{"id":48590,"date":"2020-09-17T12:36:40","date_gmt":"2020-09-17T11:36:40","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=48590"},"modified":"2020-09-24T08:56:14","modified_gmt":"2020-09-24T07:56:14","slug":"industry-interference-in-nutrition-science-reaches-into-low-and-middle-income-countries","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/09\/17\/industry-interference-in-nutrition-science-reaches-into-low-and-middle-income-countries\/","title":{"rendered":"Industry interference in nutrition science reaches into low and middle income countries"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Medical journals, including The <\/span><i><span style=\"font-weight: 400\">BMJ<\/span><\/i><span style=\"font-weight: 400\">,<\/span><span style=\"font-weight: 400\"> are bringing greater attention to how funding from the food and beverage industry biases the evidence base in nutrition science. [1] Recent discussions of industry funding bias have largely focused on scientists in prestigious, mostly Western, academic institutions. However, the global footprint of food industry interference is far broader. In addition to exporting ultra-processed foods and beverages to low- and middle-income countries (LMICs), transnational food corporations are exporting Western strategies for funding science that undermines public health. Previously secret internal industry documents unearthed in the <\/span><a href=\"https:\/\/www.industrydocuments.ucsf.edu\/food\/\"><span style=\"font-weight: 400\">Food Industry Documents Library<\/span><\/a><span style=\"font-weight: 400\"> illustrate how this dynamic is unfolding in Colombia.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In Colombia, where sugar-sweetened beverages are often cheaper than water, rates of sugar-sweetened beverage consumption are 79.2% in adults and 88.5% in minors. [2]<\/span><span style=\"font-weight: 400\"> In 2016, the health minister, Alejandro Gaviria Uribe, proposed a soda tax in response to rising obesity. Postob\u00f3n, Colombia\u2019s largest maker of sugar-sweetened beverages and distributor for PepsiCo, is part of a Colombian conglomerate that includes the nation\u2019s largest media company. It successfully filed a consumer complaint prohibiting all media coverage of sugar and obesity and soda tax advocates were threatened into silence.<\/span><span style=\"font-weight: 400\">4<\/span><span style=\"font-weight: 400\"> Producers of sugar-sweetened beverages controlled media messaging on the soda tax by arguing that the country\u2019s obesity epidemic was driven by physical inactivity, not hyper-processed foods and beverages. [3]<\/span> <span style=\"font-weight: 400\">The proposed soda tax failed.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Leading up to this, Colombian scientists had been quietly recruited by Coca-Cola. Internal industry documents reveal that by means of a subcontract agreement between Louisiana State University (LSU) Pennington Biomedical Research Center and the University of Los Andes, Bogot\u00e1 (ULA), Coca-Cola paid ULA $199,500 USD over five years for Olga L. Sarmiento, professor in the Faculty of Medicine, to be the principal investigator along with LSU professor Peter Katzmarzyk, on the <\/span><i><span style=\"font-weight: 400\">International Study of Childhood Obesity, Lifestyle and the Environment <\/span><\/i><span style=\"font-weight: 400\">(<\/span><span style=\"font-weight: 400\">ISCOLE)<\/span><span style=\"font-weight: 400\">,<\/span> <span style=\"font-weight: 400\">a study focused on how \u201clifestyle characteristics\u201d in Colombian children, such as physical inactivity, impact obesity and weight gain. [4,5]<\/span><span style=\"font-weight: 400\"> Sarmiento and John Duperly, another professor at ULA, also feature on a list of academics who were invited by Coca-Cola to present research at a regional scientific conference in Rio de Janeiro, Brazil in April 2014,<\/span><span style=\"font-weight: 400\">\u00a0 and to raise awareness of the research in the media. [6-9]<\/span><\/p>\n<p><span style=\"font-weight: 400\">Coca-Cola used scientists based in the US to recruit the Colombian scientists. Steven Blair (University of Pennsylvania) and John Peters (University of Colorado) were members of the <\/span><i><span style=\"font-weight: 400\">Global Energy Balance Network (GEBN) <\/span><\/i><span style=\"font-weight: 400\">which was exposed in 2015 by the <\/span><i><span style=\"font-weight: 400\">New York Times<\/span><\/i><span style=\"font-weight: 400\"> as a scientific front group for Coca-Cola<\/span><i><span style=\"font-weight: 400\">. <\/span><\/i><span style=\"font-weight: 400\">[<\/span><span style=\"font-weight: 400\">10]<\/span><span style=\"font-weight: 400\"> During the autumn of 2014, Blair and Peters helped Coca-Cola expand the GEBN\u2019s reach into Colombia, using flyers through emails as \u201crecruiting tools\u201d. [<\/span><span style=\"font-weight: 400\">11,12]<\/span><span style=\"font-weight: 400\">\u00a0Coca-Cola wanted a credible \u201chonest broker\u201d who \u201ccan be a reliable and trusted source for a balance[d] science based view\u201d<\/span><span style=\"font-weight: 400\"> on physical inactivity as a driver of obesity. [13] The GEBN would \u201cgive everyone \u2013 academia, public health, private industry, government, and