Evidence map›Paper›PMID 40647203›Full record

ReviewNutrients2025

Ultra-Processed Foods and Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): What Is the Evidence So Far?

Eleni V Geladari, Dimitris Kounatidis, Gerasimos Socrates Christodoulatos, Sotiria Psallida, Argyro Pavlou, Charalampia V Geladari, Vassilios Sevastianos, Maria Dalamaga, Natalia G Vallianou

Abstract readReview
In one paragraph

Review in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. The menopause-obesity axis in MASH progression: from estrogen decline to liver fibrosis.Frontiers in gastroenterology (Lausanne, Switzerland) · 2026
    Review
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  5. Review
  6. Review
  7. 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

9 authors.

Eleni V GeladariThird Department of Internal Medicine, Evangelismos General Hospital, 10676 Athens, Greece.
Dimitris KounatidisDiabetes Center, First Propaedeutic Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 11527 Athens, Greece.ORCID 0000-0003-4338-4879
Gerasimos Socrates ChristodoulatosDepartment of Microbiology, Sismanogleio General Hospital, 15126 Athens, Greece.
Sotiria PsallidaDepartment of Microbiology, KAT General Hospital, 14561 Athens, Greece.
Argyro PavlouFirst Department of Internal Medicine, Sismanogleio General Hospital, 15126 Athens, Greece.
Charalampia V GeladariHellenic Society of Environmental and Climate Medicine, 17455 Athens, Greece.
Vassilios SevastianosThird Department of Internal Medicine, Evangelismos General Hospital, 10676 Athens, Greece.ORCID 0000-0001-6725-3510
Maria DalamagaDepartment of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0002-7008-388X
Natalia G VallianouFirst Department of Internal Medicine, Sismanogleio General Hospital, 15126 Athens, Greece.ORCID 0000-0003-3874-5393

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ultra-processed foods (UPFs) are foods that have undergone extensive industrial processing, with the addition of emulsifiers and sweeteners together with various chemicals originating during preparation and the packaging procedures. UPFs are intended to be more palpable, long lasting, and easier to find and consume. However, their widespread use has been linked to various disorders, including insulin resistance, type 2 diabetes (T2D), obesity, and lately metabolic dysfunction-associated steatotic liver disease (MASLD). Given that MASLD is primarily driven by excessive fat accumulation in the liver and considering the high energy density and poor nutritional quality of UPFs, a plausible link has emerged between elevated UPF intake and increased MASLD risk. The aim of this review is to synthesize current data regarding the pathophysiological mechanisms underlying MASLD, the role of UPF overconsumption in its development, and potential strategies to prevent disease progression towards metabolic dysfunction-associated steatohepatitis (MASH), fibrosis, and cirrhosis. Special focus is placed on the contribution of UPFs to these processes, highlighting the importance of minimizing their consumption as supported by contemporary research.

Indexed as

Fast FoodsFatty LiverFood HandlingNon-alcoholic Fatty Liver DiseaseDiabetes Mellitus, Type 2Food, ProcessedHumansInsulin ResistanceLiverRisk Factorsenergy dense dietmetabolic dysfunction-associated steatotic liver diseasetype 2 diabetesultra-processed foods

Identifiers

PMID40647203
PMCPMC12251232

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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.