Evidence map›Paper›PMID 37957671›Full record

ReviewGlobalization and health2023

What is the purpose of ultra-processed food? An exploratory analysis of the financialisation of ultra-processed food corporations and implications for public health.

Benjamin Wood, Ella Robinson, Phillip Baker, Guillermo Paraje, Mélissa Mialon, Christoffer van Tulleken, Gary Sacks

Open access · goldAbstract readReview
In one paragraph

Review in Globalization and health, 2023. 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.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
13.9field-weighted citation impact, top 1% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  12. Research roadmap for ultra-processed foods in the context of the Australian food system.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
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  18. Using a systems thinking approach to map the global rise of ultra-processed foods in population diets.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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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 at 4 institutions in 4 countries.

Benjamin WoodGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Geelong, Australia. b.wood@deakin.edu.au.ORCID 0000-0002-8072-9066
Ella RobinsonGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Geelong, Australia.
Phillip BakerInstitute for Physical Activity and Nutrition, Deakin University, Geelong, Australia.
Guillermo ParajeBusiness School, Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Mélissa MialonTrinity Business School, Trinity College, Dublin, Ireland.
Christoffer van TullekenUniversity College London, London, UK.
Gary SacksGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Geelong, Australia.
Deakin University · AUAdolfo Ibáñez University · CLTrinity College Dublin · IEUniversity College London · GB

Funding

Bloomberg Philanthropies Bloomberg Philanthropies
6 · The paper itself

Abstract

backgroundIn recent decades there has been a global rise in consumption of ultra-processed foods (UPFs) to the detriment of population health and the environment. Large corporations that have focused heavily on low-cost manufacturing and extensive marketing of UPFs to maximise profits have driven this dietary transition. The same corporations claim to serve the interests of multiple 'stakeholders', and that they are contributing to sustainable development. This paper aimed to test these claims by examining the degree to which UPF corporations have become 'financialised', focusing on the extent to which they have prioritised the financial interests of their shareholders relative to other actors, as well as the role that various types of investors have played in influencing their governance. Findings were used to inform discussion on policy responses to improve the healthiness of population diets.

methodsWe adopted an exploratory research design using multiple methods. We conducted quantitative analysis of the financial data of U.S. listed food and agricultural corporations between 1962 and 2021, share ownership data of a selection of UPF corporations, and proxy voting data of a selection of investors between 2012 and 2022. We also conducted targeted narrative reviews using structured and branching searches of academic and grey literature.

resultsSince the 1980s, corporations that depend heavily on manufacturing and marketing UPFs to generate profits have been increasingly transferring money to their shareholders relative to their total revenue, and at a level considerably higher than other food and agricultural sectors. In recent years, large hedge fund managers have had a substantial influence on the governance of major UPF corporations in their pursuit of maximising short-term returns. In comparison, shareholders seeking to take steps to improve population diets have had limited influence, in part because large asset managers mostly oppose public health-related shareholder proposals.

conclusionsThe operationalisation of 'shareholder primacy' by major UPF corporations has driven inequity and undermines their claims that they are creating 'value' for diverse actors. Measures that protect population diets and food systems from the extractive forces of financialisation are likely needed as part of efforts to improve the healthiness of population diets.

Indexed as

Food, ProcessedPublic HealthCommerceDietFast FoodsFood HandlingHumansCommercial determinants of healthCorporate governanceDietary transitionFinancializationUltra-processed foods

Identifiers

PMID37957671
PMCPMC10644600
OpenAlexW4388625661

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.