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What is considered ultra-processed food?

4 min read

According to a 2024 meta-analysis published in The BMJ, higher consumption of ultra-processed foods was associated with an increased risk of 32 different health outcomes. But what is considered ultra-processed food? This category includes industrial formulations with numerous ingredients often not found in home kitchens, such as preservatives, emulsifiers, and artificial flavors.

Quick Summary

An examination of industrially formulated foods with multiple additives and chemically modified ingredients, as defined by the NOVA classification. Includes examples and distinguishes them from minimally processed foods.

Key Points

  • Definition: Ultra-processed foods (UPFs) are industrial formulations, often with five or more ingredients, that contain substances not commonly used in home cooking, such as preservatives, emulsifiers, and artificial sweeteners.

  • NOVA Classification: The most widely used system for categorizing food by processing level, with UPFs representing the highest and most industrialized group.

  • Health Risks: High consumption of UPFs is associated with increased risks of obesity, type 2 diabetes, cardiovascular disease, mental health issues, and all-cause mortality.

  • Ingredient Red Flags: Long ingredient lists with unfamiliar chemical names, added sugars, and hydrogenated oils are typical indicators of a UPF.

  • Minimally Processed vs. Ultra-Processed: UPFs are distinct from minimally processed foods (like plain yogurt) and even some processed foods (like cheese), which use simpler methods and fewer industrial ingredients.

  • Healthier Alternatives: Prioritizing whole, minimally processed foods and cooking from scratch are effective strategies for reducing UPF intake and improving overall diet quality.

In This Article

The NOVA Classification System: A Foundation for Understanding

The most widely recognized method for answering the question, "What is considered ultra-processed food?" is the NOVA classification system. Developed by Brazilian public health researchers, the NOVA system categorizes foods into four distinct groups based on the extent and purpose of their processing. The system shifts the focus away from individual nutrients and instead examines the manufacturing processes involved. Understanding these four groups is key to distinguishing between different types of food processing.

The Four NOVA Food Groups

  • Group 1: Unprocessed or Minimally Processed Foods. These are whole foods in their natural state or those with only minimal alterations, such as washing, crushing, or pasteurizing. Examples include fresh fruits and vegetables, eggs, meat, legumes, nuts, and plain milk.
  • Group 2: Processed Culinary Ingredients. These are substances derived directly from Group 1 foods through processes like pressing or milling. They are typically used for seasoning and cooking rather than being eaten alone. Examples include salt, sugar, oils, and butter.
  • Group 3: Processed Foods. These are made by combining foods from Group 1 with processed culinary ingredients from Group 2. The processing methods are generally replicable in a home kitchen, such as canning or fermentation. Common examples include salted nuts, most cheeses, canned vegetables, and homemade breads.
  • Group 4: Ultra-processed Foods (UPFs). This is the most industrialized category. UPFs are formulations of ingredients—many of which are exclusive to industrial use—that undergo a series of complex processing techniques. They contain little, if any, recognizable whole food and are characterized by a long list of additives, such as flavors, emulsifiers, and stabilizers.

Key Characteristics of Ultra-Processed Foods

To identify a UPF, look beyond the nutrition label and consider its characteristics. The tell-tale signs are in the ingredients, purpose, and overall composition.

Ingredient List: UPFs are known for their lengthy and complex ingredient lists. Many of the items, such as modified starches, hydrolyzed proteins, or high-fructose corn syrup, would never be used in a home kitchen.

Additives: These foods frequently contain a range of additives with cosmetic functions, such as artificial colors, flavors, non-sugar sweeteners, and flavor enhancers, designed to make the product appealing.

Convenience and Shelf-Life: They are manufactured to be highly convenient (ready-to-eat or ready-to-heat) and have an extended shelf life. This is often achieved through advanced preservation techniques and packaging.

Hyper-Palatability: The combination of added fats, sugars, and salts, along with enhancers, makes UPFs intensely palatable and difficult to stop eating. This can override the body's natural satiety signals and contribute to overconsumption.

Nutritional Profile: UPFs are typically energy-dense and nutrient-poor, meaning they are high in calories but low in fiber, protein, vitamins, and minerals.

The Health Concerns Linked to a UPF-Heavy Diet

The rapid rise in UPF consumption is a significant public health concern. Numerous observational studies and meta-analyses have found strong associations between a diet high in UPFs and various adverse health outcomes.

