4.3 Review

Impact of ultra-processed food consumption on metabolic health

Journal

CURRENT OPINION IN LIPIDOLOGY
Volume 32, Issue 1, Pages 24-37

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOL.0000000000000728

Keywords

cardiovascular diseases; food processing; metabolic health; metabolic syndrome; ultra-processed food

Funding

  1. Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2018/07391-9, 2019/05972-7, 2016/14302-7]
  2. Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [18/07391-9, 19/05972-7] Funding Source: FAPESP

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Most studies indicate that high consumption of ultra-processed foods has a negative impact on metabolic health, particularly in adults. Recent research has also shown that high consumption of ultra-processed foods is associated with adverse effects on cardiovascular diseases and mortality.
Purpose of review Ultra-processed foods (UPF) have been associated with poor diet quality and adverse health outcomes. Our aim in this review is to summarize recent research assessing the impact of UPF consumption, classified according to the NOVA system, on outcomes related to metabolic health. Recent findings Thirty recent studies with different design, quality and target population have investigated the impact of UPF consumption on parameters related to metabolic health, which were organized into: metabolic syndrome; body weight change and obesity indicators; blood pressure and hypertension; glucose profile, insulin resistance and type 2 diabetes; other metabolic risks and cardiovascular diseases and mortality. Most of the studies demonstrated adverse associations between high UPF consumption and metabolic health, mainly those with robust design and involving adults. Most of the latest findings have revealed an adverse impact of high UPF consumption on metabolic health, including cardiovascular diseases and mortality. Scientific evidence is accumulating towards the necessity of curbing UPF consumption worldwide at different life stages. Nevertheless, other studies are needed to confirm the causality between UPF consumption and metabolic health in diverse scenarios and to better elucidate all likely mechanisms involved in this relationship.

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