Health and Lifestyle Tip

Ultra-Processed Foods: How Worried Should We Really Be?

You don't have to be a dietary expert to know that ultra processed foods are bad for you, however, what many people don't know is that ultra processed foods 'UPF' is not always the stereotypical chicken nuggets and chips per se, they can also be foods that are widely branded and accepted as healthy.

Amie Leckie is a Nutritionist and Wellbeing Specialist at Heart Research UK, and in this article, she delves deep into the reasons as to why there is so much condemnation around ultra process foods, how to spot them and to help cut them out of your diet.

But what makes a food “ultra-processed”? Are all UPFs unhealthy? And do you need to cut them out of your diet? The short answer is no; you don’t need to eliminate every UPF from your diet. However, there is good reason to be mindful of how much of our diet comes from highly processed foods, particularly those that are high in unhealthy fats, salt and free sugars.

Let’s take a closer look at what the science tells us and, more importantly, what you can actually do about it.

What exactly is an ultra-processed food?

The term ultra-processed food comes from the NOVA classification system, which groups foods according to the type and extent of processing they have undergone.

NOVA divides foods into four groups.

 

NOVA 1: Unprocessed or minimally processed foods

These are foods that are close to their natural state, with little alteration beyond things such as washing, chopping, freezing, drying or removing inedible parts. These foods form the foundation of a healthy diet.

 

Examples include:

  • Fresh, frozen or dried fruit and vegetables
  • Eggs
  • Meat and fish
  • Milk
  • Plain yoghurt
  • Unsalted nuts and seeds
  • Oats
  • Rice
  • Pasta
    Lentils and chickpeas

 

NOVA 2: Processed culinary ingredients

These are ingredients produced from foods in the first group, usually through processes such as pressing, grinding or milling. These aren’t usually eaten on their own but are used when preparing and cooking food.

 

Examples include:

  • Olive oil
  • Butter
  • Vegetable oils
  • Sugar
  • Salt
  • Honey

 

NOVA 3: Processed foods

These are made by adding ingredients such as oil, salt or sugar to minimally processed foods, often to preserve them or improve their taste. Processing isn’t automatically a bad thing. Canning, freezing, pasteurising and other forms of processing can make food safer, extend its shelf life and reduce food waste.

 

Examples include:

  • Tinned vegetables
  • Tinned beans and lentils
  • Tinned fish
  • Salted nuts
  • Some cheeses
  • Some breads
  • Smoked or cured meats

 

NOVA 4: Ultra-processed foods

This is the category that has attracted the most attention.

UPFs are generally industrial formulations made using multiple ingredients and processing techniques. They often contain ingredients or additives that aren’t typically used in home cooking, such as certain emulsifiers, sweeteners, flavourings, colourings or modified starches. But the important bit is not all UPFs are nutritionally the same.

 

Examples can include:

  • Fizzy drinks
  • Sweets
  • Crisps
  • Some biscuits, cakes and pastries
  • Some ready meals
  • Instant noodles and soups
  • Some packaged snacks
  • Some breakfast cereals and cereal bars
  • Some processed meat products
  • Some flavoured yoghurts
  • Some packaged breads

 

Is processed food automatically unhealthy?

No. This is one of the biggest misconceptions surrounding the UPF debate. Processing itself isn’t necessarily harmful. In fact, many foods we rely on every day have been processed in some way. Freezing vegetables, pasteurising milk, cooking food and making yoghurt are all forms of processing.

Even within the UPF category, there are foods that can contribute useful nutrients to our diet. For example, some wholegrain breads, higher-fibre breakfast cereals and baked beans may be classified as UPFs depending on their ingredients and how the NOVA system is applied. This is why “UPF” shouldn’t be treated as a synonym for “junk food”. The nutritional quality of the individual food and the overall diet still matter.

 

So why are ultra-processed foods a concern?

Research has consistently found that people who consume higher amounts of UPFs tend to have a greater risk of a number of health problems, including obesity, type 2 diabetes and cardiovascular disease.

 

Amie explains:

“People who eat a lot of UPFs may also consume more calories, unhealthy fat, salt and free sugars, while eating less fibre, fruit, vegetables, pulses and wholegrains. So it isn’t as simple as saying the UPFs cause these health conditions.”

There are also other factors to consider, such as physical activity, socioeconomic circumstances and overall lifestyle. Scientists are still investigating whether aspects of ultra-processing itself, such as the texture, eating speed, energy density or combination of ingredients, could also play a role.

