By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    benefits of using protein powder to build muscles
    Protein Powder for Muscle Mass: Everything You Need to Know
    December 12, 2021
    changes brought on by blockchain in healthcare
    Technology In The Healthcare Industry
    March 28, 2022
    What Does Core Body Temperature Say About Health?
    August 17, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    FDA Approves Diabetes Pill
    May 2, 2011
    Patient Gets Drunk on Hand Sanitizer
    June 20, 2011
    Cultivating Health Improvement
    July 20, 2011
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Coke and Obesity- a Weight Loss Surgeon’s Perspective
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Public Health > Coke and Obesity- a Weight Loss Surgeon’s Perspective
Public Health

Coke and Obesity- a Weight Loss Surgeon’s Perspective

DrTerrySimpson
Last updated: January 17, 2013 8:37 am
DrTerrySimpson
Share
17 Min Read
Coke Joins Obesity
SHARE


Coke Joins Obesity

Coca-Cola began advertising about obesity, in a public awareness campaign about how this is a problem for all of us to worry about. This morning I tweeted “Coke is helping us fight obesity like tobacco helped us fight lung cancer.”

The Center for Science in the Public Interest (CSPI) stated on their website, “The soda industry is under siege, and for good reason. This new advertising campaign is just a damage control exercise, and not a meaningful contribution toward addressing obesity. What the industry is trying to do is forestall sensible policy approaches to reducing sugary drink consumption, including taxes, further exclusion from public facilities, and caps on serving sizes such as the measure proposed by Mayor Bloomberg.”

More Read

VIVUS, Inc., Presses the Case for Obesity Drug Qnexa, Market Success
Economic Stress Linked to Poor Brain Development in Children
Person-Centered HealthCare: Using Medical Education to Drive Adoption of High-Value Care
Bioethics Commission Calls for More Communication, Proactivity When Dealing with Incidental Findings
Antibiotics’ Scary Future

In response, Coca-Cola issued a statement that read: “This is irresponsible and the usual grandstanding from CSPI. It won’t help anyone understand energy balance, which is key according to recognized experts who’ve studied this issue — a group that doesn’t include CSPI. Enough said.”

Coca-Cola company is simply incorrect in their statement: Calories in equal calories out is the physics formula that many have incorrectly used to describe how to lose weight. In Coca-Cola’s world, almost any calorie is fine, if you expend the energy. That is not the case. It is not a simple matter of taking in and expending calories, it is a matter of what you do with those calories once you have them. We blogged about fructose as a health issue and you can read that by clicking here.

To summarize the scientific communities findings: fructose is not metabolized by the body or used as an energy source, and about 1/3 of it will be metabolized to fat. Fructose is half of what makes up table sugar, and 55% of the high fructose corn syrup that Coke puts into its sugared drinks in the United States. This is not simple energy expenditure- one cannot simply exercise off the calories from coke by expending the 140 calories per can, one must mobilize fat stores in order to get rid of the fat that is stored there. Other effects of fructose include include short-circuiting the system for appetite suppression and insulin production (all bad).

Fructose in nature is complexed with fiber, so that it is not easily absorbed into the bloodstream. Fructose that has been purified, such as in table sugar, or high fructose corn syrup, is not complexed with fiber, and will be absorbed quickly by the intestine.

As a weight loss surgeon, we see free sugar, particularly fructose, as a major problem with obesity in the United States. In my practice we tell our patients that soda is something we want them to give up entirely. Not only those drinks that have sugar or high fructose corn syrup, but also the sugar free variety.

Obesity is on the rise, which is good for we weight loss surgeon’s. Increasing obesity, as happens when people take too much fructose, does mean we will get to study obesity more. But the answer, as Coca-Cola implies, is not a matter of energy expenditure – it is a matter of an ingredient, fructose, that does more than put passive calories into the body.

Coca-cola is not to be let off so easily as to simply be disingenuous: Their corporate culture looks good, but what do they do, not what do they say. For example coca-cola says they do not market to children, the most vulnerable group in our society. To quote them:

“We have a global Responsible Marketing Policy that covers all our beverages, and we do not market any products directly to children under 12. This means we will not buy advertising directly targeted at audiences that are more than 35% children under 12. Our policy applies to television, radio, and print, and, where data is available, to the Internet and mobile phones.”

