Ultra-processed foods linked to increased risk of Crohn’s disease

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Regular consumption of ultra-processed foods may increase the risk of developing Crohn’s disease because these products alter the gut microbiome and induce an immune response that would cause the disease.

Abusing ultra-processed foods is harmful to health because, among other things, they usually contain too much salt, added sugar and fat, and there is increasing scientific evidence that advises against their regular consumption. Now, new research has found that including a large amount of these items in the diet may increase the risk of developing Crohn’s disease (CD), an inflammatory bowel disease characterized by recurrent episodes of abdominal pain and diarrhea.

The researchers analyzed data from five previous studies (carried out between 2020 and 2022) involving more than one million people, aged 43 to 56, and more than half of whom were women. They considered ultra-processed foods to be those that presented chemical alterations such as artificial colors or flavors; for example, processed meats such as chicken nuggets, sauces, soft drinks, some breakfast cereals and pastries and industrial breads, among others.

During follow-up, 916 individuals developed Crohn’s disease and the risk was found to be higher in participants who ate more ultra-processed foods compared to those with less consumption, and that the risk was also lower for participants with higher consumption of unprocessed foods. or minimally processed compared to those who had a lower consumption of ultra-processed foods.

“Ultra-processed foods can have negative implications for intestinal health in the long term and contain additives and substances to improve their flavor or shelf life that are not in our usual diet”

However, no associations were found between the intake of ultra-processed foods and the risk of suffering from ulcerative colitis, a disease in which sudden and acute outbreaks of intestinal irritation occur due to certain triggering factors. The findings have been published in the journal Clinical Gastroenterology and Hepatology.

“Based on the emerging literature, we know that ultra-processed foods can have negative implications for long-term gut health and contain additives and substances to improve their taste or shelf life, including chemicals that are not in our regular diet. Its intake increases the risk of Crohn’s disease,” said Neeraj Narula, a professor at McMaster University (Canada), who led the study.

Diet increases incidence of inflammatory bowel disease

Narula has explained that the rates of inflammatory bowel disease have increased in North America and Europe since the second half of the 20th century, and that its incidence is also increasing now in emerging industrializing countries in Latin America, Asia and the Middle East, which he attributes to the “westernization” of diets that includes a greater consumption of ultra-processed foods.

Crohn’s disease is also related to non-Mediterranean diets, the high consumption of red meat, and a lower presence of fiber, zinc and potassium in the daily diet, according to this expert. “The causes of inflammatory bowel disease (IBD) are relatively unknown, and we have theorized that a combination of genetic, environmental, and microbial factors are involved. Ultra-processed foods alter the microbiome toward dysbiosis, causing the immune system to react against certain microorganisms in the gut and triggering an inflammatory pathway that leads to Crohn’s disease.” “In addition to Crohn’s disease, these foods carry other health risks, such as diabetes, high blood pressure, and cardiovascular disease,” adds Narula.

Research has also found that ultra-processed foods, however, do not seem to have anything to do with the development of ulcerative colitis. According to Narula, this could be due to the fact that Crohn’s disease has a long preclinical phase, since -he points out- the PREDICTS study (published in 2020 in Gastroenterology) revealed that patients with Crohn’s disease can have biomarkers present in their blood for up to five years before being diagnosed.

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