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  1. Annalijn I Conklin, assistant professor and scientist12
  1. 1Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, BC V6T 1Z3, Canada
  2. 2Centre for Health Evaluation and Outcome Sciences (CHEOS), Providence Health Research Institute, Vancouver, BC, Canada
  1. Correspondence to: A I Conklin aconklin{at}

Substantial benefits are forecast but only if sugar reduction targets are met in full

In recent years, many governments have been experimenting with structural interventions to address the growing burden of nutrition related chronic diseases, particularly obesity and diabetes. One of the most effective strategies to improve diet is reducing sugar intake,1 and England has implemented a public health collaboration with the food industry to reduce sugar by 20% in cereals, morning goods (such as waffles and pancakes), and other products popular with children.

In a linked article, Amies-Cull and colleagues (doi:10.1136/bmj.l1417) make an important contribution to the current knowledge of the population benefits of public health collaborations.23

The authors performed an extensive investigation of the programme’s potential impact on both child and adult calorie intakes, weight, and body mass index (BMI). Their most valuable contribution is in modelling how these expected BMI changes might subsequently reduce 10 year chronic disease incidences and also reduce healthcare costs from cardiometabolic diseases, cirrhosis, and five cancers in adults. Models showed reductions in average energy consumption …

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