What is ultra-processed food? - The Food Chain podcast, BBC World Service

00:32:26
https://www.youtube.com/watch?v=kkM6jC_-PBQ

Zusammenfassung

TLDRThis episode of The Food Chain from BBC World Service delves into the issue of ultra-processed foods (UPF), which account for a significant portion of calorie intake in countries like the UK and US. The program discusses the challenges of identifying and reducing UPF consumption, featuring insights from listeners and experts on the Nova food classification system. It highlights the difficulties families face in avoiding UPF, especially regarding convenience and affordability, while examining potential health risks associated with high UPF intake. The episode concludes with practical suggestions for making healthier food choices and emphasizes the importance of cooking from scratch.

Mitbringsel

  • 🍰 More than half of calories in some countries come from ultra-processed foods.
  • 🛒 Most supermarket products are ultra-processed, making them hard to avoid.
  • 🔍 Identifying ultra-processed foods can be challenging due to varying definitions.
  • 🥗 Cooking from scratch can help reduce ultra-processed food intake.
  • 📊 The Nova classification system categorizes foods based on processing levels.
  • ⚠️ Ultra-processed foods are linked to health issues like obesity and heart disease.
  • 🌍 Countries like Chile are implementing policies to reduce ultra-processed food consumption.
  • 📋 Nutrition labels can aid in making informed food choices.
  • 🍏 Whole foods with minimal processing are generally healthier options.
  • 👨‍👩‍👧‍👦 Families face challenges in avoiding ultra-processed foods, especially for kids.

Zeitleiste

  • 00:00:00 - 00:05:00

    The episode discusses the prevalence of ultra-processed foods in diets, particularly in the UK and US, where they account for over half of calorie intake. Ruth Alexander introduces the topic and highlights the confusion surrounding what constitutes ultra-processed food, which is typically industrially manufactured and often difficult to avoid in supermarkets.

  • 00:05:00 - 00:10:00

    Listener Jen Sherman shares her experience of trying to reduce ultra-processed food in her family's diet. She emphasizes the challenges of navigating social events and the prevalence of ultra-processed options, noting that even common items like pasta sauces can fall into this category.

  • 00:10:00 - 00:15:00

    Jean-Claude Moubarac explains the Nova food classification system, which categorizes foods based on their level of processing. He outlines the four groups, with ultra-processed foods being those that contain refined substances and additives, making them less recognizable as food.

  • 00:15:00 - 00:20:00

    The discussion shifts to the health implications of ultra-processed foods, which have been linked to various health issues. While some studies suggest a correlation, the exact cause remains uncertain. Countries like Brazil and France are advising consumers to limit their intake of these foods, but practical challenges persist.

  • 00:20:00 - 00:25:00

    Jen shares her daily struggles with reducing ultra-processed foods, particularly in preparing snacks for her children. She acknowledges that while she aims to cut down, complete elimination is impractical, and she often resorts to convenience foods for ease.

  • 00:25:00 - 00:32:26

    The episode concludes with insights from Jean-Claude Moubarac and Pierre Slamich on the importance of awareness and education regarding ultra-processed foods. They advocate for clearer labeling and consumer choice, emphasizing that understanding food processing is crucial for making healthier dietary decisions.

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Mind Map

Video-Fragen und Antworten

  • What are ultra-processed foods?

    Ultra-processed foods are industrially manufactured products that contain refined substances and additives, making them very different from natural foods.

  • How can I identify ultra-processed foods?

    Look for products with long ingredient lists, especially those containing additives you don't recognize. Foods with few ingredients are generally healthier.

  • What are the health risks associated with ultra-processed foods?

    Studies suggest a link between ultra-processed foods and health issues like obesity, high blood pressure, and cardiovascular diseases.

  • Is it possible to completely avoid ultra-processed foods?

    Completely avoiding ultra-processed foods is challenging, but reducing their intake is achievable by cooking more from scratch.

  • What is the Nova food classification system?

    The Nova classification categorizes foods based on their level of processing, with four groups ranging from minimally processed to ultra-processed.

  • Are there any countries successfully reducing ultra-processed food consumption?

    Countries like Chile and Mexico have implemented policies like taxation and labeling to reduce ultra-processed food consumption.

  • What should I do if I want to reduce ultra-processed foods in my diet?

    Start by cooking one meal a week from scratch and gradually increase it. Focus on whole foods with minimal processing.

  • Do ultra-processed foods have any benefits?

    They can be convenient, cheaper, and have a longer shelf life, but they may not be good for health.

  • What role do nutrition labels play in identifying ultra-processed foods?

    Nutrition labels can help consumers make informed choices, but they may not always clearly indicate if a food is ultra-processed.

  • How can I make healthier food choices?

    Choose foods with simple ingredient lists, avoid those with many additives, and prioritize whole foods.

