Editorial: Ultra-processed foods: impacts on diet quality, health, consumer behavior, and food systems

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Authors: Maria Alvim Leite, Yeji Baek, Flávia dos Santos Barbosa Brito, Carla Cristina Gonçalves, Débora Martins dos Santos, Amanda Rodrigues Amorim Adegboye
Cited by: 1
References: 4

Abstract

and mental health disorders (IHME, 2024). Although these trends are driven by complex and multifactorial processes, the growing centrality of UPFs in contemporary food systems has emerged as a key concern for public health.In parallel with these epidemiological shifts, the scientific production on UPFs has expanded rapidly. A robust body of evidence, including large cohort studies and systematic reviews with meta-analysis, has consistently documented associations between higher UPF consumption and a range of adverse health outcomes, such as weight gain, cardiometabolic risk, all-cause mortality, and mental health conditions (Lane et al., 2024;Monteiro et al., 2025).In response to this accumulating evidence, international organisations have incorporated or are actively discussing recommendations to reduce UPF consumption within policy frameworks (UNICEF, 2025;WHO, 2026). Also, food-based dietary guidelines from countries such as Brazil, Uruguay, Peru, Ecuador, Mexico, Chile, Colombia, Israel, Malaysia, India, France, and Canada have explicitly emphasised limiting UPFs and prioritising fresh or minimally processed foods (FAO, 2026). Beyond dietary recommendations, a growing set of public policy strategies has been proposed and, in some contexts, implemented. These include front-of-package warning labels, taxation of unhealthy products, restrictions on marketing (especially to children), reformulation policies, and interventions to improve food environments. Together, these efforts reflect a shift toward addressing the structural and commercial determinants of unhealthy diets (Scrinis et al., 2025). Within this context, the Research Topic "Ultra-Processed Foods: Impacts on Diet Quality, Health, Consumer Behaviour, and Food Systems" was conceived to advance understanding of the multifaceted relationships between UPF consumption and health. This collection aimed to elucidate how UPFs interact with dietary quality, consumer behaviour, and broader food systems, welcoming interdisciplinary contributions spanning nutrition, public health, psychology, sociology, economics, and policy research.The 13 articles included in this issue offer a diverse and complementary body of evidence, spanning multiple regions of the globe. A substantial contribution comes from the Americasincluding studies conducted in Brazil, Colombia and the United States, as well as cross-national analyses across the region (José et al., 2025;Fagundes Grilo et al., 2025;Castrillón-Ruiz et al., 2025;Lee et al., 2025;Rose;Kolodinsky, 2025;Rossi et al., 2025;Evans et al., 2025;Barb et al., 2025;Vatavuk-Serrati et al., 2025). Additional evidence is drawn from Asia, with data from China (Li et al., 2025), and from Europe/West Asia, including a study conducted in Istanbul, Türkiye (Akin;Bayram;Ozturkcan, 2026). The issue also includes a narrative review synthesising findings from diverse global contexts (Mottis; Kandasamey; Peleg-Raibstein, 2025) and a conceptual commentary addressing broader debates in nutrition science (Ullian, 2026).Several studies examined associations between UPF consumption and health outcomes across different populations and life stages. Findings include links between UPF consumption and poorer diet quality and elevated glucose levels in adolescents (Castrillón-Ruiz et al., 2025), potential impairments in executive cognitive function among older adults (Lee et al., 2025), and associations with female infertility mediated by body mass index (Evans et al., 2025). A narrative review further highlights the potential long-term consequences of UPF exposure during critical periods such as pregnancy, childhood, and adolescence, particularly in relation to brain development and mental health (Mottis; Kandasamey; Peleg-Raibstein, 2025). In addition, research among shift workers underscores the role of psychological factorssuch as stress, anxiety, and hedonic hungerin shaping UPF consumption patterns (Akin;Bayram;Ozturkcan, 2026).Other contributions explored the social and behavioural determinants of UPF consumption. Studies examining university students and immigrant populations revealed how social vulnerability and acculturation processes influence dietary patterns, often increasing reliance on UPFs while reducing consumption of fresh foods (José et al., 2025;Barb et al., 2025). Research on children and adolescents emphasised the importance of peer and family environments in shaping the consumption of ultra-processed beverages (Li et al., 2025). Complementing this, evidence on consumer perceptions suggests that awareness of UPFs is associated with a shift in how individuals define healthy foods, with greater emphasis on processing-related attributes beyond traditional nutrient-based criteria (Rose;Kolodinsky, 2025).At the food system level, one study documented the high prevalence of UPFs in newly launched products across the Americas, highlighting the structural drivers of exposure to these foods (Vatavuk-Serrati et al., 2025). Another contribution evaluated the effectiveness of a behavioural economics intervention in food pantries, showing limited impact on reducing the selection of UPFsunderscoring the challenges of modifying food choices in constrained environments (Rossi et al., 2025). Methodological advances are also represented, with a study proposing replicable ingredient-based approaches to classify UPFs in large food databases, supporting both research and regulatory applications (Fagundes Grilo et al., 2025). Finally, a conceptual paper addresses ongoing debates within nutrition science, examining the tensions, power dynamics, and epistemological disputes surrounding the role of UPFs in dietary recommendations (Ullian et al., 2026).Taken together, the studies in this Research Topic reinforce the understanding of UPFs as a complex and multidimensional public health issue. They highlight the interplay between biological, psychological, social, and structural factors, as well as the need for integrated and interdisciplinary approaches. Importantly, they also point to persistent gaps in knowledgeparticularly regarding mechanisms, effective interventions, and policy implementationthat warrant further investigation.As UPFs continue to reshape global diets, advancing evidence, strengthening policies, and fostering interdisciplinary dialogue remain essential. We hope this collection contributes to these efforts by providing new insights and stimulating future research and action aimed at improving population health and transforming food systems.

Fields of Study & Subjects

Consumer Attitudes and Food Labeling Global Public Health Policies and Epidemiology Nutrition Genetics and Disease

Publication details

Journal / source
Frontiers in Public Health
Publisher
Frontiers Media SA
Volume
14
Pages
1837261–1837261
Publication date
15 May 2026
Language
EN