Ultraprocessed foods: How much are you eating?
eat but better

How much ultraprocessed food are you eating?

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Ultraprocessed foods have been linked to a higher risk of cancer, heart disease, obesity and early death, yet estimates say 71% of the food supply in the United States may contain ingredients created in a laboratory.

According to the Food and Agriculture Organization of the United Nations, ultraprocessed foods contain ingredients “never or rarely used in kitchens, or classes of additives whose function is to make the final product palatable or more appealing.”

The list of additives* includes preservatives to resist mold and bacteria; emulsifiers to keep incompatible ingredients from separating; artificial colorings and dyes; anti-foaming, bulking, bleaching, gelling and glazing agents; and added or altered sugar, salt and fats intended to boost flavor to a “bliss point” that is hard to resist.

Additives often boost the number of ingredients, but food and drink can still be ultraprocessed with only a few components. Why? It’s likely due to industrial techniques such as extrusion, molding and prefrying — which some experts say make the food “predigested.”

Do you know how many of your daily food choices are ultraprocessed? Build your own lunch from the popular options in this menu and see how well you do!

To develop this tool, CNN examined nutrition labels and ingredient lists for menu items sold by popular fast-food and lunch cafés around the country.

More on what the FDA and food industry say about ultraprocessed foods. * Food additives are considered “generally recognized as safe,” or GRAS, by the US Food and Drug Administration, but not everyone agrees on the safety. Watchdog groups such as the Center for Science in the Public Interest and the Environmental Working Group, or EWG, provide lists of concerning chemicals found in food, as well as added sugars, salt and fats. A growing number of grocery stores and a few restaurants have also taken steps to ban worrisome chemicals from foods they sell. The National Restaurant Association, which represents fast-food and fast-casual establishments, told CNN “the restaurant industry works with its chefs and suppliers to offer consumers a variety of options and choices to meet varying preferences and dietary needs. Restaurant meal options range in diversity from scratched cooked menu items and fresh ingredients to some manufactured or processed ingredients. These ingredients can be used to add specific flavors or help with preparation, but are also used to improve food safety, nutrition, or reduce food waste.”

Your order

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Click the plus sign to select an item in each category.
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Entrée

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Chicken wrap

Cobb salad

Chicken nuggets

Instant ramen

Veggie burger

Drink

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Fruit drink

Soda

Water

Add on

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French fries

Side salad

Chips

Yogurt

Chicken wrap

CNN looked at nutrients and ingredients in popular chicken wraps and found concerning levels of salt and saturated fat — the kind that clogs arteries — and dozens of components. One wrap contained nearly 90 ingredients, over 30 of those in the chicken alone.

The pre-prepped chicken could include calcium disodium EDTA, which is used to treat lead poisoning and banned from drinks in the United Kingdom; carrageenan, which has been shown to create inflammation and digestive issues in animals; and dimethylpolysiloxane, a silicone compound that reduces foaming.

In one restaurant, breading for the chicken contained yellow food dye No. 5, and may also contain yellow No. 6, red No. 3, red No. 40, blue No. 1 or blue No. 2. Red No. 40, yellow No. 5 and yellow No. 6 contain benzidene, a known carcinogen.

A common additive in tortillas was calcium propionate: Children who daily ate bread with this preservative experienced irritability, restlessness, poor attention and sleep issues, a 2002 clinical trial found. A 2019 study showed the additive may contribute to insulin resistance, a precursor of type 2 diabetes.

Dressings added to the entrée could include butylated hydroxytoluene, or BHT, a synthetic chemical the European Food Safety Authority says is linked with cancer, liver tumors and more in animals and allergies in people. CNN also found titanium dioxide, which the EU agency says is no longer safe due to genotoxicity, or the ability to damage DNA.

What to do? Purchase a tortilla with the fewest ingredients by checking the Environmental Working Group’s food scores. Build your wrap at home from chicken you prepared and add fresh leafy greens and other veggies. Opt for olive oil, vinegar and spices as a dressing.

Cobb salad

How could a Cobb salad be ultraprocessed — it’s a salad, right? But if you buy a grab-and-go version, the chicken may include the additive sodium phosphate, which can cause vascular damage, especially in people with kidney disease.

