ArticleEuropean journal of nutrition2023
Ultra-processed food consumption deteriorates the profile of micronutrients consumed by Portuguese adults and elderly: the UPPER project.
Article in European journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- The association of ultra-processed food intake on age-related muscle conditions: a systematic review and dose-response meta-analysis with meta-regression.Journal of health, population, and nutrition · 2025Pooled it
- Contribution of Nova-classified ultraprocessed foods to energy and nutrient intakes in very old people: the Newcastle 85+ Study.BMJ open · 2026Observational
- Identifying the most sustainable foods using two different approaches: a priori versus a posteriori.European journal of clinical nutrition · 2026Article
- Ultra processed food consumption and nutrients adequacy among cancer survivors in Lebanon.BMC public health · 2026Article
- Exploring the relationship between consumption of ultra-processed foods and osteoporosis risk: a prospective cohort study.European journal of nutrition · 2025Article
- Association between sustainable and healthy diet adherence and nutritional adequacy among portuguese adults.European journal of nutrition · 2025Article
- Higher ultra-processed food consumption is associated with poor nutritional quality but not with obesity in Israeli adults.Frontiers in nutrition · 2025Article
- [Association of ultra-processed food with diabetes and impaired fasting glucose in elderly populations (urban and rural): a cross-sectional study].Korean journal of community nutrition · 2024Article
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Authors and funding
10 authors at 2 institutions in 3 countries.
Funding
Abstract
purposeThis study aims to describe micronutrient intake according to food processing degree and to investigate the association between the dietary share of ultra-processed foods and micronutrient inadequacies in a representative sample of Portuguese adult and elderly individuals.
methodsCross-sectional data from the National Food, Nutrition and Physical Activity Survey (2015/2016) were used. Food consumption data were collected through two 24-h food recalls, and food items were classified according to the NOVA system. Linear regression models were used to assess the association between the micronutrient density and the quintiles of ultra-processed food consumption-crude and adjusted. Negative Binomial regressions were performed to measure the prevalence ratio of micronutrient inadequacy according to ultra-processed food quintiles.
resultsFor adults, all evaluated vitamins had significantly lower content in the fraction of ultra-processed foods compared to unprocessed or minimally processed foods, except vitamin B2. For the elderly, out of ten evaluated vitamins, seven presented significantly less content in ultra-processed foods compared to non-processed ones. The higher energy contribution of ultra-processed foods in adults was associated with a lower density of vitamins and minerals. This association was not observed in the elderly. For adults, compared with the first quintile of ultra-processed food consumption, the fifth quintile was positively associated with inadequate intakes of vitamin B6 (PR 1.51), vitamin C (PR 1.32), folate (PR 1.14), magnesium (PR 1.21), zinc (PR 1.33), and potassium (PR 1.19).
conclusionOur results corroborate the importance of public health actions that promote a reduction in the consumption of ultra-processed foods.
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