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Evaluation of the Frequency of Ultra-Processed Food Consumption Among Cancer Patients’

Year 2025, Volume: 14 Issue: 3, 680 - 688, 31.10.2025

Abstract

Objective: With the increasing tendency towards ready-made and processed foods, significant adverse effects on people's health have been encountered. In addition to their poor nutritional composition, Ultra-Processed Foods (UPFs) have been negatively associated with a variety of health outcomes, including cancer. This study aimed to evaluate the frequency of UPF consumption of cancer patients. Materials and Methods: This descriptive, prospective and cross-sectional study was conducted between July and November 2024 in the oncology clinic of a university hospital with 80 cancer patients. Data were obtained using the Patient Information Form, and UPSs were assessed with the NOVA classification. Results: The mean age of the patients in the study was 60.50±12.33, and the mean BMI was 24.79±5.18. The mean energy coming from UPF was 167.17±232.82 (kcal/day), and the mean value for the percentage of total energy taken from UPF was 7.79±9.72. There is a statistically significant negative relationship between the age of the patients and their consumption of UPF (r=0.322, p=0.004). There is a statistically significant positive relationship between the total daily energy intake of the patients and the energy intake from UPF (r=0.518, p<0.001) Conclusion: The findings of this study revealed that patients diagnosed with cancer and receiving cancer treatment had high UPF consumption. It was determined that patients' UPF consumption decreased with age.

