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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:02,000 --> 00:00:06,040 This programme deals with Eating Disorders 2 00:00:06,040 --> 00:00:08,119 My friends, my family, think I'm obsessed with this. 3 00:00:08,119 --> 00:00:09,600 I mean, they're right. I am. 4 00:00:09,600 --> 00:00:11,640 I mean, look at this. 5 00:00:11,640 --> 00:00:14,880 So this - this is, what we're walking through, is the food environment. 6 00:00:14,880 --> 00:00:17,200 We could be anywhere in the UK. 7 00:00:17,200 --> 00:00:19,920 It's all industrially processed food. 8 00:00:22,680 --> 00:00:24,320 It's extremely convenient... 9 00:00:25,720 --> 00:00:27,560 ..it's very cheap... 10 00:00:27,560 --> 00:00:30,280 ..and it's so appealing. 11 00:00:30,280 --> 00:00:32,680 And yet we know that this food environment 12 00:00:32,680 --> 00:00:34,680 is driving a catastrophe. 13 00:00:35,680 --> 00:00:40,360 The evidence is increasingly clear that pre-prepared, packaged, 14 00:00:40,360 --> 00:00:45,240 highly processed food is linked to weight gain, obesity, some cancers, 15 00:00:45,240 --> 00:00:47,400 dementia, type 2 diabetes, 16 00:00:47,400 --> 00:00:49,720 and early death from all causes. 17 00:00:52,400 --> 00:00:55,960 We're in the middle of a food crisis, but we can't stop eating. 18 00:00:55,960 --> 00:00:59,960 And if you want to understand why, you have to go and speak 19 00:00:59,960 --> 00:01:03,520 to people who have worked inside the food industry. 20 00:01:03,520 --> 00:01:06,080 We've worked with Heinz, Cadbury's, Pringles. 21 00:01:06,080 --> 00:01:07,920 Bird's Custard. Campbell's Soup. 22 00:01:07,920 --> 00:01:09,520 Unilever. PepsiCo. 23 00:01:09,520 --> 00:01:11,360 Kellogg. Dr Pepper. 24 00:01:11,360 --> 00:01:15,000 These foods are engineered to be addictive. 25 00:01:16,480 --> 00:01:18,880 How have we sleepwalked into this situation? 26 00:01:22,480 --> 00:01:26,039 What is the food we eat today doing to our minds? 27 00:01:26,039 --> 00:01:29,480 And how has it become so irresistible? 28 00:01:35,200 --> 00:01:38,160 Britain will be left a sick and impoverished nation, 29 00:01:38,160 --> 00:01:40,479 according to former government food tsar, 30 00:01:40,479 --> 00:01:43,120 if we don't do something about our junk food habit. 31 00:01:46,479 --> 00:01:48,120 My name is Chris van Tulleken. 32 00:01:48,120 --> 00:01:50,600 I'm an NHS doctor, I'm a scientist, 33 00:01:50,600 --> 00:01:54,200 and I'm part of a growing group of doctors and academics 34 00:01:54,200 --> 00:01:56,960 who are increasingly worried about the effect that 35 00:01:56,960 --> 00:02:00,200 the global food system is having on all of us. 36 00:02:00,200 --> 00:02:03,000 When it comes to obesity, the way that we've understood the problem 37 00:02:03,000 --> 00:02:05,200 is it's a failure of willpower. 38 00:02:05,200 --> 00:02:07,720 People are just making bad choices. 39 00:02:07,720 --> 00:02:09,320 They're somewhat lazy. 40 00:02:09,320 --> 00:02:11,240 It's basically their fault. 41 00:02:11,240 --> 00:02:14,840 This is American government data for men and women of all different ages - 42 00:02:14,840 --> 00:02:17,480 the different lines are different ages - for obesity. 43 00:02:17,480 --> 00:02:21,040 What you see is between 1960 and 1975, 44 00:02:21,040 --> 00:02:24,520 there's a fairly steady percentage of obesity in the population. 45 00:02:25,520 --> 00:02:28,800 But in the mid-1970s, obesity starts going up 46 00:02:28,800 --> 00:02:31,200 in all of the groups simultaneously. 47 00:02:33,560 --> 00:02:36,160 Now, if you're saying willpower is responsible, 48 00:02:36,160 --> 00:02:40,480 what you're proposing is that all of these groups of people simultaneously 49 00:02:40,480 --> 00:02:43,160 lost moral responsibility, and that's not plausible. 50 00:02:44,120 --> 00:02:47,840 Something else happened to our food in the mid-1970s 51 00:02:47,840 --> 00:02:49,960 to make it irresistible to people. 52 00:02:55,280 --> 00:02:56,920 Good afternoon. How are you? 53 00:03:04,920 --> 00:03:06,960 My name is Howard Moskowitz. 54 00:03:06,960 --> 00:03:09,520 I'm an experimental psychologist. 55 00:03:10,640 --> 00:03:15,760 And in the 1970s, people think that I revolutionised 56 00:03:15,760 --> 00:03:17,320 the food industry. 57 00:03:20,880 --> 00:03:25,640 I'd like to talk to you about the way the science came about. 58 00:03:25,640 --> 00:03:28,760 You know, you read all the time in the newspapers - 59 00:03:28,760 --> 00:03:32,960 it's a sinister plot, generally by one or two scientists 60 00:03:32,960 --> 00:03:36,840 in a laboratory, like Ming the Magnificent, saying, 61 00:03:36,840 --> 00:03:39,480 "How should we make the people of the world fat?" 62 00:03:39,480 --> 00:03:41,840 Well, let me tell you my own history. 63 00:03:43,840 --> 00:03:47,880 I was called by the vice chairman of Campbell's Soup, 64 00:03:47,880 --> 00:03:49,440 and they said to me, 65 00:03:49,440 --> 00:03:54,040 "We're competing against a company which manufactures ragu." 66 00:03:54,040 --> 00:03:58,800 They used to make it out of Contadina tomato paste and water, 67 00:03:58,800 --> 00:04:01,520 like my mother did in the '50s. 68 00:04:01,520 --> 00:04:05,640 I said, "I think you can make a better pasta sauce." 69 00:04:05,640 --> 00:04:08,520 And they said, "How?" 70 00:04:08,520 --> 00:04:12,880 And I said, "Let's figure out the actual food ingredients 71 00:04:12,880 --> 00:04:17,200 "that you can blend, and let's make different combinations, 72 00:04:17,200 --> 00:04:18,720 "and we'll test them." 73 00:04:20,320 --> 00:04:25,040 And we ended up creating 45 dishes, 74 00:04:25,040 --> 00:04:30,600 and we got people to taste them and rate how much they liked them. 75 00:04:30,600 --> 00:04:35,240 I realised very simply that if you systematically 76 00:04:35,240 --> 00:04:38,760 varied the ingredients and you tested them, 77 00:04:38,760 --> 00:04:43,000 nature would reveal itself in stunning clarity. 78 00:04:43,000 --> 00:04:47,560 So this is the origin of the bliss point with which I am identified. 79 00:04:49,800 --> 00:04:52,760 The easiest way to demonstrate a bliss point 80 00:04:52,760 --> 00:04:54,680 is add sugar to coffee. 81 00:04:56,200 --> 00:04:58,360 As you add more and more sugar, 82 00:04:58,360 --> 00:05:00,880 you like it more and more up to a certain point, 83 00:05:00,880 --> 00:05:03,000 and then you like it less and less. 84 00:05:03,000 --> 00:05:05,680 The highest level is where you like it most. 85 00:05:05,680 --> 00:05:07,320 That's the bliss point... 86 00:05:09,760 --> 00:05:11,320 ..where you have the bliss. 87 00:05:14,880 --> 00:05:17,200 And that became the basis 88 00:05:17,200 --> 00:05:20,680 of a multi-billion dollar 30-year run. 89 00:05:24,720 --> 00:05:29,080 I found that I could consult with companies like Unilever, 90 00:05:29,080 --> 00:05:31,600 Pepsi Cola, Tropicana, 91 00:05:31,600 --> 00:05:34,800 Dr Pepper, and Spam. 92 00:05:39,440 --> 00:05:41,760 Sales almost always go up 93 00:05:41,760 --> 00:05:44,280 because you're making a delicious product 94 00:05:44,280 --> 00:05:46,360 and you know that people love it. 95 00:05:46,360 --> 00:05:47,600 Very simple. 96 00:05:49,360 --> 00:05:52,800 But over the years, 97 00:05:52,800 --> 00:05:56,240 products became more complicated and more artificial. 98 00:06:04,440 --> 00:06:07,360 The road to hell is paved with good intentions. 99 00:06:16,480 --> 00:06:19,400 From the 1970s, food companies started to realise 100 00:06:19,400 --> 00:06:23,160 that if they used proper scientific development processes, 101 00:06:23,160 --> 00:06:25,880 they could sell us a lot more food. 102 00:06:34,880 --> 00:06:38,680 My name is John Ruff, and I've spent 40 years in the food industry 103 00:06:38,680 --> 00:06:41,159 across seven different countries. 104 00:06:41,159 --> 00:06:44,560 Companies spend a lot of time optimising all aspects 105 00:06:44,560 --> 00:06:47,880 of their product - the flavour, the taste, the texture. 106 00:06:47,880 --> 00:06:49,640 People want their product to be as good, 107 00:06:49,640 --> 00:06:52,720 if not better, than the competitor, so it will sell more. 108 00:06:54,960 --> 00:06:58,320 In research and development, we used to use a phrase called the funnel. 