001204_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30418-7"},{"key":"S0007114523001204_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2020.104602"},{"key":"S0007114523001204_ref25","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12313"},{"key":"S0007114523001204_ref21","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2010001100007"},{"key":"S0007114523001204_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03335-7"},{"key":"S0007114523001204_ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s12937-018-0410-6"},{"key":"S0007114523001204_ref17","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.043497"},{"key":"S0007114523001204_ref1","doi-asserted-by":"publisher","DOI":"10.1101\/2020.06.09.20127001"},{"key":"S0007114523001204_ref48","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04898-3"},{"key":"S0007114523001204_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61490-2"},{"key":"S0007114523001204_ref35","doi-asserted-by":"publisher","DOI":"10.1080\/19490976.2021.1897210"},{"key":"S0007114523001204_ref44","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-2690-z"},{"key":"S0007114523001204_ref45","unstructured":"45. Brazil Ministry of Health, Secretariat of Health Care & Primary Health Care Department (2015) Dietary Guidelines for the Brazilian Population. Bras\u00edlia: Ministry of Health of Brazil. https:\/\/bvsms.saude.gov.br\/bvs\/publicacoes\/dietary_guidelines_brazilian_population.pdf (accessed May 2023)."},{"key":"S0007114523001204_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2018.10.036"},{"key":"S0007114523001204_ref18","volume-title":"Weight Gain During Pregnancy: Reexamining the Guidelines","author":"Rasmussen","year":"2009"},{"key":"S0007114523001204_ref32","doi-asserted-by":"publisher","DOI":"10.1177\/0260106020960881"},{"key":"S0007114523001204_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00394-022-03072-x"},{"key":"S0007114523001204_ref16","volume-title":"Committee on Physical Status: Physical status: The Use and Interpretation of Anthropometry: Report of a WHO Expert Committee","year":"1995"},{"key":"S0007114523001204_ref34","doi-asserted-by":"publisher","DOI":"10.1038\/nature16504"},{"key":"S0007114523001204_ref43","doi-asserted-by":"publisher","DOI":"10.3390\/ijms23020841"},{"key":"S0007114523001204_ref8","doi-asserted-by":"publisher","DOI":"10.3390\/nu13103390"},{"key":"S0007114523001204_ref14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0236055"},{"key":"S0007114523001204_ref27","volume-title":"Stata: Release 15. Statistical Software","year":"2017"},{"key":"S0007114523001204_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018003762"},{"key":"S0007114523001204_ref23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265164"},{"key":"S0007114523001204_ref33","article-title":"Respective contribution of ultra-processing and nutritional quality of foods to the overall diet quality: results from the NutriNet-Sant\u00e9 study","author":"Julia","year":"2022","journal-title":"Eur J Nutr"},{"key":"S0007114523001204_ref19","unstructured":"19. Institute of Medicine (US) & National Research Council (US) (2013) Implementing Guidelines on Weight Gain and Pregnancy. Washington, DC: National Academies Press (US)."},{"key":"S0007114523001204_ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.07.054"},{"key":"S0007114523001204_ref38","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.38214"},{"key":"S0007114523001204_ref41","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13470"}],"container-title":["British Journal of Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007114523001204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T08:29:02Z","timestamp":1709713742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007114523001204\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,16]]},"references-count":48,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12,28]]}},"alternative-id":["S0007114523001204"],"URL":"https:\/\/doi.org\/10.1017\/s0007114523001204","relation":{},"ISSN":["0007-1145","1475-2662"],"issn-type":[{"value":"0007-1145","type":"print"},{"value":"1475-2662","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,16]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}