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My friends, my family,
think I'm obsessed with this.
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I mean, they're right. I am.
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Look at this.
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So this - this is, what we're walking
through, is the food environment.
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We could be anywhere in the UK.
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It's all industrially processed food.
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It's extremely convenient...
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..it's very cheap...
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..and it's so appealing.
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And yet we know that
this food environment
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is driving a catastrophe.
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The evidence is increasingly clear
that pre-prepared, packaged,
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highly processed food is linked to
weight gain, obesity, some cancers,
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dementia, type 2 diabetes,
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and early death from all causes.
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We're in the middle of a food crisis,
but we can't stop eating.
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And if you want to understand why,
you have to go and speak
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to people who have worked inside
the food industry.
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We've worked with Heinz,
Cadbury's, Pringles.
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Bird's Custard.
Campbell's Soup.
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Unilever.
PepsiCo.
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Kellogg.
Dr Pepper.
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These foods are engineered
to be addictive.
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How have we sleepwalked
into this situation?
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What is the food we eat today
doing to our minds?
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And how has it become
so irresistible?
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Britain will be left a sick
and impoverished nation,
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according to former
government food tsar,
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if we don't do something
about our junk food habit.
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My name is Chris van Tulleken.
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I'm an NHS doctor, I'm a scientist,
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and I'm part of a growing group
of doctors and academics
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who are increasingly worried
about the effect that
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the global food system
is having on all of us.
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When it comes to obesity, the way
that we've understood the problem
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is it's a failure of willpower.
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People are just making bad choices.
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They're somewhat lazy.
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It's basically their fault.
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This is American government data for
men and women of all different ages -
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the different lines are
different ages - for obesity.
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What you see is between
1960 and 1975,
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there's a fairly steady percentage
of obesity in the population.
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But in the mid-1970s,
obesity starts going up
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in all of the groups simultaneously.
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Now, if you're saying
willpower is responsible,
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what you're proposing is that all of
these groups of people simultaneously
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lost moral responsibility,
and that's not plausible.
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Something else happened
to our food in the mid-1970s
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to make it irresistible to people.
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Good afternoon. How are you?
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My name is Howard Moskowitz.
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I'm an experimental psychologist.
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And in the 1970s,
people think that I revolutionised
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the food industry.
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I'd like to talk to you about
the way the science came about.
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You know, you read all the time
in the newspapers -
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it's a sinister plot,
generally by one or two scientists
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in a laboratory,
like Ming the Magnificent, saying,
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"How should we make the people
of the world fat?"
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Well, let me tell you
my own history.
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I was called by the vice chairman
of Campbell's Soup,
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and they said to me,
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"We're competing against a company
which manufactures ragu."
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They used to make it out of
Contadina tomato paste and water,
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like my mother did in the '50s.
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I said, "I think you can make
a better pasta sauce."
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And they said, "How?"
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And I said, "Let's figure out
the actual food ingredients
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"that you can blend, and let's
make different combinations,
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"and we'll test them."
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And we ended up creating 45 dishes,
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and we got people to taste them
and rate how much they liked them.
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I realised very simply
that if you systematically
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varied the ingredients
and you tested them,
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nature would reveal itself
in stunning clarity.
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So this is the origin of the bliss
point with which I am identified.
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The easiest way to demonstrate
a bliss point
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is add sugar to coffee.
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As you add more and more sugar,
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you like it more and more
up to a certain point,
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and then you like it less and less.
83
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The highest level is
where you like it most.
84
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That's the bliss point...
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..where you have the bliss.
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And that became the basis
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of a multi-billion dollar
30-year run.
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I found that I could consult
with companies like Unilever,
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Pepsi Cola, Tropicana,
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Dr Pepper, and Spam.
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Sales almost always go up
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because you're making
a delicious product
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and you know that people love it.
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Very simple.
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But over the years,
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products became more complicated
and more artificial.
97
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The road to hell
is paved with good intentions.
98
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From the 1970s,
food companies started to realise
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that if they used proper scientific
development processes,
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they could sell us a lot more food.
101
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My name is John Ruff, and I've spent
40 years in the food industry
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across seven different countries.
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Companies spend a lot of time
optimising all aspects
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of their product - the flavour,
the taste, the texture.
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People want their product
to be as good,
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if not better, than the competitor,
so it will sell more.
107
00:06:55,300 --> 00:06:58,660
In research and development, we used
to use a phrase called the funnel.
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00:06:58,660 --> 00:07:01,380
And the funnel was the
product development funnel.
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You need 100 products to be in
what's called advanced development.
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You need 1,000 in early development.
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You need 10,000 ideas.
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Often those ideas don't
get off the drawing board,
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don't get off the paper,
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or they'll make some early
prototypes or mock-ups.
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OK, seats numbers 1 to 14, you'll
be now testing the Midget Gems.
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We use trained sensory panels
to give us ratings.
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Is it squishy? Is it hard?
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Is it soft? Is it crunchy?
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That's very much how
the food industry operates.
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The food company really almost
has to sort of provide products
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that consumers want, otherwise
they will go out of business.
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I've spoken to lots of people
who work at food companies,
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and they've told me
about these tasting panels.
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Two of the most important things
that are measured
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are how quickly do people eat,
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and how much of the food
do people eat?
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Because that's what drives sales.
128
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But these tasting panels
have a subjective element,
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so some companies started
taking it much further.
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One of my remits
when I first joined the company
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was the way that
they would get information,
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and that would be always
word of mouth.
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It would be focus groups,
it would be questionnaires,
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and I just railed
against that stuff.
135
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I'm a neuroscientist.
136
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I introduced brain scanning
to Unilever.
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I'm not interested in
talking to a consumer.
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I want to find out what they like
by digging deeper,
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because we're not really aware
of why we like what we like.
140
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And one way to get that is with
the neuroimaging capabilities.
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What we would do is basically
lie someone in a brain scanner
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and feed food into their mouth.
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And we looked at the activity
that was coming into that brain.
144
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And one study that we did
was feeding people
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in one of these brain scanners
different types of ice cream.
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And what we found is that
this area right at the front
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of the brain here - it's called
the orbitofrontal cortex,
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and it's a reward system area,
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and it was glowing like a furnace.
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You're looking at what the brain
is telling you.
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You can't fudge it.
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And it's grown and grown and grown
as a way to predict
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what product is going to be
successful and what isn't.
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And the ice cream business
used that brain imaging data
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to basically make the claim that
ice cream makes you happy.
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And this is the article
that was in the newspapers.
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Slightly unfortunate that
it's got an obesity thing.
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Yes.
HE LAUGHS
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This is contrast, isn't it?
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Yeah.
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You can edit that out, can't you?
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The brain scans predicted
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which foods people would like
or which ones they'd love,
164
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but they also helped to show
something about those foods
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that would be really crucial
for the food industry.
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If you want to sell a lot of food,
texture is massively important.
167
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One thing many people don't realise
is that factory processing
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changes the textural properties
of that food.
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Now, that makes the food
much softer.
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And an interesting fact
about soft food
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is you're not chewing it as much.
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That actually short-circuits
the normal satiety mechanisms
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that you would have if you were
actually chewing food properly.
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So a food which you have to actually
put some work into chewing -
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so a crunchy carrot - is having
that benefit in terms of the fact
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you're spending a lot more time
chewing it.
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With a soft food, you don't do that.
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So you're bypassing
a normal mechanism
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that tells you that you're full.
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Once you've worked out that playing
around with the texture of a food,
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making it softer, tricks that normal
satiety or fullness mechanism,
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clearly there's an opportunity there
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for some kind of
scurrilous behaviour
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in making food softer
so that people will eat more,
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and therefore you sell
more of your product.
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So there is an opportunity there,
of course, you know, to basically...
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..not do the right thing,
shall I say?
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So much of the packaged food
that we eat is incredibly soft.
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My kids love these.
190
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You don't typically think
of this as being a soft food,
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because it's a bit crunchy,
192
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but actually,
after that initial crunch,
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you can just crush it
with your tongue, right?
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It's got no resistance at all.
