{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T19:02:26Z","timestamp":1772910146561,"version":"3.50.1"},"reference-count":46,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T00:00:00Z","timestamp":1637107200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","doi-asserted-by":"publisher","award":["POCI-01-0145-FEDER-032090"],"award-info":[{"award-number":["POCI-01-0145-FEDER-032090"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"S\u00e3o Paulo Research Foundation","doi-asserted-by":"publisher","award":["2018\/07391-9"],"award-info":[{"award-number":["2018\/07391-9"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"S\u00e3o Paulo Research Foundation","doi-asserted-by":"publisher","award":["2019\/05972-7"],"award-info":[{"award-number":["2019\/05972-7"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>This study aimed to identify dietary patterns (DPs) and their associations with sociodemographic factors and diet quality in Portuguese adults and the elderly. Cross-sectional data were obtained from the National Food, Nutrition and Physical Activity Survey (2015\u20132016), with two non-consecutive dietary 24 h recalls. Food items were classified according to the NOVA system and its proportion (in grams) in the total daily diet was considered to identify DPs by latent class analysis, using age and sex as concomitant variables. Multinomial logistic and linear regressions were performed to test associations of DPs with sociodemographic characteristics and diet quality, respectively. Three DPs were identified: \u201cTraditional\u201d (higher vegetables, fish, olive oil, breads, beer and wine intake), \u201cUnhealthy\u201d (higher pasta, sugar-sweetened beverages, confectionery and sausages intake) and \u201cDiet concerns\u201d (lower intake of cereals, red meat, sugar-sweetened and alcoholic beverages). \u201cUnhealthy\u201d was associated with being younger and lower intake of dietary fiber and vitamins and the highest free sugars and ultra-processed foods (UPF). \u201cDiet concerns\u201d was associated with being female and a more favorable nutrient profile, but both DPs presented a higher contribution of UPF than the \u201cTraditional\u201d DP. These findings should be considered for the design of food-based interventions and public policies for these age groups in Portugal.<\/jats:p>","DOI":"10.3390\/nu13114119","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T09:16:11Z","timestamp":1637140571000},"page":"4119","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2652-4051","authenticated-orcid":false,"given":"Milena Miranda","family":"de Moraes","sequence":"first","affiliation":[{"name":"Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal"},{"name":"Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health\u2014Institute of Public Health, University of Porto, 4050-600 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7710-4284","authenticated-orcid":false,"given":"Bruno","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal"},{"name":"Artificial Intelligence and Decision Support (LIAAD), Institute for Systems and Computer Engineering, Technology and Science (INESC TEC), 4200-465 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3837-3481","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"Afonso","sequence":"additional","affiliation":[{"name":"Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal"},{"name":"Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health\u2014Institute of Public Health, University of Porto, 4050-600 Porto, Portugal"}]},{"given":"Cristina","family":"Santos","sequence":"additional","affiliation":[{"name":"Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal"},{"name":"Center for Health Technology and Services Research (CINTESIS), University of Porto\/Associate Laboratory RISE\u2014Health Research Network, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8960-2160","authenticated-orcid":false,"given":"Duarte","family":"Torres","sequence":"additional","affiliation":[{"name":"Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal"},{"name":"Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health\u2014Institute of Public Health, University of Porto, 4050-600 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1524-852X","authenticated-orcid":false,"given":"Carla","family":"Lopes","sequence":"additional","affiliation":[{"name":"Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health\u2014Institute of Public Health, University of Porto, 4050-600 Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]},{"given":"Renata Costa","family":"de Miranda","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Institute of Health Sciences, Federal University of Tri\u00e2ngulo Mineiro, Uberaba 38025-440, Brazil"},{"name":"Center for Epidemiological Research in Nutrition and Health, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9693-7954","authenticated-orcid":false,"given":"Fernanda","family":"Rauber","sequence":"additional","affiliation":[{"name":"Center for Epidemiological Research in Nutrition and Health, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"},{"name":"Department of Preventive Medicine, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"},{"name":"Department of Nutrition, School of Public Health, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9340-495X","authenticated-orcid":false,"given":"Luiza","family":"Antoniazzi","sequence":"additional","affiliation":[{"name":"Center for Epidemiological Research in Nutrition and Health, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"},{"name":"Department of Preventive Medicine, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5388-7002","authenticated-orcid":false,"given":"Renata Bertazzi","family":"Levy","sequence":"additional","affiliation":[{"name":"Center for Epidemiological Research in Nutrition and Health, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"},{"name":"Department of Preventive Medicine, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-90, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0647-5018","authenticated-orcid":false,"given":"Sara","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Faculty of Nutrition and Food Sciences, University of Porto, 4150-180 Porto, Portugal"},{"name":"Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health\u2014Institute of Public Health, University of Porto, 4050-600 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,17]]},"reference":[{"key":"ref_1","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","author":"Murray","year":"2020","journal-title":"Lancet"},{"key":"ref_2","unstructured":"(2021, September 20). 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