References

  • Baker, P., Machado, P., Santos, T., Sievert, K., Backholer, K., Hadjikakou, M., Russell, C., Huse, O., Bell, C., Scrinis, G., Worsley, A., Friel, S., & Lawrence, M. (2020). Ultra‐processed foods and the nutrition transition: Global, regional and national trends, food systems transformations and political economy drivers. Obesity Reviews, 21(12). https://doi.org/10.1111/obr.13126
  • Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. https://doi.org/10.3322/caac.21834
  • da Silva, A., Felício, M. B., Caldas, A. P. S., Miranda Hermsdorff, H. H., Bersch-Ferreira, Â. C., Torreglosa, C. R., Shivappa, N., Hébert, J. R., Weber, B., & Bressan, J. (2021). Pro-inflammatory diet is associated with a high number of cardiovascular events and ultra-processed foods consumption in patients in secondary care. Public Health Nutrition, 24(11), 3331–3340. https://doi.org/10.1017/S136898002000378X
  • Dai, S., Wellens, J., Yang, N., Li, D., Wang, J., Wang, L., Yuan, S., He, Y., Song, P., Munger, R., Kent, M. P., MacFarlane, A. J., Mullie, P., Duthie, S., Little, J., Theodoratou, E., & Li, X. (2024). Ultra-processed foods and human health: An umbrella review and updated meta-analyses of observational evidence. Clinical Nutrition, 43(6), 1386–1394. https://doi.org/10.1016/j.clnu.2024.04.016
  • Feng, H., Zhou, Y., Wang, L., Wang, Y., Zhou, S., & Tian, F. (2022). Consumption of processed food and risk of nasopharyngeal carcinoma: a systematic review and meta-analysis. Translational Cancer Research, 11(4), 872–879. https://doi.org/10.21037/tcr-22-690
  • Fiolet, T., Srour, B., Sellem, L., Kesse-Guyot, E., Allès, B., Méjean, C., Deschasaux, M., Fassier, P., Latino-Martel, P., Beslay, M., Hercberg, S., Lavalette, C., Monteiro, C. A., Julia, C., & Touvier, M. (2018). Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ, k322. https://doi.org/10.1136/bmj.k322
  • Hang, D., Wang, L., Fang, Z., Du, M., Wang, K., He, X., Khandpur, N., Rossato, S. L., Wu, K., Hu, Z., Shen, H., Ogino, S., Chan, A. T., Giovannucci, E. L., Zhang, F. F., & Song, M. (2023). Ultra-processed food consumption and risk of colorectal cancer precursors: results from 3 prospective cohorts. JNCI: Journal of the National Cancer Institute, 115(2), 155–164. https://doi.org/10.1093/jnci/djac221
  • Isaksen, I. M., & Dankel, S. N. (2023). Ultra-processed food consumption and cancer risk: A systematic review and meta-analysis. Clinical Nutrition, 42(6), 919–928. https://doi.org/10.1016/j.clnu.2023.03.018
  • Kliemann, N., Al Nahas, A., Vamos, E. P., Touvier, M., Kesse-Guyot, E., Gunter, M. J., Millett, C., & Huybrechts, I. (2022). Ultra-processed foods and cancer risk: from global food systems to individual exposures and mechanisms. British Journal of Cancer, 127(1), 14–20. https://doi.org/10.1038/s41416-022-01749-y
  • Machado, P. P., Steele, E. M., Levy, R. B., da Costa Louzada, M. L., Rangan, A., Woods, J., Gill, T., Scrinis, G., & Monteiro, C. A. (2020). Ultra-processed food consumption and obesity in the Australian adult population. Nutrition & Diabetes, 10(1), 39. https://doi.org/10.1038/s41387-020-00141-0
  • Monteiro, C. A., Cannon, G., Levy, R. B., Moubarac, J.-C., Louzada, M. L., Rauber, F., Khandpur, N., Cediel, G., Neri, D., Martinez-Steele, E., Baraldi, L. G., & Jaime, P. C. (2019). Ultra-processed foods: what they are and how to identify them. Public Health Nutrition, 22(5), 936–941. https://doi.org/10.1017/S1368980018003762
  • Monteiro, C. A., Cannon, G., Moubarac, J.-C., Levy, R. B., Louzada, M. L. C., & Jaime, P. C. (2018). The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutrition, 21(1), 5–17. https://doi.org/10.1017/S1368980017000234
  • Özçalkap, R. (2022). 18-65 Yaş Arası Yetişkin Bireylerde Ultra İşlenmiş Gıda Tüketiminin Astım ile İlişkisinin Biyokimyasal Parametreler ile Araştırılması [Yüksek Lisans Tezi]. Tekirdağ Namık Kemal Üniversitesi. Poti, J. M., Braga, B., & Qin, B. (2017). Ultra-processed Food Intake and Obesity: What Really Matters for Health—Processing or Nutrient Content? Current Obesity Reports, 6(4), 420–431. https://doi.org/10.1007/s13679-017-0285-4
  • Pu, J.-Y., Xu, W., Zhu, Q., Sun, W.-P., Hu, J.-J., Cai, D., Zhang, J.-Y., Gong, J.-P., Xiong, B., & Zhong, G.-C. (2023). Prediagnosis ultra-processed food consumption and prognosis of patients with colorectal, lung, prostate, or breast cancer: a large prospective multicenter study. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1258242
  • Romaguera, D., Fernández-Barrés, S., Gracia-Lavedán, E., Vendrell, E., Azpiri, M., Ruiz-Moreno, E., Martín, V., Gómez-Acebo, I., Obón, M., Molinuevo, A., Fresán, U., Molina-Barceló, A., Olmedo-Requena, R., Tardón, A., Alguacil, J., Solans, M., Huerta, J. M., Ruiz-Dominguez, J. M., Aragonés, N., … Amiano, P. (2021). Consumption of ultra-processed foods and drinks and colorectal, breast, and prostate cancer. Clinical Nutrition (Edinburgh, Scotland), 40(4), 1537–1545. https://doi.org/10.1016/j.clnu.2021.02.033
  • Schwedhelm, C., Boeing, H., Hoffmann, G., Aleksandrova, K., & Schwingshackl, L. (2016). Effect of diet on mortality and cancer recurrence among cancer survivors: a systematic review and meta-analysis of cohort studies. Nutrition Reviews, 74(12), 737–748. https://doi.org/10.1093/nutrit/nuw045
  • Ülker, İ., & Çamli, A. (2024). Ultra İşlenmiş Besin Tüketimi Hedonik Açlığı Etkiler Mi? Journal of Nutrition and Dietetics, 52(1), 68–76. https://doi.org/10.33076/2024.BDD.1839
  • Wang, L., Du, M., Wang, K., Khandpur, N., Rossato, S. L., Drouin-Chartier, J.-P., Steele, E. M., Giovannucci, E., Song, M., & Zhang, F. F. (2022). Association of ultra-processed food consumption with colorectal cancer risk among men and women: results from three prospective US cohort studies. BMJ, e068921. https://doi.org/10.1136/bmj-2021-068921
  • Yang, Q., Zhang, Z., Steele, E. M., Moore, L. V., & Jackson, S. L. (2020). Ultra-Processed Foods and Excess Heart Age Among U.S. Adults. American Journal of Preventive Medicine, 59(5), e197–e206. https://doi.org/10.1016/j.amepre.2020.06.013

