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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:04,100 --> 00:00:08,200 My friends, my family, think I'm obsessed with this. 2 00:00:08,200 --> 00:00:09,800 I mean, they're right. I am. 3 00:00:09,800 --> 00:00:11,800 Look at this. 4 00:00:11,800 --> 00:00:15,200 So this - this is, what we're walking through, is the food environment. 5 00:00:15,200 --> 00:00:17,400 We could be anywhere in the UK. 6 00:00:17,400 --> 00:00:20,180 It's all industrially processed food. 7 00:00:23,100 --> 00:00:24,540 It's extremely convenient... 8 00:00:26,000 --> 00:00:28,000 ..it's very cheap... 9 00:00:28,000 --> 00:00:30,600 ..and it's so appealing. 10 00:00:30,600 --> 00:00:32,900 And yet we know that this food environment 11 00:00:32,900 --> 00:00:34,980 is driving a catastrophe. 12 00:00:36,000 --> 00:00:40,700 The evidence is increasingly clear that pre-prepared, packaged, 13 00:00:40,700 --> 00:00:45,540 highly processed food is linked to weight gain, obesity, some cancers, 14 00:00:45,540 --> 00:00:47,700 dementia, type 2 diabetes, 15 00:00:47,700 --> 00:00:49,980 and early death from all causes. 16 00:00:52,780 --> 00:00:56,340 We're in the middle of a food crisis, but we can't stop eating. 17 00:00:56,340 --> 00:01:00,340 And if you want to understand why, you have to go and speak 18 00:01:00,340 --> 00:01:03,900 to people who have worked inside the food industry. 19 00:01:03,900 --> 00:01:06,420 We've worked with Heinz, Cadbury's, Pringles. 20 00:01:06,420 --> 00:01:08,300 Bird's Custard. Campbell's Soup. 21 00:01:08,300 --> 00:01:09,860 Unilever. PepsiCo. 22 00:01:09,860 --> 00:01:11,740 Kellogg. Dr Pepper. 23 00:01:11,740 --> 00:01:15,300 These foods are engineered to be addictive. 24 00:01:16,820 --> 00:01:19,180 How have we sleepwalked into this situation? 25 00:01:22,820 --> 00:01:26,380 What is the food we eat today doing to our minds? 26 00:01:26,380 --> 00:01:29,740 And how has it become so irresistible? 27 00:01:35,540 --> 00:01:38,540 Britain will be left a sick and impoverished nation, 28 00:01:38,540 --> 00:01:40,820 according to former government food tsar, 29 00:01:40,820 --> 00:01:43,420 if we don't do something about our junk food habit. 30 00:01:46,780 --> 00:01:48,420 My name is Chris van Tulleken. 31 00:01:48,420 --> 00:01:51,020 I'm an NHS doctor, I'm a scientist, 32 00:01:51,020 --> 00:01:54,540 and I'm part of a growing group of doctors and academics 33 00:01:54,540 --> 00:01:57,300 who are increasingly worried about the effect that 34 00:01:57,300 --> 00:02:00,500 the global food system is having on all of us. 35 00:02:00,500 --> 00:02:03,300 When it comes to obesity, the way that we've understood the problem 36 00:02:03,300 --> 00:02:05,500 is it's a failure of willpower. 37 00:02:05,500 --> 00:02:07,980 People are just making bad choices. 38 00:02:07,980 --> 00:02:09,660 They're somewhat lazy. 39 00:02:09,660 --> 00:02:11,580 It's basically their fault. 40 00:02:11,580 --> 00:02:15,220 This is American government data for men and women of all different ages - 41 00:02:15,220 --> 00:02:17,820 the different lines are different ages - for obesity. 42 00:02:17,820 --> 00:02:21,380 What you see is between 1960 and 1975, 43 00:02:21,380 --> 00:02:24,780 there's a fairly steady percentage of obesity in the population. 44 00:02:25,860 --> 00:02:29,100 But in the mid-1970s, obesity starts going up 45 00:02:29,100 --> 00:02:31,540 in all of the groups simultaneously. 46 00:02:33,900 --> 00:02:36,540 Now, if you're saying willpower is responsible, 47 00:02:36,540 --> 00:02:40,780 what you're proposing is that all of these groups of people simultaneously 48 00:02:40,780 --> 00:02:43,500 lost moral responsibility, and that's not plausible. 