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Automatisches Blättern:
  • 00:00:01
    Cakes, muffins, confectionary, chips or crisps,  pretzel, frozen pizza, frozen meals... - What if I said
  • 00:00:11
    that more than half the calories you consume are  from ultra-processed food? That's thought to be the
  • 00:00:17
    case in countries like the UK and the US. - Most products sold in supermarkets are ultra-processed,
  • 00:00:23
    so it's very difficult to avoid them.  This is The Food Chain from the BBC World Service.
  • 00:00:29
    I'm Ruth Alexander, and this week we're asking: Is this ultra-processed? It's not always easy to know. There are
  • 00:00:36
    lots of different definitions and a fair amount  of confusion. Generally, we're talking about food
  • 00:00:42
    that's been industrially manufactured.  - Yeah, we try to avoid all that stuff, but sometimes
  • 00:00:47
    we fall into it because they have some  special taste that it's hard to say no
  • 00:00:54
    to it, sometimes.
  • 00:00:56
    We'll be finding out how to spot it. Mayonnaise. I had this with my lunch.
  • 00:01:02
    It's ultra-processed! Oh, that surprises me!  How to cut down on it, if that's what you want to do.
  • 00:01:09
    I think the hardest part is the snack bits,  because I've got to pack two snacks a day for the
  • 00:01:13
    kids for school. - And what to eat instead. - That  means cooking. It's a huge shift in people's life.
  • 00:01:23
    It all started with an email to thefoodchain@bbc.co.uk from a listener, Jen Sherman, an
  • 00:01:30
    Australian who lives in California in the United  States with her husband and two young children.
  • 00:01:36
    She's been on a drive to reduce the amount of ultra-  processed food her family eats, or UPF as she calls it,
  • 00:01:42
    and suggested we should make a programme about  people trying to do that. So we gave her a call.
  • 00:01:48
    - I like listening to programmes about ultra-processed  food, and what I thought was interesting was
  • 00:01:53
    all of these podcasts talk about it from the  science perspective, so they interview the researchers
  • 00:02:00
    and they talk about the science behind this, and  what I thought would be useful was, what does it
  • 00:02:05
    look like to actually follow their advice? How do  you actually follow their advice? Because it's very
  • 00:02:11
    easy to know the information and to think, right,  I shouldn't be eating this much UPF because it's
  • 00:02:17
    not good for me, it's not good for my kids. But when  you have a birthday party every second weekend and
  • 00:02:24
    there's class parties at school for Valentine's  Day and Halloween and Easter when UPF is
  • 00:02:30
    everywhere, how do you actually reduce it? Because  the other thing about UPF, it's not just the
  • 00:02:37
    crackers and the biscuits and the lollies,  it's also, you know, your pasta sauces and
  • 00:02:42
    your convenience meals and all the stuff that  you might not think of as UPF.
  • 00:02:47
    What exactly is ultra-processed food?
  • 00:02:50
    - Carbonated drinks, fruit  and vegetables juices, ready-to-drink tea
  • 00:02:56
    or coffee, sports and energy drinks, most of  the ice cream on the market, commercial cookies,
  • 00:03:03
    cakes, muffins, confectionary, most of the sweet and  savoury snacks, such as chips or crisps, pretzel...
  • 00:03:12
    It would probably have been easier to ask what isn't  ultra-processed.
  • 00:03:16
    - ...hot dogs, commercial soups, sauces, dressing...
  • 00:03:20
    - Jean-Claude Moubarac, assistant professor in public  and international nutrition at the University of
  • 00:03:25
    Montreal in Canada, has worked with the team  of scientists in Brazil who came up with the term.
  • 00:03:30
    They proposed the Nova food classification  system in 2010, a new way of categorising foods
  • 00:03:36
    according to their level of processing. - Nova is a classification of foods that pays attention
  • 00:03:43
    to the degree and the purpose of processing. So,  how much processing is applied to food, and why
  • 00:03:50
    processing is applied. Nova classify food into  four main groups. The first one are foods that
  • 00:03:57
    are fresh or minimally processed. - Such as fruit  and vegetables, meat, milk, and eggs. - Group two are
  • 00:04:03
    ingredients that are refined from food and  are used to cook and season food.
  • 00:04:09
    - Salt, sugar, olive oil, butter, vinegar. - Group three are made of foods that are preserved with salt, sugar, and fat,
  • 00:04:17
    such as canned food, traditional bread and cheese,  and the fourth group are ultra-processed, which are
  • 00:04:25
    a formulation of refined substances and additives.  Those are products that are not food any more, but
  • 00:04:31
    are a collection of substances that are selected  to create products of consumption. Irresistible, very
  • 00:04:39
    appealing, very convenient. - And this is where it  starts to get tricky, because some foods can appear
  • 00:04:44
