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Ultraprocessed foods increase insulin and energy responses but reduce carbohydrate oxidation in healthy adults

Ultraprocessed foods increase insulin and energy responses but reduce carbohydrate oxidation in heal…
Photo by Ayanda Kunene / Unsplash
Key Takeaway
Consider that ultraprocessed foods may alter metabolic and brain responses in healthy adults, but evidence is observational.

This observational study involved 57 healthy-weight adults aged 18-45 years. Participants consumed ultraprocessed food (UPF) meals and non-ultraprocessed food (non-UPF) meals, with postprandial metabolism and brain response as the primary outcome. Secondary outcomes included insulinemic response, energetic response, carbohydrate oxidation, and brain activation in mesolimbic and superior temporal gyrus, as well as food valuation correlations in visual cortex and striatum.

Main results showed that UPF meals evoked a greater insulinemic response relative to non-UPF meals, with a direction indicating greater for UPF. UPF meals also evoked a greater energetic response relative to non-UPF meals, with a direction indicating greater for UPF. Additionally, UPF meals showed attenuated carbohydrate oxidation relative to non-UPF meals, with a direction indicating attenuated for UPF. Between-condition differences in peak carbohydrate oxidation were associated with mesolimbic and superior temporal gyrus activation. Brain responses correlated with food valuation were positive for non-UPF but negative for UPF in visual cortex and striatum.

Safety and tolerability data were not reported. Limitations were not specified in the input. Practice relevance should be restrained, as this is an observational study without causality established, and findings are preliminary in a small, healthy population.

Study Details

EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
Dietary patterns worldwide have shifted toward increased consumption of ultraprocessed foods (UPFs), which has been linked to higher disease burden. One mechanism proposed to impact both their consumption and contribution to metabolic disease is altered post-ingestive metabolic response in comparison to nutritionally similar foods. Here, we recruited 57 healthy-weight 18-45-year-old adults to examine the effects of food processing on postprandial metabolism and brain response. Despite nutritional matching, UPF meals evoked a greater insulinemic and energetic response with attenuated carbohydrate oxidation relative to non-UPF meals. Next, between-condition differences in peak carbohydrate oxidation were associated with mesolimbic and superior temporal gyrus activation in response to food cues. Finally, although food value did not differ between conditions, brain responses correlated with food valuation were positive for non-UPF but negative for UPF in visual cortex and striatum. These findings demonstrate that food processing influences post-ingestive metabolism in a way that could help explain long term health effects and differences in food reward through mechanisms beyond calories and macronutrient composition alone.
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