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But in terms of the
calories per gram,
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it's got way more calories
than even a very fatty burger.
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So the softness and
the energy density
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mean that you consume it
incredibly quickly.
199
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And there's a food industry term
for these
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very light, puffy foods
that melt in the mouth.
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It's called
vanishing caloric density.
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Gone.
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The thing that makes us eat a lot
isn't just what we do to the food.
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It's also about logos, marketing,
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branding, the box the food comes in.
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Here we've got a very crinkly
packet of crisps.
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The noise is quite loud.
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Extraordinary.
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Of course that's going to make
you think, "Fresh, fresh, fresh."
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I'm Professor Barry Smith.
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I work on sensory science with
neuroscientists and psychologists.
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Pringles are often irresistible.
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It's in their slogan.
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# Potato crisps in a tube
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# Pop it up and get in the mood
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# Once you pop
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# You can't stop. #
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When I worked for Pringles,
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they were really worried
about the competition from Doritos,
220
00:13:23,700 --> 00:13:26,620
and they were trying to think
of ways to innovate.
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And one idea was,
"Let's make the tube bigger
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"so that we can get
our whole hand in there."
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And I said, "No, no, no, no,
don't do that."
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People like struggling
to get their hand in.
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They're like foraging bears.
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They're trying to extract the food
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and that searching out
something to eat,
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that's increasing your desire.
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CRUNCHING
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Eating is a multi-sensory
experience.
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There's the look of the food.
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There's the smell of the food.
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There's the feeling of the food
on your fingers.
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00:14:02,540 --> 00:14:05,100
Even the sound of food matters.
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00:14:09,700 --> 00:14:13,540
When you open a fizzy soda,
you've got two noises.
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You've got the click and the tear.
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Sound engineers and manufacturers
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00:14:19,300 --> 00:14:22,540
work really hard to get
that sound just right.
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And that's sonic branding.
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Many companies have asked me
to work on sonic branding for them,
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00:14:33,940 --> 00:14:36,940
and I think I can mention
when I was working with Kellogg,
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00:14:36,940 --> 00:14:39,460
they said,
"Ooh, what's sonic branding?"
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00:14:39,460 --> 00:14:43,180
And I said, "You invented this!"
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Most people will remember,
as children,
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00:14:45,980 --> 00:14:49,660
the experience of lifting a bowl
to their ear.
246
00:14:49,660 --> 00:14:51,700
And what are they listening for?
247
00:14:51,700 --> 00:14:54,260
Snap, Crackle, and Pop.
248
00:14:54,260 --> 00:14:56,420
That's sonic branding at its best,
249
00:14:56,420 --> 00:14:58,980
and that's the original.
250
00:14:58,980 --> 00:15:03,380
# It's fun to put Snap, Crackle,
Pop into your morning. #
251
00:15:14,180 --> 00:15:15,460
Look at all this.
252
00:15:15,460 --> 00:15:19,580
The food companies are using
branding to grab our attention.
253
00:15:19,580 --> 00:15:22,460
It's salt, fat, sugar
wrapped up in appealing packages.
254
00:15:22,460 --> 00:15:23,740
We've got cartoon characters.
255
00:15:23,740 --> 00:15:25,460
There are tigers. There are monkeys.
256
00:15:25,460 --> 00:15:28,100
There are bright colours everywhere.
257
00:15:29,980 --> 00:15:34,100
But to sell even more food,
industry had to change
258
00:15:34,100 --> 00:15:37,940
the culture of how we eat,
the number of times a day we eat,
259
00:15:37,940 --> 00:15:40,260
and this is called snackification.
260
00:15:52,540 --> 00:15:56,900
I am currently a research associate
at the University of Cambridge.
261
00:15:56,900 --> 00:16:01,740
I trained as a food engineer
in Mexico and I worked for Cargill.
262
00:16:04,300 --> 00:16:08,860
It's a company that makes
most of the raw ingredients
263
00:16:08,860 --> 00:16:11,100
that go into processed foods.
264
00:16:11,100 --> 00:16:14,140
Name it - flour, sugar, oil,
265
00:16:14,140 --> 00:16:17,100
high-fructose corn syrup, cocoa.
266
00:16:20,620 --> 00:16:24,820
In the last several years,
I started to see an influx
267
00:16:24,820 --> 00:16:28,140
of packaged products from the USA
into Mexico.
268
00:16:28,140 --> 00:16:31,340
I started to see my peers
getting bigger.
269
00:16:31,340 --> 00:16:35,260
I started to hear about diseases
like type 2 diabetes,
270
00:16:35,260 --> 00:16:37,980
cancer in younger people.
271
00:16:37,980 --> 00:16:40,300
I started to ask questions about,
272
00:16:40,300 --> 00:16:44,820
what is our impact as a food company
in the health of our nation?
273
00:16:44,820 --> 00:16:46,780
And that's why I changed careers.
274
00:16:48,540 --> 00:16:50,180
There's a lot of competition
out there,
275
00:16:50,180 --> 00:16:52,540
and food companies make their money
276
00:16:52,540 --> 00:16:55,100
by the amount of products
we consume from them.
277
00:16:55,100 --> 00:16:58,020
So there's a stomach share
that they're fighting for,
278
00:16:58,020 --> 00:17:00,340
and there are hours in the day
279
00:17:00,340 --> 00:17:02,420
in between breakfast,
lunch, and dinner.
280
00:17:02,420 --> 00:17:04,140
What happens between those hours?
281
00:17:04,140 --> 00:17:05,980
They want us to snack.
282
00:17:05,980 --> 00:17:08,220
ALARM BEEPS
283
00:17:08,220 --> 00:17:09,980
You wake up and
this is what you have.
284
00:17:09,980 --> 00:17:11,300
Snack number one -
285
00:17:11,300 --> 00:17:14,140
breakfast shake, ultra-processed.
286
00:17:14,140 --> 00:17:16,820
This is heavily marketed
for you to have on the go -
287
00:17:16,820 --> 00:17:21,140
do not sit down, do not take time
to crunch through something.
288
00:17:21,140 --> 00:17:23,380
Snack number two of the day.
289
00:17:24,980 --> 00:17:26,540
It's empty calories.
290
00:17:26,540 --> 00:17:29,220
Energy-dense, nutrient-poor.
291
00:17:29,220 --> 00:17:31,980
Midday, you're starting to get
a little bit peckish,
292
00:17:31,980 --> 00:17:33,540
and what do you have?
293
00:17:33,540 --> 00:17:35,420
Veggie straws.
294
00:17:35,420 --> 00:17:38,540
This is a good example of a
health claim snacking product.
295
00:17:38,540 --> 00:17:42,260
Whereas before we would
have had food, actual food,
296
00:17:42,260 --> 00:17:45,340
now we are marketed into believing
297
00:17:45,340 --> 00:17:47,380
that this is actually
a healthy replacement.
298
00:17:49,060 --> 00:17:52,020
Some snacking products have now
been made to be linked
299
00:17:52,020 --> 00:17:53,700
with being physically active.
300
00:17:53,700 --> 00:17:59,180
So after the gym, I have a
high-protein, low-sugar bar
301
00:17:59,180 --> 00:18:01,260
instead of having
a healthier option.
302
00:18:03,260 --> 00:18:06,420
You finish having dinner
and you have these snacks
303
00:18:06,420 --> 00:18:09,420
that are sold to you
as "more to share,"
304
00:18:09,420 --> 00:18:13,580
where, in fact, you can just finish
them watching the TV by yourself.
305
00:18:13,580 --> 00:18:17,020
I do like them
and I cannot stop eating them.
306
00:18:19,140 --> 00:18:22,340
SHE LAUGHS
And I literally can't.
307
00:18:22,340 --> 00:18:23,740
Oh, God.
308
00:18:28,260 --> 00:18:29,660
If you're a food company,
309
00:18:29,660 --> 00:18:32,300
there are two main ways
you can make more money.
310
00:18:32,300 --> 00:18:35,460
You can sell more food,
so you can grab more stomach share,
311
00:18:35,460 --> 00:18:38,340
or you can use cheaper ingredients.
