Academic exam periods and ultra-processed food consumption: evidence from supermarket transactions in a Colombian University

Introduction: Academic stress can change eating behavior and often leads to higher consumption of unhealthy foods. This study examines whether exam periods affect students' purchases of ultra-processed foods, using objective purchase data rather than self-reports. Methods: We analyze point-of-sale transaction data from a university supermarket in Colombia. We use a difference-in-differences design. Students are the treatment group and university staff are the control group. We compare ultra-processed food purchases across pre-exam, exam, and post-exam periods. Results: < 0.05. No significant changes appear among non-students. The effects vary across time, with changes observed before exams, during exams, and after exams. Discussion: The results provide causal evidence that exam-related stress or time constraints increase demand for ready-to-heat, ultra-processed foods. By relying on transaction data, this study overcomes limitations of self-reported measures. The findings highlight clear temporal patterns in stress-related or convenience-driven food choices and suggest relevant implications for campus nutrition policies and stress management interventions in academic settings.