What Are ‘Ultra-Processed’ Foods Exactly?


And no, you don’t need to give them up completely.
pringles

You’ve been warned about processed foods (as opposed to whole foods) because research has shown us time and again that a diet rich in a processed foods is often high in added sugar, sodium, and trans fats and, therefore, comes with a higher risk for obesity, type 2 diabetes, and heart disease.

So what the heck is a processed food? Essentially, a processed food is just anything that’s been deliberately altered in some way before you eat it, which could mean that it’s been frozen, dried, or artificially formulated from scratch into a microwaveable dinner.

But obviously there are significant nutritional differences between a processed food like frozen peas and a processed food like chicken nuggets.

Now, a new study looked at how processed foods were associated with someone’s overall health. And to do so, they looked specifically at what are called “ultra-processed” foods.

It’s a term that other researchers have used before to differentiate between the many shades of gray associated with processed foods. And the Academy of Nutrition and Dietetics similarly breaks down the variety under the umbrella of “processed” foods.

For this particular study, published recently in the BMJ, the researchers defined “ultra-processed” foods really by what they aren’t more than by what they are. They aren’t “unprocessed or minimally processed foods” (e.g. fresh veggies, rice, meat, and eggs). They aren’t “processed culinary ingredients” (such as salt, butter, or sugar). Nor are they “processed foods,” which includes foods like canned vegetables with added salt, canned fruits with added sugar, cheeses, and meats preserved only by the addition of salt.

As such, “ultra-processed” foods tend to be mass produced packaged goods, such as sodas, packaged sweet and savory snacks, instant noodles, chicken nuggets, and frozen meals. It’s still a huge group of foods, but breaking out these types of industrialized snacks and treats does make sense.

“These are foods that have a lot of added sugar, salt, and fat,” Lisa R. Young, Ph.D., R.D., adjunct professor of nutrition at NYU Steinhardt, tells SELF. Additionally, these foods are often made from processed substances that are extracted or refined from whole foods, like oils, hydrogenated oils, fats, flours, starches, variants of sugar, and cheap parts or remnants of animal foods, Ruth Kava, Ph.D., senior nutrition fellow at the American Council on Science and Health, tells SELF. Basically, they have limited nutritional value and even when you are getting some protein (in those chicken nuggets, for example), you’re also getting a bunch of stuff you probably don’t want (e.g. sodium and maybe trans fats) and lots of calories in exchange for limited satiety.

“Most are made, advertised, and sold by large or transnational corporations and are very durable, palatable, and ready to consume,” she adds, “which is an enormous commercial advantage over fresh and perishable whole or minimally processed foods.” They’re everywhere, they taste great, and are aggressively marketed to the public, which makes it pretty unrealistic to think you’ll always be able to turn down these foods in favor of their healthier cousins.

Are they convenient? Oh yeah. Are they delicious? Absolutely. Should they make up the bulk of your diet? Probably not.

It’s pretty safe to assume that “ultra-processed” foods are foods you already know aren’t great for you. But it helps to think of processed foods as existing on a spectrum—and to recognize that they aren’t all equally bad.

Overall, it’s a good idea to limit how much of these foods you eat and opt for more fresh, minimally-processed, and homemade foods, Bernard Srour, Pharm.D., one of the authors on the new study and a Ph.D. candidate researcher with the Nutritional Epidemiology Research Team at the French Institute of Health and Medical Research, tells SELF.

For the study, Srour and other researchers analyzed daily food data for 104,980 people who participated in the French NutriNet-Santé cohort between 2009 and 2017, an ongoing online survey that studies the link between nutrition and health. They found that as the amount of ultra-processed food people ate increased, so did their risk for cancer. If they increased the amount of ultra-processed foods they ate by 10 percent during the study, their cancer risk also went up by more than 10 percent.