312
00:18:49,820 --> 00:18:53,940
I'm Suzy Glaskie, and I used to work
for the food industry
313
00:18:53,940 --> 00:18:56,500
for nearly 20 years.
314
00:18:56,500 --> 00:19:01,260
And now I really want to
315
00:19:01,260 --> 00:19:05,660
lift the lid on how
food industry marketing
316
00:19:05,660 --> 00:19:08,620
is robbing us of our health.
317
00:19:10,660 --> 00:19:14,660
The first time I really started
to feel differently
318
00:19:14,660 --> 00:19:17,500
about the food industry
was when Sunny Delight came out.
319
00:19:17,500 --> 00:19:18,860
Sunny Delight...
320
00:19:18,860 --> 00:19:21,860
It was sold as great
for all the family.
321
00:19:21,860 --> 00:19:23,500
Any more?
Coming right up.
322
00:19:23,500 --> 00:19:24,820
Thanks, Mum.
323
00:19:24,820 --> 00:19:26,180
So when can we move in, then?
324
00:19:26,180 --> 00:19:27,540
On your bike!
325
00:19:27,540 --> 00:19:30,860
And when I looked
at the ingredients,
326
00:19:30,860 --> 00:19:34,780
I realised this was
a really cheap product
327
00:19:34,780 --> 00:19:38,620
which had been dressed up
to be something healthy.
328
00:19:38,620 --> 00:19:42,100
And I think that's where
I drew the line.
329
00:19:42,100 --> 00:19:45,260
So the main thing that I worked on
were modified starches,
330
00:19:45,260 --> 00:19:47,940
and these were really,
really clever.
331
00:19:47,940 --> 00:19:52,220
They can make snack foods
crunchy and crispy,
332
00:19:52,220 --> 00:19:54,660
and they can make yoghurts creamy
333
00:19:54,660 --> 00:19:57,580
and smoothies glossy.
334
00:20:00,220 --> 00:20:02,940
When we eat starch in a whole food,
335
00:20:02,940 --> 00:20:04,860
it's digested slowly.
336
00:20:07,300 --> 00:20:10,580
But if that same starch
is highly processed,
337
00:20:10,580 --> 00:20:14,260
then it's broken down
very quickly by the body,
338
00:20:14,260 --> 00:20:16,620
and it spikes our blood sugar.
339
00:20:16,620 --> 00:20:20,380
And that then leads to
a whole host of health problems
340
00:20:20,380 --> 00:20:24,100
and also to our body storing fat.
341
00:20:25,660 --> 00:20:28,420
One of the starches
that I worked on,
342
00:20:28,420 --> 00:20:31,540
you could add it to a jam,
for example,
343
00:20:31,540 --> 00:20:38,180
and it would give the sensory
experience of having a strawberry
344
00:20:38,180 --> 00:20:41,060
without it actually being
a strawberry.
345
00:20:41,060 --> 00:20:43,220
Fruit is expensive.
346
00:20:43,220 --> 00:20:45,060
It's difficult to handle.
347
00:20:45,060 --> 00:20:48,180
It spoils quickly.
It's expensive to transport.
348
00:20:49,340 --> 00:20:56,500
So it's kind of padding out products
with stuff that's just cheap,
349
00:20:56,500 --> 00:20:59,620
but which mimics the real stuff.
350
00:21:16,020 --> 00:21:18,860
We develop food and beverage
products for companies of all sizes,
351
00:21:18,860 --> 00:21:21,380
so we've worked with
Heinz, Cadbury's, Pringles,
352
00:21:21,380 --> 00:21:22,780
Green & Black's Chocolate.
353
00:21:24,660 --> 00:21:27,900
Cost is such a big focus
when we're developing products -
354
00:21:27,900 --> 00:21:31,380
from the ingredients,
the manufacturing, the shipping,
355
00:21:31,380 --> 00:21:33,380
and then from distributors
to retailers.
356
00:21:33,380 --> 00:21:35,500
Everybody wants to make a profit.
They want to make a margin.
357
00:21:37,100 --> 00:21:39,220
Here are the ingredients
that you need to make
358
00:21:39,220 --> 00:21:41,060
a home-made lemon cake.
359
00:21:41,060 --> 00:21:43,260
We've got lemons, unsurprisingly,
360
00:21:43,260 --> 00:21:46,060
flour, sugar, butter, eggs,
361
00:21:46,060 --> 00:21:48,700
some bicarbonate of soda,
and some salt.
362
00:21:49,820 --> 00:21:52,460
But if you're going to make it
in a factory,
363
00:21:52,460 --> 00:21:55,100
we've got quite a few things
that we need to consider.
364
00:21:55,100 --> 00:21:58,140
And so I have here a slightly
longer list of ingredients...
365
00:21:58,140 --> 00:22:02,340
More than double. ..that you might
see in a cake from a supermarket.
366
00:22:02,340 --> 00:22:05,060
One of the main considerations
has to be the shelf life.
367
00:22:05,060 --> 00:22:07,340
Of course, yeah. Because
your lovely home-made recipe,
368
00:22:07,340 --> 00:22:09,100
you're talking days...
Exactly.
369
00:22:09,100 --> 00:22:11,660
..before it starts to go mouldy
and just frankly, stale. Yeah.
370
00:22:11,660 --> 00:22:13,540
Whereas something in the supermarket
371
00:22:13,540 --> 00:22:16,220
is going to need months
of shelf life. Exactly.
372
00:22:16,220 --> 00:22:20,420
You'll see here, we've got potassium
sorbate as one of the preservatives,
373
00:22:20,420 --> 00:22:24,060
and that is to inhibit the growth
of mould and yeasts
374
00:22:24,060 --> 00:22:25,980
so that your cake doesn't go off.
375
00:22:25,980 --> 00:22:29,460
It's quite bitter, a bit like biting
on a paracetamol or something.
376
00:22:29,460 --> 00:22:32,020
And so some of the ways that
you might mask some of these
377
00:22:32,020 --> 00:22:35,940
bitter tastes might be with
the flavouring, for one, the salt.
378
00:22:35,940 --> 00:22:38,420
And then something else
that you can't ignore
379
00:22:38,420 --> 00:22:41,420
with an ingredient list like this
is how much cheaper it will be.
380
00:22:52,980 --> 00:22:55,140
Across the board, we're substituting
381
00:22:55,140 --> 00:22:58,460
rich ingredients like eggs
and butter with cheaper ones,
382
00:22:58,460 --> 00:23:02,340
but also some of the ingredients
from stabilisers and starches.
383
00:23:02,340 --> 00:23:05,780
Yeah. It's all allowing you
to use cheaper ingredients.
384
00:23:20,340 --> 00:23:23,820
If you sit in my clinic,
if you work in this hospital,
385
00:23:23,820 --> 00:23:27,740
you see the toll that diet-related
diseases takes on our patients.
386
00:23:31,500 --> 00:23:35,420
There's incredibly strong evidence
that the cause of the pandemic
387
00:23:35,420 --> 00:23:38,620
of obesity and diet-related disease
that's sweeping the globe
388
00:23:38,620 --> 00:23:42,060
is industrially processed,
packaged foods.
389
00:23:55,460 --> 00:24:00,020
Previously, describing these goods
was really hard scientifically.
390
00:24:00,020 --> 00:24:02,740
We called it junk food or fast food.
391
00:24:02,740 --> 00:24:07,660
And then a little while ago,
a friend gave me this paper.
392
00:24:07,660 --> 00:24:11,020
It's published in an obscure
Brazilian public health journal.
393
00:24:11,020 --> 00:24:13,060
It says,
"A new classification of foods
394
00:24:13,060 --> 00:24:15,340
"based on the extent and purpose
of their processing."
395
00:24:15,340 --> 00:24:17,180
Not an appealing read,
so I ignored it,
396
00:24:17,180 --> 00:24:19,180
left it on the desk for weeks.
397
00:24:21,580 --> 00:24:23,580
But I eventually got around
to reading it.
