Association between home food preparation skills and behaviour, and consumption of ultra-processed foods: Cross-sectional analysis of the UK National Diet and nutrition survey (2008–2009)

Background‘Ultra-processed foods’ (UPF) have been industrially processed and tend to be higher in saturated fat, sodium and sugar than other foods. There is some evidence that consumption of UPF is associated with overweight, obesity and related diseases. In developed countries more than half of dietary energy is attributed to UPF. One reason for reliance on UPF may be poor home food preparation skills or infrequent use of these. This relationship has been previously proposed but not tested. We examined the relationship between home food preparation skills and behaviour and consumption of UPF.MethodsWe used data from adults in the UK National Diet & Nutrition Survey 2008–09. Home food preparation skills and behaviours of adults (n = 509) were assessed using questions on confidence using eight cooking techniques, confidence cooking 10 foods, ability to prepare a cake or biscuits without help, and whether or not participants prepared a main meal five or more days per week. Individuals’ UPF consumption was determined from four-day estimated diet diaries. Associations were adjusted for age, gender, occupational social class and household composition.ResultsIn fully adjusted models, individuals who were confident with all 10 foods (adjusted beta (95% CI) = −3.76 (−6.02 to −1.50)), able to bake cakes or biscuits without help (−3.87 (−6.62 to −1.12)), and cooked a main meal at least five days a week (−2.84 (−5.43 to −0.24)) consumed a lower percentage of dietary energy from UPF.ConclusionsIn UK adults better home food preparation skills and more frequent use of these skills tended to be cross-sectionally associated with lower UPF consumption. Greater encouragement of these skills may help reduce reliance on UPF.

[1]  Antonio H Lancha,et al.  Selective underreporting of energy intake in women: magnitude, determinants, and effect of training. , 2003, Journal of the American Dietetic Association.

[2]  D. Mozaffarian,et al.  Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. , 2015, Preventive medicine.

[3]  Jean Adams,et al.  Characterisation of UK diets according to degree of food processing and associations with socio-demographics and obesity: cross-sectional analysis of UK National Diet and Nutrition Survey (2008–12) , 2015, International Journal of Behavioral Nutrition and Physical Activity.

[4]  Clare E Collins,et al.  A systematic review of the validity of dietary assessment methods in children when compared with the method of doubly labeled water. , 2010, Journal of the American Dietetic Association.

[5]  F. Rauber,et al.  Consumption of ultra-processed food products and its effects on children's lipid profiles: a longitudinal study. , 2015, Nutrition, metabolism, and cardiovascular diseases : NMCD.

[6]  R. Levy,et al.  International differences in cost and consumption of ready-to-consume food and drink products: United Kingdom and Brazil, 2008–2009 , 2013, Global public health.

[7]  C. Pettinger,et al.  Meal patterns and cooking practices in Southern France and Central England , 2006, Public Health Nutrition.

[8]  Robert B. Stevens,et al.  Trends in Americans’ food-related time use: 1975–2006 , 2009, Public Health Nutrition.

[9]  R. Levy,et al.  Increased contribution of ultra-processed food products in the Brazilian diet (1987-2009). , 2013, Revista de saude publica.

[10]  J. Moubarac,et al.  Processed and ultra-processed food products: consumption trends in Canada from 1938 to 2011. , 2014, Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en dietetique : une publication des Dietetistes du Canada.

[11]  S. Fonseca,et al.  Relationship between ultra-processed foods and metabolic syndrome in adolescents from a Brazilian Family Doctor Program , 2011, Public Health Nutrition.

[12]  J. Moubarac,et al.  Ultra-processed foods and the nutritional dietary profile in Brazil , 2015, Revista de saude publica.

[13]  T. Lang,et al.  The state of cooking in England: the relationship of cooking skills to food choice , 1999 .

[14]  F. Hu,et al.  Consumption of Meals Prepared at Home and Risk of Type 2 Diabetes: An Analysis of Two Prospective Cohort Studies , 2016, PLoS medicine.

[15]  Carlos Augusto Monteiro,et al.  A new classification of foods based on the extent and purpose of their processing. , 2010, Cadernos de saude publica.

