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upf_categorization [2022/10/07 13:16] – [Calculation of UPF categorization] lauraupf_categorization [2025/02/05 13:49] (current) – external edit 127.0.0.1
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 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 [[https://data-catalogue.lifelines.nl/|Lifelines catalogue]]. When this data has been used in your research, you will have to include a reference to the the following paper:
   * [[https://doi.org/10.1186/s12916-021-02200-4|Duan, M. J., Vinke, P. C., Navis, G., Corpeleijn, E., & Dekker, L. H. (2022). Ultra-processed food and incident type 2 diabetes: studying the underlying consumption patterns to unravel the health effects of this heterogeneous food category in the prospective Lifelines cohort. BMC medicine, 20(1), 1-11.]]   * [[https://doi.org/10.1186/s12916-021-02200-4|Duan, M. J., Vinke, P. C., Navis, G., Corpeleijn, E., & Dekker, L. H. (2022). Ultra-processed food and incident type 2 diabetes: studying the underlying consumption patterns to unravel the health effects of this heterogeneous food category in the prospective Lifelines cohort. BMC medicine, 20(1), 1-11.]]
  
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   - **Ultra-processed food:** for example processed meat, soft drinks   - **Ultra-processed food:** for example processed meat, soft drinks
  
-=== Remarks from the researchers === +Per category three types of variables have been created: 
-  - The current categorization doesn't specifically handle the Betrouwbaarheid 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.+  * **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.   - 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.
-  - Additional calculations can be made. However, since there is no "golden standard" the researchers leave this up to the interpretation of users. Examples of additional calculations: high sugar content-ultra-processed food, Glycemic Index food, and quartiles/quintiles. +
-\\+
 \\ \\
  
 ===== 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.
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