109 00:06:58,320 --> 00:07:01,000 And the funnel was the product development funnel. 110 00:07:01,000 --> 00:07:05,640 You need 100 products to be in what's called advanced development. 111 00:07:05,640 --> 00:07:07,920 You need 1,000 in early development. 112 00:07:07,920 --> 00:07:09,240 You need 10,000 ideas. 113 00:07:09,240 --> 00:07:11,840 Often those ideas don't get off the drawing board, 114 00:07:11,840 --> 00:07:13,240 don't get off the paper, 115 00:07:13,240 --> 00:07:15,840 or they'll make some early prototypes or mock-ups. 116 00:07:15,840 --> 00:07:19,960 OK, seats numbers 1 to 14, you'll be now testing the Midget Gems. 117 00:07:19,960 --> 00:07:23,480 We use trained sensory panels to give us ratings. 118 00:07:23,480 --> 00:07:25,160 Is it squishy? Is it hard? 119 00:07:25,160 --> 00:07:27,080 Is it soft? Is it crunchy? 120 00:07:27,080 --> 00:07:30,680 That's very much how the food industry operates. 121 00:07:30,680 --> 00:07:34,080 The food company really almost has to sort of provide products 122 00:07:34,080 --> 00:07:36,840 that consumers want, otherwise they will go out of business. 123 00:07:40,080 --> 00:07:42,000 I've spoken to lots of people who work at food companies, 124 00:07:42,000 --> 00:07:43,880 and they've told me about these tasting panels. 125 00:07:43,880 --> 00:07:46,920 Two of the most important things that are measured 126 00:07:46,920 --> 00:07:48,880 are how quickly do people eat, 127 00:07:48,880 --> 00:07:51,000 and how much of the food do people eat? 128 00:07:51,000 --> 00:07:53,040 Because that's what drives sales. 129 00:07:53,040 --> 00:07:57,040 But these tasting panels have a subjective element, 130 00:07:57,040 --> 00:08:00,280 so some companies started taking it much further. 131 00:08:16,680 --> 00:08:19,720 One of my remits when I first joined the company 132 00:08:19,720 --> 00:08:22,280 was the way that they would get information, 133 00:08:22,280 --> 00:08:24,560 and that would be always word of mouth. 134 00:08:24,560 --> 00:08:27,120 It would be focus groups, it would be questionnaires, 135 00:08:27,120 --> 00:08:29,280 and I just railed against that stuff. 136 00:08:30,800 --> 00:08:32,919 I'm a neuroscientist. 137 00:08:32,919 --> 00:08:36,760 I introduced brain scanning to Unilever. 138 00:08:40,080 --> 00:08:42,080 I'm not interested in talking to a consumer. 139 00:08:42,080 --> 00:08:45,080 I want to find out what they like by digging deeper, 140 00:08:45,080 --> 00:08:48,880 because we're not really aware of why we like what we like. 141 00:08:48,880 --> 00:08:52,560 And one way to get that is with the neuroimaging capabilities. 142 00:08:53,720 --> 00:08:56,800 What we would do is basically lie someone in a brain scanner 143 00:08:56,800 --> 00:08:58,920 and feed food into their mouth. 144 00:08:58,920 --> 00:09:02,720 And we looked at the activity that was coming into that brain. 145 00:09:05,280 --> 00:09:07,880 And one study that we did was feeding people 146 00:09:07,880 --> 00:09:11,400 in one of these brain scanners different types of ice cream. 147 00:09:11,400 --> 00:09:14,720 And what we found is that this area right at the front 148 00:09:14,720 --> 00:09:17,640 of the brain here - it's called the orbitofrontal cortex, 149 00:09:17,640 --> 00:09:20,080 and it's a reward system area, 150 00:09:20,080 --> 00:09:22,200 and it was glowing like a furnace. 151 00:09:23,800 --> 00:09:26,200 You're looking at what the brain is telling you. 152 00:09:26,200 --> 00:09:28,080 You can't fudge it. 153 00:09:28,080 --> 00:09:32,720 And it's grown and grown and grown as a way to predict 154 00:09:32,720 --> 00:09:36,080 what product is going to be successful and what isn't. 155 00:09:42,000 --> 00:09:46,000 And the ice cream business used that brain imaging data 156 00:09:46,000 --> 00:09:49,280 to basically make the claim that ice cream makes you happy. 157 00:09:50,240 --> 00:09:53,600 And this is the article that was in the newspapers. 158 00:09:56,560 --> 00:09:59,040 Slightly unfortunate that it's got an obesity thing. 159 00:10:00,480 --> 00:10:02,440 Yes. 160 00:10:00,480 --> 00:10:02,440 HE LAUGHS 161 00:10:02,440 --> 00:10:04,080 This is contrast, isn't it? 162 00:10:04,080 --> 00:10:05,200 Yeah. 163 00:10:05,200 --> 00:10:06,920 You can edit that out, can't you? 164 00:10:11,280 --> 00:10:12,960 The brain scans predicted 165 00:10:12,960 --> 00:10:16,680 which foods people would like or which ones they'd love, 166 00:10:16,680 --> 00:10:20,280 but they also helped to show something about those foods 167 00:10:20,280 --> 00:10:22,520 that would be really crucial for the food industry. 168 00:10:22,520 --> 00:10:26,680 If you want to sell a lot of food, texture is massively important. 169 00:10:29,600 --> 00:10:33,520 One thing many people don't realise is that factory processing 170 00:10:33,520 --> 00:10:36,760 changes the textural properties of that food. 171 00:10:36,760 --> 00:10:39,960 Now, that makes the food much softer. 172 00:10:39,960 --> 00:10:42,160 And an interesting fact about soft food 173 00:10:42,160 --> 00:10:44,040 is you're not chewing it as much. 174 00:10:44,040 --> 00:10:47,880 That actually short-circuits the normal satiety mechanisms 175 00:10:47,880 --> 00:10:51,240 that you would have if you were actually chewing food properly. 176 00:10:51,240 --> 00:10:54,840 So a food which you have to actually put some work into chewing - 177 00:10:54,840 --> 00:10:57,880 so a crunchy carrot - is having that benefit in terms of the fact 178 00:10:57,880 --> 00:10:59,960 you're spending a lot more time chewing it. 179 00:10:59,960 --> 00:11:02,040 With a soft food, you don't do that. 180 00:11:02,040 --> 00:11:04,560 So you're bypassing a normal mechanism 181 00:11:04,560 --> 00:11:06,240 that tells you that you're full. 182 00:11:07,960 --> 00:11:11,400 Once you've worked out that playing around with the texture of a food, 183 00:11:11,400 --> 00:11:16,080 making it softer, tricks that normal satiety or fullness mechanism, 184 00:11:16,080 --> 00:11:18,120 clearly there's an opportunity there 185 00:11:18,120 --> 00:11:20,240 for some kind of scurrilous behaviour 186 00:11:20,240 --> 00:11:23,480 in making food softer so that people will eat more, 187 00:11:23,480 --> 00:11:26,600 and therefore you sell more of your product. 188 00:11:26,600 --> 00:11:30,960 So there is an opportunity there, of course, you know, to basically... 189 00:11:30,960 --> 00:11:33,160 ..not do the right thing, shall I say? 190 00:11:37,840 --> 00:11:42,880 So much of the packaged food that we eat is incredibly soft. 191 00:11:48,200 --> 00:11:49,400 My kids love these. 192 00:11:51,720 --> 00:11:55,160 You don't typically think of this as being a soft food, 193 00:11:55,160 --> 00:11:57,120 because it's a bit crunchy, 194 00:11:57,120 --> 00:11:58,640 but actually, after that initial crunch, 195 00:11:58,640 --> 00:12:00,680 you can just crush it with your tongue, right? 196 00:12:00,680 --> 00:12:01,880 It's got no resistance at all. 197 00:12:01,880 --> 00:12:04,600 But in terms of the calories per gram, 198 00:12:04,600 --> 00:12:08,240 it's got way more calories than even a very fatty burger. 199 00:12:08,240 --> 00:12:10,800 So the softness and the energy density 200 00:12:10,800 --> 00:12:13,360 mean that you consume it incredibly quickly. 201 00:12:13,360 --> 00:12:16,240 And there's a food industry term for these 202 00:12:16,240 --> 00:12:19,400 very light, puffy foods that melt in the mouth. 203 00:12:19,400 --> 00:12:22,480 It's called vanishing caloric density. 204 00:12:25,880 --> 00:12:26,920 Gone. 205 00:12:29,840 --> 00:12:34,240 The thing that makes us eat a lot isn't just what we do to the food. 206 00:12:35,560 --> 00:12:39,320 It's also about logos, marketing, 207 00:12:39,320 --> 00:12:42,800 branding, the box the food comes in. 208 00:12:47,640 --> 00:12:51,320 Here we've got a very crinkly packet of crisps. 209 00:12:51,320 --> 00:12:53,840 The noise is quite loud. 210 00:12:53,840 --> 00:12:55,080 Extraordinary. 211 00:12:55,080 --> 00:12:58,000 Of course that's going to make you think, "Fresh, fresh, fresh." 212 00:12:59,360 --> 00:13:01,400 I'm Professor Barry Smith. 