is Deputy Editor at CMAJ
There's a quote from the film '', (Meg Ryan, Billy Crystal) that I always thought was rather profound. One of the supporting characters, a writer, says,
Restaurants are to people in the eighties what theatre was to people in the sixties.
That dates the movie, and me, but how much more true it is now, I think. In the past three or four decades food has come to define us socially and has evolved into entertainment more and more.
Earlier this week and I published an editorial in CMAJ called '', which garnered some criticism from two high profile Canadian bloggers. of CBC's "White Coat Black Art", , suggested that the idea of a donut tax was impractical given the ease of cross border shopping for Canadians. , who writes the daily blog "", was far . Dr Sharma misinterprets our editorial and suggests that we are naively arguing that taxation and regulation of high-calorie and nutrient-poor food products is the ONLY viable approach to the obesity epidemic. Which, clearly, it is not. We are in no way in denial about the need for a multi-pronged, multi-generational approach in response to rising obesity. In fact, perhaps Dr Sharma did not read the whole editorial before pronouncing judgement as we clearly state: "Strategies that include individual interventions, school-based nutrition and activity interventions, incentives for active commuting and changes to thebuilt environment should continue; however, we also need robust ways to restrict portion sizes and reduce the sale of sugar-sweetened beverages and other high-calorie, nutrient-poor food products."
The problem of population level obesity is multifactorial and has been decades in evolution. Political solutions that involve laws and taxation will take years to show benefits - and obviously effective treatment and lifestyle-choice solutions will continue to be necessary. But that does not mean that we shouldn't back political solutions as part of a more comprehensive strategy for treating obesity and NCDs in the longer term. ...continue reading