other interested stakeholders \u2013 <\/span><i><span style=\"font-weight: 400\">a seat at the table<\/span><\/i><span style=\"font-weight: 400\">\u201d [emphasis added]. [<\/span><span style=\"font-weight: 400\">13]<\/span><span style=\"font-weight: 400\">\u00a0They targeted Duperly<\/span> <span style=\"font-weight: 400\">noting that \u201cdiversity is imp[ortant]\u2014beyond gender\u201d. [<\/span><span style=\"font-weight: 400\">11]<\/span><span style=\"font-weight: 400\"> By 2016, Duperly was publishing opinion pieces in leading Colombian newspapers that argued against the Health Minister\u2019s soda tax proposal on the grounds of energy balance research. [<\/span><span style=\"font-weight: 400\">14<\/span><span style=\"font-weight: 400\">]<\/span><\/p>\n<p><span style=\"font-weight: 400\">Coca-Cola\u2019s ability to quickly recruit and mobilize Colombian scientists illustrates a particularly concerning dynamic for nutrition science and public health that deserves greater attention. These efforts can prevent the spread of evidence-based policies, such as taxation, that reduce NCDs regionally and globally. [<\/span><span style=\"font-weight: 400\">15,16]<\/span><span style=\"font-weight: 400\">\u00a0 Colombia is not alone among LMICs in its history of industry lobbying, a practice that makes it relatively easy to subdue public health advocacy. [<\/span><span style=\"font-weight: 400\">17]<\/span><span style=\"font-weight: 400\">\u00a0Universities and scientists in LMICs are vulnerable to industry funding solicitations due to their limited access to public research dollars. Yet local scientists bring unique credibility and cultural relevance when they act as home-grown spokespeople for transnational food and beverage corporations seeking to influence the health policy debates of their nations.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Colombian experience underscores the need for major universities in LMICs to adopt strict standards of scientific integrity, freedom and autonomy. Public health entities in these countries should promote dialogue about corporate interference in nutrition science. There is also a need for global unity behind efforts to obtain protections similar to those afforded under the WHO Framework Convention on Tobacco Control (FCTC) for LMICs seeking to regulate ultra-processed foods and beverages in the interests of public health.<\/span><\/p>\n<p><em><b>Eric Crosbie<\/b><span style=\"font-weight: 400\">, Assistant Professor, School of Community Health Sciences, University of Nevada, and Ozmen Institute for Global Studies, University of Nevada.<\/span><\/em><\/p>\n<p><em><b>Melissa Mialon<\/b><span style=\"font-weight: 400\">, Honorary Research Fellow, School of Public Health, University of S\u00e3o Paulo, Brazil, S\u00e3o Paulo, and School of Nutrition and Dietetics, University of Antioquia, Medell\u00edn, Colombia.<\/span><\/em><\/p>\n<p><em><b>Cristin Kearns<\/b><span style=\"font-weight: 400\">, Assistant Professor, School of Dentistry, University of California San Francisco, San Francisco and Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA.<\/span><\/em><\/p>\n<p><em><b>Laura Schmidt<\/b><span style=\"font-weight: 400\">, Professor, Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco and Department of Anthropology, History and Social Medicine, University of California San Francisco, San Francisco, CA.<\/span><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: None declared<\/em><\/p>\n<p><a href=\"https:\/\/www.bmj.com\/sites\/default\/files\/crosbie-et-al-colombia_gebn_commentary_espanol_final.pdf\">Spanish translation of this article<\/a><\/p>\n<p><em><strong>Acknowledgement<\/strong>: This paper was supported by Bloomberg Philanthropies. The funder had no role in the design and conduct of the study, collection management, analysis, and interpretation of the data, preparation, review, approval or decision to submit the manuscript for publication.<\/em><\/p>\n<p><em><strong>Disclaimer regarding translation<\/strong>: This material has been translated into Spanish by Eric Crosbie. BMJ Publishing Group take no responsibility for the accuracy of the translation from the published English language original and are not liable for any errors that may occur. This material has been independently translated into Spanish by Eric Crosbie from the published English language original.<\/em><\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400\">Greenhalgh S, King J, Fairbank WC. Making China Safe for Coke: How Coca-Cola Shaped Obesity Science and Policy in China. <\/span><i><span style=\"font-weight: 400\">BMJ <\/span><\/i><span style=\"font-weight: 400\">2019;364:k5050 doi: 10.1136\/bmj.k5050\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\">Herran OF, Patino GA, Gamboa EM. Consumption of Sweetened-Beverages and Poverty in Colombia: When Access Is Not an Advantage. <\/span><i><span style=\"font-weight: 400\">BMC Public Health <\/span><\/i><span style=\"font-weight: 400\">2018;<\/span><b>18<\/b><span style=\"font-weight: 400\">:136.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Jacobs A, Richtel M. She Took on Colombia\u2019s Soda Industry. Then She Was Silenced. New York Times. New York, United States. 