Liberalising agricultural policy for sugar in Europe risks damaging public health.

Concerns about the health effects of dietary sugars have recently taken centre stage, reflecting an emerging understanding of the importance of sugars, and particularly sugary drinks, in the development of obesity and diabetes.1-4 Recent research estimates consumption of sugar sweetened beverages will cause about 80,000 excess cases of type 2 diabetes in the UK over 10 years. In early 2015, the World Health Organization recommended intake of free sugars should be less than 10% of daily calories, and preferably below 5%. In July, the UK Scientific Advisory Committee on Nutrition halved its recommendation for free sugars to no more than 5% of daily caloriesThis work was undertaken by the Centre for Diet and Activity Research (CEDAR, MR/K023187/1), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. EKA was also supported by Fulbright-Schuman grant and a Harvard Knox Fellowship from Harvard University

Joined-up food policy? The trials of governance, public policy and the food system

To address the policy malfunctions of the recent past and present, UK food policy needs to link policy areas that in the past have been dealt with in a disparate manner, and to draw on a new ecological public health approach. This will need a shift within the dominant trade liberalization–national economic competitiveness paradigm that currently informs UK food policy, and the international levels of the EU and the WTO trade rules, and grants the large corporate players in the food system a favoured place at the policy–making tables. The contradictions of the food system have wrought crises that have engendered widespread institutional change at all levels of governance. Recent institutional reforms to UK food policy, such as the FSA and DEFRA, reflect a bounded approach to policy integration. Initiatives seeking a more integrated approach to food policy problems, such as the Social Exclusion Unit’s access to shops report, and the Policy Commission on the Future of Food and Farming, can end up confined to a particular policy sector framed by particular interests—a process of “policy confinement”. However, the UK can learn from the experience of Norway and Finland who have found their own routes to a more joined–up approach to public health and a sustainable food supply by, for example, introducing a national food policy council to provide integrated policy advice. Also, at the local and community levels in the UK, policy alternatives are being advanced in an ad hoc fashion by local food initiatives. More structural–level interventions at the regional and local governance levels are also needed to address the social dimensions of a sustainable food suppl

The nutritional impact of fortified ready-to-eat cereals on the diets of school age children

Includes bibliographical references

'Self-help which ennobles a nation': development, citizenship, and the obligations of eating in India's austerity years

In the years immediately following independence, India's political leadership, assisted by a network of civic organizations, sought to transform what, how, and how much Indians ate. These campaigns, this article argues, embodied a broader post-colonial project to reimagine the terms of citizenship and development in a new nation facing enduring scarcity. Drawing upon wartime antecedent, global ideologies of population and land management, and an ethos of austerity imbued with the power to actualize economic self-reliance, the new state urged its citizens to give up rice and wheat, whose imports sapped the nation of the foreign currency needed for industrial development. In place of these staples, India's new citizens were asked to adopt ‘substitute’ and ‘subsidiary’ foods—including bananas, groundnuts, tapioca, yams, beets, and carrots—and give up a meal or more each week to conserve India's scant grain reserves. And as Indian planners awaited the possibility of fundamental agricultural advance and agrarian reform, they looked to food technology and the promise of ‘artificial rice’ as a means of making up for India's perennial food deficit. India's women, as anchors of the household—and therefore, the nation—were tasked with facilitating these dietary transformations, and were saddled with the blame when these modernist projects failed. Unable to marshal the resources needed to undertake fundamental agricultural reform, India's planners placed greater faith in their ability to exercise authority over certain aspects of Indian citizenship itself, tying the remaking of practices and sentiments to the reconstruction of a self-reliant national economy.Accepted manuscrip

Local Government Actions to Prevent Childhood Obesity

Offers guidance on policy and programmatic actions local governments can take, with community input, to promote healthy eating and physical activity and to ensure equal opportunities for healthy living in low-income neighborhoods. Profiles best practices

The process of setting micronutrient recommendations: a cross-European comparison of nutrition-related scientific advisory bodies

Copyright @ The Authors 2010Objective: To examine the workings of the nutrition-related scientific advisory bodies in Europe, paying particular attention to the internal and external contexts within which they operate. Design: Desk research based on two data collection strategies: a questionnaire completed by key informants in the field of micronutrient recommendations and a case study that focused on mandatory folic acid (FA) fortification. Setting: Questionnaire-based data were collected across thirty-five European countries. The FA fortification case study was conducted in the UK, Norway, Denmark, Germany, Spain, Czech Republic and Hungary. Results: Varied bodies are responsible for setting micronutrient recommendations, each with different statutory and legal models of operation. Transparency is highest where there are standing scientific advisory committees (SAC). Where the standing SAC is created, the range of expertise and the terms of reference for the SAC are determined by the government. Where there is no dedicated SAC, the impetus for the development of micronutrient recommendations and the associated policies comes from interested specialists in the area. This is typically linked with an ad hoc selection of a problem area to consider, lack of openness and transparency in the decisions and over-reliance on international recommendations. Conclusions: Even when there is consensus about the science behind micronutrient recommendations, there is a range of other influences that will affect decisions about the policy approaches to nutrition-related public health. This indicates the need to document the evidence that is drawn upon in the decisions about nutrition policy related to micronutrient intake.This work has been carried out within the EURRECA Network of Excellence (www.eurreca.org) which is financially supported by the Commission of the European Communities, specific Research, Technology and Development (RTD) Programme Quality of Life and Management of Living Resources, within the Sixth Framework Programme, contract no. 036196