A groundbreaking study recently published in the American Journal of Preventive Medicine reveals a concerning and quantifiable relationship between the consumption of ultraprocessed foods (UPFs) and premature mortality across different countries. This extensive research, analyzing data from nationally representative dietary surveys coupled with mortality statistics from eight diverse countries, exposes the alarming extent to which UPFs contribute to preventable deaths globally. The countries examined—Australia, Brazil, Canada, Chile, Colombia, Mexico, the United Kingdom, and the United States—show a consistent trend: as UPF consumption increases, so too do premature deaths linked to their intake. The findings underline the urgent need for global policy interventions to curb the growing impact of these industrial food products.
Ultraprocessed foods, as defined by the research team, are industrial formulations primarily composed of substances extracted or derived from foods, or synthesized in laboratories, rather than traditional whole food ingredients. These products are designed for convenience—ready to eat or heat—yet their composition frequently lacks nutritional quality and includes artificial additives. Common examples include sugary beverages, packaged snacks, instant meals, and processed meats. Over recent decades, UPFs have increasingly supplanted fresh and minimally processed foods in global diets, a shift that, as the study elucidates, bears serious consequences for population health.
The comprehensive nature of this study marks a significant advancement over previous research that often focused narrowly on specific nutrients or isolated dietary risks rather than whole dietary patterns. Eduardo Augusto Fernandes Nilson, DSc, the study’s lead investigator from the Oswaldo Cruz Foundation (Fiocruz) in Brazil, emphasizes that UPFs transcend traditional nutrient concerns such as high sodium, sugar, and trans fat content. The industrial processes queasiness UPFs undergo, along with the incorporation of numerous artificial substances—including colorants, flavor enhancers, sweeteners, and emulsifiers—create complex effects on human health that require a holistic assessment beyond single nutrient analyses.
Utilizing advanced statistical modeling, the researchers established a linear association between the proportion of UPFs in an individual’s diet and their risk of all-cause mortality. Their analysis reveals that for every 10% increase in caloric intake from UPFs, the risk of premature death rises by approximately 3%. This seemingly incremental increase translates into a staggering public health burden when scaled across populations with varying dietary habits. For example, Colombia, characterized by relatively low UPF intake at 15% of total energy, experiences an estimated 4% of premature deaths associated with UPF consumption. In stark contrast, high-consumption countries such as the United States and the United Kingdom, where UPFs represent over 50% of caloric intake, report premature death rates attributable to UPFs approaching 14%.
The implications of these findings are profound. In the United States alone, the study estimates that 124,000 premature deaths in 2018 were directly linked to the consumption of ultraprocessed foods. This figure highlights the enormous scale of mortality potentially preventable through dietary shifts and robust policy measures. The public health ramifications extend well beyond mortality; high UPF intake has been implicated in the etiology of at least 32 distinct diseases, including cardiovascular disease, type 2 diabetes, obesity, various cancers, and depressive disorders. The cumulative effect of these illnesses imposes a tremendous burden on healthcare systems and societies worldwide.
One of the key strengths of this study is its cross-national scope, which affords comparisons across countries with varying socioeconomic and dietary profiles. It sheds light on a worrying trend: while UPF consumption has plateaued at high levels in high-income countries, it continues to rise rapidly in low- and middle-income nations. This pattern suggests an emerging global health crisis as industrialized food systems proliferate in regions previously dominated by traditional diets. Dr. Nilson warns that unless immediate, evidence-based policies are implemented, the health consequences of rising UPF consumption will be felt most acutely by vulnerable populations in developing regions.
The study’s call to action is unequivocal. Regulatory and fiscal policies should be aggressively pursued worldwide to reduce UPF intake and restore healthier food environments. Such approaches include taxation of ultraprocessed products, restrictions on marketing—particularly to children—mandatory front-of-package labeling, and incentives to promote traditional dietary practices rich in whole and minimally processed foods. Policymakers are urged to consider these strategies within a broader framework of food system reform to counteract the overwhelming influence of industrial food production.
From a technical perspective, the research employed advanced data and statistical analysis methods, integrating population dietary surveys with mortality data to derive relative risk estimates and model preventable deaths. This innovative methodology enables a more comprehensive understanding of the complex interactions between diet and mortality at a population level. It sets a new standard for epidemiological assessments of diet-related health outcomes, moving beyond nutrient-centric models to embrace the multifaceted nature of food processing and consumption patterns.
The growing evidence from this and related studies is reshaping the scientific consensus on the health impact of ultraprocessed foods. It underlines a paradigm shift from focusing solely on nutrient intake to considering the degree and purpose of food processing as a critical determinant of health. This holistic perspective recognizes that the industrial nature of food production alters not only nutrient profiles but also bioavailability, gut microbiota composition, and systemic biological responses, all of which contribute to disease risk and mortality.
In summary, this pioneering study provides compelling, quantifiable evidence that the share of ultraprocessed foods in the diet is a significant driver of premature mortality across diverse countries. The stark variation between low and high UPF consumption settings emphasizes the potential gains in life expectancy achievable through dietary modifications and policy interventions. Urgent global efforts are warranted to curb UPF consumption, safeguard public health, and steer food systems toward sustainability and nutrition security.
As UPFs continue to dominate markets worldwide, this study reinforces the critical importance of preserving and promoting dietary traditions based on fresh and minimally processed foods. Health authorities, researchers, and advocates must collaborate to translate these findings into impactful public health policies and consumer behavior change, ultimately mitigating the preventable mortality burden attributed to ultraprocessed foods.
Subject of Research: People
Article Title: Not explicitly provided
News Publication Date: 28-Apr-2025
Web References:
American Journal of Preventive Medicine
DOI: 10.1016/j.amepre.2025.02.018
References:
Nilson et al., American Journal of Preventive Medicine, 2025
Image Credits: American Journal of Preventive Medicine / Nilson et al.
Keywords: ultraprocessed foods, premature mortality, dietary patterns, public health, food processing, epidemiology, preventable deaths, nutrition policy