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From Your Nutritional Education Site
1. More evidence that ultra-processed foods could harm health
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More evidence that ultra-processed foods could harm health Medical News Today.com Previous research has suggested that consuming high levels of ultra-processed foods, such as packaged snacks and soda, could harm health. Two new studies confirm this notion and provide more evidence of the associated cardiovascular and all-cause mortality risks. Eating processed foods may raise the risk of cardiovascular disease and overall mortality. Numerous studies have linked a high consumption of ultra-processed foods with a raised risk of chronic conditions. Cancer, type 2 diabetes, celiac disease, and multiple sclerosis are just a few of the outcomes associated with consuming processed foods. Some studies have also suggested that consuming processed meat may raise the risk of premature death. Now, two studies appearing in the BMJ strengthen the idea that processed foods may be harmful to one’s health. One study focused on the risk of adverse cardiovascular events, while the other examined the risk of all-cause mortality. The cardiovascular risks of processed food Bernard Srour, from the Epidemiology and Statistics Research Center at Sorbonne Paris Cité in France, is the lead author of the first study.Trusted Source Srour and colleagues examined the links between the consumption of ultra-processed foods and the risk of cardiovascular conditions. The researchers looked at data on 105,159 adults who had enrolled in the NutriNet-Santé study, which is one of the largest worldwide studies of nutrition and health. The participants were 43 years old, on average, and mostly women (79%). They completed six questionnaires that examined their dietary patterns over a 24-hour period, choosing foods from a list of 3,300 items. The team classified the foods according to their “degree of processing.” Srour and colleagues define ultra-processed foods as those containing many ingredients that manufacturers exclusively use for industrial purposes but that consumers perceive as “safe, convenient, and highly palatable.” Ultra-processed foods “often have a higher content of total fat, saturated fat, added sugar, energy density, and salt, along with a lower fiber and vitamin density,” the study authors explain. Baked goods, snacks, sugary soft drinks, ready meals with food additives, and dehydrated vegetable soups are some examples of ultra-processed foods. In the study, Srour and team clinically followed the participants for a decade, between 2009 and 2018. The findings revealed that for every 10% increase in the amount of ultra-processed foods the participants consumed, the risk of: cardiovascular disease increased by 12%
The scientists calculated the cardiovascular risk in relative terms, meaning that they compared the cardiovascular risk of those who consumed more processed foods with that of those who consumed less. “Various factors in processing, such as nutritional composition of the final product, additives, contact materials, and neoformed contaminants, might play a role in these associations,” they suggest, adding that more research is necessary. According to the American Heart Association (AHA), 1 in 3 deaths in the United States occurs as a result of cardiovascular disease. Ultra-processed foods may raise death risk Anaïs Rico-Campà, from the Department of Preventive Medicine and Public Health at the University of Navarra in Pamplona, Spain, led the second study.Trusted Source Rico-Campà and colleagues set out to examine the links between the consumption of ultra-processed foods and the risk of mortality from any cause. They examined a total of 19,899 adults, 12,113 of whom were women. The participants were 38 years old, on average, and they had registered in the Seguimiento Universidad de Navarra study. As part of this study, the participants completed a food questionnaire of 136 items. The scientists followed them up for 10 years and grouped the foods they ate according to how processed they were. The study found that people who consumed more than four servings of ultra-processed food each day were 62% more likely to die from any cause compared with those who consumed two servings or fewer. The relative risk of premature mortality increased by 18% with each additional serving of ultra-processed food. Ultra-processed foods can lead to a second heart attack or strokeUltra-processed foods (UPF) contain industrially-formulated ingredients and little to no whole food. Scientists have long cautioned against the overconsumption of UPF, linking them to a range of health conditions. Recent studiesTrusted Source have indicated that they can lead to cardiovascular disease (CVD) and all-cause mortality. A new study finds that consuming UPF increases the risk of a second — and more likely fatal — heart attack or stroke for people who already have CVD. “We saw,” says first author of the study Dr. Marialaura Bonaccio, “that people with a higher consumption of ultra-processed foods have a two-thirds increased risk of a second heart attack or stroke, this time fatal, compared with participants eating these foods less frequently. The probability of dying from any cause is also 40% higher.” Worryingly, consumption of UPF is growing, particularly in the United States, where nearly 60% of the average person’s diet is likely to be made up of highly processed foods. The Department of Epidemiology and Prevention of the I.R.C.C.S. Neuromed in Pozzilli, Italy, conducted the study, which appears in European Heart Journal. Recognizing ultra-processed foods Dr. Bonaccio told Medical News Today, “It is important to underline that the definition of ultra-processed food is not linked to the nutritional content, but rather to the process used for its preparation and storage. In other words, even if a food is nutritionally balanced, it might still be considered ultra-processed.” Cardiology dietician Michelle Routhenstein, MS RD CDE CDN, who was not involved in the study, told MNT: “I find that many people are hyper-focused on calories, so when they read the food label, if the nutritional facts panel satisfies what they are assessing it for, they can easily dismiss the processing element of the food. I, therefore, like to direct the attention of the consumer to read the actual ingredient list first.” Routhenstein adds, “When looking at the food label, it may be helpful to understand at a glance the NOVA classification scale.” The NOVA classification system assigns foods to one of four categories based on the amount of processing they involve: Group 1 — Unprocessed or minimally processed foods. These are either unprocessed foods or foods that have undergone minimal processing, such as cooking or pasteurization. How UPF may affect cardiovascular health Dr. Bonaccio shared with MNT some hypotheses regarding the relationship between UPF and the increased risk of CVD-related death: “Here, we saw that only a small part of the excess of death risk is attributable to the poor nutritional content of these UPF, and this leads [us] to think that other non-nutritional factors of UPF are potentially responsible for their detrimental effects on health.” “They are frequently packaged in materials that are a source of phthalatesTrusted Source and bisphenolsTrusted Source that are multifunctional synthetic chemicals used to make plastics flexible and durable.” Dr. Bonaccio added that “UPF are also a major source of food additives and neoformed compoundsTrusted Source that have been shown to have adverse effects on human health in experimental and some epidemiological studies.” “Thus,” Dr. Bonaccio concluded, “it seems that UPFs do not exert specific cardiovascular effects but accelerate the occurrence of secondary events in patients with pre-existing CVD.” Choosing one’s diet Dr. Iacoviello notes that knowing, for example, that one is following a Mediterranean diet does not say anything about how the food was prepared. She adds, “Fresh vegetables are not the same as pre-cooked and seasoned vegetables, and the same goes for many other foods. It is a factor to be increasingly considered when advising citizens about proper nutrition.” When asked if there is some way for a consumer to know if a food is a UPF that they should avoid, Dr. Bonaccio suggested to MNT: “One simple thing to do for a consumer to make healthier food choices is to look at the number of ingredients a given food contains. If this number exceeds five, that product has a high probability of being an ultra-processed food.” Ultra-processed foods may raise the risk of type 2 diabetes Research has linked ultra-processed foods with conditions such as cancer, obesityTrusted Source, and cardiovascular disease, as well as with a higher risk of premature mortality. These foods are prevalent in Western diets, and the Western world has also seen a surge in the incidence of diabetes in recent decades. Are ultra-processed foods and type 2 diabetes linked? And if so, how? Bernard Srour, Ph.D., of the Epidemiology and Statistics Research Center–University of Paris in France, and his team of researchers set out to answer this question. They did so by examining the dietary habits of more than100,000 people. The results of their analysis appear in the journal JAMA Internal MedicineTrusted Source. More Next Week - Ultra Processed Foods and Diabetes
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