Ultra-processed foods and the nutrition transition: Global, regional and national trends, food systems transformations and political economy drivers

Date

2020

Authors

Baker, Phillip
Machado, Priscila
Santos, Thiago
Sievert, Katherine
Kathryn, Backholer
Hadjikakou, Michalis
Friel, Sharon
Russell, Cherie
Huse, Olivia
Bell, Colin

Journal Title

Journal ISSN

Volume Title

Publisher

Blackwell Publishing Ltd

Abstract

Understanding the drivers and dynamics of global ultra‐processed food (UPF) consumption is essential, given the evidence linking these foods with adverse health outcomes. In this synthesis review, we take two steps. First, we quantify per capita volumes and trends in UPF sales, and ingredients (sweeteners, fats, sodium and cosmetic additives) supplied by these foods, in countries classified by income and region. Second, we review the literature on food systems and political economy factors that likely explain the observed changes. We find evidence for a substantial expansion in the types and quantities of UPFs sold worldwide, representing a transition towards a more processed global diet but with wide variations between regions and countries. As countries grow richer, higher volumes and a wider variety of UPFs are sold. Sales are highest in Australasia, North America, Europe and Latin America but growing rapidly in Asia, the Middle East and Africa. These developments are closely linked with the industrialization of food systems, technological change and globalization, including growth in the market and political activities of transnational food corporations and inadequate policies to protect nutrition in these new contexts. The scale of dietary change underway, especially in highly populated middle‐income countries, raises serious concern for global health.

Description

Keywords

food systems, nutrition transition, sugar sweetened beverages, ultra-processed foods

Citation

Source

Obesity Reviews

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

DOI

10.1111/obr.13126

Restricted until

2099-12-31