Which brings me to the polar bears – cute advertisement, or the Santa with the coca-cola. Or the fruit drinks, most of which have no fruit in them, or the “energy” drinks- which contain no energy, and should not be marketed to anyone under 18. Coca-cola has an increasing presence on the internet, as well as making cartoons. Did you ever notice where the shelf space is for drinks in your supermarket? See who would see those first- kids or adults.  In a study out of Yale looking at prime time advertising concluded:

Brand appearances for most food industry companies, except for Coca-Cola, are relatively rare during prime-time programming with large youth audiences. Coca-Cola has pledged to refrain from advertising to children, yet the average child views almost four Coke appearances on prime-time TV every week. This analysis reveals a substantial, potential loophole in current food industry self-regulatory pledges to advertise only better-for-you foods to children.

WHAT ABOUT NON-SUGAR DRINKS

MYTH: You will lose weight if you use artificial sweeteners.

People who use artificial sweeteners tend to overeat. The issue with artificial sweeteners is they have a sweeter taste than sugar, and to balance that sweet taste people tend to eat more. Rats whose feed was supplemented with artificial sweeteners had an increase in appetite, which resulted in weight gain.

We are not rats, but avoiding an overly sweet taste is important. It is no accident that while many of my weight loss patients consume large quantities of diet cola, they still consume a lot of calories to go with it. When my patients stop consuming soda, they lose more weight.

For our patients we recommend they make their own drinks- including smoothies. A wonderful alternative to artificial sweeteners in smoothies is blueberries, which are a great natural sweetener – meaning the fructose is complexed with fiber so absorption is less.

Real Sweeteners: While some consider sugar the enemy of health, they are only half right. White sugar, called sucrose, contains two sugars: glucose and fructose bonded together. Glucose is the good half. Every cell in your body uses glucose for fuel. Fructose is the bad half, your body cannot use fructose for fuel. About 30% of the fructose is turned into “belly fat,” . High Fructose Corn Syrup (HFCS) has replaced sugar in many convenience and processed foods. HFCS has more fructose than table sugar, thus contributes more to obesity. HFCS was first introduced in the 40 years ago and today the average person consumes 63 pounds of HCFS per year! You can find HFCS in many things, from soda,juices, yogurts, pastry, breads, and anywhere sweeteners are used. Another reason to avoid convenience foods. Many of the “fruit” drinks that one would think are healthy- contain little fruit and a lot of HFCS. I was surprised when I went to the supermarket to find HFCS as the second highest ingredient in a number of “healthy” drinks and foods (like Welch’s)

Coke HFCS

Drinks like this account for a lot of obesity. In my opinion, they should not be allowed to be served to minors

:

You can buy glucose – it is called dextrose. If you want a healthier sweetener, dextrose is it. But since it is less “sweet” it is doubtful that coca-cola will put it into their drinks anytime soon (its about 70% as sweet as table sugar).

The problem is not a matter of “moderation.” Although moderation is a good step, and we applaud what Bloomberg did in NYC. Clearly getting rid of junk foods in schools works (see that link here).

Coke advertising to fight obesity is like tobacco companies advertising about fighting lung cancer. By providing the substrate to make more of it, they give more opportunity to find expensive ways to combat it (like surgery). Prevention, avoiding these drinks in kids, limiting consumption in adults, and avoiding them in anyone who is obese, would be a start. Advertising that we need to move more to make up for the 140 calories is not only incorrect, it is false advertising.

 

REFERENCES:

Artificial sweeteners have been found to change some brain functions that increase eating behavior.

Appetite 2012 Pub Med ID 22178008

Increase in artificial sweeteners increase obesity in rodents.

Physiol Behav 2010 Pub Med ID 20060008

Artificial sweeteners and their relationship with weight gain in teens.

Int J Pediatr Obes 2010 Pub Med ID 20078374

Every year you hear about how kids who eat a lot of sugar are my hyper than kids who don’t. In spite of study after study showing this isn’t the case. My favorite study showed that if mom’s rate their kids more hyper if they think their kids got sugar. Still, these ideas persist. One thing is clear, that when kids eat more junk food, they tend to be more hyper – it is difficult to determine if that is kids being left alone to eat out and they eat junk, families not eating together and sitting down at a meal – either way do yourself and your kids a favor: learn to cook, eat at home, spend time with your family.