Chicken in Cobb salads may also contain dimethylpolysiloxane, which reduces foaming; and monosodium glutamate, or MSG, which the FDA says has been linked to “headache, numbness, flushing, tingling, palpitations and drowsiness” at higher doses.

Dressings provided with the salads had ingredients such as butylated hydroxytoluene, or BHT, an additive the European Food Safety Authority says is linked with cancer, liver tumors and more in animals and allergies in people. CNN also found titanium dioxide, an additive the EU agency says is no longer safe due to genotoxicity, or the ability to damage DNA.

But it’s the fat and sodium levels that are most concerning. Salt levels climbed as high as 1,625 milligrams without dressing — the American Heart Association suggests an ideal limit of 1,500 milligrams a day for most adults.

Levels of saturated fat — the kind that clogs arteries — ranged from 4.5 grams to 9 grams. The AHA guidelines recommend no more than 13 grams of saturated fat a day.

Dressings that came with the salads can add about 5 grams of saturated fat and contained scores of ingredients — one had about 30 in one small packet. In fact, the ingredient lists for Cobb salads CNN examined (including dressing) ranged from about 34 to 100 components.

What to do? Build your salad at home using fresh vegetables and dress your salad with extra-virgin olive oil and vinegar. Skip the bacon and instead of chicken consider tasty, inexpensive and protein-packed legumes such as chickpeas and black, kidney, pinto and white beans.

Chicken nuggets

It’s likely no surprise many chicken nuggets and tenders aren’t good for you — after all, they are breaded and fried, which adds fat, salt and calories. However, eight pieces of one popular nugget contained 1.5 grams of trans fat, which has been banned in the United States and other countries, and 11 grams of saturated fat, the kind that clogs ateries. That brand also had more than 35 ingredients.

Additives in other chicken nuggets and strips include dimethylpolysiloxane, which reduces foaming, and monosodium glutamate, or MSG, which the FDA says has been linked to “headache, numbness, flushing, tingling, palpitations and drowsiness” at higher doses. Other additives include the pesticide sodium diacetate, which adds sourness and fights the growth of fungus and bacteria.

The nugget could also contain yellow food dye No. 5, yellow No. 6, red No. 3, red No. 40, blue No. 1 or blue No. 2. In the European Union, labels on any products containing dyes must say the colorings may affect activity and attention span in children. In addition, red No. 40, yellow No. 5 and yellow No. 6 contain benzidene, a known carcinogen.

What to do? Choose grilled chicken meat, which is better for you nutritionally. But unless you make it at home yourself, the two grilled options CNN found had up to 28 ingredients, and one had more than 1,000 milligrams of sodium. The American Heart Association suggests an ideal limit of 1,500 milligrams a day for most adults.

Instant ramen

Ramen are noodles made with a lye water called kansui, a mixture of potassium carbonate and sodium carbonate that makes the noodle elastic, chewy and yellow — without those properties, a noodle cannot be called ramen.

While those two additives aren’t concerning, some popular instant ramen on the market are preserved with tertiary butylhydroquinone, or TBHQ, a petroleum-based chemical that makes the noodles hard to digest, allowing chemicals to linger in the digestive system.

Animal studies have found TBHQ may lower immune response to flu and Covid-19 vaccines, and may even alter DNA. The additive also may play various roles — pro and con — in the development of cancer.

Instant ramen served in broth is highly processed — there were about 60 ingredients in product lists CNN examined. In addition, the noodles offer little nutrition. They are low in fiber, minerals, protein and vitamins, and high in saturated fat — 6.6 grams per package. That’s more than one-third of the recommended daily amount.

Ramen seasoning is notoriously high in sodium, often over 1,000 milligrams per package. One brand CNN found had 1,870 milligrams, nearly the recommended daily limit of 2,300 milligrams in just one meal.

What to do? Don’t make ramen a staple in your diet. When you do have a craving, visit the Environmental Working Group database and choose a product with the fewest additives and least amount of salt and saturated fat.