213 00:13:01,400 --> 00:13:06,200 I work on sensory science with neuroscientists and psychologists. 214 00:13:07,480 --> 00:13:09,760 Pringles are often irresistible. 215 00:13:09,760 --> 00:13:11,120 It's in their slogan. 216 00:13:11,120 --> 00:13:12,880 # Potato crisps in a tube 217 00:13:12,880 --> 00:13:14,680 # Pop it up and get in the mood 218 00:13:14,680 --> 00:13:16,200 # Once you pop 219 00:13:16,200 --> 00:13:18,120 # You can't stop. # 220 00:13:18,120 --> 00:13:19,800 When I worked for Pringles, 221 00:13:19,800 --> 00:13:23,360 they were really worried about the competition from Doritos, 222 00:13:23,360 --> 00:13:26,280 and they were trying to think of ways to innovate. 223 00:13:26,280 --> 00:13:29,320 And one idea was, "Let's make the tube bigger 224 00:13:29,320 --> 00:13:31,920 "so that we can get our whole hand in there." 225 00:13:31,920 --> 00:13:34,480 And I said, "No, no, no, no, don't do that." 226 00:13:34,480 --> 00:13:37,200 People like struggling to get their hand in. 227 00:13:37,200 --> 00:13:38,920 They're like foraging bears. 228 00:13:38,920 --> 00:13:41,280 They're trying to extract the food 229 00:13:41,280 --> 00:13:44,280 and that searching out something to eat, 230 00:13:44,280 --> 00:13:46,200 that's increasing your desire. 231 00:13:48,160 --> 00:13:49,840 CRUNCHING 232 00:13:51,520 --> 00:13:54,160 Eating is a multi-sensory experience. 233 00:13:55,240 --> 00:13:56,880 There's the look of the food. 234 00:13:56,880 --> 00:13:58,600 There's the smell of the food. 235 00:13:58,600 --> 00:14:02,240 There's the feeling of the food on your fingers. 236 00:14:02,240 --> 00:14:04,840 Even the sound of food matters. 237 00:14:09,360 --> 00:14:13,200 When you open a fizzy soda, you've got two noises. 238 00:14:13,200 --> 00:14:16,480 You've got the click and the tear. 239 00:14:16,480 --> 00:14:18,920 Sound engineers and manufacturers 240 00:14:18,920 --> 00:14:22,240 work really hard to get that sound just right. 241 00:14:22,240 --> 00:14:24,200 And that's sonic branding. 242 00:14:29,760 --> 00:14:33,600 Many companies have asked me to work on sonic branding for them, 243 00:14:33,600 --> 00:14:36,600 and I think I can mention when I was working with Kellogg, 244 00:14:36,600 --> 00:14:39,200 they said, "Ooh, what's sonic branding?" 245 00:14:39,200 --> 00:14:42,880 And I said, "You invented this!" 246 00:14:42,880 --> 00:14:45,640 Most people will remember, as children, 247 00:14:45,640 --> 00:14:49,360 the experience of lifting a bowl to their ear. 248 00:14:49,360 --> 00:14:51,440 And what are they listening for? 249 00:14:51,440 --> 00:14:53,960 Snap, Crackle, and Pop. 250 00:14:53,960 --> 00:14:56,080 That's sonic branding at its best, 251 00:14:56,080 --> 00:14:58,680 and that's the original. 252 00:14:58,680 --> 00:15:03,120 # It's fun to put Snap, Crackle, Pop into your morning. # 253 00:15:13,880 --> 00:15:15,080 Look at all this. 254 00:15:15,080 --> 00:15:19,200 The food companies are using branding to grab our attention. 255 00:15:19,200 --> 00:15:22,160 It's salt, fat, sugar wrapped up in appealing packages. 256 00:15:22,160 --> 00:15:23,480 We've got cartoon characters. 257 00:15:23,480 --> 00:15:25,200 There are tigers. There are monkeys. 258 00:15:25,200 --> 00:15:27,800 There are bright colours everywhere. 259 00:15:29,600 --> 00:15:33,720 But to sell even more food, industry had to change 260 00:15:33,720 --> 00:15:37,640 the culture of how we eat, the number of times a day we eat, 261 00:15:37,640 --> 00:15:40,000 and this is called snackification. 262 00:15:50,080 --> 00:15:52,160 I am Dr Yanaina Chavez Ugalde. 263 00:15:52,160 --> 00:15:56,560 I am currently a research associate at the University of Cambridge. 264 00:15:56,560 --> 00:16:01,480 I trained as a food engineer in Mexico and I worked for Cargill. 265 00:16:04,000 --> 00:16:08,520 It's a company that makes most of the raw ingredients 266 00:16:08,520 --> 00:16:10,800 that go into processed foods. 267 00:16:10,800 --> 00:16:13,840 Name it - flour, sugar, oil, 268 00:16:13,840 --> 00:16:16,800 high-fructose corn syrup, cocoa. 269 00:16:20,240 --> 00:16:24,440 In the last several years, I started to see an influx 270 00:16:24,440 --> 00:16:27,800 of packaged products from the USA into Mexico. 271 00:16:27,800 --> 00:16:31,000 I started to see my peers getting bigger. 272 00:16:31,000 --> 00:16:35,000 I started to hear about diseases like type 2 diabetes, 273 00:16:35,000 --> 00:16:37,640 cancer in younger people. 274 00:16:37,640 --> 00:16:39,880 I started to ask questions about, 275 00:16:39,880 --> 00:16:44,480 what is our impact as a food company in the health of our nation? 276 00:16:44,480 --> 00:16:46,480 And that's why I changed careers. 277 00:16:48,160 --> 00:16:49,920 There's a lot of competition out there, 278 00:16:49,920 --> 00:16:52,200 and food companies make their money 279 00:16:52,200 --> 00:16:54,760 by the amount of products we consume from them. 280 00:16:54,760 --> 00:16:57,760 So there's a stomach share that they're fighting for, 281 00:16:57,760 --> 00:16:59,960 and there are hours in the day 282 00:16:59,960 --> 00:17:02,120 in between breakfast, lunch, and dinner. 283 00:17:02,120 --> 00:17:03,800 What happens between those hours? 284 00:17:03,800 --> 00:17:05,680 They want us to snack. 285 00:17:05,680 --> 00:17:07,880 ALARM BEEPS 286 00:17:07,880 --> 00:17:09,680 You wake up and this is what you have. 287 00:17:09,680 --> 00:17:11,000 Snack number one - 288 00:17:11,000 --> 00:17:13,760 breakfast shake, ultra-processed. 289 00:17:13,760 --> 00:17:16,440 This is heavily marketed for you to have on the go - 290 00:17:16,440 --> 00:17:20,839 do not sit down, do not take time to crunch through something. 291 00:17:20,839 --> 00:17:23,119 Snack number two of the day. 292 00:17:24,680 --> 00:17:26,240 It's empty calories. 293 00:17:26,240 --> 00:17:28,880 Energy-dense, nutrient-poor. 294 00:17:28,880 --> 00:17:31,640 Midday, you're starting to get a little bit peckish, 295 00:17:31,640 --> 00:17:33,200 and what do you have? 296 00:17:33,200 --> 00:17:35,040 Veggie straws. 297 00:17:35,040 --> 00:17:38,160 This is a good example of a health claim snacking product. 298 00:17:38,160 --> 00:17:42,000 Whereas before we would have had food, actual food, 299 00:17:42,000 --> 00:17:45,040 now we are marketed into believing 300 00:17:45,040 --> 00:17:47,120 that this is actually a healthy replacement. 301 00:17:48,680 --> 00:17:51,760 Some snacking products have now been made to be linked 302 00:17:51,760 --> 00:17:53,320 with being physically active. 303 00:17:53,320 --> 00:17:58,800 So after the gym, I have a high-protein, low-sugar bar 304 00:17:58,800 --> 00:18:00,960 instead of having a healthier option. 305 00:18:02,840 --> 00:18:06,040 You finish having dinner and you have these snacks 306 00:18:06,040 --> 00:18:09,080 that are sold to you as "more to share," 307 00:18:09,080 --> 00:18:13,240 where, in fact, you can just finish them watching the TV by yourself. 308 00:18:13,240 --> 00:18:16,720 I do like them and I cannot stop eating them. 309 00:18:18,800 --> 00:18:22,120 SHE LAUGHS 310 00:18:18,800 --> 00:18:22,120 And I literally can't. 311 00:18:22,120 --> 00:18:23,480 Oh, God. 312 00:18:28,000 --> 00:18:29,320 If you're a food company, 313 00:18:29,320 --> 00:18:31,960 there are two main ways you can make more money. 314 00:18:31,960 --> 00:18:35,200 You can sell more food, so you can grab more stomach share, 315 00:18:35,200 --> 00:18:38,040 or you can use cheaper ingredients. 316 00:18:49,480 --> 00:18:53,600 I'm Suzy Glaskie, and I used to work for the food industry 317 00:18:53,600 --> 00:18:56,160 for nearly 20 years. 318 00:18:56,160 --> 00:19:00,880 And now I really want to 319 00:19:00,880 --> 00:19:05,360 lift the lid on how food industry marketing 320 00:19:05,360 --> 00:19:08,320 is robbing us of our health. 321 00:19:10,320 --> 00:19:14,280 The first time I really started to feel differently 322 00:19:14,280 --> 00:19:17,160 about the food industry was when Sunny Delight came out. 323 00:19:17,160 --> 00:19:18,520 Sunny Delight... 324 00:19:18,520 --> 00:19:21,520 It was sold as great for all the family. 