A major new review of evidence has sounded a dire warning about the global diet, establishing a link between Ultra-Processed Foods (UPFs) and adverse outcomes in every major organ system of the human body.

The findings, from a series of three papers published in the Lancet, are a comprehensive assessment, compiling data from extensive long-term studies, and paints a clear picture of UPFs as a seismic threat to global health, driving a chronic disease pandemic.

UPF is also rapidly displacing fresh food in the diets of children and adults on every continent. It’s associated with an increased risk of a dozen health conditions, including obesity, type 2 diabetes, heart disease and depression.

UPFs
Photo Courtesy: AP Photo/Mark Lennihan.

In countries like the UK and US, UPFs already constitute more than half the average diet. It has also replaced fresh and minimally processed foods at an alarming rate across all continents.

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Products like sugary cereals, ready meals, fast food, packaged snacks, and fizzy drinks—formulations primarily composed of chemically modified ingredients and additives—are now staple fare.

Widespread Organ System Damage

The core finding of the review is the systemic harm associated with high UPF consumption. This isn’t just about weight gain; it’s about damage that spans the body’s entire biological architecture.

  • Cardiometabolic Health: The evidence is strong, showing a significantly increased risk of cardiovascular disease, heart disease-related death, type 2 diabetes, and obesity. High UPF intake, rich in salt, sugar, and saturated fat, contributes to hypertension and insulin resistance, directly harming the heart and metabolic regulation.
  • Mental Health: Beyond physical ailments, UPF consumption is linked to higher risks of anxiety and depression. The exact mechanisms are still being explored, but chronic inflammation and disruptions to the gut-brain axis are suspected factors.
  • Gastrointestinal and Liver Health: Ultra-processed foods are typically low in fiber and high in additives like emulsifiers. This combination can disrupt the gut microbiome (the balance of bacteria in the intestines), compromise the intestinal barrier, and lead to chronic inflammation. This, in turn, is linked to gastrointestinal disorders and conditions like Non-Alcoholic Fatty Liver Disease (NAFLD).
  • Cancer and Mortality: Data shows that a diet high in UPFs increases the risk of early death from all causes. Additionally, it heightened risks for several types of cancer, including colorectal, breast, and pancreatic cancers.

The Mechanism of Harm

The danger of UPFs stems from a combination of factors, going beyond their poor nutritional profile (high in unhealthy fats, sugar, and salt, but low in fiber, vitamins, and minerals).

  1. Nutrient Displacement: By taking up space in the diet, they push out truly nutritious foods like whole fruits, vegetables, and whole grains.
  2. Chemical and Additive Exposure: The industrial nature of these foods introduces the body to additives, emulsifiers, and potential contaminants from packaging, which may contribute to inflammation and disrupt normal bodily functions.
  3. Rapid Absorption: The processing often makes UPFs “pre-digested,” leading to rapid absorption of sugars and fats. This causes sharp spikes in blood glucose and places a high burden on the body’s metabolic systems.

A Call for Action from UPFs

Furthermore, the findings have led experts to stress that the evidence is sufficient to justify immediate public health action. They argue that the global response to UPFs is currently “nascent,” akin to where tobacco control was decades ago. Public health measures proposed include:

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  • Including UPF markers on front-of-package labels.
  • Implementing stronger marketing restrictions, especially for children.
  • Banning UPFs in public spaces like schools and hospitals.

The UPF Health Risk

For African Americans, who already experience higher rates of many of these chronic, diet-related conditions compared to non-Hispanic white Americans, the prevalence of UPFs adds a significant burden.

For instance, studies have shown a connection between high UPF intake and a greater risk of hypertension in Black adults compared to their white counterparts, even when consuming similar amounts.

Understanding the Disparity: Beyond Personal Choice

The higher consumption of UPFs in certain African American communities is not a simple matter of individual food preference; it’s a reflection of structural and economic barriers.

  • Food Insecurity and Affordability: Ultra-processed foods are often the cheapest and most accessible caloric options. In areas experiencing food insecurity, where fresh, minimally processed foods are expensive or unavailable, reliance on affordable, shelf-stable UPFs becomes a necessity for survival, not a choice.
  • Food Deserts: Many low-income, predominantly African American neighborhoods are classified as “food deserts,” lacking easy access to supermarkets and farmers’ markets. Conversely, they are saturated with convenience stores, fast-food outlets, and corner stores, all of which primarily stock ultra-processed items.
  • Targeted Marketing: Food companies have been shown to disproportionately target Black and Hispanic consumers. They do this with advertisements for their least nutritious, ultra-processed products, including sugary drinks and fast food. This aggressive marketing exacerbates the challenge of making healthier choices, especially for youth.

A Call for Systemic Change

Addressing this ultra-processed divide requires more than individual education. It demands systemic changes to structural barriers that restrict access to healthy food and promote the overconsumption of UPFs.

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Policymakers and community leaders must focus on interventions that promote food equity, such as:

  • Improving Access: Investing in community-led initiatives to bring grocery stores and farmers’ markets to food deserts.
  • Policy Intervention: Implementing policies that tax or regulate the marketing of UPFs, particularly those targeted at vulnerable populations.
  • Economic Support: Ensuring that food assistance programs adequately support the purchase of fresh, whole, and minimally processed foods.

Moreover, the takeaway for consumers is a strong encouragement to reduce reliance on these industrial formulations. Prioritizing unprocessed or minimally processed foods—whole foods that are closer to their natural state—is the most effective way to safeguard long-term health against this pervasive global challenge.

Hailing from Charlotte North Carolina, born litterateur Ezekiel J. Walker earned a B.A. in Psychology at Winston Salem State University. Walker later published his first creative nonfiction book and has...

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