13 November 2017: Available at: <\/span><a href=\"https:\/\/www.nytimes.com\/2017\/11\/13\/health\/colombia-soda-tax-obesity.html\"><span style=\"font-weight: 400\">https:\/\/www.nytimes.com\/2017\/11\/13\/health\/colombia-soda-tax-obesity.html<\/span><\/a><span style=\"font-weight: 400\">. Accessed 15 October 2019.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Alise M, de Santamaria PNS, Rubio EL. [Subcontract Agreement About International Study of Childhood Obesity, Lifestyle and the Environment], 31 August 2011. 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New York City, United States. 6 November 2015: Available at: <\/span><a href=\"https:\/\/well.blogs.nytimes.com\/2015\/11\/06\/university-returns-1-million-grant-to-coca-cola\/?mtrref=www.google.com&amp;assetType=REGIWALL&amp;mtrref=well.blogs.nytimes.com&amp;gwh=F5AB5F4956F06A23A798F2C0D38AC91E&amp;gwt=pay&amp;assetType=REGIWALL\"><span style=\"font-weight: 400\">https:\/\/well.blogs.nytimes.com\/2015\/11\/06\/university-returns-1-million-grant-to-coca-cola\/?mtrref=www.google.com&amp;assetType=REGIWALL&amp;mtrref=well.blogs.nytimes.com&amp;gwh=F5AB5F4956F06A23A798F2C0D38AC91E&amp;gwt=pay&amp;assetType=REGIWALL<\/span><\/a><span style=\"font-weight: 400\">. Accessed 20 October 2019.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Layden B. Update Re: Action: Director Recruiting Update, 22 October 2014. Available at: <\/span><a href=\"https:\/\/www.industrydocuments.ucsf.edu\/docs\/xgcl0228\"><span style=\"font-weight: 400\">https:\/\/www.industrydocuments.ucsf.edu\/docs\/xgcl0228<\/span><\/a><span style=\"font-weight: 400\"> Accessed 20 October 2019.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Montoro H, Blair S, Steve<\/span><i><span style=\"font-weight: 400\">, et al.<\/span><\/i><span style=\"font-weight: 400\"> [Email from Steven Blair Concerning Potential Gebn Members], 17 December 2014. Available at: <\/span><a href=\"https:\/\/www.industrydocuments.ucsf.edu\/docs\/qygj0227\"><span style=\"font-weight: 400\">https:\/\/www.industrydocuments.ucsf.edu\/docs\/qygj0227<\/span><\/a><span style=\"font-weight: 400\"> Accessed 24 October 2019.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Applebaum R. Proposal for Establishment of the Global Energy Balance Network Docx, 9 July 2014. Available at: <\/span><a href=\"https:\/\/www.industrydocuments.ucsf.edu\/docs\/glml0228\"><span style=\"font-weight: 400\">https:\/\/www.industrydocuments.ucsf.edu\/docs\/glml0228<\/span><\/a><span style=\"font-weight: 400\"> Accessed 22 October 2019.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Duperly J. \u00bfImpuesto a Las Gaseosas Y Toda La Comida? El Espectador. Bogot\u00e1, Colombia. 6 October 2016: Available at: <\/span><a href=\"https:\/\/www.elespectador.com\/opinion\/impuesto-gaseosas-y-toda-comida\"><span style=\"font-weight: 400\">https:\/\/www.elespectador.com\/opinion\/impuesto-gaseosas-y-toda-comida<\/span><\/a><span style=\"font-weight: 400\">. Accessed 20 October 2019.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Crosbie E, Eckford R, Bialous S. Containing Diffusion: The Tobacco Industry&#8217;s Multipronged Trade Strategy to Block Tobacco Standardised Packaging. <\/span><i><span style=\"font-weight: 400\">Tob Control <\/span><\/i><span style=\"font-weight: 400\">2019;<\/span><b>28<\/b><span style=\"font-weight: 400\">:195-205.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Crosbie E, Sebrie EM, Glantz SA. Tobacco Industry Success in Costa Rica: The Importance of Fctc Article 5.3. <\/span><i><span style=\"font-weight: 400\">Salud Publica Mex <\/span><\/i><span style=\"font-weight: 400\">2012;<\/span><b>54<\/b><span style=\"font-weight: 400\">:28-38.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Mialon M, Swinburn B, Wate J<\/span><i><span style=\"font-weight: 400\">, et al.<\/span><\/i><span style=\"font-weight: 400\"> Analysis of the Corporate Political Activity of Major Food Industry Actors in Fiji. <\/span><i><span style=\"font-weight: 400\">Global Health <\/span><\/i><span style=\"font-weight: 400\">2016;<\/span><b>12<\/b><span style=\"font-weight: 400\">:18.<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medical journals, including The BMJ, are bringing greater attention to how funding from the food and beverage industry biases the evidence base in nutrition science. [1] Recent discussions of industry [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/09\/17\/industry-interference-in-nutrition-science-reaches-into-low-and-middle-income-countries\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":42067,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263],"tags":[],"class_list":["post-48590","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-global-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Industry interference in nutrition science reaches into low and middle income countries - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/09\/17\/industry-interference-in-nutrition-science-reaches-into-low-and-middle-income-countries\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Industry interference in nutrition science reaches into low and middle income countries - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Medical journals, including The BMJ, are bringing greater attention to how funding from the food and beverage industry biases the evidence base in nutrition science. 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