Research

Energy balance

Short-term increases in energy intake and body weight observed in ultra-processed food (UPF) feeding trials are primarily mediated by higher energy density rather than the processing status itself, and these effects attenuate over time.

Do not demonize ultra-processed foods (UPF) based solely on their processing status. The observed weight gain in short-term studies is largely driven by high energy density, which tends to decrease as the body adapts. If you choose to eat UPF, ensure they are matched for energy density and nutrient quality with less processed options, as no inherent adverse effect on energy intake was found in controlled trials using conservative substitutions.

ModerateQualifiesMEDIUM confidence
Collectively, the experimental evidence suggests that energy density – possibly along with other factors not inherently linked to the NOVA classification system – may have mediated the adverse outcomes observed in some UPF trials.
David S. Ludwig · Critical Reviews in Food Science and Nutrition · 2026

Why this rating

Based on a review of multiple crossover trials with methodological limitations (short duration, lack of washout, confounding).

Source

Is the experimental evidence on ultra-processed food and obesity reliable?

David S. Ludwig · Critical Reviews in Food Science and Nutrition · 2026

DOI 10.1080/10408398.2026.2664043

narrative_review
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DOI resolved against Crossref · corpus check 2026-06-10

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