Veggie burger

Congratulations! By choosing a plant-based burger, burrito or taco salad you are helping save the planet. Unfortunately, making plants taste like meat requires ultraprocessing — in fact, the heme that makes one alt-burger “bleed” is genetically modified. (Another brand uses beets for the effect.)

Manufacturers use coconut oil to make the faux meat “sizzle,” but about 85% of coconut oil is saturated fat — the kind that leads to clogged arteries. Critics have also pointed to plant-based patties’ extremely high sodium levels, which can be three to five times higher than burger meat.

Here’s the good news: There appear to be no concerning additives in these meat lookalikes. That’s great, right? It would be — if you ate the “meat” and threw away the bun, wrap or taco shell.

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Certified dietician nutritionist Loraine Kearney explains how to taste the difference between ultraprocessed and minimally processed bread

The wrap or taco shell could contain sodium metabisulfite, a compound linked to allergic reactions in 3% to 10% of people with asthma, especially those who are on steroids and children with chronic asthma. The common additive calcium propionate was found: A 2019 study by Harvard researchers showed the additive may contribute to insulin resistance, a precursor of type 2 diabetes.

An emulsifier called lactic acid ester of monoglycerides and diglycerides of fatty acids, or E472b, could also be in the bun — it was associated with higher risk of cardiovascular disease and strokes in a recent study.

What to do? Make your own black bean burgers at home or use the product rankings at the Environmental Working Group to find store brands of alt-meat products with less sodium and manufactured buns with fewer additives.

Fruit drink

Pining for some “all-natural” lemonade or a tasty fruit-flavored offspring? Be wary. A small (12-ounce) serving of one restaurant’s all-natural lemonade contained 49 grams of sugar. That’s more than 12 teaspoons — well over the American Heart Association’s recommendation of 6 teaspoons (25 grams) or less a day for women and 9 teaspoons (36 grams) or less for men.

When strawberry, blueberry, pomegranate, pineapple or mango are added to that all-natural lemonade, added sugars soar to between 58 grams and 63 grams for a small drink. That’s about 15 teaspoons!

Most of the ingredient lists of commercial orange, strawberry, punch and yellow carbonated sodas and power drinks sold at major fast-food restaurants CNN examined contained the preservatives sodium benzoate or potassium benzoate or both. In warm conditions or if exposed to ultraviolet light, sodium benzoate can react with vitamin C — which is added to some fruit drinks — to become benzene, a known carcinogen. The US Food and Drug Administration says the amount of benzene produced in these beverages is within safe levels, although some studies have recorded higher exposures.

Many of the fruity drink choices also contained yellow dye No. 5 or No. 6 or red dye No. 40 and the anti-foaming agent dimethylpolysiloxane.

What to do? Drink water, of course! You can add sliced fresh fruit or berries for flavor. If you prefer your still or sparkling water bottled, don’t be surprised if it contains four ingredients: purified water, calcium chloride, sodium bicarbonate, and magnesium sulfate, or salt. It turns out plain water is too bland for consumer taste buds, so manufacturers add a touch of salt and minerals.

Black coffee, unsweetened brewed tea, low-fat milk and 100% orange juice in moderation (too much can be unhealthy) are other options without additives that are available at many take-out restaurants.

Soda

Regular and diet sodas typically contained eight to 11 ingredients, including one or more additives such as food dyes, preservatives and dimethylpolysiloxane, which reduces foaming in foods and liquids.

Many of the sodas contained sodium benzoate or potassium benzoate, which fight the growth of fungus and bacteria. In beverages, sodium benzoate has been linked to inflammation and ADHD hyperactivity in children and young adults. Lab studies have also shown sodium benzoate reduces leptin, a hormone that tells you when you are full.

In warm conditions or if exposed to ultraviolet light, sodium benzoate can react with vitamin C — which is added to some soft drinks and other beverages — to become benzene, a known carcinogen. The US Food and Drug Administration says the amount of benzene produced in these beverages is within safe levels, although some studies have recorded higher exposures.

But it’s the role sugary sodas play in the obesity epidemic that has most nutritionists concerned. A typical 12-ounce soda has about 39 grams of sugar, often via high-fructose corn syrup, which has been connected to inflammation.

