Evidence map›Paper›PMID 41843158›Full record

ArticleEuropean journal of nutrition2026

Comparison of associations of intake of ultra-processed and non-ultra-processed whole-grain foods with cardiometabolic risk measures in Australian and US adults.

Elissa J Price, Mengxi Du, Eden M Barrett, Nicola M McKeown, Marijka J Batterham, Fang Fang Zhang, Eurídice Martínez-Steele, Eleanor J Beck

Abstract readComparative Study
In one paragraph

Article in European journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Elissa J PriceFaculty of Medicine and Health, School of Health Sciences, University of New South Wales, Sydney, NSW, Australia.
Mengxi DuDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Eden M BarrettFaculty of Medicine and Health, School of Health Sciences, University of New South Wales, Sydney, NSW, Australia.
Nicola M McKeownDepartment of Health Sciences, Programs in Nutrition, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.
Marijka J BatterhamFaculty of Medicine and Health, School of Health Sciences, University of New South Wales, Sydney, NSW, Australia.
Fang Fang ZhangFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Eurídice Martínez-SteeleCenter for Epidemiological Studies in Health and Nutrition, University of Sao Paulo, Av. Dr. Arnaldo 715, Sao Paulo, 01246-904, Brazil.
Eleanor J BeckFaculty of Medicine and Health, School of Health Sciences, University of New South Wales, Sydney, NSW, Australia. e.beck@unsw.edu.au.ORCID http://orcid.org/0000-0002-3448-6534

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvidence suggests total ultra-processed food (UPF) consumption increases disease risk. As whole grains are health protective, their inclusion in UPF definitions warrants consideration. We aimed to quantify Australian and US whole-grain consumption by level of food processing and compare associations on cardiometabolic risk measures.

methodsA cross-sectional analysis of Australian (NNPAS 2011-12)(n = 7735) and US (NHANES 2015-18)(n = 8343) nationally representative 2d intake data. The Nova classification system determined levels of processing. Mean and median whole-grain intakes were estimated by processing level, and regression models were used to explore associations across tertiles for total, non-UPF (Nova 1-3) and UPF (Nova 4) whole-grain intakes with cardiometabolic risk measures.

resultsAdults median total whole-grain intake was 34.3 g/10 MJ/d (Australia) and 11.6 g/10 MJ/d (US). Mean whole-grain intake from UPF sources was higher in the US (71.0%) compared to Australia (48.9%). In Australia and the US, respectively, tertiles of non-UPF whole-grain intake were inversely associated with body weight (p = 0.02; p = 0.002), BMI (p = 0.001; p < 0.0001), waist circumference (p = 0.02; p = 0.001), waist-to-height ratio (WHR) (p = 0.003; p = 0.0001), and C-reactive protein (CRP) (p = 0.02; p = 0.0003), and for fasting plasma glucose (p = 0.002) in Australia only. UPF whole-grain intake was inversely associated with WHR (p = 0.04; p = 0.03) and diastolic blood pressure (p = 0.01; p = 0.03), as well as waist circumference (p = 0.0496) in Australia, and BMI (p = 0.03) and CRP (p = 0.02) in the US. Non-UPF whole-grain sources had stronger inverse associations than UPF sources.

conclusionsAll whole grain foods should be promoted in public health and consumer messaging with emphasis on less processed sources given their greater observed benefit to cardiometabolic risk measures.

Indexed as

Cardiometabolic Risk FactorsCardiovascular DiseasesDietFast FoodsFood HandlingWhole GrainsAdultAustraliaBody Mass IndexC-Reactive ProteinCross-Sectional StudiesFemaleFood, ProcessedHumansMaleMiddle AgedC-Reactive ProteinCardiometabolic riskNHANESNNPASNon-ultra-processed foodNovaUltra-processed foodWhole grain

Identifiers

PMID41843158
PMCPMC12996004

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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.