Ultra İşlenmiş Gıdaların Yaygın Etkileri

Okyar, Serap; Tosun, Öznur; Ekerbiçer, Hasan Çetin; Bezdegumeli, Erhan; Kucukakca, Bilge Nur; undefined, AYŞEGÜL; karahan, hilal; KÖSE, Elif

Ultra İşlenmiş Gıdaların Yaygın Etkileri

Serap OKYAR, (Sakarya Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Sakarya, Türkiye)

Öznur TOSUN, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Türkiye)

Erhan BEZDEGÜMELİ, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Türkiye)

Bilge Nur KÜÇÜKAKÇA, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Türkiye)

Ayşegül ERATTIR, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Türkiye)

Hilal KARAHAN, (Kars İl Sağlık Müdürlüğü, Kars, Türkiye)

Elif KÖSE, (Sakarya Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Sakarya, Türkiye)

Hasan Çetin EKERBİÇER (Sakarya Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Sakarya, Türkiye)

Arşiv Kaynak Tarama Dergisi

22 7

Yıl: 2023 Cilt: 32 Sayı: 2 Sayfa Aralığı: 68 - 82 Metin Dili: Türkçe İndeks Tarihi: 01-11-2023

Ultra İşlenmiş Gıdaların Yaygın Etkileri

Öz:

Gıdalar NOVA gıda sınıflandırmasına göre dört alt kategoride sınıflandırılmaktadır. NOVA Kategori-4: Ultra işlenmiş gıdalar gazlı içecekleri, paketlenmiş tuzlu ve tatlı atıştırmalık ürünleri, yeniden yapılandırılan hayvansal ürünleri (salam, sosis, hazır kıyma ürünleri gibi), önceden hazırlanmış gıdaları, ön-pişirilmiş ve dondurulmuş gıdaları kapsamaktadır. Ultra-işlenmiş gıdaların lezzetlerinin güzel, kolay ulaşılabilir ve ucuz olmaları sebebi ile tüketimi ve bu sebeple sağlıksız beslenme ile morbidite ve mortaliteyi de arttırdığı gözlemlenmiştir. Bu sağlık problemlerine örnekler tip-2 diyabet, obezite, kardiyovasküler hastalıklar, gastrointestinal hastalıklar ve kanserdir. Literatürde yapılan çalışmalar kapsamında, mevcut derlemede ultra-işlenmiş gıdaları ve sağlık üzerindeki yaygın etkileri ortaya konmuştur. Güncel veriler doğrultusunda ultra işlenmiş gıda tüketimini ve sağlık üzerindeki etkilerini azaltabilmek için ulusal ve uluslararası düzeyde yeni beslenme politikaları ve kılavuzlarının geliştirilmesi önem arz etmektedir.

Anahtar Kelime: NOVA ULTRA İŞLENMİŞ GIDA TİP2 DİYABET OBEZİTE KARDİYOVASKÜLER HASTALIKLAR

Common Health Effects of Ultra Processed Foods

Öz:

Foods can be classified into four subcategories according to the NOVA food classification. In this literary review, our aim was to investigate the common health effects of NOVA Category 4 ultra-processed foods which include carbonated beverages, packaged savory and sweet snack products, reconstituted animal products (such as salami, sausages, ground meat products), pre-prepared foods, pre-cooked and frozen foods. The consumption of ultra- processed foods is increasing due to taste, accessibility, and lower costs. However, this increase causes malnutrition and contributes to various non-communicable diseases such as type-2 diabetes, obesity, cardiovascular diseases, gastrointestinal diseases, and cancer, contributing to increased rates of morbidity and mortality. For this reason, it is important to develop new nutrition policies and guidelines at the national and international level in line with the available data.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. van Boekel M, Fogliano V, Pellegrini N, Stanton C, Scholz G, Lalljie S et al. A review on the beneficial aspects of food processing. Mol Nutr Food Res. 2010;54:1215-47.
2. Floros JD, Newsome R, Fisher W, Barbosa-Cánovas GV, Chen H, Dunne CP et al. Feeding the world today and tomorrow: The importance of food science and technology. Compr Rev Food Sci Food Saf. 2010;9:572-99.
3. Augustin MA, Riley M, Stockmann R, Bennett L, Kahl A, Lockett T et al. Role of food processing in food and nutrition security. Trends Food Sci Technol. 2016;56:115-25.
4. Costard S, Espejo L, Groenendaal H, Zagmutt FJ. Outbreak-Related Disease Burden Associated with Consumption of Unpasteurized Cow’s Milk and Cheese, United States, 2009-2014. Emerg Infect Dis. 2017;23:957-64.
5. Kliemann N, Al Nahas A, Vamos EP, Touvier M, Kesse-Guyot E, Gunter MJ et al. Ultra-processed foods and cancer risk: from global food systems to individual exposures and mechanisms. Br J Cancer. 2022;127:14-20.
6. Marsh K, Bugusu B. Food Packaging—Roles, Materials, and Environmental Issues. J Food Sci. 2007;72:R39-55.
7. Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada ML, Rauber F et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22:936-41.
8. Paglia L. The sweet danger of added sugars. Eur J Paediatr Dent. 2019;20:89.
9. Bray GA, Nielsen SJ, Popkin BM. Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr. 2004;79:537-43.
10. Monteiro CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev Off J Int Assoc Study Obes. 2013;14:21-8.
11. Monteiro CA, Levy RB, Claro RM, Castro IRR de, Cannon G. A new classification of foods based on the extent and purpose of their processing. Cad Saude Publica. 2010;26:2039-49.
12. Monteiro CA, Cannon G, Moubarac JC, Levy RB, Louzada MLC, Jaime PC. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutr. 2018;21:5-17.
13. Moubarac JC, Parra DC, Cannon G, Monteiro CA. Food Classification Systems Based on Food Processing: Significance and Implications for Policies and Actions: A Systematic Literature Review and Assessment. Curr Obes Rep. 2014;3:256-72.
14. Monteiro, C.A., Cannon, G., Lawrence, M., Costa Louzada, M.L. and Pereira Machado, P. 2019. Ultra-processed foods, diet quality, and health using the NOVA classification system. Rome, FAO.
15. Hellenäs, K. E., Abramsson-Zetterberg, L., & Skog, K. The HEATOX Project. Journal of AOAC International, 2005;88: 242– 245.
16. Poti JM, Mendez MA, Ng SW, Popkin BM. Highly Processed and Ready-to-Eat Packaged Food and Beverage Purchases Differ by Race/Ethnicity among US Households123. J Nutr. 2016;146:1722-30.
17. Solberg SL, Terragni L, Granheim SI. Ultra-processed food purchases in Norway: a quantitative study on a representative sample of food retailers. Public Health Nutr. 2016;19:1990-2001.
18. Monteiro CA, Moubarac JC, Levy RB, Canella DS, Louzada ML da C, Cannon G. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutr. 2018;21:18-26.
19. Julia C, Martinez L, Allès B, Touvier M, Hercberg S, Méjean C et al. Contribution of ultra-processed foods in the diet of adults from the French NutriNet-Santé study. Public Health Nutr. 2018;21:27-37.
20. Slimani N, Deharveng G, Southgate D a. T, Biessy C, Chajès V, van Bakel MME et al. Contribution of highly industrially processed foods to the nutrient intakes and patterns of middle-aged populations in the European Prospective Investigation into Cancer and Nutrition study. Eur J Clin Nutr. 2009;63:S206-225.
21. Venn D, Banwell C, Dixon J. Australia’s evolving food practices: a risky mix of continuity and change. Public Health Nutr. 2017;20:2549-58.
22. Luiten CM, Steenhuis IH, Eyles H, Ni Mhurchu C, Waterlander WE. Ultra-processed foods have the worst nutrient profile, yet they are the most available packaged products in a sample of New Zealand supermarkets. Public Health Nutr. 2016;19:530- 8.
23. Martins APB, Levy RB, Claro RM, Moubarac JC, Monteiro CA. Increased contribution of ultra-processed food products in the Brazilian diet (1987-2009). Rev Saude Publica. 2013;47:656-65.
24. Cornwell B, Villamor E, Mora-Plazas M, Marin C, Monteiro CA, Baylin A. Processed and ultra-processed foods are associated with lower-quality nutrient profiles in children from Colombia. Public Health Nutr. 2018;21:142-7.
25. Cediel G, Reyes M, da Costa Louzada ML, Martinez Steele E, Monteiro CA, Corvalán C, vd. Ultra-processed foods and added sugars in the Chilean diet (2010). Public Health Nutr. 2018;21:125-33.