That amount of sugar in a single drink — nearly 10 teaspoons — exceeds the American Heart Association’s recommended limit of 6 teaspoons (25 grams) or less a day for women and 9 teaspoons (36 grams) or less for men. Drinking one to two sugary beverages a day has been linked to a higher risk of liver damage, heart disease, stroke and early death.

And while zero-calorie beverages may not raise blood sugar levels, they are associated with weight gain — perhaps due to changes in the brain’s reward system. The World Health Organization advises people to not use sugar substitutes for weight loss. Noncaloric and low-calorie sweeteners are also connected to an increased risk of stroke, heart disease, migraines, dementia, diabetes and cancer.

What to do? Drink water, of course! You can add sliced fresh fruits or berries for flavor. If you prefer your still or sparkling water bottled, don’t be surprised if it contains four ingredients: purified water, calcium chloride, sodium bicarbonate, and magnesium sulfate, or salt. It turns out plain water is too bland for consumer taste buds, so manufacturers add a touch of salt and minerals.

Black coffee, unsweetened brewed tea, low-fat milk and 100% orange juice in moderation (too much can be unhealthy) are other options without additives that are available at many take-out restaurants.

Water

Congratulations! Water is the healthiest choice to drink at every meal. Pure water is key to keeping the body working at peak capacity: Men should drink 13 cups and women 9 cups of water each day, according to nutritional guidelines.

Not a fan of plain water? It’s easy to turn tap or filtered water into something special with crushed berries, mint, slices of lemon, lime or cucumber, or a splash of 100% juice.

If you like your water from a bottle, be aware that most brands of purified water do add a few minerals to tickle your taste buds. That brings the ingredient count of many major bottled waters to four: purified water, calcium chloride, sodium bicarbonate, and magnesium sulfate or a trace of salt.

If you’re intrigued by flavored waters, check the ingredients first to be sure they don’t include added preservatives, sugars or artificial sweeteners. Many flavored waters CNN examined say they have only two ingredients: carbonated water and “natural flavors.” Unfortunately, manufacturers don’t disclose what goes into those “natural” flavors, considered by the US Food and Drug Administration as GRAS, which means “generally recognized as safe.”

French fries

Manufactured french fries and onion rings are definitely ultraprocessed. Potatoes and onions may undergo mincing, cutting, steaming, freezing and prefrying manufacturing processes that degrade nutrients and strip color and taste from the vegetables. Taste and texture are often added back via proprietary mixtures of sugars, salt, flavors and artificial colors designed to tickle your taste buds.

Often arriving at the restaurant frozen or dehydrated, the reconstituted onion rings and potato strips are then deep-fried (for the second time) and sprinkled with salty, spicy or cheesy flavorings. All that extra fat and salt helps create our addictive “can’t eat just one” behavior — possibly setting us up for future heart disease and even early death.

Consider this: One medium serving of a popular waffle fry has 24 grams of fat, of which 4 grams come from saturated fat — the kind that clogs arteries and jump-starts heart disease. Another restaurant’s large serving of seasoned fries comes with 57 grams of fat (10 grams saturated); while a large serving of Cajun fries contains 42 grams of fat (15 grams saturated). The American Heart Association recommends no more than 13 grams of saturated fat per day.

Yet another chain sells bacon cheese fries with 52 grams of fat (21 grams saturated) and limited offerings of over-the-top fries: One such option had an astonishing 117 grams of fat — 49 grams of which are saturated. That’s the equivalent of eating nearly four days of your saturated fat allowance in one sitting.

What to do? Check nutrition facts before you order, and treat fries and onion rings as an occasional indulgence, like a decadent dessert. Better yet — make yours from scratch at home with an air fryer.

Side salad

Congratulations! Sans dressing, you’ve picked a healthy side for your lunch. Of course, salads can differ in nutrients depending on the variety of colorful vegetables — there is a good reason nutritionists tell us to “eat the rainbow.” But even a simple salad of lettuce and tomatoes is more nourishing than high-fat, calorie-dense chips or fries.

Unfortunately, there are fewer fast-food side salads these days: During the pandemic, some fast-food restaurants cut costly, time-intensive or less popular items such as salads, fruit cups and yogurts — and they have yet to bring them back.