But this is the first prospective study to assess a person’s cancer risk alongside their ultra processed foods habit, and way more research needs to be done before any definitive conclusions can be made, says Srour. It’s also worth noting that the study didn’t prove that eating ultra-processed foods actually causes cancer—just that people who developed cancer at some point were also a little more likely to eat ultra-processed foods.

“People should not be alarmed by this,” Srour says.

Of course, considering how inexpensive and freely available processed (and ultra-processed) foods are, it’s not super realistic to think that everyone can steer clear of them.

And you don’t really need to avoid them entirely. In general, experts advise that minimally processed foods should make up the majority of our diets (meaning those nutrient-rich fresh veggies, lean meats, and the like). But cooking three fresh meals from fresh ingredients every day (plus snacks, of course) is a lot to ask for basically anyone, especially those of us with full-time jobs and other obligations.

So, thinking of foods on a spectrum like these researchers describe (with unprocessed fresh foods on one end and ultra-processed foods on the other) is helpful in that it highlights the fact that just because something is processed in some way doesn’t make it inherently awful for you, even if there are ways in which foods may be processed that are more likely to be harmful. Some lightly-processed foods—canned fruit, frozen veggies, sliced cheese, canned tuna—are actually full of nutrients and way more convenient than their totally fresh and whole alternatives. Plus, with some minimal label reading, you can make sure you’re getting versions of those that don’t have added sugar (in your frozen fruit) or sodium (in your canned beans or tuna).

Even when it comes to ultra-processed foods, they can be a totally fine (although preferably small) part of your overall diet. “When consumed in small amounts and with other healthy sources of calories, ultra-processed products are harmless,” Kava says. “It’s not problematic if you have the occasional treat,” Young adds.

In fact, allowing yourself those treats may make it easier for you to choose more nutritious options at other times. Not to mention, the entire idea of sorting foods into “good” and “bad” categories may be problematic or triggering for those with a history of disordered eating. So, as much as possible, keep your expectations reasonable and your food choices balanced—whatever that means for you.

Ultra-processed foods linked to cancer : BMJ


https://speciality.medicaldialogues.in/ultra-processed-foods-linked-to-cancer-bmj/

‘Ultra-processed’ foods make up more than half of all calories in US diet: And contribute 90 percent of all dietary added sugar intake.



Lady using a modern vending machine

‘Ultra-processed’ foods make up more than half of all calories consumed in the US diet, and contribute nearly 90% of all added sugar intake, finds research published in the online journal BMJ Open.

Ultra-processed foods are formulations of several ingredients. Besides salt, sugar, oils and fats, they include substances not generally used in cooking, such as flavourings, emulsifiers, and other additives designed to mimic the qualities of ‘real foods’.

Ultra-processed foods include mass produced soft drinks; sweet or savoury packaged snacks; confectionery and desserts; packaged baked goods; chicken/fish nuggets and other reconstituted meat products; instant noodles and soups.

To assess the contribution of ultra-processed foods to the intake of added sugars in the US diet, the researchers drew on dietary data involving more than 9000 people from the 2009-10 National Health and Nutrition Examination Survey (NHANES), an ongoing nationally representative cross sectional survey of US civilians.

They looked at the average dietary content of added sugars and the proportion of people who consumed more than 10% of their total energy intake–the maximum recommended limit–from this source.

Ultra-processed foods made up over half of total calorie intake (just under 60%) and contributed almost 90% of energy intake from added sugars.

Added sugars represented 1 in every 5 calories in the average ultra-processed food product–far higher than the calorie content of added sugars in processed foods and in unprocessed or minimally processed foods and processed culinary ingredients, including table sugar, combined.

A strong linear association emerged between the dietary content of ultra-processed foods and the overall dietary intake of added sugars.

Furthermore, the proportion of people exceeding the recommended upper limit of 10% of energy from added sugars was far higher when ultra-processed food consumption was high, rising to more than 80% among those who ate the most ultra-processed foods.

Notably, only those Americans whose ultra-processed food consumption was within the lowest 20% had an average daily added sugar intake that fell below the maximum recommended limit.

