But something that is different is how much of the food is prepared at the vendor from whole ingredients. Ingredients often acquired whole day-of from nearby markets. Ingredients that have a shorter supply chain and higher freshness due to the smaller geography.
Reading this study, I wonder how much cheap ease of access to less processed foods contributes to the lower level of obesity and higher lifespans.
There are 3 options in order of effort: eat the next snack from a pack in your hand, decide and stop eating the cookie that is in the pack; get another pack to continue eating.
It requires more effort to get another pack and that biases towards the “stop eating” outcome. If packages are large the the easiest action is continue eating.
>In 2017–March 2020, non-Hispanic Black adults had the highest obesity prevalence (49.9%) followed by Hispanic (45.6%), non-Hispanic White (41.4%), and non-Hispanic Asian (16.1%) adults.
That site does control for diet. E.g., my Korean-born wife has always had home-cooked Korean food growing up in North America.
> The non-UPF and UPF test meals were closely matched on meal weight, energy, energy density, macronutrients, available carbohydrate, glycaemic index and load, total dietary fibre, sodium and water (all ≤1.6% deviation between meals; Fig. 1b).
So they did match glycemic index, which the article omits.
I bet a lot of this is psychosomatic, you expect some food will give you fast energy so your body thinks that means you need it and releases insulin.
But these examples have different glycemic indexes, which the study matched for.
plus all of the options that are complete unknowns which, in biology, is probably close to 99.999%
I know somebody who got really into blood glucose monitoring, and she tells me that the order in which she eats a meal affects how much it spikes her glucose. So if she eats a piece of toast followed by a piece of cheese, it causes her a bigger glucose spike than she'd get if she eats the cheese first and then the toast.
Looking at the two meals in the study: if I sat down to eat the processed one, I'd probably start with the veggie straws. If I saw down to eat the unprocessed one, I'd almost certainly start with the egg or the cheese.
edit: and here are some other options: I notice that the unprocessed one is grain-free, vegetarian and has significantly less sucrose. I don't know if any of that makes it more or less healthy, but they're significant differences nutritionally.
But the above example shows that the body doesn't treat food in that manner - the relatively low carb, higher fat cheese didn't smooth out the higher proportion carb count of the toast.
In the paper, the largest carbs for the ultraprocessed meal was instant mashed potatoes, while the non-processed meal had bananas as the largest carb source followed by craisins/cranberries.
The high carb foods in the unprocessed meal are paired with fiber.
The high carb foods in the ultraprocessed meal are NOT paired with fiber.
The fiber slows the rate of carb intake.
Same thing occurs with protein - same amount of ground beef and steak, ground beef meal will result in faster amino acid ingestion than the steak meal. No idea if there are any pros/cons of the faster ground beef ingestion, but there is a difference in how the digestive system processes the two meals.
This is what I read in a book about glucose. So I went ahead and measured. I found it not true, at least in my case. The recommendations of eating salad before your meal do nothing measureable for my glucose spikes.
On the flip side I seem to gain the same amount of weight regardless of what my blood sugar does.
Note that fiber is not part of that list. Stripping out fiber essentially means that our gut microbiome is starved. Not coincidentally, it also means that these foods are much less prone to spoilage.
Also, from the study:
> The non-UPF and UPF test meals were closely matched on meal weight, energy, energy density, macronutrients, available carbohydrate, glycaemic index and load, total dietary fibre, sodium and water (all ≤1.6% deviation between meals; Fig. 1b).
*assuming the same ingredients as your home cooked example, which i think is your point, right?
I guess i can see how packaging makes a difference to the desirability / convenience of the food.
I guess i'm less likely to eat chips if i have to make them myself compared to grabbing a bag and more likely to over eat them if it's super convenient.
Though I admit to being a bit lazy like that.
By contrast cheese is completely natural outside of a few exceptions like American cheese. You take milk, add something to curdle it like an acid (e.g. vinegar) or rennet - an enzyme obtained from the stomach of young calves, separate the coagulated stuff, salt it, dry it, age it - you now have cheese. Ricotta can even be made straight from raw milk with no additives. Cheese's long shelf life is natural.
I'd guess they wanted to include store purchased bread, hence the pb&j.
The other thought i had was that most peanut butter includes (at least) palm oil (ultra processed) and sometimes other emulsifiers to prevent separation. Though you can buy pb that is just peanut and salt.
The jelly would contain quite a bit more in the way of preservatives, regulators and flavour enhancers etc than the jelly i'd make at home (if i did such a thing)
I'd guess it's just regular cheese which does require quite some processing to make but unless it's got extra additives to extend shelf life, change texture or taste it's just processed.
The human body is evidently not able to safely consume these products over the course of a lifetime and the ultimate toll on society and healthcare is already evident.
They are addictive and harmful to the body’s mechanisms.
It’s time to control the promotion, labelling and taxation of these products the same way we do cigarettes.
edit: see: https://onlinelibrary.wiley.com/doi/10.1111/add.16332 "US tobacco companies selectively disseminated hyper-palatable foods into the US food system: Empirical evidence and current implications"
The body evolved to eat foods that take a lot of chewing and digesting. As far as I can tell, one of the biggest problems with food that is “too” processed is that it’s absorbed far too quickly and early in the tract.
Food that makes it all the way through has a slower and more even absorption rate so we don’t get hungry again as fast.
There will likely never be a satisfactory definition, and doesn't need to be. Instead we define what foods are causing health problems and which aren't.
Look in this study, cheese is on the unprocessed side. That is an absurdity of language.
In the end they may figure out that the key difference here isn't processing at all, but fiber, or some particular ingredient added to floud based products on the processing side.
It's very likely you're not going to finish your plate.
I'd also wonder what would happen if they didint use heat treated carbs in the ultraptocessed one. If I were to guess I think they might be main offenders.
You say "lines between get blurry" but I'm going to call it straight up meaningless bullshit since nobody agrees on anything or is talking about the same thing even when using the same framework. Once I read from an authoritative source that quesadillas are always ultra processed, like, by definition I realized that this whole concept is stupid.
Then you have weirdos coming in here talking about how "ultra processed food" is like tobacco and fraud, fucking hell, we've lost the plot.
Example: five years, 10000 participants, $170 million https://www.nih.gov/news-events/news-releases/nih-awards-170...