by Marion Nestle

Search results: Ultra processed foods

Nov 14 2018

Effects of ultraprocessing: fewer phenolics in corn flakes

In FoodNavigator, I read a report of a study finding that processing of corn into breakfast cereal flakes strips out phenolic compounds and tocopherols (vitamin E) associated with good health.

Just as processing of whole wheat into white flour removes the bran and germ, so does the processing of corn into corn flakes.

The germ and bran (hull) layers of grain seeds contain the vitamins and minerals—and the phenolics.  What’s left is the starch and protein (endosperm).

To replace these losses, manufacturers fortify corn flakes with 10% to 25% of the Daily Value for 12 vitamins and minerals.

This study is further evidence for the benefits of consuming relatively unprocessed foods.

Of particular interest to me is the authors’ disclosure statement:

This work was funded in part through gifts from the Kellogg Company and Dow AgroSciences.

The authors declare no competing financial interest.

This makes this study a highly unusual example of an industry-funded study with a result unfavorable to the sponsor’s interests.  The authors do not perceive Kellogg funding as a competing interest.  It is.  Kellogg (and maybe Dow) had a vested interest in the outcome of this study.

I would love to know whether these authors obtain further research grants from Kellogg and Dow.

Jun 14 2018

Question for the day: Is Tofu processed?

With all of the talk these days about avoiding ultraprocessed foods, questions come up about what that means.  After I posted about the added colors involved in processing plant-based meats, I received a tweeted question:

This got me thinking about tofu. Is it highly processed? Love your thoughts on it!

Like everything else about nutrition, the answer depends—in this case about what you consider processing.  All foods are processed to some extent, if you count washing and cutting.

Ultraprocessing, however, refers to foods that look nothing like what they started out as, and are loaded with added sugars, salt, and artificial colors and flavors.

Commercial tofu is minimally processed; it is just soybeans and a coagulating agent.  Here is one recipe, for example:

  • Soak the soybeans: in water to soften them for 12 to 14 hours.
  • Process the beans to a slurry.
  • Boil the slurry to inactivate lectins and other undesirable soy compounds.
  • Extract the soy liquid (“milk”) with a roller press to separate it from the soybean pulp.
  • Mix a coagulating agent—calcium sulfate, magnesium chloride, or nigari.—into the soy milk.
  • Press the liquid out of the curds.

The tofu you might make at home seems minimally processed, as it is made from just commercial soymilk and lemon juice.  Commercial soymilk, however, contains far more than just soybean liquid:

INGREDIENTS: Soymilk (Filtered Water, Soybeans), Cane Sugar, Contains 2% or less of: Vitamin and Mineral Blend (Tricalcium Phosphate, Calcium Carbonate, Vitamin A Palmitate, Vitamin D2, Riboflavin [B2], Vitamin B12), Sea Salt, Natural Flavor, Gellan Gum.

I consider good-quality commercial tofu to be minimally processed.  Commercial soymilk is another matter.  Sugar is its second ingredient.  Gellan Gum is its last ingredient.

I wasn’t familiar with Gellan Gum, but I love the Wikipedia definition: “a water-soluble anionic polysaccharide produced by the bacterium Sphingomonas elodea (formerly Pseudomonas elodea),” that substitutes for agar and carrageenan.

A 1988 study of its effects on humans concluded that “the ingestion of gellan gum at a high level for 23 days caused no adverse dietary or physiological effects in any of the volunteers.”  No surprise here: Financial support for the study came from Kelco, Inc., a company that supplies Gellan Gum.

If you want your tofu unsweetened and minimally processed, buy a freshly made commercial variety.

Dec 13 2017

Canadians eat a lot of highly processed foods

The Canadian Heart & Stroke Foundation has released a report on consumption of processed food consumption in Canada.

The report is based on the NOVA (not an acronym) system for classifying foods by their level of processing: unprocessed or minimally processed, processed ingredients, processed foods, and ultra-processed foods.  The last category is the one that matters; consumption of ultra-processed foods is highly correlated with obesity.

The report found:

  • Canadians consume nearly half their calories as ultra-processed foods.
  • This is true among all socioeconomic groups, except for immigrants.
  • Children aged 9-13 consume the most ultra-processed food (57% of calories)
  • The most frequently consumed ultra-processed products are pizza, burgers, sandwiches and frozen dishes, followed by packaged breads and sweetened drinks.

Lots of room for improvement here.

