Ultra-processed food: from research to guidelines 45

Bernard Srour, Eloi Chazelas, Mathilde Touvier.
Abstract
During the past decades, food systems have shifted towards an important increase in the degree of food processing and formulation. Ultra-processed foods are products that have undergone complex processing techniques (physical, chemical, or biological), having a possible impact on food matrix, and often contain cosmetic food additives (emulsifiers, sweeteners, coloring agents…) and industrial substances derived from foods (maltodextrin, hydrogenated oils, modified starches…). Several characteristics of ultra-processed foods have triggered the scientific community to investigate their potential impact on long-term human health: a lower nutritional quality compared with unprocessed or minimally processed foods, food additives for some of which possible adverse effects have been suggested in preclinical in vitro / in vivo studies, contaminants issued from processing techniques or packaging, and modifications in the food matrix and textures, leading to increased energy intake rate and overconsumption. Dozens of prospective studies around the world have shown associations between the consumption of these products and higher risks of chronic diseases (e.g. cancer, cardiovascular disease, type-2 diabetes, obesity) and mortality. Public health authorities in France and other countries now recommend limiting the consumption of these products. However, further research is needed to better understand the underlying mechanisms and pertinently guide regulating the use of certain substances and additives, and industrial reformulation processes.
January 2022
La revue du praticien n° Tome 71 / n° 3 PDF