26. Setyowati D, Andarwulan N, Giriwono PE. Processed and ultraprocessed food consumption pattern in the Jakarta Individual Food Consumption Survey 2014. Asia Pac J Clin Nutr. 2018;27:840-7.
27. Rischke R, Kimenju SC, Klasen S, Qaim M. Supermarkets and food consumption patterns: The case of small towns in Kenya. Food Policy. 2015;52:9-21.
28. Poti JM, Mendez MA, Ng SW, Popkin BM. Is the degree of food processing and convenience linked with the nutritional quality of foods purchased by US households? Am J Clin Nutr. 2015;101:1251-62.
29. Matos RA, Adams M, Sabaté J. Review: The Consumption of Ultra-Processed Foods and Non-communicable Diseases in Latin America. Front Nutr. 2021;8:622714.
30. Pérez-Escamilla R, Obbagy JE, Altman JM, Essery EV, McGrane MM, Wong YP et al. Dietary energy density and body weight in adults and children: a systematic review. J Acad Nutr Diet. 2012;112:671-84.
31. Asfaw A. Does consumption of processed foods explain disparities in the body weight of individuals? The case of Guatemala. Health Econ. 2011;20:184-95.
32. Schulte EM, Avena NM, Gearhardt AN. Which foods may be addictive? The roles of processing, fat content, and glycemic load. PloS One. 2015;10:e0117959.
33. Costa Louzada ML da, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM et al. Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saude Publica. 2015;49:38.
34. Moubarac JC, Batal M, Louzada ML, Martinez Steele E, Monteiro CA. Consumption of ultra-processed foods predicts diet quality in Canada. Appetite. 2017;108:512-20.
35. Steenhuis I, Poelman M. Portion Size: Latest Developments and Interventions. Curr Obes Rep. 2017;6:10-7.
36. Louzada ML da C, Baraldi LG, Steele EM, Martins APB, Canella DS, Moubarac JC et al. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Prev Med. 2015;81:9-15.
37. Mendonça R de D, Lopes ACS, Pimenta AM, Gea A, Martinez-Gonzalez MA, Bes-Rastrollo M. Ultra-Processed Food Consumption and the Incidence of Hypertension in a Mediterranean Cohort: The Seguimiento Universidad de Navarra Project. Am J Hypertens. 2017;30:358-66.
38. Lin X, Xu Y, Pan X, Xu J, Ding Y, Sun X et al. Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Sci Rep. 2020;10:14790.
39. Wang Z, Siega-Riz AM, Gordon-Larsen P, Cai J, Adair LS, Zhang B et al. Diet quality and its association with type 2 diabetes and major cardiometabolic risk factors among adults in China. Nutr Metab Cardiovasc Dis NMCD. 2018;28:987-1001.
40. Moradi S, Hojjati Kermani MA, Bagheri R, Mohammadi H, Jayedi A, Lane MM et al. Ultra-Processed Food Consumption and Adult Diabetes Risk: A Systematic Review and Dose-Response Meta-Analysis. Nutrients. 2021;13:4410.
41. Levy RB, Rauber F, Chang K, Louzada ML da C, Monteiro CA, Millett C et al. Ultra-processed food consumption and type 2 diabetes incidence: A prospective cohort study. Clin Nutr Edinb Scotl. 2021;40:3608-14.
42. Nardocci M, Polsky JY, Moubarac JC. Consumption of ultra-processed foods is associated with obesity, diabetes and hypertension in Canadian adults. Can J Public Health Rev Can Sante Publique. 2021;112:421-9.
43. Lanaspa MA, Kuwabara M, Andres-Hernando A, Li N, Cicerchi C, Jensen T et al. High salt intake causes leptin resistance and obesity in mice by stimulating endogenous fructose production and metabolism. Proc Natl Acad Sci U S A. 2018;115:3138- 43.
44. Martínez Steele E, Baraldi LG, Louzada ML da C, Moubarac JC, Mozaffarian D, Monteiro CA. Ultra-processed foods and added sugars in the US diet: evidence from a nationally representative cross-sectional study. BMJ Open. 2016;6:e009892.
45. Stanhope KL. Sugar consumption, metabolic disease and obesity: The state of the controversy. Crit Rev Clin Lab Sci. 2016;53:52-67.
46. World Health Organization. Cardiovascular diseases (CVDs) fact sheet. WHO.
47. Timmis A, Townsend N, Gale C, Grobbee R, Maniadakis N, Flather M et al. European Society of Cardiology: Cardiovascular Disease Statistics 2017. Eur Heart J. 2018;39:508-79.
48. Zhang Y, Huang M, Zhuang P, Jiao J, Chen X, Wang J et al. Exposure to acrylamide and the risk of cardiovascular diseases in the National Health and Nutrition Examination Survey 2003-2006. Environ Int. 2018;117:154-63.
49. DeJarnett N, Conklin DJ, Riggs DW, Myers JA, O’Toole TE, Hamzeh I et al. Acrolein exposure is associated with increased cardiovascular disease risk. J Am Heart Assoc. 2014;3:e000934.
50. Srour B, Fezeu LK, Kesse-Guyot E, Allès B, Méjean C, Andrianasolo RM et al. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ. 2019;365:l1451.
51. Juul F, Vaidean G, Lin Y, Deierlein AL, Parekh N. Ultra-Processed Foods and Incident Cardiovascular Disease in the Framingham Offspring Study. J Am Coll Cardiol. 2021;77:1520-31.
52. Shim SY, Kim HC, Shim JS. Consumption of Ultra-Processed Food and Blood Pressure in Korean Adults. Korean Circ J. 2021;52:60-70.
53. Bonaccio M, Di Castelnuovo A, Costanzo S, De Curtis A, Persichillo M, Sofi F et al. Ultra-processed food consumption is associated with increased risk of all-cause and cardiovascular mortality in the Moli-sani Study. Am J Clin Nutr. 2021;113:446- 55.
54. Cuevas-Sierra A, Milagro FI, Aranaz P, Martínez JA, Riezu-Boj JI. Gut Microbiota Differences According to Ultra-Processed Food Consumption in a Spanish Population. Nutrients. 2021;13:2710.
55. Elizabeth L, Machado P, Zinöcker M, Baker P, Lawrence M. Ultra-Processed Foods and Health Outcomes: A Narrative Review. Nutrients. 2020;12:1955.
56. Tubbs AL, Liu B, Rogers TD, Sartor RB, Miao EA. Dietary Salt Exacerbates Experimental Colitis. J Immunol Baltim Md 1950. 2017;199:1051-9.
