Xu Y, Gong M, Wang Y, Yang Y, Liu S, Zeng Q. Global trends and forecasts of breast cancer incidence and deaths. Sci Data. 2023;10(1):334.

Article  PubMed  PubMed Central  Google Scholar 

Clinton SK, Giovannucci EL, Hursting SD. The world cancer research fund/American institute for cancer research third expert report on diet, nutrition, physical activity, and cancer: impact and future directions. J Nutr. 2020;150(4):663–71.

Article  PubMed  Google Scholar 

Marino P, Mininni M, Deiana G, Marino G, Divella R, Bochicchio I, et al. Healthy lifestyle and cancer risk: modifiable risk factors to prevent cancer. Nutrients. 2024;16(6):800.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Zamzam S, Said S, Yaghi J, Faisal FS, Hassan D, Abdul Majeed S, et al. Dietary patterns associated with breast cancer in the middle east: a scoping review. Nutrients. 2024;16(5):579.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Dianatinasab M, Rezaian M, HaghighatNezad E, Bagheri-Hosseinabadi Z, Amanat S, Rezaeian S, et al. Dietary patterns and risk of invasive ductal and lobular breast carcinomas: a systematic review and meta-analysis. Clin Breast Cancer. 2020;20(4):e516–28.

Article  PubMed  Google Scholar 

Karimi M, Asbaghi O, Hooshmand F, Aghayan AH, Shariati AA, Kazemi K, et al. Adherence to mediterranean diet and breast cancer risk: a meta-analysis of prospective observational studies. Health Sci Rep. 2025;8(4): e70736.

Article  PubMed  PubMed Central  Google Scholar 

Carrera-Bastos P, Fontes-Villalba M, O’Keefe JH, Lindeberg S, Cordain L. The Western diet and lifestyle and diseases of civilization. Res Rep Clin Cardiol. 2011. https://doi.org/10.2147/RRCC.S16919.

Article  Google Scholar 

Monteiro CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev. 2013;14:21–8.

Article  PubMed  Google Scholar 

Askari M, Heshmati J, Shahinfar H, Tripathi N, Daneshzad E. Ultra-processed food and the risk of overweight and obesity: a systematic review and meta-analysis of observational studies. Int J Obes. 2020;44(10):2080–91.

Article  Google Scholar 

Luiten CM, Steenhuis IH, Eyles H, Mhurchu CN, Waterlander WE. Ultra-processed foods have the worst nutrient profile, yet they are the most available packaged products in a sample of New Zealand supermarkets. Public Health Nutr. 2016;19(3):530–8.

Article  PubMed  Google Scholar 

Machado PP, Steele EM, Levy RB, Sui Z, Rangan A, Woods J, et al. Ultra-processed foods and recommended intake levels of nutrients linked to non-communicable diseases in Australia: evidence from a nationally representative cross-sectional study. BMJ Open. 2019;9(8): e029544.

Article  PubMed  PubMed Central  Google Scholar 

Monteiro CA, Cannon G, Levy R, Moubarac J-C, Jaime P, Martins AP, et al. NOVA. The star shines bright. World Nutrition. 2016;7(1–3):28–38.

Google Scholar 

Cox S, Sandall A, Smith L, Rossi M, Whelan K. Food additive emulsifiers: a review of their role in foods, legislation and classifications, presence in food supply, dietary exposure, and safety assessment. Nutr Rev. 2021;79(6):726–41.

Article  PubMed  Google Scholar 

ELshreif HM, Elkhoudary M, Abdel-Salam RA, Hadad G, El-Gendy A. A review on food additives from the definition, and types to the method of analysis. Records Pharmaceut Biomed Sci. 2023;7(1):48–64.

Article  Google Scholar 

de Deus MR, Pimenta AM, Gea A, de la Fuente-Arrillaga C, Martinez-Gonzalez MA, Lopes ACS, et al. Ultraprocessed food consumption and risk of overweight and obesity: the university of Navarra follow-up (SUN) cohort study. Am J Clin Nutr. 2016;104(5):1433–40.