    in any one of the groups. - For example, yoghurts. So  you can have a plain yoghurt that we will classify
  • 00:04:51
    as minimally processed. Then when you add sugar to it, it becomes processed food, so yoghurt plus sugar.
  • 00:04:59
    And then you can create also an ultra-processed yoghurt by adding flavours and colours, and
  • 00:05:06
    additives such as emulsifiers. You're changing the  texture, the colour, the taste of the food.
  • 00:05:13
    - You don't recognise it as food, it's bad for us, you and  the group of scientists who came up with this
  • 00:05:19
    classification believe. - Ultra-processed products  are very different from normal food. They're
  • 00:05:25
    made to mimic food and to be more appealing. So for  any food on the market, there's an ultra-processed
  • 00:05:33
    version of it, and the ultra-processed version has additives and substances that we don't use in kitchens.
  • 00:05:41
    - The positives of processing is that  it can make food cheaper, last longer, look and
  • 00:05:46
    taste appetising. But it may not be good for us.  A number of studies have shown an association
  • 00:05:52
    between ultra-processed food and increased risk  of health problems, such as obesity, high blood
  • 00:05:58
    pressure and cholesterol, cardiovascular disease,  and cancer. But it's hard to prove for sure that
  • 00:06:03
    it's the level of processing causing this, rather  than something else, such as lifestyle, or simply
  • 00:06:09
    the fact that ultra-processed foods can contain  high levels of salt and sugar. But scientists
  • 00:06:15
    continue to investigate, and eight countries, Brazil,  Peru, Ecuador, Uruguay, Israel, France, and Belgium, are
  • 00:06:23
    advising consumers to avoid ultra-processed food.  Easier said than done, as our listener Jen can attest.
  • 00:06:30
    I read ingredient lists. I assume until proven  otherwise that anything I find in the supermarket is UPF.
  • 00:06:37
    - Oh right, guilty till proven innocent, in your view? - Pretty much! - And how challenging has it
  • 00:06:43
    been overall, like how big an impact has this had  on your day-to-day life? - It means I cook a lot, it
  • 00:06:49
    means I spend a lot of my time in the kitchen,  but some of it is because I want to, and some of
  • 00:06:54
    it is because I can. You can use the slow cooker  a lot, which is fantastic. There's a handful of
  • 00:06:59
    recipes that I do that's just you chuck the  stuff in the slow cooker in the morning and
  • 00:07:02
    then eight hours later, you've got dinner. I think the  hardest part is the snack bits. I've got to
  • 00:07:08
    pack two snacks a day for the kids for school, and  what I've done is just I use fruit and vegetables
  • 00:07:16
    as their snack a lot of the time, I do a lot of  carrot sticks, and capsicum, bell peppers, cucumbers,
  • 00:07:23
    we do berries, so blueberries and strawberries  tend to last pretty well. - Have you cut out all
  • 00:07:29
    ultra-processed foods? Has that been possible?  - No. I've got boxes of mac and cheese in the backup pantry.
  • 00:07:35
    - Macaroni cheese? - Yup. I'm going to have a bunch  of boxes in the pantry as backup. - So, in an ideal
  • 00:07:42
    world, would you cut all ultra-processed food out,  but in reality, you've discovered all you can
  • 00:07:48
    do really is reduce it you can't live without it, practically?  - Pretty much. - And what do friends
  • 00:07:56
    and families and other parents think of your  mission to radically cut down on ultra-processed
  • 00:08:03
    food? I mean, do you tell them about it? Do they know?  I don't tend to talk about this, because I don't...
  • 00:08:10
    I don't want to present myself as a crusader, just  by talking to you on the BBC Food Chain. I don't want
  • 00:08:15
    to present myself in real life as some kind  of crusader against food that is so common
  • 00:08:21
    in most households with small children, or even  without small children. Like, I don't want to make
  • 00:08:25
    people think I'm judging them for what they're  eating or what they're feeding their families,
  • 00:08:29
    because I'm not. Because money is also a factor, and  sometimes if you're feeding 30 or 40 people at a
  • 00:08:36
    four-year-old's birthday party, you go for the  cheaper pizza, because that's what is affordable.
  • 00:08:42
    And a lot of the time in the short term, UPF is cheaper. - From your own experience, do you think
  • 00:08:48
    it's practical, like doable, for other people? Because  you don't go out to work, do you? So you do have
  • 00:08:54
    more time than many people listening to cook  and prepare food from scratch at home.
  • 00:08:59
    - I mean, it's impractical for me to entirely cut it out, so I  think it's impractical for anyone to entirely
  • 00:09:03
    cut it out, but I think it's definitely possible to  reduce it. Try and reduce a bit at a time, because
  • 00:09:10
    for any change, like drastic change is very hard  to do and very hard to sustain long-term. If you've
