by Marion Nestle
Aug 23 2024

Weekend Reading: Soda Science

Susan Greenhalgh. Soda Science: Making the World Safe for Coca-Cola.  University of Chicago Press, 2024.

This terrific book picks up where I left off with Soda Politics: Taking on Big Soda (and Winning) (2015) and Unsavory Truth: How the Food Industry Skews the Science of What We Eat (2018).

Susan Greenhalgh’s focus, however, is on ILSI, the International Life Sciences Institute (now renamed the Institute for the Advancement of Food and Nutrition Sciences).  ILSI is a classic industry front group,  It was created originally by Coca-Cola to make sure science promoted corporate interests.  It is funded by big food companies.  It positions itself as an independent think tank.  Hence: front group.

Soda Science documents how ILSI, working through personal connections (guanxi) at the Chinese Ministry of Health, convinced the Chinese government to target obesity prevention measures at physical activity (“move more”), rather than diet (“eat less,” or “eat better”).

The first half of the book tells the story of ILSI’s role in the Global Energy Balance Network, a group outed as funded by Coca-Cola (I wrote about this in 2015, particularly here, here, and here in The Guardian).

The second half gives an intimate, first-hand account of how science politics works in China.

Greenhalgh is a distinguished anthropologist.  She retired from Harvard as as the John King and Wilma Cannon Fairbank Research Professor of Chinese Society (she is an expert on China).  She uses social science methods—interviews and qualitative research as well as document review—to study this particular example of soda politics.

We have never met but I have a vested interest in this book, and not just because I write about similar topics.  In 2018, the BMJ asked me to peer review an article she had written about ILSI’s machinations around obesity policy in China.
I thought her account of the inner workings of Chinese decision-making around obesity policy was wonderfully documented and well worth publishing. I commented that even though others had written about Coca-Cola and ILSI, “as an in-depth qualitative study it makes a critically important contribution to our understanding of how food companies use front groups to achieve policy objectives.”
I urged the BMJ to accept the article with some minor revisions. No such luck.  The BMJ rejected the article.
I was so appalled that I wrote the editors to reconsider, which they eventually did.
I also wrote Susan to offer help finding a journal to publish her writings on this topic and recommended she look at the Journal of Public Health Policy.
She followed through.  When her articles appeared, I cited and wrote about them: Coca-Cola’s political influence in China: documented evidence (Jan 15, 2019).
I’ve also had plenty to say about ILSI over the years, most recently:

The story she tells here is fascinating in its own right and a great read.

It also makes one other point: social science methods are really useful in getting information unavailable any other way.

I say this because bench scientists tend to look down on qualitative research and consider it non-research.  I disagree.  I think qualitative research is essential, and has plenty to contribute.  This book is a great example of why.