What are the health and economic implications for the UK of mass producing food high in sugar, salt, saturated fat and refined carbohydrates (S3RC)?

That’s the question we aimed to answer in our Healthy and Wealthy? Report  – published in November 2015. We found that:    

• Eating too much food high in S3RC is the single biggest cause of obesity – and increases the risk of diabetes, heart disease, stroke, some cancers and depression.
• What we (and our pregnant mothers) eat in the first 1000 days of life, from conception onwards, is particularly important for our long-term health and weight.
• The food industry provides jobs and tax revenue – but also costs the government lost tax revenue (through corporation tax and National Insurance avoidance strategies), increased welfare costs (where employees are low paid) and increased NHS expenditure (where poor diet leads to diabetes and obesity).
• However, producing healthier food provides competitive advantage for food companies and the industry has expertise in reformulation and advertising, new food technologies available and access to Corporation Tax relief for R&D – so the building blocks are in place for a successful transition to mass producing healthier food.

This led us to make four main recommendations i.e.

1. The government to convene a multi-partner task force to reduce pre-school obesity within the lifetime of a single Parliament.
2. To reduce adolescent obesity the government to set targets for reducing sugar in products (and sugar sweetened drinks in particular); to ban the online advertising of foods high in S3RC to children; and to set up arrangements for independent monitoring and assessment.
3. To enable adults to make healthy, informed choices in a less obesogenic environment the advertising budget for Public Health England to be set as a proportion of the commercial advertising budget for S3RC products; and local authorities to be given business rate discretion, to control the number of fast food outlets. 
4. Current corporation tax relief on R & D for the food industry to be amended to prioritise the development of healthier food.

So where are we now, one year on from the publication of our report?

• Research suggests that salt contributes to obesity in more ways than originally realised. It doesn’t just make people thirsty and so liable to reach for a sugar sweetened drink. It seems that saltier food encourages people to eat more. It also appears to contribute to obesity in ways that are still being researched but which appear independent of thirst and energy intake.
• New developments in food technology are continuing, making it easier for companies to reduce levels of S3RC without affecting taste. In addition to developments we had flagged up, such as salt microspheres and flavour delivery particles (which provide the same taste with lower levels of salt and sugar), inulin (chicory root fibre) combines soluble dietary fibres and a neutral to sweet taste – providing the potential to reduce sugar and fat and to increase fibre in biscuits, cakes and cereal bars while providing prebiotic benefits for gut microbiota.
• The food industry is increasingly recognising the need to both develop healthier food and indicate which less healthy food should be eaten in moderation. For example the Food and Drink Federation has provided guidance to its members on reducing sugar in food and drink products  while Mars has advised customers that some of its products, high in S3RC, like Dolmio sauces, should only be consumed once a week.
• Pro Bono Economics are undertaking more in depth research for us, to follow up our initial health economic assessment.
• The government’s Childhood Obesity Plan, published in August, has taken forward some of our recommendations i.e. it has set targets for the reduction of sugar in the food most frequently eaten by children, asked Public Health England to monitor and report on progress, and committed to a levy on sugary drinks. More action is still needed but this is at least a start. 

In addition the Committee on Advertising Practice has announced restrictions on the online advertising to children of food high in sugar, salt and fat. This isn't a total ban but again is a step in the right direction.

This suggests that Healthy and Wealthy? was soundly based and that its recommendations suggest a positive way forward.

We will continue to work to try to ensure the mass production of healthier food, in line with our belief that prevention is better than cure.