This study evaluated global trends in ultraprocessed food and drink (UPFD) volume sales/capita and associations with adult body mass index (BMI) trajectories. Total food/drink volume sales/capita from Euromonitor for 80 countries (2002‐2016) were matched to mean adult BMI from the NCD Risk Factor Collaboration (2002‐2014). Products were classified as UPFD/non‐UPFD according to the NOVA classification system. Mixed models for repeated measures were used to analyse associations between UPFD volume sales/capita and adult BMI trajectories, controlling for confounding factors. The increase in UPF volume sales was highest for South and Southeast Asia (67.3%) and North Africa and the Middle East (57.6%), while for UPD, the increase was highest for South and Southeast Asia (120.0%) and Africa (70.7%). In 2016, baked goods were the biggest contributor to UPF volume sales (13.1%‐44.5%), while carbonated drinks were the biggest contributor to UPD volume sales (40.2%‐86.0%). For every standard deviation increase (51 kg/capita, 2002) in UPD volume sales, mean BMI increased by 0.195 kg/m² for men (P < .001) and 0.072 kg/m² for women (P = .003). For every standard deviation (40 kg/capita, 2002) increase in UPF volume sales, mean BMI increased by 0.316 kg/m² for men (P < .001), while the association was not significant for women. Increases in UPFD volume sales/capita were positively associated with population‐level BMI trajectories.

中文翻译：

---

超加工食品和饮料产品销售的全球趋势及其与成人体重指数轨迹的关联。

这项研究评估了全球超加工食品和饮料（UPFD）的销售量/人均趋势，以及与成人体重指数（BMI）轨迹的关联。来自80个国家/地区的Euromonitor的总食品/饮料销量/人均（2002-2016年）与NCD危险因素合作组织（2002-2014年）中的成年人BMI相匹配。产品根据NOVA分为UPFD /非UPSFD分类系统。重复测量的混合模型用于分析UPFD销量/人均与成人BMI轨迹之间的关联，并控制混杂因素。UPF销量的增长最高的是南亚和东南亚（67.3％），北非和中东（57.6％），而UPD的增长最高的是南亚和东南亚（120.0％）和非洲（70.7） ％）。2016年，烘焙食品是UPF销量最大的贡献者（13.1％-44.5％），而碳酸饮料是UPD销量最大的贡献者（40.2％-86.0％）。UPD销售量每增加标准差（51公斤/人均，2002年），男性的平均BMI就会增加0.195 kg / m ²（P  <.001），女性的平均BMI会增加0.072 kg / m ²（P = .003）。UPF销售量每增加一个标准差（人均40公斤，2002年），男性的平均BMI就会增加0.316公斤/ m ²（P  <.001），而女性的这一关联并不显着。UPFD人均销量增长与人口水平的BMI轨迹呈正相关。