Evidence map›Paper›PMID 39189486›Full record

ArticleJournal of the American Heart Association2024

Ultra-Processed Food Consumption and Risk of Incident Hypertension in US Middle-Aged Adults.

Nikolaos Rivera, Shutong Du, Lauren Bernard, Hyunju Kim, Kunihiro Matsushita, Casey M Rebholz

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Trends in Hypertension Prevalence and Control in the United States Over 25 Years.Journal of clinical hypertension (Greenwich, Conn.) · 2026
    Article
  6. Not all ultra-processed foods are created equal: a review.BMJ nutrition, prevention & health · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nikolaos RiveraWelch Center for Prevention, Epidemiology, and Clinical Research Johns Hopkins University Baltimore MD USA.ORCID 0009-0005-0877-3790
Shutong DuWelch Center for Prevention, Epidemiology, and Clinical Research Johns Hopkins University Baltimore MD USA.ORCID 0000-0001-8072-1075
Lauren BernardUniversity of Maryland School of Medicine Baltimore MD USA.ORCID 0000-0001-5747-3747
Hyunju KimDepartment of Epidemiology University of Washington School of Public Health Seattle WA USA.ORCID 0000-0002-1707-7018
Kunihiro MatsushitaWelch Center for Prevention, Epidemiology, and Clinical Research Johns Hopkins University Baltimore MD USA.ORCID 0000-0002-7179-718X
Casey M RebholzWelch Center for Prevention, Epidemiology, and Clinical Research Johns Hopkins University Baltimore MD USA.ORCID 0000-0002-5442-8745

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsumption of ultra-processed food, which is manufactured food that is high in additives and sparse in intact foods, is adversely associated with cardiovascular health, primarily in non-US study populations. We aimed to estimate the association between ultra-processed food consumption and incident hypertension in middle-aged adults in the United States. METHODS AND

resultsWe included 8923 ARIC (Atherosclerosis Risk in Communities) study participants who were hypertension free at baseline and had complete dietary, covariate, and hypertension data from visit 1 (1987-1989). Over a median (25th, 75th percentile) follow-up of 13 (6-21) years, 79% of participants developed hypertension. Participants in the highest quartile of ultra-processed food consumption had 15% higher risk of incident hypertension than those in the lowest quartile (hazard ratio [HR], 1.15 [95% CI, 1.08-1.23]). Participants in the highest quartile of consumption of sugar-sweetened beverages, red and processed meat, and margarine had 16% (HR, 1.16 [95% CI, 1.08-1.24]; p-trend <0.001), 10% (HR, 1.10 [95% CI, 1.03-1.19];

conclusionsHigh consumption of ultra-processed foods, specifically of sugar-sweetened beverages, red and processed meat, and margarine, was associated with a higher incidence of hypertension, whereas minimally or unprocessed food consumption was associated with lower hypertension risk.

Indexed as

Fast FoodsHypertensionBlood PressureFemaleFood HandlingFood, ProcessedHumansIncidenceMaleMiddle AgedRisk AssessmentRisk FactorsUnited StatesAtherosclerosis Risk in Communities studydiet and nutritionhypertensionnova classificationultra‐processed foods

Identifiers

PMID39189486
PMCPMC11646518

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.