Skip to main content
Top
Published in: Globalization and Health 1/2020

01-12-2020 | Obesity | Research

Benchmarking the transparency, comprehensiveness and specificity of population nutrition commitments of major food companies in Malaysia

Authors: SeeHoe Ng, Gary Sacks, Bridget Kelly, Heather Yeatman, Ella Robinson, Boyd Swinburn, Stefanie Vandevijvere, Karuthan Chinna, Mohd Noor Ismail, Tilakavati Karupaiah

Published in: Globalization and Health | Issue 1/2020

Login to get access

Abstract

Background

The aim of this study was to assess the commitments of food companies in Malaysia to improving population nutrition using the Business Impact Assessment on population nutrition and obesity (BIA-Obesity) tool and process, and proposing recommendations for industry action in line with government priorities and international norms.

Methods

BIA-Obesity good practice indicators for food industry commitments across a range of domains (n = 6) were adapted to the Malaysian context. Euromonitor market share data was used to identify major food and non-alcoholic beverage manufacturers (n = 22), quick service restaurants (5), and retailers (6) for inclusion in the assessment. Evidence of commitments, including from national and international entities, were compiled from publicly available information for each company published between 2014 and 2017. Companies were invited to review their gathered evidence and provide further information wherever available. A qualified Expert Panel (≥5 members for each domain) assessed commitments and disclosures collected against the BIA-Obesity scoring criteria. Weighted scores across domains were added and the derived percentage was used to rank companies. A Review Panel, comprising of the Expert Panel and additional government officials (n = 13), then formulated recommendations.

Results

Of the 33 selected companies, 6 participating companies agreed to provide more information. The median overall BIA-Obesity score was 11% across food industry sectors with only 8/33 companies achieving a score of > 25%. Participating (p < 0.001) and global (p = 0.036) companies achieved significantly higher scores than non-participating, and national or regional companies, respectively. Corporate strategy related to population nutrition (median score of 28%) was the highest scoring domain, while product formulation, accessibility, and promotion domains scored the lowest (median scores < 10%). Recommendations included the establishment of clear targets for product formulation, and strong commitments to reduce the exposure of children to promotion of unhealthy foods.

