P1035 - UNRAVELING THE LINK BETWEEN MATERNAL ULTRA-PROCESSED FOOD CONSUMPTION AND CHILDREN’S NUTRITIONAL STATUS: A SYSTEMATIC REVIEW

P1035

UNRAVELING THE LINK BETWEEN MATERNAL ULTRA-PROCESSED FOOD CONSUMPTION AND CHILDREN’S NUTRITIONAL STATUS: A SYSTEMATIC REVIEW

Y. Y. Kristian^1,*, F. E. N. Pratiwy², A. A. Rachmayanti³, Y. P. Pramesti², S. L. Sani⁴

¹Department of Nutrition, Faculty of Medicine, Universitas Indonesia, Jakarta, ²Faculty of Medicine, Public Health, and Nursing, Universitas Gajah Mada, Yogyakarta, ³Dr Cipto Mangunkusumo Hospital, ⁴Faculty of Public Health, Universitas Indonesia, Jakarta, Indonesia

Rationale: Maternal ultra-processed food (UPF) consumption during pregnancy is increasingly recognised as a potential risk factor for adverse children’s nutritional status. This study explored the impact of maternal UPF consumption during pregnancy on children’s nutritional status.

Methods: A systematic search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted across six databases (Embase, MEDLINE, Cochrane Library, PubMed, Global Health, and APA PSycNet) from inception to August 2024. The included studies were observational and intervention studies. Three reviewers independently screened studies according to the set criteria, followed by data extraction. Bias was assessed using the Academy of Nutrition and Dietetics’ quality assessment tool.

Results: Out of 6,124 records screened, eighteen studies involving 78,371 participants were included. More frequent energy-dense, high-sugar, and high-saturated fat UPF may influence children’s nutritional status. During fetal development, one study found a significantly smaller head circumference and shorter femur length. At birth, outcomes were conflicting. While five studies showed insignificant association, ten studies (67%) revealed significant associations in adiposity, birth weight, and anogenital distance. The results were more prevalent in participants with higher sugar-sweetened beverages (SSB) and processed meat consumption. During childhood, the risk of overweight was observed in mothers with high SSB consumption (RR 1.08, CI 1.01 to 1.16).

Conclusion: Despite the mixed results, the consumption of UPF during pregnancy may bring unfavorable effects on fetal and children's development. Further studies are needed to analyse the association of specific UPF nutrient content consumption during pregnancy with children’s nutritional status development.

Disclosure of Interest: None declared