Nov 17 2014

Brazilian dietary guidelines are based on foods, food patterns, and meals, not nutrients

Brazil has just released the final version of its Dietary Guidelines for the Brazilian population in English as well as in Portuguese (I wrote about the draft version in an earlier post).

Screenshot 2014-11-16 20.47.15 - Copy (2)

As explained in the press release (also in English), the guidelines include ten steps to healthy diets:

  1. Make natural or minimally processed foods the basis of your diet
  2. Use oils, fats, salt, and sugar in small amounts when seasoning and cooking natural or minimally processed foods and to create culinary preparations
  3. Limit consumption of processed foods
  4. Avoid consumption of ultra-processed products
  5. Eat regularly and carefully in appropriate environments and, whenever possible, in company
  6. Shop in places that offer a variety of natural or minimally processed foods
  7. Develop, exercise and share culinary skills
  8. Plan your time to make food and eating important in your life
  9. Out of home, prefer places that serve freshly made meals
  10. Be wary of food advertising and marketing

Traditionally, families based their diets on natural and minimally processed foods.  The guidelines are based on the actual, traditional dietary patterns of a substantial proportion of the Brazilian population of all ages and classes throughout the country.

Carlos Monteiro, the Brazilian nutrition professor listed as the technical formulator of the guidelines, was in Washington DC last week to speak at a conference on the 2015 Dietary Guidelines.   Monteiro’s speech is here.  Tweets sent during the meeting are here.

I hope everybody listened.

Dec 5 2010

Latest San Francisco Chronicle column: processed v. real foods

“Minimally processed food a health goal” is the title of today’s Food Matters column in the San Francisco Chronicle.

Q: I may be preaching to the choir here, but isn’t eating a variety of unprocessed (or at least minimally processed) foods the best way to make sure your diet is healthy?

A: Indeed it is, and processing is the healthful food movement’s new frontier. Processed is code for “junk” foods – foods of minimal nutritional value. These crowd the center aisles of supermarkets, add loads of unneeded calories, rely on added nutrients for health benefits, last forever on the shelves and generate enormous profits for their makers.

Sodas are the obvious examples. They have no nutrients (unless fortified), and all their calories come from added sugars.

The food industry will insist that practically everything you eat is processed in some way. Unprocessed foods are rare exceptions – fruits direct from the tree or vine, vegetables pulled from the ground, nuts from wherever they come from, and raw meat, fish, eggs or milk.

Everything else is at least minimally processed – washed, aged, dried, frozen, canned, pasteurized or cooked. But these cause little, if any, loss of nutritional value and make some nutrients more available to the body.

In contrast, more extreme processing changes foods. It reduces the nutritional value of basic food ingredients, adds calories from fats and sugars, and disguises losses in taste and texture with additives such as salt, colors, flavors and other chemicals. Manufacturers add vitamins, minerals, antioxidants, omega-3s and probiotics expressly to make health claims.

Manufacturers say they make the products to give you what you demand: cheap, easy-to-eat-anywhere foods that require no preparation and give you the tastes you love. They back these contentions with increasingly far-fetched health claims, billions of advertising dollars and lobbyists galore.

The big issue is “ultra-processing,” says Carlos Monteiro of the University of São Paulo in Brazil. Writing in the November issue of the online Journal of the World Public Health Nutrition Association, Monteiro ranks the effects of food processing on health as the most important issue in public health nutrition today.

Ultra-processed foods, he says, are the primary cause of the rapid rise in obesity and associated diseases throughout the world.

He charges the food industry with creating durable, convenient, attractive, ready-to-eat or ready-to-heat products that are so palatable that they are habit-forming. And they are meant to be eaten everywhere – in fast-food places, on the street and while watching television, working or driving.

Ultra-processed foods are much higher in calories for their nutrients than unprocessed and minimally processed foods. They have loads of fat, sugars and salt, but are low in vitamins, minerals and fiber.

They are often cheaper than relatively unprocessed foods, especially when sold in supersize portions at discounted prices. And they are often the only foods available in convenience stores or vending machines.

He notes that virtually unregulated advertising identifies ultra-processed foods and drinks as necessary – and, when nutrients are added, as essential – to modern lifestyles and health. Overall, Monteiro says, their high palatability, along with aggressive and sophisticated marketing, undermine the normal processes of appetite control and cause adults and children to overeat.