325 00:19:21,520 --> 00:19:23,240 Any more? Coming right up. 326 00:19:23,240 --> 00:19:24,480 Thanks, Mum. 327 00:19:24,480 --> 00:19:25,840 So when can we move in, then? 328 00:19:25,840 --> 00:19:27,200 On your bike! 329 00:19:27,200 --> 00:19:30,520 And when I looked at the ingredients, 330 00:19:30,520 --> 00:19:34,440 I realised this was a really cheap product 331 00:19:34,440 --> 00:19:38,240 which had been dressed up to be something healthy. 332 00:19:38,240 --> 00:19:41,720 And I think that's where I drew the line. 333 00:19:41,720 --> 00:19:44,920 So the main thing that I worked on were modified starches, 334 00:19:44,920 --> 00:19:47,600 and these were really, really clever. 335 00:19:47,600 --> 00:19:51,880 They can make snack foods crunchy and crispy, 336 00:19:51,880 --> 00:19:54,360 and they can make yoghurts creamy 337 00:19:54,360 --> 00:19:57,320 and smoothies glossy. 338 00:19:59,960 --> 00:20:02,640 When we eat starch in a whole food, 339 00:20:02,640 --> 00:20:04,520 it's digested slowly. 340 00:20:06,920 --> 00:20:10,240 But if that same starch is highly processed, 341 00:20:10,240 --> 00:20:13,960 then it's broken down very quickly by the body, 342 00:20:13,960 --> 00:20:16,280 and it spikes our blood sugar. 343 00:20:16,280 --> 00:20:20,080 And that then leads to a whole host of health problems 344 00:20:20,080 --> 00:20:23,800 and also to our body storing fat. 345 00:20:25,320 --> 00:20:28,080 One of the starches that I worked on, 346 00:20:28,080 --> 00:20:31,200 you could add it to a jam, for example, 347 00:20:31,200 --> 00:20:37,800 and it would give the sensory experience of having a strawberry 348 00:20:37,800 --> 00:20:40,800 without it actually being a strawberry. 349 00:20:40,800 --> 00:20:42,880 Fruit is expensive. 350 00:20:42,880 --> 00:20:44,760 It's difficult to handle. 351 00:20:44,760 --> 00:20:47,880 It spoils quickly. It's expensive to transport. 352 00:20:48,960 --> 00:20:56,200 So it's kind of padding out products with stuff that's just cheap, 353 00:20:56,200 --> 00:20:59,320 but which mimics the real stuff. 354 00:21:15,640 --> 00:21:18,520 We develop food and beverage products for companies of all sizes, 355 00:21:18,520 --> 00:21:21,120 so we've worked with Heinz, Cadbury's, Pringles, 356 00:21:21,120 --> 00:21:22,480 Green & Black's Chocolate. 357 00:21:24,320 --> 00:21:27,520 Cost is such a big focus when we're developing products - 358 00:21:27,520 --> 00:21:31,000 from the ingredients, the manufacturing, the shipping, 359 00:21:31,000 --> 00:21:33,040 and then from distributors to retailers. 360 00:21:33,040 --> 00:21:35,200 Everybody wants to make a profit. They want to make a margin. 361 00:21:36,760 --> 00:21:39,000 Here are the ingredients that you need to make 362 00:21:39,000 --> 00:21:40,760 a home-made lemon cake. 363 00:21:40,760 --> 00:21:42,960 We've got lemons, unsurprisingly, 364 00:21:42,960 --> 00:21:45,680 flour, sugar, butter, eggs, 365 00:21:45,680 --> 00:21:48,360 some bicarbonate of soda, and some salt. 366 00:21:49,480 --> 00:21:52,080 But if you're going to make it in a factory, 367 00:21:52,080 --> 00:21:54,760 we've got quite a few things that we need to consider. 368 00:21:54,760 --> 00:21:57,760 And so I have here a slightly longer list of ingredients... 369 00:21:57,760 --> 00:22:01,960 More than double. ..that you might see in a cake from a supermarket. 370 00:22:01,960 --> 00:22:04,680 One of the main considerations has to be the shelf life. 371 00:22:04,680 --> 00:22:06,960 Of course, yeah. Because your lovely home-made recipe, 372 00:22:06,960 --> 00:22:08,760 you're talking days... Exactly. 373 00:22:08,760 --> 00:22:11,320 ..before it starts to go mouldy and just frankly, stale. Yeah. 374 00:22:11,320 --> 00:22:13,160 Whereas something in the supermarket 375 00:22:13,160 --> 00:22:15,880 is going to need months of shelf life. Exactly. 376 00:22:15,880 --> 00:22:20,080 You'll see here, we've got potassium sorbate as one of the preservatives, 377 00:22:20,080 --> 00:22:23,720 and that is to inhibit the growth of mould and yeasts 378 00:22:23,720 --> 00:22:25,600 so that your cake doesn't go off. 379 00:22:25,600 --> 00:22:29,080 It's quite bitter, a bit like biting on a paracetamol or something. 380 00:22:29,080 --> 00:22:31,640 And so some of the ways that you might mask some of these 381 00:22:31,640 --> 00:22:35,600 bitter tastes might be with the flavouring, for one, the salt. 382 00:22:35,600 --> 00:22:38,080 And then something else that you can't ignore 383 00:22:38,080 --> 00:22:41,160 with an ingredient list like this is how much cheaper it will be. 384 00:22:52,680 --> 00:22:54,800 Across the board, we're substituting 385 00:22:54,800 --> 00:22:58,120 rich ingredients like eggs and butter with cheaper ones, 386 00:22:58,120 --> 00:23:02,000 but also some of the ingredients from stabilisers and starches. 387 00:23:02,000 --> 00:23:05,480 Yeah. It's all allowing you to use cheaper ingredients. 388 00:23:19,960 --> 00:23:23,480 If you sit in my clinic, if you work in this hospital, 389 00:23:23,480 --> 00:23:27,440 you see the toll that diet-related diseases takes on our patients. 390 00:23:31,160 --> 00:23:35,040 There's incredibly strong evidence that the cause of the pandemic 391 00:23:35,040 --> 00:23:38,280 of obesity and diet-related disease that's sweeping the globe 392 00:23:38,280 --> 00:23:41,760 is industrially processed, packaged foods. 393 00:23:55,120 --> 00:23:59,680 Previously, describing these goods was really hard scientifically. 394 00:23:59,680 --> 00:24:02,360 We called it junk food or fast food. 395 00:24:02,360 --> 00:24:07,280 And then a little while ago, a friend gave me this paper. 396 00:24:07,280 --> 00:24:10,640 It's published in an obscure Brazilian public health journal. 397 00:24:10,640 --> 00:24:12,680 It says, "A new classification of foods 398 00:24:12,680 --> 00:24:15,000 "based on the extent and purpose of their processing." 399 00:24:15,000 --> 00:24:16,880 Not an appealing read, so I ignored it, 400 00:24:16,880 --> 00:24:18,840 left it on the desk for weeks. 401 00:24:21,240 --> 00:24:23,280 But I eventually got around to reading it. 402 00:24:28,160 --> 00:24:33,000 And I thought, if it's true, this might be the most important 403 00:24:33,000 --> 00:24:35,520 scientific paper published so far this century. 404 00:27:09,000 --> 00:27:13,200 Carlos Monteiro was proposing something really radical. 405 00:27:13,200 --> 00:27:16,600 Previously, we'd focused on sugar, saturated fat, and salt 406 00:27:16,600 --> 00:27:18,360 as being the problem. 407 00:27:18,360 --> 00:27:23,720 And he said, "Well, maybe it's the industrial processing 408 00:27:23,720 --> 00:27:26,200 "that is making us all eat a lot of these 409 00:27:26,200 --> 00:27:29,080 "and having maybe other effects as well." 410 00:27:29,080 --> 00:27:33,080 We've been doing food processing for thousands, 411 00:27:33,080 --> 00:27:35,360 probably hundreds of thousands of years, 412 00:27:35,360 --> 00:27:39,400 without significant health problems, where we take whole food 413 00:27:39,400 --> 00:27:43,080 and we smoke it, we salt it, we preserve it, we ferment it. 414 00:27:43,080 --> 00:27:45,480 It's essential for human life. 415 00:27:47,120 --> 00:27:50,600 Ultra-processed food is entirely different. 416 00:27:53,760 --> 00:27:55,680 And the full definition is very long, 417 00:27:55,680 --> 00:27:59,040 but if you're wondering if something you're eating is ultra-processed, 418 00:27:59,040 --> 00:28:00,560 look at the ingredients list. 419 00:28:00,560 --> 00:28:03,280 And if you see things that you wouldn't expect to find 420 00:28:03,280 --> 00:28:06,480 in a home kitchen, then it's probably an ultra-processed food. 421 00:28:08,720 --> 00:28:12,960 When I first read this paper, it seemed really important, 422 00:28:12,960 --> 00:28:15,800 but I had some doubts, and I wasn't the only one. 423 00:28:15,800 --> 00:28:18,560 Lots of people were very sceptical about it. 424 00:28:28,320 --> 00:28:29,960 My name is Dr Kevin Hall. 425 00:28:29,960 --> 00:28:33,080 I'm a senior investigator here at the National Institute of Health. 426 00:28:34,200 --> 00:28:36,920 I first heard about this idea of ultra-processed foods, 427 00:28:36,920 --> 00:28:39,960 which basically says that nutrients aren't important at all. 428 00:28:39,960 --> 00:28:42,720 It's really about the extent and purpose of processing, 429 00:28:42,720 --> 00:28:45,840 and it seemed a little crazy to me because we have 430 00:28:45,840 --> 00:28:48,920 a whole history of nutrition science, focusing on nutrients. 