Evidence map›Paper›PMID 40121412›Full record

SynthesisBMC public health2025

Impact of ultra-processed foods consumption on the burden of obesity and type 2 diabetes in Belgium: a comparative risk assessment.

Claudia Gutierrez-Ortiz, Leonor Guariguata, Claire Dénos, José L Peñalvo, Stefanie Vandevijvere

Abstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Claudia Gutierrez-OrtizGlobal Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, 2610, Belgium. ceciliagut09@gmail.com.
Leonor GuariguataKU Leuven Access-to-Medicines Research Centre, Vlamingenstraat 83, Leuven, 3000, Belgium.
Claire DénosSustainable Systems Engineering (STEN), Department of Green Chemistry and Technology, Ghent University, Coupure Links 653, Gent, 9000, Belgium.
José L PeñalvoGlobal Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, 2610, Belgium.
Stefanie VandevijvereDepartment of Epidemiology and Public Health, Scientific Institute of Public Health (Sciensano), J.Wytsmanstraat 14, Brussels, 1050, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA high consumption of ultra-processed foods (UPFs) has been related to several chronic diseases such as obesity and type 2 diabetes. This study aimed to estimate the proportion of the burden of obesity and type 2 diabetes in Belgium that could be attributed to the consumption of UPFs.

methodsA comparative-risk assessment framework was used. A literature search and a dose-response meta-analysis between UPFs intake and obesity and type 2 diabetes were performed. The risks were extracted from the curve dose-response meta-analysis and extrapolated to the mean of UPFs consumption by strata (5-year age category/sex/region) using the 2014/2015 Belgian Food Consumption Survey. The population attributable fraction and the attributable burden were then calculated for the prevalence of obesity and type 2 diabetes, and disability-adjusted life-years (DALYs) for type 2 diabetes.

resultsFrom the meta-analysis, for every 10% increase in UPFs intake (g/day), there was a 13% increase in risk of developing type 2 diabetes (RR:1.13, 95%IC 1.12-1.15, p<0.001) and for every 10% increase of energy intake from UPFs (kcal/day), there was a 5% increase in risk of developing obesity (RR:1.05, 95%IC 0.99-1.13, p=0.1321). Using these estimates, 21% of cases (277 056/1 286 454) of obesity in Belgium in 2014/2015 could be attributed to the UPFs intake. Similarly, for type 2 diabetes in Belgium in 2014/2015, 23% of cases (53 348/227 502) and 24% of DALYs (7 998/34 034) were attributed to UPFs consumption.

conclusionsThe sizeable impact of UPFs on the burden of obesity and type 2 diabetes in Belgium emphasizes the need to design and implement policies to address UPF consumption in Belgium.

Indexed as

Cost of IllnessDiabetes Mellitus, Type 2Fast FoodsObesityAdolescentAdultAgedBelgiumDisability-Adjusted Life YearsFemaleFood, ProcessedHumansMaleMiddle AgedRisk AssessmentComparative risk assessmentObesityPopulation attributable fractionType 2 diabetesUltra-processed foods

Identifiers

PMID40121412
PMCPMC11929302

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LicenceCC BY-NC-ND
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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.