Regulatory responses to ultra-processed foods are skewed towards behaviour change and not food system transformation

Abstract

Growing evidence suggests that diets high in ultra-processed foods (UPFs) are harming human and planetary health. UPFs therefore pose a complex regulatory challenge, yet, to date, little research has systematically assessed how governments have responded to UPFs in national food policies. Here we analyse data from the NOURISHING database to assess the scope and strength of UPF-related regulatory interventions worldwide, using three frameworks—namely, NOURISHING, the Nuffield Ladder and the Modalities of Control framework. Of the 417 UPF-related measures identified, most imply food processing or mention UPF examples rather than refer to processing or UPFs specifically. The scope of action is narrow; 85.9% of interventions change the food environment, largely represented by nutrition labelling. The strength of action is limited; interventions are skewed towards informational measures to influence consumer choice, and 47.1% of measures use consensus to shape food business conduct. These findings highlight an opportunity to broaden the scope and strength of UPF-related regulation.