Meta-analysis2025Open access

Consumption of fast foods and ultra-processed foods and breast cancer risk: a systematic review and meta-analysis

Karimi M, Rabiee R, Hooshmand F, Aghapour B, Ahmadzadeh M, Havaei E, Kazemi K

Global health research and policy · 4 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Funding not disclosed

Publication

Published
2025-07-01 · Glob Health Res Policy · vol. 10 · issue 1 · p. 25
Publisher
BioMed Central
Cited
11 citations · more than 93% of similar papers · 3.1× the field average
Impact
Top 10% most cited in its field
References
69 works
Access
Open access (journal) · CC-BY
Research areas
Consumer Attitudes and Food Labeling · Culinary Culture and Tourism · Dietary Effects on Health
Keywords
Meta-analysis, Breast cancer, Medicine, Subgroup analysis, Odds ratio, Confidence interval, Publication bias, Observational study, Environmental health, Cohort study, Oncology, Internal medicine, Cancer
MeSH
humans, breast neoplasms, diet, risk factors, food handling, female, fast foods, food, processed

7 authors

From UA, IR

  • Mehdi KarimiBogomolets National Medical University
  • Reyhaneh RabieeShahid Sadoughi University of Medical Sciences and Health Services
  • Farnaz HooshmandGolestan University
  • Baharak AghapourTabriz University of Medical Sciences
  • Mina AhmadzadehShahid Beheshti University of Medical Sciences
  • Elahe HavaeiIslamic Azad University Central Tehran Branch

Abstract

Background

The increasing consumption of fast foods (FFs) and ultra-processed foods (UPFs) worldwide has raised concerns due to their association with carcinogenic compounds and potential links to various cancers. However, this evidence about breast cancer risk remains inconsistent. This study aimed to meta-analyze the association between FFs and UPFs consumption and the risk of breast cancer in females.

Methods

A comprehensive search on online databases was conducted from inception to May 2025, and relevant study data were extracted. The meta-analysis utilized odds ratio (OR) with 95% confidence interval (CI) as effect size measures. Subgroup analyses, heterogeneity assessment, publication bias, and sensitivity analyses were performed to ensure robustness. All statistical analyses were conducted using STATA.

Results

The pooled analysis of 17 observational studies showed a significant association between the highest FFs and UPFs consumption and increased breast cancer risk (OR 1.25, 95% CI [1.09-1.43], p = 0.001). Subgroup analysis revealed a significant positive association between FFs and UPFs consumption and breast cancer risk in case-control studies, but not in cohort studies or menopausal status and a significant association was observed in studies with sample sizes > 1000 and < 1000. Furthermore, the association was significant in Latin America when BMI adjustment was considered for 'yes' and 'no'.

Conclusions

This meta-analysis identified a significant association between the consumption of FFs and UPFs and an increased risk of breast cancer, with high intake linked to a 25% greater risk. These findings suggest that diets high in UPFs may play a role in breast cancer development. As UPF consumption continues to rise, public health strategies and regulatory policies targeting food processing, marketing, labeling, and accessibility are essential for cancer risk reduction and prevention.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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