Evidence map›Paper›PMID 31218993›Full record

ArticlePublic health nutrition2019

Consumption of ultra-processed foods decreases the quality of the overall diet of middle-aged Japanese adults.

Kaori Koiwai, Yukari Takemi, Fumi Hayashi, Hiromitsu Ogata, Saika Matsumoto, Keiko Ozawa, Priscila Pereira Machado, Carlos Augusto Monteiro

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
7.1field-weighted citation impact, top 3% of its field
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

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Trends in Female Breast Cancer Incidence among Japanese, Korean, and US Populations: An Age-Period-Cohort Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

8 authors at 2 institutions in 2 countries.

Kaori KoiwaiNutrition Sciences, Graduate School of Kagawa Nutrition University, 3-9-21 Chiyoda, Sakado City, Saitama 350-0288, Japan.
Yukari TakemiNutrition Sciences, Graduate School of Kagawa Nutrition University, 3-9-21 Chiyoda, Sakado City, Saitama 350-0288, Japan.
Fumi HayashiNutrition Ecology, Kagawa Nutrition University, Sakado, Saitama, Japan.
Hiromitsu OgataHealth Sciences, Graduate School of Kagawa Nutrition University, Sakado, Saitama, Japan.
Saika MatsumotoNutrition Sciences, Graduate School of Kagawa Nutrition University, 3-9-21 Chiyoda, Sakado City, Saitama 350-0288, Japan.
Keiko OzawaDepartment of Food and Nutrition, Junior College of Kagawa Nutrition University, Toshima, Tokyo, Japan.
Priscila Pereira MachadoGraduate Program in Nutrition in Public Health, School of Public Health, University of São Paulo, São Paulo, Brazil.
Carlos Augusto MonteiroCenter for Epidemiological Research in Nutrition and Health, University of São Paulo, São Paulo, Brazil.
Kagawa Nutrition University · JPUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the consumption of ultra-processed foods and determine its association with dietary quality among middle-aged Japanese adults.

designCross-sectional study using data from the Saitama Prefecture Health and Nutrition Survey 2011. Dietary intake was assessed using one- or two-day dietary records. Sociodemographic and lifestyle factors were obtained via self-administered questionnaire. Food items were classified according to the NOVA system into four groups: unprocessed or minimally processed foods; processed culinary ingredients; processed foods; and ultra-processed foods. The dietary share of each NOVA food group and their subgroups was calculated in relation to total energy intake, and the average dietary content of key nutrients was determined across tertiles of the dietary energy share of ultra-processed foods (low, middle and high intake).

settingSaitama Prefecture in Japan.

participantsCommunity-dwelling adults aged 30-59 years (256 men, 361 women).

resultsConsumption of unprocessed or minimally processed foods, processed culinary ingredients, processed foods and ultra-processed foods contributed 44·9 (se 0·8) %, 5·5 (se 0·2) %, 11·3 (se 0·4) % and 38·2 (se 0·9) % of total daily energy intake, respectively. A positive and statistically significant linear trend was found between the dietary share of ultra-processed foods (tertiles) and the dietary content of total and saturated fat, while an inverse relationship was observed for protein, vitamin K, vitamin B6, dietary fibre, magnesium, phosphorus and iron.

conclusionsOur findings show that higher consumption of ultra-processed foods was associated with decreased dietary quality among Japanese adults.

Indexed as

AdultCross-Sectional StudiesDietFast FoodsFemaleHumansJapanMaleMiddle AgedNutrition SurveysNutritive ValueDietary qualityJapaneseUltra-processed foods

Identifiers

PMID31218993
PMCPMC10260628
OpenAlexW2953063269

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.