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Ultra-processed foods: how functional is the NOVA system?

Véronique Braesco, Isabelle Souchon, Patrick Sauvant

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Typhaine Haurogné, Matthieu Maillot, Catherine Féart, Nicole Darmon

2022 · European Journal of Clinical Nutrition

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Abstract Background In the NOVA classification system, descriptive criteria are used to assign foods to one of four groups based on processing-related criteria. Although NOVA is widely used, its robustness and functionality remain largely unexplored. We determined whether this system leads to consistent food assignments by users. Methods French food and nutrition specialists completed an online survey in which they assigned foods to NOVA groups. The survey comprised two lists: one with 120 marketed food products with ingredient information and one with 111 generic food items without ingredient information. We quantified assignment consistency among evaluators using Fleiss’ κ (range: 0–1, where 1 = 100% agreement). Hierarchical clustering on principal components identified clusters of foods with similar distributions of NOVA assignments. Results Fleiss’ κ was 0.32 and 0.34 for the marketed foods (n = 159 evaluators) and generic foods (n = 177 evaluators), respectively. There were three clusters within the marketed foods: one contained 90 foods largely assigned to NOVA4 (91% of assignments), while the two others displayed greater assignment heterogeneity. There were four clusters within the generic foods: three clusters contained foods mostly assigned to a single NOVA group (69–79% of assignments), and the fourth cluster comprised 28 foods whose assignments were more evenly distributed across the four NOVA groups. Conclusions Although assignments were more consistent for some foods than others, overall consistency among evaluators was low, even when ingredient information was available. These results suggest current NOVA criteria do not allow for robust and functional food assignments.

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Original HN comments, with labels from simple text rules. A label describes the whole comment and may miss context or irony. Read the discussion to make up your own mind. About the labels

5 selected excerpts · 5 total mentions

staticassertion
Neutral mention · rule
Agreed. I hope these terms go away. I think what people tend to mean is "calorie dense, low in nutrients, low in fiber", or something along those lines, and the term "processed" makes it far more confusing. "Processed" ends up meaning anything from "high in sugar" to "long shelf life" or "one of a dozen kinds of artificial sweetener" etc. It does more harm than good. I can have an extremely high fiber, high protein, nutritionally well rounded meal that's also "ultra processed". Someone mentioned Nova. Nova is a PERFECT example of how god awful the term is. When asked to classify foods into Nova categories there is almost no agreement amongst nutritionists. https://www.nature.com/articles/s41430-022-01099-1 https://pmc.ncbi.nlm.nih.gov/articles/PMC8181985/ Time after time, Nova is shown to be more confusing than helpful, with worse than random results. Nova itself doesn't even attempt to correlate with "healthy".
fabbbbb
Neutral mention · rule
Unfortunately there seems to be no good aligned definition of what (highly) processed food is. 1,2 Whole grain bread or infant formula can be “highly processed” despite very healthy. In the end someone else cooks for you and packages it. They can cook healthy or not or in between, add a lot of salt or little, .. as always it’s more complex. 1: https://www.nature.com/articles/s41430-022-01099-1 2 https://www.cambridge.org/core/journals/nutrition-research-r...
stevenwoo
Neutral mention · rule
There are a lot of different studies and my comment was pretty short, but this is an explanation and evaluation of the generally used system for classifying food into ultra high processed versus not. https://www.nature.com/articles/s41430-022-01099-1 Most studies involving human diet involve self reporting so that's why its important to understand the limitations of that classification system. There have been lots of studies showing a connection with microbiome changes, though some countries have been later than the USA in adopting more ultra high processed foods, allowing a more timely study, here is one about Spanish citizens and tried to guide the self reporting diet a bit more specifically about where to categorize their food intake. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8398738/
droopyEyelids
Neutral mention · rule
My buddy and I recently went down a rabbit hole researching this after "processed foods" started to be the topic everyone was talking about. It really is nonsense when people try to define it scientifically. This is the closest to anything we found that makes sense https://en.wikipedia.org/wiki/Food_processing#Processing_lev... but it's kind of separate from the popular idea of processed foods Here's a Nature article discussing the problems: https://www.nature.com/articles/s41430-022-01099-1

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