The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Are all ‘ultra-processed’ foods nutritional demons? A commentary and nutritional profiling analysis.
Abstract
There has been a growing body of literature published on ultra-processed foods (UPF). This has been driven by an ambiguous definition that can be easily applied to observational work. Nutritionally, UPF have been given the umbrella label of being “energy-dense, high in unhealthy types of fat, free sugars and salt, and poor sources of protein, dietary fibre and micronutrients” (Monteiro et al., 2018). Unfortunately, such overarching statements are imprecise and not necessarily reflective of all modern food products.This commentary evaluates the NOVA classification system and includes an analysis of 50 foods falling under its definition of being ‘ultra-processed’ yet classified as ‘healthy’ according to the UK Nutrient Profiling Model. Nutritional profiles were also compared against European Regulation (EC) No 1924/2006 Nutrition Claims.No statistically significant correlations were found between the number of ingredients and energy, saturated fat, total sugar, sodium, AOAC fibre and protein. The majority of UPFs identified were low in saturated fat (84 percent), low in sugar (80 percent) and a source of fibre (60 percent). Thirty eight percent were low salt and 30 percent a source of protein.Based on the findings of this commentary it is suggested that rigorous nutritional analyses should be conducted alongside ‘processing loads’. Overarching and tautological definitions could lead to the public avoiding all UPFs and have unintended consequences such as fibre and micronutrient shortfalls.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Citations
Cites
Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems
Willett, W., Rockström, J., Loken, B., Springmann, M., Lang, T., Vermeulen, S., Garnett, T., Tilman, D., DeClerck, F., Wood, A., et al. (2019) · The Lancet · doi:10.1016/s0140-6736(18)31788-4 · Cited by 10,880
The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing
Monteiro, C. A., Cannon, G., Moubarac, J.-C., Levy, R. B., Louzada, M. L. C., & Jaime, P. C. (2018) · Public Health Nutrition · doi:10.1017/s1368980017000234 · Cited by 2,333
Guillard, V., Gaucel, S., Fornaciari, C., Angellier-Coussy, H., Buche, P., & Gontard, N. (2018) · Frontiers in Nutrition · doi:10.3389/fnut.2018.00121 · Cited by 547
Ilyas, R. A., Sapuan, S. M., Ishak, M. R., & Zainudin, E. S. (2018) · Carbohydrate Polymers · doi:10.1016/j.carbpol.2018.09.002 · Cited by 449
Ultra-processed foods in human health: a critical appraisal
Gibney, M. J., Forde, C. G., Mullally, D., & Gibney, E. R. (2017) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.117.160440 · Cited by 310
Tedstone, A. E., Lund, V., Sanderson, P. G., Pyne, V., Lynas, J., Stolte, H., Reddy, S., Stone, E. M., Marklew, R., Ha, M., et al. (2015) · Anglia Ruskin Research Online (Anglia Ruskin University) · Cited by 178
Sugar Palm Starch-Based Composites for Packaging Applications
Sanyang, M. L., Ilyas, R. A., Sapuan, S. M., & Jumaidin, R. (2017) · Springer eBooks · doi:10.1007/978-3-319-67319-6_7 · Cited by 167
Ultra-processed foods, protein leverage and energy intake in the USA
Martínez Steele, E., Raubenheimer, D., Simpson, S. J., Baraldi, L. G., & Monteiro, C. A. (2018) · Public Health Nutrition · doi:10.1017/s1368980017001574 · Cited by 144
Food Processing at a Crossroad
Knorr, D., & Watzke, H. J. (2019) · Frontiers in Nutrition · doi:10.3389/fnut.2019.00085 · Cited by 124
Fardet, A., Rock, E., Bassama, J., Bohuon, P., Prabhasankar, P., Monteiro, C., Moubarac, J.-C., & Achir, N. (2015) · Advances in Nutrition · doi:10.3945/an.115.008789 · Cited by 106
Bottin, J. H., Swann, J. R., Cropp, E., Chambers, E. S., Ford, H. E., Ghatei, M. A., & Frost, G. S. (2016) · British Journal Of Nutrition · doi:10.1017/s0007114516001872 · Cited by 106
Food processing: criteria for dietary guidance and public health?