Conclusions

This is the first BIA-Obesity study to benchmark the population nutrition commitments of major food companies in Asia. Commitments of companies were generally vague and non-specific. In the absence of strong government regulation, an accountability framework, such as provided by the BIA-Obesity, is essential to monitor and benchmark company action to improve population nutrition.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384:766–81.PubMedPubMedCentralCrossRef Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384:766–81.PubMedPubMedCentralCrossRef
2.
go back to reference Institute for Public Health. National Health and Morbidity Survey. 2015: Non-communicable diseases, Risk Factors & Other Health Problems. Kuala Lumpur: National Institutes of Health, Ministry of Health; 2015. Institute for Public Health. National Health and Morbidity Survey. 2015: Non-communicable diseases, Risk Factors & Other Health Problems. Kuala Lumpur: National Institutes of Health, Ministry of Health; 2015.
3.
go back to reference World Health Organization (WHO). Noncommunicable diseases country profiles 2018. Geneva: WHO; 2018. World Health Organization (WHO). Noncommunicable diseases country profiles 2018. Geneva: WHO; 2018.
5.
go back to reference Baker P, Kay A, Walls H. Trade and investment liberalization and Asia’s noncommunicable disease epidemic: a synthesis of data and existing literature. Glob Health. 2014;10:66. Baker P, Kay A, Walls H. Trade and investment liberalization and Asia’s noncommunicable disease epidemic: a synthesis of data and existing literature. Glob Health. 2014;10:66.
6.
go back to reference Baker P, Friel S. Food systems transformations, ultra-processed food markets and the nutrition transition in Asia. Glob Health. 2016;12:88. Baker P, Friel S. Food systems transformations, ultra-processed food markets and the nutrition transition in Asia. Glob Health. 2016;12:88.
7.
go back to reference Monteiro CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev. 2013;14(Suppl 2):21–8.PubMedCrossRef Monteiro CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev. 2013;14(Suppl 2):21–8.PubMedCrossRef
8.
go back to reference Vandevijvere S, Jaacks LM, Monteiro CA, Moubarac JC, Girling-Butcher M, Lee AC, et al. Global trends in ultraprocessed food and drink product sales and their association with adult body mass index trajectories. Obes Rev. 2019;20(S2):10–19. Vandevijvere S, Jaacks LM, Monteiro CA, Moubarac JC, Girling-Butcher M, Lee AC, et al. Global trends in ultraprocessed food and drink product sales and their association with adult body mass index trajectories. Obes Rev. 2019;20(S2):10–19.
10.
go back to reference Karupaiah T, Chuah KA, Chinna K, Pressman P, Clemens RA, Hates AW, et al. A cross-sectional study on the dietary pattern impact on cardiovascular disease biomarkers in Malaysia. Sci Rep. 2019;9:13666.PubMedPubMedCentralCrossRef Karupaiah T, Chuah KA, Chinna K, Pressman P, Clemens RA, Hates AW, et al. A cross-sectional study on the dietary pattern impact on cardiovascular disease biomarkers in Malaysia. Sci Rep. 2019;9:13666.PubMedPubMedCentralCrossRef
11.
go back to reference Buse K, Tanaka S, Hawkes S. Healthy people and healthy profits? Elaborating a conceptual framework for governing the commercial determinants of non-communicable diseases and identifying options for reducing risk exposure. Glob Health. 2017;13:34.CrossRef Buse K, Tanaka S, Hawkes S. Healthy people and healthy profits? Elaborating a conceptual framework for governing the commercial determinants of non-communicable diseases and identifying options for reducing risk exposure. Glob Health. 2017;13:34.CrossRef
12.
go back to reference Kickbusch I. Addressing the commercial determinants is critical to emerging economies. Ciênc Saúde Colet. 2015;20(4):969.CrossRef Kickbusch I. Addressing the commercial determinants is critical to emerging economies. Ciênc Saúde Colet. 2015;20(4):969.CrossRef
13.
go back to reference World Health Organization (WHO). Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020. Geneva: WHO; 2013. World Health Organization (WHO). Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020. Geneva: WHO; 2013.
15.
go back to reference Economic Planning Unit (EPU). Eleventh Malaysia Plan 2016–2020: Anchoring Growth on People. Putrajaya: EPU, Prime Minister’s Department; 2015. Economic Planning Unit (EPU). Eleventh Malaysia Plan 2016–2020: Anchoring Growth on People. Putrajaya: EPU, Prime Minister’s Department; 2015.
16.
go back to reference National Coordinating Committee on Food and Nutrition (NCCFN). The National Plan of Action for Nutrition of Malaysia (NPANM III) 2016–2025. Putrajaya: NCCFN, MOH; 2016. National Coordinating Committee on Food and Nutrition (NCCFN). The National Plan of Action for Nutrition of Malaysia (NPANM III) 2016–2025. Putrajaya: NCCFN, MOH; 2016.
17.
go back to reference Ministry of Health (MOH). National Strategic Plan for Non-communicable Diseases (NSP-NCD) 2010-2014. Putrajaya: Non-Communicable Disease Section, Disease Control Division, MOH; 2010. Ministry of Health (MOH). National Strategic Plan for Non-communicable Diseases (NSP-NCD) 2010-2014. Putrajaya: Non-Communicable Disease Section, Disease Control Division, MOH; 2010.