Article  Google Scholar 

Bancil AS, Sandall AM, Rossi M, Chassaing B, Lindsay JO, Whelan K. Food additive emulsifiers and their impact on gut microbiome, permeability, and inflammation: mechanistic insights in inflammatory bowel disease. J Crohns Colitis. 2021;15(6):1068–79.

Article  PubMed  Google Scholar 

Warner JO. Artificial food additives: hazardous to long-term health? Arch Dis Child. 2024;109(11):882–5.

Article  PubMed  Google Scholar 

Rico-Campà A, Martínez-González MA, Alvarez-Alvarez I, de Deus MR, De La Fuente-Arrillaga C, Gómez-Donoso C, et al. Association between consumption of ultra-processed foods and all cause mortality: SUN prospective cohort study. BMJ. 2019. https://doi.org/10.1136/bmj.l1949.

Article  PubMed  PubMed Central  Google Scholar 

Srour B, Fezeu LK, Kesse-Guyot E, Allès B, Debras C, Druesne-Pecollo N, et al. Ultraprocessed food consumption and risk of type 2 diabetes among participants of the NutriNet-Santé prospective cohort. JAMA Intern Med. 2020;180(2):283–91.

Article  PubMed  Google Scholar 

Srour B, Fezeu LK, Kesse-Guyot E, Allès B, Méjean C, Andrianasolo RM, et al. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ. 2019;50:365.

Google Scholar 

Isaksen IM, Dankel SN. Ultra-processed food consumption and cancer risk: a systematic review and meta-analysis. Clin Nutr. 2023;42(6):919–28.

Article  CAS  PubMed  Google Scholar 

Fiolet T, Srour B, Sellem L, Kesse-Guyot E, Allès B, Méjean C, et al. Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ. 2018;22:360.

Google Scholar 

Chandran U, McCann SE, Zirpoli G, Gong Z, Lin Y, Hong C-C, et al. Intake of energy-dense foods, fast foods, sugary drinks, and breast cancer risk in African American and European American women. Nutr Cancer. 2014;66(7):1187–99.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Nouri M, Mansouri F, Jafari F, Ranjbar Zahedani M, Jalali S, Heidari Z, et al. Association between processed and ultra-processed food intake and the risk of breast cancer: a case-control study. BMC Cancer. 2024;24(1):1234.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Romaguera D, Fernández-Barrés S, Gracia-Lavedán E, Vendrell E, Azpiri M, Ruiz-Moreno E, et al. Consumption of ultra-processed foods and drinks and colorectal, breast, and prostate cancer. Clin Nutr. 2021;40(4):1537–45.

Article  CAS  PubMed  Google Scholar 

Shu L, Zhang X, Zhu Q, Lv X, Si C. Association between ultra-processed food consumption and risk of breast cancer: a systematic review and dose-response meta-analysis of observational studies. Front Nutr. 2023;10:1250361.

Article  PubMed  PubMed Central  Google Scholar 

Sohrabi C, Franchi T, Mathew G, Kerwan A, Nicola M, Griffin M, et al. PRISMA 2020 statement: what’s new and the importance of reporting guidelines. Elsevier; 2021. p. 105978.

Google Scholar 

Peterson J, Welch V, Losos M, Tugwell PJ. The Newcastle-Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Hosp Res Inst. 2011;2(1):1–2.

Google Scholar 

Symons M, Moore D. Hazard rate ratio and prospective epidemiological studies. J Clin Epidemiol. 2002;55(9):893–9.

Article  CAS  PubMed  Google Scholar 

Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557–60.

Article  PubMed  PubMed Central  Google Scholar 

Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50:1088–101.

Article  CAS  PubMed  Google Scholar 

Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315(7109):629–34.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Duval S, Tweedie R. Trim and fill: a simple funnel-plot–based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56(2):455–63.

Article  CAS  PubMed  Google Scholar 

Chang K, Gunter MJ, Rauber F, Levy RB, Huybrechts I, Kliemann N, et al. Ultra-processed food consumption, cancer risk and cancer mortality: a large-scale prospective analysis within the UK Biobank. EClinicalMedicine. 2023;56:101840.

Article  PubMed  PubMed Central