Ultra-processed foods and mouth, throat, esophagus cancer risk

November 30, 2023 in Cancer Prevention, Healthy Eating, Nutrition Topics in the News

Ultra-processed foods and mouth, throat, esophagus cancer risk

Eating more ultra-processed foods (UPFs) may be associated with a higher risk of developing cancers of upper aerodigestive tract (including the mouth, throat and oesophagus), according to a new study led by researchers from the University of Bristol and the International Agency for Research on Cancer (IARC). 

The authors of this international study, which analysed diet and lifestyle data on 450,111 adults who were followed for approximately 14 years, say obesity associated with the consumption of UPFs may not be the only factor to blame.

Several studies have identified an association between UPF consumption and cancer, including a recent study which looked at the association between UPFs and 34 different cancers in the largest cohort study in Europe, called the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.

As more evidence emerges about the associations between eating UPFs and adverse health outcomes, researchers from the Bristol Medical School and IARC wanted to explore this further. Since many UPFs have an unhealthy nutritional profile, the team sought to establish whether the association between UPF consumption and head and neck cancer and esophageal adenocarcinoma (a cancer of the esophagus) in EPIC could be explained by an increase in body fat.

The study findings

Results from the team’s analyses showed that eating 10% more UPFs is associated with a 23% higher risk of head and neck cancer and a 24% higher risk of esophageal adenocarcinoma in EPIC. Increased body fat only explained a small proportion of the statistical association between UPF consumption and the risk of these upper-aerodigestive tract cancers.

UPFs have been associated with excess weight and increased body fat in several observational studies. However, in this study the link between eating UPFs and upper-aerodigestive tract cancer didn’t seem to be greatly explained by body mass index and waist-to-hip ratio.

The authors suggest that other mechanisms could explain the association. For example, additives including emulsifiers and artificial sweeteners which have been previously associated with disease risk, and contaminants from food packaging and the manufacturing process, may partly explain the link between UPF consumption and upper-aerodigestive tract cancer in this study.

One of the study’s co-authors said: “UPFs are clearly associated with many adverse health outcomes, yet whether they actually cause these, or whether underlying factors such as general health-related behaviours and socioeconomic position are responsible for the link, is still unclear”.

Further research is needed to identify other mechanisms, such as food additives and contaminants, which may explain the links observed.

This study adds to a growing evidence suggesting a link between UPFs and cancer risk.

Source: European Journal of Nutrition, November 22, 2023

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