49 00:02:44,500 --> 00:02:48,100 Something else happened to our food in the mid-1970s 50 00:02:48,100 --> 00:02:50,220 to make it irresistible to people. 51 00:02:55,580 --> 00:02:57,180 Good afternoon. How are you? 52 00:03:05,180 --> 00:03:07,260 My name is Howard Moskowitz. 53 00:03:07,260 --> 00:03:09,820 I'm an experimental psychologist. 54 00:03:10,980 --> 00:03:16,060 And in the 1970s, people think that I revolutionised 55 00:03:16,060 --> 00:03:17,580 the food industry. 56 00:03:21,220 --> 00:03:26,020 I'd like to talk to you about the way the science came about. 57 00:03:26,020 --> 00:03:29,100 You know, you read all the time in the newspapers - 58 00:03:29,100 --> 00:03:33,340 it's a sinister plot, generally by one or two scientists 59 00:03:33,340 --> 00:03:37,180 in a laboratory, like Ming the Magnificent, saying, 60 00:03:37,180 --> 00:03:39,860 "How should we make the people of the world fat?" 61 00:03:39,860 --> 00:03:42,100 Well, let me tell you my own history. 62 00:03:44,220 --> 00:03:48,180 I was called by the vice chairman of Campbell's Soup, 63 00:03:48,180 --> 00:03:49,780 and they said to me, 64 00:03:49,780 --> 00:03:54,420 "We're competing against a company which manufactures ragu." 65 00:03:54,420 --> 00:03:59,100 They used to make it out of Contadina tomato paste and water, 66 00:03:59,100 --> 00:04:01,860 like my mother did in the '50s. 67 00:04:01,860 --> 00:04:05,940 I said, "I think you can make a better pasta sauce." 68 00:04:05,940 --> 00:04:08,900 And they said, "How?" 69 00:04:08,900 --> 00:04:13,260 And I said, "Let's figure out the actual food ingredients 70 00:04:13,260 --> 00:04:17,500 "that you can blend, and let's make different combinations, 71 00:04:17,500 --> 00:04:19,060 "and we'll test them." 72 00:04:20,620 --> 00:04:25,380 And we ended up creating 45 dishes, 73 00:04:25,380 --> 00:04:30,940 and we got people to taste them and rate how much they liked them. 74 00:04:30,940 --> 00:04:35,620 I realised very simply that if you systematically 75 00:04:35,620 --> 00:04:39,140 varied the ingredients and you tested them, 76 00:04:39,140 --> 00:04:43,340 nature would reveal itself in stunning clarity. 77 00:04:43,340 --> 00:04:47,820 So this is the origin of the bliss point with which I am identified. 78 00:04:50,140 --> 00:04:53,100 The easiest way to demonstrate a bliss point 79 00:04:53,100 --> 00:04:54,980 is add sugar to coffee. 80 00:04:56,500 --> 00:04:58,700 As you add more and more sugar, 81 00:04:58,700 --> 00:05:01,180 you like it more and more up to a certain point, 82 00:05:01,180 --> 00:05:03,380 and then you like it less and less. 83 00:05:03,380 --> 00:05:06,020 The highest level is where you like it most. 84 00:05:06,020 --> 00:05:07,620 That's the bliss point... 85 00:05:10,100 --> 00:05:11,620 ..where you have the bliss. 86 00:05:15,180 --> 00:05:17,580 And that became the basis 87 00:05:17,580 --> 00:05:20,980 of a multi-billion dollar 30-year run. 88 00:05:25,100 --> 00:05:29,420 I found that I could consult with companies like Unilever, 89 00:05:29,420 --> 00:05:31,900 Pepsi Cola, Tropicana, 90 00:05:31,900 --> 00:05:35,100 Dr Pepper, and Spam. 91 00:05:39,740 --> 00:05:42,060 Sales almost always go up 92 00:05:42,060 --> 00:05:44,540 because you're making a delicious product 93 00:05:44,540 --> 00:05:46,620 and you know that people love it. 94 00:05:46,620 --> 00:05:47,900 Very simple. 95 00:05:49,620 --> 00:05:53,140 But over the years, 96 00:05:53,140 --> 00:05:56,500 products became more complicated and more artificial. 97 00:06:04,820 --> 00:06:07,620 The road to hell is paved with good intentions. 