Obesity

Ultraprocessed or minimally processed diets following healthy dietary guidelines on weight and cardiometabolic health: a randomized, crossover trial

Nat MedPublished Randomised controlled trial

Authors' conclusion

Findings indicate greater weight loss on MPF than UPF diets

Study context

Population
Adults in England with BMI ≥25 to <40 kg m-2 and habitual ultraprocessed food (UPF) intake ≥50% kcal day-150 in ITT sample
Participants
55 adults
Comparison
Minimally processed food (MPF) diet vs ultraprocessed food (UPF) diet, both following the UK Eatwell Guide
Primary endpoint
Within-participant difference in percent weight change (%WC) between diets
Follow-up
Baseline to week 8
Methodological details2 × 2 crossover, controlled feeding, ad libitum diets, 28 randomized to MPF then UPF, 27 to UPF then MPF
  • 2 × 2 crossover
  • Controlled feeding
  • Ad libitum diets
  • 28 randomized to MPF then UPF, 27 to UPF then MPF

Primary result

As reported in the abstract

Percent weight change (%WC)

MPF

−2.06

95% CI −2.99–-1.13 · %

UPF

−1.05

95% CI −1.98–-0.13 · %

MPF vs UPFΔ%WC, % (95% CI)P value
Greater weight loss with MPF
−1.01(−1.87 to −0.14)
P = 0.024
MPF vs UPFCohen's d (95% CI)
Percent weight change (%WC)
−0.48(−0.91 to −0.06)

Original publication

Ultraprocessed or minimally processed diets following healthy dietary guidelines on weight and cardiometabolic health: a randomized, crossover trial. Nat Med. Published 4 August 2025. doi:10.1038/s41591-025-03842-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.