Evidence map›Paper›PMID 42373346›Full record

ArticleThe American journal of clinical nutrition2026

Early-Life Cumulative Intake of Ultra-Processed Foods and Subcortical Brain Volume at Age Six Years: A Prospective Cohort Study.

Jonatan Ottino-González, Shana Adise, Alexandra Descarpentrie, Sevan Esaian, Katherine M Marquess, Devendra Paudel, Haonan Li, Tanya L Alderete, Ravi Bansal, Bradley S Peterson and 1 more

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Article in The American journal of clinical nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Jonatan Ottino-GonzálezDepartment of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles.
Shana AdiseDepartment of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles; Department of Nutritional Sciences, University of Georgia.
Alexandra DescarpentrieDepartment of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles.
Sevan EsaianDepartment of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles.
Katherine M MarquessDepartment of Environmental Health and Engineering, Bloomberg School of Public Health.
Devendra PaudelDepartment of Environmental Health and Engineering, Bloomberg School of Public Health.
Haonan LiDepartment of Environmental Health and Engineering, Bloomberg School of Public Health.
Tanya L AldereteDepartment of Environmental Health and Engineering, Bloomberg School of Public Health.
Ravi BansalDepartment of Pediatrics, Division of Child and Adolescent Psychiatry, Children's Hospital Los Angeles; Department of Psychiatry and Behavioral Sciences, Keck School of Medicine at the University of Southern California.
Bradley S PetersonDepartment of Pediatrics, Division of Child and Adolescent Psychiatry, Children's Hospital Los Angeles; Department of Psychiatry and Behavioral Sciences, Keck School of Medicine at the University of Southern California.
Michael I GoranDepartment of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles. Electronic address: goran@usc.edu.

Funding

Southern California Center for Chronic Health Disparities in Latino Children and Families.P50MD017344 · NIMHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI COHEN, DEBORAH A · 2021 to 2025
$27.8M
Traning Program in Environmental Health SciencesT32ES007141 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 1985 to 2026
$22.2M
Impact of Sugars and Human Milk Oligosaccharides on Infant Microbiome and ObesityR01DK110793 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GORAN, MICHAEL ISAAC, PETERSON, BRADLEY S · 2017 to 2024
$6.0M
NIDDK NIH HHS R01 DK110793NIEHS NIH HHS T32 ES007141NIMHD NIH HHS P50 MD017344
6 · The paper itself

Abstract

backgroundDiet quality during early life may influence neurodevelopmental trajectories, but the associations between ultra-processed food (UPF) intake and neurocognitive outcomes has not been broadly examined.

objectiveTo examine whether cumulative UPF intake from infancy through early childhood is associated with cognitive performance at 24 and 72 months and with subcortical brain volumes at 72 months.

methodsIn this prospective birth cohort study, multiple 24-hour dietary assessments were used to calculate the percentage of UPF-calorie intake, using the Nova classification system. Cumulative UPF intake from 6 to 24 and from 6 to 72 months was summarized as the area under the curve. Cognitive performance was assessed at 24 and 72 months, and subcortical brain volumes were derived from T1-weighted MRI scans at 72 months. Associations were examined using multiple univariate linear regressions with false discovery rate (FDR) correction.

resultsCumulative UPF intake was not associated with cognitive performance at either 24 months (n=144, 57% girls) or 72 months (n=93, 59% girls). In contrast, cumulative UPF intake from 6 to 72 months (n=79, 58% girls) was inversely associated with the volumes of the bilateral accumbens, left amygdala, bilateral pallidum, left putamen, and bilateral thalamus (all FDR-adjusted p < 0.05). On average, a 10% higher proportion of cumulative UPF intake was associated with a 1.92% lower subcortical volume (CI95% -3.29, -0.58). Associations were consistent across exposure windows (6-24 months compared with 72 months) and UPF subtypes (e.g., snacks, fast food).

conclusionsGreater cumulative UPF intake from infancy through early childhood was associated with differences in neurodevelopment at age six years. These findings highlight this period as a potentially relevant window for nutrition-focused prevention efforts. Future studies are needed to clarify specific windows, neurobiological mechanisms, identify specific nutritional factors, and define long-term implications.

Indexed as

BrainDietFast FoodsBirth CohortChildChild DevelopmentChild, PreschoolCognitionEnergy IntakeFemaleHumansInfantMagnetic Resonance ImagingMaleProspective StudiesBrainChildhoodCognitionCohortEarly-lifeInfancyNeurodevelopmentNutritionUltra-processed foods

Identifiers

PMID42373346
PMCPMC13446154

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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.