98 00:06:16,820 --> 00:06:19,740 From the 1970s, food companies started to realise 99 00:06:19,740 --> 00:06:23,500 that if they used proper scientific development processes, 100 00:06:23,500 --> 00:06:26,180 they could sell us a lot more food. 101 00:06:35,220 --> 00:06:39,020 My name is John Ruff, and I've spent 40 years in the food industry 102 00:06:39,020 --> 00:06:41,500 across seven different countries. 103 00:06:41,500 --> 00:06:44,940 Companies spend a lot of time optimising all aspects 104 00:06:44,940 --> 00:06:48,300 of their product - the flavour, the taste, the texture. 105 00:06:48,300 --> 00:06:49,980 People want their product to be as good, 106 00:06:49,980 --> 00:06:53,020 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. 108 00:06:58,660 --> 00:07:01,380 And the funnel was the product development funnel. 109 00:07:01,380 --> 00:07:05,980 You need 100 products to be in what's called advanced development. 110 00:07:05,980 --> 00:07:08,220 You need 1,000 in early development. 111 00:07:08,220 --> 00:07:09,620 You need 10,000 ideas. 112 00:07:09,620 --> 00:07:12,140 Often those ideas don't get off the drawing board, 113 00:07:12,140 --> 00:07:13,620 don't get off the paper, 114 00:07:13,620 --> 00:07:16,180 or they'll make some early prototypes or mock-ups. 115 00:07:16,180 --> 00:07:20,340 OK, seats numbers 1 to 14, you'll be now testing the Midget Gems. 116 00:07:20,340 --> 00:07:23,780 We use trained sensory panels to give us ratings. 117 00:07:23,780 --> 00:07:25,460 Is it squishy? Is it hard? 118 00:07:25,460 --> 00:07:27,460 Is it soft? Is it crunchy? 119 00:07:27,460 --> 00:07:31,060 That's very much how the food industry operates. 120 00:07:31,060 --> 00:07:34,420 The food company really almost has to sort of provide products 121 00:07:34,420 --> 00:07:37,140 that consumers want, otherwise they will go out of business. 122 00:07:40,420 --> 00:07:42,340 I've spoken to lots of people who work at food companies, 123 00:07:42,340 --> 00:07:44,220 and they've told me about these tasting panels. 124 00:07:44,220 --> 00:07:47,220 Two of the most important things that are measured 125 00:07:47,220 --> 00:07:49,220 are how quickly do people eat, 126 00:07:49,220 --> 00:07:51,260 and how much of the food do people eat? 127 00:07:51,260 --> 00:07:53,380 Because that's what drives sales. 128 00:07:53,380 --> 00:07:57,380 But these tasting panels have a subjective element, 129 00:07:57,380 --> 00:08:00,620 so some companies started taking it much further. 130 00:08:17,060 --> 00:08:20,060 One of my remits when I first joined the company 131 00:08:20,060 --> 00:08:22,620 was the way that they would get information, 132 00:08:22,620 --> 00:08:24,900 and that would be always word of mouth. 133 00:08:24,900 --> 00:08:27,460 It would be focus groups, it would be questionnaires, 134 00:08:27,460 --> 00:08:29,580 and I just railed against that stuff. 135 00:08:31,100 --> 00:08:33,260 I'm a neuroscientist. 136 00:08:33,260 --> 00:08:37,020 I introduced brain scanning to Unilever. 137 00:08:40,380 --> 00:08:42,380 I'm not interested in talking to a consumer. 138 00:08:42,380 --> 00:08:45,460 I want to find out what they like by digging deeper, 139 00:08:45,460 --> 00:08:49,220 because we're not really aware of why we like what we like. 140 00:08:49,220 --> 00:08:52,860 And one way to get that is with the neuroimaging capabilities. 141 00:08:54,100 --> 00:08:57,100 What we would do is basically lie someone in a brain scanner 142 00:08:57,100 --> 00:08:59,260 and feed food into their mouth. 143 00:08:59,260 --> 00:09:02,980 And we looked at the activity that was coming into that brain. 144 00:09:05,660 --> 00:09:08,220 And one study that we did was feeding people 145 00:09:08,220 --> 00:09:11,740 in one of these brain scanners different types of ice cream. 