Not all UPFs are equal

Diets high in ultra-processed foods (UPFs) are linked to a higher risk of chronic diseases, poorer brain health and early death. But UPFs are a diverse group of foods that include hot dogs, sweets and fizzy drinks as well as some wholegrain breads and plant milks. Researchers from Harvard TH Chan School of Public Health used health data from over 200,000 adults collected over 30 years, then combined the findings with those from 19 other studies to produce an additional analysis of around 1.25 million adults. The results reveal which UPFs are worse than others regarding heart health.
They found that while many UPFs are linked to a higher risk of cardiovascular disease (CVD), some may actually lower the risk. While processed meats and sugary or artificially sweetened drinks were linked to a higher CVD risk, bread, breakfast cereals and savoury snacks were linked to a lower risk. They suggest that reducing the salt, saturated fats, added sugars and cosmetic additives in wholegrain bread, cereals and savoury snacks such as popcorn, for example, may enhance their nutritional value further.
The authors said: “Our findings suggest that soft drinks and processed meats should be particularly discouraged given their consistent adverse association with cardiovascular disease, coronary heart disease and stroke.”
Mendoza K, Smith-Warner SA, Rossato SL et al. 2024. Ultra-processed foods and cardiovascular disease: analysis of three large US prospective cohorts and a systematic review and meta-analysis of prospective cohort studies. Lancet Regional Health Americas. 37, 100859.