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I am a New Zealand registered nurse and nutritionist (Grad Cert Sci: nutrition, Massey Univ). I am a Certified Zone Instructor, and have worked teaching Zone diet principles to hundreds of clients over the last 10 years. More recently after finding that eating Paleo food choices was the "icing on the cake" health wise, I have become a Paleo enthusiast and teacher. Follow me on twitter @juliannejtaylor

NZ Nutrition policy favours the food industry – not public health

This, just in yesterday’s news is rather sobering. In 2006, the NZ government asked for submissions for an inquiry into Obesity and Type 2 diabetes.The resulting policy changes (or lack of them) clearly favour the food industry rather than public health submissions.

How fat are we?

New Zealand like other countries is experiencing a rapid increase in both. 28% of adults are now obese, up from 18% in 1997. 21% of children are now overweight and 8% are obese. (Source) 142,000 people have been diagnosed with Type 2 diabetes. (NZ Population 4.4 million) This is a 35% increase since 2001 for Type 2 diabetes. The Ministry of Health has estimated that 80,000 people have Type 2 diabetes who have not yet been diagnosed and a further 400,000 people are at risk. (Source)

So the government decided to hold an inquiry with a view to changing policy. However despite a mix of submissions from both food industry and public health groups the resulting policy changes heavily favour the food industry.

Nutrition policy favours food industry – not public health

Tuesday, 10 January 2012

The national nutrition policy formulated by Labour and National-led Governments favours the food industry over public health according to new research from the University of Otago, Wellington.

The new findings result from a study of the 313 submissions to the Health Select Committee Inquiry into Obesity and Type 2 Diabetes held in 2006. This study compared the positions taken by submitters from the food industry and public health groups, such as the National Heart Foundation.

These positions were then compared with the 2007 Labour Government’s response to the committee’s recommendations and the resulting national nutrition policy.

The research focused on 19 recommendations in four areas of nutrition policy: the national obesity strategy; regulation of the food industry; regulation of marketing and advertising; and school environments.

The research found that the Labour Government supported the food industry position in 13 of the 19 recommendations, against 5 where they supported the public health position. Importantly, the Government sided with industry in rejecting key committee recommendations for front-of-pack labelling and restrictions on TV advertising of unhealthy food. Only in the area of school environments did the Labour Government agree with the public health position by requiring schools to sell and promote only healthy foods.

This school nutrition policy was subsequently overturned by the National-led Government, suggesting a strengthening of industry’s influence on our national nutrition policy, says study lead author Dr Gabrielle Jenkin.

“Allowing schools to profit from the sale of unhealthy foods to their students is personally concerning to me as a parent, and should send alarm bells to other parents,” says Dr Jenkin.

She says that the public needs to consider who benefits from the current epidemic in obesity.

“The continuing trend of policy favouring the food industry is dangerous as we’re now the third most obese country in the developed world according to the OECD, with 63% of adults either overweight or obese.”

Like many developed nations such as the USA, New Zealand has a multi-million dollar health problem with increasing type 2 diabetes, directly related to an energy-dense (high fat and high sugar) diet associated with highly processed and fast foods.

International research indicates that many governments support the commercial interests of major industrial sectors like the food industry, over strategies to improve public health. These industries are often large investors and employers, and in New Zealand, central to the economy.

However this does not take into account collateral damage, the huge future health costs for diabetes, and indirect costs due to lost productivity. The study notes that current policy tends to be based on industry self regulation, leaving the responsibility of good nutrition up to the individual, but in an environment which encourages obesity and weight gain (‘obesogenic’).

“It’s obvious this self-regulatory model is a failure. The food industry continues to make large profits on the back of deteriorating public health, with the subsequent burden on the taxpayer to fund the health system. An effective public health strategy to address the obesogenic environment is needed if we are to control the escalating health costs,” says Dr Jenkin.

The study concludes that solutions lie in regulating the food industry, regulating the advertising and marketing industries, and limiting the involvement of the food industry in policy making to ensure fair treatment of public health concerns.

This study has been published in the international journal Public Health Nutrition and was funded by the Health Research Council.

The organisation “Fight the Obesity Epidemic” outlined key areas where the food industry submissions differed from industry submissions. Here are some excerpts:

Health and business ‘poles apart’ on obesity prevention

Submissions from the food and advertising industries (‘Industry’) took opposing positions on obesity prevention to those from a wide range of professionals and groups from the health sector (‘Health’).  In particular, industry believes the focus should be on educating consumers to make healthy choices.  The health sector believes that this is less important than making changes to the environment that make healthy choices easier.

Issues on which the industry and health sectors differed markedly include:

Changing the obesogenic environment

Health says: Education and information provision have been shown to be ineffective as the primary means of improving public health.  Environmental changes to make it easier for people to make healthy choices need to be the central focus for obesity prevention.

Industry says: Obesity prevention should focus on educating people and providing them with information that will enable them to make healthier choices.