[16]  B. Horta,et al.  Consumption of ultra-processed foods and their impact on the diet of young adults , 2015, Revista de saude publica.

[17]  R. Levy,et al.  Consumption of ultra-processed foods and likely impact on human health. Evidence from Canada , 2012, Public Health Nutrition.

[18]  G. Mcneill,et al.  A review of food consumption and nutrient intake from national surveys in Scotland: comparison to the Scottish dietary targets , 2006 .

[19]  M. Caraher,et al.  Domestic cooking and food skills: A review , 2017, Critical reviews in food science and nutrition.

[20]  M. Martínez-González,et al.  Ultraprocessed food consumption and risk of overweight and obesity: the University of Navarra Follow-Up (SUN) cohort study. , 2016, The American journal of clinical nutrition.

[21]  J. Mindell,et al.  National Diet and Nutrition Survey. Headline results from Year 1 of the Rolling Programme (2008/2009): Chapter 4 Physical measurements , 2010 .

[22]  B. Popkin,et al.  Is the degree of food processing and convenience linked with the nutritional quality of foods purchased by US households? , 2015, The American journal of clinical nutrition.

[23]  C. Hawkes,et al.  Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity and diet-related chronic diseases , 2006, Globalization and health.

[24]  H. Eyles,et al.  Ultra-processed foods have the worst nutrient profile, yet they are the most available packaged products in a sample of New Zealand supermarkets , 2015, Public Health Nutrition.

[25]  B. Popkin,et al.  Trends in US home food preparation and consumption: analysis of national nutrition surveys and time use studies from 1965–1966 to 2007–2008 , 2013, Nutrition Journal.

[26]  Jean Adams,et al.  Prevalence and socio-demographic correlates of cooking skills in UK adults: cross-sectional analysis of data from the UK National Diet and Nutrition Survey , 2015, International Journal of Behavioral Nutrition and Physical Activity.

[27]  Carlos Augusto Monteiro,et al.  Increasing consumption of ultra-processed foods and likely impact on human health: evidence from Brazil , 2010, Public Health Nutrition.

[28]  M. Wagner,et al.  Ultra-processed food consumption in children from a Basic Health Unit. , 2015, Jornal de pediatria.

[29]  Tim Lang,et al.  A qualitative, cross cultural examination of attitudes and behaviour in relation to cooking habits in France and Britain , 2014, Appetite.

[30]  E. Forsum,et al.  Strengthening the Reporting of Observational Studies in Epidemiology – nutritional epidemiology (STROBE‐nut): An extension of the STROBE statement† , 2016, Nutrition bulletin.

[31]  D. Mozaffarian,et al.  Ultra-processed foods and added sugars in the US diet: evidence from a nationally representative cross-sectional study , 2016, BMJ Open.

[32]  R. Levy,et al.  Dietary guidelines to nourish humanity and the planet in the twenty-first century. A blueprint from Brazil , 2015, Public Health Nutrition.

[33]  A. P. Martins,et al.  Participacion creciente de productos ultra procesados en la dieta brasilena (1987-2009) , 2013 .

[34]  R. Levy,et al.  Ultra-Processed Food Products and Obesity in Brazilian Households (2008–2009) , 2014, PloS one.

[35]  A. Anderson,et al.  Validity and reliability of a short questionnaire for assessing the impact of cooking skills interventions. , 2011, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[36]  F. Short Domestic cooking skills-what are they? , 2005 .

[37]  Jean Adams,et al.  Health and social determinants and outcomes of home cooking: A systematic review of observational studies , 2017, Appetite.

[38]  Jean Adams,et al.  Prevalence and socio-demographic correlates of time spent cooking by adults in the 2005 UK Time Use Survey. Cross-sectional analysis , 2015, Appetite.

[39]  E. Hemmingsson,et al.  Trends in consumption of ultra-processed foods and obesity in Sweden between 1960 and 2010 , 2015, Public Health Nutrition.

[40]  D. Rose,et al.  The National Statistics Socio-Economic Classification: Origins, Development and Use , 2005 .

[41]  J. Moubarac,et al.  Impact of ultra-processed foods on micronutrient content in the Brazilian diet , 2015, Revista de saude publica.