398
00:24:28,500 --> 00:24:33,340
And I thought, if it's true,
this might be the most important
399
00:24:33,340 --> 00:24:35,780
scientific paper published
so far this century.
400
00:27:09,380 --> 00:27:13,580
Carlos Monteiro was proposing
something really radical.
401
00:27:13,580 --> 00:27:16,900
Previously, we'd focused on
sugar, saturated fat, and salt
402
00:27:16,900 --> 00:27:18,700
as being the problem.
403
00:27:18,700 --> 00:27:24,100
And he said, "Well, maybe
it's the industrial processing
404
00:27:24,100 --> 00:27:26,540
"that is making us all
eat a lot of these
405
00:27:26,540 --> 00:27:29,460
"and having maybe other effects
as well."
406
00:27:29,460 --> 00:27:33,420
We've been doing food processing
for thousands,
407
00:27:33,420 --> 00:27:35,700
probably hundreds
of thousands of years,
408
00:27:35,700 --> 00:27:39,740
without significant health problems,
where we take whole food
409
00:27:39,740 --> 00:27:43,380
and we smoke it, we salt it,
we preserve it, we ferment it.
410
00:27:43,380 --> 00:27:45,780
It's essential for human life.
411
00:27:47,500 --> 00:27:50,900
Ultra-processed food
is entirely different.
412
00:27:54,020 --> 00:27:56,020
And the full definition is very long,
413
00:27:56,020 --> 00:27:59,380
but if you're wondering if something
you're eating is ultra-processed,
414
00:27:59,380 --> 00:28:00,900
look at the ingredients list.
415
00:28:00,900 --> 00:28:03,660
And if you see things that
you wouldn't expect to find
416
00:28:03,660 --> 00:28:06,780
in a home kitchen, then it's
probably an ultra-processed food.
417
00:28:09,100 --> 00:28:13,340
When I first read this paper,
it seemed really important,
418
00:28:13,340 --> 00:28:16,140
but I had some doubts,
and I wasn't the only one.
419
00:28:16,140 --> 00:28:18,860
Lots of people were very sceptical
about it.
420
00:28:28,620 --> 00:28:30,300
My name is Dr Kevin Hall.
421
00:28:30,300 --> 00:28:33,380
I'm a senior investigator here
at the National Institute of Health.
422
00:28:34,540 --> 00:28:37,260
I first heard about this idea
of ultra-processed foods,
423
00:28:37,260 --> 00:28:40,300
which basically says that nutrients
aren't important at all.
424
00:28:40,300 --> 00:28:43,100
It's really about the extent
and purpose of processing,
425
00:28:43,100 --> 00:28:46,220
and it seemed a little crazy to me
because we have
426
00:28:46,220 --> 00:28:49,300
a whole history of nutrition
science, focusing on nutrients.
427
00:28:49,300 --> 00:28:52,420
And then along comes Carlos
and says, you know,
428
00:28:52,420 --> 00:28:56,180
"You've been focusing on the wrong
thing for the past several decades."
429
00:28:56,180 --> 00:28:59,060
So we enlisted the help
of our dieticians
430
00:28:59,060 --> 00:29:01,180
here at the NIH Clinical Center,
431
00:29:01,180 --> 00:29:03,980
and I gave them what I thought was
maybe an impossible task -
432
00:29:03,980 --> 00:29:05,700
"Can you design two diets?
433
00:29:06,900 --> 00:29:10,620
"In one case, all of the foods
come from minimally processed foods.
434
00:29:12,980 --> 00:29:15,780
"And alternatively,
an ultra-processed diet
435
00:29:15,780 --> 00:29:18,860
"that is matched for the salt,
the sugar, the fat, the fibre."
436
00:29:24,140 --> 00:29:27,340
And the idea of the study
was to bring 20 men and women
437
00:29:27,340 --> 00:29:31,060
into the Clinical Center, where
they would live with us for a month.
438
00:29:31,060 --> 00:29:33,740
So you have an hour to finish it,
or less.
439
00:29:33,740 --> 00:29:36,460
We'd take complete control
over their food environment
440
00:29:36,460 --> 00:29:39,300
and present them with meals
and very simple instructions -
441
00:29:39,300 --> 00:29:41,820
"Just eat as much
or as little as you'd like."
442
00:29:41,820 --> 00:29:43,780
And what they didn't know was that
443
00:29:43,780 --> 00:29:46,860
at the end of each of the meals,
we were measuring their leftovers.
444
00:29:46,860 --> 00:29:49,140
He ate most of the tater tots.
445
00:29:49,140 --> 00:29:52,300
The dieticians downstairs
will actually weigh it back,
446
00:29:52,300 --> 00:29:55,020
and we'll know the exact quantity
that's left over.
447
00:29:56,900 --> 00:29:58,580
We were measuring
their weights every day.
448
00:29:58,580 --> 00:30:01,380
We were measuring how many
calories their bodies were burning,
449
00:30:01,380 --> 00:30:05,340
their oxygen consumption,
their carbon dioxide production.
450
00:30:05,340 --> 00:30:08,340
My hypothesis going in
was that we would see
451
00:30:08,340 --> 00:30:10,780
very, very little difference in the
number of calories people ate.
452
00:30:10,780 --> 00:30:12,660
And of course, I was wrong.
453
00:30:12,660 --> 00:30:14,380
It turned out that the people,
454
00:30:14,380 --> 00:30:16,860
when they were on
the ultra-processed diet,
455
00:30:16,860 --> 00:30:20,620
they spontaneously overate calories,
about 500 calories per day
456
00:30:20,620 --> 00:30:23,660
greater than when they were
on the minimally processed diet.
457
00:30:24,900 --> 00:30:28,180
I'm going to take your temperature,
if that's all right. Sure.
458
00:30:28,180 --> 00:30:31,940
What we discovered was that
the ultra-processed foods,
459
00:30:31,940 --> 00:30:35,020
despite being matched
for their nutrient composition,
460
00:30:35,020 --> 00:30:38,220
they tended to have
many more calories per bite.
461
00:30:38,220 --> 00:30:41,540
Another thing that we found
was that we ended up preparing
462
00:30:41,540 --> 00:30:44,900
and presenting people with foods
that were high in sugar and fat.
463
00:30:44,900 --> 00:30:48,500
That's something that's very rare
to see in a food in nature.
464
00:30:48,500 --> 00:30:51,540
These are so-called
hyperpalatable foods,
465
00:30:51,540 --> 00:30:54,500
and we ended up presenting
people with more of those
466
00:30:54,500 --> 00:30:57,300
hyperpalatable foods
on the ultra-processed diet.
467
00:31:05,660 --> 00:31:07,700
At the time it was published,
Kevin Hall's experiment
468
00:31:07,700 --> 00:31:10,500
was so important because
it was really good quality evidence
469
00:31:10,500 --> 00:31:14,300
that ultra-processed food
does make you eat too much of it.
470
00:31:14,300 --> 00:31:17,700
Now it's just one scientific paper
471
00:31:17,700 --> 00:31:20,860
in a huge and rapidly growing
body of evidence.
472
00:31:20,860 --> 00:31:23,540
I think one of the biggest problems
with this kind of food
473
00:31:23,540 --> 00:31:26,300
is that so many of us
struggle to stop eating it.
474
00:31:33,740 --> 00:31:38,860
APPLAUSE
475
00:31:38,860 --> 00:31:40,140
Hi, everyone.
476
00:31:40,140 --> 00:31:44,100
I'm so thrilled to be here today
to speak with you on my research
477
00:31:44,100 --> 00:31:47,500
that looks at parallels
between addictive substances
478
00:31:47,500 --> 00:31:49,060
and ultra-processed food.
479
00:31:50,420 --> 00:31:52,340
I'm Dr Ashley Gearhardt.
480
00:31:52,340 --> 00:31:55,820
I'm a professor of psychology
at the University of Michigan
481
00:31:55,820 --> 00:31:59,820
and the director of the Food and
Addiction Science and Treatment lab.