Kanser Hastalarının Ultra İşlenmiş Gıda Tüketim Sıklığının Değerlendirilmesi

Year 2025, Volume: 14 Issue: 3, 680 - 688, 31.10.2025

Abstract

Amaç: Hazır ve işlenmiş gıdalara olan eğilimin artmasıyla birlikte, insanların sağlığı üzerinde önemli olumsuz etkiler gözlemlenmiştir. Ultra İşlenmiş Gıdalar (UİG) kötü besin bileşimlerinin yanı sıra, kanser de dahil olmak üzere çeşitli sağlık sonuçlarıyla olumsuz ilişkilendirilmiştir. Bu çalışma, kanser hastalarının UİG tüketim sıklığını değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Bu tanımlayıcı ve kesitsel çalışma, Temmuz ve Kasım 2024 tarihleri arasında bir üniversite hastanesinin onkoloji kliniğinde 80 kanser hastası ile gerçekleştirilmiştir. Veriler, Hasta Bilgi Formu ve NOVA sınıflandırması kullanılarak elde edilmiştir. Bulgular: Çalışmaya katılan hastaların ortalama yaşı 60.50±12.33 ve ortalama BKİ 24.79±5.18 idi. UİG'den gelen ortalama enerji 167.17±232.82 (kcal/gün) ve toplam enerjinin UİG'den alınan yüzdesi için ortalama değer 7.79±9.72 idi. Hastaların yaşı ile UİG tüketimi arasında istatistiksel olarak anlamlı negatif bir ilişki bulunmaktadır (r=-0.322, p=0.004). Hastaların günlük toplam enerji alımı ile UİG'den alınan enerji arasında istatistiksel olarak anlamlı pozitif bir ilişki bulunmaktadır (r=0.518, p<0.001). Sonuç: Bu çalışmanın bulguları, kanser teşhisi konan ve kanser tedavisi gören hastaların yüksek UİG tüketimine sahip olduğunu ortaya koymuştur. Hastaların UİG tüketiminin yaşla birlikte azaldığı belirlenmiştir.

