by Marion Nestle

Search results: food strategy

Sep 29 2022

The White House Conference: They Pulled It Off!

Despite chaotic organization (see note below), the White House Conference on Hunger, Nutrition, and Health was inspiring (you can watch it on YouTube here).  It was exciting to be in the room where it happened, as you can see from my photo-taking (courtesy of tweet by Suzanna Martinez).

The conference had a laser-like focus on ending hunger and hunger inequities.  Although there was much talk of diet-related diseases, it was not at all about preventing obesity and its chronic disease consequences in the general population.  Instead, its aim was to make sure that poor people, especially those of color, have access to healthy, culturally appropriate diets at a price they can afford.

Common themes

Bipartisan: Ending hunger has to be a united effort (Republicans were barely represented, but not for lack of trying)

Diet-related disease: none of us ever expected to hear that phrase from high elected officials, let alone POTUS

Lived experience: Many of the panels included people who had grown up on foods stamps, and President Biden was introduced by Jimmieaka Mills of Houston, TX (her name was not listed in the program; I found it on Twitter) who spoke eloquently of how much food assistance meant to her life.

Food at the center: it must stop being an afterthought.

Food as Medicine: This refers to the health care system’s use of food prescriptions or distributions.  Alhough his idea is sometimes perceived as paternalistic—food should really be about pleasure and culture (see ConscienHealth)—it plays well politically.

Impressions

Almost everything related to the conference is on the website.  My reactions.

How it felt: It was a joy to see old friends and colleagues who care deeply about food and preventing hunger.  We hadn’t seen each other since before the pandemic.  Hugs all around.

The tone: This was a packed auditorium with a standing room audience, happy to be there, appreciative, and enthusiastic.

The love: Almost everyone thanked Congressman Jim McGovern who has tried to get this conference held for years.  He got—and deserved—standing ovations.

The speeches

The President: Biden mostly reiterated the main points of the National Strategy, but insisted on the value of the Child Tax Credit (see my previous post on this).  This got a standing ovation (along with a couple of others).  Ending food insecurity, he said, is a way to treat each other with decency.

Jim McGovern: When he worked with George McGovern (no relation, a Democrat) and Republican Bob Dole on food issues,  ending hunger was a bipartisan goal.  Now, 35 million Americans needi food assistance; hunger should be illegal.

Cory Booker: Americans are in the midst of a storm of diet-related disease.  Congress will hold hearings on Food as Medicine.  We need to put the F back in FDA (ovation).

The plenary panel

Debbie Stabenow, who heads the Senate Ag Committee; “We will not cut SNAP.”

Rosa de Lauro, who heads the House appropriations committee: “I like holding the gavel.  We will fund what we need to.”

Eric Adams, mayor of New York City: “We are making healthy eating the default.”

The major speech

José Andrés: This was the major political speech of the conference: the problem, the moral imperative, and the policies needed (ovation). My favorite line: “We must stop giving breadcrumbs and start building bakeries.”

My assessment

The conference put hunger on the agenda of Susan Rice, who heads Biden’s Domestic Policy Council (and who stayed throughout the entire meeting), and on that of the President himself.

  • It gave high visibility to the issue.
  • It highlighted the fabulous work of individuals and organizations who are working to  help bring people out of poverty.
  • It called for—and got—commitments from organizations and corporations to take real action to address food insecurity and its consequences.
  • It generated excitement and hope among people working on these issues.

Will it lead to real change?  Will it improve the current situation?  Will it lead to reduced hunger?

Not without public pressure, I’m guessing.

A note on the organizational chaos: last-minute invitations (mine arrived Sunday night after 9:00 p.m. and Eric Adams’ staff, who attended, never did get theirs; no advance schedule until a couple of days before, when it was still quite vague; a 6:00 a.m. announcement to be there at 7:30 to register because security lines would be long; badge printers that didn’t work; no printed program; no clear listing of speakers and times; auditorium too small for audience (most were in overflow room); a mystery as to who was in charge—a committee of the Domestic Policy Council, apparently.  Still, it all worked!

A note on the meals and swag: The James Beard Foundation arranged the lunch—vegan, bison, or chicken. These were packed in heavy plastic lunch trays, later washed and packed along with cutlery into Oxo bags given to participants.  The only real souvenir is the name badge, to be treasured.

