Evidence map›Paper›PMID 40869860›Full record

Trial reportInternational journal of environmental research and public health2025

Consumption of Ultra-Processed Foods and Metabolic Parameters in Type 2 Diabetes Mellitus: A Cross-Sectional Study.

Julia Bauer, Fernanda Oliveira Ayala, Aline Marcadenti, Rachel Helena Vieira Machado, Ângela Cristina Bersch-Ferreira, Maria Fernanda Souza Moreira, Mileni Vanti Beretta, Ana Maria Pandolfo Feoli, Fernanda Michielin Busnello

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. 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

9 authors.

Julia BauerGraduate Program in Nutrition Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil.
Fernanda Oliveira AyalaGraduate Program in Nutrition Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil.
Aline MarcadentiHcor Research Institute (IP-Hcor), São Paulo 04004-030, SP, Brazil.ORCID 0000-0003-1994-4610
Rachel Helena Vieira MachadoHcor Research Institute (IP-Hcor), São Paulo 04004-030, SP, Brazil.
Ângela Cristina Bersch-FerreiraHcor Research Institute (IP-Hcor), São Paulo 04004-030, SP, Brazil.ORCID 0000-0003-3478-781X
Maria Fernanda Souza MoreiraGraduate Program in Nutrition Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil.ORCID 0000-0002-5886-8748
Mileni Vanti BerettaGraduate Program in Nutrition Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil.
Ana Maria Pandolfo FeoliSchool of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre 90619-900, RS, Brazil.ORCID 0000-0001-7685-8431
Fernanda Michielin BusnelloNutrition Department, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil.ORCID 0000-0001-9091-142X

Funding

PROADI SUS 25000.019226/2018-42 and 25000.182629/2020-41
6 · The paper itself

Abstract

backgroundUnderstanding how food processing impacts type 2 diabetes (T2DM) control is essential for disease management. This study aimed to assess the association between ultra-processed food (UPF) consumption, as defined by the NOVA classification, and metabolic parameters in T2DM patients.

methodsThis was a cross-sectional analysis using baseline data from the NUGLIC study, a multicenter randomized clinical trial. Multiple linear and Poisson regressions were used to evaluate associations between quintiles of processed and ultra-processed food consumption and glycated hemoglobin (HbA1c) as the primary outcome. Secondary outcomes included fasting glucose, lipid profile, body mass index (BMI), and waist circumference.

resultsThis study included 326 participants. UPF consumption accounted for approximately 16.4% of total daily energy intake. No significant linear associations were observed between higher consumption of industrialized foods and anthropometric or glycemic markers. However, intermediate and high consumption levels were associated with an increased total cholesterol (Q3: β = 26.6; Q4: β = 26.7) and LDL-cholesterol (Q4: β = 19.8; Q5: β = 17.5).

conclusionIn T2DM patients, a higher intake of processed and ultra-processed foods was linked to elevated cholesterol and LDL levels. These findings highlight potential cardiovascular risks but do not support causality due to the study's cross-sectional design.

Indexed as

Diabetes Mellitus, Type 2DietFast FoodsFood HandlingAdultAgedBlood GlucoseBody Mass IndexCross-Sectional StudiesFemaleFood, ProcessedGlycated HemoglobinHumansMaleMiddle AgedWaist CircumferenceBlood GlucoseGlycated HemoglobinNOVA food classificationtype 2 diabetes mellitusultra-processed foods

Identifiers

PMID40869860
PMCPMC12386320

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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.