Evidence map›Paper›PMID 39627009›Full record

ReviewObesity reviews : an official journal of the International Association for the Study of Obesity2025

Using a systems thinking approach to map the global rise of ultra-processed foods in population diets.

Benjamin Wood, Kelly Garton, Penelope Milsom, Phillip Baker, Kim Anastasiou, Joshua Clark, Boyd Swinburn, Gary Sacks

Abstract readReview
In one paragraph

Review in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Review
  2. Article
  3. Systems Science in Nutrition and Dietetics Research: A Practical Lens for Applying Systems Approaches in Research.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. The Genetic Blueprint of Obesity: From Pathogenesis to Novel Therapies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  15. Article
  16. Article
  17. 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
    Review
  18. Article
  19. Article
  20. Article
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

8 authors.

Benjamin WoodGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Burwood, Australia.ORCID 0000-0002-8072-9066
Kelly GartonSchool of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Penelope MilsomUnited Nations University International Institute for Global Health, Kuala Lumpur, Malaysia.
Phillip BakerSydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Kim AnastasiouSchool of Exercise and Nutrition Sciences, Deakin University, Burwood, Australia.
Joshua ClarkSchool of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.ORCID 0009-0006-9069-270X
Boyd SwinburnSchool of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-2131-045X
Gary SacksGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Burwood, Australia.ORCID 0000-0001-9736-1539

Funding

Australian Government FT220100690National Health and Medical Research Council 2018/GNT1152968National Health and Medical Research Council 2021/GNT2006620National Health and Medical Research Council 2021/GNT2008535University of Sydney
6 · The paper itself

Abstract

A key driver of obesity and diet-related illness globally has been the increased consumption of ultra-processed foods (UPFs). This paper aimed to identify the key actors, structures, incentives, and dynamics that characterize the global UPF system and have led to the dominance of UPFs in population diets. Based on a narrative review and using a systems thinking approach, we developed a causal loop diagram (CLD) of the global UPF system. The CLD comprises nine reinforcing loops: the commodification of diets; increasing market concentration; increasing UPF levels in food retail environments; the financialization of diets; direct corporate political influence; increasing capture of science, public opinion, and policy narratives; shifts from private to public food governance; state accommodation of corporate power; and an "agricultural regime" promoting the production of relatively cheap UPF inputs. The CLD also contains two balancing loops relating to market saturation and public health policies that curb UPF consumption and a countervailing reinforcing loop depicting other forms of food systems in tension with the UPF system. This study suggests the need for innovative and expansive government policies to protect and promote healthy, sustainable diets and coordinated advocacy efforts among those seeking to challenge the exploitative aspects of corporate food systems.

Indexed as

DietFast FoodsObesityFood, ProcessedGlobal HealthHumansNutrition Policyfood systemshealthy dietssystems thinkingultra‐processed foods

Identifiers

PMID39627009
PMCPMC11884965

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.