ArticleEuropean journal of nutrition2021
Contrary to ultra-processed foods, the consumption of unprocessed or minimally processed foods is associated with favorable patterns of protein intake, diet quality and lower cardiometabolic risk in French adults (INCA3).
Article in European journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Who consumes ultra-processed food? A systematic review of sociodemographic determinants of ultra-processed food consumption from nationally representative samples.Nutrition research reviews · 2024Pooled it
- Fatigue as a modifier of diet quality in adults with Charcot Marie Tooth disease.Journal of neuromuscular diseases · 2026Article
- Institutional fast-food availability and sustainable diet quality among shift workers: the mediating role of food environment capacity and the moderating effect of physical activity.BMC public health · 2026Article
- Ultraprocessed food consumption by urbanization level among United States youth and adults: cross-sectional analysis of NHANES 2013-March 2020.The American journal of clinical nutrition · 2026Article
- Ultra-Processed Foods and Metabolic Dysfunction: A Narrative Review of Dietary Processing, Behavioral Drivers and Chronic Disease Risk.Metabolites · 2025Review
- Degree of Food Processing and Incidence of Obesity-Related Cancers in the "Seguimiento Universidad de Navarra" Project.The Journal of nutrition · 2025Article
- Ultraprocessed foods consumption, inflammatory index levels, and risk of suicide attempt: findings from a prospective cohort study.The American journal of clinical nutrition · 2025Article
- Modeled impacts of substituting meat and dairy with plant-based substitutes on risk of nutrient deficiency and chronic disease-related mortality: a microsimulation study in French adults.The American journal of clinical nutrition · 2025Article
- Dietary diversity is differentially associated with diet quality across food groups.European journal of nutrition · 2025Article
- Dietary species richness provides a comparable marker for better nutrition and health across contexts.Nature food · 2025Article
- Consumptıon of ultra-processed foods can accelerate age-related appearance of sarcopenıa.Biogerontology · 2025Review
- Higher Consumption of Ultra-Processed Foods Is Associated with Lower Plant-Based Diet Quality in Australian Adults.Nutrients · 2025Article
- Fifteen Years of NOVA Food-Processing Classification: "Friend or Foe" Among Sustainable Diet Indicators? A Scoping Review.Nutrition reviews · 2025Article
- The role of ultra-processed foods in plant-based diets: associations with human health and environmental sustainability.European journal of nutrition · 2024Article
- Associations of minimally processed and ultra-processed food intakes with cardiovascular health in Korean adults: the Korea National Health and Nutrition Examination Survey (KNHANES VI), 2013-2015.Journal of exposure science & environmental epidemiology · 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
- A metagenomic assessment of bacterial community in spices sold open-air markets in Saint-Louis, Senegal.Scientific reports · 2024Article
- Description and performance of two diet quality scores based on the Nova classification.Revista de saude publica · 2024Article
- Eating out intensity, ultra-processed foods and BMI among Albanian youth.Public health nutrition · 2023Article
- Consumption of highly processed foods in relation to overall diet quality among Japanese adults: a nationwide study.Public health nutrition · 2023Article
Corrections and comments
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Authors and funding
8 authors.
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Abstract
purposeWhile the consumption of ultra-processed foods is steadily increasing, there is a growing interest in more sustainable diets that would include more plant protein. We aimed to study associations between the degree of food processing, patterns of protein intake, diet quality and cardiometabolic risk.
methodsUsing the NOVA classification, we assessed the proportion of energy from unprocessed/minimally processed foods (MPFp), processed foods (PFp) and ultra-processed foods (UPFp) in the diets of 1774 adults (18-79 years) from the latest cross-sectional French national survey (INCA3, 2014-2015). We studied the associations between MPFp, PFp and UPFp with protein intakes, diet quality (using the PANDiet scoring system, the global (PDI), healthful (hPDI) and unhealthful (uPDI) plant-based diet indices) and risk of cardiometabolic death (using the EpiDiet model).
resultsMPFp was positively associated with animal protein intake and plant protein diversity, whereas PFp was positively associated with plant protein intake and negatively with plant protein diversity. The PANDiet was positively associated with MPFp (β = 0.14, P < 0.0001) but negatively with UPFp (β = - 0.05, P < 0.0001). These associations were modified by adjustment for protein intakes and plant protein diversity. As estimated with comparative risk assessment modeling between extreme tertiles of intake, mortality from cardiometabolic diseases would be decreased with higher MPFp (e.g. by 31% for ischemic heart diseases) and increased with higher UPFp (by 42%) and PFp (by 11%).
conclusionsIn the French population, in contrast with UPFp, higher MPFp was associated with higher animal protein intake, better plant protein diversity, higher diet quality and markedly lower cardiometabolic risk.
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