431 00:28:48,920 --> 00:28:52,040 And then along comes Carlos and says, you know, 432 00:28:52,040 --> 00:28:55,840 "You've been focusing on the wrong thing for the past several decades." 433 00:28:55,840 --> 00:28:58,760 So we enlisted the help of our dieticians 434 00:28:58,760 --> 00:29:00,840 here at the NIH Clinical Center, 435 00:29:00,840 --> 00:29:03,680 and I gave them what I thought was maybe an impossible task - 436 00:29:03,680 --> 00:29:05,360 "Can you design two diets? 437 00:29:06,560 --> 00:29:10,320 "In one case, all of the foods come from minimally processed foods. 438 00:29:12,600 --> 00:29:15,440 "And alternatively, an ultra-processed diet 439 00:29:15,440 --> 00:29:18,600 "that is matched for the salt, the sugar, the fat, the fibre." 440 00:29:23,760 --> 00:29:27,000 And the idea of the study was to bring 20 men and women 441 00:29:27,000 --> 00:29:30,680 into the Clinical Center, where they would live with us for a month. 442 00:29:30,680 --> 00:29:33,360 So you have an hour to finish it, or less. 443 00:29:33,360 --> 00:29:36,080 We'd take complete control over their food environment 444 00:29:36,080 --> 00:29:38,960 and present them with meals and very simple instructions - 445 00:29:38,960 --> 00:29:41,520 "Just eat as much or as little as you'd like." 446 00:29:41,520 --> 00:29:43,440 And what they didn't know was that 447 00:29:43,440 --> 00:29:46,600 at the end of each of the meals, we were measuring their leftovers. 448 00:29:46,600 --> 00:29:48,720 He ate most of the tater tots. 449 00:29:48,720 --> 00:29:51,960 The dieticians downstairs will actually weigh it back, 450 00:29:51,960 --> 00:29:54,680 and we'll know the exact quantity that's left over. 451 00:29:56,520 --> 00:29:58,240 We were measuring their weights every day. 452 00:29:58,240 --> 00:30:01,000 We were measuring how many calories their bodies were burning, 453 00:30:01,000 --> 00:30:04,960 their oxygen consumption, their carbon dioxide production. 454 00:30:04,960 --> 00:30:08,000 My hypothesis going in was that we would see 455 00:30:08,000 --> 00:30:10,480 very, very little difference in the number of calories people ate. 456 00:30:10,480 --> 00:30:12,360 And of course, I was wrong. 457 00:30:12,360 --> 00:30:14,040 It turned out that the people, 458 00:30:14,040 --> 00:30:16,480 when they were on the ultra-processed diet, 459 00:30:16,480 --> 00:30:20,280 they spontaneously overate calories, about 500 calories per day 460 00:30:20,280 --> 00:30:23,360 greater than when they were on the minimally processed diet. 461 00:30:24,520 --> 00:30:27,840 I'm going to take your temperature, if that's all right. Sure. 462 00:30:27,840 --> 00:30:31,600 What we discovered was that the ultra-processed foods, 463 00:30:31,600 --> 00:30:34,680 despite being matched for their nutrient composition, 464 00:30:34,680 --> 00:30:37,840 they tended to have many more calories per bite. 465 00:30:37,840 --> 00:30:41,200 Another thing that we found was that we ended up preparing 466 00:30:41,200 --> 00:30:44,520 and presenting people with foods that were high in sugar and fat. 467 00:30:44,520 --> 00:30:48,160 That's something that's very rare to see in a food in nature. 468 00:30:48,160 --> 00:30:51,200 These are so-called hyperpalatable foods, 469 00:30:51,200 --> 00:30:54,160 and we ended up presenting people with more of those 470 00:30:54,160 --> 00:30:57,000 hyperpalatable foods on the ultra-processed diet. 471 00:31:05,320 --> 00:31:07,320 At the time it was published, Kevin Hall's experiment 472 00:31:07,320 --> 00:31:10,200 was so important because it was really good quality evidence 473 00:31:10,200 --> 00:31:14,000 that ultra-processed food does make you eat too much of it. 474 00:31:14,000 --> 00:31:17,320 Now it's just one scientific paper 475 00:31:17,320 --> 00:31:20,440 in a huge and rapidly growing body of evidence. 476 00:31:20,440 --> 00:31:23,160 I think one of the biggest problems with this kind of food 477 00:31:23,160 --> 00:31:26,000 is that so many of us struggle to stop eating it. 478 00:31:33,440 --> 00:31:38,600 APPLAUSE 479 00:31:38,600 --> 00:31:39,720 Hi, everyone. 480 00:31:39,720 --> 00:31:43,760 I'm so thrilled to be here today to speak with you on my research 481 00:31:43,760 --> 00:31:47,200 that looks at parallels between addictive substances 482 00:31:47,200 --> 00:31:48,800 and ultra-processed food. 483 00:31:50,120 --> 00:31:51,960 I'm Dr Ashley Gearhardt. 484 00:31:51,960 --> 00:31:55,480 I'm a professor of psychology at the University of Michigan 485 00:31:55,480 --> 00:31:59,480 and the director of the Food and Addiction Science and Treatment lab. 486 00:31:59,480 --> 00:32:04,120 Both fat and sugar are converging on the same neural reward centre, 487 00:32:04,120 --> 00:32:07,520 so it really seems to be hyperpalatable food products 488 00:32:07,520 --> 00:32:09,480 that kind of mimic the reward profile 489 00:32:09,480 --> 00:32:11,400 that we see with addictive drugs. 490 00:32:11,400 --> 00:32:13,040 When we look at the sorts of foods 491 00:32:13,040 --> 00:32:16,600 that trigger those key diagnostic indicators of addiction, 492 00:32:16,600 --> 00:32:18,600 it's really clear what it's not. 493 00:32:18,600 --> 00:32:21,360 It's not minimally processed foods, 494 00:32:21,360 --> 00:32:24,480 like fruits or vegetables or beans, 495 00:32:24,480 --> 00:32:26,880 or lean meats, like chicken breasts. 496 00:32:26,880 --> 00:32:31,800 It's really processed foods that deliver high doses 497 00:32:31,800 --> 00:32:35,280 of refined carbohydrates like sugars and starches, 498 00:32:35,280 --> 00:32:38,880 typically alongside high levels of fat. 499 00:32:38,880 --> 00:32:42,320 It's chocolate, it's ice cream, it's pizza. 500 00:32:42,320 --> 00:32:44,760 It's foods that don't exist in nature. 501 00:32:47,240 --> 00:32:50,760 One of the first things that we did was try and understand 502 00:32:50,760 --> 00:32:53,800 how do we identify someone who might actually 503 00:32:53,800 --> 00:32:56,040 be experiencing an addiction? 504 00:32:56,040 --> 00:32:58,600 So we created the Yale Food Addiction Scale, 505 00:32:58,600 --> 00:33:01,080 which is the major tool used 506 00:33:01,080 --> 00:33:04,520 to measure an addiction to ultra-processed food. 507 00:33:05,920 --> 00:33:08,840 We've really looked at the diagnostic criteria 508 00:33:08,840 --> 00:33:11,920 that we use to diagnose somebody with an alcohol addiction, 509 00:33:11,920 --> 00:33:16,040 a tobacco addiction, asking people about their experiences 510 00:33:16,040 --> 00:33:20,480 of losing control over their intake, really intense cravings, 511 00:33:20,480 --> 00:33:25,080 continuing to use even though you're having really negative consequences. 512 00:33:27,960 --> 00:33:29,920 "When I started to eat certain foods, 513 00:33:29,920 --> 00:33:31,760 "I ate much more than planned." 514 00:33:31,760 --> 00:33:33,840 Yes, every day. 515 00:33:33,840 --> 00:33:36,400 I'm Sarita, I'm 48 years old, 516 00:33:36,400 --> 00:33:38,120 and I'm a food addict. 517 00:33:45,680 --> 00:33:48,760 Processed food has this control over me. 518 00:33:48,760 --> 00:33:51,280 I don't want to binge on a bowl of broccoli. 519 00:33:51,280 --> 00:33:54,680 It's the crap food. There's something in it. 520 00:33:54,680 --> 00:33:58,400 And I've struggled with drug and alcohol addiction, 521 00:33:58,400 --> 00:34:01,400 and the parallels are too similar for there not to be a link. 522 00:34:05,840 --> 00:34:09,280 Most people in my position binge in the evenings. 523 00:34:09,280 --> 00:34:12,400 I will start with cereal, and it's always really sweet cereal, 524 00:34:12,400 --> 00:34:14,600 so BLEEP is a good one. 525 00:34:14,600 --> 00:34:19,199 I would pour as much of that into a mixing bowl - 526 00:34:19,199 --> 00:34:21,719 not a normal bowl, a mixing bowl - 527 00:34:21,719 --> 00:34:23,719 and start with that. 528 00:34:23,719 --> 00:34:27,159 You're talking, you are talking a box of cereal 529 00:34:27,159 --> 00:34:30,000 and three or four huge bars of chocolates, 530 00:34:30,000 --> 00:34:31,600 and a couple of packets of biscuits - 531 00:34:31,600 --> 00:34:34,960 way more food than you'd think a person could eat. 532 00:34:36,400 --> 00:34:40,480 Then after that, it's just about how quickly can I purge it? 533 00:34:41,480 --> 00:34:43,800 By purging, I mean making myself sick. 534 00:34:47,960 --> 00:34:49,440 I'm an intelligent person. 