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Are some ultraprocessed foods worse than others? Exploring the health spectrum

5 min read

According to a 2024 study published in The BMJ, consumption of ultraprocessed foods (UPFs) is linked to a higher risk of adverse health outcomes, with some types being more harmful than others. The ultraprocessed food category is vast, encompassing everything from sugary drinks to some fortified breakfast cereals, suggesting that not all UPFs are created equal. This diversity means the health impact varies significantly depending on the specific product's ingredients and nutritional profile.

Quick Summary

The health impact of ultraprocessed foods is not uniform across all products, as research shows significant differences in risk depending on the food type. Highly problematic items like sugary drinks and processed meats contrast with others that may offer some nutrients. Identifying risk involves scrutinizing ingredient lists and understanding industrial processing methods.

Key Points

  • Not all UPFs are equal: There is a wide health spectrum within ultraprocessed foods; some are worse than others due to their specific ingredients and nutritional content.

  • Avoid the worst offenders: Sugary drinks, artificially sweetened beverages, and processed meats are consistently identified as the most harmful types of ultraprocessed foods.

  • Look for tell-tale signs: The longest ingredient lists, with unfamiliar chemicals and additives, are a major red flag for highly ultraprocessed products.

  • Prioritize the perimeter: Focus your grocery shopping on the outer aisles, where you can find fresh, unprocessed, and minimally processed foods.

  • Incremental improvements matter: While whole foods are best, making small swaps—like choosing a fortified whole-grain option over a sugar-laden one—is a positive step.

  • Cook at home: Preparing meals from scratch using whole ingredients is the most effective way to control your intake of additives, sugar, salt, and unhealthy fats.

  • Understand the NOVA system: The NOVA food classification system categorizes foods by their degree of processing, offering a framework to differentiate between levels of industrial alteration.

In This Article

The widespread concern surrounding ultraprocessed foods (UPFs) has led to broad advice about reducing their intake. However, this approach often overlooks the vast diversity within the UPF category itself. A deeper look reveals a spectrum of risks, where some ultraprocessed foods are demonstrably worse for your health than others. Understanding this nuance is crucial for making informed and practical dietary choices.

The NOVA Classification System and the Spectrum of Processing

To grasp why some UPFs are worse, one must first understand the NOVA food classification system, which categorizes foods based on their degree of processing. Ultraprocessed foods (NOVA Group 4) are industrial formulations typically made from five or more ingredients, often including substances not used in home cooking like hydrolyzed proteins, modified starches, and various cosmetic additives. In contrast, 'processed foods' (NOVA Group 3) are simpler, made by adding ingredients like salt, sugar, or oil to minimally processed foods. This foundational framework helps explain the inherent differences between UPF products.

The Worst Offenders: Identifying High-Risk UPFs

Scientific research has consistently pointed to a few subgroups of ultraprocessed foods as the most problematic. These items are typically high in added sugars, unhealthy fats, and sodium, and are heavily advertised to maximize consumption.

Here are some of the most consistently linked high-risk UPFs:

  • Sugary and Artificially Sweetened Beverages: Studies have repeatedly associated soda and other sweetened drinks with higher risks of mortality and chronic diseases like type 2 diabetes and heart disease. These beverages are nutrient-poor and designed to be consumed in large quantities, displacing healthier drink options like water.
  • Processed Meats: Products such as hot dogs, sausages, and deli meats are often high in sodium and saturated fats. Research has found processed meats to have one of the strongest associations with increased risk of all-cause mortality among UPFs.
  • Packaged Snacks and Sweets: Chips, cookies, and other packaged sweets are typically very energy-dense, low in fiber, and packed with unhealthy fats and sugars. Their hyper-palatability is designed to encourage overconsumption and weight gain.
  • Instant Meals and Soups: Many pre-packaged ready meals and instant soups contain a cocktail of preservatives, high sodium, and other additives, offering convenience at a potential health cost.

The 'Better' Ultraprocessed Foods: A Question of Context

Not all foods in the NOVA Group 4 category are created equal. Some items, while technically ultraprocessed, may offer some nutritional benefits that distinguish them from the worst offenders. For example, some fortified whole-grain breads or fiber-rich breakfast cereals contain vitamins, minerals, and fiber, though they still use industrial additives.

It's important to remember that 'better' in this context is relative. These foods still undergo extensive processing, and the healthier choice is always a minimally processed alternative. However, for those seeking to make incremental improvements, substituting highly-unhealthy UPFs with slightly-less-unhealthy options can be a step in the right direction. The key is to examine the ingredient list closely and prioritize whole, single-ingredient foods whenever possible.

