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upf_categorization [2022/10/07 15:05]
laura
upf_categorization [2023/02/01 16:21] (current)
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 ====== Ultra-processed food categorization according to the NOVA classification ====== ​ ====== Ultra-processed food categorization according to the NOVA classification ====== ​
  
-Researchers from the [[https://​www.rug.nl/​staff/​m.duan/​|University Medical Center Groningen]] developed the Ultra-processed food (UPF) categorization for adults according to the NOVA classification using the [[ffq_sum_scores|Food Frequency Questionnaire Sum scores from the heart of the FFQ flower (]]1a_questionnaire_2|1A Questionnaire 2]]). ([[sections]]:​ [[Nutrition]] and [[secondary & linked variables]]).\\+Researchers from the [[https://​www.rug.nl/​staff/​m.duan/​|University Medical Center Groningen]] developed the Ultra-processed food (UPF) categorization for adults according to the NOVA classification using the [[ffq_sum_scores|Food Frequency Questionnaire Sum scores]] from the heart of the FFQ flower ([[1a_questionnaire_2|1A Questionnaire 2]]). ([[sections]]:​ [[Nutrition]] and [[secondary & linked variables]]).\\
  
 The UPF food categorization can be requested in the Lifelines catalogue or by mail (data@lifelines.nl). When this data has been used in your research, you will have to include a reference to the the following paper: The UPF food categorization can be requested in the Lifelines catalogue or by mail (data@lifelines.nl). When this data has been used in your research, you will have to include a reference to the the following paper:
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 ===== Background information ===== ===== Background information =====
 //From the paper of [[https://​doi.org/​10.1186/​s12916-021-02200-4|Duan et al. (2022)]]//​\\ //From the paper of [[https://​doi.org/​10.1186/​s12916-021-02200-4|Duan et al. (2022)]]//​\\
-Research on UPF has been facilitated by the development of the NOVA classification. The NOVA classification is a frequently used method to categorize food and drinks based on the nature, extent, and purpose of food processing. The NOVA classification comprises four categories, ranging from un-processed/​minimally processed food to UPF. According to the NOVA classification,​ UPF is mostly formulated from food substances and industrial ingredients that undergo a series of chemical and physical manufacturing processes. The resulting food products are often pre-packed, contain little or no intact (un-processed) food, and are considered microbiologically safe, convenient, and palatable.+Research on UPF has been facilitated by the development of the NOVA classification. The NOVA classification is a frequently used method to categorize food and drinks based on the nature, extent, and purpose of food processing. The NOVA classification comprises four categories, ranging from un-processed/​minimally processed food to UPF. According to the NOVA classification,​ UPF is mostly formulated from food substances and industrial ingredients that undergo a series of chemical and physical manufacturing processes. The resulting food products are often pre-packed, contain little or no intact (un-processed) food, and are considered microbiologically safe, convenient, and palatable.\\ 
 +\\
  
  
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   - **Ultra-processed food:** for example processed meat, soft drinks   - **Ultra-processed food:** for example processed meat, soft drinks
  
 +Per category three types of variables have been created:
 +  * **Classification variable:** which adds up the intake of all food items that belong to the specific category
 +  * **Intake (nova) weight ratio variable:** which indicates the weight proportion (% grams) of a specific category in the total diet of a day
 +  * **Intake (nova) energy ratio variable:** which which indicates the energy ratio (grams/​1000kcal) of a specific category in the total diet of a day
  
 +=== Remarks from the UMCG researchers ===
 +  - The current categorization doesn'​t specifically handle the reliability of energy intake (provided in the [[ffq_sum_scores|Food Frequency Questionnaire Sum scores]]). This could be a decision for other researchers using the UPF classification data. To make this easier, the reliability variable from the [[ffq_sum_scores|FFQ sum scores]] has been added as variable.
 +  - According to the NOVA classification,​ some alcohol products should also be characterized as ultra-processed food. However, we did not do this because alcohol may have separate health effects. Therefore, we analyze alcohol intake always as a separate covariate. This is also practiced by other papers from other cohorts.
 +
 +\\
  