  • 00:09:15
    been eating UPF a lot, and suddenly trying to cut  it all out, like that's going to be hard. But if
  • 00:09:20
    you just change one meal a week, just you know cook  one of them, cook two of them. - When you're out there
  • 00:09:26
    in the supermarket, trying to figure out what is  ultra-processed and what isn't, would a UPF label be useful?
  • 00:09:34
    - Oh that'd be great, I'd love that. - Listener Jen Sherman. Well, someone who tried the drastic
  • 00:09:40
    route is programme producer, Beatrice Pickup. Didn't you  Beatrice? You set yourself a challenge in January to
  • 00:09:46
    cut out all ultra-processed food. Was that fun? - Well, like all good New Year resolutions, I failed
  • 00:09:52
    on day one. We went for a New Year's Day walk, ended  up in a pub, and I didn't want to have an alcoholic
  • 00:09:57
    drink, because I'd had a few the night before. And  in fact, alcohol usually is processed, whereas all
  • 00:10:04
    the soft drinks in the pub that day were ultra- processed. So I found myself with a bit of a difficult
  • 00:10:09
    choice in terms of which was the healthier option,  and ultimately I went for an ultra-processed soft drink.
  • 00:10:13
    - Could have gone for water! So what did you  have to try and avoid then?
  • 00:10:17
    - Bread. Bread was quite a big one for us,
  • 00:10:19
    and we don't have a bakery locally  where we live. Stock cubes was a surprising one for me.
  • 00:10:24
    I hadn't realised that if I'm making a meal from  scratch but adding an ultra-processed stock cube to it,
  • 00:10:30
    obviously that's a fail for me. - I didn't realise  that either. Oh dear. - Did get me into good habits,
  • 00:10:36
    though. Making stock from scratch, and making a  big batch of it and putting it in the freezer so
  • 00:10:40
    that when I do want to make a meal using stock I  already had some. - Which food did you miss the most?
  • 00:10:45
    - Crisps! Crisps are my favourite snack, so that was  quite a big one for me for the month of January.
  • 00:10:52
    But I didn't realise until the making of this  programme that in fact I could have been having
  • 00:10:55
    crisps, as long as they were just the plain, salted  variety. So I did miss out there. - But that again,
  • 00:11:02
    there's the quandry, if you'd known that and you'd  had the plain ready salted crisps, that wouldn't
  • 00:11:07
    necessarily have been good for you. - I assume that they're  processed food, because I think of crisps as junk
  • 00:11:11
    food, but in fact it's the flavourings that are the  problem there. - And what would you say your biggest
  • 00:11:17
    take home was about the whole thing? Biggest learning? - It did take a lot of thought and planning
  • 00:11:21
    and effort. It was entirely, mostly, doable, and it  did get me into some good habits, and there was
  • 00:11:27
    cooking more, and it's a reminder that it's quite  easy to make a lot of things. We made pizza one
  • 00:11:31
    weekend for example, which is great, although I did  get into a bad baking habit. I started baking cakes
  • 00:11:36
    every weekend, when I'm not someone who normally  buys a lot of cakes or biscuits. So in some ways my
  • 00:11:42
    sugar consumption might have gone up. - Interesting!  How good was it when February came around, finally?
  • 00:11:48
    - I bought a big bag of crisps! - Oh good, then. Thanks, Beatrice.
  • 00:11:54
    It's been 14 years since Jean-Claude
  • 00:11:56
    Moubarac's colleagues came up with their definition  of ultra-processed food and, in his view, created
  • 00:12:02
    a new understanding of what it is we're eating.  - I think it has a huge impact in changing how people
  • 00:12:08
    think about food. The most important thing we've  done is to change the mind of the people, from
  • 00:12:14
    nutrients to practices. So before Nova, people were  talking about fibre, about sugar, about salt. With
  • 00:12:23
    Nova, we talk about why we process food and why we  use such additives versus natural substances. It's
  • 00:12:32
    a change in the way people think about food, and  we're getting also an impact on policies, but it's
  • 00:12:38
    something that's a little slower to  obtain, because there's a lot of resistance in the
  • 00:12:44
    market from companies that are producing those  ultra-processed foods. - You helped devise Brazil's
  • 00:12:49
    national food policy in 2014, which advised against  eating ultra-processed food. Do you think it's made
  • 00:12:56
    a difference to what people are buying and much  ultra-processed foods they're consuming?
  • 00:13:01
    - To my knowledge, no. In order to change the food system,  you need to have strong political will. What
  • 00:13:07
    happened in Brazil in the last 10 years was a lot  of change in terms of the government, so it's hard
  • 00:13:12
    to answer this question, but we don't see an impact  on the data in terms of sales or consumption, or
  • 00:13:19
    in terms of health. - Is there any country you've  seen that you're impressed by, and you think, yes,