A note on Biden’s blooper: He called out Jackie Walorsky— “Where’s Jackie?” — which got gasps from people who knew she had died in a traffic accident in August.   Later, a video tribute to her brought people to tears.

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Coming soon!  My memoir, October 4.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

Sep 28 2022

On my wish list for the White House Conference: Reauthorize child nutrition legislation

The White House Conference on Hunger, Nutrition & Health is convening today.  As a reminder of why it matters, here’s what’s happening with the much-needed reauthorization of the Child Nutrition Bill.

The reauthorization bill, required every five years, was introduced in the House in July as H.R.5919Early Childhood Nutrition Improvement Act of 2021.  If and when passed, it will:

  • Increase kids’ access to free school meals
  • Expand kids’ access to summer meals
  • Expand kids’ access to day care meals
  • Expand WIC (the Special Supplemental Nutrition Program for Women, Infants, and Children) benefits and access
  • Enable Tribal sovereignty in program administration 

The Food Research & Action Center (FRAC) offers:

I’m hoping the White House Strategy announced today will include these elements for reducing childhood hunger.

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Coming soon!  My memoir, October 4.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

Sep 27 2022

Tomorrow! The White House Conference on Hunger, Nutrition, & Health

At 9:09 on Sunday night, I received a rather lat-minute invitation to this conference.  I think it’s worth going to, and will.

Whatever it turns out to be, this will be an historic occasion.

Almost everything public about it is on the conference website.

Here’s what it says will happen:

On Wednesday, September 28, the Biden-Harris Administration will host the White House Conference on Hunger, Nutrition, and Health. The Administration will also release a National Strategy with actions the federal government will take to drive solutions to these challenges.

As it happens, the White House released The Biden-Harris Administration National Strategy on Hunger, Nutrition, and Health yesterday.  I will say more about this tomorrow, but here’s a summary of Pillar 1:

Improving food access and affordability, including by advancing economic security; increasing access to free and nourishing school meals; providing Summer Electronic Benefits Transfer (EBT) benefits to more children; and expanding Supplemental Nutrition Assistance Program (SNAP) eligibility to more underserved populations.

The opening speakers have been announced:

  • President Joseph R. Biden, Jr.
  • Second Gentleman Douglas Emhoff
  • Ambassador Susan E. Rice, White House Domestic Policy Advisor
  • Secretary of Agriculture Tom Vilsack
  • Secretary of Health and Human Services Xavier Becerra
  • Chef José Andrés

It can be watched online:

It will be interesting to see what the National Strategy might be, and what emerges from the conference.

In the meantime, to inform the conference:

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Coming soon!  My memoir, October 4.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

Aug 19 2022

Weekend reading: GAO’s big picture on healthy eating

The Government Accountability Office has produced a “snapshot” on Healthy Eating: Government-wide solutions for promoting healthy diets, food safety, and food security.  It’s only two pages; take a look.

As of July 2022, many of our recommendations for developing strategies on healthy eating have not yet been addressed.

1. Strategy Needed to Address Diet-Related Chronic Health Conditions
Three diet-related chronic health conditions (cardiovascular diseases, diabetes, and cancer) were among the 10 leading causes of death in 2018, according to CDC. Men, Black or African Americans, and people living in southern states had disproportionately higher mortality rates from diet related conditions. Dietary changes could have prevented some of these deaths.

Additionally, in 2018, about three in four adults in the U.S. had excess weight, which can be associated with poor diet and lead to cardiovascular diseases, diabetes, and cancer.

The GAO recommends that the federal government establish leadership for strategies:

  • On diet-related efforts
  • Food-safety oversight
  • Nutrition assistance programs to respond to emergencies

Excellent suggestions.  If only they could be implemented.

Jul 25 2022

Industry-funded study of the week: more prunes

Several people sent me this one:

Prunes preserve hip bone mineral density in a 12-month randomized controlled trial in postmenopausal women: the Prune Study.  The American Journal of Clinical Nutrition,  nqac189, https://doi.org/10.1093/ajcn/nqac189

Conclusions: A 50g daily dose of prunes can prevent loss of total hip BMD [bone mineral density] in postmenopausal females after six months, which persisted for 12-months…we propose that the 50g dose represents a valuable non-pharmacological treatment strategy that can be used to preserve hip BMD in postmenopausal females and possibly reduce hip fracture risk

Sources of Support: California Prune Board (Award Number: 180215)

Acknowledgments: We thank the California Prune Board for the funding and prunes…The California Prune Board had no role in the data collection and analysis, decision to publish, or preparation of manuscript.in this study.