 ===== Variables ===== ===== Variables =====
-| **Questions ​English** ​                                            ​| **Questions ​Dutch** ​                                              ​| **Code** ​ | **Variable** ​ | **Assessment** ​            ​| **Age** ​ | +| **Label English** ​                                                                                                   | **Label Dutch** ​                                                                                                       | **Code** ​                    ​| **Variable** ​          ​| **Assessment** ​ | **Age** ​ | 
-| NOVA classification 1: unprocessed or minimally processed food    | NOVA classificatie 1: onbewerkte of minimaal bewerkte voeding ​    ​          ​| nova1         ​[[1a_questionnaire_2|1A]]  ​| 18+      | +food intake (gram per day) / NOVA classification 1: unprocessed or minimally processed food                          voedselinname (gram per dag) / NOVA classificatie 1: onbewerkte of minimaal bewerkte voeding ​                          ​nova_foodintake_adu_c_1 ​     ​| nova1                  sec *           | 18+      | 
-| NOVA classification 2: processed culinary ingredient ​             | NOVA classificatie 2: bewerkt culinair ingrediënt ​                ​          ​| nova2         ​[[1a_questionnaire_2|1A]]  ​| 18+      | +food intake (gram per day) / NOVA classification 2: processed culinary ingredient ​                                   voedselinname (gram per dag) / NOVA classificatie 2: bewerkt culinair ingrediënt ​                                      ​nova_foodintake_adu_c_2 ​     ​| nova2                  sec *           | 18+      | 
-| NOVA classification 3: processed food                             ​| NOVA classificatie 3: bewerkt voedsel ​                            ​          ​| nova3         ​[[1a_questionnaire_2|1A]]  ​| 18+      | +food intake (gram per day) / NOVA classification 3: processed food                                                   ​voedselinname (gram per dag) / NOVA classificatie 3: bewerkt voedsel ​                                                  ​nova_foodintake_adu_c_3 ​     ​| nova3                  sec *           | 18+      | 
-| NOVA classification 4: ultra-processed food                       ​| NOVA classificatie 4: ultabewerkt voedsel ​                        ​          ​| nova4         ​[[1a_questionnaire_2|1A]]  ​| 18+      | +food intake (gram per day) / NOVA classification 4: ultra-processed food                                             ​voedselinname (gram per dag) / NOVA classificatie 4: ultabewerkt voedsel ​                                              ​nova_foodintake_adu_c_4 ​     ​| nova4                  sec *           | 18+      | 
-NOVA1 Weight Percentage Unprocessed and Minimally Processed Food  ​NOVA1 gewogen percentage ​onbewerkte of minimaal bewerkte voeding ​           ​| nova1prt ​     [[1a_questionnaire_2|1A]]  ​| 18+      | +% of the total food intake in gram per day / NOVA classification 1: unprocessed or minimally processed food          ​% van de totale voedselinname in gram per dag / NOVA classificatie 1: onbewerkte of minimaal bewerkte voeding ​         nova_weightratio_adu_c_1 ​    | nova1prt ​              ​sec *           | 18+      | 
-NOVA2 Weight Percentage Processed Culinary Ingredients ​           ​NOVA2 gewogen percentage ​bewerkt culinair ingrediënt ​                       ​| nova2prt ​     [[1a_questionnaire_2|1A]]  ​| 18+      | +% of the total food intake in gram per day / NOVA classification 2: processed culinary ingredient ​                   ​% van de totale voedselinname in gram per dag / NOVA classificatie 2: bewerkt culinair ingrediënt ​                     nova_weightratio_adu_c_2 ​    | nova2prt ​              ​sec *           | 18+      | 
