That is a really, really robust study. Had to cost a shit-ton to run. It would be cool to see it repeated, because it basically validates everything I've said here about nutrition. Full text is available: https://www.cell.com/cell-metabolism...131(19)30248-7
Check out the Graphical Abstract:
Attachment 282882
Ad libitum feeding (eat as much as you want) and the unprocessed group consistently ate 500 kcal fewer per day. That's massive. And look at the BW trend lines! Processed group quickly gained some weight then leveled off, while the unprocessed group steadily lost weight. Plus, that was while eating ~2,500 kcal/day, certainly no crash diet.
Fat mass change also accelerated during the course of the study, for both diets:
Attachment 282887
Also, this statement from the author in the NPR article has huge significance:
"For example, when the participants were eating the unprocessed diet, they had higher levels of an appetite-suppressing hormone called PYY, which is secreted by the gut, and lower levels of ghrelin, a hunger hormone, which might explain why they ate fewer calories. On the ultra-processed diet, these hormonal changes flipped, so participants had lower levels of the appetite-suppressing hormone and higher levels of the hunger hormone."
Bottom line, highly processed foods mess up your body's hormonal response to food, and everything goes to shit from there.