Comment: The California Prune Board did not have to have that kind of role to get the outcome it wanted.  Research on funding effects shows that industry influence is exerted primarily in the ways the research question is framed and the results interpreted.  It also shows that investigators hardly ever recognize how industry funding exerts influence.

Reference:  Unsavory Truth: How Food Companies Skew the Science of What We Eat.

May 10 2022

Exciting news: White House Conference on Hunger, Nutrition, and Health

On May 4, I was sent this press release from Tufts University : White House Announces Historic Conference on Hunger, Nutrition, and Health.

Today, the Biden-Harris administration announced that it will hold a historic White House Conference on Hunger, Nutrition, and Health this September…This will require bringing together diverse stakeholders, and raising the voices of people with lived experiences in food and nutrition insecurity, hunger, and diet-related disease…

To inform and help achieve these goals…[we]are announcing the formation of the Task Force on Hunger, Nutrition, and Health (Task Force), along with an accompanying Strategy Group on Hunger, Nutrition, and Health to advise the Task Force.

The Task Force brings together a diverse, non-partisan group of stakeholders to inform the goals of the White House Conference. This effort is not organized or endorsed by the White House, but represents an independent effort to convene voices from across the nation to help solve the issues at the heart of the Conference’s focus.

The official White House announcment makes clear that this conference is about both food insecurity and dietary determinants of chronic disease and COVID risk.

Millions of Americans struggle with hunger. Millions more struggle with diet-related diseases—like heart disease and diabetes—which are some of the leading causes of death and disability in the U.S.

The toll of hunger and these diseases is not distributed equally, disproportionately impacting underserved communities, including Black, Hispanic, and Native Americans, low-income families, and rural Americans.

This is exciting news.  As I wrote in a previous post, if you are old enought or up on the history of US nutrition policy, you might remember the 1969 White House Conference on Food, Nutrition, and Health.  This led to the creation and strengthening of many nutrition programs, SNAP among them.

Tufts held a 50th anniversary conference at which I spoke (videos of the talks are here–I was on Panel 3 starting at about 17 minutes in).

And now for the questions.

Mine is this: What will be the balance between the conference focus on food insecurity (not controversial except for the cost) and the greatly needed fbut highly controversial focus on poor diets and their consequences for chronic disease and COVID risk?

Food safety lawyer Bill Marler asks: What about food safety? 

Let this sink in: The CDC estimates 48 million people get sick, 128,000 are hospitalized, and 3,000 die from foodborne diseases each year in the United States.  It is not that I do not think a Conference on Hunger, Nutrition, and Health is important and necessary, but could ya throw a bone to those sickened by foodborne illnesses?

E&E News notes: Biden nutrition conference may fire up climate debate on meat

Of all the food and agriculture interests bound to be represented in the Biden administration’s discussions, meat — and especially beef — may have the biggest messaging challenge, extolling its value in the diet against charges that Americans already eat too much and that raising and sending livestock to market contributes to climate change.

“We look forward to being a part of this important conversation and sharing the science-based, data-driven research regarding the immense environmental and nutritional benefits from cattle and beef production,” the National Cattlemen’s Beef Association, a producers’ trade group, told E&E News.

I suspect we will have many opportunities to weigh in on this.

I, for one, will be watching the progress on this conference with great interest.  Stay tuned.

Resources

Apr 25 2022

Conflict-of-interest disclosure of the week

A reader, Effie Schultz, sent this one, with a comment that it comes with the longest conflict of interest statement she had ever seen (I’ve noted one that was two pages long in the first item in a post in 2015).

Association of Low- and No-Calorie Sweetened Beverages as a Replacement for Sugar-Sweetened Beverages With Body Weight and Cardiometabolic Risk: A Systematic Review and Meta-analysis.  McGlynn ND, and 20 other authors.  JAMA Network Open, March 14, 2022. 2022;5(3):e222092.  doi:10.1001/jamanetworkopen.2022.2092

The research question: Are low- and no-calorie sweetened beverages (LNCSBs) as the intended substitute for sugar-sweetened beverages (SSBs) associated with improved body weight and cardiometabolic risk factors similar to water replacement?