Several leading health bodies, including the World Health Organization, the Canadian Heart and Stroke Foundation, the American Heart Association, and the US Dietary Guidelines Advisory Committee have concluded that excess added sugar intake increases the risk not only of weight gain, but also of obesity and diabetes, which are associated with a heightened risk of cardiovascular disease, and tooth decay.

Cutting back on the consumption of ultra-processed foods could be an effective way of curbing excessive added sugar intake in the US, conclude the researchers.

What’s wrong with the American diet? More than half our calories come from ‘ultra-processed’ foods


Researchers who have analyzed America’s eating habits say they can sum up what’s wrong with our diet in just two words: ultra-processed foods.

These foods — a group that includes frozen pizzas, breakfast cereals and soda — make up 58% of all calories Americans consume in a typical day. Not only that, they delivered 90% of the added sugars that Americans ate and drank, according to a study published Wednesday in the medical journal BMJ Open.

Government health experts advise Americans to get no more than 10% of their total calories in the form of added sugars. But most of us aren’t listening. Researchers from the Centers for Disease Control and Prevention have said that 71% of American adultsexceeded that 10% goal, and that added sugars accounted for 15% of all the calories they consumed.

More than 75% of the sugar and high-fructose corn syrup eaten by Americans was used by the food industry, according to data from the U.S. Department of Agriculture. So researchers thought it would be a good idea to figure out the extent to which the food industry was feeding America.

To find out, they turned to data collected by the CDC as part of its ongoing National Health and Nutrition Examination Survey, which tracks the eating habits of a nationally representative group of children and adults. The researchers focused on interviews with 9,317 people in 2009 and 2010 who recalled every single thing they had eaten in the previous 24 hours. More than 280,000 food items were named.

The survey-takers consumed 2,070 calories per day, on average. About 28% of those calories came from unprocessed or minimally processed foods, such as eggs, milk, vegetables and fish, and 3.1% from cooking ingredients like table sugar and olive oil. (The amounts were slightly different when the researchers calculated the average for the individual study participants instead of considering the whole group at once: Calories from unprocessed and minimally processed foods made up 30% of a typical person’s diet, and calories from cooking ingredients accounted for 2.9%.) An additional 10% of calories were traced to processed foods, including cheese, canned vegetables and cured meat.

But the caloric contribution of ultra-processed foods was greater than for all other categories combined, accounting for nearly 3 in every 5 calories consumed.

The researchers defined ultra-processed foods as those that used artificial flavors, colors, sweeteners, stabilizers and other additives to make them taste like real food or mask their “undesirable qualities.” Breads, cakes, cookies, pies and salty snacks were the most popular ultra-processed foods, as measured by their contribution to the day’s total calories.

Overall, 14% of all calories could be traced to added sugars, the survey data revealed. But some types of food were sweeter than others.

By definition, unprocessed and minimally processed foods contained no added sugars. Processed foods got 2% of their calories from added sugars, on average. For ultra-processed foods, that figure was 21%.

The significance of these results is clear, the researchers said: If Americans are ever going to get serious about added sugars, they’ll have to cut way back on ultra-processed foods.

Dr. Carlos A. Monteiro, a professor of nutrition and public health at the University of Sao Paulo in Brazil and the senior author of the report, said he wasn’t too surprised to find that ultra-processed foods were such a huge part of the American diet. A previous study he worked on found that the average American purchased 307 kilograms (about 677 pounds) of ultra-processed foods and drinks in 2013, far more than the culturally similar Canadians (230 kilograms, or 507 pounds) or residents of the United Kingdom (201 kilograms, or 443 pounds).

What did surprise the researchers was that there was so much variation in the amount of ultra-processed foods Americans ate. Though the typical study participant got nearly 60% of his or her calories from ultra-processed foods, one in five got fewer than 30% of their calories that way.

In other words, about 60 million Americans consumed more than 70% of their calories in the form of “real food,” Monteiro said. “This shows that there is hope.”