Ultra-Processed Foods and Health Outcomes: A Narrative Review

The nutrition literature and authoritative reports increasingly recognise the concept of ultra-processed foods (UPF), as a descriptor of unhealthy diets. UPFs are now prevalent in diets worldwide. This review aims to identify and appraise the studies on healthy participants that investigated associa...

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Main Authors: Leonie Elizabeth, Priscila Machado, Marit Zinöcker, Phillip Baker, Mark Lawrence
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/7/1955
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author Leonie Elizabeth
Priscila Machado
Marit Zinöcker
Phillip Baker
Mark Lawrence
author_facet Leonie Elizabeth
Priscila Machado
Marit Zinöcker
Phillip Baker
Mark Lawrence
author_sort Leonie Elizabeth
collection DOAJ
description The nutrition literature and authoritative reports increasingly recognise the concept of ultra-processed foods (UPF), as a descriptor of unhealthy diets. UPFs are now prevalent in diets worldwide. This review aims to identify and appraise the studies on healthy participants that investigated associations between levels of UPF consumption and health outcomes. This involved a systematic search for extant literature; integration and interpretation of findings from diverse study types, populations, health outcomes and dietary assessments; and quality appraisal. Of 43 studies reviewed, 37 found dietary UPF exposure associated with at least one adverse health outcome. Among adults, these included overweight, obesity and cardio-metabolic risks; cancer, type-2 diabetes and cardiovascular diseases; irritable bowel syndrome, depression and frailty conditions; and all-cause mortality. Among children and adolescents, these included cardio-metabolic risks and asthma. No study reported an association between UPF and beneficial health outcomes. Most findings were derived from observational studies and evidence of plausible biological mechanisms to increase confidence in the veracity of these observed associations is steadily evolving. There is now a considerable body of evidence supporting the use of UPFs as a scientific concept to assess the ‘healthiness’ of foods within the context of dietary patterns and to help inform the development of dietary guidelines and nutrition policy actions.
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spelling doaj.art-3a59425410cd44eeb9ab62f22283a53c2023-11-20T05:27:06ZengMDPI AGNutrients2072-66432020-06-01127195510.3390/nu12071955Ultra-Processed Foods and Health Outcomes: A Narrative ReviewLeonie Elizabeth0Priscila Machado1Marit Zinöcker2Phillip Baker3Mark Lawrence4School of Exercise and Nutrition Science, Deakin University, Geelong 3217, AustraliaSchool of Exercise and Nutrition Science, Deakin University, Geelong 3217, AustraliaDepartment of Nutrition, Bjørknes University College, 0456 Oslo, NorwaySchool of Exercise and Nutrition Science, Deakin University, Geelong 3217, AustraliaSchool of Exercise and Nutrition Science, Deakin University, Geelong 3217, AustraliaThe nutrition literature and authoritative reports increasingly recognise the concept of ultra-processed foods (UPF), as a descriptor of unhealthy diets. UPFs are now prevalent in diets worldwide. This review aims to identify and appraise the studies on healthy participants that investigated associations between levels of UPF consumption and health outcomes. This involved a systematic search for extant literature; integration and interpretation of findings from diverse study types, populations, health outcomes and dietary assessments; and quality appraisal. Of 43 studies reviewed, 37 found dietary UPF exposure associated with at least one adverse health outcome. Among adults, these included overweight, obesity and cardio-metabolic risks; cancer, type-2 diabetes and cardiovascular diseases; irritable bowel syndrome, depression and frailty conditions; and all-cause mortality. Among children and adolescents, these included cardio-metabolic risks and asthma. No study reported an association between UPF and beneficial health outcomes. Most findings were derived from observational studies and evidence of plausible biological mechanisms to increase confidence in the veracity of these observed associations is steadily evolving. There is now a considerable body of evidence supporting the use of UPFs as a scientific concept to assess the ‘healthiness’ of foods within the context of dietary patterns and to help inform the development of dietary guidelines and nutrition policy actions.https://www.mdpi.com/2072-6643/12/7/1955ultra-processed foodhealth outcomesdietary patternsNOVAfood processingobesity
spellingShingle Leonie Elizabeth
Priscila Machado
Marit Zinöcker
Phillip Baker
Mark Lawrence
Ultra-Processed Foods and Health Outcomes: A Narrative Review
Nutrients
ultra-processed food
health outcomes
dietary patterns
NOVA
food processing
obesity
title Ultra-Processed Foods and Health Outcomes: A Narrative Review
title_full Ultra-Processed Foods and Health Outcomes: A Narrative Review
title_fullStr Ultra-Processed Foods and Health Outcomes: A Narrative Review
title_full_unstemmed Ultra-Processed Foods and Health Outcomes: A Narrative Review
title_short Ultra-Processed Foods and Health Outcomes: A Narrative Review
title_sort ultra processed foods and health outcomes a narrative review
topic ultra-processed food
health outcomes
dietary patterns
NOVA
food processing
obesity
url https://www.mdpi.com/2072-6643/12/7/1955
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AT priscilamachado ultraprocessedfoodsandhealthoutcomesanarrativereview
AT maritzinocker ultraprocessedfoodsandhealthoutcomesanarrativereview
AT phillipbaker ultraprocessedfoodsandhealthoutcomesanarrativereview
AT marklawrence ultraprocessedfoodsandhealthoutcomesanarrativereview