N Engl J. Med 1994 Pub Med ID 7963081 Clin Nutr. 2009 Pub Med ID 18059416

Fructose may be more of a problem than we thought. When people are placed on a high fructose diet there is an increase in fat deposited in the liver, an increasing level of VLDL – very low density lipoproteins, which is major risk factor for heart disease, and increased insulin resistance. The increase in uric acid deposition is one of the reasons that when some people get “off sugar” their joints feel better.

High Fructose Corn Syrup is sweeter than table sugar, and contains more fructose (fructose tastes sweeter). It is not the “equivalent” of sugar, and that extra fructose adds to the problems. When rats are fed diets that use HFCS instead of sugar, they gained more weight, more weight in the abdomen, and increased levels of serum triglycerides. In another study, rats who were deficient in omega-3 fatty acids but fed on a high fructose diet did not repair their brain as well. So when the corn industry says that high fructose corn syrup is about the same as table sugar I have two answers: (a) no one said that table sugar is good for you and (b) the studies are clear that the extra bit of fructose in high fructose corn syrup has a bad effect on people’s weight, heart, and brain.

Cooking your own food, relying less on processed foods, means you won’t have this in your diet. Think about it this way: that extra fructose you have per day may not be much, but it adds up. Drinking one 48 ounce sugar filled drink a day leads to 10 pounds in a year of fat from fructose alone, or two 12 ounce cans leads to 5 pounds a year. That is just fat- not the extra calories that your may store with it. Add the high fructose corn syrup up in all you eat, and it is easy to see small weight gain over the year.

Am J Clin Nutr 2009 Pub Med ID 19403641 Pharmacol Biochem Behav 2010 Pub Med ID 20219526

There is an increasing worry among some that the high fructose corn syrup, which has replaced sucrose (table sugar) in many processed foods is responsible for obesity. Consumption of any caloric sweeteners, including table sugar and high fructose corn syrup needs to decrease. Long term studies continue to show the impact of fructose on our health

J Am Coll Nutr 2009 Pub Med ID 20516261

Many will say fructose is just “fruit sugar,” and make the statement that it is good for you. There is a difference between refined fructose, and eating a grapefruit. When you eat a grapefruit the amount of fructose that is bioavailable is far less than when you eat refined fructose (as in sucrose or high fructose corn syrup). The fructose in a fruit is bound to fiber, and thus less is available to you. When tested HFCS has higher fructose concentration than sucrose

Metabolism 2012 Pub Med ID 22152650

A review article about fructose and how the refined version has correlated with the risks of obesity, diabetes, and cardiac disease.

J Diabetes Sci Technol 2010 Pub Med ID 200663467

Fructose contributes to fat in the liver – sometimes we call it fatty liver disease. This is more than a cosmetic issue, as fatty liver can progress to fibrosis which is scar, and this is cirrhosis. Fatty liver has now become the number one cause for needing liver transplants. Daily fructose ingestion was found to lead to increase fibrosis (scaring or cirrhosis) of the liver.

Hepatology 2010 Pub Med ID 20301112

As High Fructose Corn Syrup goes into the western world there is an increase in type 2 diabetes that is independent of obesity. As China is getting fatter, and other countries, the one factor that has changed is (a) more restaurants from America and (b) more high fructose corn syrup

Glob Public Health 2012 Pub Med ID 23181629

Below is an analysis of prime time television and the increasing product placement of Coca-cola, in violation of their own policy.

Child and adolescent exposure to food and beverage brand appearances during prime-time television programming. Speers SE, Harris JL, Schwartz MB. Am J Prev Med. 2011 Sep;41(3):291-6. doi: 10.1016/j.amepre.2011.04.018. Pub Med ID 21855743

TAGGED:coca-colacokeobesity
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Do You Grind Your Teeth at Night? Here’s How Night Guards and TMJ Treatments Can Help
Do You Grind Your Teeth at Night? Here’s How Night Guards and TMJ Treatments Can Help
Dental health
May 21, 2025
The Secret To A Confident Smile: Top Tips For Better Teeth
The Secret To A Confident Smile: Top Tips For Better Teeth
Dental health
May 21, 2025
Clinical Expertise
Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
Health care
May 18, 2025
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025

You Might also Like

Mayo Clinic Driving Innovation to Improve Quality

August 29, 2012
obamacare implementation
BusinessHealth ReformPolicy & LawPublic Health

Making Sense of the Technical Difficulties in ObamaCare Implementation

October 9, 2013
obesity and cancer
Specialties

The Obesity-Cancer Connection

September 2, 2013

What is Killer Number 1 ?

February 1, 2013
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?