Evidence map›Paper›PMID 36458692›Full record

ReviewPublic health nutrition2023

From harmful nutrients to ultra-processed foods: exploring shifts in 'foods to limit' terminology used in national food-based dietary guidelines.

Kim Anastasiou, Patricia Ribeiro De Melo, Scott Slater, Gilly A Hendrie, Michalis Hadjikakou, Phillip K Baker, Mark Andrew Lawrence

Abstract readReview
In one paragraph

Review 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. The role of ultra-processed food in obesity.Nature reviews. Endocrinology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Navigating Ultra-Processed Foods with Insight.Diabetes & metabolism journal · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Review
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

7 authors.

Kim AnastasiouSchool of Exercise and Nutrition Sciences, Deakin University, Building J, Holland Ave, Burwood, VIC3125, Australia.ORCID 0000-0002-3338-5117
Patricia Ribeiro De MeloSchool of Exercise and Nutrition Sciences, Deakin University, Building J, Holland Ave, Burwood, VIC3125, Australia.
Scott SlaterSchool of Exercise and Nutrition Sciences, Deakin University, Building J, Holland Ave, Burwood, VIC3125, Australia.
Gilly A HendrieHealth and Biosecurity, CSIRO, Australia.
Michalis HadjikakouCentre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Melbourne, VIC, Australia.
Phillip K BakerSchool of Exercise and Nutrition Sciences, Deakin University, Building J, Holland Ave, Burwood, VIC3125, Australia.
Mark Andrew LawrenceSchool of Exercise and Nutrition Sciences, Deakin University, Building J, Holland Ave, Burwood, VIC3125, Australia.ORCID 0000-0001-6899-3983

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe choice of terms used to describe 'foods to limit' (FTL) in food-based dietary guidelines (FBDG) can impact public understanding, policy translation and research applicability. The choice of terms in FBDG has been influenced by available science, values, beliefs and historical events. This study aimed to analyse the terms used and definitions given to FTL in FBDG around the world, including changes over time and regional differences.

designA review of terms used to describe FTL and their definitions in all current and past FBDG for adults was conducted, using a search strategy informed by the FAO FBDG website. Data from 148 guidelines (96 countries) were extracted into a pre-defined table and terms were organised by the categories 'nutrient-based', 'food examples' or 'processing-related'.

settingNational FBDG from all world regions.

participantsNone.

resultsNutrient-based terms (e.g. high-fat foods) were the most frequently used type of term in both current and past dietary guidelines (91 %, 85 %, respectively). However, food examples (e.g. cakes) and processing-related terms (e.g. ultra-processed foods) have increased in use over the past 20 years and are now often used in conjunction with nutrient-based terms. Regional differences were only observed for processing-related terms.

conclusionDiverse, and often poorly defined, terms are used to describe FTL in FBDG. Policymakers should ensure that FTL terms have clear definitions and can be integrated with other disciplines and understood by consumers. This may facilitate the inclusion of the most contemporary and potentially impactful terminology in nutrition research and policies.

Indexed as

FoodFood, ProcessedAdultDietFast FoodsHumansNutrientsNutrition PolicyNutrientsDietary guidelinesDiscretionary foodsFoods to limitNutrition policyNutrition terminologyUltra-processed foods

Identifiers

PMID36458692
PMCPMC10641640

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.