Anastasiou Ioanna A, Kounatidis Dimitris, Vallianou Natalia G, Skourtis Alexandros, Dimitriou Krystalia, Tzivaki Ilektra, Tsioulos Georgios, Rigatou Anastasia, Karampela Irene, Dalamaga Maria
Diabetes CenterDepartment of Propaedeutic Internal MedicineMedical School, Laiko General Hospital, National and Kapodistrian University of Athens, FirstAthens, Greece.
Department of Pharmacology, National and Kapodistrian University of Athens, 11527, Athens, Greece.
Curr Oncol Rep. 2025 Apr;27(4):390-414. doi: 10.1007/s11912-025-01654-6. Epub 2025 Feb 27.
Ultra-processed foods (UPFs) are becoming more and more important in daily diets around the world; in some cases, they can account for as much as 60% of daily energy intake. Epidemiological evidence suggests that this shift toward high levels of food processing may be partially responsible for the global obesity epidemic and the rise in the prevalence of chronic diseases.
Few prospective studies have examined the relationship between UPF consumption and cancer outcomes. According to currently available information, UPFs may increase the risk of cancer due to their obesogenic properties and exposure to substances that can cause cancer, such as certain food additives and pollution from product processing. The complex relationship between obesity and cancer involves factors such as immune dysregulation, altered adipokine and sex hormone levels, abnormal fatty acid metabolism, extracellular matrix remodeling, and chronic inflammation. Addressing cancer risk associated with UPF consumption could involve a multifaceted approach, including consumer behavior modification programs and robust public health regulations aimed at enhancing food environments. Improved knowledge of the potential dual negative impacts of UPFs on the environment and cancer risk is one of the priority areas we identify for future research and policy implications. Various approaches could be used to prevent cancers associated with UPF consumption, such as consumer behavior change programs and stricter public health regulations needed to improve the food environment. This review examines for the first time the potential role of UPFs in cancer risk associated with obesity, exploring underlying biological mechanisms and identifying key areas for future research and policy action, including the dual environmental and health impact of UPFs.
超加工食品(UPFs)在全球日常饮食中变得越来越重要;在某些情况下,它们可占每日能量摄入的60%之多。流行病学证据表明,这种向高度食品加工的转变可能在一定程度上导致了全球肥胖流行以及慢性病患病率的上升。
很少有前瞻性研究探讨超加工食品消费与癌症结局之间的关系。根据目前可得的信息,超加工食品可能因其致肥胖特性以及接触致癌物质(如某些食品添加剂和产品加工过程中的污染)而增加患癌风险。肥胖与癌症之间的复杂关系涉及免疫失调、脂肪因子和性激素水平改变、脂肪酸代谢异常、细胞外基质重塑以及慢性炎症等因素。应对与超加工食品消费相关的癌症风险可能需要多方面的方法,包括消费者行为改变计划以及旨在改善食品环境的有力公共卫生法规。提高对超加工食品对环境和癌症风险潜在双重负面影响的认识是我们确定的未来研究和政策影响的优先领域之一。可以采用各种方法来预防与超加工食品消费相关的癌症,例如消费者行为改变计划以及改善食品环境所需的更严格公共卫生法规。本综述首次探讨了超加工食品在与肥胖相关的癌症风险中的潜在作用,探索潜在的生物学机制,并确定未来研究和政策行动的关键领域,包括超加工食品对环境和健康的双重影响。