Evidence map›Paper›PMID 39890099›Full record

SynthesisNutrition reviews2025

Ultra-Processed Food Intakes and Health Outcomes in Adults Older Than 60 Years: A Systematic Review.

Fay A Shahatah, Tom R Hill, Andrea Fairley, Anthony W Watson

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrition reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Review
  9. Article
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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

4 authors.

Fay A ShahatahFaculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.ORCID 0009-0000-7835-2178
Tom R HillFaculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.
Andrea FairleyFaculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.
Anthony W WatsonFaculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.

Funding

Fay A. ShahatahKuwait Cultural Office
6 · The paper itself

Abstract

contextRelationships between ultraprocessed food (UPF) intakes and health have been well described in adults, but evidence of these relationships in older adults is rather limited. Demographic shifts in aging emphasize the importance of understanding the role of diet in maintaining health during later life.

objectiveThe aim of this systematic review was to identify health outcomes associated with UPF consumption in those aged ≥60 years. DATA SOURCES: The Medline, Web of Science, Scopus, and Embase databases were searched from inception until June 2023, using search terms representing UPF and any health outcome. Observational studies restricted to individuals aged ≥60 years using the Nova food classification were included. Articles were screened independently by 2 researchers using PECOS inclusion criteria. DATA EXTRACTION: Two-thirds of the studies in the present review were prospective cohort studies (n = 4) and the rest were cross-sectional (n = 2). The number of participants ranged from 652 to 2713 across the 6 studies. The mean age of participants ranged between 67 and 73 years. DATA ANALYSIS: In the prospective cohort studies, the highest consumption of UPF was associated with incident frailty, incident dyslipidemia, renal function decline, and abdominal obesity. For cross-sectional studies, the highest intake of UPF was associated with negative outcomes similar to young and middle-aged cohorts, with the addition of nutritional frailty and worse cognitive performance.

conclusionsCurrently, the limited understanding of how high UPF intakes could be associated with negative health outcomes for older adults influences the ability to inform policy and practice recommendations. More research is required owing to the very limited number of studies, specifically in older adults. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration no. CRD42023442783.

Indexed as

DietFast FoodsFood HandlingAgedAgingCross-Sectional StudiesFemaleFood, ProcessedFrailtyHumansMaleMiddle Agedfood processingNova food classificationobservational studyolder adultsultra-processed food

Identifiers

PMID39890099
PMCPMC12343033

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.