Abstract
With its colonial past, and a glaring problem of poverty and hunger, India oft fails to acknowledge a new, rapidly growing problem of overnutrition. With the economic boost and entry of various foreign players from the food industry, Indian citizens have been increasingly exposed to ultra-processed, high in sugar, salt and fat foods (HFSS foods). The last decade or so has seen an exponential rise in the consumption of such foods, leading to increasing prevalence of overweight- and obesity-related illnesses like diabetes, hypertension, etc. In this scenario, examining the efficacy of policy-related measures in reducing consumption of these harmful foods and preventing the associated health issues is paramount. Across the globe, several countries have explored options from taxation on HFSS foods to restricting marketing to children, as well as different practices for front of the pack labeling. In the context of India and its increasing burden of preventable, diet-related illnesses, the urgent need of instituting these preventive policies at national scale cannot be neglected.
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References
India Foodbanking Network. Bridging the food gap. Hunger in India. Accessed January 30, 2022. Available from: https://www.indiafoodbanking.org/hunger
World Health Organization. Accessed January 26, 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/malnutrition
World Health Organization. Noncommunicable Diseases 13 April 2021. Accessed January 26, 2022. Available from: www.who.int/news-roon/fact-sheets/detil/noncomunicableDiseases
Ministry of Health and Family Welfare Government of India, UNICEF, and Population Council. Comprehensive National Nutrition Survey. New Delhi; 2019.
Sachdev HS, Porwal A, Sarna A, et al. Intraindividual double-burden of anthropometric undernutrition and “metabolic obesity” in Indian children: a paradox that needs action. Eur J Clin Nutr. 2021;75:1205–17.
Gupta P, Shah D, Kumar P, et al; Pediatric and Adolescent Nutrition Society (Nutrition Chapter) of Indian Academy of Pediatrics. Indian Academy of Pediatrics Guidelines on the Fast and Junk Foods, Sugar Sweetened Beverages, Fruit Juices, and Energy Drinks. Indian Pediatr. 2019;56:849–63.
Working Group Members on Matters related to Junk foods and Addressing Problem of Obesity in India in 2015. Report of Working Group on Addressing Consumption of Foods High in Fat, Salt and Sugar (HFSS) and Promotion of Healthy Snacks in schools of India. Accessed January 30, 2022. Available from: http://nipccd.nic.in/reports/hfss.pdf
Monteiro CA, Cannon G, Moubarac JC, et al. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutr. 2018;21:5–17.
Lane MM, Davis JA, Beattie S, et al. Ultraprocessed food and chronic noncommunicable diseases: A systematic review and meta-analysis of 43 observational studies. Obes Rev. 2021;22:e13146.
Elizabeth L, Machado P, Zinöcker M, et al. Ultra-processed foods and health outcomes: a narrative review. Nutrients. 2020;12:1955.
Kashyap M, Kashyap K, Sarda A. A study of growth of fast food industry with reference to shift in consumer’s buying habits in Nagpur City. International Journal of Application or Innovation in Engineering & Management. Accessed on January 30, 2022. Available from: https://www.ijaiem.org
Clark H, Coll-Seck AM, Banerjee A, et al. A future for the world’s children? A WHO-UNICEF-Lancet Commission. The Lancet. 2020;395:605–58.
Down To Earth. Court rejects industry plea meant to stall guidelines on junk food sale in schools. Accessed January 30, 2022. Available from: https://www.downtoearth.org.in/news/court-rejects-industry-plea-meant-to-stall-guidelines-on-junk-food-sale-in-schools-42607
Jaime PC, da Silva AC, Gentil PC, et al. Brazilian obesity prevention and control initiatives. Obes Rev. 2013;14:88–95.
Lucas PJ, Patterson E, Sacks G, et al. Preschool and school meal policies: An overview of what we know about regulation, implementation, and impact on diet in the UK, Sweden, and Australia. Nutrients. 2017;9:736.
Food and Drug Administration. Letter of enforcement discretion to GMA/FMI re “Facts Up Front”.2011. Accessed on January 30, 2022. Available from: http://www.fda.gov/Food/IngredientsPackagingLabeli%5B%5Dng/LabelingNutrition/ucm302720.htm
Arrúa A, Machín L, Curutchet MR, et al. Warnings as a directive front-of-pack nutrition labelling scheme: comparison with the guideline daily amount and traffic-light systems. Public Health Nutr. 2017;20:2308–17.
Down To Earth. Food fudge: The story behind why India still does not have front-of-pack labelling. Accessed January 30, 2022. Available from: https://www.downtoearth.org.in/news/food/food-fudge-the-story-behind-why-india-still-does-not-have-front-of-pack-labelling-79078
Denmark introduces world’s first food fat tax. BBC News. October 1, 2011. Accessed January 30, 2022. Available from: http://www.bbc.co.uk/news/world-europe-15137948
BMJ. Mexico’s sugary drinks tax has helped cut consumption after just three years. Accessed January 30, 2022. Available from: https://www.bmj.com/company/newsroom/mexicos-sugary-drinks-tax-has-helped-cut-consumption-after-just-three-years/
Krishnamoorthy Y, Ganesh K, Sakthivel M. Fat taxation in India: A critical appraisal of need, public health impact, and challenges in nationwide implementation. Health Promot Perspect. 2020;10:8–12.
The Economic Times. GST: Your carbonated fruit juice-based drink is all set to get costlier. Accessed February 1, 2022. Available from: https://economictimes.indiatimes.com/small-biz/gst/gst-your-carbonated-fruit-juice-based-drink-is-all-set-to-get-costlier/articleshow/86313956.cms?from=mdr
Review of fast food menu labeling schemes. Consultation paper Review of fast food menu labelling schemes. Accessed January 31, 2022. Available from: http://foodregulation.gov.au/internet/fr/publishing.nsf/Content/review-fast-food-menu-labellingschemes
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Breastfeeding Promotion Network of India
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The piece was conceptualized by HSS. PG drafted the manuscript that was edited by HSS. Both authors approved the final manuscript.
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Gupta, P., Sachdev, H.S. The Escalating Health Threats from Ultra-processed and High Fat, Salt, and Sugar Foods: Urgent Need for Tailoring Policy. Indian Pediatr 59, 193–197 (2022). https://doi.org/10.1007/s13312-022-2463-z
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DOI: https://doi.org/10.1007/s13312-022-2463-z