Linking Dietary Quality and Overall Health: The Role of Ultra-Processed Foods in Adult Chronic Diseases
DOI:
https://doi.org/10.58445/rars.3309Keywords:
Ultra-processed foods, diet, chronic disease, inflammationAbstract
Chronic diseases such as cardiovascular disease (CVD), type 2 diabetes (T2D), obesity, and cancer are among the leading causes of mortality in the world, according to the CDC. While many different factors participate in development and progression of these diseases, increasing evidence suggests diet, especially diet high in ultra-processed foods (UPFs), is a major contributor to the development of these chronic diseases. This review synthesizes findings from randomized controlled trials (RCTs), meta-analyses, and large-scale cohort studies to evaluate the association between UPF consumption, chronic inflammation, and the prevalence of disease in adult and adolescent populations. Inflammation acts as a common-ground which links UPFs to chronic diseases; elevated levels of inflammatory biomarkers, including C-reactive protein (CRP) and interleukin- 6 (IL-6) are found in individuals with a higher UPF intake, and are also commonly associated with increased risks of CVD, T2D, and other chronic-disease related complications. In contrast, diets with a lower UPF consumption, such as the Mediterranean Diet (MD), have been found to have lower levels of CRP and IL-6, as well as being associated with lower rates of chronic disease.
References
Lamon S, Morabito A, Arentson-Lantz E, Knowles O, Vincent GE, Condo D, et al. The effect of acute sleep deprivation on skeletal muscle protein synthesis and the hormonal environment. Physiol Rep [Internet]. 2021 Jan 1 [cited 2025 Sep 5];9(1). Available from: https://pubmed.ncbi.nlm.nih.gov/33400856/
Fu X, Zhu M, Zhang S, Foretz M, Viollet B, Du M. Obesity impairs skeletal muscle regeneration through inhibition of AMPK. Diabetes [Internet]. 2016 Jan 1 [cited 2025 Sep 5];65(1):188–200. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4686944/
Brett JO, Arjona M, Ikeda M, Quarta M, de Morrée A, Egner IM, et al. Exercise rejuvenates quiescent skeletal muscle stem cells in old mice through restoration of Cyclin D1. Nat Metab [Internet]. 2020 Apr 1 [cited 2025 Sep 5];2(4):307–17. Available from: https://pubmed.ncbi.nlm.nih.gov/32601609/
Colman RJ, Anderson RM, Johnson SC, Kastman EK, Kosmatka KJ, Beasley TM, et al. Caloric restriction delays disease onset and mortality in rhesus monkeys. Science (1979) [Internet]. 2009 Jul 10 [cited 2025 Sep 5];325(5937):201–4. Available from: https://pubmed.ncbi.nlm.nih.gov/19590001/
Scaranni PDODS, Cardoso LDO, Chor D, Melo ECP, Matos SMA, Giatti L, et al. Ultra-processed foods, changes in blood pressure and incidence of hypertension: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Public Health Nutr [Internet]. 2021 Aug 1 [cited 2025 Sep 5];24(11):3352. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10195295/
Ekmekcioglu C. Nutrition and longevity–From mechanisms to uncertainties. Crit Rev Food Sci Nutr [Internet]. 2020 Oct 10 [cited 2025 Sep 7];60(18):3063–82. Available from: https://pubmed.ncbi.nlm.nih.gov/31631676/
Platikanova M, Yordanova A, Hristova P. Dependence of Body Mass Index on Some Dietary Habits: An Application of Classification and Regression Tree. Iran J Public Health [Internet]. 2022 [cited 2025 Sep 7];51(6):1283. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9659541/
Definition of chronic disease - NCI Dictionary of Cancer Terms - NCI [Internet]. [cited 2025 Sep 7]. Available from: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/chronic-disease
Noncommunicable diseases [Internet]. [cited 2025 Sep 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Obesity and overweight [Internet]. [cited 2025 Sep 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Koelman L, Egea Rodrigues C, Aleksandrova K. Effects of Dietary Patterns on Biomarkers of Inflammation and Immune Responses: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Advances in Nutrition [Internet]. 2021 Jan 1 [cited 2025 Sep 5];13(1):101. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8803482/
Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts. New England Journal of Medicine [Internet]. 2018 Jun 21 [cited 2025 Sep 5];378(25). Available from: https://www.nejm.org/doi/pdf/10.1056/NEJMoa1800389
