Ultra‐processed food consumption among adults with prediabetes and diabetes, 2001‐2018
Authors' conclusion
Patient education, nutritional interventions and nationwide policies are needed to reduce the growing consumption of ultra-processed food in persons with prediabetes and diabetes.
Study context
- Population
- Adults ≥20 years with prediabetes or diabetes, National Health and Nutrition Examination Survey (NHANES) 2001–201863.7% prediabetes, 36.3% diabetes
- Participants
- 16,024 adults
- Exposure
- Trends in ultra-processed food consumption in adults with prediabetes and diabetes, 2001-2018
- Outcome
- Mean % of total energy intake from ultra-processed food (Nova classification); time trends by linear regression
- Follow-up
- 2001-2002 to 2017-2018
Methodological detailsnationally representative, NHANES 2001-2018
- Nationally representative
- NHANES 2001-2018
Main finding
As reported in the abstract
Ultra-processed food consumption (% of kilocalories)
| Group | Value | P for trend |
|---|---|---|
| Prediabetes | mean 53.8 to 57.3 % of kilocalories | p = 0.006 |
| Diabetes | mean 51.9 to 56.6 % of kilocalories | p = 0.001 |
Value
Prediabetesmean 53.8 to 57.3 % of kilocalories
Diabetesmean 51.9 to 56.6 % of kilocalories
P for trend
Prediabetesp = 0.006
Diabetesp = 0.001
Observational data: associations, not effects.
Further findings
| Outcome | Prediabetes | Diabetes |
|---|---|---|
| Proportion consuming ≥75% of total kilocalories from ultra-processed food · 2001-2002 to 2017-2018 | 12.4 to 21.4% | 8.9 to 20.5% |
Ultra-processed food consumption by subgroup
- Younger adults (<45 years) and those without a college degree had the highest ultra-processed food consumption
Original publication
Ultra‐processed food consumption among adults with prediabetes and diabetes, 2001‐2018. Diabetes Obes Metab. Published 21 April 2025. doi:10.
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