This is just another way of saying what former Food and Drug Administration head David Kessler says in his provocative book, “The End of Overeating.” Kessler argues that processed and fast foods high in fat, sugars and salt have turned us into a nation of “conditioned overeaters” unable to recognize hunger or satiety.

Current policies ensure that ultra-processed foods stay cheap, and it’s no accident that the relative cost of fruits and vegetables has gone up by 40 percent since the 1980s, while the relative price of sodas and fast food has declined.

If you can afford it, choosing relatively unprocessed foods is good advice. As I wrote in “What to Eat,” it’s best to stick to the real foods around the supermarket perimeter. My only slightly facetious shopping rules: Avoid processed foods with more than five ingredients, ingredients you can’t pronounce, and those with cartoons on the package aimed at marketing to kids.

Marion Nestle is the author of “Food Politics,” “Safe Food,” “What to Eat” and “Pet Food Politics,” and is a professor in the nutrition, food studies and public health department at New York University. E-mail her at food@sfchronicle.com, and read her previous columns at sfgate.com/food.

This article appeared on page L – 3 of the San Francisco Chronicle

Nov 2 2010

The food movement’s new frontier: “ultra-processing”

In the current issue of the online Journal of the World Public Health Nutrition Association (of which I am a charter member), Carlos Monteiro, a professor at the University of São Paulo writes “The big issue is ultra-processing.”  Because his Commentary is so lengthy, I am taking the liberty of extracting pieces from it, not always in the order presented.

The most important factor now, when considering food, nutrition and public health, is not nutrients, and is not foods, so much as what is done to foodstuffs and the nutrients originally contained in them, before they are purchased and consumed. That is to say, the big issue is food processing – or, to be more precise, the nature, extent and purpose of processing, and what happens to food and to us as a result of processing.

Monteiro makes it clear that all foods and drinks are processed to some extent.  Fresh apples are washed and, sometimes, waxed.  Drinking water is filtered.  Instead, he distinguishes three types of processing, depending on their nature, extent, and purpose:

  • Type 1: Unprocessed or minimally processed foods that do not change the nutritional properties of the food.
  • Type 2: Processed culinary or food industry ingredients such as oils, fats, sugar and sweeteners, flours, starches, and salt.  These are depleted of nutrients and provide little beyond calories (except for salt, which has no calories).
  • Type 3: Ultra-processed products that combine Type 2 ingredients (and, rarely, traces of Type 1).

The purpose of Type 3 ultra-processing is to create:

durable, accessible, convenient, attractive, ready-to-eat or ready-to-heat products. Such ultra-processed products are formulated to reduce microbial deterioration (‘long shelf life’), to be transportable for long distances, to be extremely palatable (‘high organoleptic quality’) and often to be habit-forming. Typically they are designed to be consumed anywhere – in fast-food establishments, at home in place of domestically prepared and cooked food, and while watching television, at a desk or elsewhere at work, in the street, and while driving.

Monteiro argues: “the rapid rise in consumption of ultra-processed food and drink products, especially since the 1980s, is the main dietary cause of the concurrent rapid rise in obesity and related diseases throughout the world.”

As evidence, he notes that ultra-processed products as a group are:

  • Much more energy-dense than unprocessed and minimally processed foods and processed culinary ingredients taken together.
  • [Contain] oils, solid fats, sugars, salt, flours, starches [that] make them excessive in total fat, saturated or trans-fats, sugar and sodium, and short of micronutrients and other bioactive compounds, and of dietary fiber.
  • Relatively or even absolutely cheaper to manufacture, and sometimes – not always – relatively cheaper to buy.
  • Often manufactured in increasingly supersized packages and portions at discounted prices with no loss to the manufacturer.
  • Available in ‘convenience’ stores and other outlets often open late or even 24/7, and vended in machines placed in streets, gas stations, hospitals, schools and many other locations.
  • The main business of transnational and big national catering chains, whose outlets are also often open until late at night, and whose products are designed to be consumed also in the street, while working or driving, or watching television.
  • Promoted by lightly regulated or practically unregulated advertising that identifies fast and convenience food, soft drinks and other ultra-processed products as a necessary and integral part of the good life, and even, when the products are ‘fortified’ with micronutrients, as essential to the growth, health and well-being of children.

Overall, he says:

Their high energy density, hyper-palatability, their marketing in large and super-sizes, and aggressive and sophisticated advertising, all undermine the normal processes of appetite control, cause over-consumption, and therefore cause obesity, and diseases associated with obesity.

