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Peer-Reviewed Publication
Am J Public Health2026;116(7):993-1003.July 1, 2026Journal Article

The Intersection of Diet Quality and Ultraprocessed Food Intake: Using Evidence-Based Categories to Characterize Differences in Cardiometabolic Profiles.

Elise Sheinberg1, Laura A Schmidt1, Jerold R Mande1, Euridice Martinez-Steele1, Deirdre K Tobias1, Cindy W Leung1
1Elise Sheinberg, Cindy W. Leung, and Deirdre K. Tobias are with the Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA. Laura A. Schmidt is with the Philip R. Lee Institute for Health Policy Studies and the Department of Humanities and Social Sciences, University of California San Francisco. Jerold R. Mande is with Nourish Science, Boston. Euridice Martinez-Steele is with the Department of Nutrition and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, Brazil.

Abstract

Objectives. To examine how ultraprocessed food (UPF) consumption and diet quality jointly relate to cardiometabolic health. Methods. This serial cross-sectional study used data from 15 760 US adults (aged ≥ 20 years) in the 2009-2018 National Health and Nutrition Examination Surveys. Participants completed two 24-hour recalls and did not have a chronic disease. Diet quality was categorized using H…

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