So, while the evidence is concerning, there is still more to learn about exactly why diets high in UPFs are associated with poorer health.

 

What does this mean for your heart?

This is particularly relevant when we look at cardiovascular health. A diet dominated by highly processed foods can make it harder to get enough of the nutrients associated with good heart health, particularly fibre, vitamins, minerals and unsaturated fats. At the same time, many of the UPFs commonly eaten in large quantities can be high in unhealthy fat, salt, free sugars and calories. This doesn’t mean that one biscuit, a ready meal or a slice of packaged bread is going to harm your heart. It’s the overall pattern of your diet that matters.

 

How can you tell if something is ultra-processed?

Unfortunately, there’s no perfect shortcut. A long ingredient list doesn’t automatically mean something is unhealthy, and an ingredient that sounds unfamiliar isn’t necessarily harmful. Instead, look at the whole picture.

When choosing packaged foods, consider:

  1. Check the nutrition information

The traffic-light label can help you compare products and identify foods that are high in saturated fat, sugar and salt.

  1. Look at the fibre content

Choosing higher-fibre breads, cereals and other packaged foods can help you meet the recommended 30g of fibre a day.

Amie’s top tip:

“When choosing bread, try choose one that has at least 5g of fibre per 100g or at least 2g of fibre per 40g slice.” 

  1. Consider what the food adds to your diet

Does it provide useful nutrients such as fibre, protein, wholegrains, fruit, vegetables, nuts or pulses?

  1. Think about how often you eat it

A food doesn’t have to be perfect to have a place in your diet. Something you eat occasionally is very different from something you’re eating several times every day.

 

Should we be avoiding ultra-processed foods?

Not necessarily. For most people, trying to eliminate every food that could technically fall into the UPF category isn’t recommended. Instead, think about reducing your reliance on the less nutritious options.

For example, if your diet contains lots of:

  • Sugary drinks
  • Crisps
  • Sweets
  • Cakes and biscuits
  • Highly processed snacks
  • Foods high in salt, saturated fat or free sugars

…then reducing these and replacing some of them with more nutritious foods is likely to be beneficial. But you don’t need to throw away everything in your kitchen.

 

Simple ways to eat less UPF

  1. Cook from scratch when you can

Building meals around foods such as vegetables, fruit, wholegrains, beans, lentils, fish, eggs, nuts and seeds can naturally reduce your reliance on highly processed foods. But don’t feel that every meal needs to be homemade. A healthy ready meal on a busy evening is a perfectly reasonable option.

  1. Make simple swaps

Try:

Sugary breakfast cereal – porridge or a higher-fibre wholegrain cereal

Crisps – unsalted nuts, seeds or homemade popcorn

Sweet snack – fruit and natural yoghurt

Processed sandwich meat – chicken, tuna, egg or hummus with salad

Sugary drink – water, sparkling water

Amie explains:

“You don’t need to change everything at once and it can feel overwhelming to think so. One small swap repeated regularly is more useful than an unrealistic overhaul that lasts a week. Start with one food item, swap that one for a few weeks and when you feel able to, swap another.” 

  1. Keep convenient foods that work for you

Frozen vegetables, tinned beans, tinned fish, wholegrain bread and other convenient foods can make healthy eating much easier. Convenience isn’t the enemy. The goal isn’t to spend hours cooking every meal from scratch. It’s to build a diet where nutritious foods make up the majority of what you eat.

Ultra-processed foods have become a major talking point and there is good reason to pay attention to how much of them we eat. However, healthy eating doesn’t require you to achieve a completely “UPF-free” diet. Rather than becoming obsessed with whether an individual food is technically classified as a UPF, focus on the bigger picture.

Eat plenty of vegetables and fruit, wholegrains, beans and lentils, nuts and seeds, and choose sources of healthy fats and protein. Keep foods that are high in unhealthy fat, salt and free sugars to a smaller part of your diet. And remember, healthy eating isn’t about perfection.

You don’t need to cook everything from scratch, recognise every ingredient on a label or never eat a biscuit again. It’s about making small, sustainable choices that improve the overall quality of your diet – most of the time.

Not sure how much of your diet is made up of ultra-processed foods? Download our UPF Self-Assessment Questionnaire to get a clearer picture.

Healthy Resources

Weekly tools and resources to help you keep your heart healthy

Rainbow Food Tracker

If you’re unsure how heavy on UPFs your diet is, download our UPF Self-Assessment Questionnaire to give you an idea.

Download the Resource here

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