A new analysis of 30,059 adults from the UK Biobank links what people eat to their risk of depression, anxiety, and addiction related diagnoses, and the study used blood chemistry to probe how that link might work.
Ultra-processed foods (UPF) are industrial formulations with little intact whole-food content, organized by the NOVA classification into the highest processing category that includes items like packaged snacks, instant noodles, sugar sweetened beverages, and many ready to eat meals.
The team then used metabolomics, the measurement of many small molecules in blood at once, to build a metabolic “signature” that tracked with how much of those foods participants ate.
They tracked people for about 12 and a half years, recording new cases of depression, anxiety, and substance use problems, and also checked their symptoms using standard mental health questionnaires that doctors often use in clinics.
Shenghao Yuan of the School of Public Health, Shanghai Jiao Tong University School of Medicine (SHJTU), led the analysis.
The group identified 91 blood metabolites spanning lipoproteins, fatty acids, glucose related markers, and amino acids, and combined them into one score.
For each 10 percent higher share of ultra-processed foods in the diet by weight, the hazard ratio was 1.04 for any mental disorder, 1.14 for depressive disorder, 1.12 for anxiety disorder, and 1.06 for substance use disorder.
People with higher scores on the blood signature also showed higher risks across all four outcomes.
The symptom data lined up with the diagnoses. Each 10 percent higher share of ultra-processed foods was tied to higher odds of suicidal ideation at 1.12, anxiety feeling at 1.05, and unhappiness with health at 1.07.
The blood signature from eating fast food partly explained the link between diet and outcomes.
Mediation estimates suggested the signature accounted for about 24.6 percent of the association with overall mental disorder and about 61.2 percent with substance use disorder.
Findings from this cohort echo earlier epidemiology. In a prospective Nurses’ Health Study II cohort, women with the highest intake had a multivariable hazard ratio of 1.49 for depression compared with the lowest intake.
“These findings suggest that greater UPF intake, particularly artificial sweeteners and artificially sweetened beverages, is associated with increased risk of depression,” reported the Nurses’ Health Study II investigators at Harvard T.H. Chan School of Public Health.
Evidence from short term feeding experiments also points to biological effects of processing itself.
In an inpatient randomized controlled trial, adults ate about 508 extra calories per day on an ultra-processed menu and gained roughly 2 pounds over two weeks, despite matched nutrients and calories offered.
Certain additives change the gut environment in animals. Mouse work shows that common food emulsifiers can thin the intestinal mucus layer, shift the microbiota, and trigger low grade inflammation that spills into metabolism.
Signals like these matter because the immune system, metabolism, and brain talk to each other through hormones, cytokines, and neural pathways.
The new blood signature captures that biological conversation in a single score, offering a measurable bridge between eating patterns and neuropsychiatric risk.
Independent work in clinical cohorts has identified a depression related metabolite profile characterized by downregulated long chain fatty acids and upregulated lysophospholipids, suggesting disrupted lipid metabolism in major depressive disorder.
Those patterns fit a broader picture in which energy handling, lipids, and inflammation travel together in mood disorders.
Specific features of the new signature reinforce that logic. The strongest contributors included HDL cholesterol ratios, a glucose lactate composite, linoleic acid as a fraction of total fatty acids, and the branched chain amino acid valine.
Age and sex patterns were not uniform. Associations for the diet measure looked stronger under age 60 for depression and anxiety, and the blood signature linked more clearly with substance use disorder in females.
Context matters when interpreting subgroup signals. They hint at differences in biology or exposure, but they need replication across diverse populations before anyone draws hard lines.
This is observational research, so it cannot prove that ultra-processed foods cause mental illness.
The authors did adjust for many factors and confirmed results across sensitivity analyses, yet self report and a largely White UK cohort limit how far the findings generalize beyond this study.
The practical message is simple. Eating patterns heavy in industrially processed items travel with an unfavorable blood profile and higher risks of several psychiatric outcomes in this and other large cohorts.
“These findings highlighted the potential metabolic pathways underlying the neuropsychiatric risks of UPF consumption and underscored the importance of dietary quality in mental health,” wrote the lead team, said Yuan.
Policies and personal choices can both shape exposure. Shifting toward minimally processed foods increases fiber and micronutrients while removing some of the additives that appear to stress metabolic control over time.
Public health guidance already favors patterns rich in vegetables, fruits, legumes, whole grains, nuts, and fish. This work adds a mental health angle to that core advice without overstating what one study can prove.
The study is published in Nutrients.
—–
Like what you read? Subscribe to our newsletter for engaging articles, exclusive content, and the latest updates.
Check us out on EarthSnap, a free app brought to you by Eric Ralls and Earth.com.
—–