ArticleThe American journal of clinical nutrition2021
Association between ultraprocessed food intake and cardiovascular health in US adults: a cross-sectional analysis of the NHANES 2011-2016.
Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Worldwide Consumption of Ultra-Processed Foods: Findings and Criticisms.Nutrients · 2021Pooled it
- Metabolomic Profiling of an Ultraprocessed Dietary Pattern in a Domiciled Randomized Controlled Crossover Feeding Trial.The Journal of nutrition · 2023Trial
- Trial
- Article
- The Intersection of Diet Quality and Ultraprocessed Food Intake: Using Evidence-Based Categories to Characterize Differences in Cardiometabolic Profiles.American journal of public health · 2026Article
- Article
- A metabolite index of ultra-processed food intake is associated with stroke, cancer mortality, and all-cause mortality.medRxiv : the preprint server for health sciences · 2026Article
- Ultraprocessed Foods Associated With Depressive Symptoms Among Chinese Adolescents: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- Ultra-Processed Foods and Cardiometabolic Health: A Review of Current Evidence.Current nutrition reports · 2025Review
- Ultra-processed food consumption and cardiometabolic risk in Canada: a cross-sectional analysis of the Canadian health measures survey.Nutrition & metabolism · 2025Article
- Defining Culinary Medicine: A Call for Consensus on Competencies to Improve Nutrition.Nutrients · 2025Article
- [Energy and sodium content of foods reported in the National Household Income and Expenditure Survey 2018-2019, Costa Rica, according to the NOVA classificationAporte energético e teor de sódio dos alimentos informados na Pesquisa Nacional de Renda e Despesa Domiciliar 2018-2019 da Costa Rica, de acordo a classificação NOVA.]Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Associations between Food Insecurity and Supplemental Nutrition Assistance Program (SNAP) participation with ultra-processed food intake in lower-income U.S. adolescents.Journal of nutritional science · 2025Article
- Associations Between Health-Related Social Needs and Cardiovascular Health Among US Adults.Journal of the American Heart Association · 2024Article
- Reduced red and processed meat consumption is associated with lower diet costs in US households: a national analysis of protein substitutions.Public health nutrition · 2024Article
- Socioeconomic Inequalities in Intakes of Ultraprocessed and Minimally Processed Foods in Nationally Representative Samples of Adults in Canada: An Analysis of Trends between 2004 and 2015.The Journal of nutrition · 2024Article
- Ultra-processed products and risk of liver cancer: A prospective cohort study.Clinical nutrition (Edinburgh, Scotland) · 2024Article
- Validity and Reliability of the Turkish Version of the Screening Questionnaire of Highly Processed Food Consumption (sQ-HPF).Nutrients · 2024Article
- Relationship Between Ultra-Processed and Minimally Processed Food Intake and Cardiovascular Health Among US Women of Reproductive Age.Journal of women's health (2002) · 2024Article
- Gender differences in the relationship between serum uric acid and the long-term prognosis in heart failure: a nationwide study.Cardiovascular diabetology · 2024Article
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Abstract
backgroundHigher intake of ultraprocessed foods (UPFs) might be associated with increased risk of cardiovascular disease.
objectivesOur objective was to examine the association between usual percentage of calories (%kcal) from UPFs and the American Heart Association's "Life's Simple 7" cardiovascular health (CVH) metrics in US adults.
methodsWe analyzed data from 11,246 adults aged ≥20 y from the NHANES 2011-2016 (a cross-sectional, nationally representative survey). UPF designation was assigned on the basis of the NOVA classification system, according to the extent and purpose of food processing. Each CVH metric was given a score of 0, 1, or 2 representing poor, intermediate, or ideal health, respectively. Scores of the 6 metrics (excluding diet) were summed, and CVH was categorized as inadequate (0-4), average (5-8), or optimum (9-12). We used the National Cancer Institute's methods to estimate the usual %kcal from UPFs, and multivariable linear and multinomial logistic regression to assess the association between UPFs and CVH, adjusted for age, sex, race and Hispanic origin, education, and poverty.
resultsThe weighted prevalence of inadequate, average, and optimum CVH was 8.0%, 51.7%, and 40.3%, respectively. The mean usual %kcal from UPFs was 55.4%, and midpoint of quartiles of intake ranged from 40.4% (quartile 1) to 70.5% (quartile 4). Every 5% increase in calories from UPFs was associated with 0.14 points lower CVH score (P < 0.001). The adjusted ORs for inadequate CVH were 1.40 (95% CI: 1.23, 1.60), 1.82 (1.45, 2.29), and 2.57 (1.79, 3.70), respectively, comparing quartiles 2, 3, and 4 with quartile 1 of UPF intake. The pattern of association was largely consistent across subgroups.
conclusionsUsual %kcal from UPFs represented more than half of total calorie intake in US adults. A graded inverse association between %kcal from UPFs and CVH was observed.
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