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upf_categorization [2022/10/07 13:17] – [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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   - **Processed food:** for example canned vegetables or fish and fruits in syrup   - **Processed food:** for example canned vegetables or fish and fruits in syrup
   - **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 === === Remarks from the UMCG researchers ===
-  - 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.+  - 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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