Validation of NOVA 27 ultra-processed food screener: adaptation and performance in Ecuador

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Publicat a:Public Health Nutrition vol. 28, no. 1 (2025)
Autor principal: Freire, Wilma B
Altres autors: Tello, Betzabé, Philippe Belmont Guerrón
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Cambridge University Press
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Accés en línia:Citation/Abstract
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022 |a 1368-9800 
022 |a 1475-2727 
024 7 |a 10.1017/S1368980025100475  |2 doi 
035 |a 3226495341 
045 2 |b d20250101  |b d20251231 
084 |a 80032  |2 nlm 
100 1 |a Freire, Wilma B  |u Institute for Research in Health and Nutrition, Universidad San Francisco de Quito, Quito, Ecuador 
245 1 |a Validation of NOVA 27 ultra-processed food screener: adaptation and performance in Ecuador 
260 |b Cambridge University Press  |c 2025 
513 |a Journal Article 
520 3 |a Objective:This study aimed to adapt and validate the NOVA 27 ultra-processed food (UPF) Screener for use in Ecuador by identifying commonly consumed foods, classifying them using the NOVA system and testing the screener’s validity in an urban sample and a national food survey.Design:A cross-sectional study was conducted in two phases: screener validation with a convenience sample of 327 adults in Quito through an online questionnaire (2021) and assessment of its applicability using data from the 2012 Ecuadorian National Health and Nutrition Survey (ENSANUT-Ecu). The method, adapted from a similar study in Brazil, compared NOVA UPF scores to the 24 h-Recall (24-HR) automated multiple-pass method, used as the gold standard.Setting:The study included Quito’s urban population for validation and secondary data from ENSANUT-Ecu.Participants:Three hundred and twenty-seven adults aged 18–64 from Quito were included in the validation phase, and 3510 adults from the ENSANUT-Ecu dataset were analysed in the secondary analysis.Results:The screener adaptation identified twenty-seven subgroups of commonly consumed UPF, summarising 90 % of UPF energy intake. Validation results indicated significant agreement between the NOVA-UPF score and UPF intake, with PABAK indices above 0·8 for most socio-demographic groups. Higher NOVA-UPF scores corresponded to increased UPF dietary shares, mirroring patterns observed in the ENSANUT-Ecu dataset.Conclusions:The adapted NOVA 27 UPF Screener is a valid tool for assessing UPF intake in Ecuador, offering a practical resource for future dietary surveys to monitor and address UPF intake among Ecuadorian adults. 
651 4 |a Brazil 
651 4 |a Ecuador 
653 |a Population 
653 |a Urban populations 
653 |a Questionnaires 
653 |a Adaptation 
653 |a Bread 
653 |a Secondary analysis 
653 |a Processed foods 
653 |a Food processing 
653 |a Nutrition surveys 
653 |a Validation studies 
653 |a Datasets 
653 |a Food 
653 |a Nutritionists 
653 |a Subgroups 
653 |a Classification 
653 |a Energy intake 
653 |a Regions 
653 |a Adults 
653 |a Public health 
653 |a Surveys 
653 |a Beverages 
653 |a Addictive behaviors 
653 |a Social 
700 1 |a Tello, Betzabé  |u Center for Research on Health in Latin America (CISeAL), Facultad de Medicina, Pontificia Universidad Católica del Ecuador, Quito, Ecuador 
700 1 |a Philippe Belmont Guerrón  |u Center for Research on Health in Latin America (CISeAL), Facultad de Medicina, Pontificia Universidad Católica del Ecuador, Quito, Ecuador 
773 0 |t Public Health Nutrition  |g vol. 28, no. 1 (2025) 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3226495341/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3226495341/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3226495341/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch