Influential Science Nonprofit ILSI Exposed as a Food Industry Lobby Group
By Stacy Malkan
The International Life Sciences Institute (ILSI) is a corporate-funded nonprofit group with chapters around the world that claim to conduct "science for the public good," but documents released in a new study reveal that the influential ILSI science group is a actually a lobby group that protects the interests of the food industry, not public health.
The June 2019 paper in Globalization and Health describes internal emails that were obtained by the public interest group U.S. Right to Know via state public records laws. The documents reveal clear examples of how ILSI advances the interests of the food industry, especially by promoting industry-friendly science and arguments to policymakers. "Researchers have labelled the International Life Sciences Institute an industry front group, after studying thousands of documents," reported the BMJ.
As one example, the paper quotes an email from Alex Malaspina, the former Coca-Cola executive who founded ILSI, lamenting the failure of ILSI Mexico to follow the industry position on soda taxes. Malaspina describes "the mess ILSI Mexico is in because they sponsored in September a sweeteners conference when the subject of soft drinks taxation was discussed. ILSI is now suspending ILSI Mexico, until they correct their ways. A real mess."
2015 email from Alex Malaspina, founder of ILSI.
Malaspina, a former senior vice president at Coca-Cola from 1969-2001, founded ILSI in 1978. Coca-Cola has kept close ties with ILSI ever since. From 2009-2011, the president of ILSI was Michael Ernest Knowles, who was also Coca-Cola's VP of global scientific and regulatory affairs from 2008–2013. In 2015, ILSI's president was Rhona Applebaum, who retired from her job as Coca-Cola's chief health and science officer (and from ILSI) in 2015 after the New York Times and Associated Press reported that Coke funded the nonprofit Global Energy Balance Network to help shift blame for obesity away from sugary drinks.
Emails obtained by U.S. Right to Know and reported in a 2016 study revealed that Coke proposed and financed the Global Energy Balance Network as a "weapon" in the "growing war between the pubic health community and private industry" over obesity and the obesity epidemic.
ILSI is funded by its corporate members and company supporters, including leading food and chemical companies such as Coca-Cola, BASF, Bayer, DuPont, Syngenta, Mars, McDonalds, chemical industry trade groups, and many others. In its annual report, ILSI and its branches reported $17,481,251 in expenses for 2017 but did not disclose specific donor information. A document obtained via a state freedom of information request shows corporate contributions to ILSI Global amounting to $2.4 million in 2012. The largest donations were $500,000 from Monsanto and over $500,000 from the pesticide industry trade group, Crop Life International. ILSI's draft 2013 IRS tax returns show $337,000 in donations from Coca-Cola and over $650,000 from six agrichemical companies, BASF, Bayer, Dow, Monsanto, Pioneer Hi Bred and Syngenta.
ILSI Undermined Obesity Fight in China
In January 2019, two papers by Harvard Prof. Susan Greenhalgh revealed ILSI's powerful influence on the Chinese government on issues related to obesity. Prof. Geenhalgh's articles in the Journal of Public Health Policy and the BMJ document how Coca-Cola and other corporations worked through the China branch of ILSI to influence decades of Chinese science and public policy on obesity and diet-related illnesses such as Type 2 diabetes and hypertension.
Jan. 9 article in New York Times.
ILSI is so well-placed in China that it operates from inside the government's Centre for Disease Control and Prevention in Beijing. Dr. Greenhalgh's papers document how Coca-Cola and other Western food and beverage giants "helped shape decades of Chinese science and public policy on obesity and diet-related diseases" by operating through ILSI to cultivate key Chinese officials "in an effort to stave off the growing movement for food regulation and soda taxes that has been sweeping the west," reported Andrew Jacobs in the New York Times.
ILSI Sugar Study “Right Out of the Tobacco Industry’s Playbook”
In 2016, public health experts denounced an ILSI-funded sugar study published in a prominent medical journal that presented a "scathing attack on global health advice to eat less sugar," reported Anahad O'Connor in The New York Times. The ILSI-funded study argued that warnings to cut sugar are based on weak evidence and cannot be trusted.
The Times story quoted Marion Nestle, a professor at New York University who studies conflicts of interest in nutrition research, on the ILSI study: "This comes right out of the tobacco industry's playbook: cast doubt on the science," Nestle said. "This is a classic example of how industry funding biases opinion. It's shameful."
ILSI has also been accused of working directly on the tobacco industry playbook to thwart public safety measures to reduce smoking. A July 2000 report by an independent committee of the World Health Organization outlined a number of ways in which the tobacco industry attempted to undermine WHO tobacco control efforts, including using scientific groups to influence WHO's decision-making and to manipulate scientific debate surrounding the health effects of tobacco. ILSI played a key role in these efforts, according to a case study about ILSI from the WHO Tobacco Free Initiative. "Findings indicate that ILSI was used by certain tobacco companies to thwart tobacco control policies. Senior office bearers in ILSI were directly involved in these actions," according to the case study.
ILSI Leaders Played Key Role in Defending Glyphosate as Chairs of WHO Panel
In May 2016, ILSI was caught "in a conflict of interest row over glyphosate cancer risk," reported Arthur Neslen in the Guardian, after revelations that the vice president of ILSI Europe, Prof. Alan Boobis, was also chairman of the UN Joint Meeting on Pesticide Residues (JMPR) panel that found Monsanto's chemical glyphosate was unlikely to pose a cancer risk through diet. The co-chair of the JMPR panel, Prof. Angelo Moretto, was a board member of ILSI's Health and Environment Services Institute. Neither of the chairs declared their ILSI leadership roles as conflicts of interest, despite the significant financial contributions ILSI has received from Monsanto and the pesticide industry trade group.
ILSI’s Cozy Ties at U.S. CDC
In June 2016, U.S. Right to Know reported that Dr. Barbara Bowman, director of a U.S. Centers for Disease Control division charged with preventing heart disease and stroke, tried to help ILSI's founder Alex Malaspina influence World Health Organization officials to back off policies to reduce sugar consumption. Bowman suggested people and groups for Malaspina to talk to, and solicited his comments on some CDC summaries of reports, the emails show. (Bowman stepped down after our first article was published reporting on these ties.)
A January 2019 study in the Milbank Quarterly describes key emails of Malaspina cozying up to Dr. Bowman.
ILSI Influence in India
ILSI has close ties to some Indian government officials and, as in China, the nonprofit has pushed similar messaging and policy proposals as Coca-Cola — downplaying the role of sugar and diet as a cause of obesity, and promoting increased physical activity as the solution, according to the India Resource Center. Members of ILSI India's board of trustees include Coca-Cola India's director of regulatory affairs and representatives from Nestlé and Ajinomoto, a food additive company, along with government officials who serve on scientific panels that are tasked with deciding about food safety issues.
Longstanding Concerns About ILSI
ILSI insists it is not an industry lobby group, but concerns and complaints are longstanding about the group's pro-industry stances and conflicts of interest among the organization's leaders.
In 2010, Nature reported on concerns about conflicts of interest between ILSI and the European Food Safety Authority, and noted that the industry ties may taint the reputation of the European regulatory body.
A 2019 book by Dr. Tim Noakes and Marika Sboros, Real Food on Trial (Columbus Publishing), recounts the "unprecedented prosecution" of Dr. Noakes "in a multimillion rand case that stretched over more than four years. All for a single tweet giving his opinion on nutrition." Russ Greene reported on the controversy in a 2017 article for Keep Fitness Legal. "The Food Industry is attempting to use Dr. Noakes in order to set an example to anyone who dares challenge its authority in nutrition," Greene wrote.
Stacy Malkan is co-director of U.S. Right to Know, a nonprofit investigative research group focused on the food industry. She is author of the book, "Not Just a Pretty Face: The Ugly Side of the Beauty Industry" (New Society 2007).
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By Beth Ann Mayer
Since even moderate-intensity workouts offer a slew of benefits, walking is a good choice for people looking to stay healthy.
How to Rock Your Walk<p>Walking isn't just fun and healthy. It's accessible.</p><p>"Walking is cheap," says Dr. John Paul H. Rue, a sports medicine doctor at <a href="https://mdmercy.com/" target="_blank">Mercy Medical Center in Baltimore</a>. "You can do it anywhere at any time; [it] requires little to no special equipment and has many of the same cardio benefits as running or other more intense workouts."</p><p>Want to up your walking game? Try the tips below.</p>
Use Hand Weights<p>Cardio and strength training can go hand-in-hand when you add weights to your walk.</p><p>A <a href="https://journals.lww.com/acsm-msse/Fulltext/2019/03000/Associations_of_Resistance_Exercise_with.14.aspx" target="_blank">2019 study</a> found that weight training is good for your heart, and <a href="https://www.mayoclinicproceedings.org/article/S0025-6196(17)30167-2/abstract" target="_blank">research</a> shows it reduces the risk of developing a <a href="https://www.healthline.com/health/nutrition-metabolism-disorders" target="_blank">metabolic disorder</a> by 17 percent. People with metabolic disorders have a higher chance of being diagnosed with high cholesterol, high blood pressure, and diabetes.</p><p>Rue suggests not carrying weights for your entire walk.</p><p>"Hand weights can give you an added level of energy burning, but you have to be careful with these because carrying [them] over a long period of time or while walking could actually lead to some overuse injuries," he says.</p>
Make It a Circuit<p>As another option, consider doing a circuit. First, put a pair of dumbbells on your lawn or somewhere in your home. Walk around the block once, then stop and do some bicep curls and tricep lifts before walking around the block again.</p><p>Rue recommends <a href="https://www.healthline.com/health/exercise-fitness/running-with-weights" target="_blank">avoiding ankle weights</a> during cardio workouts, as they force you to use your quadriceps rather than hamstrings. They can also cause muscle imbalance, according to the <a href="https://www.health.harvard.edu/staying-healthy/wearable-weights-how-they-can-help-or-hurt" target="_blank">Harvard Health Letter</a>.</p>
Find a Fitness Trail<p>Strength training isn't limited to weights. You can get stronger by <a href="https://www.healthline.com/health/bodyweight-workout" target="_blank">simply using your body</a>.</p><p>Often found at parks, fitness trails are obstacle courses with equipment for pullups, pushups, rowing, and stretches to build upper and lower body strength.</p><p>Try searching "fitness trails near me" online, checking out your local parks and recreation website, or calling the municipal office to <a href="https://calisthenics-parks.com/" target="_blank">find one</a>.</p>
Recruit a Friend<p>People who workout together stay healthy together.</p><p><a href="https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0584-3" target="_blank">One study</a> showed that older adults who exercised with a group improved or maintained their functional health and enjoyed their lives more.</p><p>Enlist the help of a walking buddy with a regimen you aspire to have. If you don't know anyone in your area, apps like <a href="https://www.strava.com/" target="_blank">Strava</a> have social networking features so you can get support from fellow exercisers.</p>
Try Meditation<p>According to the <a href="https://www.nccih.nih.gov/research/statistics/nhis/2017" target="_blank">2017 National Health Interview Survey</a>, published by the National Institutes of Health, meditation is on the rise, and for good reason.</p><p>Researchers <a href="https://pubmed.ncbi.nlm.nih.gov/29616846/" target="_blank">found</a> that mind-body relaxation practices can regulate inflammation, <a href="https://www.healthline.com/health/biological-rhythms" target="_blank">circadian rhythms</a>, and <a href="https://www.healthline.com/health/glucose" target="_blank">glucose</a> metabolism, as well as lower <a href="https://www.healthline.com/health/high-blood-pressure-hypertension" target="_blank">blood pressure</a>.</p><p>"Any form of exercise can be turned into a meditation of some type, either by the surroundings you are walking in, like a park or trail, or by blocking out the outside world with music on your headphones," Rue says.</p><p>You can also play a podcast or download an app like <a href="https://www.headspace.com/headspace-meditation-app" target="_blank">Headspace</a> that has a library of guided meditations to practice while you walk.</p>
Do Fartlek Walks<p>Typically used in running, fartlek intervals alternate periods of increased and decreased speed. These are <a href="https://www.healthline.com/nutrition/benefits-of-hiit" target="_blank">high-intensity interval training (HIIT)</a> workouts, which allow exercisers to accomplish more in less time.</p><p><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0154075" target="_blank">One study</a> showed that 10-minute interval training improved <a href="https://www.healthline.com/health/metabolic-syndrome" target="_blank">cardiometabolic</a> health, or lowered the risk of heart disease, stroke, and diabetes, just as well as working out at a continuous pace for 50 minutes.</p><p><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0111489" target="_blank">Research</a> also shows that HIIT workouts increase muscle <a href="https://www.healthline.com/health/fast-twitch-muscles" target="_blank">oxidative</a> capacity, or the ability to use oxygen. To do a fartlek walk, try walking at an increased pace for 3 minutes, slow down for 2 minutes, and repeat.</p>
Gradually Increase Pace<p>A faster walking pace is associated with a lower risk of <a href="https://www.healthline.com/health/copd" target="_blank">chronic obstructive pulmonary disease (COPD)</a> and respiratory diseases, according to a <a href="https://pubmed.ncbi.nlm.nih.gov/30303933/" target="_blank">2019 study</a>.</p><p>Still, it's best not to go from a stroll to an Olympic-worthy power walk in a day. Instead, increase your pace gradually to prevent injury.</p><p>"Start by walking at a brisk pace for about 10 minutes per day, 3 to 5 days per week," Rue says. "Once you've done this for a few weeks, increase your time by 5 to 10 minutes per day until you get to 30 minutes."</p>
Add Stairs<p>You've likely heard that taking the stairs instead of an elevator is a way to add more movement into your daily routine. It's also a way to step up your walking. Stair climbing has been shown to <a href="https://www.sciencedirect.com/science/article/pii/S2211335519301123?via%3Dihub" target="_blank">decrease the risk of mortality</a> and can easily add a bit more challenge to your walk.</p><p>If you don't have stairs in your home, you can often find them outside a local municipal building, train station, or at a high school stadium.</p>
Is Your Walk a True Cardio Workout?<p>Not all walks are equal. A walk that's too leisurely may not provide enough burn to qualify as cardio. To see if you're getting a good workout, try to <a href="https://www.healthline.com/health/how-to-check-heart-rate" target="_blank">measure your heart rate</a> using a monitor.</p><p>"A target goal for a good walking workout heart rate is about 50 to 70 percent of your maximum heart rate," Rue says, adding that maximum heart rate is <a href="https://www.healthline.com/health/fitness-exercise/fat-burning-heart-rate" target="_blank">typically calculated</a> by 220 beats per minute minus your age.</p><p>You can also monitor how easily you can carry on a conversation while you walk to gauge your heart rate.</p><p>"If you can walk and carry on a normal conversation, that's probably a lower intensity walk," says Rue. "If you are slightly breathless but can still have a conversation, that's probably a moderate workout. If you are out of breath and can't talk normally, that's a vigorous workout."</p>
Takeaway<p>By shaking up your routine, you can add excitement to your workout and reap even more rewards than a basic walk provides. Increasing the pace and intensity of a workout will make it more effective.</p><p>Simply pick your favorite variation to add some spice to your next walk.</p>
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