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Editorials |21 February 2017

Guidelines to Limit Added Sugar Intake: Junk Science or Junk Food?

Dean Schillinger, MD; Cristin Kearns, DDS, MBA

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
This article was published at Annals.org on 20 December 2016.
  • From UCSF Division of General Internal Medicine at Zuckerberg San Francisco General Hospital and UCSF Center for Vulnerable Populations, San Francisco, and UCSF Institute for Health Policy Studies and UCSF School of Dentistry, San Francisco, California.

    Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2754.

    Requests for Single Reprints: Dean Schillinger, MD, UCSF Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, 1001 Potrero Avenue, UCSF Box 1364, San Francisco, CA 94143; e-mail, dean.schillinger@ucsf.edu.

    Current Author Addresses: Dr. Schillinger: UCSF Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, 1001 Potrero Avenue, UCSF Box 1364, San Francisco, CA 94143.

    Dr. Kearns: University of California, San Francisco, 530 Parnassus Avenue, Suite 366, San Francisco, CA 94143-1390.

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When it comes to added sugars, there are clear conflicts between public health interests and the interests of the food and beverage (F&B) industry. Studies are more likely to conclude there is no relationship between sugar consumption and health outcomes when investigators receive financial support from F&B companies (1). Industry documents show that the F&B industry has manipulated research on sugars for public relations purposes (2). Erickson and colleagues report a systematic review of the scientific basis of guidelines on sugar intake, providing another occasion for concern about these conflicts (3). The review examined 9 guidelines that offered 12 recommendations on sugar consumption. It concluded that the guidelines do not meet criteria for trustworthy recommendations, judging the evidence supporting each recommendation to be of low quality.
It is important to note that the North American branch of the International Life Sciences Institute (ILSI North America) funded the review. ILSI North America is a trade group representing The Coca-Cola Company; Dr Pepper Snapple Group; The Hershey Company; Mars, Inc.; Nestlé USA; and PepsiCo, among others (4). In essence, this study suggests that placing limits on “junk food” is based on “junk science,” a conclusion favorable to the F&B industry. The implication is that the organizations producing the guidelines may have overstated the strength of the evidence on added sugars due to their belief that overconsumption has negative health effects. Although this study involves the F&B industry, similar claims were made by the tobacco...
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Schillinger D, Kearns C. Guidelines to Limit Added Sugar Intake: Junk Science or Junk Food?. Ann Intern Med. [Epub ahead of print 20 December 2016]166:305–306. doi: 10.7326/M16-2754

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Published: Ann Intern Med. 2017;166(4):305-306.

DOI: 10.7326/M16-2754

Published at www.annals.org on 20 December 2016

©
2016 American College of Physicians
5 Citations

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