Hale Handbook

Ultra-Processed Foods: What They Are and Why They Matter

Not all processed food is a problem. Here's how to tell frozen peas from frozen pizza, and how much it matters.

The short version

  • Processing exists on a spectrum, and things like frozen vegetables and canned beans are great.
  • In a tightly controlled trial, people ate about 500 more calories a day on an ultra-processed diet.
  • The 2025 to 2030 US Dietary Guidelines now tell Americans to avoid highly processed foods.
  • You don't need perfection. Move your overall pattern in the right direction.

What counts as ultra-processed?

The most widely used system, called NOVA, sorts food into four groups:

GroupWhat it meansExamples
1. Unprocessed or minimally processedBasically as nature made itFresh or frozen vegetables, fruit, eggs, plain meat, milk, oats
2. Cooking ingredientsExtracted from foodsOlive oil, butter, salt, sugar
3. ProcessedSimple foods with a few additionsCanned beans, canned fish, cheese, fresh bread
4. Ultra-processedIndustrial formulas, often with additives you wouldn't use at homeSoda, chips, packaged sweets, instant noodles, many ready meals, hot dogs, many breakfast cereals

A quick home test: if the ingredient list has things you wouldn't find in a kitchen, such as emulsifiers, flavorings, color additives and modified starches, it's probably ultra-processed.

What the evidence says

The key trial. In 2019, NIH researcher Kevin Hall put 20 adults in a research ward for four weeks. For two weeks they got ultra-processed meals, and for two weeks they got minimally processed ones. The meals were matched for calories, sugar, fat, fiber and other nutrients, and people could eat as much as they wanted. They ate about 500 calories more a day on the ultra-processed diet, gaining about 2 pounds, and lost about 2 pounds on the other. They also ate faster. It was small and short, but it was unusually rigorous.

Population studies. Diets high in these foods are repeatedly linked to obesity, type 2 diabetes, heart disease and early death. These studies can't prove cause, and scientists don't yet agree on what's responsible. Likely candidates include how soft and fast to eat they are, how dense in calories they are, and how they're engineered to taste good.

Not all equal. Some ultra-processed foods don't look harmful, including some whole-grain breads, plain yogurts with additives and fortified cereals. Sugary drinks and processed meats have the strongest evidence against them.

How to eat less of it, realistically

These foods are cheap, quick and everywhere, and that's not a personal failing. Start with swaps that don't cost much effort:

Instead ofTry
Sugary cerealOats with fruit
Flavored yogurtPlain yogurt with berries
ChipsNuts or popcorn
SodaSeltzer with citrus
Frozen pizzaWhole-grain tortilla pizza with real toppings
Deli meatRotisserie chicken, or canned tuna
Instant noodlesWhole-grain pasta with frozen vegetables and an egg
Packaged sweetsFruit with a square of dark chocolate

Don't be afraid of convenient food

These are your friends: frozen vegetables and fruit, canned beans and fish, whole-grain bread, plain dairy, jarred tomato sauce with a simple ingredient list. They save you time and money, and they're fine. Our budget guide has more.

Sources

  1. Hall et al., Cell Metabolism (2019): Ultra-processed diets cause excess calorie intake
  2. Dietary Guidelines for Americans 2025-2030
  3. Harvard T.H. Chan School of Public Health: Processed Foods and Health

This guide is general information, not medical advice. Please check with a clinician before making big changes, especially if you have a health condition, take medication, or are pregnant. Read the full disclaimer.