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Accumulating evidence links ultra-processed foods to poor diet quality and chronic diseases. Understanding dietary trends is essential to inform priorities and policies to improve diet quality and prevent diet-related chronic diseases. Data are lacking, however, for trends in ultra-processed food intake. We examined US secular trends in food consumption according to processing level from 2001 to 2018. We analyzed dietary data collected by 24-h recalls from adult participants (aged 19 y; N=40,937) in 9 cross-sectional waves of the NHA
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