146 00:09:11,740 --> 00:09:15,060 And what we found is that this area right at the front 147 00:09:15,060 --> 00:09:17,940 of the brain here - it's called the orbitofrontal cortex, 148 00:09:17,940 --> 00:09:20,340 and it's a reward system area, 149 00:09:20,340 --> 00:09:22,500 and it was glowing like a furnace. 150 00:09:24,140 --> 00:09:26,460 You're looking at what the brain is telling you. 151 00:09:26,460 --> 00:09:28,460 You can't fudge it. 152 00:09:28,460 --> 00:09:33,060 And it's grown and grown and grown as a way to predict 153 00:09:33,060 --> 00:09:36,380 what product is going to be successful and what isn't. 154 00:09:42,340 --> 00:09:46,340 And the ice cream business used that brain imaging data 155 00:09:46,340 --> 00:09:49,540 to basically make the claim that ice cream makes you happy. 156 00:09:50,580 --> 00:09:53,860 And this is the article that was in the newspapers. 157 00:09:56,940 --> 00:09:59,340 Slightly unfortunate that it's got an obesity thing. 158 00:10:00,820 --> 00:10:02,700 Yes. HE LAUGHS 159 00:10:02,700 --> 00:10:04,420 This is contrast, isn't it? 160 00:10:04,420 --> 00:10:05,420 Yeah. 161 00:10:05,420 --> 00:10:07,180 You can edit that out, can't you? 162 00:10:11,620 --> 00:10:13,300 The brain scans predicted 163 00:10:13,300 --> 00:10:17,020 which foods people would like or which ones they'd love, 164 00:10:17,020 --> 00:10:20,620 but they also helped to show something about those foods 165 00:10:20,620 --> 00:10:22,820 that would be really crucial for the food industry. 166 00:10:22,820 --> 00:10:26,940 If you want to sell a lot of food, texture is massively important. 167 00:10:29,980 --> 00:10:33,900 One thing many people don't realise is that factory processing 168 00:10:33,900 --> 00:10:37,140 changes the textural properties of that food. 169 00:10:37,140 --> 00:10:40,300 Now, that makes the food much softer. 170 00:10:40,300 --> 00:10:42,460 And an interesting fact about soft food 171 00:10:42,460 --> 00:10:44,380 is you're not chewing it as much. 172 00:10:44,380 --> 00:10:48,220 That actually short-circuits the normal satiety mechanisms 173 00:10:48,220 --> 00:10:51,580 that you would have if you were actually chewing food properly. 174 00:10:51,580 --> 00:10:55,180 So a food which you have to actually put some work into chewing - 175 00:10:55,180 --> 00:10:58,220 so a crunchy carrot - is having that benefit in terms of the fact 176 00:10:58,220 --> 00:11:00,260 you're spending a lot more time chewing it. 177 00:11:00,260 --> 00:11:02,420 With a soft food, you don't do that. 178 00:11:02,420 --> 00:11:04,860 So you're bypassing a normal mechanism 179 00:11:04,860 --> 00:11:06,500 that tells you that you're full. 180 00:11:08,300 --> 00:11:11,740 Once you've worked out that playing around with the texture of a food, 181 00:11:11,740 --> 00:11:16,420 making it softer, tricks that normal satiety or fullness mechanism, 182 00:11:16,420 --> 00:11:18,500 clearly there's an opportunity there 183 00:11:18,500 --> 00:11:20,620 for some kind of scurrilous behaviour 184 00:11:20,620 --> 00:11:23,860 in making food softer so that people will eat more, 185 00:11:23,860 --> 00:11:26,980 and therefore you sell more of your product. 186 00:11:26,980 --> 00:11:31,340 So there is an opportunity there, of course, you know, to basically... 187 00:11:31,340 --> 00:11:33,500 ..not do the right thing, shall I say? 188 00:11:38,220 --> 00:11:43,140 So much of the packaged food that we eat is incredibly soft. 189 00:11:48,500 --> 00:11:49,660 My kids love these. 190 00:11:52,100 --> 00:11:55,420 You don't typically think of this as being a soft food, 191 00:11:55,420 --> 00:11:57,460 because it's a bit crunchy, 192 00:11:57,460 --> 00:11:58,980 but actually, after that initial crunch, 193 00:11:58,980 --> 00:12:00,980 you can just crush it with your tongue, right? 