TABLE 1.
Category/definition | Beverages | Fruit, vegetables, legumes | Meat/meat dishes/eggs | Grain products | Dairy products | Fats/oils, sweets, other |
Less processed | ||||||
Unprocessed/minimally processed | ||||||
Unprocessed/minimally processed: single-ingredient foods with no or very slight modifications that do not change inherent properties of the food as found in its natural form | Fresh plain milk, coffee (whole or ground beans), bottled plain water, tea leaves or bags | Fresh, frozen, or dried plain fruit, vegetables, or legumes; plain nuts | Eggs; unseasoned meat (refrigerated or frozen) | Whole-grain plain hot cereal, brown rice, popcorn kernels | Cream | Honey, herbs, spices, pepper |
Basic processed | ||||||
Processed basic ingredients: single isolated food components obtained by extraction or purification using physical or chemical processes that change inherent properties of the food | Unsweetened fruit juice not from concentrate | — | Egg whites | Whole-grain flour, whole-grain pasta | — | Oil, unsalted butter, sugar, pure maple syrup, salt |
Processed for basic preservation or precooking: single minimally processed foods modified by physical or chemical processes for the purpose of preservation or precooking but remaining as single foods | Unsweetened fruit juice from concentrate or frozen concentrate, dry milk, instant coffee | Unsweetened/unflavored canned fruit, vegetables, or legumes; unsweetened/unsalted peanut butter | Unseasoned canned meat | Refined-grain pasta, refined-grain flour, white rice, instant rice, plain refined-grain hot cereal | Sour cream, plain yogurt, evaporated milk | — |
Moderately processed | ||||||
Moderately processed for flavor: single minimally or moderately processed foods with addition of flavor additives for the purpose of enhancing flavor; directly recognizable as original plant/ animal source | Sweetened/flavored fruit or vegetable juice, tea, or soy milk; chocolate milk; cocoa mix | Sweetened/flavored canned, dried, refrigerated, or frozen fruit, vegetables or legumes; jam; potato chips; frozen French fries; salted peanut butter; nuts with salt or oil | Seasoned refrigerated, frozen, or canned meat; smoked or cured bacon, ham, or seafood | Sweetened/flavored hot cereal, flavored pasta, flavored popcorn (microwaveable or prepopped) | Cheese, sweetened/flavored yogurt, sweetened condensed milk, whipped cream | Salted butter, flavored oil, seasoning salts |
Moderately processed grain products: grain products made from whole-grain flour with water, salt, and/or yeast | — | — | — | Whole-grain breads, tortillas, crackers, or RTE cereals with no added sugar or fat | — | — |
Highly processed | ||||||
Highly processed ingredients: multi-ingredient industrially formulated mixtures processed to the extent that they are no longer recognizable as their original plant/animal source and consumed as additions (condiments, dips, sauces, toppings, or ingredients in mixed dishes) | — | Tomato sauce, salsa, hummus, jelly | — | Bread crumbs/breading with refined grains or added sugar/fat | Creamer, whipped topping, dairy-based chip/veggie dip, cheese dip/queso, Alfredo sauce | Margarine; mayonnaise; salad dressing; shortening; pancake syrup; artificial sweetener; baking chocolate; icing; ketchup, barbecue sauce, marinades, and other condiments; sauce/seasoning mixes |
Highly processed stand-alone: multi-ingredient industrially formulated mixtures processed to the extent that they are no longer recognizable as their original plant/animal source and not typically consumed as additions | Soda, alcohol, fruit drinks, sports drinks, energy drinks, flavored waters, coffee beverages | Fruit snacks; gelatin fruit salads; chocolate- or yogurt-covered dried fruit or nuts; vegetable-based soups; frozen vegetables in sauce; onion rings; entrée garden salads; restructured potato chips; tater tots, hash brown patties, re-formed French fries; RTH or instant potato dishes (mashed potatoes, stuffed baked potatoes); RTE potato salad; canned baked beans or beans with pork | Sausage; hot dogs; pressed/formed lunchmeats (bologna, salami) or ham; Spam; RTH meat dishes (meatloaf, crab cakes, buffalo wings, pot roast, barbecue); meat-based frozen meals (Salisbury steak); breaded meat (chicken nuggets, fish sticks); meat-based soups | Bread, tortillas, rolls, bagels, or RTE breakfast cereals with refined grains or added sugar/fat; pancakes, waffles, or biscuits (RTH, ready-to-bake, mixes); grain-based desserts (cookies, cake, pie, pastries; RTE, ready-to-bake, mixes); processed salty snacks (crackers, pretzels, tortilla chips, cheese puffs); frozen pizza; RTH or RTE grain-based dishes (burritos, sandwiches, pot pies); frozen or canned pasta dishes (lasagna, ravioli, spaghetti and meatballs); pasta- or rice-based frozen meals; boxed macaroni and cheese; instant rice/pasta dish mixes; noodle- or rice-based soups; stuffing mix | Ice cream, frozen yogurt, pudding (RTE and mixes), processed cheese, cheesecake | Candy, chocolate, popsicles, sorbet, gelatin (RTE and mixes), broth, bouillon |
Industrial food processing was defined as any procedure that alters food from its natural state and includes all processes and technologies that transform raw food materials and ingredients into consumer food products. Mutually exclusive categories of processing were defined based on the extent to which a food was altered from its natural state by industrial food processing and the purpose of these processes. Food processing was considered separately from product convenience. Food groups were defined broadly to classify all products into beverages or 10 mutually exclusive food groups. “Fruit, vegetables, and legumes” includes fruit/fruit products, vegetables/vegetable products, starchy vegetables/starchy vegetable products, and nuts/legumes. “Meat” includes beef, pork, poultry, and seafood. Fresh fruits and vegetables and fresh unseasoned meats were included in our study only if they were barcoded. “Plain,” “unseasoned,” and “unsweetened” indicate that the product contains no added sweeteners (natural or artificial), salt, flavors, fats, or oils. Whole-grain products were defined by the 2010 Dietary Guidelines for Americans criteria of primarily containing “whole-grain” wheat, rye, oats, corn, barley, or other grains labeled as “whole” brown rice; buckwheat; bulgur; millet; oatmeal; popcorn; quinoa; or rolled oats. “Sweetened/flavored” indicates that the product contains added sweeteners (natural or artificial), salt, flavors, fats, and/or oils. Fruit drinks are defined as beverages primarily composed of sugar or sweetener (as first or second ingredients) with fruit juice or fruit juice concentrate as a lesser ingredient. RTE, ready-to-eat; RTH, ready-to-heat.