535 00:34:49,440 --> 00:34:51,400 I'm a fitness fanatic. 536 00:34:51,400 --> 00:34:56,920 I know that my bingeing behaviour is really bad for me 537 00:34:56,920 --> 00:35:03,400 and could end in heart attacks and diabetes and all sorts of stuff. 538 00:35:03,400 --> 00:35:08,000 That's why I know it's an addiction, because I don't seem to care. 539 00:35:08,000 --> 00:35:09,160 I don't care. 540 00:35:11,280 --> 00:35:14,320 So I wanted to give you a bit of a sense of the people 541 00:35:14,320 --> 00:35:15,720 who've come into our lab. 542 00:35:15,720 --> 00:35:18,600 This individual had severe food addiction, and they said, 543 00:35:18,600 --> 00:35:22,680 "I can't even be in the same room as any type of doughnuts, 544 00:35:22,680 --> 00:35:26,600 "because I will finish a dozen all by myself, and I'm a type..." 545 00:35:26,600 --> 00:35:30,960 The potency and the reward power of these ultra-processed foods 546 00:35:30,960 --> 00:35:35,440 can trigger an addictive response that leads them to consume these 547 00:35:35,440 --> 00:35:38,800 in such a compulsive way that, even if they want to cut down, 548 00:35:38,800 --> 00:35:42,120 even if they know it's killing them, they find they can't stop. 549 00:35:43,800 --> 00:35:46,240 We have to eat to live. 550 00:35:46,240 --> 00:35:50,840 So giving up drugs, you just quit completely and that's it. 551 00:35:52,240 --> 00:35:56,600 But how do you stop eating processed food? 552 00:35:57,840 --> 00:35:59,520 It's everywhere you go. 553 00:36:05,920 --> 00:36:08,640 Food addiction is a growing field of study. 554 00:36:08,640 --> 00:36:12,520 There are lots of people who have well-founded concerns 555 00:36:12,520 --> 00:36:16,920 about demonising an entire category of food, and I understand that. 556 00:36:16,920 --> 00:36:21,160 But, personally, I find it really hard to disagree 557 00:36:21,160 --> 00:36:24,160 with the testimony of many of my patients, 558 00:36:24,160 --> 00:36:26,880 who feel that they are addicted to these products. 559 00:36:31,440 --> 00:36:34,040 You have to make products taste palatable, 560 00:36:34,040 --> 00:36:37,280 but what's happened is that palatability has been turned into, 561 00:36:37,280 --> 00:36:40,560 "Well, it's too good. It's addictive. It's too tasty." 562 00:36:40,560 --> 00:36:43,400 I mean, is there a point at which you can make a food taste 563 00:36:43,400 --> 00:36:45,880 good enough that people will eat it, 564 00:36:45,880 --> 00:36:50,000 but not too good that it's going to be called hyper-palatable? 565 00:36:50,000 --> 00:36:52,000 Yeah, but you know what? 566 00:36:53,000 --> 00:36:54,880 If somebody makes the hyper-palatable one, 567 00:36:54,880 --> 00:36:56,680 they'll stop eating the other one anyway. 568 00:36:56,680 --> 00:36:58,680 We have to make products that taste good. 569 00:36:58,680 --> 00:36:59,800 People want that. 570 00:36:59,800 --> 00:37:00,920 We're not going to mandate 571 00:37:00,920 --> 00:37:03,520 that everybody's got to make their food taste bad, 572 00:37:03,520 --> 00:37:04,720 I don't think. 573 00:37:04,720 --> 00:37:06,520 It's not a world I want to be in. 574 00:37:13,080 --> 00:37:16,880 We have a growing body of evidence that, for some people, 575 00:37:16,880 --> 00:37:18,720 this food is addictive. 576 00:37:21,920 --> 00:37:24,520 And that makes me think about the tobacco industry. 577 00:37:32,080 --> 00:37:33,920 Laura Schmidt. 578 00:37:33,920 --> 00:37:37,520 I'm a professor at UC San Francisco in the School of Medicine. 579 00:37:40,160 --> 00:37:44,440 I'd been working on ultra-processed foods for a while, 580 00:37:44,440 --> 00:37:48,480 and one of my colleagues said, "Hey, you know, I've been poking around 581 00:37:48,480 --> 00:37:52,120 "in the tobacco archive, and I know you're interested in food. 582 00:37:52,120 --> 00:37:54,440 "You might want to check these out. 583 00:37:57,280 --> 00:38:01,000 And it turns out that there were hundreds of thousands 584 00:38:01,000 --> 00:38:05,120 of documents in the tobacco archive about food companies. 585 00:38:09,760 --> 00:38:14,240 From the 1960s, RJ Reynolds, the tobacco company, 586 00:38:14,240 --> 00:38:17,200 starts buying up food subsidiaries. 587 00:38:18,720 --> 00:38:23,600 Why would a giant tobacco company buy up a food company? 588 00:38:24,840 --> 00:38:27,520 And the answer was something we did not expect. 589 00:38:28,920 --> 00:38:33,280 The people in the tobacco companies had a bunch of artificial colours 590 00:38:33,280 --> 00:38:38,200 and flavours, developed in their labs, that they were making 591 00:38:38,200 --> 00:38:41,960 to add to cigarettes, flavours and colours like menthol. 592 00:38:43,280 --> 00:38:47,040 Their labs are developing them to put into cigarettes 593 00:38:47,040 --> 00:38:51,360 and create different products to target new consumers. 594 00:38:51,360 --> 00:38:53,040 They call them line extensions. 595 00:38:53,040 --> 00:38:56,240 # You've come a long way, baby 596 00:38:56,240 --> 00:38:58,920 # To get where you got to today... # 597 00:38:58,920 --> 00:39:01,720 Virginia Slims, for women who want to get thin. 598 00:39:01,720 --> 00:39:05,400 Marlboro, for men who are couch potatoes 599 00:39:05,400 --> 00:39:08,240 but actually want to be cowboys. 600 00:39:08,240 --> 00:39:11,840 # Listen while I tell you a story 601 00:39:11,840 --> 00:39:15,800 # The tale of the Marlboro brand... # 602 00:39:16,920 --> 00:39:18,760 They were targeting children. 603 00:39:23,720 --> 00:39:29,840 Joe Camel was a cartoon mascot that RJ Reynolds put on Camel cigarettes 604 00:39:29,840 --> 00:39:33,000 because they really wanted to make kids know the brand 605 00:39:33,000 --> 00:39:37,160 so that, when they became cigarette consumers, they would smoke Camels. 606 00:39:37,160 --> 00:39:40,960 One survey found six-year-olds in the US as familiar with 607 00:39:40,960 --> 00:39:43,040 Joe the Camel as with Mickey Mouse. 608 00:39:44,200 --> 00:39:50,720 The tobacco industry had cultivated this strategy of taking a single, 609 00:39:50,720 --> 00:39:54,520 utterly boring product and making it come alive 610 00:39:54,520 --> 00:39:59,480 with colours, flavours, branding, marketing, cartoon mascots, 611 00:39:59,480 --> 00:40:01,920 to target different consumer markets. 612 00:40:01,920 --> 00:40:07,960 And we found this memo, and this memo was written in 1962, 613 00:40:07,960 --> 00:40:14,720 by the guy who ran the labs, to the CEO of RJ Reynolds. 614 00:40:14,720 --> 00:40:19,960 And he literally says here, "It's easy to characterise RJ Reynolds 615 00:40:19,960 --> 00:40:22,160 "merely as a tobacco company. 616 00:40:23,640 --> 00:40:27,000 "In a broader and much less restricting sense, however, 617 00:40:27,000 --> 00:40:30,120 "RJ Reynolds is in the flavour business." 618 00:40:33,880 --> 00:40:38,360 And here, he's talking about a merger with a company called 619 00:40:38,360 --> 00:40:40,840 Pacific Hawaiian Products Company. 620 00:40:44,800 --> 00:40:48,480 And they only make one thing, and that's Hawaiian Punch. 621 00:40:51,840 --> 00:40:55,760 Hawaiian Punch was one flavour and one colour. 622 00:40:55,760 --> 00:41:00,080 It was bright red, and it was being marketed to adults. 623 00:41:00,080 --> 00:41:04,520 And within a couple of years, they had transformed this product 624 00:41:04,520 --> 00:41:06,320 into a children's beverage. 625 00:41:06,320 --> 00:41:08,760 Hey, how about a nice Hawaiian Punch? Sure! 626 00:41:12,200 --> 00:41:14,880 # What gives Hawaiian Punch its punch? 627 00:41:14,880 --> 00:41:16,240 # Its punch? # 628 00:41:16,240 --> 00:41:20,840 They intuitively understood that getting the kid hooked was the goal, 629 00:41:20,840 --> 00:41:23,920 because that kid is going to be a lifelong consumer. 630 00:41:25,280 --> 00:41:27,960 What's so brilliant about the marketing strategy 631 00:41:27,960 --> 00:41:33,880 is you can take that tobacco model and apply it to the food industry. 