482
00:31:59,820 --> 00:32:04,420
Both fat and sugar are converging
on the same neural reward centre,
483
00:32:04,420 --> 00:32:07,860
so it really seems to be
hyperpalatable food products
484
00:32:07,860 --> 00:32:09,740
that kind of mimic
the reward profile
485
00:32:09,740 --> 00:32:11,660
that we see with addictive drugs.
486
00:32:11,660 --> 00:32:13,420
When we look at the sorts of foods
487
00:32:13,420 --> 00:32:16,860
that trigger those key diagnostic
indicators of addiction,
488
00:32:16,860 --> 00:32:18,860
it's really clear what it's not.
489
00:32:18,860 --> 00:32:21,660
It's not minimally processed foods,
490
00:32:21,660 --> 00:32:24,740
like fruits or vegetables or beans,
491
00:32:24,740 --> 00:32:27,220
or lean meats, like chicken breasts.
492
00:32:27,220 --> 00:32:32,220
It's really processed foods
that deliver high doses
493
00:32:32,220 --> 00:32:35,580
of refined carbohydrates
like sugars and starches,
494
00:32:35,580 --> 00:32:39,220
typically alongside
high levels of fat.
495
00:32:39,220 --> 00:32:42,620
It's chocolate, it's ice cream,
it's pizza.
496
00:32:42,620 --> 00:32:45,020
It's foods that don't exist
in nature.
497
00:32:47,660 --> 00:32:51,060
One of the first things that we did
was try and understand
498
00:32:51,060 --> 00:32:54,060
how do we identify someone
who might actually
499
00:32:54,060 --> 00:32:56,340
be experiencing an addiction?
500
00:32:56,340 --> 00:32:58,860
So we created the
Yale Food Addiction Scale,
501
00:32:58,860 --> 00:33:01,420
which is the major tool used
502
00:33:01,420 --> 00:33:04,820
to measure an addiction
to ultra-processed food.
503
00:33:06,260 --> 00:33:09,180
We've really looked at
the diagnostic criteria
504
00:33:09,180 --> 00:33:12,260
that we use to diagnose somebody
with an alcohol addiction,
505
00:33:12,260 --> 00:33:16,380
a tobacco addiction, asking people
about their experiences
506
00:33:16,380 --> 00:33:20,860
of losing control over their intake,
really intense cravings,
507
00:33:20,860 --> 00:33:25,380
continuing to use even though you're
having really negative consequences.
508
00:33:28,340 --> 00:33:30,220
"When I started
to eat certain foods,
509
00:33:30,220 --> 00:33:32,100
"I ate much more than planned."
510
00:33:32,100 --> 00:33:34,140
Yes, every day.
511
00:33:34,140 --> 00:33:36,700
I'm Sarita, I'm 48 years old,
512
00:33:36,700 --> 00:33:38,420
and I'm a food addict.
513
00:33:46,020 --> 00:33:49,100
Processed food has this control
over me.
514
00:33:49,100 --> 00:33:51,620
I don't want to binge
on a bowl of broccoli.
515
00:33:51,620 --> 00:33:55,020
It's the crap food.
There's something in it.
516
00:33:55,020 --> 00:33:58,780
And I've struggled with
drug and alcohol addiction,
517
00:33:58,780 --> 00:34:01,660
and the parallels are too similar
for there not to be a link.
518
00:34:06,180 --> 00:34:09,620
Most people in my position
binge in the evenings.
519
00:34:09,620 --> 00:34:12,700
I will start with cereal,
and it's always really sweet cereal,
520
00:34:12,700 --> 00:34:14,940
so BLEEP is a good one.
521
00:34:14,940 --> 00:34:19,460
I would pour as much of that
into a mixing bowl -
522
00:34:19,460 --> 00:34:22,020
not a normal bowl, a mixing bowl -
523
00:34:22,020 --> 00:34:24,060
and start with that.
524
00:34:24,060 --> 00:34:27,540
You're talking, you are talking
a box of cereal
525
00:34:27,540 --> 00:34:30,380
and three or four huge bars
of chocolates,
526
00:34:30,380 --> 00:34:31,940
and a couple of packets
of biscuits -
527
00:34:31,940 --> 00:34:35,300
way more food than you'd think
a person could eat.
528
00:34:36,780 --> 00:34:40,820
Then after that, it's just about
how quickly can I purge it?
529
00:34:41,820 --> 00:34:44,100
By purging,
I mean making myself sick.
530
00:34:48,220 --> 00:34:49,700
I'm an intelligent person.
531
00:34:49,700 --> 00:34:51,780
I'm a fitness fanatic.
532
00:34:51,780 --> 00:34:57,260
I know that my bingeing behaviour
is really bad for me
533
00:34:57,260 --> 00:35:03,780
and could end in heart attacks
and diabetes and all sorts of stuff.
534
00:35:03,780 --> 00:35:08,300
That's why I know it's an addiction,
because I don't seem to care.
535
00:35:08,300 --> 00:35:09,500
I don't care.
536
00:35:11,580 --> 00:35:14,580
So I wanted to give you
a bit of a sense of the people
537
00:35:14,580 --> 00:35:16,060
who've come into our lab.
538
00:35:16,060 --> 00:35:18,980
This individual had severe food
addiction, and they said,
539
00:35:18,980 --> 00:35:23,020
"I can't even be in the same room
as any type of doughnuts,
540
00:35:23,020 --> 00:35:26,940
"because I will finish a dozen
all by myself, and I'm a type..."
541
00:35:26,940 --> 00:35:31,300
The potency and the reward power
of these ultra-processed foods
542
00:35:31,300 --> 00:35:35,780
can trigger an addictive response
that leads them to consume these
543
00:35:35,780 --> 00:35:39,180
in such a compulsive way that,
even if they want to cut down,
544
00:35:39,180 --> 00:35:42,420
even if they know it's killing them,
they find they can't stop.
545
00:35:44,060 --> 00:35:46,580
We have to eat to live.
546
00:35:46,580 --> 00:35:51,140
So giving up drugs, you just
quit completely and that's it.
547
00:35:52,620 --> 00:35:56,860
But how do you stop
eating processed food?
548
00:35:58,140 --> 00:35:59,780
It's everywhere you go.
549
00:36:06,260 --> 00:36:08,980
Food addiction is a growing
field of study.
550
00:36:08,980 --> 00:36:12,940
There are lots of people
who have well-founded concerns
551
00:36:12,940 --> 00:36:17,300
about demonising an entire category
of food, and I understand that.
552
00:36:17,300 --> 00:36:21,500
But, personally, I find it
really hard to disagree
553
00:36:21,500 --> 00:36:24,500
with the testimony of many
of my patients,
554
00:36:24,500 --> 00:36:27,180
who feel that they are addicted
to these products.
555
00:36:31,780 --> 00:36:34,380
You have to make products
taste palatable,
556
00:36:34,380 --> 00:36:37,620
but what's happened is that
palatability has been turned into,
557
00:36:37,620 --> 00:36:40,940
"Well, it's too good.
It's addictive. It's too tasty."
558
00:36:40,940 --> 00:36:43,700
I mean, is there a point
at which you can make a food taste
559
00:36:43,700 --> 00:36:46,260
good enough that people will eat it,
560
00:36:46,260 --> 00:36:50,300
but not too good that it's going
to be called hyper-palatable?
561
00:36:50,300 --> 00:36:52,300
Yeah, but you know what?
562
00:36:53,300 --> 00:36:55,260
If somebody makes the
hyper-palatable one,
563
00:36:55,260 --> 00:36:57,020
they'll stop eating the other one
anyway.
564
00:36:57,020 --> 00:36:59,020
We have to make products
that taste good.
565
00:36:59,020 --> 00:37:00,140
People want that.
566
00:37:00,140 --> 00:37:01,300
We're not going to mandate
567
00:37:01,300 --> 00:37:03,780
that everybody's got
to make their food taste bad,
568
00:37:03,780 --> 00:37:05,020
I don't think.
569
00:37:05,020 --> 00:37:06,860
It's not a world I want to be in.
570
00:37:13,460 --> 00:37:17,180
We have a growing body of evidence
that, for some people,
571
00:37:17,180 --> 00:37:18,980
this food is addictive.
