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Grant support

The NutriNet-Sante study is supported by the French Ministry of Solidarity and Health, the National Agency for Public Health (Sante Publique France), the National Institute for Health and Medical Research (INSERM), the National Research Institute for Agriculture, Food and Environment (INRAE), the National Conservatory of Arts and Crafts (CNAM), the Center for Epidemiological Research and Statistics (CRESS) and Sorbonne Paris Nord University. Junko Kose and Eloi Chazelas are funded by doctoral fellowships provided by the French Ministry of Education via Sorbonne Paris Nord University. Charlotte Debras is supported by a doctoral fellowship provided by the French National Cancer Institute (INCA). Indira Paz Graniel is supported by a doctoral grant from the Spanish Ministry of Universities (#EST19/00261). The funders had no role in the design of the study; in the collection, analysis, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Analysis of institutional authors

Paz Graniel, Indira Del SocorroAuthor

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April 11, 2022
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Early Access

Ultra-processed food intake and eating disorders: Cross-sectional associations among French adults

Publicated to:Journal Of Behavioral Addictions. 11 (2): 588-599 - 2022-06-01 11(2), DOI: 10.1556/2006.2022.00009

Authors: Figueiredo, Natasha; Kose, Junko; Srour, Bernard; Julia, Chanta; Kesse Guyot, Emmanuelle; Peneau, Sandrine; Alles, Benjamin; Graniel, Indira Paz; Chazelas, Eloi; Deschasaux Tanguy, Melaninie; Debbas, Charlott; Hercberg, Serge; Galan, Pilar; Monteiro, Carlos A; Touvier, Mathilde; Andreeva, Valentina A

Affiliations

1 Nutritional Epidemiology Research Group (EREN), Sorbonne Paris Nord University, INSERM U1153/INRAE U1125/CNAM, Epidemiology and Statistics Research Center (CRESS) - University of Paris, Bobigny, France. - Author
2 Health Services Research Group (RESHAPE), INSERM U1290, Claude Bernard University - Lyon 1, Lyon, France. - Author
3 National Nutrition and Cancer Research Network (NACRE), Jouy-en-Josas, France. - Author
4 Department of Public Health, AP-HP Paris Seine-Saint-Denis Hospital System, Bobigny, France. - Author
5 Human Nutrition Research Group, Department of Biochemistry and Biotechnology, Rovira i Virgili University, Tarragona, Spain. - Author
6 Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil. - Author
Claude Bernard Univ Lyon 1, Hlth Serv Res Grp RESHAPE, INSERM, U1290, Lyon, France - Author
Natl Nutr & Canc Res Network NACRE, Jouy En Josas, France - Author
Paris Seine St Denis Hosp Syst, AP HP, Dept Publ Hlth, Bobigny, France - Author
Rovira & Virgili Univ, Dept Biochem & Biotechnol, Human Nutr Res Grp, Tarragona, Spain - Author
Univ Paris, Sorbonne Paris Nord Univ, Epidemiol & Stat Res Ctr CRESS,INRAE,CNAM, INSERM,Nutr Epidemiol Res Grp EREN,U1153,U1125, Bobigny, France - Author
Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo, Brazil - Author
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Abstract

Data regarding the association between ultra-processed food (UPF) consumption and eating disorders (ED) are scarce. Our aim was to investigate whether UPF intake was associated with different ED types in a large population-based study.43,993 participants (mean age = 51.0 years; 76.1% women) of the French NutriNet-Santé web-cohort who were screened for ED in 2014 via the Sick-Control-One stone-Fat-Food (SCOFF) questionnaire, were included in the analysis. The clinical algorithm Expali TM tool was used to identify four ED types: restrictive, bulimic, binge eating, and other (not otherwise specified). Mean dietary intake was evaluated from at least 2 self-administered 24-h dietary records (2013-2015); categorization of food as ultra-processed or not relied on the NOVA classification. The associations between UPF intake (as percent and reflecting mean daily UPF quantity (g/d) within the dietary intake, %UPF) and ED types were evaluated using polytomous logistic regression models.5,967 participants (13.6%) were categorized as likely ED (restrictive n = 444; bulimic n = 1,575; binge eating n = 3,124; other ED n = 824). The fully-adjusted analyses revealed a positive association between UPF intake and bulimic, binge eating, and other ED: ED risk (odds ratio, OR) for an absolute 10-percentage point incremental increase in %UPF intake were 1.08 (1.01-1.14; P = 0.02), 1.21 (1.16-1.26; P < 0.0001), and 1.11 (1.02-1.20; P = 0.02), respectively. No significant association was detected for restrictive ED.This study revealed an association of UPF intake with different ED types among French adults. Future research is needed to elucidate the direction of the observed associations.

Keywords

anorexia nervosabinge eating disorderbulimia nervosadietepidemiological studyindividualsissueprevalencequestionnairereliabilityultra-processed foodAnorexia nervosaArtificial sweetenerBinge eating disorderBulimia nervosaEating disordersEpidemiological studyUltra-processed food

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Behavioral Addictions due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position 18/155, thus managing to position itself as a Q1 (Primer Cuartil), in the category Psychiatry.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.52. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 1.33 (source consulted: FECYT Feb 2024)
  • Field Citation Ratio (FCR) from Dimensions: 4.29 (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-05, the following number of citations:

  • WoS: 12
  • Scopus: 12

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 49.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 56 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.75.
  • The number of mentions on the social network X (formerly Twitter): 7 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: http://hdl.handle.net/20.500.11797/imarina9258988

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Brazil; France.