The conclusion: This systematic review and meta-analysis found that using LNCSBs as an intended substitute for SSBs was associated with small improvements in body weight and cardiometabolic risk factors without evidence of harm and had a similar direction of benefit as water substitution. The evidence supports the use of LNCSBs as an alternative replacement strategy for SSBs over the moderate term in adults with overweight or obesity who are at risk for or have diabetes.

Comment: Research on artificial sweeteners remains controversial.  I think we will be arguing forever about their safety and efficacy in helping people lose weight.  Studies with conflict of interest disclosures like the excessively extensive one here do not help resolve the research questions.

I strongly support revealing conflicted interests that might influence any aspect of research design, conduct, and interpretation.  For this study, I would be interested in financial ties or arrangements with companies that might either gain or lose sales or marketing advantages from results showing artificial sweeteners or diet drinks to be harmless or beneficial, as these do.  At issue here is whether financial ties to companies with corporate interests in the outcome of such research bias results or interpretation, consciously or unconsciously.

You have to search through this mess of unnecessary and distracting disclosures to find the ones that matter.  They are there.  You have to search for them.

Much of what is disclosed is irrelevant and, therefore, not helpful.

You may well disagree with that assessment.  Judge for yourself.

Conflict of Interest Disclosures: Ms McGlynn reported receiving a Canadian Institutes of Health Research (CIHR)-Masters Award during the conduct of the study and being a former employee of Loblaws Companies Limited outside the submitted work. Dr Khan reported receiving grants from CIHR, International Life Science Institute, and National Honey Board outside the submitted work. Dr Chiavaroli reported being a Mitacs Elevate postdoctoral fellow and receiving joint funding from the Government of Canada and the Canadian Sugar Institute. Mr Au-Yeung reported receiving personal fees from Inquis Clinical Research outside the submitted work. Ms Lee reported receiving graduate scholarship from CIHR and the Banting & Best Diabetes Centre at the University of Toronto outside the submitted work. Dr Comelli reported being the Lawson Family Chair in Microbiome Nutrition Research at the Joannah and Brian Lawson Centre for Child Nutrition, University of Toronto, during the conduct of the study and receiving nonfinancial support from Lallemand Health Solutions, donation to research program from Lallemand Health Solutions, personal fees from Danone, sponsored research and collaboration agreement from Ocean Spray, and nonfinancial support from Ocean Spray outside the submitted work. Ms Ahmed reported receiving scholarship from the Toronto Diet, Digestive tract, and Disease Centre (3D) outside the submitted work. Dr Malik reported receiving personal fees from the City and County of San Francisco, Kaplan Fox & Kilsheimer LLP, and World Health Organization outside the submitted work and support from the Canada Research Chairs Program. Dr Hill reported receiving personal fees from General Mills and McCormick Science Institute. Dr Rahelić reported receiving personal fees from the International Sweeteners Association, Abbott, AstraZeneca, Boehringer Ingelheim, Eli Lilly, Novo Nordisk, Merck, MSD, Salvus, and Sanofi outside the submitted work. Dr Salas-Salvadó reported receiving personal fees from Instituto Danone Spain, nonfinancial support from Danone Institute International, personal fees as director of the World Forum for Nutrition Research and Dissemination from the International Nut and Dried Fruit Council Foundation, financial support to the institution from Fundación Eroski, and financial support to the institution from Danone outside the submitted work. Dr Kendall reported receiving grants and/or in-kind support from Advanced Food Materials Network, Agriculture and Agri-Food Canada, CIHR, Almond Board of California, Barilla, Canola Council of Canada, International Nut and Dried Fruit Council, Peanut Institute, Pulse Canada, Tate and Lyle Nutritional Research Fund at the University of Toronto, and Unilever; receiving nonfinancial support from General Mills, Kellogg, Loblaw Brands Limited, Oldways Preservation Trust, Quaker Oats (Pepsi-Co), Sun-Maid, White Wave Foods/Danone, International Pasta