{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:17:22Z","timestamp":1789154242805,"version":"build-2803163510"},"reference-count":50,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"International Event Participation Support Fund (FAPEI) of the Universidad del B\u00edo-B\u00edo","award":["FP2531812"],"award-info":[{"award-number":["FP2531812"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Ultra-processed food (UPF) consumption has increased significantly in Latin America and Spain, impacting both health and environmental sustainability. To our knowledge, this is the first multicenter study to examine the association between UPF consumption and sustainable lifestyle behaviors in Latin America and Spain. Objective: To evaluate the association between UPF consumption and sustainable lifestyle behaviors in Latin America and Spain. Methods: This was an observational, analytical, multicenter, cross-sectional study. A validated, self-administered online questionnaire was distributed in 14 countries between March 2023 and January 2024. The survey collected sociodemographic data, UPF intake (classified using the NOVA system), body mass index and sustainable lifestyle behaviors (food, transport, environment). Multivariate linear regression models were applied to assess associations, adjusting for age, sex, smoking, physical activity and BMI. Results: Among 6009 adults (mean age: 34.98 \u00b1 12.55; 79.5% women), those with the highest consumption of UPF (fast food, beverages and juices, salty snacks and sweet snacks) were significantly more likely to be in the least sustainable quartile compared to those who did not consume these food products ((OR = 2.51; 95% CI: 1.79\u20133.54), (OR = 1.82; 95% CI: 1.50\u20132.22), (OR = 1.51; 95% CI: 1.32\u20131.73) and (OR = 1.42; 95% CI: 1.20\u20131.67), respectively, with p values &lt; 0.001). Conclusions: High consumption of ultra-processed foods (UPFs) is inversely associated with sustainable lifestyles. These findings position UPF consumption not only as a health problem but also as a key indicator of unsustainable lifestyles.<\/jats:p>","DOI":"10.3390\/nu18020365","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T17:52:38Z","timestamp":1769190758000},"page":"365","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Consumption of Ultra-Processed Foods and Sustainable Lifestyles: A Multicenter Study"],"prefix":"10.3390","volume":"18","author":[{"given":"Eliana Romina","family":"Meza-Miranda","sequence":"first","affiliation":[{"name":"Centro Multidisciplinario de Investigaciones Tecnol\u00f3gicas, Universidad Nacional de Asunci\u00f3n, Campus San Lorenzo, San Lorenzo 2160, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8443-7327","authenticated-orcid":false,"given":"Solange","family":"Parra-Soto","sequence":"additional","affiliation":[{"name":"Departamento de Nutrici\u00f3n y Salud P\u00fablica, Facultad Ciencias de la Salud y de los Alimentos, Universidad del B\u00edo-B\u00edo, Chill\u00e1n 3780000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8970-1150","authenticated-orcid":false,"given":"Leslie","family":"Landaeta-D\u00edaz","sequence":"additional","affiliation":[{"name":"Escuela de Nutrici\u00f3n y Diet\u00e9tica, Facultad de Salud y Ciencias Sociales, Universidad de Las Am\u00e9ricas, Santiago 8330015, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israel","family":"Rios-Castillo","sequence":"additional","affiliation":[{"name":"Oficina Subregional de la FAO en Mesoam\u00e9rica, Organizaci\u00f3n de las Naciones Unidas Para la Alimentaci\u00f3n y la Agricultura (FAO), Panam\u00e1 City 0843-00006, Panama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4966-1219","authenticated-orcid":false,"given":"Patricio","family":"P\u00e9rez-Armijo","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Isabel I, 09003 Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tannia Valeria","family":"Carpio-Arias","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n en Alimentaci\u00f3n y Nutrici\u00f3n Humana (GIANH), Facultad de Salud P\u00fablica, Escuela Superior Polit\u00e9cnica de Chimborazo, Riobamba 060104, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macarena","family":"Jara Nercasseau","sequence":"additional","affiliation":[{"name":"Escuela de Nutrici\u00f3n y Diet\u00e9tica, Facultad de Ciencias de la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebastian, Providencia 7500000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"Departamento de Bioqu\u00edmica, Escuela de Medicina, Universidad de Costa Rica, Montes de Oca, San Jos\u00e9 2060, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4360-4686","authenticated-orcid":false,"given":"Brian M.","family":"Cavagnari","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias M\u00e9dicas, Pontificia Universidad Cat\u00f3lica Argentina, Av. 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M.","family":"Lima","sequence":"additional","affiliation":[{"name":"Health & Technology Research Center (H&TRC), Coimbra Health School, Polytechnic University of Coimbra, 3045-043 Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge de Assis","family":"Costa","sequence":"additional","affiliation":[{"name":"Departamento de Ci\u00eancias Humanas e Linguagens (DCHL), Universidade do Estado de Minas Gerais (UEMG), N\u00facleo de Estudo e Pesquisa em Educa\u00e7\u00e3o e Sa\u00fade (NEPES), Ub\u00e1 36500-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jairo","family":"Torres","sequence":"additional","affiliation":[{"name":"FoodChemPack Research Group, Department of Analytical Chemistry, Nutrition and Food Science, Faculty of Pharmacy, University of Santiago de Compostela, Campus Vida, 15782 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saby","family":"Mauricio","sequence":"additional","affiliation":[{"name":"Programa Acad\u00e9mico Nutrici\u00f3n y Diet\u00e9tica, Facultad de Ciencias de la Salud, Universidad Privada Norbert Wiener, Lima 15000, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3372-7719","authenticated-orcid":false,"given":"Saby","family":"Camacho","sequence":"additional","affiliation":[{"name":"Direcci\u00f3n de Ciencias de la Salud, Facultad de Ciencias de la Salud, Universidad Latinoamericana, Lottus Education, Ciudad de M\u00e9xico 14380, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria Maricela","family":"Morales","sequence":"additional","affiliation":[{"name":"Instituto Salvadore\u00f1o de Bienestar Magisterial (ISBM), Policl\u00ednico de San Salvador y Centro de Hemodi\u00e1lisis de El Salvador, San Salvador 503, El Salvador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0548-3676","authenticated-orcid":false,"given":"Samuel","family":"Dur\u00e1n-Ag\u00fcero","sequence":"additional","affiliation":[{"name":"Escuela de Nutrici\u00f3n y Diet\u00e9tica, Facultad de Ciencias de la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebastian, Providencia 7500000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Haththotuwa, R.N., and Wijeyaratne, C.N. 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