1⃣ +++ Observational studies link ⬆️total UPF to bad health outcomes.
2⃣ But sub-analysis by UPF type indicates that only a few UPFs are driving these associations (mainly fizzy pop🥤 & ultra-processed animal products🥓).
3⃣ The aforementioned observational studies usually control for diet quality & energy intake... this is NOT about whether junk food is bad for health (we pretty much know it is).
The key question is whether ultra-processing is intrinsically harmful.
4⃣ Kevin Hall et al's metabolic ward trial confirms that minimally processed foods are less obesogenic than HFSS (junk food).
But does not tell us much (nothing in my view) about whether UPF is intrinsically harmful.
A meal containing animal flesh was found to be more anabolic compared to a protein-equated whole-food plant-based dish in older adults:
⬆️ EAA
⬆️ Peak EAA
⬆️ Leucine
⬆️ Peak leucine
⬆️ Muscle protein synthesis
⬆️ Whole body protein synthesis
Some thoughts 👇🧵
This result is what many of us would have predicted... as whole plant foods contain more anti-nutritional factors as well as fibre (which may impair absorption/speed of amino acids).
But it's good to see this confirmed in a controlled study.
This study was on older adults & due to anabolic resistance this population may require more total protein & may be less able to extract protein from whole plant foods.
It would be good to see this study repeated on younger adults from my POV.