Organization, California Walnut Commission, Primo, Unico, International Carbohydrate Quality Consortium (ICQC), and Toronto Diet, Digestive tract, and Disease Centre (3D) outside the submitted work; receiving personal fees from McCormick Science Institute and Lantmannen; and being a member of the Diabetes and Nutrition Study Group (DNSG) Executive Board and Dietary Guidelines, a member of the expert committee of the DNSG Clinical Practice Guidelines for Nutrition Therapy, a member of the scientific advisory board of the McCormick Science Institute, a scientific advisor for the International Pasta Organization and Oldways Preservation Trust, a member of the ICQC, an executive board member of the DNSG, and being the director of the Toronto Diet, Digestive tract, and Disease Centre (3D) Knowledge Synthesis and Clinical Trials Foundation. Dr Sievenpiper reported receiving nonfinancial support from DNSG of the European Association for the Study of Diabetes (EASD), grants from CIHR through the Canada-wide Human Nutrition Trialists’ Network (NTN), PSI Graham Farquharson Knowledge Translation Fellowship, Diabetes Canada Clinician Scientist Award, CIHR Institute of Nutrition, Metabolism and Diabetes and the Canadian Nutrition Society (INMD/CNS) New Investigator Partnership Prize, and Banting & Best Diabetes Centre Sun Life Financial New Investigator Award during the conduct of the study; receiving grants from American Society for Nutrition, International Nut and Dried Fruit Council Foundation, National Honey Board (the US Department of Agriculture [USDA] honey checkoff program), Institute for the Advancement of Food and Nutrition Sciences (IAFNS; formerly ILSI North America), Pulse Canada, Quaker Oats Center of Excellence, United Soybean Board (the USDA soy checkoff program), Tate and Lyle Nutritional Research Fund at the University of Toronto, Glycemic Control and Cardiovascular Disease in Type 2 Diabetes Fund at the University of Toronto (a fund established by the Alberta Pulse Growers), and Nutrition Trialists Fund at the University of Toronto (a fund established by an inaugural donation from the Calorie Control Council); receiving personal fees from Dairy Farmers of Canada, FoodMinds LLC, International Sweeteners Association, Nestlé, Abbott, General Mills, American Society for Nutrition, INC Nutrition Research and Education Foundation, European Food Safety Authority, Nutrition Communications, International Food Information Council, Calorie Control Council, Comité Européen des Fabricants de Sucre, International Glutamate Technical Committee, Perkins Coie LLP, Tate and Lyle Nutritional Research Fund at the University of Toronto, Danone, Inquis Clinical Research, Soy Nutrition Institute, and European Fruit Juice Association outside the submitted work; serving on the clinical practice guidelines expert committees of Diabetes Canada, EASD, Canadian Cardiovascular Society, and Obesity Canada/Canadian Association of Bariatric Physicians and Surgeons; being an unpaid scientific advisor for the Food, Nutrition, and Safety Program and the Technical Committee on Carbohydrates of IAFNS; being a member of the ICQC, executive board member of the DNSG of the EASD, and director of the Toronto Diet, Digestive tract, and Disease Centre (3D) Knowledge Synthesis and Clinical Trials Foundation; his spouse is an employee of AB InBev. No other disclosures were reported.

Reference: For a summary of research on the “funding effect”—the observations that research sponsored by food companies almost invariably produces results favorable to the sponsor’s interests and that recipients of industry funding typically did not intend to be influenced and do not recognize the influence—see my book, Unsavory Truth: How Food Companies Skew the Science of What We Eat.

Feb 28 2022

Industry-funded study of the week: Krill oil

I learned about this one from an article—no, it’s an ad really—in NutraIngredients.com.

Its headline: “Large new study validates krill oil’s heart health benefits.”

Heading the page is this note:

CONTENT PROVIDED BY AKER BIOMARINE SUPERBAKrill Learn More

I clicked on Learn More and got a disclaimer, the first time I have seen something like this:

The following content is provided by an advertiser or created on behalf of an advertiser. It is not written by the NutraIngredients.com editorial team, nor does it necessarily reflect the opinions of NutraIngredients.com.

OK.  Now we know that the entire article is an ad paid for by the maker of the product under discussion.

What about the research?

