{"doi":"10.1111/dom.16411","title":"Ultra‐processed food consumption among adults with prediabetes and diabetes, 2001‐2018","abstract":"AIMS: The American Diabetes Association recently recommended minimizing ultra-processed food consumption in persons with prediabetes or diabetes to reduce the risk of glycemic progression and clinical complications. We characterized trends in ultra-processed food consumption among these populations using nationally representative data. MATERIALS AND METHODS: We conducted serial cross-sectional analyses in adults ≥20 years with prediabetes or diabetes in the 2001-2018 National Health and Nutrition Examination Survey (NHANES). We defined prediabetes as HbA1c 5.7%-<6.5% and no self-reported diabetes diagnosis and diabetes as HbA1c ≥6.5% or self-reported diabetes diagnosis. We estimated the percent of total energy from ultra-processed food consumption (% kilocalories), as defined by Nova food classification system. We characterized the mean percent of total energy intake from ultra-processed food by diabetes status from 2001 to 2018 and assessed time trends with linear regression. RESULTS: We included 16 024 adults (63.7% with prediabetes and 36.3% with diabetes). From 2001-2002 to 2017-2018, ultra-processed food consumption increased in adults with prediabetes (53.8 to 57.3% of kilocalories, p = 0.006) and diabetes (51.9 to 56.6% of kilocalories, p = 0.001). The proportion that consumed at least 75% of total kilocalories through ultra-processed food increased in persons with prediabetes (12.4 to 21.4%) and diabetes (8.9 to 20.5%). Younger adults (<45 years) and those without a college degree had the highest ultra-processed food consumption. CONCLUSION: Patient education, nutritional interventions and nationwide policies are needed to reduce the growing consumption of ultra-processed food in persons with prediabetes and diabetes.","journal":"Diabetes Obesity and Metabolism","year":2025,"id":523164,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9227,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":426622,"name":"Amelia S. Wallace","orcid":"0000-0002-1466-3791","position":1,"is_corresponding":false},{"id":441182,"name":"Mary R. Rooney","orcid":"0000-0002-5607-4848","position":2,"is_corresponding":false},{"id":505212,"name":"Dan Wang","orcid":"0000-0002-8264-1586","position":3,"is_corresponding":false},{"id":261908,"name":"Casey M. Rebholz","orcid":"0000-0002-5442-8745","position":4,"is_corresponding":false},{"id":492276,"name":"Eurídice Martínez Steele","orcid":"0000-0002-2907-3153","position":5,"is_corresponding":false},{"id":703722,"name":"Vanessa García-Larsen","orcid":"0000-0002-0003-1988","position":6,"is_corresponding":false},{"id":227313,"name":"Julia A. Wolfson","orcid":"0000-0001-9155-2609","position":7,"is_corresponding":false},{"id":625550,"name":"Mika Matsuzaki","orcid":"0000-0002-7020-3757","position":8,"is_corresponding":false},{"id":266269,"name":"Elizabeth Selvin","orcid":"0000-0001-6923-7151","position":9,"is_corresponding":false},{"id":320584,"name":"Michael Fang","orcid":"0000-0003-2849-1780","position":10,"is_corresponding":false},{"id":1395228,"name":"Zijing Guo","orcid":"0000-0003-0457-811X","position":0,"is_corresponding":true}],"reference_count":37,"raw_metadata":null,"created_at":"2026-07-19T02:49:58.707747Z","pmid":"40259489","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}