194 00:12:00,980 --> 00:12:02,260 It's got no resistance at all. 195 00:12:02,260 --> 00:12:04,980 But in terms of the calories per gram, 196 00:12:04,980 --> 00:12:08,580 it's got way more calories than even a very fatty burger. 197 00:12:08,580 --> 00:12:11,180 So the softness and the energy density 198 00:12:11,180 --> 00:12:13,700 mean that you consume it incredibly quickly. 199 00:12:13,700 --> 00:12:16,660 And there's a food industry term for these 200 00:12:16,660 --> 00:12:19,740 very light, puffy foods that melt in the mouth. 201 00:12:19,740 --> 00:12:22,780 It's called vanishing caloric density. 202 00:12:26,220 --> 00:12:27,220 Gone. 203 00:12:30,220 --> 00:12:34,540 The thing that makes us eat a lot isn't just what we do to the food. 204 00:12:35,820 --> 00:12:39,580 It's also about logos, marketing, 205 00:12:39,580 --> 00:12:43,100 branding, the box the food comes in. 206 00:12:48,020 --> 00:12:51,620 Here we've got a very crinkly packet of crisps. 207 00:12:51,620 --> 00:12:54,100 The noise is quite loud. 208 00:12:54,100 --> 00:12:55,460 Extraordinary. 209 00:12:55,460 --> 00:12:58,300 Of course that's going to make you think, "Fresh, fresh, fresh." 210 00:12:59,660 --> 00:13:01,740 I'm Professor Barry Smith. 211 00:13:01,740 --> 00:13:06,500 I work on sensory science with neuroscientists and psychologists. 212 00:13:07,780 --> 00:13:10,100 Pringles are often irresistible. 213 00:13:10,100 --> 00:13:11,420 It's in their slogan. 214 00:13:11,420 --> 00:13:13,140 # Potato crisps in a tube 215 00:13:13,140 --> 00:13:14,980 # Pop it up and get in the mood 216 00:13:14,980 --> 00:13:16,500 # Once you pop 217 00:13:16,500 --> 00:13:18,420 # You can't stop. # 218 00:13:18,420 --> 00:13:20,140 When I worked for Pringles, 219 00:13:20,140 --> 00:13:23,700 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. 221 00:13:26,620 --> 00:13:29,700 And one idea was, "Let's make the tube bigger 222 00:13:29,700 --> 00:13:32,220 "so that we can get our whole hand in there." 223 00:13:32,220 --> 00:13:34,820 And I said, "No, no, no, no, don't do that." 224 00:13:34,820 --> 00:13:37,460 People like struggling to get their hand in. 225 00:13:37,460 --> 00:13:39,180 They're like foraging bears. 226 00:13:39,180 --> 00:13:41,660 They're trying to extract the food 227 00:13:41,660 --> 00:13:44,540 and that searching out something to eat, 228 00:13:44,540 --> 00:13:46,460 that's increasing your desire. 229 00:13:48,460 --> 00:13:50,100 CRUNCHING 230 00:13:51,900 --> 00:13:54,460 Eating is a multi-sensory experience. 231 00:13:55,500 --> 00:13:57,180 There's the look of the food. 232 00:13:57,180 --> 00:13:58,940 There's the smell of the food. 233 00:13:58,940 --> 00:14:02,540 There's the feeling of the food on your fingers. 234 00:14:02,540 --> 00:14:05,100 Even the sound of food matters. 235 00:14:09,700 --> 00:14:13,540 When you open a fizzy soda, you've got two noises. 236 00:14:13,540 --> 00:14:16,740 You've got the click and the tear. 237 00:14:16,740 --> 00:14:19,300 Sound engineers and manufacturers 238 00:14:19,300 --> 00:14:22,540 work really hard to get that sound just right. 239 00:14:22,540 --> 00:14:24,460 And that's sonic branding. 240 00:14:30,140 --> 00:14:33,940 Many companies have asked me to work on sonic branding for them, 241 00:14:33,940 --> 00:14:36,940 and I think I can mention when I was working with Kellogg, 242 00:14:36,940 --> 00:14:39,460 they said, "Ooh, what's sonic branding?" 243 00:14:39,460 --> 00:14:43,180 And I said, "You invented this!" 244 00:14:43,180 --> 00:14:45,980 Most people will remember, as children, 245 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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