Comparison: Harmful vs. Less-Harmful UPFs

Feature More Harmful UPFs (e.g., Soda, Processed Meats) Less Harmful UPFs (e.g., Fortified Cereal)
Core Ingredients Little to no whole food; mostly industrial substances like high-fructose corn syrup, chemically modified fats. Contain some whole food components like whole grains, often fortified with vitamins and minerals.
Nutrient Density Nutrient-poor; high in added sugars, sodium, unhealthy fats, and artificial ingredients. May contain some beneficial nutrients like fiber, vitamins, and minerals.
Processing Purpose Designed for maximum palatability, long shelf-life, convenience, and profitability, not health. Processes often aim to enhance durability and add specific nutrients, alongside industrial additives.
Health Impact Consistently and strongly linked to increased risks of heart disease, diabetes, obesity, and other chronic conditions. Potential health risks from industrial additives exist, but often lower than the most harmful UPFs.
Displacement of Whole Foods Designed to displace whole foods almost entirely due to their addictive properties and convenience. Can still displace healthier, truly minimally processed options in a diet.

How to Make Healthier Choices

Making better food choices involves more than just a blanket avoidance of all ultraprocessed items. It requires mindfulness and a bit of label-reading. A good strategy is to focus on reducing the worst offenders first and prioritizing minimally processed foods whenever possible.

Here are a few actionable steps to take:

  • Prioritize the perimeter. Shop the outer aisles of the grocery store first, where you'll typically find fresh produce, meats, and dairy. The center aisles are where most ultraprocessed, packaged foods are located.
  • Read the ingredient list. A good rule of thumb is that if you don't recognize most of the ingredients or the list is very long, it's likely an ultraprocessed product. Compare different versions of similar products; some breads or cereals may have far fewer industrial additives than others.
  • Focus on whole foods. The core of a healthy diet should consist of unprocessed or minimally processed foods, such as fresh fruits, vegetables, whole grains, and lean proteins.
  • Cook at home more often. Home-cooked meals made from whole ingredients are the best way to control what goes into your food, avoiding the hidden additives and excessive salt, sugar, and fat found in many UPFs.
  • Start with small changes. Instead of attempting to overhaul your diet overnight, begin with a few small swaps. Exchange sugary soda for flavored water, or swap heavily processed breakfast bars for a handful of nuts and a piece of fruit.

Conclusion: Navigating the Complex World of Ultraprocessed Foods

Yes, some ultraprocessed foods are worse than others, but this is not a justification to ignore the health risks associated with the entire category. While certain UPFs, like specific fortified breakfast cereals, may offer some marginal nutritional benefits, they pale in comparison to truly whole and minimally processed foods. The biggest dangers lie in hyper-palatable, nutrient-poor items like sugary drinks and processed meats, which are formulated to drive overconsumption. The key takeaway is to approach ultraprocessed foods with a critical eye, prioritize whole foods, and view any UPF as an occasional exception rather than a dietary staple. The goal is to move towards a diet based on real food, limiting the intake of even the 'better' ultraprocessed products for optimal long-term health.

For more information on the NOVA classification system, consult the research on the Food and Agriculture Organization of the United Nations (FAO) website, which often references and discusses this framework.

Frequently Asked Questions

An ultraprocessed food (UPF) is an industrial formulation made mostly or entirely from substances derived from foods, often with many added ingredients like preservatives, sweeteners, and emulsifiers that are not used in home cooking.

No, not all processed foods are bad. The term 'processed' covers a spectrum. Minimal processing, like freezing vegetables or pasteurizing milk, is generally safe. The health risks increase with the level of industrial processing, especially with ultraprocessed foods.

Scientific studies consistently identify processed meats, sugary and artificially sweetened beverages, and packaged snacks high in sugar, unhealthy fats, and sodium as some of the most harmful ultraprocessed foods.

Some ultraprocessed foods, like certain whole-grain cereals or breads, may be fortified with vitamins and minerals, offering some nutritional value. However, they still contain industrial additives and are generally not as healthy as their minimally processed counterparts.

A long and unfamiliar ingredient list is a key indicator of an ultraprocessed food. If you see ingredients you wouldn't use in your own kitchen, such as emulsifiers, flavor enhancers, or modified starches, the product is likely ultraprocessed.

Yes, making homemade versions of foods that are typically ultraprocessed is a healthier choice. This allows you to control the ingredients, avoiding excessive sugar, salt, unhealthy fats, and additives.

The NOVA system is a framework that classifies foods into four groups based on their extent of processing: 1) unprocessed or minimally processed, 2) processed culinary ingredients, 3) processed foods, and 4) ultraprocessed foods.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.