What Are Ultra-Processed Foods? Risks, Examples, and Alternatives
Ultra-processed foods dominate many modern diets, offering convenience at a steep health cost. These products, made from industrial ingredients and additives, are linked to obesity, diabetes and heart disease. The first ultra-processed food lawsuit, filed in 2024, claims manufacturers used big tobacco’s playbook to hook people on these foods.
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What Are Ultra-Processed Foods?
Ultra-processed foods are made chiefly from factory-made ingredients rather than whole, natural foods. These products usually include flavor enhancers, food coloring, corn syrup, hydrogenated oils, fats and sodium. These multiple-ingredient combinations are designed to make these foods hyper-palatable, so we’re wired to want more of them.
Researchers at the University of São Paulo created the NOVA food classification method, which is used globally by public health and nutrition research and policy organizations. It sorts foods into four groups based on how much they’ve been processed.
The system focuses on the changes made to foods after they’re taken from their natural state, excluding cooking or seasoning at home. This system helps explain how food processing impacts health and diet.
- Unprocessed or minimally processed foods: Fresh or slightly altered foods like fruits, vegetables, rice and plain yogurt.
- Processed culinary ingredients: Items like sugar, oil and salt are used to prepare or season meals.
- Processed foods: Foods with added sugar, oil or salt, like canned vegetables, cheese and fresh bread.
- Ultra-processed foods: Heavily altered products like chips, soda and packaged snacks with multiple additives.
Ultra-processed foods are unhealthy because they contain a lot of sugar, salt and unhealthy fats while low in essential nutrients. They are made from ingredients that have been heavily altered and often don’t include whole foods.
Eating ultra-processed foods can throw off the balance of good bacteria in your stomach and lead to more inflammation throughout your body. This can increase the chances of developing serious health problems, according to the American Medical Association, like obesity, cancer, heart disease and diabetes.
While they are convenient, choosing ultra-processed foods too often can be bad for your long-term health.
Examples of Ultra-Processed Foods
Ultra-processed foods include a wide range of items, from savory snacks to sweet treats and beverages. They can also be convenience foods you may rely on if you don’t have time to prepare a full meal. Ultra-processed foods can even be everyday staples you likely have in your refrigerator or pantry.
- Candy and chocolate
- Carbonated drinks
- Chicken nuggets
- Chips
- Energy bars
- Fruit drinks
- Fruit yogurt
- Hot dogs and sausages
- Ice cream
- Instant soups and noodles
- Margarine
- Packaged, mass-produced bread
- Meal-replacement shakes
- Ready-to-eat burgers
In addition, distilled alcohol made from whole foods, such as whiskey and vodka, are also considered ultra-processed foods.
How to Identify Ultra-Processed Foods
You can spot ultra-processed foods by looking at their ingredient lists on the package. They typically contain five or more ingredients you wouldn’t usually find in a home kitchen, such as high-fructose corn syrup, unhealthy oils or certain types of protein.
Additionally, they may have artificial flavors, colors, sweeteners or other additives. These foods are made to last a long time, be convenient and taste good, but they often replace healthier, less processed foods in our diets.
- Nutritional content
- Whole foods are nutrient-dense and typically the healthiest for you. Minimally processed foods keep many natural nutrients, such as fiber, vitamins and minerals. In contrast, ultra-processed foods often don't have these critical nutrients.
- Ingredient list
- Whole foods, like fruits and vegetables, have just one ingredient — the food itself. Minimally processed foods have a few extra ingredients, while ultra-processed foods contain many ingredients typically not found in your kitchen.
- Purpose of processing
- Minimal processing focuses on keeping food as close to its natural state as possible, making it healthier and more nutritious. On the other hand, ultra-processing involves transforming food into highly convenient and tasty products that are often very appealing but can be less healthy.
Health Risks of Ultra-Processed Foods
Ultra-processed foods are now a big part of what many people eat daily. According to research summarized by the American Medical Association, adults get 57% of their calories from these foods, while children get even more, at 67%. Eating a lot of ultra-processed foods can be linked to various health issues.
- Ultra-processed foods were associated with over 30 health conditions, including mental health disorders and certain cancers, according to a 2024 study in The British Medical Journal (BMJ).
- The BMJ study also found a higher risk of type 2 diabetes, cardiovascular disease-related deaths, and mental health disorders.
- Higher mortality rates, including a 31% higher mortality for the highest versus lowest consumers of ultra-processed foods, according to a 19-year study in Public Health Nutrition.