Jones, J. M. (2018) · Proceedings of The Nutrition Society · doi:10.1017/s0029665118002513 · Cited by 96
From the SAIN,LIM system to the SENS algorithm: a review of a French approach of nutrient profiling
Tharrey, M., Maillot, M., Azaïs-Braesco, V., & Darmon, N. (2017) · Proceedings of The Nutrition Society · doi:10.1017/s0029665117000817 · Cited by 57
Nikooyeh, B., Neyestani, T. R., Zahedirad, M., Mohammadi, M., Hosseini, S.-M., Abdollahi, Z., Salehi, F., Razaz, J. M., Shariátzadeh, N., Kalayi, A., et al. (2016) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-1631 · Cited by 55
Crino, M. (2017) · Nutrition and Food Technology Open Access · doi:10.16966/2470-6086.138 · Cited by 51
Kupirovič, U. P., Miklavec, K., Hribar, M., Kušar, A., Žmitek, K., & Pravst, I. (2019) · Nutrients · doi:10.3390/nu11020287 · Cited by 37
Powers, H. J., Stephens, M., Russell, J., & Hill, M. (2015) · Nutrition Journal · doi:10.1186/s12937-016-0185-6 · Cited by 29
Shifting Food Systems: Increasing Well-Being Through Plant-Based Approaches
Kevany, K. M., Baur, G., & Wang, G. C. (2018) · EXPLORE · doi:10.1016/j.explore.2018.04.012 · Cited by 9
Dietary guidelines should encourage a healthy planet
Gulland, A. (2017) · BMJ · doi:10.1136/bmj.j1254 · Cited by 3
Research works printed but not linked: 2
- EFSA, 2006, REGULATION (EC) No 1924/2006 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 20 December 2006 on nutrition and health claims made on foods, Official Journal of the European Union
- Monteiro, 2016, Food classification, Public Health Nova. The Star Shines Bright, 7, 28
Cited by
Sorted by citations
Processed food classification: Conceptualisation and challenges
Sadler, C. R., Grassby, T., Hart, K. H., Raats, M. M., Sokolović, M., & Timotijević, L. (2021) · Trends in Food Science & Technology · doi:10.1016/j.tifs.2021.02.059 · Cited by 263
Dicken, S. J., & Batterham, R. L. (2021) · Nutrients · doi:10.3390/nu14010023 · Cited by 256
Food processing needs, advantages and misconceptions
Knorr, D., & Augustin, M. A. (2020) · Trends in Food Science & Technology · doi:10.1016/j.tifs.2020.11.026 · Cited by 153
Ultra‐Processed Food and Obesity: What Is the Evidence?
Dicken, S. J., & Batterham, R. L. (2024) · Current Nutrition Reports · doi:10.1007/s13668-024-00517-z · Cited by 133
Novel plant-based meat alternatives: future opportunities and health considerations
Flint, M., Bowles, S. D., Lynn, A., & Paxman, J. R. (2023) · Proceedings of The Nutrition Society · doi:10.1017/s0029665123000034 · Cited by 93
Metadata
- Authors
- Derbyshire, E.
- Corresponding author
- Derbyshire, E.
- ORCID
- Derbyshire, E.
- Venue
- Trends in Food Science & Technology
- Publisher
- Elsevier BV
- Published
- 2019-12
- Volume
- 94
- Pages
- 98-104
- ISSN
- 0924-2244 (ISSN-L)
- OpenAlex
- W2972045972
- Cited by
- 39
- References
- 19
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 5 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 2
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Trends in Food Science & Technology (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Nutrient Composition and Product Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
- Keywords
- ultra-processed foods, NOVA classification, nutrient profiling, saturated fat, free sugars, sodium, dietary fiber, proteins, micronutrients, food processing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review