572
00:37:22,300 --> 00:37:24,820
And that makes me think about
the tobacco industry.
573
00:37:32,380 --> 00:37:34,260
Laura Schmidt.
574
00:37:34,260 --> 00:37:37,820
I'm a professor at UC San Francisco
in the School of Medicine.
575
00:37:40,540 --> 00:37:44,820
I'd been working on ultra-processed
foods for a while,
576
00:37:44,820 --> 00:37:48,820
and one of my colleagues said, "Hey,
you know, I've been poking around
577
00:37:48,820 --> 00:37:52,420
"in the tobacco archive, and
I know you're interested in food.
578
00:37:52,420 --> 00:37:54,780
"You might want to check these out.
579
00:37:57,660 --> 00:38:01,340
And it turns out that there
were hundreds of thousands
580
00:38:01,340 --> 00:38:05,380
of documents in the tobacco archive
about food companies.
581
00:38:10,100 --> 00:38:14,540
From the 1960s, RJ Reynolds,
the tobacco company,
582
00:38:14,540 --> 00:38:17,460
starts buying up food subsidiaries.
583
00:38:19,020 --> 00:38:23,900
Why would a giant tobacco company
buy up a food company?
584
00:38:25,180 --> 00:38:27,780
And the answer was something
we did not expect.
585
00:38:29,260 --> 00:38:33,620
The people in the tobacco companies
had a bunch of artificial colours
586
00:38:33,620 --> 00:38:38,540
and flavours, developed in their
labs, that they were making
587
00:38:38,540 --> 00:38:42,220
to add to cigarettes,
flavours and colours like menthol.
588
00:38:43,620 --> 00:38:47,340
Their labs are developing them
to put into cigarettes
589
00:38:47,340 --> 00:38:51,700
and create different products
to target new consumers.
590
00:38:51,700 --> 00:38:53,300
They call them line extensions.
591
00:38:53,300 --> 00:38:56,500
# You've come a long way, baby
592
00:38:56,500 --> 00:38:59,220
# To get where you got to today... #
593
00:38:59,220 --> 00:39:02,060
Virginia Slims,
for women who want to get thin.
594
00:39:02,060 --> 00:39:05,700
Marlboro, for men who are
couch potatoes
595
00:39:05,700 --> 00:39:08,540
but actually want to be cowboys.
596
00:39:08,540 --> 00:39:12,100
# Listen while I tell you a story
597
00:39:12,100 --> 00:39:16,100
# The tale of the Marlboro brand... #
598
00:39:17,180 --> 00:39:19,100
They were targeting children.
599
00:39:24,100 --> 00:39:30,180
Joe Camel was a cartoon mascot that
RJ Reynolds put on Camel cigarettes
600
00:39:30,180 --> 00:39:33,340
because they really wanted
to make kids know the brand
601
00:39:33,340 --> 00:39:37,540
so that, when they became cigarette
consumers, they would smoke Camels.
602
00:39:37,540 --> 00:39:41,220
One survey found six-year-olds
in the US as familiar with
603
00:39:41,220 --> 00:39:43,340
Joe the Camel as with Mickey Mouse.
604
00:39:44,580 --> 00:39:51,060
The tobacco industry had cultivated
this strategy of taking a single,
605
00:39:51,060 --> 00:39:54,860
utterly boring product
and making it come alive
606
00:39:54,860 --> 00:39:59,860
with colours, flavours, branding,
marketing, cartoon mascots,
607
00:39:59,860 --> 00:40:02,340
to target different
consumer markets.
608
00:40:02,340 --> 00:40:08,340
And we found this memo,
and this memo was written in 1962,
609
00:40:08,340 --> 00:40:15,100
by the guy who ran the labs,
to the CEO of RJ Reynolds.
610
00:40:15,100 --> 00:40:20,260
And he literally says here, "It's
easy to characterise RJ Reynolds
611
00:40:20,260 --> 00:40:22,460
"merely as a tobacco company.
612
00:40:23,980 --> 00:40:27,380
"In a broader and much less
restricting sense, however,
613
00:40:27,380 --> 00:40:30,420
"RJ Reynolds is in
the flavour business."
614
00:40:34,220 --> 00:40:38,660
And here, he's talking about
a merger with a company called
615
00:40:38,660 --> 00:40:41,140
Pacific Hawaiian Products Company.
616
00:40:45,140 --> 00:40:48,740
And they only make one thing,
and that's Hawaiian Punch.
617
00:40:52,180 --> 00:40:56,140
Hawaiian Punch was one flavour
and one colour.
618
00:40:56,140 --> 00:41:00,460
It was bright red,
and it was being marketed to adults.
619
00:41:00,460 --> 00:41:04,820
And within a couple of years,
they had transformed this product
620
00:41:04,820 --> 00:41:06,700
into a children's beverage.
621
00:41:06,700 --> 00:41:09,100
Hey, how about a nice
Hawaiian Punch? Sure!
622
00:41:12,580 --> 00:41:15,140
# What gives Hawaiian Punch
its punch?
623
00:41:15,140 --> 00:41:16,580
# Its punch? #
624
00:41:16,580 --> 00:41:21,180
They intuitively understood that
getting the kid hooked was the goal,
625
00:41:21,180 --> 00:41:24,260
because that kid is going to be
a lifelong consumer.
626
00:41:25,620 --> 00:41:28,300
What's so brilliant
about the marketing strategy
627
00:41:28,300 --> 00:41:34,220
is you can take that tobacco model
and apply it to the food industry.
628
00:41:36,820 --> 00:41:39,820
You can make massive numbers
of line extensions.
629
00:41:39,820 --> 00:41:41,700
Wasn't that a refreshing commercial?
630
00:41:41,700 --> 00:41:46,300
Very sophisticated advertising
campaigns that allow you to kind of
631
00:41:46,300 --> 00:41:48,740
get inside the minds of consumers
632
00:41:48,740 --> 00:41:51,460
and make them want
what you have to sell.
633
00:41:55,220 --> 00:41:59,980
We know that people in food
companies were putting people
634
00:41:59,980 --> 00:42:04,940
in a brain scan to observe what
goes on in the brain when people
635
00:42:04,940 --> 00:42:08,500
are exposed to the food products
that they were developing.
636
00:42:08,500 --> 00:42:13,260
Whether or not they intended to make
all of these foods addictive,
637
00:42:13,260 --> 00:42:14,940
I don't know.
638
00:42:14,940 --> 00:42:21,540
What we can say is that, if
you're eating a brand that was ever
639
00:42:21,540 --> 00:42:25,900
owned by a tobacco company,
there's a stronger likelihood
640
00:42:25,900 --> 00:42:29,500
that it has been developed
to make you want more.
641
00:42:43,460 --> 00:42:47,140
The biggest cigarette companies
in the world were also
642
00:42:47,140 --> 00:42:48,500
the biggest food companies.
643
00:42:48,500 --> 00:42:50,620
They were the same companies.
644
00:42:50,620 --> 00:42:55,140
And of course, over decades,
the tobacco industry perfected
645
00:42:55,140 --> 00:42:58,940
the techniques for denying
any of their products were addictive.
646
00:43:10,700 --> 00:43:12,740
Hi, I'm Steve Parrish.
647
00:43:12,740 --> 00:43:15,260
Today, we're going to set
the record straight.
648
00:43:15,260 --> 00:43:17,820
Cigarettes neither alter
a person's mood
649
00:43:17,820 --> 00:43:22,660
nor do they impair an individual's
ability to function.
650
00:43:22,660 --> 00:43:24,900
Those people who term smoking
an addiction
651
00:43:24,900 --> 00:43:29,100
do so for political and ideological,
not scientific reasons.
652
00:43:33,140 --> 00:43:36,900
I retired in 2008
from Altria Group Inc,
653
00:43:36,900 --> 00:43:40,220
formerly known as Philip Morris,
the tobacco company,
654
00:43:40,220 --> 00:43:43,060
where I was the senior Vice
President of corporate affairs.