- Contribution to obesity and poor diet quality due to their calorie-dense nature and low nutritional value.
The problems may be even worse for those who struggle with food insecurity. They often have a hard time accessing and affording nutritious options. As a result, they tend to eat a lot more ultra-processed foods, according to the AMA.
Healthier Alternatives
Healthier alternatives to a diet heavy in ultra-processed foods involve careful shopping and planning in the kitchen. But doesn’t mean you need to overhaul your entire diet overnight.
Small, intentional changes can reduce your reliance on ultra-processed foods while improving your overall health. Many foods marketed as “healthy” are surprisingly processed, so it’s important to be mindful of what’s in your meals.
A good rule of thumb? Focus on whole foods — ingredients that don’t need labels.
- Cook at Home: Prepare meals with fresh fruits, vegetables, whole grains and lean proteins. A skillet dish or homemade soup is a quick, nutritious option and following proper food safety practices ensures you know exactly what’s going into your meals.
- Read Labels: Choose packaged foods with fewer, recognizable ingredients.
- Shop Smart: Stick to the grocery store’s perimeter, where fresh produce, frozen vegetables and healthy proteins are usually found.
- Snack Wisely: Keep fresh fruit, nuts and prepped veggies on hand.
The lawsuit alleges companies deliberately designed and advertised these foods to be addictive, using marketing strategies inspired by the tobacco industry. The lawsuit compared their addictive properties to nicotine and called for accountability.
13 Cited Research Articles
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- Pierson, B. (2024, December 11). Lawsuit Accuses Major Food Companies of Marketing 'Addictive' Food to Kids. Retrieved from https://www.reuters.com/legal/lawsuit-accuses-major-food-companies-marketing-addictive-food-kids-2024-12-10/
- Court of Common Pleas of Philadelphia. (2024, December 10). Martinez v. Kraft Heinz Company, Inc., et al. Complaint. Retrieved from https://fingfx.thomsonreuters.com/gfx/legaldocs/byvrmbomype/Martinez%20v%20Kraft%20Heinz%20et%20al%20complaint%2012-10.pdf
- Berg, S. (2024, November 8). What Doctors Wish Patients Knew About Ultra-Processed Foods. Retrieved from https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-ultraprocessed-foods
- Syed, S.A. (2024, October 17). The NOVA Method of Food Classification. Retrieved from https://www.news-medical.net/health/The-NOVA-Method-of-Food-Classification.aspx
- Health Direct. (2024, July 8). Ultra-Processed Foods: What Are They and Which Ones Should I Avoid? Retrieved from https://www.healthdirect.gov.au/blog/ultra-processed-foods-what-are-they-and-which-ones-should-i-avoid
- Continental Hospitals. (2024, June 28). How Ultra-Processed Foods Differ From Minimally Processed and Whole Foods. Retrieved from https://continentalhospitals.com/blog/how-ultra-processed-foods-differ-from-minimally-processed-and-whole-foods/
- Harris, E. (2024, March 22). Ultra-Processed Foods Linked With 32 Types of Health Problems. Retrieved from https://jamanetwork.com/journals/jama/article-abstract/2816703
- Lane, M.M., et al. (2024, February 28). Ultra-Processed Food Exposure and Adverse Health Outcomes: Umbrella Review of Epidemiological Meta-Analyses. Retrieved from https://www.bmj.com/content/384/bmj-2023-077310
- Juul, F., et al. (2022, January 11). Ultra-Processed Food Consumption Among US Adults From 2001 to 2018. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34647997/
- Chang, K., et al. (2021, June 14). Association Between Childhood Consumption of Ultra-Processed Food and Adiposity Trajectories in the Avon Longitudinal Study of Parents and Children Birth Cohort. Retrieved from https://jamanetwork.com/journals/jamapediatrics/fullarticle/2780512?resultClick=1
- Monteiro, C.A., et al. (2019, February 12). Ultra-Processed Foods: What They Are and How to Identify Them. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30744710/
- Kim, H. (2019, February 21). Ultra-Processed Food Intake and Mortality in the USA: Results From the Third National Health and Nutrition Examination Survey (Nhanes III, 1988-1994). Retrieved from https://pubmed.ncbi.nlm.nih.gov/30789115/
- Monteiro, C.A., et al. (2019, February 12). Ultra-Processed Foods: What They Are and How to Identify Them. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30744710/
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