Cardiometabolic Risk Factors and Processed Food

NCT ID: NCT06996262

Last Updated: 2025-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

236 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-01

Study Completion Date

2024-04-30

Brief Summary

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Cardiovascular diseases (CVD) remain a primary cause of chronic disability and mortality globally, with cardiometabolic risk factors such as hypertension, dyslipidemia, obesity, and diabetes significantly contributing to their development. Poor nutrition is recognized as a modifiable key risk factor for CVD, representing a crucial area for prevention strategies. While current research often emphasizes overall dietary patterns and quality in CVD prevention, the spectrum of food processing, ranging from minimally processed to ultra-processed foods (UPFs), can profoundly influence diet quality.

Ultra-processed foods, characterized by industrial processing techniques, additives, and special industrial ingredients, have been shown to potentially compromise the health benefits of food by reducing essential nutrients and bioactive compounds, introducing unhealthy elements, and altering food structures. Emerging epidemiological evidence links higher UPF consumption to an increased risk of obesity, hypertension, metabolic syndrome, and type 2 diabetes, with studies like the Framingham Offspring Study indicating a positive association with CVD incidence.

Globally, UPF consumption is on the rise, constituting a significant portion of daily energy intake. In Turkey, data from the 2021 National Nutrition and Health Survey reveals that a substantial 58% of adults consume processed foods daily . This is particularly concerning given Turkey's high burden of CVD, which has been the leading cause of mortality for decades and is projected to increase further due to an aging population and rising rates of diabetes and obesity. Notably, Turkey has the highest rate of early myocardial infarction in Europe.

Given the increasing consumption of UPFs and their potential health implications, especially in a country with a high prevalence of CVD like Turkey, understanding the relationship between dietary factors and cardiovascular health is critical. Therefore, this study aims to investigate the association between processed food intake and cardiometabolic risk factors among adult individuals in Türkiye.

Detailed Description

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Conditions

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Cardiac Disease Cardiovascular Diseases Nutrition Nutritional Disease Cardiometabolic Diseases Cardiometabolic Risk Factors

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Observational Study Group

* Aged 18-65,
* Volunteers at the Zonguldak Atatürk State Hospital
* Outpatients applying to the internal medicine polyclinic

observational study

Intervention Type OTHER

The questionnaire consisted of structured questions covering sociodemographic information, health status, dietary habits, and physical activity levels.

observational study

Intervention Type OTHER

Anthropometric measurements was taken.

observational study

Intervention Type OTHER

Biochemical analyses were measured was measured using routine methods.

observational study

Intervention Type OTHER

Blood pressure were measured was measured using routine methods.

Interventions

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observational study

The questionnaire consisted of structured questions covering sociodemographic information, health status, dietary habits, and physical activity levels.

Intervention Type OTHER

observational study

Anthropometric measurements was taken.

Intervention Type OTHER

observational study

Biochemical analyses were measured was measured using routine methods.

Intervention Type OTHER

observational study

Blood pressure were measured was measured using routine methods.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* aged 18-65 years
* volunteers patients

Exclusion Criteria

* people under 18 years of ages
* people over 65 years of ages
* pregnant and breastfeeding women
* individuals with active cancer or chronic illnesses
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Istanbul Bilgi University

OTHER

Sponsor Role lead

Responsible Party

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Hande Seven Avuk

Assistant Professor, Head of Nutrition and Dietetic Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hande Seven Avuk, PhD

Role: PRINCIPAL_INVESTIGATOR

Istanbul Bilgi University

Locations

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Istanbul Bilgi University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Tokgozoglu L, Kayikcioglu M, Ekinci B. The landscape of preventive cardiology in Turkey: Challenges and successes. Am J Prev Cardiol. 2021 Apr 14;6:100184. doi: 10.1016/j.ajpc.2021.100184. eCollection 2021 Jun.

Reference Type BACKGROUND
PMID: 34327504 (View on PubMed)

Hosseininasab D, Shiraseb F, Noori S, Jamili S, Mazaheri-Eftekhar F, Dehghan M, da Silva A, Bressan J, Mirzaei K. The relationship between ultra-processed food intake and cardiometabolic risk factors in overweight and obese women: A cross-sectional study. Front Nutr. 2022 Aug 9;9:945591. doi: 10.3389/fnut.2022.945591. eCollection 2022.

Reference Type BACKGROUND
PMID: 36017229 (View on PubMed)

Elizabeth L, Machado P, Zinocker M, Baker P, Lawrence M. Ultra-Processed Foods and Health Outcomes: A Narrative Review. Nutrients. 2020 Jun 30;12(7):1955. doi: 10.3390/nu12071955.

Reference Type BACKGROUND
PMID: 32630022 (View on PubMed)

Juul F, Martinez-Steele E, Parekh N, Monteiro CA, Chang VW. Ultra-processed food consumption and excess weight among US adults. Br J Nutr. 2018 Jul;120(1):90-100. doi: 10.1017/S0007114518001046. Epub 2018 May 6.

Reference Type BACKGROUND
PMID: 29729673 (View on PubMed)

Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada ML, Rauber F, Khandpur N, Cediel G, Neri D, Martinez-Steele E, Baraldi LG, Jaime PC. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019 Apr;22(5):936-941. doi: 10.1017/S1368980018003762. Epub 2019 Feb 12.

Reference Type BACKGROUND
PMID: 30744710 (View on PubMed)

Juul F, Vaidean G, Parekh N. Ultra-processed Foods and Cardiovascular Diseases: Potential Mechanisms of Action. Adv Nutr. 2021 Oct 1;12(5):1673-1680. doi: 10.1093/advances/nmab049.

Reference Type BACKGROUND
PMID: 33942057 (View on PubMed)

Juul F, Vaidean G, Lin Y, Deierlein AL, Parekh N. Ultra-Processed Foods and Incident Cardiovascular Disease in the Framingham Offspring Study. J Am Coll Cardiol. 2021 Mar 30;77(12):1520-1531. doi: 10.1016/j.jacc.2021.01.047.

Reference Type BACKGROUND
PMID: 33766258 (View on PubMed)

Ozkan I, Ozlu Karahan T, Seven Avuk H. Processed Food Consumption Based on the NOVA Classification Is Associated With Elevated Cardiometabolic Risk in Turkish Adults. Food Sci Nutr. 2025 Sep 26;13(10):e71014. doi: 10.1002/fsn3.71014. eCollection 2025 Oct.

Reference Type DERIVED
PMID: 41019184 (View on PubMed)

Related Links

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https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-ve-hareketli-hayat-db/Dokumanlar/Rehberler/Turkiye_Beslenme_Rehber_TUBER_2022_min.pdf

Ministry of Health, General Directorate of Public Health. (2022). Türkiye Nutrition Guide (TUBER) 2022. Ministry of Health Publication No: 1031. Ankara: Ministry of Health.

Other Identifiers

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ULTRAHEARTTR

Identifier Type: -

Identifier Source: org_study_id

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