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Researcher Links Food,
Car Ads to Obesity Epidemic

NEW YORK (Reuters Health) - Food and automobile companies are spending billions of dollars in advertising to promote conveniences that, over time, may be key factors in Americans' rising rates of obesity, according to one Massachusetts researcher.

And obesity, he notes, puts people at greater risk of developing type 2 diabetes, which is approaching "epidemic proportions" in the US.

In 2001, nearly $25 billion was spent on advertisements for relatively inexpensive, convenient and high-calorie fast foods and other foods, sweets, and beverages, as well as labor-saving automobiles, both of which help to reduce many people's levels of habitual activity.

"We are experiencing epidemic rates of obesity and related diseases such as type 2 diabetes in the US and we need to look at this emerging problem with a new set of eyes," Dr. Garry Welch of the Joslin Diabetes Center in Boston told Reuters Health.

The rate of obesity among US adults has increased by 74% since 1991, according to a recent report from the US Centers for Disease Control and Prevention (CDC). Extremely obese people have a seven-fold greater risk of diabetes, according to the CDC report, and are more likely to have high blood pressure and arthritis than people with normal body weights.

In a letter to the editor published in the February issue of Diabetes Care, Welch wrote that the amount of advertising to promote "products that could be argued to directly and indirectly promote obesity is alarming."

"If we look at the drivers of this obesity/diabetes epidemic they come from our rapidly changing US culture where our food and exercise habits are deteriorating as our lives get more complicated and busy," he added in an E-mail interview. "At the heart of these cultural changes are business and political forces that are actively shaping our habits and way of life."

Welch examined 2001 US spending on brand advertising via print, television, radio and other media, and found that advertising for fast foods amounted to $3.5 billion--for just nine different brands. In a separate analysis of advertising for foods, confections and beverages, an additional $5.8 billion was spent, including nearly $786 million for the top five brands of soda.

Advertisements for automobiles were even more costly, totaling $15.5 billion, he reports.

Yet the CDC's total administrative budget barely topped $5 billion that year, according to the researcher. The US Food and Drug Administration's budget was just $1.3 billion.

In light of his findings, Welch believes "there is a parallel with our historical smoking problem." Just as nicotine addiction and lung cancer could be attributed to "aggressive business practices" in the tobacco industry, he said, "obesity and type 2 diabetes are toxic side effects in the case of promotion of fast foods, cars, etc. to everyone."

"Only when we have a clear understanding of the cultural problem we face regarding obesity and type 2 diabetes and have educated the US public about this, much in the way we went from ignorance to awareness regarding the cigarette industry, will we have the platform to make meaningful changes in business practices promoting obesity," he added.

Welch is not advocating that a slew of lawsuits be brought against the fast food or automobile industry, particularly since there are key differences between these products and cigarettes. For example, "the tobacco industry was cynically and knowingly hiding the dangers of its products for decades to keep the cash cow alive," he said.

Rather, Welch argues that obesity-promoting industries should contribute financially to obesity research, "to help us understand the cultural problems we face and the development of responsible and healthy food and exercise practices.

"We live in a society that strongly shapes our daily eating and exercise habits and makes it very difficult to keep lean and fit," Welch added. "It is time to start looking at the business and political forces that create this increasingly unhealthy society and to push back."

In response to Welch's letter and comments, Gene Grabowski, a spokesman for the American Council for Fitness and Nutrition (ACFN), said he agrees that more funding is needed for obesity research.

The ACFN is a consortium of food, beverage and consumer products companies, not-for-profit organizations and trade associations whose stated mission is to promote research, education and policies that encourage a healthy balance between fitness and nutrition.

 

"We accept our responsibility, but we need help," he said, explaining that the food industry has been contributing millions of dollars for over a decade toward obesity research and also is distributing nutrition information via nutritionists and over Web sites.

In fact, Grabowski said, the three main issues for the council include advocating for better nutrition and fitness information for parents, getting physical education back into schools and getting more federal funding for research on obesity.

Further, Grabowski said that especially in recent years, marketing and advertising for high fat foods is "pretty balanced" with that for healthier fare. Much of prime time advertising in particular has been aimed toward weight conscious baby boomers, he said, so "no fat, low fat foods have been the rage for the past five years."

While Grabowski acknowledges the lack of data to support his claim that "better-for-you foods" are advertised and marketed just as heavily as less healthy foods, he said that there is also no data to support the idea that heavy advertising may somehow be linked--indirectly or directly--to rising rates of obesity and type 2 diabetes.

SOURCE: Diabetes Care 2003;26:546-547.

Reference Source 89

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