References

  • Baker, P., Machado, P., Santos, T., Sievert, K., Backholer, K., Hadjikakou, M., Russell, C., Huse, O., Bell, C., Scrinis, G., Worsley, A., Friel, S., & Lawrence, M. (2020). Ultra‐processed foods and the nutrition transition: Global, regional and national trends, food systems transformations and political economy drivers. Obesity Reviews, 21(12). https://doi.org/10.1111/obr.13126
  • Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. https://doi.org/10.3322/caac.21834
  • da Silva, A., Felício, M. B., Caldas, A. P. S., Miranda Hermsdorff, H. H., Bersch-Ferreira, Â. C., Torreglosa, C. R., Shivappa, N., Hébert, J. R., Weber, B., & Bressan, J. (2021). Pro-inflammatory diet is associated with a high number of cardiovascular events and ultra-processed foods consumption in patients in secondary care. Public Health Nutrition, 24(11), 3331–3340. https://doi.org/10.1017/S136898002000378X
  • Dai, S., Wellens, J., Yang, N., Li, D., Wang, J., Wang, L., Yuan, S., He, Y., Song, P., Munger, R., Kent, M. P., MacFarlane, A. J., Mullie, P., Duthie, S., Little, J., Theodoratou, E., & Li, X. (2024). Ultra-processed foods and human health: An umbrella review and updated meta-analyses of observational evidence. Clinical Nutrition, 43(6), 1386–1394. https://doi.org/10.1016/j.clnu.2024.04.016
  • Feng, H., Zhou, Y., Wang, L., Wang, Y., Zhou, S., & Tian, F. (2022). Consumption of processed food and risk of nasopharyngeal carcinoma: a systematic review and meta-analysis. Translational Cancer Research, 11(4), 872–879. https://doi.org/10.21037/tcr-22-690
  • Fiolet, T., Srour, B., Sellem, L., Kesse-Guyot, E., Allès, B., Méjean, C., Deschasaux, M., Fassier, P., Latino-Martel, P., Beslay, M., Hercberg, S., Lavalette, C., Monteiro, C. A., Julia, C., & Touvier, M. (2018). Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ, k322. https://doi.org/10.1136/bmj.k322
  • Hang, D., Wang, L., Fang, Z., Du, M., Wang, K., He, X., Khandpur, N., Rossato, S. L., Wu, K., Hu, Z., Shen, H., Ogino, S., Chan, A. T., Giovannucci, E. L., Zhang, F. F., & Song, M. (2023). Ultra-processed food consumption and risk of colorectal cancer precursors: results from 3 prospective cohorts. JNCI: Journal of the National Cancer Institute, 115(2), 155–164. https://doi.org/10.1093/jnci/djac221
  • Isaksen, I. M., & Dankel, S. N. (2023). Ultra-processed food consumption and cancer risk: A systematic review and meta-analysis. Clinical Nutrition, 42(6), 919–928. https://doi.org/10.1016/j.clnu.2023.03.018
  • Kliemann, N., Al Nahas, A., Vamos, E. P., Touvier, M., Kesse-Guyot, E., Gunter, M. J., Millett, C., & Huybrechts, I. (2022). Ultra-processed foods and cancer risk: from global food systems to individual exposures and mechanisms. British Journal of Cancer, 127(1), 14–20. https://doi.org/10.1038/s41416-022-01749-y
  • Machado, P. P., Steele, E. M., Levy, R. B., da Costa Louzada, M. L., Rangan, A., Woods, J., Gill, T., Scrinis, G., & Monteiro, C. A. (2020). Ultra-processed food consumption and obesity in the Australian adult population. Nutrition & Diabetes, 10(1), 39. https://doi.org/10.1038/s41387-020-00141-0
  • Monteiro, C. A., Cannon, G., Levy, R. B., Moubarac, J.-C., Louzada, M. L., Rauber, F., Khandpur, N., Cediel, G., Neri, D., Martinez-Steele, E., Baraldi, L. G., & Jaime, P. C. (2019). Ultra-processed foods: what they are and how to identify them. Public Health Nutrition, 22(5), 936–941. https://doi.org/10.1017/S1368980018003762
  • Monteiro, C. A., Cannon, G., Moubarac, J.-C., Levy, R. B., Louzada, M. L. C., & Jaime, P. C. (2018). The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutrition, 21(1), 5–17. https://doi.org/10.1017/S1368980017000234
  • Özçalkap, R. (2022). 18-65 Yaş Arası Yetişkin Bireylerde Ultra İşlenmiş Gıda Tüketiminin Astım ile İlişkisinin Biyokimyasal Parametreler ile Araştırılması [Yüksek Lisans Tezi]. Tekirdağ Namık Kemal Üniversitesi. Poti, J. M., Braga, B., & Qin, B. (2017). Ultra-processed Food Intake and Obesity: What Really Matters for Health—Processing or Nutrient Content? Current Obesity Reports, 6(4), 420–431. https://doi.org/10.1007/s13679-017-0285-4
  • Pu, J.-Y., Xu, W., Zhu, Q., Sun, W.-P., Hu, J.-J., Cai, D., Zhang, J.-Y., Gong, J.-P., Xiong, B., & Zhong, G.-C. (2023). Prediagnosis ultra-processed food consumption and prognosis of patients with colorectal, lung, prostate, or breast cancer: a large prospective multicenter study. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1258242
  • Romaguera, D., Fernández-Barrés, S., Gracia-Lavedán, E., Vendrell, E., Azpiri, M., Ruiz-Moreno, E., Martín, V., Gómez-Acebo, I., Obón, M., Molinuevo, A., Fresán, U., Molina-Barceló, A., Olmedo-Requena, R., Tardón, A., Alguacil, J., Solans, M., Huerta, J. M., Ruiz-Dominguez, J. M., Aragonés, N., … Amiano, P. (2021). Consumption of ultra-processed foods and drinks and colorectal, breast, and prostate cancer. Clinical Nutrition (Edinburgh, Scotland), 40(4), 1537–1545. https://doi.org/10.1016/j.clnu.2021.02.033
  • Schwedhelm, C., Boeing, H., Hoffmann, G., Aleksandrova, K., & Schwingshackl, L. (2016). Effect of diet on mortality and cancer recurrence among cancer survivors: a systematic review and meta-analysis of cohort studies. Nutrition Reviews, 74(12), 737–748. https://doi.org/10.1093/nutrit/nuw045
  • Ülker, İ., & Çamli, A. (2024). Ultra İşlenmiş Besin Tüketimi Hedonik Açlığı Etkiler Mi? Journal of Nutrition and Dietetics, 52(1), 68–76. https://doi.org/10.33076/2024.BDD.1839
  • Wang, L., Du, M., Wang, K., Khandpur, N., Rossato, S. L., Drouin-Chartier, J.-P., Steele, E. M., Giovannucci, E., Song, M., & Zhang, F. F. (2022). Association of ultra-processed food consumption with colorectal cancer risk among men and women: results from three prospective US cohort studies. BMJ, e068921. https://doi.org/10.1136/bmj-2021-068921
  • Yang, Q., Zhang, Z., Steele, E. M., Moore, L. V., & Jackson, S. L. (2020). Ultra-Processed Foods and Excess Heart Age Among U.S. Adults. American Journal of Preventive Medicine, 59(5), e197–e206. https://doi.org/10.1016/j.amepre.2020.06.013
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Details

Primary Language English
Subjects Clinical Nutrition
Journal Section Articles
Authors

Tuğçe Aytulu 0000-0002-2552-2847

Dilek Yıldırım 0000-0002-6228-0007

Elif Değirmenci Aktaş 0000-0001-6115-0035

Publication Date October 31, 2025
Submission Date May 25, 2025
Acceptance Date September 19, 2025
Published in Issue Year 2025 Volume: 14 Issue: 3

Cite

APA Aytulu, T., Yıldırım, D., & Değirmenci Aktaş, E. (2025). Evaluation of the Frequency of Ultra-Processed Food Consumption Among Cancer Patients’. Balıkesir Sağlık Bilimleri Dergisi, 14(3), 680-688. https://doi.org/10.53424/balikesirsbd.1705950

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