{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:57:19Z","timestamp":1791219439598,"version":"4.1.0"},"reference-count":126,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Research, Development, and Innovation Fund of Hungary","award":["FK-23 147390"],"award-info":[{"award-number":["FK-23 147390"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>It has been 15\u2009years since the introduction of the NOVA food-processing classification. While it was designed to identify ultra-processed foods linked to noncommunicable diseases, the NOVA system has a holistic concept that fits with sustainable nutrition. However, NOVA\u2019s connection to other sustainable diet indicators has not been thoroughly explored. The aim was to summarize the research and methodological context of using the NOVA system with other sustainable diet indicators and to investigate NOVA\u2019s synergies and discordance with them. A scoping review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses\u2014Extension for Scoping Reviews (PRISMA-ScR). Studies published between 2009 and 2023 were collected from the Web of Science, Scopus, and PubMed databases. 1612 studies were initially screened; in the selected studies (n\u2009=\u200977), the NOVA system was applied in addition to other sustainable diet indicator(s). The studies were analyzed within a qualitative data analysis framework. 77 studies were analyzed in which healthiness (n\u2009=\u200966), environmental pressure (n\u2009=\u20099), affordability (n\u2009=\u200911), other processing classifications (n\u2009=\u20096), and other sustainable diet indicators (n\u2009=\u200910) were applied with NOVA. Among them, the identified relationships between the NOVA system and other healthfulness indicators were synergistic in the majority of studies (n\u2009=\u200970\/93). For environmental pressure indicators, a mixed picture was observed; the NOVA classification was predominantly synergistic with greenhouse gas emissions (n\u2009=\u20098\/13), while it was mostly discordant with fresh water use (n\u2009=\u20098\/12). Economic affordability was also found to be discordant with the NOVA classification in the majority of studies (n\u2009=\u200910\/16). To complete the NOVA classification with nutrient profiling would be beneficial to identify healthy diets. In the case of the integration of NOVA into sustainable nutrition research, environmental pressure and economic affordability indicators should be controlled to reach optimal trade-offs for more sustainable diets. The application of NOVA is gaining relevance; thus, its methodological adaptation to sustainable nutrition research is necessary.<\/jats:p>","DOI":"10.1093\/nutrit\/nuae207","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T17:32:21Z","timestamp":1737653541000},"page":"771-791","source":"Crossref","is-referenced-by-count":20,"title":["Fifteen Years of NOVA Food-Processing Classification: \u201cFriend or Foe\u201d Among Sustainable Diet Indicators? A Scoping Review"],"prefix":"10.1093","volume":"83","author":[{"given":"Orsolya","family":"Tompa","sequence":"first","affiliation":[{"name":"Department of Science Policy and Scientometrics, Library and Information Centre of the Hungarian Academy of Sciences , Budapest, 1051,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4927-9228","authenticated-orcid":false,"given":"Anna","family":"Kiss","sequence":"additional","affiliation":[{"name":"Department of Science Policy and Scientometrics, Library and Information Centre of the Hungarian Academy of Sciences , Budapest, 1051,","place":["Hungary"]},{"name":"Pro-Sharp Research and Innovation Centre , Budapest, 1145,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e1ndor","family":"So\u00f3s","sequence":"additional","affiliation":[{"name":"Department of Science Policy and Scientometrics, Library and Information Centre of the Hungarian Academy of Sciences , Budapest, 1051,","place":["Hungary"]},{"name":"Faculty of Education and Psychology, ELTE E\u00f6tv\u00f6s Lor\u00e1nd University , Budapest, 1075,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Lakner","sequence":"additional","affiliation":[{"name":"Department of Agricultural Business and Economics, Institute of Agricultural and Food Economics, Hungarian University of Agriculture and Life Sciences , Budapest, 1118,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Raner","sequence":"additional","affiliation":[{"name":"National Institute of Public Health Slovenia , Ljubljana, 1000,","place":["Slovenia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyula","family":"Kasza","sequence":"additional","affiliation":[{"name":"Institute of Food Chain Science, Department of Applied Food Sciences, University of Veterinary Medicine , Budapest, 1078,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e1vid","family":"Szakos","sequence":"additional","affiliation":[{"name":"Institute of Food Chain Science, Department of Applied Food Sciences, University of Veterinary Medicine , Budapest, 1078,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"2025042409562249800_nuae207-B1","year":"2019"},{"key":"2025042409562249800_nuae207-B2","doi-asserted-by":"publisher","first-page":"48","DOI":"10.3389\/fnut.2018.00048","article-title":"A review of the use of linear programming to optimize diets, nutritiously, economically and environmentally","volume":"5","author":"van Dooren","year":"2018","journal-title":"Front Nutr"},{"key":"2025042409562249800_nuae207-B3","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1111\/nbu.12518","article-title":"Healthier and more sustainable diets: what changes are needed in high-income countries?","volume":"46","author":"Steenson","year":"2021","journal-title":"Nutr Bull"},{"key":"2025042409562249800_nuae207-B4","doi-asserted-by":"publisher","DOI":"10.3389\/fsufs.2021.822263","article-title":"A scoping review of indicators for sustainable healthy diets","volume":"5","author":"Harrison","year":"2022","journal-title":"Front Sustain Food Syst"},{"key":"2025042409562249800_nuae207-B5","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1016\/j.ajcnut.2024.01.014","article-title":"Impact of consuming an environmentally protective diet on micronutrients: a systematic literature review","volume":"119","author":"Leonard","year":"2024","journal-title":"Am J Clin Nutr"},{"key":"2025042409562249800_nuae207-B6","author":"Monteiro","year":"2019"},{"key":"2025042409562249800_nuae207-B7","doi-asserted-by":"publisher","first-page":"936","DOI":"10.1017\/S1368980018003762","article-title":"Ultra-processed foods: what they are and how to identify them","volume":"22","author":"Monteiro","year":"2019","journal-title":"Public Health Nutr"},{"key":"2025042409562249800_nuae207-B8","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.advnut.2022.11.006","article-title":"Measuring adherence to sustainable healthy diets: a scoping review of dietary metrics","volume":"14","author":"Machado","year":"2023","journal-title":"Adv Nutr"},{"key":"2025042409562249800_nuae207-B9","doi-asserted-by":"publisher","first-page":"3028","DOI":"10.1017\/S136898002000227X","article-title":"How to protect both health and food system sustainability? 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