  • Chronic Diseases: High intake of UPFs is linked to a higher risk of developing chronic diseases such as obesity, type 2 diabetes, and cardiovascular diseases.
  • Mental Health: Research has also shown a connection between UPF consumption and an increased risk of mental health issues, including depression and anxiety.
  • Inflammation: The additives and nutritional imbalance in UPFs are believed to trigger chronic inflammation in the body, which is a major driver of many diseases.
  • All-Cause Mortality: Long-term studies have found a correlation between higher UPF intake and an increased risk of all-cause mortality.

The Spectrum of Food Processing: A Comparison

It's important to understand the distinctions between different food groups. Not all processed foods are created equal.

Feature Unprocessed / Minimally Processed Foods (NOVA Group 1) Processed Foods (NOVA Group 3) Ultra-Processed Foods (NOVA Group 4)
Processing Minimal (e.g., cleaning, pasteurizing, freezing) Simple combination and preservation methods (e.g., canning, fermentation) Complex industrial techniques (e.g., extrusion, molding, hydrogenating)
Ingredients Whole foods (e.g., fresh fruit, eggs) Whole foods + Culinary ingredients (e.g., salt, sugar) Industrial formulations + Additives (emulsifiers, flavorings)
Common Example A fresh apple Applesauce made at home with minimal sugar Mass-produced apple-flavored cereal or fruit snacks
Nutritional Value High; contains intact nutrients and fiber Good; generally retains nutritional quality Low; often energy-dense but nutrient-poor
Additives None Used for preservation (e.g., canned beans in brine) Used for cosmetic functions and enhancing palatability

Conclusion

Understanding what is considered ultra-processed food is a critical step toward a healthier lifestyle. The NOVA classification provides a clear framework for identifying these industrial formulations, which are distinct from simply processed or minimally processed items. Recognizing the extensive processing, complex ingredients, and added additives allows consumers to make more informed choices. While the occasional UPF is not a significant concern, the scientific evidence suggests that a diet dominated by these products is linked to numerous negative health outcomes. By prioritizing whole, minimally processed foods and cooking more at home, individuals can significantly reduce their intake of UPFs and support their overall health.

Making Healthier Choices: Practical Strategies

  • Read Labels: The length and unfamiliarity of an ingredient list are strong indicators of a UPF. Look for foods with fewer, recognizable ingredients.
  • Shop the Perimeter: Grocery stores often place unprocessed and minimally processed foods (produce, meat, dairy) along the outer perimeter, with UPFs concentrated in the central aisles.
  • Prioritize Whole Foods: Focus on building meals around whole, single-ingredient foods like fresh vegetables, fruits, whole grains, and lean proteins.
  • Cook from Scratch: Increasing the amount of meals cooked at home provides complete control over ingredients, eliminating unnecessary additives, sugar, and salt.
  • Plan Ahead: Preparing healthy snacks and meals in advance can reduce the reliance on convenient, pre-packaged UPFs when hunger strikes.

Frequently Asked Questions

Check the ingredient list. If it's long and contains ingredients you don't typically use in home cooking, like high-fructose corn syrup, modified starches, emulsifiers, or artificial flavors, it is likely an ultra-processed food.

No. The NOVA classification distinguishes between processed foods (e.g., cheese, canned vegetables) and ultra-processed foods. Processed foods use simpler methods and fewer ingredients, often retaining more nutritional value.

Yes, typically. While homemade or artisanal bread is considered processed, most mass-produced, packaged breads fall into the ultra-processed category due to the addition of industrial ingredients like emulsifiers and preservatives to extend shelf life.

UPFs are often high in added sugars, fats, and salt, but low in nutrients and fiber. This can lead to overconsumption and is linked to chronic inflammation and increased risk of diseases like obesity and type 2 diabetes.

Studies have shown that reducing ultra-processed food intake can lead to positive health outcomes. Replacing UPFs with whole, minimally processed foods can improve nutritional balance and lower the risk of chronic diseases.

The NOVA system is a framework introduced by Brazilian researchers that categorizes all foods and drinks into four groups based on their extent and purpose of processing. Ultra-processed foods are the fourth and most industrialized category.

Minimally processed foods include fresh or frozen fruits and vegetables, grains, legumes, fresh meat, and pasteurized milk. These have undergone little alteration from their natural state.

References

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Medical Disclaimer

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