Letters Response

Public Health England replies to Mike Rayner and colleagues

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h6591 (Published 09 December 2015) Cite this as: BMJ 2015;351:h6591
  1. Alison Tedstone, chief nutritionist1,
  2. Victoria Targett, team leader—sugar reduction, diet, and obesity team1
  1. 1Public Health England, Wellington House, London SE1 8UG, UK
  1. PHE.Enquiries{at}phe.gov.uk

We welcome the debate on our comprehensive evidence package informing the government’s thinking on sugar in the diet. However, Rayner and colleagues fail to grasp the detailed complexities at play in reducing sugar consumption.1 They seem not to understand the wider environmental drivers of UK diets and seem unaware that Public Health England (PHE) clearly prioritised actions for government consideration.

The report offers the most detailed analysis yet of how advertising, marketing, and fiscal measures influence our food choices, diet, and—where available—health outcomes. We also assess possible approaches to sugar reduction in foods and drinks. The methodologies are mixed to account for the different weights of primary evidence …

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