The study: Effectiveness of a Novel ω-3 Krill Oil Agent in Patients With Severe HypertriglyceridemiaA Randomized Clinical Trial.  Dariush Mozaffarian, MD, DrPH1Kevin C. Maki, PhD2,3Harold E. Bays, MD4et alFernando Aguilera, MD5Glenn Gould, MD6Robert A. Hegele, MD7Patrick M. Moriarty, MD8Jennifer G. Robinson, MD, MPH9Peilin Shi, PhD1Josefina F. Tur, MD10Jean-François Lapointe, PhD11Sarya Aziz, PhD11Pierre Lemieux, PhD11for the TRILOGY (Study of CaPre in Lowering Very High Triglycerides) investigators.  JAMA Netw Open. 2022;5(1):e2141898. doi:10.1001/jamanetworkopen.2021.41898

Method: The investigators pooled data from two previous trials of people given Krill oil or a cornstarch placebo for 26 weeks.

Results: “This study found that ω-3 –PL/FFA, a novel krill oil–derived ω-3 formulation, reduced TG levels and was safe and well tolerated in patients with severe hypertriglyceridemia.”

Funding/Support:The study was sponsored by Acasti Pharma Inc. [Acasti partners with Aker to make Krill oil]

Role of the Funder/Sponsor: The sponsor collaborated with the academic principal investigator (Dr Mozaffarian) in the design and conduct of the study, interpretation of the data, and review and suggestions for editing of the manuscript. The sponsor collaborated with the academic principal investigator and an independent contract research organization (IQVIA) in study implementation, data collection, and management. The sponsor had no role in the analysis of the data or the decision to submit the manuscript for publication.

Conflict of Interest Disclosures: Dr Mozaffarian reported serving as a consultant for Acasti Pharma Inc as principal investigator of this trial; receiving research funding from the National Institutes of Health, the Gates Foundation, and the Rockefeller Foundation; personal fees from Barilla, Cleveland Clinic Foundation, Danone SA, and Motif FoodWorks; chapter royalties from UpToDate; serving on the scientific advisory board of Beren Therapeutics PBC, Brightseed, Calibrate, DayTwo (ended June 2020), Elysium Health, Filtricine Inc, Foodome Inc, HumanCo, January, Perfect Day Inc, Season, and Tiny Organics; and holding stock ownership in Calibrate and HumanCo outside the submitted work. Dr Maki reported receiving research grants from and consulting for Acasti Pharma Inc and Matinas BioPharma Holdings Inc, and receiving research funding from Indiana University Foundation, Pharmavite, Novo Nordisk A/S, General Mills Inc, The Kellogg Company, and PepsiCo Inc, and consulting for 89bio Inc, and NewAmsterdam Pharma outside the submitted work. Dr Bays reported receiving research grants from Acasti Pharma Inc. Dr Aguilera reported receiving research grants from Acasti Pharma Inc. Dr Gould reported receiving research grants from Acasti Pharma Inc. Dr Hegele reported receiving research grants from Acasti Pharma Inc and personal fees from Akcea-Ionis, Amgen Inc, Arrowhead Pharmaceuticals, HLS Therapeutics Inc, Novartis International AG, and Pfizer Inc outside the submitted work. Dr Moriarty reported receiving research grants from Acasti Pharma Inc. Dr Robinson reported receiving research grants to the institution from Acasti Pharma Inc, Amarin Corporation, Amgen Inc, Astra-Zeneca, Eli Lilly & Co, Esperion Therapeutics Inc, The Medicines Company, Merck & Co Inc, Novartis International AG, Novo Nordisk A/S, and Regeneron Pharmaceuticals Inc, and consulting fees from COR2ED, Getz Pharma Limited, The Medicines Company, and Novartis International AG. Dr Shi reported consulting for Acasti Pharma Inc for performing statistical analyses on this trial. Dr Tur reported receiving research grants from Acasti Pharma Inc. Dr Lapointe reported owning stock or stock options in Acasti Pharma Inc. Dr Aziz reported owning stock or stock options in Acasti Pharma Inc. Dr Lemieux reported serving chief operating officer/chief strategy officer of Acasti Pharma Inc during the conduct of the study and outside the submitted work and holding a patent for CaPre. No other disclosures were reported. [My emphasis]

Comment: You can’t make this stuff up.

Reference: For research on why and how industry sponsorship can influence study outcome, see Unsavory Truth: How Food Companies Skew the Science of What We Eat.