632 00:41:36,520 --> 00:41:39,520 You can make massive numbers of line extensions. 633 00:41:39,520 --> 00:41:41,320 Wasn't that a refreshing commercial? 634 00:41:41,320 --> 00:41:46,000 Very sophisticated advertising campaigns that allow you to kind of 635 00:41:46,000 --> 00:41:48,360 get inside the minds of consumers 636 00:41:48,360 --> 00:41:51,160 and make them want what you have to sell. 637 00:41:54,880 --> 00:41:59,640 We know that people in food companies were putting people 638 00:41:59,640 --> 00:42:04,600 in a brain scan to observe what goes on in the brain when people 639 00:42:04,600 --> 00:42:08,160 are exposed to the food products that they were developing. 640 00:42:08,160 --> 00:42:13,000 Whether or not they intended to make all of these foods addictive, 641 00:42:13,000 --> 00:42:14,560 I don't know. 642 00:42:14,560 --> 00:42:21,160 What we can say is that, if you're eating a brand that was ever 643 00:42:21,160 --> 00:42:25,520 owned by a tobacco company, there's a stronger likelihood 644 00:42:25,520 --> 00:42:29,200 that it has been developed to make you want more. 645 00:42:43,080 --> 00:42:46,840 The biggest cigarette companies in the world were also 646 00:42:46,840 --> 00:42:48,200 the biggest food companies. 647 00:42:48,200 --> 00:42:50,280 They were the same companies. 648 00:42:50,280 --> 00:42:54,760 And of course, over decades, the tobacco industry perfected 649 00:42:54,760 --> 00:42:58,640 the techniques for denying any of their products were addictive. 650 00:43:10,400 --> 00:43:12,440 Hi, I'm Steve Parrish. 651 00:43:12,440 --> 00:43:14,920 Today, we're going to set the record straight. 652 00:43:14,920 --> 00:43:17,480 Cigarettes neither alter a person's mood 653 00:43:17,480 --> 00:43:22,280 nor do they impair an individual's ability to function. 654 00:43:22,280 --> 00:43:24,520 Those people who term smoking an addiction 655 00:43:24,520 --> 00:43:28,800 do so for political and ideological, not scientific reasons. 656 00:43:32,720 --> 00:43:36,560 I retired in 2008 from Altria Group Inc, 657 00:43:36,560 --> 00:43:39,880 formerly known as Philip Morris, the tobacco company, 658 00:43:39,880 --> 00:43:42,760 where I was the senior Vice President of corporate affairs. 659 00:43:44,120 --> 00:43:49,440 In the early 1990s, there was really a sea change in attitudes 660 00:43:49,440 --> 00:43:52,840 about the tobacco industry in the United States, 661 00:43:52,840 --> 00:43:56,600 and it seemed like it was the year of the perfect storm. 662 00:43:56,600 --> 00:44:00,000 In 1994, when there were Congressional hearings... 663 00:44:00,000 --> 00:44:01,760 Please consider yourself to be under oath. 664 00:44:03,160 --> 00:44:07,240 ..members of Congress asked the CEOs of the various tobacco companies, 665 00:44:07,240 --> 00:44:09,560 do you believe cigarette smoking is addictive? 666 00:44:09,560 --> 00:44:11,240 Do you believe nicotine is not addictive? 667 00:44:11,240 --> 00:44:13,200 I believe nicotine is not addictive, yes. 668 00:44:13,200 --> 00:44:17,400 Cigarettes and nicotine clearly do not meet the classic 669 00:44:17,400 --> 00:44:18,960 definitions of addiction. 670 00:44:18,960 --> 00:44:22,000 I don't believe that nicotine or our products are addictive. 671 00:44:22,000 --> 00:44:24,080 I believe nicotine is not addictive. 672 00:44:24,080 --> 00:44:26,320 I believe that nicotine is not addictive. 673 00:44:27,680 --> 00:44:30,120 I believe that nicotine is not addictive. 674 00:44:31,360 --> 00:44:33,960 And I too believe that nicotine is not addictive. 675 00:44:33,960 --> 00:44:37,880 At the end of a two-day hearing, the expert committee decided 676 00:44:37,880 --> 00:44:40,040 that, yes, cigarette smoking is addictive. 677 00:44:40,040 --> 00:44:44,640 And then, a few years later, our company, Philip Morris, 678 00:44:44,640 --> 00:44:49,920 decided to change its position and acknowledge the fact 679 00:44:49,920 --> 00:44:52,240 that cigarette smoking is addictive. 680 00:44:53,800 --> 00:44:55,880 When our company made that announcement, 681 00:44:55,880 --> 00:45:00,120 it caused quite a stir, and even a bigger stir 682 00:45:00,120 --> 00:45:02,240 when we announced that we were in favour of 683 00:45:02,240 --> 00:45:06,040 the Food and Drug Administration regulating the tobacco industry. 684 00:45:07,400 --> 00:45:13,480 When Philip Morris companies saw that there was a continual decline, 685 00:45:13,480 --> 00:45:17,000 year over year over year, in cigarette smoking, 686 00:45:17,000 --> 00:45:21,360 it just made sense for the company to look beyond tobacco. 687 00:45:21,360 --> 00:45:25,920 And there were similarities in the products, not in terms 688 00:45:25,920 --> 00:45:29,640 of the products themselves, but where they were bought and sold, 689 00:45:29,640 --> 00:45:33,680 grocery stores, convenience stores, and places like that. 690 00:45:41,520 --> 00:45:43,840 Yeah, you know, I don't know the answer to that question. 691 00:45:43,840 --> 00:45:48,520 I don't know whether specific food products 692 00:45:48,520 --> 00:45:51,240 would meet that definition of addiction. 693 00:45:51,240 --> 00:45:53,720 I would leave that to people who have studied the products 694 00:45:53,720 --> 00:45:55,840 and studied the science there. 695 00:45:57,240 --> 00:46:01,280 I don't know whether any companies would admit addiction 696 00:46:01,280 --> 00:46:05,440 of a particular food product, but I would hope that the companies 697 00:46:05,440 --> 00:46:11,320 would listen to the science and say and do the right thing. 698 00:46:17,400 --> 00:46:21,360 I think right now we are, with ultra-processed food, 699 00:46:21,360 --> 00:46:24,800 a bit like where we were in the '60s with cigarettes. 700 00:46:24,800 --> 00:46:29,200 And, in my opinion, the food industry is using many of the same techniques 701 00:46:29,200 --> 00:46:32,640 that the tobacco industry used to protect their interests, 702 00:46:32,640 --> 00:46:35,320 and lots of scientists have experienced this first-hand. 703 00:46:45,760 --> 00:46:49,000 I'm Dana Small. I'm a neuroscientist. 704 00:46:49,000 --> 00:46:54,000 I'm interested in how the brain and the body work together 705 00:46:54,000 --> 00:46:55,760 to optimise behaviour. 706 00:46:59,040 --> 00:47:01,640 Pepsi came to us and they were interested to know 707 00:47:01,640 --> 00:47:05,160 whether they could reduce the amount of sugar in beverages 708 00:47:05,160 --> 00:47:06,960 to make healthier drinks. 709 00:47:08,800 --> 00:47:11,920 Now, to keep the calories down, you might add some artificial 710 00:47:11,920 --> 00:47:13,880 sweeteners to increase the sweetness, 711 00:47:13,880 --> 00:47:15,480 but without getting the calories. 712 00:47:15,480 --> 00:47:19,960 So we designed this study where we had five different beverages, 713 00:47:19,960 --> 00:47:22,000 and they had different amounts of calories, 714 00:47:22,000 --> 00:47:25,080 but we wanted them to be similarly sweet. 715 00:47:25,080 --> 00:47:28,960 So we used sweetener, which doesn't have any calories. 716 00:47:28,960 --> 00:47:32,480 Yeah, this is not very elegant, but in she goes. 717 00:47:32,480 --> 00:47:33,640 Sorry. 718 00:47:34,680 --> 00:47:38,640 She'll actually be in there receiving little tastes 719 00:47:38,640 --> 00:47:42,480 of the different flavours and then swallowing and then waiting 720 00:47:42,480 --> 00:47:44,360 for the next flavour to come. 721 00:47:45,600 --> 00:47:49,200 When you look at brain responses to these different flavours, 722 00:47:49,200 --> 00:47:52,760 you can see the dopamine and reward system. 723 00:47:52,760 --> 00:47:56,160 And what we found was completely unanticipated. 724 00:47:58,400 --> 00:48:02,480 We actually didn't see a negative impact of just drinking, like, 725 00:48:02,480 --> 00:48:03,880 a diet drink. 726 00:48:03,880 --> 00:48:08,240 But when we had a diet drink and we added calories... 727 00:48:09,680 --> 00:48:11,520 ..that's when we saw changes. 728 00:48:13,680 --> 00:48:18,680 So, for example, it's OK to have your diet soda by itself. 