  • 00:13:23
    this is the beginning of it? - For example in Chile  and Mexico, there is strong policies to control
  • 00:13:30
    ultra-processed food, such as taxation and labelling,  and also restriction of marketing to kids. In those
  • 00:13:38
    countries, they have shown some impact on reducing  sales and consumption of ultra-processed food.
  • 00:13:46
    - In many countries, you can find nutrition labels on  the front of food packaging. But Chile is one of
  • 00:13:51
    the few to make them mandatory. In 2016, it said  that foods with high levels of added salt, sugar,
  • 00:13:57
    and saturated fats, or with a high calorie content,  must carry prominent warning labels. In light of
  • 00:14:04
    these changes, our reporter Jane Chambers has been  talking to people about the decisions they're now
  • 00:14:08
    making about what food they buy.
  • 00:14:12
    - I'm in the local supermarket on the outskirts of a seaside town
  • 00:14:16
    called Quintero, and it's full of produce. There's bread,  cereals, chocolate, crisps, coffee, all the usual
  • 00:14:24
    things you would normally see in a supermarket.  And I've found a shopper willing to talk to me. Your name is...?
  • 00:14:31
    - Hi. Elizabeth. - And we've got these black labels that  they put on food here in Chile that's been on it
  • 00:14:39
    for quite a few years now, that show if it's high  in salt, or sugar, or fat. When you're buying, are
  • 00:14:45
    you aware of the labels? Do they make a difference  to what you buy? - Uh, yeah. Now it does make a
  • 00:14:52
    difference for me, and uh we really try to avoid  that, but anyway when we are in a hurry I think
  • 00:14:58
    we just pick the things that we know already,  and the things that we like. - So do you sometimes
  • 00:15:03
    forget about the labels if you're in a hurry?  - Yeah, it really does. Yeah because it's um I think there's
  • 00:15:10
    also all the tasty food and um all the nice food  that normally the kids like is like full of
  • 00:15:18
    labels and sugar and all that things. - So it's a kind of ultra-processed food that they like?
  • 00:15:24
    - Yeah. So even if you try to avoid it, it's easier to  buy, and most of the people, we buy that kind
  • 00:15:31
    of food because it's cheaper. - What about since the  labels have come in; have you been surprised that
  • 00:15:37
    some food you might have thought was healthy  hasn't been as healthy as you think?
  • 00:15:42
    - The cereal, cereal bars, and um the things for the lunch for my kid. I used to think that is it was healthy
  • 00:15:50
    but now I realise since the labels that they're  not really healthy.
  • 00:15:56
    - I'm off now just a couple of
  • 00:15:57
    miles down the road to the beach, to meet another  parent, who I know is interested in the labels and
  • 00:16:03
    what's going on with ultra-processed food and  what he feeds his children. You can probably
  • 00:16:09
    hear the sounds of cooking. That's because Diego  Arenas is busy making lunch for his two children,
  • 00:16:15
    Gaston and Emma. It's smelling good! You got fish  for lunch with garlic? - Yeah, garlic and ginger.
  • 00:16:22
    - When you're making things like lunch for your children,  feeding your children, what kind of things do you
  • 00:16:27
    like to cook for them? - They always want to have  something really sweet and the usual stuff that
  • 00:16:33
    they see everywhere, so it's not easy not to give  them an ice cream or lots of sweets and stuff. So
  • 00:16:39
    we try to make them nice and sweet and healthy  things, natural ice creams and things from fruits.
  • 00:16:50
    [Clanking saucepans and family talking]
  • 00:16:57
    - And what about the black labels that  show if it's high in salt, or sugar, or fat,
  • 00:17:02
    is that something you're aware of when you  go shopping, and what do you think about it?
  • 00:17:06
    - Yeah, we are aware. They know that they can  ask for some food, but if it's one full of
  • 00:17:13
    them with three or four of these black  labels, we try to avoid them. - And you've got
  • 00:17:18
    Gaston, your son, sitting beside you, and Emma  across eating your delicious fish with ginger
  • 00:17:24
    that you just made. What kind of treats  do they like to have, when they can have it?
  • 00:17:29
    - Oh, Emma likes a lot some like jelly and sweet  and sour stuff, like gums. And he likes hot stuff
  • 00:17:40
    like nachos. It's a special treat. Or when they  go to a birthday or something like that, or for
  • 00:17:46
    Halloween, or for some other special times.  - And if there was a label that said something was ultra-processed
  • 00:17:54
    food, would you like to see labels like  that, like the other black labels, would that help
  • 00:17:59
    when you're shopping? - Yeah, they should, they should  be like that. I don't know, but yeah, we try to avoid
  • 00:18:04
    all that stuff, but sometimes we fall into it  because they have some special taste that it's
  • 00:18:12
