Obesity

Associations of Ultra‐Processed Foods and Executive Function in Children With Obesity and Their Parents: A Cross‐Sectional Study

Pediatr ObesPublished Secondary analysis of the FRESH randomised trial

Authors' conclusion

There were a few associations between UPFs intake and EF; however, most were nonsignificant.

Study context

Population
Parent-child dyads with obesity seeking treatment, University of California, San Diego; parent age 43 years (6.6), BMI 32 (6.4); child age 9.9 years (1.3), BMIz 2.0 (0.3); 31% Hispanic, 44% White, 25% other
Participants
141 parent-child dyads
Comparison
Children vs Parents
Primary endpoint
Associations of ultra-processed foods (UPFs) intake with executive function (EF) (DSB, SST, Wisconsin Card Sorting Test (WCST))
Methodological detailscross-sectional, single-centre
  • Cross-sectional
  • Single-centre

Primary result

As reported in the abstract

UPFs-EF associations

Β (ultra-processed (UP) meat on digit span backward (DSB) scores)

−0.104

95% CI −0.197 to −0.013P = 0.013

Children · UP meat predicted lower DSB scores

Β (sweetened beverages on failed stop signal task (SST))

0.606

95% CI 0.018–1.210P = 0.044

Parents · sweetened beverages predicted failed SST

Further findings

OutcomeEstimateP value
Parent-child intake associationsParents vs Childrenβ (energy) 0.15P = 0.024
Parent-child intake associationsParents vs Childrenβ (total UPFs) 0.20P = 0.018
Parent-child intake associationsParents vs Childrenβ (savoury snacks) 0.28P = 0.018
Parent-child intake associationsParents vs Childrenβ (UP meat) 0.60P < 0.001
Parent-child intake associationsParents vs Childrenβ (sweetened beverages) 0.24P = 0.023

Original publication

Associations of Ultra‐Processed Foods and Executive Function in Children With Obesity and Their Parents: A Cross‐Sectional Study. Pediatr Obes. Published 16 August 2026. doi:10.1111/ijpo.70143

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