729 00:48:18,680 --> 00:48:22,320 But if you have the diet soda with French fries, 730 00:48:22,320 --> 00:48:25,680 you're going to have artificial sweeteners and carbohydrates, 731 00:48:25,680 --> 00:48:27,720 and that's when you're going to get into trouble. 732 00:48:29,640 --> 00:48:32,560 There's a lot we don't understand about sweeteners but, 733 00:48:32,560 --> 00:48:36,520 in very simple terms, if you put a sweet taste on the tongue, 734 00:48:36,520 --> 00:48:40,040 it signals to your body that sugar is on the way. 735 00:48:40,040 --> 00:48:42,200 And if sugar doesn't then arrive, 736 00:48:42,200 --> 00:48:46,720 that seems to have several unexpected effects on the body, 737 00:48:46,720 --> 00:48:48,960 and it may even lead to weight gain. 738 00:48:52,320 --> 00:48:56,480 If the effect we've observed generalises, then it follows 739 00:48:56,480 --> 00:49:00,880 that consuming diet food can actually lead to weight gain, 740 00:49:00,880 --> 00:49:05,200 rather than weight loss. Now, that needs to be tested experimentally, 741 00:49:05,200 --> 00:49:08,120 but the logic is straightforward to that prediction. 742 00:49:11,040 --> 00:49:14,000 We were discovering something pretty important 743 00:49:14,000 --> 00:49:17,680 and, rather than being able to continue with this, 744 00:49:17,680 --> 00:49:19,640 PepsiCo dropped us. 745 00:49:24,760 --> 00:49:26,120 We're experimenting. 746 00:49:26,120 --> 00:49:27,840 We're trying to figure things out. 747 00:49:27,840 --> 00:49:31,440 But during this process, you could discover something 748 00:49:31,440 --> 00:49:33,040 that is harmful. 749 00:49:34,760 --> 00:49:38,440 So that leaves them vulnerable to lawsuits, 750 00:49:38,440 --> 00:49:42,040 which is exactly what happened in the tobacco industry. 751 00:50:46,960 --> 00:50:51,160 National surveys fail to show any link between body mass index 752 00:50:51,160 --> 00:50:54,120 and consumption of ultra-processed foods. 753 00:51:03,080 --> 00:51:07,520 Melissa Mialon found that, out of 38 papers questioning the science 754 00:51:07,520 --> 00:51:09,000 around ultra-processed food, 755 00:51:09,000 --> 00:51:13,480 33 of them had authors with connections to the food industry. 756 00:51:13,480 --> 00:51:17,880 So the food industry exerts its influence in a lot of subtle ways, 757 00:51:17,880 --> 00:51:20,160 and I've had personal experience of some of these. 758 00:51:22,040 --> 00:51:25,560 The companies have been very, very keen to get in touch with me, 759 00:51:25,560 --> 00:51:29,640 to invite me to give talks and presentations, 760 00:51:29,640 --> 00:51:32,280 to fly across the Atlantic. 761 00:51:32,280 --> 00:51:33,480 Most of the time, I say no. 762 00:51:33,480 --> 00:51:37,920 In one instance, I thought, "Well, let me get the contract 763 00:51:37,920 --> 00:51:40,800 "and see how all this looks." 764 00:51:40,800 --> 00:51:43,160 Is this a really well-known food company, then? 765 00:51:43,160 --> 00:51:44,760 So this is one of the big... 766 00:51:44,760 --> 00:51:47,080 Yeah, this is a big food company. 767 00:51:47,080 --> 00:51:51,600 So I got a contract, and they offered me about £20,000 768 00:51:51,600 --> 00:51:53,040 for a two-hour meeting. 769 00:51:54,000 --> 00:51:56,440 And I cannot understand why they want to pay me, 770 00:51:56,440 --> 00:51:59,680 so I got a lawyer to help me understand this. 771 00:51:59,680 --> 00:52:01,320 So here's the relevant bit. 772 00:52:01,320 --> 00:52:06,440 It says that I will not make any statement as shall disparage 773 00:52:06,440 --> 00:52:08,480 the food company or its products, 774 00:52:08,480 --> 00:52:11,280 or bring the company name into disrepute. 775 00:52:11,280 --> 00:52:16,160 So for about £20,000, they buy my silence on ultra-processed food. 776 00:52:17,640 --> 00:52:21,120 Their most effective strategy is to fund people who sound credible, 777 00:52:21,120 --> 00:52:23,520 who create confusion and doubt. 778 00:52:23,520 --> 00:52:26,960 That is what the tobacco industry did so beautifully. 779 00:52:36,600 --> 00:52:41,000 The situation seems overwhelming, but there is hope. 780 00:52:41,000 --> 00:52:43,480 First of all, we did control tobacco, 781 00:52:43,480 --> 00:52:45,240 not perfectly, but we did it. 782 00:52:45,240 --> 00:52:46,520 The second thing is, 783 00:52:46,520 --> 00:52:49,400 if you look at countries across South and Central America, 784 00:52:49,400 --> 00:52:52,560 they are bringing in policies that are making a difference. 785 00:53:02,520 --> 00:53:04,520 My name is Juan Castro. 786 00:53:04,520 --> 00:53:06,920 I'm trained as a doctor. 787 00:55:14,920 --> 00:55:17,560 If I look at some of these Colombian warning labels, you know, 788 00:55:17,560 --> 00:55:20,200 it feels quite shocking to have a warning label 789 00:55:20,200 --> 00:55:22,960 on these very sort of everyday products. 790 00:55:22,960 --> 00:55:26,920 You know, you might pause if there was a big black octagon 791 00:55:26,920 --> 00:55:28,720 on your kids' breakfast cereal. 792 00:55:30,160 --> 00:55:31,480 Well, the food industry would say, 793 00:55:31,480 --> 00:55:33,840 "Oh, the definition of ultra-processed food 794 00:55:33,840 --> 00:55:38,240 "includes lots of healthy foods, like wholegrain, ultra-processed bread, 795 00:55:38,240 --> 00:55:40,400 "fish fingers, baked beans." 796 00:55:41,560 --> 00:55:43,480 Now, this makes me incredibly angry. 797 00:55:43,480 --> 00:55:46,080 This is food that I do feed my children, OK? 798 00:55:46,080 --> 00:55:48,880 The fish fingers - very high in salt and fat. 799 00:55:48,880 --> 00:55:51,640 The baked beans - very high in salt and sugar, OK? 800 00:55:51,640 --> 00:55:53,600 The supermarket ultra-processed bread, 801 00:55:53,600 --> 00:55:57,040 even if it's got whole grains - very high in sugar and salt. 802 00:55:57,040 --> 00:56:01,120 So is this the worst food you can buy? Absolutely not. 803 00:56:01,120 --> 00:56:03,840 But is it the foundation of a healthy diet? 804 00:56:03,840 --> 00:56:05,840 It certainly isn't, no. 805 00:56:05,840 --> 00:56:07,520 And in lots of countries, 806 00:56:07,520 --> 00:56:11,000 all of those products would get warning labels for salt, fat, sugar. 807 00:56:17,440 --> 00:56:20,880 For years, the phrase was "everything in moderation." 808 00:56:20,880 --> 00:56:23,360 You know, it's as true today as it was 809 00:56:23,360 --> 00:56:25,040 when whoever first coined it. 810 00:56:26,360 --> 00:56:29,880 We're faced with so many challenges in the world today, 811 00:56:29,880 --> 00:56:32,960 and certainly in providing a food supply. 812 00:56:34,320 --> 00:56:37,880 Some of the discussion that, you know, I hear, 813 00:56:37,880 --> 00:56:41,080 whether it be on chemicals or ultra-processed foods, 814 00:56:41,080 --> 00:56:44,240 seems to be designed to stop us from doing that. 815 00:56:44,240 --> 00:56:47,160 And I don't think that's a very smart place to be. 816 00:56:53,040 --> 00:56:57,600 Researchers say ultra-processed foods now make up 73% 817 00:56:57,600 --> 00:56:59,880 of the US food supply. 818 00:56:59,880 --> 00:57:02,720 Global obesity rates have doubled. 819 00:57:02,720 --> 00:57:06,200 Now they've found ultra-processed food can cause harm 820 00:57:06,200 --> 00:57:07,560 similar to smoking. 821 00:57:07,560 --> 00:57:10,720 ..from the University of Oxford highlights the enormous financial 822 00:57:10,720 --> 00:57:14,240 power of unhealthy ultra-processed foods. 823 00:57:18,800 --> 00:57:22,760 Imagine you're trying to cut down on ultra-processed food 824 00:57:22,760 --> 00:57:24,440 or avoid it altogether. 825 00:57:27,200 --> 00:57:29,280 For a start, it might be the only food you can afford, 826 00:57:29,280 --> 00:57:31,160 and that is true for millions of people. 827 00:57:32,400 --> 00:57:36,560 But it's everywhere, and it's engineered and then marketed 828 00:57:36,560 --> 00:57:41,000 by some of the smartest people on Earth to be irresistible. 829 00:57:44,160 --> 00:57:46,320 So if someone is watching this and they are struggling 830 00:57:46,320 --> 00:57:49,480 with their weight, with diet-related disease, I just want to reach out 831 00:57:49,480 --> 00:57:51,800 and grab them and go, "This is not your fault. 832 00:57:51,800 --> 00:57:54,240 "It is not you. It is the food." 114771

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