Scotland’s Ambition Leads U.K.


Scotland is part of the United Kingdom, but engages in a great deal of self-governance. Although the country boasts many hardy athletes, people don’t seem to pursue very much physical exertion. The weather is often vile, and many Scots enjoy sedentary indoor pursuits.

The national diet is notorious for sugar, salt and fat. And historically, according to Dr. Marisa Wilson of the University of Edinburgh, Scotland’s relationship with sugar has been “intense.”

The level of economic deprivation is high, which generally implies more exposure to fast food takeout joints, and less availability of healthful fresh produce. Journalist Vicky Allan writes:

Even today sugar-intake among children is higher amongst those in deprived areas. A 2008 study in Scotland found children in the most deprived areas of society ate 12 per cent more sugar than those in the least…

As previously mentioned, the Westminster Food and Nutrition Forum conference in April brought participants from all over the United Kingdom to discuss policy. Heather Peace, of Food Standards Scotland (FSS), divulged that her country’s obesity plan would hopefully include some healthy regulation of how supermarkets sell processed foods.

The group is very unhappy with in-store promotions that emphasize sugar- and salt-laden products. Professor Leigh Sparks, who authored a major FSS report, joins other academics in throwing shade on the industry’s half-hearted self-policing efforts. Apparently, while stores may go a little farther toward promoting healthful options, their good faith is called into question when promotion for unhealthful products still predominates.

The Scottish Grocers’ Federation points to the government-supported Healthy Living Programme in which more than 200 retail outlets participate. But the anti-obesity forces are not impressed by the examples of self-regulation they have seen so far, and, strangely, the Scottish Retail Consortium (the industry mouthpiece) agrees.

Spokesperson Ewan MacDonald-Russell told the press:

Any measures on pricing and promotions will have to be done through regulation or legislation; it’s not feasible, or legal, to ask retailers to voluntarily take collective measures in this area.

Scotland is aware that it has a serious obesity problem, and that education has not been effective. Vicky Allan consulted experts who see the need for a change in the food supply or “food culture,” and wrote:

By and large, it’s considered that since sugary drinks offer no nutritional value they represent a straightforward, fairly uncontroversial target. Where there is controversy however, is over whether they will result in any significant reduction in obesity, and whether, even, sugar really is the problem.

Of course the current trend is to absolve fat, especially since the discovery that, several decades ago, crooked science let sugar off the hook as the main obesity villain. But some experts still believe that sugar is unjustly demonized. Some do not even acknowledge any link between sugar and diabetes.

One quoted viewpoint is from the University of Glasgow’s Professor Mike Lean:

The problem linking sugar and overeating is not the sugar itself, or the calories in the sugar specifically, but the relentless exposure to extreme sweetness, which alters taste perceptions and leads to people to choose more sweet snacks between meals.

Many Scots are concerned that leaving the European Union will, because of different rules and new trade agreements, lead to the replacement of sugar with high fructose corn syrup, which is even worse. Meanwhile, Food Standards Scotland would like to see a reduction of portion sizes, and more extensive calorie information on menus.

There is also talk of extending the soda tax to cover sugary food products, without waiting for Great Britain to take the lead. Allan writes:

Some believe that the UK’s adoption of such a tax could be a tipping point, the start of a wave that spreads across the world, in the same way that the smoking ban did…

And Scotland could be the trim tab that affects the rudder that turns the ship.

Your responses and feedback are welcome!

Source: “Can a sugar tax help save us from obesity?,”, 04/08/17
Source: “UK sugar debate becoming more measured,”, 05/01/17
Source: “Scottish food watchdog wants ‘revolution’ on food sales,”, 06/16/17
Photo via Visualhunt

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Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
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Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

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