Evidence map›Paper›PMID 25804833›Full record

ArticlePublic health nutrition2015

Trends in consumption of ultra-processed foods and obesity in Sweden between 1960 and 2010.

Filippa Juul, Erik Hemmingsson

Abstract read
In one paragraph

Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Ultra-Processed Food Availability and Noncommunicable Diseases: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  5. Integrative development of a short screening questionnaire of highly processed food consumption (sQ-HPF).The international journal of behavioral nutrition and physical activity · 2022
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  12. The role of ultra-processed food in obesity.Nature reviews. Endocrinology · 2025
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58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Filippa JuulObesity Center,Karolinska University Hospital,Department of Medicine,Karolinska Institutet,Norra Stationsgatan 93,SE 11364 Stockholm,Sweden.
Erik HemmingssonObesity Center,Karolinska University Hospital,Department of Medicine,Karolinska Institutet,Norra Stationsgatan 93,SE 11364 Stockholm,Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate how consumption of ultra-processed foods has changed in Sweden in relation to obesity.

designNationwide ecological analysis of changes in processed foods along with corresponding changes in obesity. Trends in per capita food consumption during 1960-2010 were investigated using data from the Swedish Board of Agriculture. Food items were classified as group 1 (unprocessed/minimally processed), group 2 (processed culinary ingredients) or group 3 (3·1, processed food products; and 3·2, ultra-processed products). Obesity prevalence data were pooled from the peer-reviewed literature, Statistics Sweden and the WHO Global Health Observatory.

settingNationwide analysis in Sweden, 1960-2010. SUBJECTS: Swedish nationals aged 18 years and older.

resultsDuring the study period consumption of group 1 foods (minimal processing) decreased by 2 %, while consumption of group 2 foods (processed ingredients) decreased by 34 %. Consumption of group 3·1 foods (processed food products) increased by 116 % and group 3·2 foods (ultra-processed products) increased by 142 %. Among ultra-processed products, there were particularly large increases in soda (315 %; 22 v. 92 litres/capita per annum) and snack foods such as crisps and candies (367 %; 7 v. 34 kg/capita per annum). In parallel to these changes in ultra-processed products, rates of adult obesity increased from 5 % in 1980 to over 11 % in 2010.

conclusionsThe consumption of ultra-processed products (i.e. foods with low nutritional value but high energy density) has increased dramatically in Sweden since 1960, which mirrors the increased prevalence of obesity. Future research should clarify the potential causal role of ultra-processed products in weight gain and obesity.

Indexed as

Food HandlingHealth TransitionNutrition PolicyPatient ComplianceAdolescentAdultAgedBody Mass IndexCandyCarbonated BeveragesDietFast FoodsFemaleHumansMaleMiddle AgedIndustrial food processingObesityOverweightUltra-processed food products

Identifiers

PMID25804833
PMCPMC10277202

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.