ArticlePublic health nutrition2023
Association between ultra-processed foods consumption and micronutrient intake and diet quality in Iranian adults: a multicentric study.
Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- 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
- Healthy diet scores and ultra-processed foods with incident coronary heart disease: a prospective study.Nutrition & metabolism · 2026Article
- Cardiovascular health metrics among an Iranian population: insights from life's essential 8.BMC cardiovascular disorders · 2026Article
- Is obesity the missing link? Ultra-processed foods and metabolic and reproductive outcomes: a narrative review.Frontiers in nutrition · 2026Review
- Association Between Estimated 24-Hour Urinary Sodium and Potassium Excretion and Cardiovascular Risk and Events: Findings from the Isfahan Cohort Study.International journal of preventive medicine · 2026Article
- Association between ultra-processed foods intake and frailty risk in community-dwelling older adults.Journal of health, population, and nutrition · 2025Article
- Ultra-Processed Food Consumption and Irritable Bowel Syndrome: Current Evidence and Clinical Implications.Nutrients · 2025Review
- Article
- The association between ultra-processed food consumption and adiposity indexes in adults living in Tehran: a dose-response analysis within a cross-sectional study.BMC public health · 2025Article
- Ultra-processed foods and coronary artery disease severity: a cross-sectional study of at-risk normal-weight and overweight patients undergoing elective angiography.Journal of health, population, and nutrition · 2025Article
- Ultra-Processed Foods Consumption Is Associated With Intakes of Critical Nutrients Related to Non-Communicable Diseases Among Adults in Dakar, Senegal.International journal of public health · 2025Article
- Safety and Quality Improvement of NaCl-Reduced Banana and Apple Fermented withFoods (Basel, Switzerland) · 2024Article
- Association between processed and ultra-processed food intake and the risk of breast cancer: a case-control study.BMC cancer · 2024Article
- The relationship between ultra processed food consumption and premature coronary artery disease: Iran premature coronary artery disease study (IPAD).Frontiers in nutrition · 2023Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify ultra-processed foods (UPF) contribution to daily energy and nutrient intake in Iranians and examine whether UPF intake is associated with nutrient profile and diet quality.
designIn this cross-sectional study, a validated FFQ was used to evaluate usual dietary intake over the preceding year. NOVA system was applied to categorise foods based on their levels of processing. Diet quality was evaluated using the nutrient adequacy ratio (NAR), Nutrient Rich Food Index (NRF) and hybrid nutrient density.
settingThe LIPOKAP study conducted in five cities of Iran (Isfahan, Birjand, Bandar Abbas, Kermanshah and Shahrekord).
participantsA total of 1994 adults aged ≥18 years were recruited using stratified multistage random cluster sampling method.
resultsUPF were responsible for 8·5 % of daily energy intake. In the adjusted model, UPF consumption was inversely associated with carbohydrate, protein, refined and whole grains, fibre, fruit and meat, but was positively linked to energy, total fat, saturated and trans fatty acids and cholesterol. Compared with those in the lowest tertile, individuals in the highest tertile of UPF had smaller NAR for Ca, Mg, Zn, Fe, phosphorus, thiamin, niacin, folate and vitamin C. Both NRF and hybrid nutrient density decreased when the share of daily energy intake from UPF increased.
conclusionThe higher consumption of UPF is associated with poorer diet quality and lower nutrient intake. It is recommended that UPF be replaced with minimally processed foods to improve diet quality and nutrient profile.
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