Advertising of less healthy food

Health says: The Advertising Standards Authority codes are ineffective, and some form of government regulation of the advertising of less healthy food, particularly to children, is required.

Industry says: Current voluntary measures (the Advertising Standards Authority codes) are working effectively. Further measures are not required.

There is more here, but in a nutshell – industry says “No policy changes are needed” and health groups say that what we are doing is clearly not working and changes need to be implemented in public policy or the health of our nation will continue to get worse.

Not that we can really trust the public health groups either IMODiabetes New Zealand continue to push the message that starchy carbs should be included in all meals. (Although they do note starches turn to glucose and may be a problem for some diabetics) and the NZ National Heart Foundation, suggests we replace butter with margarine, and eat a low fat diet, because saturated fat leads to heart disease. Despite reviews into saturated fat showing the connection is weak.

Oh my. What a mess we are in.

Weight Watchers approved McDonald's meals

And if that isn’t enough we have WeightWatchers getting into bed with MacDonalds in New Zealand, and Fast Food companies increasingly sponsoring sports and charities. (Has any one noticed the player of the day certificates come with a voucher for a free MacDonald’s burger?)

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6 Responses to “NZ Nutrition policy favours the food industry – not public health”

  1. The part that really stood out for me when I read the University of Otago media release yesterday was this;

    “…leaving the responsibility of good nutrition up to the individual.”

    Your post highlights that there are just far too many vested interests in “public health”. I’m not interested in public health – I’m interested in MY HEALTH and that of specific individuals. I’m not interested in dividing the investment in my health and averaging it across 4.4 million or balancing my health against that the economic health of the country.

    My health is my responsibility. I’m under no illusion whatsoever that the Govt. and its various agencies, no matter how well-meaning they might seem to be, are able to make recommendations and create an environment best for me. I just wish I was able to opt out of paying for everyone else!

    January 13, 2012 at 3:18 am Reply
  2. The situation is even worse here in the USA.

    I got a new diabetic client today and boy is he confused. Almost everything I told him was in direct opposition to the advice of one authority or other. The government USDA recommendations, and the private orgs; American Diabetic Association, American Dietetic Association and American Heart Association are all pushing carbs at him and scaring him away from fat.

    Meanwhile he is showing many signs of severe internal damage from badly controlled blood sugars by continuing consumption of large quantities of carbs at every meal that the ADA’s (both of them) tell him he can just control by taking more insulin! Yes, just keep on drinking the poison Kool-Aid and remember to take your antidote after every meal. Utter madness!!

    Keep getting the truth out there. Only Truth can set us free.
    As it says in the Tao Teh Ching, Chapter 41:
    “The wise student hears of the Tao and practises it diligently.
    The average student hears of the Tao and gives it thought now and again.
    The foolish student hears of the Tao and laughs aloud.
    If there were no laughter, the Tao would not be what it is.”

    Find the wise students and help them get up to speed.
    Let the fools laugh themselves into sickness.
    Never be shy to tell your truth.
    It’s the only weapon we have that has an edge.

    Be well,
    Ben Fury

    January 13, 2012 at 5:33 am Reply
    • Yes I’ve seen T2 Diabetics who are like that. Such a joy though to see them start to control blood sugars and get off meds, and feel in control when they change their diet to a lowish carb paleo.

      January 13, 2012 at 6:22 am Reply
    • Ben

      The ADA recently revised their guidelines to include low carb diets as a treatment option:

      http://care.diabetesjournals.org/content/34/Supplement_1/S11.full#sec-15

      For weight loss, either low-carbohydrate, low-fat calorie-restricted, or Mediterranean diets may be effective in the short-term (up to 2 years). (A)

      For patients on low-carbohydrate diets, monitor lipid profiles, renal function, and protein intake (in those with nephropathy), and adjust hypoglycemic therapy as needed. (E)

      Cheers,

      Jamie

      January 13, 2012 at 7:36 am Reply
      • Thanks Jamie

        January 14, 2012 at 9:41 pm Reply
      • Thanks Jamie!

        This new ADA recommendation is apparently not common knowledge to mainstream doctors and dietitians. My client hadn’t heard any of this from anyone before me.

        And clearly the ADA’s still handwringing about the potential “harmful effects” of low carb diets with their warnings to monitor lipid panels (fear of fat) and renal function (fear of protein) on a low carbohydrate diet.

        They might want to read this Science Daily article to ease their minds about low carb and renal function:
        Low Carbohydrate Diet May Reverse Kidney Failure in People With Diabetes
        http://www.sciencedaily.com/releases/2011/04/110420184429.htm
        and the study it refers to:
        Reversal of Diabetic Nephropathy by a Ketogenic Diet
        http://www.plosone.org/article/info:doi/10.1371/journal.pone.0018604

        The types of clinical results that Dr. Richard Bernstein’s been reporting anecdotally for decades are finally being confirmed in the lab.

        When or if this will ever trickle up to the policy makers’ recommendations is anybodies guess.

        Be well,
        Ben

        January 15, 2012 at 12:25 am Reply

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