    hard to say no to it, sometimes.
  • 00:18:15
    - Parents in Chile talking to Jane Chambers. So, nutrition warning
  • 00:18:18
    labels on foods may not be the silver bullet that  transform our shopping habits, but Jean-Claude Moubarac
  • 00:18:25
    believes they're worth having.
  • 00:18:27
    - There's a limit to those warning labels, but it's a first step
  • 00:18:32
    to give a strong message to the population that  not everything at the supermarket is healthy, and
  • 00:18:39
    that's a major shift, because up till recently, our  guidelines never talked about what to avoid, you know?
  • 00:18:47
    Guidelines usually are about what to eat, so  you eat more fruits, more vegetables, more yoghurt.
  • 00:18:54
    But we rarely talk about what to avoid. So those  labels are a first step to show the consumers
  • 00:19:01
    not everything on the market is healthy. Try to  think and choose wisely. - How can someone spot
  • 00:19:07
    an ultra-processed food and avoid it? - The easiest  way would be just to flip it around. I would say
  • 00:19:14
    the best food in the market are food that have  no labels. So those are easy to identify: Fruits,
  • 00:19:20
    vegetables, legumes, meat, milk... everything that is  made of one ingredient is healthy by definition.
  • 00:19:30
    Now of course, it depends on how you cook it  and how you combine it, but when you choose a
  • 00:19:35
    product at the supermarket, if it's made of one  ingredient, it's healthy. Then when you go into
  • 00:19:41
    those products that have a list of ingredients, try  to choose the product that have the most simple
  • 00:19:46
    list of ingredients and avoid those that have  ingredients that you don't use in your kitchen.
  • 00:19:53
    When you don't understand the list of ingredients,  then leave it aside and go for a product that has
  • 00:19:58
    has a list of ingredients that you recognise.  - I noticed that there are some foods that would be
  • 00:20:04
    classified by your system as ultra-processed  foods, that actually there's an important
  • 00:20:10
    need for. Baby formula is one. Gluten-free products  are important for some people with coeliac disease,
  • 00:20:17
    for example. I mean, there is considerable debate  about all this, isn't there? - When we talk about
  • 00:20:21
    coeliac disease, or you know, this case of milk  formula, to me these are miracles that save lives,
  • 00:20:29
    but I see this as medicine. When you cannot give  breastfed milk to your kid then you need an
  • 00:20:35
    alternative, and what we have is milk formula, which  is the next best thing we have, but to me it's a medication.
  • 00:20:43
    - Do you manage to avoid ultra-processed  food entirely? - So what we try is not to bring them
  • 00:20:48
    at home. So it's not part of our regular pantry.  But do we sometimes consume them outside the
  • 00:20:55
    house? Yes. Because we do live in society, like  everyone else. - Jean-Claude Moubarac. In my house, we
  • 00:21:04
    cook most meals from scratch, so I have presumed  that I don't eat much ultra-processed food, but
  • 00:21:10
    let's see now. I've downloaded an app that says it  can tell me how good the nutritional content of
  • 00:21:16
    a product is and whether it's ultra-processed. So  here on the countertop is wholemeal sliced bread.
  • 00:21:23
    I'm scanning the barcode, and the app tells me  this is nutritionally very good quality, but... oh!
  • 00:21:32
    It's ultra-processed. [Klaxon] Confusing. Right, dark chocolate,  an occasional treat. OK, probably a too-frequent
  • 00:21:40
    treat. [Klaxon] Nutritionally bad. That's probably not a  surprise. But it gets a green dot, telling me that
  • 00:21:48
    it's not ultra-processed. Mixed messages again.  Let's have a rummage in my fridge. Mayonnaise.
  • 00:21:59
    I had this with my lunch. It's... ultra-processed! [Klaxon]  Oh, that surprises me! Mustard. Now, this I imagine is
  • 00:22:09
    just processed, not ultra-processed. [Klaxon] Wrong! What's in mustard? Stabiliser, xanthan gum.
  • 00:22:18
    What's in my freezer?
  • 00:22:22
    [Ruth rummages in her kitchen]
  • 00:22:26
    Fish fingers. I think of this as making  a healthy meal... [Ting!] Yep, nutritionally good...
  • 00:22:34
    and ultra-processed. [Klaxon]
  • 00:22:36
    I wonder what's for dinner tonight, then? The app is by Open Food Facts, a non-profit
  • 00:22:43
    organisation set up 10 years ago as an online  database of food products. There are more than three
  • 00:22:49
    million items listed, and anyone, anywhere, can add a  product, as co-founder Pierre Slamich explained to me.
  • 00:22:55
    - So, you will take the picture of the ingredients list,  artificial intelligence will extract it, and we will
  • 00:23:01
    recognise all the ingredients, and if we spot some  markers of ultra-processing, then the food will be
  • 00:23:08
    labelled as so. Most products sold in supermarkets  are ultra-processed, so it's very difficult to
  • 00:23:14
