Publication type
Journal Article
Series Number
Authors
- Phillip Baker
- Scott Slater
- Mariel White
- Benjamin Wood
- Alejandra Contreras
- Camila Corvalán
- Arun Gupta
- Karen Hofman
- Petronell Kruger
- Amos Laar
- Mark Lawrence
- Mikateko Mafuyeka
- Melissa Mialon
- Carlos A. Monteiro
- Silver Nanema
- Sirinya Phulkerd
- Barry M. Popkin
- Paulo Serodio
- Katherine Shats
- Christoffer Van Tulleken
- Marion Nestle
- Simón Barquera
Publication date
November 18, 2025
Summary:
The rise of ultra-processed foods (UPFs) in human diets is harming global public health. However, policy responses are still emerging—much like tobacco control efforts decades ago—indicating the need to understand root causes and accelerate global action. This paper, the third in a three-part Lancet Series, takes several steps to advance knowledge of these causes, and to inform a global public health response. First, we show that the UPF industry is a key driver of the problem, as its leading corporations and co-dependent actors have expanded and restructured food systems almost everywhere, in favour of ultra-processed diets. The higher profitability of UPFs compared with other types of food fuels this growth, by financially incentivising the ultra-processed business model over alternatives, and generating resources for continued expansion. Second, we highlight that the main barrier to advancing policy responses is the industry's corporate political activities, coordinated transnationally through a global network of front groups, multi-stakeholder initiatives, and research partners, to counter opposition and block regulation. These activities include direct lobbying, infiltrating government agencies, and litigation; promoting corporate-friendly governance models, forms of regulation, and civil societies; and framing debate, generating favourable evidence, and manufacturing scientific doubt. Third, we present strategies for reducing the UPF industry's power in food systems and for mobilising a global public health response. Reducing the UPF industry's power involves disrupting the ultra-processed business model and redistributing resources to other types of food producers; protecting food governance from corporate interference; and implementing robust conflict of interest safeguards in policy making, research, and professional practice. Mobilising a global response includes framing UPFs as a priority global health issue; building powerful global and country-level advocacy coalitions; generating legal, research, and communication capacities to empower advocacy and drive policy change; and ensuring a just transition to low-UPF diets. A coordinated, well resourced global response is essential—one that confronts corporate power, reclaims public policy space, and restructures food systems to prioritise health, equity, and sustainability over corporate profit.
Published in
The Lancet
DOI
https://doi.org/10.1016/S0140-6736(25)01567-3
ISSN
1406736
Subjects
Notes
Covered by over 180 media outlets worldwide
© 2025 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Online Early
#588844
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