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Instituto Nacional de Salud Pública

2024, Number 3

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salud publica mex 2024; 66 (3)

Position of the Sociedad Latinoamericana de Nutrición on participation of commercial actors and conflicts of interests

Barquera S, Domínguez-Barreto AP, Valero-Morales I, Arellano-Rodríguez M, Cediel G, Ríos-Castillo I, Turnes C, Graciano A, García-Chávez CG, Navarro-Rosenblatt D, Pérez-Escamilla R, Ramírez-Zea M, Mialon M, Barnoya J, Bortoletto-Martins AP, Abril-Ulloa V, Ochoa-Avilés A, Rivera-Dommarco J, Freire WB

Language: Spanish
References: 24
Page: 307-312
PDF size: 254.50 Kb.


ABSTRACT

The purpose of this position update is to describe the main scenarios in which conflicts of interest (COI) arise, as well as guidelines to guide the conduct of SLAN and its members in the context of relationships with commercial entities. The content of this document was defined, reviewed, and approved by the current Conflict of Interest Committee (COI Committee), commissioned by SLAN and comprised of academy members who share the conviction about the need to avoid COI in actions related to nutrition and health. The power and interference of commercial entities in the food system and health policies have increased over time, weakening and obstructing the implementation of actions that promote healthy food environments. One of the strategies through which corporations engaged in the development, marketing, advertising, and promotion of health-damaging food and beverage products operate is by establishing relationships with nutrition societies and organizations to undermine these actions, leading to COI. Through this document, SLAN proposes a series of measures to prevent, transparently manage conflicts of interest, and avoid the interference of commercial entities in nutrition research, education, and policies.


REFERENCES

  1. Barquera S, García-Chávez CG, Navarro-Rosenblatt D, Uauy R, Pérez-Escamilla R, Martorell R, et al. Postura de la Sociedad Latinoamericana deNutrición (SLAN) sobre el manejo de conflicto de intereses. Salud PublicaMex. 2018;60(5):592-7. https://doi.org/10.21149/9657

  2. Gilmore AB, Fabbri A, Baum F, Bertscher A, Bondy K, Chang HJ, et al.Defining and conceptualising the commercial determinants of health.Lancet. 2023;401(10383):1194-213. https://doi.org/10.1016/S0140-6736(23)00013-2

  3. Mialon M, Gomes F da S. Public health and the ultra-processedfood and drink products industry: corporate political activity of majortransnationals in Latin America and the Caribbean. Public Health Nutr.2019;22(10):1898-908. https://doi.org/10.1017/S1368980019000417

  4. Patiño SR-G, Da Silva Gomes F, Constantinou S, Lemaire R, HedrickVE, Serrano EL, et al. An assessment of government capacity building torestrict the marketing of unhealthy food and non-alcoholic beverage productsto children in the Region of the Americas. Int J Environ Res PublicHealth. 2021;18(16). https://doi.org/10.3390/ijerph18168324

  5. Barquera S, Balderas N, Rodríguez E, Kaufer-Horwitz M, Perichart O,Rivera-Dommarco JA, Grupo de profesionales e investigadores CódigoNutricia. Nutricia Code: nutrition and conflict of interest in academia.Salud Publica Mex. 2020;62(3):313-8. https://doi.org/10.21149/11291

  6. Baker P, Smith JP, Garde A, Grummer-Strawn LM, Wood B, Sen G, etal. The political economy of infant and young child feeding: confrontingcorporate power, overcoming structural barriers, and acceleratingprogress. Lancet. 2023;401(10375):503-24. https://doi.org/10.1016/S0140-6736(22)01933-X

  7. Durán R, Asmitia E, Rivera J, Barquera S, Tolentino-Mayo L. Analysis ofstakeholders’ responses to the food warning labels regulation in Mexico.Health Res Policy Syst. 2022;20(1):108. https://doi.org/10.1186/s12961-022-00922-2

  8. Kroker-Lobos MF, Morales LA, Ramírez-Zea M, Vandevijvere S,Champagne B, Mialon M. Two countries, similar practices: the politicalpractices of the food industry influencing the adoption of key publichealth nutrition policies in Guatemala and Panama. Public Health Nutr.2022;25(11):3252-64. https://doi.org/10.1017/S1368980022001811

  9. Mais LA, Mialon M, Hassan BK, Peres JM D, Dos Santos MG, MartinsAPB, et al. Do they really support “your freedom of choice”? FoPNL andthe food industry in Brazil. Front Nutr. 2022;9. https://doi.org/10.3389/fnut.2022.921498

