Close to 40 percent of Americans are obese - and these numbers are only increasing, according to the American Medical Association (AMA). In fact, seven states have more than a quarter of their population living with obesity.
Obesity is considered a chronic disease where your Body Mass Index (BMI), which takes into account your weight and height, is 30 or higher.
One of the biggest culprits causing obesity in the U.S.? Ultra-processed foods, proof that what we eat matters.
When we talk about processed foods, there are different degrees to which food is processed. Foods can range from minimally processed to ultra-processed (highly processed). For example, if you go to the grocery store and buy an apple (a considerably healthy fruit), this could be technically classified as “processed”. That’s because as soon as that apple is harvested, it loses some of its nutrients.
And according to the U.S. Department of Agriculture (USDA), processed food is defined as any raw agricultural commodity that has been subject to washing, cleaning, milling, cutting, chopping, heating, pasteurizing, blanching, cooking, canning, freezing, drying, dehydrating, mixing, packaging or other procedures that alter the food from its natural state. This may include the addition of other ingredients to the food, such as preservatives, flavors, nutrients, and other food additives or substances approved for use in food products, such as salt, sugars, and fats.
This means even vegetables that are cleaned, cut, and then packaged would be considered processed. For example, minimally processed foods can include bagged spinach, cut, and packaged vegetables such as broccoli or carrots, and roasted nuts.
But this is not the type of processing that is causing alarming rates of obesity throughout the country. It’s the ultra-processed foods that are directly linked to obesity.
Ultra-processed foods are foods that are made from industrial ingredients that are specifically engineered to taste delicious. For example, ultra-processed foods commonly contain hydrogenated oils, high-fructose corn syrup, added artificial flavors, and emulsifiers (such as guar gum, mustard, soy, and egg lecithin). They’ll also contain a significant amount of added sugar, salt, oil, and calories - All of which contribute to obesity.
The tempting part about ultra-processed foods is that they are usually cheap and can be eaten easily, without requiring much cooking on the consumer’s end (think of foods that are frozen).
Examples of highly processed foods can include (but are not limited to):
The National Institutes of Health (NIH) found that when people ate a diet full of ultra-processed foods, they consumed more calories and gained more weight than when they ate a minimally processed diet. The results show the importance of identifying and eating healthy foods.
These findings are the result of a 2019 study by the NIH’s National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) The study involved 10 men and 10 women who received either an ultra-processed diet or an unprocessed diet for two weeks, then alternated the diets for another two weeks. Each participant received three meals per day, with snacks. For example, an ultra-processed breakfast might have consisted of a bagel with cream cheese and turkey bacon. A minimally processed breakfast might have consisted of oatmeal with bananas, walnuts, and skim milk.
When participants were eating the ultra-processed foods, they ate approximately 500 calories more than when they ate the unprocessed diet and gained approximately 2 pounds.
Both diets in the study had similar amounts of calories, sugar, fat, fiber, and other nutrients.
Most of the extra calories came from carbohydrates and fats, and the ultra-processed diet also increased their sodium intake. When the participants changed to the unprocessed diet, they ate fewer calories and lost weight. Participants also reported that both diets were satisfying and tasted good, though participants tended to eat faster on the ultra-processed diet.
While carrying extra weight on our bodies can be uncomfortable, obesity can also lead to a wide range of debilitating conditions, including heart disease, hypertension, type 2 diabetes, sleep apnea, certain cancers, joint disease, and much more.
Avoiding processed foods begins with eating a healthy diet. This consists of vegetables, fruits, whole grains, fish, poultry, limited lean meats, and avoiding dairy products (or eating fat-free or low-fat dairy products). Essentially, your best bet for eating healthy is to eat real foods that are minimally processed or not processed at all.
It’s also beneficial to have a diet with limited saturated and trans fats, sodium, and added sugars. Moderation is key.
Preparing foods that are less processed and better for us requires more money and more time. And as the NIH points out, it also is not clear which aspects of the ultra-processed foods affect people’s eating behaviors and results in them gaining weight.
Of course, some people suffer from obesity due to other medical reasons not linked to processed foods. However, there is a significantly strong link between those who are obese and those who eat ultra-processed foods on a regular basis .
Check out the Obesity Code by Dr. Jason Fung, an excellent book dedicated to the topic.