    avoid them. We explain in Open Food Facts, the  ingredients that actually causes the food to be ultra-processed.
  • 00:23:21
    - It's not so clear, even with your app,  to work out what is and isn't a good choice, though,
  • 00:23:27
    I found. I mean, for example, the sliced brown bread,  wholemeal bread, that I'd bought, when I zapped
  • 00:23:35
    it with the app, it came up as being very good  nutritional quality, and ultra-processed. So there's
  • 00:23:43
    conflicting information out there. - So yeah, it's a  big problem, because foods that are nutritionally
  • 00:23:50
    healthy, that don't have too much salt, too much fat,  too much sugar, still will have additives. The rule
  • 00:23:56
    of thumb is to try and get the food, if you can't  find anything that's not ultra-processed, try to
  • 00:24:03
    pick the one with the least amount of additives.  As a French person, I would say buy your bread
  • 00:24:08
    from the boulangerie, but if you go for the supermarket  bread, look for the one with fibres, and look for
  • 00:24:14
    the one that have the least amount of additives.  - I wonder, is there a risk that people get overly and
  • 00:24:22
    maybe needlessly anxious about what they're eating?  I mean, I could have probably happily spent a good
  • 00:24:28
    couple of hours scanning everything in my kitchen  cupboards yesterday. - So, there's no point in being too
  • 00:24:35
    anxious about it. Having a moment where when you  realise that a lot of it is ultra-processed, and
  • 00:24:41
    then trying to do your own cooking if possible,  trying to stick to the shortest ingredient list
  • 00:24:48
    possible, so anything above five to 10 ingredients  is probably um a bit complicated. And be careful
  • 00:24:56
    about false friends. Some food will be packaged  and marketed as healthy food, as authentic food, but
  • 00:25:04
    sometimes it can hide a UPF. If you don't recognise  most ingredients, put it back on the shelf.
  • 00:25:11
    Pierre Slamich.
  • 00:25:12
    We made a programme called 'Do we need to talk  about ultra-processed food?' in 2021. Then, we asked
  • 00:25:18
    Kate Halliwell, the chief scientific officer at the  UK's Food and Drink Federation, which represents
  • 00:25:24
    manufacturers, how aware their members were of the  term "ultra-processed foods". - We've of course heard
  • 00:25:30
    of it, so I'd say there is an awareness, but  it isn't a term that we would use, and it isn't
  • 00:25:37
    something that we're kind of actively working on.  - But plenty of other people have been working on it.
  • 00:25:42
    In 2022, the UK government's scientific advisory  committee on nutrition said that it was timely
  • 00:25:49
    to consider this issue, since there was increasing  discussion and debate regarding the implications
  • 00:25:54
    of food processing on health. It concluded that,  while concerning, there are uncertainties
  • 00:26:00
    around the quality of evidence available, and more  research was needed. We asked Kate Halliwell whether
  • 00:26:05
    the industry's position has changed. - Since 2021, we  have seen really an explosion of publications,
  • 00:26:13
    I would say, in this space. We have also had a lot  more media interest in this topic. So I think
  • 00:26:20
    that has led to generally people being more  interested in it, as well as some confusions over
  • 00:26:26
    what it actually means, and what's the appropriate  response for companies to it. So we have been
  • 00:26:31
    following the scientific publications that have  been ongoing, and I think what's been very helpful
  • 00:26:38
    to us in the UK is that the scientific advisory  committee on nutrition, their conclusion was that
  • 00:26:46
    the evidence-base, although there's a lot, it is  still very weak. So as it stands at the moment, they
  • 00:26:53
    have not recommended that here in the UK we change  our guidelines. - There are scientists out there who
  • 00:26:58
    I think would absolutely disagree that the  evidence is weak. I mean, the US National
  • 00:27:02
    Institutes of Health carried out a randomised  control trial, the gold standard of scientific
  • 00:27:07
    studies, and that showed a causal relationship  between ultra-processed food and weight gain. So
  • 00:27:13
    there is emerging scientific evidence that ultra-  processed food isn't good for you, but there's
  • 00:27:19
    debate about what might be going on, why that might  be the case. - You know, there's still papers to be
  • 00:27:25
    published and actually what SACN, the  body I just referred to, also said, was that what
  • 00:27:30
    was needed was more randomised control trials, or  also cohort studies they call them, so they don't
  • 00:27:37
    think that evidence is there yet. Of course, in the  future it might emerge, and if there was something
  • 00:27:43
    specific that was needed to be overlaid on top of  the nutrition guidelines, then, you know, industry
  • 00:27:49
    would look to understand that, and implement it.  - Are you not out of step with consumers who are