57. Poti JM, Braga B, Qin B. Ultra-processed Food Intake and Obesity: What Really Matters for Health-Processing or Nutrient Content? Curr Obes Rep. 2017;6:420-31.
58. Narula N, Wong ECL, Dehghan M, Mente A, Rangarajan S, Lanas F et al. Association of ultra-processed food intake with risk of inflammatory bowel disease: prospective cohort study. BMJ. 2021;374:n1554.
59. Chen X, Zhang Z, Yang H, Qiu P, Wang H, Wang F et al. Consumption of ultra-processed foods and health outcomes: a systematic review of epidemiological studies. Nutr J. 2020;19:86.
60. Defrees DN, Bailey J. Irritable Bowel Syndrome: Epidemiology, Pathophysiology, Diagnosis, and Treatment. Prim Care. 2017;44:655-71.
61. Schnabel L, Buscail C, Sabate JM, Bouchoucha M, Kesse-Guyot E, Allès B et al. Association Between Ultra-Processed Food Consumption and Functional Gastrointestinal Disorders: Results From the French NutriNet-Santé Cohort. Am J Gastroenterol. 2018;113:1217-28.
62. TÜİK. Ölüm Nedeni İstatistikleri, 2017. tuikweb.tuik.gov.tr.
63. World Cancer Research Fund International/American Institute for Cancer Research. Cancer preventability estimates for diet, nutrition, body fatness, and physical activity. 2017.
64. Latino-Martel P, Cottet V, Druesne-Pecollo N, Pierre FHF, Touillaud M, Touvier M et al. Alcoholic beverages, obesity, physical activity and other nutritional factors, and cancer risk: A review of the evidence. Crit Rev Oncol Hematol. 2016;99:308- 23.
65. Fiolet T, Srour B, Sellem L, Kesse-Guyot E, Allès B, Méjean C et al. Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ. 2018;360:k322.
66. Queiroz SA, Sousa IM de, Silva FR de M, Lyra C de O, Fayh APT. Nutritional and environmental risk factors for breast cancer: a case-control study. Sci Medica. 2018;28:ID28723-ID28723.
67. Bouvard V, Loomis D, Guyton KZ, Grosse Y, Ghissassi FE, Benbrahim-Tallaa L et al. Carcinogenicity of consumption of red and processed meat. Lancet Oncol. 2015;16:1599-600.
68. Carbon black, titanium dioxide, and talc. Iarc Monogr Eval Carcinog Risks Hum. 2010;93:1-413.
69. Santarelli RL, Vendeuvre JL, Naud N, Taché S, Guéraud F, Viau M et al. Meat processing and colon carcinogenesis: cooked, nitrite-treated, and oxidized high-heme cured meat promotes mucin-depleted foci in rats. Cancer Prev Res Phila Pa. 2010;3:852-64.
70. Chang X, Zhang Y, Tang M, Wang B. Health effects of exposure to nano-TiO2: a meta-analysis of experimental studies. Nanoscale Res Lett. 2013;8:51.
71. EFSA Panel on Food Additives and Nutrient Sources added to Food (ANS). Scientific Opinion on the re-evaluation of aspartame (E 951) as a food additive. EFSA J. 2013;11:3496.
72. Chain (CONTAM) EP on C in the F. Scientific Opinion on acrylamide in food. EFSA J. 2015;13:4104.
73. Kim H, Hu EA, Rebholz CM. Ultra-processed food intake and mortality in the USA: results from the Third National Health and Nutrition Examination Survey (NHANES III, 1988-1994). Public Health Nutr. 2019;22:1777-85.
74. Schnabel L, Kesse-Guyot E, Allès B, Touvier M, Srour B, Hercberg S et al. Association Between Ultraprocessed Food Consumption and Risk of Mortality Among Middle-aged Adults in France. JAMA Intern Med. 2019;179:490-8.
75. Rico-Campà A, Martínez-González MA, Alvarez-Alvarez I, Mendonça R de D, de la Fuente-Arrillaga C, Gómez-Donoso C et al. Association between consumption of ultra-processed foods and all cause mortality: SUN prospective cohort study. BMJ. 2019;365:l1949.
76. Blanco-Rojo R, Sandoval-Insausti H, López-Garcia E, Graciani A, Ordovás JM, Banegas JR, vd. Consumption of Ultra- Processed Foods and Mortality: A National Prospective Cohort in Spain. Mayo Clin Proc. 2019;94:2178-88.
77. Juhola J, Magnussen CG, Viikari JSA, Kähönen M, Hutri-Kähönen N, Jula A et al. Tracking of serum lipid levels, blood pressure, and body mass index from childhood to adulthood: the Cardiovascular Risk in Young Finns Study. J Pediatr. 2011;159:584-90.
78. Steinberger J, Daniels SR, Hagberg N, Isasi CR, Kelly AS, Lloyd-Jones D et al. Cardiovascular Health Promotion in Children: Challenges and Opportunities for 2020 and Beyond: A Scientific Statement From the American Heart Association. Circulation. 2016;134:e236-255.
79. Brasil. Ministério da Saúde. Secretária de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Ciência e Tecnologia. Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher (PNDS-2006) Ministério da Saúde, Brasília (2009).
80. Brasil. Ministério do Planejamento, Orçamento e Gestão. Pesquisa de Orçamentos Familiares 2008–2009: Antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil Instituto Brasileiro de Geográfia e Estatística, Rio de Janeiro (2010).
81. Costa CS, Rauber F, Leffa PS, Sangalli CN, Campagnolo PDB, Vitolo MR. Ultra-processed food consumption and its effects on anthropometric and glucose profile: A longitudinal study during childhood. Nutr Metab Cardiovasc Dis NMCD. 2019;29:177-84.
82. Sparrenberger K, Friedrich RR, Schiffner MD, Schuch I, Wagner MB. Ultra-processed food consumption in children from a Basic Health Unit. J Pediatr (Rio J). 2015;91:535-42.
83. Leffa PS, Hoffman DJ, Rauber F, Sangalli CN, Valmórbida JL, Vitolo MR. Longitudinal associations between ultra-processed foods and blood lipids in childhood. Br J Nutr. 2020;124:341-8.
84. Machado Azeredo C, Cortese M, Costa CDS, Bjornevik K, Barros AJD, Barros FC et al. Ultra-processed food consumption during childhood and asthma in adolescence: Data from the 2004 Pelotas birth cohort study. Pediatr Allergy Immunol Off Publ Eur Soc Pediatr Allergy Immunol. 2020;31:27-37.

