Vnitr Lek 2026, 72(4):E4-E6 | DOI: 10.36290/vnl.2026.054
Do you want to be healthier? Try cutting back on highly processed foods
- Klinika tělovýchovného lékařství a kardiovaskulární rehabilitace, LF UP a FN Olomouc
In recent decades, there has been a significant increase in the consumption of ultra-processed foods (UPF) worldwide, which in some countries account for almost half of total energy intake. The aim of this review article is to summarize current knowledge on the definition and classification of UPF, the extent of their consumption in Europe and the Czech Republic, possible mechanisms of their effects on human health, and their relationship to health risks. Special attention is paid to the NOVA classification, which is currently the most widely used tool for identifying UPF. Available epidemiological studies and meta-analyses consistently show that higher consumption of UPF is associated with an increased risk of overall and cardiovascular mortality, type 2 diabetes mellitus, hypertension, obesity, cancer, and mental illness. The direct and indirect mechanisms of these effects are discussed, including high energy, sugar, fat, and salt content, the presence of food additives, changes in the gut microbiome, and the influence of packaging materials. In conclusion, the main gaps in current knowledge are summarized and directions for further research are suggested, in particular the need to determine the safe proportion of UPFs in the diet and the possibilities for regulating their consumption from a public health perspective.
Keywords: ultra-processed foods, NOVA clasiffication, mechanisms of the effects.
Accepted: June 11, 2026; Published: June 24, 2026 Show citation
References
- Mertens E, Colizzi C, Peñalvo JL. Ultra-processed food consumption in adults across Europe. Eur J Nutr. 2022;61:1521-1539. doi:10.1007/s00394-021-02733-7.
Go to original source...
Go to PubMed... - Vadiveloo MK, Gardner CD, Bleich SN, et al. Ultraprocessed foods and their association with cardiometabolic health: evidence, gaps, and opportunities: a science advisory from the American Heart Association. Circulation. 2025;152(12):e245-e263. doi:10.1161/CIR.0000000000001365.
Go to original source...
Go to PubMed... - Monteiro CA, Levy RB, Claro RM, et al. A new classification of foods based on the extent and purpose of their processing. Cad Saude Publica. 2010;26(11):2039-2049. doi:10.1590/s0102-311x2010001100005.
Go to original source...
Go to PubMed... - Monteiro CA, Cannon G, Levy RB, et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22(5):936-941. doi:10.1017/S1368980018003762.
Go to original source... - Kudlová E. Co nového víme o vysoce průmyslově zpracovaných potravinách. Výživa Potraviny. 2023;3:17-21.
- Vallianou NG, Kounatidis D, Tzivaki I, et al. Ultra-processed foods and childhood obesity: current evidence and perspectives. Curr Nutr Rep. 2025;14(1):5. doi:10.1007/s13668-024-00596-y.
Go to original source... - Monteiro CA, Moubarac JC, Levy RB, et al. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutr. 2018;21(1):18-26.
Go to original source... - Brichacek AL, Florkowski M, Abiona E, et al. Ultra-processed foods: a narrative review of the impact on the human gut microbiome and variations in classification methods. Nutrients. 2024;16(11):1738. doi:10.3390/nu16111738.
Go to original source... - Lane MM, Gamage E, Du S, et al. Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses. BMJ. 2024;384:e077310. doi:10.1136/bmj-2023-077310.
Go to original source...
Go to PubMed... - Barbaresko J, Bröder J, Conrad J, et al. Ultra-processed food consumption and human health: an umbrella review of systematic reviews with meta-analyses. Crit Rev Food Sci Nutr. 2025;65(11):1999-2007. doi:10.1080/10408398.2024.2317877.
Go to original source...
Go to PubMed... - Oladele CR, Khandpur N, Johnson S, et al. Ultra-processed food consumption and hypertension risk in the REGARDS cohort study. Hypertension. 2024;81(12):2520-2528. doi:10.1161/HYPERTENSIONAHA.123.22341.
Go to original source... - Romero Ferreiro C, Lora Pablos D, Gómez de la Cámara A. Two dimensions of nutritional value: Nutri-Score and NOVA. Nutrients. 2021;13(8):2783. doi:10.3390/nu13082783.
Go to original source...