18.
go back to reference Ministry of Health (MOH). National Strategic Plan for Non-communicable Disease (NSP-NCD) 2016-2025. Putrajaya: Public Health Department, MOH; 2016. Ministry of Health (MOH). National Strategic Plan for Non-communicable Disease (NSP-NCD) 2016-2025. Putrajaya: Public Health Department, MOH; 2016.
22.
go back to reference Sacks G, Swinburn B, Kraak V, Downs S, Walker C, Barquera S, et al. A proposed approach to monitor private sector policies and practices related to food environments, obesity and non-communicable disease prevention. Obes Rev. 2013;14(Suppl 1):38–48.PubMedCrossRef Sacks G, Swinburn B, Kraak V, Downs S, Walker C, Barquera S, et al. A proposed approach to monitor private sector policies and practices related to food environments, obesity and non-communicable disease prevention. Obes Rev. 2013;14(Suppl 1):38–48.PubMedCrossRef
23.
go back to reference Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The global Syndemic of obesity, Undernutrition, and climate change: the lancet commission report. Lancet. 2019;393:791–846.PubMedCrossRef Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The global Syndemic of obesity, Undernutrition, and climate change: the lancet commission report. Lancet. 2019;393:791–846.PubMedCrossRef
24.
go back to reference World Health Organization (WHO). Time to Deliver: Report of the WHO Independent High-Level Commission on Noncommunicable Diseases. Geneva: WHO; 2018. World Health Organization (WHO). Time to Deliver: Report of the WHO Independent High-Level Commission on Noncommunicable Diseases. Geneva: WHO; 2018.
25.
go back to reference Access to Nutrition Foundation (ATNF). Access to Nutrition Index – Global Index 2013. Netherlands: ATNF; 2013. Access to Nutrition Foundation (ATNF). Access to Nutrition Index – Global Index 2013. Netherlands: ATNF; 2013.
26.
go back to reference Access to Nutrition Foundation (ATNF). Access to Nutrition Index – Global Index 2018. Netherlands: ATNF; 2018. Access to Nutrition Foundation (ATNF). Access to Nutrition Index – Global Index 2018. Netherlands: ATNF; 2018.
27.
go back to reference Sacks G, Vanderlee V, Robinson E, Vandevijvere S, Cameron AJ, Mhurchu CN, et al. BIA-obesity (business impact assessment – obesity and population-level nutrition): a tool and process to assess food company policies and commitments related to obesity prevention and population nutrition at the national level. Obes Rev. 2019;20(S2):78–89. Sacks G, Vanderlee V, Robinson E, Vandevijvere S, Cameron AJ, Mhurchu CN, et al. BIA-obesity (business impact assessment – obesity and population-level nutrition): a tool and process to assess food company policies and commitments related to obesity prevention and population nutrition at the national level. Obes Rev. 2019;20(S2):78–89.
28.
go back to reference Sacks G. Robinson E for INFORMAS. Inside our food and beverage manufacturers: assessment of company policies and commitments related to obesity prevention and nutrition, Australia 2018. Melbourne: Deakin University; 2018. Sacks G. Robinson E for INFORMAS. Inside our food and beverage manufacturers: assessment of company policies and commitments related to obesity prevention and nutrition, Australia 2018. Melbourne: Deakin University; 2018.
29.
go back to reference Sacks G. Robinson E for INFORMAS. Inside our quick service restaurants: assessment of company policies and commitments related to obesity prevention and nutrition, Australia 2018. Melbourne: Deakin University; 2018. Sacks G. Robinson E for INFORMAS. Inside our quick service restaurants: assessment of company policies and commitments related to obesity prevention and nutrition, Australia 2018. Melbourne: Deakin University; 2018.
30.
go back to reference Sacks G, Robinson E. Cameron a for INFORMAS. Inside our supermarkets: assessment of company policies and commitments related to obesity prevention and nutrition, Australia 2018. Melbourne: Deakin University; 2018. Sacks G, Robinson E. Cameron a for INFORMAS. Inside our supermarkets: assessment of company policies and commitments related to obesity prevention and nutrition, Australia 2018. Melbourne: Deakin University; 2018.
31.
go back to reference Kasture A, Vandevijvere S, Robinson E, Sacks G, Swinburn B. Benchmarking the commitments related to population nutrition and obesity prevention of major food companies in New Zealand. Int J Public Health. 2019;64:1147–57.PubMedCrossRef Kasture A, Vandevijvere S, Robinson E, Sacks G, Swinburn B. Benchmarking the commitments related to population nutrition and obesity prevention of major food companies in New Zealand. Int J Public Health. 2019;64:1147–57.PubMedCrossRef
32.
go back to reference Vanderlee L, Verger L, Sacks G, Robinson E, L’Abbé M. Food and beverage manufacturers in Canada: policies and commitments to improve the food environment. Toronto: The University of Toronto; 2019. Vanderlee L, Verger L, Sacks G, