Evidence map›Paper›PMID 42244227›Full record

ArticleNutrition & dietetics : the journal of the Dietitians Association of Australia2026

Ultra-processed food supply in hospitals: A cross-sectional analysis of Australian hospitals using cook fresh foodservices.

Priscila Machado, Nathan Cook, Mark Lawrence, Mike Forrester, Rebecca Patrick, Judi Porter

Abstract read
In one paragraph

Article in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Ultra-processed food supply in hospitals: A cross-sectional analysis of Australian hospitals using cook fresh foodservices.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Article
  2. Placement poverty: Why it matters to all dietitians.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    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

6 authors.

Priscila MachadoInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0003-4607-5094
Nathan CookFaculty of Health, Medicine and Behavioural Sciences, School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-4315-8495
Mark LawrenceInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0001-6899-3983
Mike ForresterInstitute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0009-0009-5726-2400
Rebecca PatrickSchool of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-5537-243X
Judi PorterInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-7535-1919

Funding

Deakin University PJ04610Deakin University PJ04988National Health and Medical Research Council Emerging Leadership Investigator APP2034008
6 · The paper itself

Abstract

aimUltra-processed foods have been associated with a range of adverse health and environmental impacts, yet their supply in health-promoting settings like hospitals remains largely unexamined. This study aimed to assess and quantify the proportion of ultra-processed foods utilised in a sample of Australian hospitals using cook fresh foodservice systems (i.e., most menu items are prepared/cooked just prior to service), and to determine types of ultra-processed foods available in each of the menu categories.

methodsCross-sectional data on the foods and drinks available to inpatients in Australian hospitals were collected in October and November 2023. Trained hospital dietitians recorded the standard inpatient menu (Full ward diet), short-order menu items, and oral nutrition support products for paediatric and adult patients over seven consecutive days. Australian food composition databases were used to estimate the energy content of each item. The number of items and energy contribution of ultra-processed foods was estimated by meal (e.g., breakfast, lunch, dinner) and food category (e.g., cereals, spreads, dairy).

resultsSix hospitals using predominantly or cook fresh only foodservice systems were included, offering 100-1200 meals per day. Ultra-processed foods contributed 51% of total energy provided, with the highest proportions observed at breakfast and afternoon tea. Bread, dessert, snack, spread/sauce, and drinks had over two-thirds of items classified as UPFs.

conclusionsFindings suggest a concerning large contribution of ultra-processed foods in Australian hospital cook fresh foodservice systems. These findings have implications for interventions aimed at promoting both public and planetary health in institutional settings.

Indexed as

Fast FoodsFood Service, HospitalFood SupplyHospitalsAustraliaCross-Sectional StudiesHumansfood processingfood supplyhealthcarehospitalinstitutional foodservice

Identifiers

PMID42244227
PMCPMC13575712

What OpenQuestion holds

Textmetadata
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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.