Evidence map›Paper›PMID 32630022›Full record

ReviewNutrients2020

Ultra-Processed Foods and Health Outcomes: A Narrative Review.

Leonie Elizabeth, Priscila Machado, Marit Zinöcker, Phillip Baker, Mark Lawrence

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 354 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
354citing papers in PubMed, 6 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.

NCT06737276 nacompletednot on this mapstarted 2022, after this paper: background citation

Dietary Advice Training in Nursing Using Simulation and Interactive Fiction: a Randomised Controlled Trial

TypeinterventionalSponsorUniversity of CadizRan2022 to 2022Enrolled60ConditionsSimulation Training, Computer Simulation, Diet, Food, and Nutrition, Nutrition AssessmentArmsInteractive fiction activities, Role-play simulation
NCT06996262 completednot on this mapstarted 2024, after this paper: background citation

The Relationship Between NOVA-Classified Processed Food Intake and Cardiometabolic Risk Factors in Türkiye

Typeobservational_patient_registrySponsorIstanbul Bilgi UniversityRan2024 to 2024Enrolled236ConditionsCardiac Disease, Cardiovascular Diseases, Nutrition, Nutritional DiseaseArmsobservational study
3 · Its place in the literature

Who cites it

354 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  3. Tracking and changes in the clustering of physical activity, sedentary behavior, diet, and sleep across childhood and adolescence: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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294 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

5 authors.

Leonie ElizabethSchool of Exercise and Nutrition Science, Deakin University, Geelong 3217, Australia.
Priscila MachadoSchool of Exercise and Nutrition Science, Deakin University, Geelong 3217, Australia.
Marit ZinöckerDepartment of Nutrition, Bjørknes University College, 0456 Oslo, Norway.
Phillip BakerSchool of Exercise and Nutrition Science, Deakin University, Geelong 3217, Australia.
Mark LawrenceSchool of Exercise and Nutrition Science, Deakin University, Geelong 3217, Australia.

Funding

Australian Research Council Discovery Project DP190101323
6 · The paper itself

Abstract

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.

Indexed as

AdolescentAdultChildDiet, HealthyDiet SurveysFast FoodsFemaleFood HandlingHumansMaleNutritive ValueObesitydietary patternsfood processinghealth outcomesNOVAobesityultra-processed food

Identifiers

PMID32630022
PMCPMC7399967

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.