655
00:43:44,500 --> 00:43:49,740
In the early 1990s, there was
really a sea change in attitudes
656
00:43:49,740 --> 00:43:53,180
about the tobacco industry
in the United States,
657
00:43:53,180 --> 00:43:56,940
and it seemed like it was
the year of the perfect storm.
658
00:43:56,940 --> 00:44:00,380
In 1994, when there
were Congressional hearings...
659
00:44:00,380 --> 00:44:02,060
Please consider yourself
to be under oath.
660
00:44:03,500 --> 00:44:07,580
..members of Congress asked the CEOs
of the various tobacco companies,
661
00:44:07,580 --> 00:44:09,900
do you believe cigarette smoking
is addictive?
662
00:44:09,900 --> 00:44:11,580
Do you believe nicotine
is not addictive?
663
00:44:11,580 --> 00:44:13,580
I believe nicotine is not
addictive, yes.
664
00:44:13,580 --> 00:44:17,700
Cigarettes and nicotine
clearly do not meet the classic
665
00:44:17,700 --> 00:44:19,300
definitions of addiction.
666
00:44:19,300 --> 00:44:22,340
I don't believe that nicotine
or our products are addictive.
667
00:44:22,340 --> 00:44:24,420
I believe nicotine is not addictive.
668
00:44:24,420 --> 00:44:26,580
I believe that nicotine
is not addictive.
669
00:44:28,020 --> 00:44:30,380
I believe that nicotine
is not addictive.
670
00:44:31,660 --> 00:44:34,300
And I too believe that nicotine
is not addictive.
671
00:44:34,300 --> 00:44:38,180
At the end of a two-day hearing,
the expert committee decided
672
00:44:38,180 --> 00:44:40,420
that, yes, cigarette smoking
is addictive.
673
00:44:40,420 --> 00:44:44,980
And then, a few years later,
our company, Philip Morris,
674
00:44:44,980 --> 00:44:50,180
decided to change its position
and acknowledge the fact
675
00:44:50,180 --> 00:44:52,580
that cigarette smoking is addictive.
676
00:44:54,140 --> 00:44:56,220
When our company made
that announcement,
677
00:44:56,220 --> 00:45:00,500
it caused quite a stir,
and even a bigger stir
678
00:45:00,500 --> 00:45:02,540
when we announced that we were
in favour of
679
00:45:02,540 --> 00:45:06,380
the Food and Drug Administration
regulating the tobacco industry.
680
00:45:07,740 --> 00:45:13,860
When Philip Morris companies saw
that there was a continual decline,
681
00:45:13,860 --> 00:45:17,340
year over year over year,
in cigarette smoking,
682
00:45:17,340 --> 00:45:21,700
it just made sense for the company
to look beyond tobacco.
683
00:45:21,700 --> 00:45:26,260
And there were similarities
in the products, not in terms
684
00:45:26,260 --> 00:45:29,980
of the products themselves,
but where they were bought and sold,
685
00:45:29,980 --> 00:45:33,980
grocery stores, convenience stores,
and places like that.
686
00:45:41,860 --> 00:45:44,180
Yeah, you know, I don't know
the answer to that question.
687
00:45:44,180 --> 00:45:48,860
I don't know whether
specific food products
688
00:45:48,860 --> 00:45:51,580
would meet that definition
of addiction.
689
00:45:51,580 --> 00:45:54,020
I would leave that to people
who have studied the products
690
00:45:54,020 --> 00:45:56,100
and studied the science there.
691
00:45:57,620 --> 00:46:01,660
I don't know whether any companies
would admit addiction
692
00:46:01,660 --> 00:46:05,820
of a particular food product,
but I would hope that the companies
693
00:46:05,820 --> 00:46:11,620
would listen to the science
and say and do the right thing.
694
00:46:17,780 --> 00:46:21,740
I think right now we are,
with ultra-processed food,
695
00:46:21,740 --> 00:46:25,140
a bit like where we were in the '60s
with cigarettes.
696
00:46:25,140 --> 00:46:29,540
And, in my opinion, the food industry
is using many of the same techniques
697
00:46:29,540 --> 00:46:32,980
that the tobacco industry used
to protect their interests,
698
00:46:32,980 --> 00:46:35,580
and lots of scientists
have experienced this first-hand.
699
00:46:46,140 --> 00:46:49,340
I'm Dana Small.
I'm a neuroscientist.
700
00:46:49,340 --> 00:46:54,340
I'm interested in how the brain
and the body work together
701
00:46:54,340 --> 00:46:56,060
to optimise behaviour.
702
00:46:59,380 --> 00:47:02,020
Pepsi came to us and they were
interested to know
703
00:47:02,020 --> 00:47:05,460
whether they could reduce
the amount of sugar in beverages
704
00:47:05,460 --> 00:47:07,260
to make healthier drinks.
705
00:47:09,100 --> 00:47:12,300
Now, to keep the calories down,
you might add some artificial
706
00:47:12,300 --> 00:47:14,140
sweeteners to increase
the sweetness,
707
00:47:14,140 --> 00:47:15,820
but without getting the calories.
708
00:47:15,820 --> 00:47:20,300
So we designed this study where
we had five different beverages,
709
00:47:20,300 --> 00:47:22,340
and they had different
amounts of calories,
710
00:47:22,340 --> 00:47:25,380
but we wanted them
to be similarly sweet.
711
00:47:25,380 --> 00:47:29,340
So we used sweetener,
which doesn't have any calories.
712
00:47:29,340 --> 00:47:32,820
Yeah, this is not very elegant,
but in she goes.
713
00:47:32,820 --> 00:47:33,940
Sorry.
714
00:47:35,020 --> 00:47:38,980
She'll actually be in there
receiving little tastes
715
00:47:38,980 --> 00:47:42,740
of the different flavours
and then swallowing and then waiting
716
00:47:42,740 --> 00:47:44,660
for the next flavour to come.
717
00:47:45,940 --> 00:47:49,540
When you look at brain responses
to these different flavours,
718
00:47:49,540 --> 00:47:53,140
you can see the dopamine
and reward system.
719
00:47:53,140 --> 00:47:56,460
And what we found
was completely unanticipated.
720
00:47:58,780 --> 00:48:02,740
We actually didn't see a negative
impact of just drinking, like,
721
00:48:02,740 --> 00:48:04,220
a diet drink.
722
00:48:04,220 --> 00:48:08,500
But when we had a diet drink
and we added calories...
723
00:48:09,980 --> 00:48:11,780
..that's when we saw changes.
724
00:48:14,020 --> 00:48:19,020
So, for example, it's OK
to have your diet soda by itself.
725
00:48:19,020 --> 00:48:22,700
But if you have the diet soda
with French fries,
726
00:48:22,700 --> 00:48:26,060
you're going to have artificial
sweeteners and carbohydrates,
727
00:48:26,060 --> 00:48:27,980
and that's when you're going to
get into trouble.
728
00:48:30,020 --> 00:48:32,900
There's a lot we don't understand
about sweeteners but,
729
00:48:32,900 --> 00:48:36,860
in very simple terms, if you put
a sweet taste on the tongue,
730
00:48:36,860 --> 00:48:40,300
it signals to your body
that sugar is on the way.
731
00:48:40,300 --> 00:48:42,540
And if sugar doesn't then arrive,
732
00:48:42,540 --> 00:48:46,980
that seems to have several
unexpected effects on the body,
733
00:48:46,980 --> 00:48:49,260
and it may even lead to weight gain.
734
00:48:52,660 --> 00:48:56,860
If the effect we've observed
generalises, then it follows
735
00:48:56,860 --> 00:49:01,260
that consuming diet food
can actually lead to weight gain,
736
00:49:01,260 --> 00:49:05,580
rather than weight loss. Now, that
needs to be tested experimentally,
737
00:49:05,580 --> 00:49:08,420
but the logic is straightforward
to that prediction.
738
00:49:11,340 --> 00:49:14,380
We were discovering something
pretty important
739
00:49:14,380 --> 00:49:17,940
and, rather than being able
to continue with this,
740
00:49:17,940 --> 00:49:19,940
PepsiCo dropped us.