-NOVA3 Weight Percentage Processed Food                            ​NOVA3 gewogen percentage ​bewerkt voedsel ​                                   ​| nova3prt ​     [[1a_questionnaire_2|1A]]  ​| 18+      | +% of the total food intake in gram per day / NOVA classification 3: processed food                                   % van de totale voedselinname in gram per dag / NOVA classificatie 3: bewerkt voedsel ​                                 nova_weightratio_adu_c_3 ​    | nova3prt ​              ​sec *           | 18+      | 
-NOVA4 Weight Percentage Ultra-processed ​Food                      ​NOVA4 gewogen percentage ultrabewerkt ​voedsel ​                    ​          ​| nova4prt ​     [[1a_questionnaire_2|1A]]  ​| 18+      | +% of the total food intake in gram per day / NOVA classification 4: ultra-processed ​food                             % van de totale voedselinname in gram per dag / NOVA classificatie 4: ultabewerkt ​voedsel ​                             nova_weightratio_adu_c_4 ​    | nova4prt ​              ​sec *           | 18+      | 
-NOVA1 Unprocessed and Minimally Processed Food grams/1000kcal ​    ​NOVA1 onbewerkte of minimaal bewerkte voeding ​gram/​1000kcal ​                ​| nova1kcal ​    ​[[1a_questionnaire_2|1A]]  ​| 18+      | +gram per 1000kcal ​of the total food intake per day / NOVA classification 1: unprocessed or minimally processed food  ​gram per 1000kcal of de totale voedsellinname per dag / NOVA classificatie 1: onbewerkte of minimaal bewerkte voeding ​ nova_energyratio_adu_c_1 ​    | nova1kcal ​             sec *           | 18+      | 
-NOVA2 Processed Culinary Ingredients grams/1000kcal ​              ​NOVA2 bewerkt culinair ingrediënt ​gram/​1000kcal ​                            ​| nova2kcal ​    ​[[1a_questionnaire_2|1A]]  ​| 18+      | +gram per 1000kcal ​of the total food intake per day / NOVA classification 2: processed culinary ingredient ​           ​gram per 1000kcal of de totale voedsellinname per dag / NOVA classificatie 2: bewerkt culinair ingrediënt ​             nova_energyratio_adu_c_2 ​    | nova2kcal ​             sec *           | 18+      | 
-NOVA3 Processed ​food grams/1000kcal ​                              NOVA3 bewerkt voedsel ​gram/1000kcal ​                              ​          ​| nova3kcal ​    ​[[1a_questionnaire_2|1A]]  ​| 18+      | +gram per 1000kcal of the total food intake per day NOVA classification 3: processed food                           | gram per 1000kcal ​of de totale voedsellinname per dag / NOVA classificatie 3: bewerkt voedsel ​                         ​nova_energyratio_adu_c_3 ​    | nova3kcal ​             sec *           | 18+      | 
-NOVA4 Ultra-processed ​Food grams/​1000kcal ​                        NOVA4 ultrabewerkt voedsel ​gram/1000kcal ​                                   ​| nova4kcal ​    ​[[1a_questionnaire_2|1A]]  | 18+      |+gram per 1000kcal of the total food intake per day / NOVA classification 4: ultra-processed ​food                     | gram per 1000kcal ​of de totale voedsellinname per dag / NOVA classificatie 4: ultabewerkt voedsel ​                     ​nova_energyratio_adu_c_4 ​    | nova4kcal ​             sec *           18+      | 
 +| reliability of the ffq heart results that were used to determine the nove scores ​                                    | betrouwbaarheid van de ffq hart resultaten die zijn gebruikt voor het bepalen van de nova scores ​                      | nova_reliabilityffq_adu_c_1 ​ | Betrouwbaarheid__nova ​ | sec *           | 18+      |
  
 +* The UPF categorization according to the NOVA is included as assessment '​sec'​ because it is based on the FFQ sum scores.
upf_categorization.1665147908.txt.gz · Last modified: 2022/10/07 15:05 by laura