Evidence map›Paper›PMID 39489418›Full record

ArticleThe Journal of nutrition2025

Trends in Adults' Intake of Un-processed/Minimally Processed, and Ultra-processed foods at Home and Away from Home in the United States from 2003-2018.

Julia A Wolfson, Anna Claire Tucker, Cindy W Leung, Casey M Rebholz, Vanessa Garcia-Larsen, Euridice Martinez-Steele

Abstract read
In one paragraph

Article in The Journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

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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

6 authors.

Julia A WolfsonDepartment of International Health and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. Electronic address: jwolfso7@jhu.edu.
Anna Claire TuckerDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Cindy W LeungDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Casey M RebholzDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Vanessa Garcia-LarsenDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Euridice Martinez-SteeleDepartment of Nutrition, School of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil.

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
Discovery, Replication, and Validation of Biomarkers of the DASH Diet and HypertensionR01HL153178 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI REBHOLZ, CASEY MARIE · 2021 to 2024
$3.1M
Development and Pilot Evaluation of a Novel Cooking Skills Intervention to Prevent DiabetesK01DK119166 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLFSON, JULIA A · 2020 to 2023
$607k
NHLBI NIH HHS R01 HL153178NHLBI NIH HHS T32 HL007024NIDDK NIH HHS K01 DK119166
6 · The paper itself

Abstract

backgroundUltraprocessed foods (UPFs) comprise >50% of United States adults' energy intake, with the proportion of calories from UPFs increasing over time and the proportion of unprocessed/minimally processed foods (MPFs) decreasing over time. Whether UPFs are primarily consumed at home (AH) or away from home (AFH) is important to inform policies and messages to improve dietary quality.

objectivesWe examined trends in consumption of UPFs and MPFs AH and AFH in a nationally representative sample of United States adults and within sociodemographic subgroups.

methodsData are from 34,628 adults (aged ≥20 y) with two 24-h dietary recalls from the 2003-2018 National Health and Nutrition Examination Survey. We examined trends over time in intake from MPFs and UPFs as a proportion of total energy intake and as a proportion of AH energy intake and AFH energy intake using generalized linear models adjusted for sex, age, race/ethnicity, education, and household income. We examined differences in trends by sociodemographic subgroups using interaction terms and stratified models.

resultsOverall, and for most demographic subgroups, UPFs comprised >50% of AH energy intake and >50% of AFH energy intake, with UPFs increasing and MPFs decreasing over time as a proportion of energy intake AH and AFH. The proportion of total energy intake from UPFs increased for food consumed AH (33.6%-37.1%, P-trend < 0.001), but not for UPFs consumed AFH (19.5%-18.8%, P-trend = 0.88). From 2003-2004 to 2017-2018, the proportion of total energy intake from MPFs declined for foods consumed AH (23.6%-20.8%, P-trend <0.001) and AFH (9.7%-7.5%, P-trend <0.001). Interaction terms testing differences in trends of MPF and UPF intake AH and AFH by sociodemographic subgroups were mostly nonsignificant.

conclusionsFindings highlight the ubiquity and increasing proportion of UPFs in United States adults' diets regardless of whether foods are consumed AH or AFH.

Indexed as

DietFast FoodsFood HandlingAdultAgedEnergy IntakeFemaleFood, ProcessedHumansMaleMiddle AgedNutrition SurveysUnited StatesYoung Adultadultsdietary intakedietary qualityNHANESNovanutrition surveillanceultraprocessed foods

Identifiers

PMID39489418
PMCPMC11795699

What OpenQuestion holds

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Registered trials

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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.