While salad veggies are healthy, unless you eat your salad naked, the news gets worse. The oils used to make popular salad dressings are full of calories from fat. While mono- and polyunsaturated fats are healthy, saturated fat can clog arteries and lead to heart disease.

The American Heart Association recommends no more than 13 grams of saturated fat per day. However, ranch dressing has 2 grams of saturated fat in every 2 tablespoons; Caesar dressing has 2.5 grams; blue cheese has 4 grams; and avocado dressing from one restaurant had 5 grams of saturated fat.

Some commercial salad dressings may also contain preservatives and food dyes such as yellow No. 5 and yellow No. 6, which contain benzidene, a known carcinogen. Calcium disodium EDTA, which is banned from drinks in the United Kingdom, is also common.

What to do? Check nutrition labels before you buy and choose an option with the least amount of fat and additives — the Environmental Working Group’s food scores can help. Dress those greens with a splash of oil and vinegar or lemon instead, and learn to make your own healthier salad dressings at home.

Chips

Reading the ingredient list for some chips can be confusing: How can a product made of just three ingredients — potatoes, oil and salt — be bad for you? This is a case where the number of ingredients doesn’t tell the whole story. It’s the amount of fat from oils and the levels of sodium (and even sugar), along with the way the chip is processed that can make it unhealthy.

Consider a kernel of corn just taken off the cob. If flash frozen and put into the freezer section of the grocery, it retains its matrix of vitamins, minerals, fiber and micronutrients. When made into a chip, however, that kernel may be boiled, mashed, extruded, pressed, baked and fried.

The matrix of nutrients has been destroyed, which experts say changes both the way our bodies use the food and how the brain perceives fullness. Flavor is then added back via artificial colors, aromas, chemical flavorings, and highly processed starches and flours, which along with added sugars and salt are designed to make that chip uniquely delicious. Have you ever wondered “Why can’t I just eat one?”

When it comes to fat content, baked corn and potato chips appeared to have the least amount of fat — about 6 grams and 3.5 grams, respectively. For fried chips with sour cream, cheese or jalapeño flavorings, however, the fat content shot up to between 8 grams and 11 grams, and saturated fat, the type that clogs arteries, appeared.

Chips made by one restaurant chain had fat content between 11 grams and 18 grams per bag, with about 3 grams of saturated fat. All but one of these house chips also had about 3 grams of added sugar per package — yet another way to keep you reaching into the bag.

What to do? Make chips at home with an air fryer, or plan ahead by bringing purchasing healthier chips at the grocery store — check out the food scores at the Environmental Working Group for options.

Yogurt

Congratulations! You’re obviously interested in healthier food choices. All animal-based products contain saturated fat that can clog arteries, but studies on dairy products find yogurt to be associated with less weight gain. The tangy food is also packed with calcium, protein, B vitamins and minerals. Experts say limiting dairy to 1 cup (250 grams) a day is healthiest for people and the planet.

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Certified dietician nutritionist Loraine Kearney explains how to look for minimally processed yogurt in the grocery store

Unsweetened Greek and Icelandic skyr yogurts may be the healthiest. They have double the protein of regular yogurt due to a straining process that removes whey and some sugars. However, most options at the grocery store are fruit-flavored, which typically have heaps of added sugars. For example, one 6-ounce yogurt cup can have 2.5 teaspoons to 4 teaspoons of added sugar — the American Heart Association recommends no more than 6 teaspoons a day for women and 9 teaspoons for men.

CNN found no unsweetened yogurts on the menus of popular fast-food and take-out restaurants. Instead, yogurt parfaits were laced with added sugars and ultraprocessed granola or cookie crumbs — a few healthier options added nuts, dried fruits or probiotic cultures, but even those had a good bit of added sugar.

One blueberry option included carrageenan, which has been shown to create inflammation and digestive issues in animals, along with food dyes red No. 40 and blue No. 1. Red No. 40 contains benzidene, a known carcinogen.

What to do? Choose plain yogurt and sweeten with fresh fruit and a sprinkle of nuts. Use Environmental Working Group’s food scores to find the healthiest options at the grocery store. Consider fast food yogurt parfaits to be an occasional treat, like a dessert.

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