APA	Okyar S, Tosun Ö, Bezdegumeli E, Kucukakca B, A, karahan h, KÖSE E, Ekerbiçer H (2023). Ultra İşlenmiş Gıdaların Yaygın Etkileri. , 68 - 82.
Chicago	Okyar Serap,Tosun Öznur,Bezdegumeli Erhan,Kucukakca Bilge Nur, AYŞEGÜL,karahan hilal,KÖSE Elif,Ekerbiçer Hasan Çetin Ultra İşlenmiş Gıdaların Yaygın Etkileri. (2023): 68 - 82.
MLA	Okyar Serap,Tosun Öznur,Bezdegumeli Erhan,Kucukakca Bilge Nur, AYŞEGÜL,karahan hilal,KÖSE Elif,Ekerbiçer Hasan Çetin Ultra İşlenmiş Gıdaların Yaygın Etkileri. , 2023, ss.68 - 82.
AMA	Okyar S,Tosun Ö,Bezdegumeli E,Kucukakca B, A,karahan h,KÖSE E,Ekerbiçer H Ultra İşlenmiş Gıdaların Yaygın Etkileri. . 2023; 68 - 82.
Vancouver	Okyar S,Tosun Ö,Bezdegumeli E,Kucukakca B, A,karahan h,KÖSE E,Ekerbiçer H Ultra İşlenmiş Gıdaların Yaygın Etkileri. . 2023; 68 - 82.
IEEE	Okyar S,Tosun Ö,Bezdegumeli E,Kucukakca B, A,karahan h,KÖSE E,Ekerbiçer H "Ultra İşlenmiş Gıdaların Yaygın Etkileri." , ss.68 - 82, 2023.
ISNAD	Okyar, Serap vd. "Ultra İşlenmiş Gıdaların Yaygın Etkileri". (2023), 68-82.