His groups the main points of his argument in three theses:

  • Diets mainly made up from combinations of processed ingredients and unprocessed and minimally processed foods, are superior to diets including substantial amounts of ultra-processed products.
  • Almost all types of ultra-processed product, including those advertised as ‘light’, ‘premium’, supplemented, ‘fortified’, or healthy in other ways, are intrinsically unhealthy.
  • Significant improvement and maintenance of public health always requires the use of law. The swamping of food systems by ultra-processed products can be controlled and prevented only by statutory regulation.

Lest there be any confusion about the significance of this proposal for public health nutrition, an accompanying editorial (unsigned but assumed to be by Geoffrey Cannon) poses a serious challenge: “Nutrition science: time to start again.”

This editorial is about the significance of food processing, and in particular of ‘ultra-processed’ food and drink products. It is also about the nature, purpose, scope and value of nutrition science, which as conventionally taught and practiced, is now widely perceived to have run into the buffers or, to change metaphor, to have painted itself into a corner.

The editorial argues that nutritionists’ focus on nutrients, rather than foods, has led to the assumption that if foods contain the same nutrients, they are the same—even though it is never possible to replicate the nutritional content of foods because too much about their chemical composition is still unknown.

This notion is an exquisite combination of stupidity and arrogance, or else of intelligence and cunning. For a start, similar results can only be of those chemical constituents that are at the time known, and actually measured.

These are important ideas, well worth consideration and debate.  I am struck by their relevance to the latest survey of soft drink availability in American elementary schools.  Despite the efforts of the Clinton Foundation and the voluntary actions of Coca-Cola and Pepsi-Cola, the availability of soft drinks to young school children increased from 49.% to 61% just in the year from 2006-07 to 2008-09.  Soft drinks, in Monteiro’s terms, are ultra-processed.  Doing something about them requires statutory regulation.

Consideration of the effects of ultra-processing might help us look at what we feed our kids in a more constructive way.  This is important work.

Addition: I should have mentioned that Monteiro’s approach is consistent with that of the people (including me) who worked with the Strategic Alliance in Oakland, CA to write Setting the Record Straight: Nutritionists and Health Professionals ” Define Healthful Food.

The Alliance is California’s network of food and activity advocates, we’ve developed a definition of healthy food that asserts that truly healthful food comes from a food system where food is produced, processed, transported, and marketed in ways that are environmentally sound, sustainable, and just.

If you agree with Setting the Record Straight, you can endorse it on the Strategic Alliance’s website.

Aug 15 2024

What’s up with: Snacks

I’ve been collecting articles on snacks.

Some things to know about snacks:

  • They are hugely profitable
  • They have largely replaced meals among some population groups
  • They are mostly ultra-processed
  • The more snacks you eat, the more calories you are likely to take in

With that said, here are some recent items:

And last but not least…

Jun 24 2025

MAHA: Let the lobbying begin

Politico reports: White House invites 46 farm, food groups to discuss MAHA report

The MAHA report, as I’ve written, could have enormous implications for food system businesses.  The problems it describes with the health of America’s children call for policies that could reduce profits for companies that, for example, produce seed oils, food products with color additives, and ultra-processed foods in general.

The secretaries of HHS and USDA have promised to soon issue dietary guidelines to reduce intake of such foods.

Food companies making products targeted by such views are unlikely to be happy with the report.  If past history is any indication, they will lobby for exceptions, exemptions, and delays, and will insist that the proposed measures have no scientific basis (which some indeed do not), violate the First Amendment, and will cost jobs—the playbook that worked for such a long time for the tobacco industry.

The Politico report is behind a paywall, but Helena Bottemiller Evich obtained a list of who has been invited and writes the details in FoodFix: White House holds flurry of industry meetings in wake of MAHA drama. 

Her list shows separate meetings for fruit and vegetable producers and trade groups, and those for meat and dairy, restaurants, grocers, beverage companies (Big Soda), commodity groups, and Big Ag.

Oh to be a fly on those walls.

It’s hard for me to believe that this administration will do anything to reduce business interests, and early indications are that RFK Jr is merely calling for companies to take voluntary actions, and individuals to take personal responsibility—neither of which is likely to have any chance of Making America Healthy Again.

I look forward to seeing what they do with the dietary guidelines and the next MAHA Commission report on policy—both expected by the end of the summer, apparently.  Stay tuned.