  10. Mialon M, Gaitan-Charry DA, Cediel G, Crosbie E, Scagliusi FB, Perez-Tamayo EM. “I had never seen so many lobbyists”: food industry politicalpractices during the development of a new nutrition front-of-pack labellingsystem in Colombia. Public Health Nutr. 2021;24(9):2737-45. https://doi.org/10.1017/S1368980020002268

  11. Griffin S. Coca-Cola sought to shift blame for obesity by funding publichealth conferences, study reports. BMJ. 2020;371:m4718. https://doi.org/10.1136/bmj.m4718

  12. Mialon M, Ho M, Carriedo A, Ruskin G, Crosbie E. Beyond nutritionand physical activity: food industry shaping of the very principles ofscientific integrity. Global Health. 2021;17(1):37. https://doi.org/10.1186/s12992-021-00689-1

  13. Sacks G, Riesenberg D, Mialon M, Dean S, Cameron AJ. The characteristicsand extent of food industry involvement in peer-reviewed researcharticles from 10 leading nutrition-related journals in 2018. PLoS One.2020;15(12):e0243144. https://doi.org/10.1371/journal.pone.0243144

  14. Pedroza-Tobias A, Crosbie E, Mialon M, Carriedo A, Schmidt LA.Food and beverage industry interference in science and policy: effortsto block soda tax implementation in Mexico and prevent internationaldiffusion. BMJ Global Health. 2021;6(8). https://doi.org/10.1136/bmjgh-2021-005662

  15. Camilleri M, Parke DW 2nd. Perspective: Conflict of interest and professionalorganizations: considerations and recommendations. Acad Med.2010;85(1):85-91. https://doi.org/10.1097/ACM.0b013e3181c46429

  16. Grummer-Strawn LM, Holliday F, Jungo KT, Rollins N. Sponsorship ofnational and regional professional paediatrics associations by companiesthat make breast-milk substitutes: evidence from a review of officialwebsites. BMJ Open. 2019;9(8):e029035. https://doi.org/10.1136/bmjopen-2019-029035

  17. Gunnarsson JA, Ruskin G, Stuckler D, Steele S. Big food and drinksponsorship of conferences and speakers: a case study of one multinationalcompany’s influence over knowledge dissemination and professionalengagement. Public Health Nutr. 2023;26(5):1094-111. https://doi.org/10.1017/S1368980022002506

  18. Lauber K, Rutter H, Gilmore AB. Big food and the World Health Organization:a qualitative study of industry attempts to influence global-levelnon-communicable disease policy. BMJ Global Health. 2021;6(6):e005216.https://doi.org/10.1136/bmjgh-2021-005216

  19. Mialon M, Jaramillo Á, Caro P, Flores M, González L, Gutierrez-GómezY, et al. Involvement of the food industry in nutrition conferences in LatinAmerica and the Caribbean. Public Health Nutr. 2021;24(6):1559-65.https://doi.org/10.1017/s1368980020003870

  20. Pérez-Escamilla R, Tomori C, Hernández-Cordero S, Baker P, BarrosAJD, Bégin F, et al. Breastfeeding: crucially important, but increasingly challengedin a market-driven world. Lancet. 2023;401(10375):472-85. https://doi.org/10.1016/S0140-6736(22)01932-8

  21. Rollins N, Piwoz E, Baker P, Kingston G, Mabaso KM, McCoy D, et al.Marketing of commercial milk formula: a system to capture parents, communities,science, and policy. Lancet. 2023;401(10375):486-502. https://doi.org/10.1016/S0140-6736(22)01931-6

  22. Mialon M, Vandevijvere S, Carriedo-Lutzenkirchen A, Bero L, Gomes F,Petticrew M, et al. Mechanisms for addressing and managing the influenceof corporations on public health policy, research and practice: a scopingreview. BMJ Open. 2020;10(7):e034082. https://doi.org/10.1136/bmjopen-2019-034082

  23. United Nations Children’s Fund. Engaging with the food and beverageindustry. Nueva York: UNICEF, 2023 [citado julio 23, 2023] Disponible en:https://www.unicef.org/documents/nutrition/engaging-food-and-beverageindustry

  24. Lacy-Nichols J, Nandi S, Mialon M, McCambridge J, Lee K, JonesA, et al. Conceptualising commercial entities in public health: beyondunhealthy commodities and transnational corporations. Lancet.2023;401(10383):1214-28. https://doi.org/10.1016/S0140-6736(23)00012-0




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