APA	Okyar S, Tosun Ö, Bezdegumeli E, Kucukakca B, A, karahan h, KÖSE E, Ekerbiçer H (2023). Ultra İşlenmiş Gıdaların Yaygın Etkileri. Arşiv Kaynak Tarama Dergisi, 32(2), 68 - 82.
Chicago	Okyar Serap,Tosun Öznur,Bezdegumeli Erhan,Kucukakca Bilge Nur, AYŞEGÜL,karahan hilal,KÖSE Elif,Ekerbiçer Hasan Çetin Ultra İşlenmiş Gıdaların Yaygın Etkileri. Arşiv Kaynak Tarama Dergisi 32, no.2 (2023): 68 - 82.
MLA	Okyar Serap,Tosun Öznur,Bezdegumeli Erhan,Kucukakca Bilge Nur, AYŞEGÜL,karahan hilal,KÖSE Elif,Ekerbiçer Hasan Çetin Ultra İşlenmiş Gıdaların Yaygın Etkileri. Arşiv Kaynak Tarama Dergisi, vol.32, no.2, 2023, ss.68 - 82.
AMA	Okyar S,Tosun Ö,Bezdegumeli E,Kucukakca B, A,karahan h,KÖSE E,Ekerbiçer H Ultra İşlenmiş Gıdaların Yaygın Etkileri. Arşiv Kaynak Tarama Dergisi. 2023; 32(2): 68 - 82.
Vancouver	Okyar S,Tosun Ö,Bezdegumeli E,Kucukakca B, A,karahan h,KÖSE E,Ekerbiçer H Ultra İşlenmiş Gıdaların Yaygın Etkileri. Arşiv Kaynak Tarama Dergisi. 2023; 32(2): 68 - 82.
IEEE	Okyar S,Tosun Ö,Bezdegumeli E,Kucukakca B, A,karahan h,KÖSE E,Ekerbiçer H "Ultra İşlenmiş Gıdaların Yaygın Etkileri." Arşiv Kaynak Tarama Dergisi, 32, ss.68 - 82, 2023.
ISNAD	Okyar, Serap vd. "Ultra İşlenmiş Gıdaların Yaygın Etkileri". Arşiv Kaynak Tarama Dergisi 32/2 (2023), 68-82.