Despite covering immoderate ultra-processed foods, nan UK’s HFSS rules time off millions of regular calories unregulated, researchers opportunity it’s clip to rethink argumentation and tackle additives head-on.
Study: Overlap betwixt ultra-processed nutrient and nutrient that is precocious successful fat, brackish aliases sugar: study of 11 yearly waves of nan UK National Diet and Nutrition Survey 2008/2009–2018/2019. Image Credit: Rimma Bondarenko / Shutterstock
In a caller study published successful nan diary BMJ Nutrition, Prevention & Health, researchers successful nan United Kingdom analyzed much than a decade's nationalist dietary information to quantify nan dietary overlap betwixt explicitly regulated HFSSs and UPFs that are indirectly covered nether HFSS rules successful nan United Kingdom (UK).
While nan UK's nutrient policies are designed to curb nan depletion of HFSS, nan wellness risks of UPFs are a increasing concern.
Study findings revealed a amazingly ample spread betwixt what is classified arsenic HFSS and what is considered ultra-processed. While much than half of UPF products were besides classified arsenic HFSS, overlap is partial; galore UPFs are regulated via HFSS rules, but ~40–45% autumn extracurricular nan HFSS net.
A important information comprising notable inclusions for illustration low-calorie soft drinks and achromatic breadstuff was not. This suggests that nan UK's existent nutrient profiling exemplary captures, astatine best, conscionable complete half of consumed UPFs, highlighting a important spread successful nationalist wellness policy.
Results were broadly akin utilizing nan 2018 NPM, though overlap was somewhat smaller; existent UK argumentation still uses nan 2004/05 NPM.
Background
In nan United Kingdom, 2 concepts predominate nan chat surrounding unhealthy diets:
- The older 'foods precocious successful fat, salt, aliases sweetener (HFSS)'
- The much caller 'ultra-processed foods (UPFs)'
The UK's existent nationalist wellness argumentation is designed and built astir its HFSS classification, nan output of a civilization Nutrient Profiling Model (NPM). This exemplary highlights foods considered unhealthy (HFSS), enabling consequent argumentation implementations to curb nan trading of specified products alongside different nationalist wellness initiatives.
Unfortunately, a increasing assemblage of grounds explicitly investigates nan physiological outcomes of UPF consumption. UPFs are business formulations comprising predominantly nutrient derivatives aliases synthetic laboratory products, and person been associated successful cohort studies pinch adverse cardiometabolic and crab outcomes.
Recent reports propose that HFSS foods and UPFs dress up complete half of nan calories consumed successful nan UK, highlighting a request to measure nan classification overlap betwixt nan 2 to guideline early nationalist wellness policy. Specifically, if HFSS and UPFs show a precocious grade of overlap, past nan coming UK NPM-based argumentation mightiness beryllium capable to curb nan dispersed of some nutrient categories, and vice versa.
About nan study
The coming study intends to reside this knowledge spread by providing nan first elaborate study of nan overlap betwixt HFSS foods and UPFs successful nan UK diet. The study leveraged a monolithic dataset comprising 11 yearly waves of nationwide nutrition information from nan UK National Diet and Nutrition Survey (NDNS; 2008-2019).
Data of liking includes nutrient intake, wide nutrient consumption, and nutritional status. The coming study utilized information from 15,655 individuals, pinch participant- aliases parent/guardian-reported nutrient items classified into:
- HFSS (using nan UK's charismatic 2004/2005 NPM)
- UPF (classified utilizing nan NOVA classification system)
Notably, NPM-based HFSS classification involves scoring foods based connected their energy, saturated fat, sugar, and sodium content, balanced against beneficial components for illustration fruits, vegetables, fiber, and protein. In contrast, NOVA classifies foods by grade of business processing (not by a nutrient score).
Comparative analyses betwixt HFSSs and UPFs were conducted utilizing 3 independent metrics:
- Proportion of nutrient items (food-level analysis)
- Percentage of full power intake (in kilocalories)
- Percentage of full nutrient weight (in grams)
Study findings
The coming study reveals a important but acold from complete overlap betwixt NPM-based HFSS and NOVA-based UPF classifications. When comparing participants' full power consumption, statistical analyses recovered that UPFs comprised 59.8% while HFSSs comprised only 47.4%. Under this metric, UPF and HFSS classification overlapped 58.7%, highlighting that nan UK's existent HFSS-based policies do not seizure complete 40% of UPF-derived calories.
By weight, nan overlap was moreover smaller, pinch only 38.3% of nan grams of UPFs besides classified arsenic HFSS, reflecting nan removal of galore high-volume but low-calorie products specified arsenic artificially sweetened beverages. Person-level estimates show UPF power shares highest successful ages 11–18 (~65%) and humble antheral > female differences.
Study findings were moreover much bleak crossed different evaluated metrics – Under nan lens of proportionality of nutrient items consumed, 44.4% of UPF products were not categorized aliases regulated nether nan UK's HFSS policy, pinch low-calorie soft drinks and achromatic breadstuff notably excluded from regulation.
Other salient excluded items included brownish and wholemeal breadstuff and high-fiber meal cereals, highlighting a cardinal limitation of nan existent NPM – it fails to relationship for business additives for illustration non-nutritive sweeteners and emulsifiers. Ironically, nan study recovered that galore foods that were classified arsenic HFSS (and hence regulated) but not UPF were traditional, less-processed products precocious successful fat aliases sugar, specified arsenic cheese, butter, full milk, and sugars/preserves.
Conclusions
The coming study is nan first to analyse whether nan UK's HFSS-based policies tin relationship for nan caller emergence of UPFs. It demonstrates that while location is sizeable overlap betwixt HFSS foods and UPFs (~50-60%), nan UK's existent nutrient profiling exemplary fails to place and modulate a ample and captious conception of nan ultra-processed foods that predominate its nationalist diet.
Relying solely connected an HFSS-based attack intends that policies aimed astatine improving nationalist wellness are missing a important (>40%) information of nan suboptimal nutrition problem. The authors emphasise that causality for UPF harms is not established and telephone for an biology effect assessment.
They besides propose that early strategies could see “deformulation”, removing non-nutritive additives specified arsenic sweeteners and emulsifiers, and statement imaginable biology trade-offs for definite plant-based UPFs.
This investigation provides captious grounds for a much nuanced and applicable attack to nationalist wellness nutrition argumentation successful nan UK.
Journal reference:
- Kesaite, V., Chavez-Ugalde, Y., White, M., & Adams, J. (2025). Overlap betwixt ultra-processed nutrient and nutrient that is precocious successful fat, brackish aliases sugar: study of 11 yearly waves of nan UK National Diet and Nutrition Survey 2008/2009–2018/2019. BMJ Nutrition, Prevention & Health, bmjnph-2024-001035. DOI – 10.1136/bmjnph-2024-001035. https://nutrition.bmj.com/content/8/1/38