Lane MM, Gamage E, Du S, Ashtree DN, McGuinness AJ, Gauci S, et al. Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses. The BMJ [Internet]. 2024 [cited 2025 Sep 5];384:e077310. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10899807/
What is inflammation? - Harvard Health [Internet]. [cited 2025 Sep 7]. Available from: https://www.health.harvard.edu/newsletter_article/ask-the-doctor-what-is-inflammation
Liu Y, Guan S, Xu H, Zhang N, Huang M, Liu Z. Inflammation biomarkers are associated with the incidence of cardiovascular disease: a meta-analysis. Front Cardiovasc Med [Internet]. 2023 [cited 2025 Sep 5];10:1175174. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10360053/
Definition of biomarker - NCI Dictionary of Cancer Terms - NCI [Internet]. [cited 2025 Sep 7]. Available from: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/biomarker
Patel I, Tang XY, Song Z, Zhou JB. Relationship between dietary inflammatory index and chronic diseases in older U.S. Adults: NHANES 1999–2018. BMC Public Health [Internet]. 2025 Dec 1 [cited 2025 Sep 5];25(1):1–12. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-025-22544-3
Tristan Asensi M, Napoletano A, Sofi F, Dinu M. Low-Grade Inflammation and Ultra-Processed Foods Consumption: A Review. Nutrients [Internet]. 2023 Mar 1 [cited 2025 Sep 5];15(6):1546. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10058108/
FastStats - Leading Causes of Death [Internet]. [cited 2025 Sep 5]. Available from: https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
Ridker PM, Everett BM, Thuren T, MacFadyen JG, Chang WH, Ballantyne C, et al. Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease. New England Journal of Medicine [Internet]. 2017 Sep 21 [cited 2025 Sep 5];377(12):1119–31. Available from: https://www.nejm.org/doi/pdf/10.1056/NEJMoa1707914
Coronary Artery Disease (CAD): Symptoms & Treatment [Internet]. [cited 2025 Sep 5]. Available from: https://my.clevelandclinic.org/health/diseases/16898-coronary-artery-disease
Type 2 Diabetes: What It Is, Causes, Symptoms & Treatment [Internet]. [cited 2025 Sep 5]. Available from: https://my.clevelandclinic.org/health/diseases/21501-type-2-diabetes
Wang X, Bao W, Liu J, Ouyang YY, Wang D, Rong S, et al. Inflammatory markers and risk of type 2 diabetes: A systematic review and meta-analysis. Diabetes Care [Internet]. 2013 Jan [cited 2025 Sep 5];36(1):166–75. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3526249/
Esser N, Legrand-Poels S, Piette J, Scheen AJ, Paquot N. Inflammation as a link between obesity, metabolic syndrome and type 2 diabetes. Diabetes Res Clin Pract [Internet]. 2014 [cited 2025 Sep 5];105(2):141–50. Available from: https://pubmed.ncbi.nlm.nih.gov/24798950/
Chen Z, Khandpur N, Desjardins C, Wang L, Monteiro CA, Rossato SL, et al. Ultra-Processed Food Consumption and Risk of Type 2 Diabetes: Three Large Prospective U.S. Cohort Studies. Diabetes Care [Internet]. 2023 Jul 1 [cited 2025 Sep 5];46(7):1335. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10300524/
Obesity - Symptoms and causes - Mayo Clinic [Internet]. [cited 2025 Sep 5]. Available from: https://www.mayoclinic.org/diseases-conditions/obesity/symptoms-causes/syc-20375742
Choi J, Joseph L, Pilote L. Obesity and C-reactive protein in various populations: A systematic review and meta-analysis. Obesity Reviews [Internet]. 2013 Mar [cited 2025 Sep 5];14(3):232–44. Available from: https://pubmed.ncbi.nlm.nih.gov/23171381/
Hall KD, Ayuketah A, Brychta R, Cai H, Cassimatis T, Chen KY, et al. Ultra-processed diets cause excess calorie intake and weight gain: An inpatient randomized controlled trial of ad libitum food intake. Cell Metab [Internet]. 2019 Jul 2 [cited 2025 Sep 5];30(1):67. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7946062/
What Is Cancer? Symptoms, Causes & Types [Internet]. [cited 2025 Sep 5]. Available from: https://my.clevelandclinic.org/health/diseases/12194-cancer
Allavena P, Garlanda C, Borrello MG, Sica A, Mantovani A. Pathways connecting inflammation and cancer. Curr Opin Genet Dev [Internet]. 2008 Feb 1 [cited 2025 Sep 5];18(1):3–10. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0959437X08000075?via%3Dihub
Fiolet T, Srour B, Sellem L, Kesse-Guyot E, Allès B, Méjean C, et al. Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. The BMJ [Internet]. 2018 [cited 2025 Sep 5];360:k322. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5811844/
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