Higher ultraprocessed food intake was associated with greater adiposity and higher odds of MRI-defined vascular brain injury but not cognitive performance in middle-aged Canadian adults.
Key Findings
Results
Adults in the highest quartile of ultraprocessed food intake had significantly higher body fat percentage compared to those in the lowest quartile.
Body fat percentage was 1.7 percentage points higher (95% CI, 1.2-2.2) in the highest versus lowest UPF quartile
Body fat was measured using bioelectrical impedance
Study included 8783 adults aged 35-69 years without cardiovascular disease
Mean age of participants was 57.7 (SD 8.7) years; 56.6% were female
Results
Adults in the highest quartile of ultraprocessed food intake had significantly greater visceral adipose tissue volume compared to those in the lowest quartile.
Visceral adipose tissue volume was 5.7 mL greater (95% CI, 3.2-8.3) in the highest versus lowest UPF quartile
VAT volume was measured by MRI
No significant difference in hepatic fat fraction was observed between the highest and lowest UPF quartiles
UPF consumption was expressed as servings per 2000 kcal/day and assessed using validated semiquantitative food frequency questionnaires
Results
Higher ultraprocessed food intake was associated with significantly higher odds of MRI-defined vascular brain injury.
The highest UPF quartile had adjusted OR of 1.40 (95% CI, 1.10-1.77) for vascular brain injury compared to the lowest quartile
P for trend = .009
Vascular brain injury was defined as covert brain infarcts or high white matter hyperintensities (HWMHs) measured by MRI
Associations with VBI were described as 'sensitive to UPF exposure definition'
Results
No significant associations were observed between ultraprocessed food intake and cognitive performance.
Cognitive performance was measured by the Montreal Cognitive Assessment (MOCA) and the Digital Symbol Substitution Test (DSST)
No significant associations were found between UPF intake and either MOCA or DSST performance
This null finding was present despite significant associations between UPF intake and both adiposity and vascular brain injury
Methods
The study was a cross-sectional design enrolling middle-aged Canadian adults from two cohort studies over multiple years.
Participants were drawn from the Canadian Alliance for Healthy Hearts and Healthy Minds (CAHHM) and Prospective Urban and Rural Epidemiology-MIND (PURE-MIND) studies
CAHHM participants were recruited from January 1, 2014, to December 31, 2018; PURE-MIND participants from January 1, 2010, to December 31, 2018
Total sample size was 8783 adults aged 35-69 years without cardiovascular disease
Data analyses were conducted between July 16, 2024, and August 16, 2026
The cross-sectional design precludes establishing temporality, and the authors note that longitudinal studies are needed
What This Means
This research examined the eating habits and health outcomes of nearly 9,000 middle-aged Canadian adults to understand whether eating lots of ultraprocessed foods (UPFs) — such as packaged snacks, ready meals, and processed meats — is linked to body fat, brain vessel damage, and mental sharpness. Participants completed detailed food questionnaires and underwent a range of measurements including MRI brain scans and cognitive tests. The study found that people who ate the most UPFs had meaningfully higher body fat percentages and more fat stored around their internal organs compared to those who ate the least, but no difference in liver fat was detected.
Importantly, people in the highest category of UPF consumption were 40% more likely to show signs of silent vascular brain injury — damage to small brain blood vessels detected on MRI scans — compared to those who ate the least UPFs. This type of brain injury can occur without obvious symptoms but is associated with stroke and dementia risk over time. However, despite this finding, higher UPF intake was not associated with worse scores on cognitive tests measuring memory and processing speed at the time of the study.
This research suggests that a diet high in ultraprocessed foods may contribute to both body fat accumulation and subtle brain vascular damage even before any obvious cognitive symptoms appear in middle age. However, because this was a cross-sectional study — meaning it looked at one point in time — it cannot determine whether UPF consumption caused these outcomes or whether people with these health conditions happened to eat more UPFs. The authors emphasize that longer-term follow-up studies are needed to clarify the direction of these relationships.
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de Souza R, Schulze K, Desai D, Després J, Dummer T, Friedrich M, et al.. (2026). Ultraprocessed Food Intake and Adiposity, Vascular Brain Injury, and Cognition in Middle-Aged Adults.. JAMA network open. https://doi.org/10.1001/jamanetworkopen.2026.39118