741
00:49:25,060 --> 00:49:26,420
We're experimenting.
742
00:49:26,420 --> 00:49:28,220
We're trying to figure things out.
743
00:49:28,220 --> 00:49:31,780
But during this process,
you could discover something
744
00:49:31,780 --> 00:49:33,340
that is harmful.
745
00:49:35,100 --> 00:49:38,780
So that leaves them vulnerable
to lawsuits,
746
00:49:38,780 --> 00:49:42,380
which is exactly what happened
in the tobacco industry.
747
00:50:47,300 --> 00:50:51,500
National surveys fail to show
any link between body mass index
748
00:50:51,500 --> 00:50:54,420
and consumption
of ultra-processed foods.
749
00:51:03,460 --> 00:51:07,820
Melissa Mialon found that, out of 38
papers questioning the science
750
00:51:07,820 --> 00:51:09,340
around ultra-processed food,
751
00:51:09,340 --> 00:51:13,820
33 of them had authors with
connections to the food industry.
752
00:51:13,820 --> 00:51:18,220
So the food industry exerts its
influence in a lot of subtle ways,
753
00:51:18,220 --> 00:51:20,500
and I've had personal experience
of some of these.
754
00:51:22,420 --> 00:51:25,900
The companies have been very,
very keen to get in touch with me,
755
00:51:25,900 --> 00:51:29,940
to invite me to give talks
and presentations,
756
00:51:29,940 --> 00:51:32,540
to fly across the Atlantic.
757
00:51:32,540 --> 00:51:33,900
Most of the time, I say no.
758
00:51:33,900 --> 00:51:38,180
In one instance, I thought,
"Well, let me get the contract
759
00:51:38,180 --> 00:51:41,140
"and see how all this looks."
760
00:51:41,140 --> 00:51:43,460
Is this a really well-known
food company, then?
761
00:51:43,460 --> 00:51:45,020
So this is one of the big...
762
00:51:45,020 --> 00:51:47,460
Yeah, this is a big food company.
763
00:51:47,460 --> 00:51:51,860
So I got a contract,
and they offered me about ยฃ20,000
764
00:51:51,860 --> 00:51:53,340
for a two-hour meeting.
765
00:51:54,380 --> 00:51:56,780
And I cannot understand
why they want to pay me,
766
00:51:56,780 --> 00:51:59,980
so I got a lawyer to help me
understand this.
767
00:51:59,980 --> 00:52:01,660
So here's the relevant bit.
768
00:52:01,660 --> 00:52:06,740
It says that I will not make
any statement as shall disparage
769
00:52:06,740 --> 00:52:08,820
the food company or its products,
770
00:52:08,820 --> 00:52:11,660
or bring the company name
into disrepute.
771
00:52:11,660 --> 00:52:16,420
So for about ยฃ20,000, they buy my
silence on ultra-processed food.
772
00:52:17,980 --> 00:52:21,460
Their most effective strategy
is to fund people who sound credible,
773
00:52:21,460 --> 00:52:23,900
who create confusion and doubt.
774
00:52:23,900 --> 00:52:27,300
That is what the tobacco industry did
so beautifully.
775
00:52:36,980 --> 00:52:41,340
The situation seems overwhelming,
but there is hope.
776
00:52:41,340 --> 00:52:43,780
First of all, we did control tobacco,
777
00:52:43,780 --> 00:52:45,580
not perfectly, but we did it.
778
00:52:45,580 --> 00:52:46,900
The second thing is,
779
00:52:46,900 --> 00:52:49,780
if you look at countries across
South and Central America,
780
00:52:49,780 --> 00:52:52,820
they are bringing in policies
that are making a difference.
781
00:53:02,820 --> 00:53:04,780
My name is Juan Castro.
782
00:53:04,780 --> 00:53:07,180
I'm trained as a doctor.
783
00:55:15,300 --> 00:55:17,940
If I look at some of these
Colombian warning labels, you know,
784
00:55:17,940 --> 00:55:20,540
it feels quite shocking
to have a warning label
785
00:55:20,540 --> 00:55:23,340
on these very sort of
everyday products.
786
00:55:23,340 --> 00:55:27,260
You know, you might pause
if there was a big black octagon
787
00:55:27,260 --> 00:55:28,980
on your kids' breakfast cereal.
788
00:55:30,420 --> 00:55:31,780
Well, the food industry would say,
789
00:55:31,780 --> 00:55:34,260
"Oh, the definition of
ultra-processed food
790
00:55:34,260 --> 00:55:38,540
"includes lots of healthy foods, like
wholegrain, ultra-processed bread,
791
00:55:38,540 --> 00:55:40,660
"fish fingers, baked beans."
792
00:55:41,860 --> 00:55:43,820
Now, this makes me incredibly angry.
793
00:55:43,820 --> 00:55:46,460
This is food that I do feed
my children, OK?
794
00:55:46,460 --> 00:55:49,220
The fish fingers -
very high in salt and fat.
795
00:55:49,220 --> 00:55:52,020
The baked beans -
very high in salt and sugar, OK?
796
00:55:52,020 --> 00:55:53,900
The supermarket
ultra-processed bread,
797
00:55:53,900 --> 00:55:57,420
even if it's got whole grains -
very high in sugar and salt.
798
00:55:57,420 --> 00:56:01,460
So is this the worst food
you can buy? Absolutely not.
799
00:56:01,460 --> 00:56:04,140
But is it the foundation
of a healthy diet?
800
00:56:04,140 --> 00:56:06,140
It certainly isn't, no.
801
00:56:06,140 --> 00:56:07,860
And in lots of countries,
802
00:56:07,860 --> 00:56:11,260
all of those products would get
warning labels for salt, fat, sugar.
803
00:56:17,820 --> 00:56:21,260
For years, the phrase was
"everything in moderation."
804
00:56:21,260 --> 00:56:23,620
You know, it's as true today
as it was
805
00:56:23,620 --> 00:56:25,340
when whoever first coined it.
806
00:56:26,700 --> 00:56:30,220
We're faced with so many challenges
in the world today,
807
00:56:30,220 --> 00:56:33,260
and certainly in
providing a food supply.
808
00:56:34,700 --> 00:56:38,260
Some of the discussion that,
you know, I hear,
809
00:56:38,260 --> 00:56:41,460
whether it be on chemicals
or ultra-processed foods,
810
00:56:41,460 --> 00:56:44,580
seems to be designed
to stop us from doing that.
811
00:56:44,580 --> 00:56:47,460
And I don't think that's
a very smart place to be.
812
00:56:53,460 --> 00:56:57,940
Researchers say ultra-processed
foods now make up 73%
813
00:56:57,940 --> 00:57:00,140
of the US food supply.
814
00:57:00,140 --> 00:57:03,100
Global obesity rates have doubled.
815
00:57:03,100 --> 00:57:06,460
Now they've found ultra-processed
food can cause harm
816
00:57:06,460 --> 00:57:07,940
similar to smoking.
817
00:57:07,940 --> 00:57:11,060
..from the University of Oxford
highlights the enormous financial
818
00:57:11,060 --> 00:57:14,500
power of unhealthy
ultra-processed foods.
819
00:57:19,180 --> 00:57:23,060
Imagine you're trying to cut down
on ultra-processed food
820
00:57:23,060 --> 00:57:24,780
or avoid it altogether.
821
00:57:27,540 --> 00:57:29,620
For a start, it might be
the only food you can afford,
822
00:57:29,620 --> 00:57:31,460
and that is true
for millions of people.
823
00:57:32,740 --> 00:57:36,940
But it's everywhere,
and it's engineered and then marketed
824
00:57:36,940 --> 00:57:41,260
by some of the smartest people
on Earth to be irresistible.
825
00:57:44,460 --> 00:57:46,620
So if someone is watching this
and they are struggling
826
00:57:46,620 --> 00:57:49,820
with their weight, with diet-related
disease, I just want to reach out
827
00:57:49,820 --> 00:57:52,100
and grab them and go,
"This is not your fault.
828
00:57:52,100 --> 00:57:54,500
"It is not you. It is the food."
66814
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