  • 00:27:55
    increasingly aware of the concept of ultra-  processed food and concerned about it?
  • 00:28:00
    - So I think consumers are increasingly aware, you're absolutely right. I think they're both concerned and confused,
  • 00:28:07
    actually, as to what it means, because actually some  foods which would be classed as ultra-processed
  • 00:28:13
    under Nova would actually fall within those healthy  eating guidelines that government recommends.
  • 00:28:21
    So I think it is confusing, absolutely, and that's why  I think for our companies it's right that we do
  • 00:28:29
    look to the scientific evidence, but we also follow  what our government and our expert committees are
  • 00:28:34
    recommending that we do. - If scientific research  in the future showed a clear causal link between
  • 00:28:40
    ultra-processed food and ill health, if there  was more evidence that clearly pointed in that
  • 00:28:45
    direction, would the industry and the Federation  respond by applying labels that identified the
  • 00:28:52
    food as ultra-processed so consumers could  make an informed decision when they're in
  • 00:28:57
    the shopping aisle? - If evidence emerged, which  it hasn't yet, but you know, science evolves all
  • 00:29:04
    the time, so if evidence emerged that showed  there was something specific that needed to
  • 00:29:10
    go into our dietary guidelines, then yes of course  industry would respond to that.
  • 00:29:15
    Kate Halliwell.
  • 00:29:16
    So it's unlikely that food and drink manufacturers  will be flagging up ultra-processed products
  • 00:29:21
    anytime soon, and the onus will remain on the  individual to spot it. Pierre Slamich is optimistic,
  • 00:29:28
    though, that people's buying habits could bring  about change.
  • 00:29:32
    - In a perfect world, basically, food
  • 00:29:35
    would be clearly labelled front of pack so you  would have clear warnings about ultra-processed food.
  • 00:29:41
    And that's the final, the eventual point of those  apps. It's not basically keeping people captive
  • 00:29:48
    to scanning products, it's basically changing  the formulas of the food offer, so that everyone
  • 00:29:54
    benefits and that there's systemic change in what  we buy in the supermarket, that the default choice
  • 00:30:01
    in the supermarket become the right choices. We  believe that if we mobilise, if we team up together,
  • 00:30:07
    we can force the industry to actually listen to  the public, listen to the government, and it changes
  • 00:30:14
    the balance of power between the food industry and  and the general public.
  • 00:30:18
    - Pierre Slamich. Jean-Claude Moubarac
  • 00:30:21
    has been advising the Canadian government on its  food policies. Has he suggested a label that says ultra-processed?
  • 00:30:29
    - We haven't suggested that. - Why not?  - I think it will be hard, because industry changes
  • 00:30:36
    its practice very quickly, so a label that  we be implemented today might not cover some
  • 00:30:43
    of the ingredients that industry will come up  in a year or two. - So you think food companies
  • 00:30:49
    would just reformulate a product so that it was  just as ultra-processed, but um using perhaps new
  • 00:30:55
    ingredients that weren't captured in your original system? - Exactly. To me, it will be more meaningful
  • 00:31:02
    to raise awareness, and then people can make their  decision to prefer food that are less processed.
  • 00:31:08
    That means cooking, and it's a huge shift  in people's life, but I think it needs to start
  • 00:31:15
    by the understanding how food is made today, and  to me a label will not be enough to cover that.
  • 00:31:22
    - Jean-Claude Moubarac. It's not always easy to know  what is and isn't ultra-processed, and whether in
  • 00:31:29
    fact all ultra-processed food is bad for you. But  our listener Jen knows one thing for sure: that
  • 00:31:35
    cutting down on convenience foods and taking the  time to cook whole foods has been a net positive
  • 00:31:41
    for her family. - I'm not sure if this is something  I'm going to keep doing forever, but I think what
  • 00:31:47
    I feed myself and what I feed my family, I don't  see that changing, because part of it is just
  • 00:31:53
    this has become normalised in our family, that  we cook and we make things from scratch, and we
  • 00:31:59
    like food that tastes yummy. - Thanks to Jen for  getting us thinking about ultra-processed food,
  • 00:32:05
    and thanks to everyone in today's programme. If  there's something you'd like us to look into,
  • 00:32:09
    do what Jen did: email thefoodchain@bbc.co.uk - We read every message we get. From me and the
  • 00:32:17
    rest of the team, Beatrice Pickup and Hannah Bewley,  thanks for listening, and join us again next week.
Tags
  • ultra-processed food
  • health risks
  • Nova classification
  • food choices
  • cooking from scratch
  • nutrition labels
  • family meals
  • dietary habits
  • convenience foods
  • food industry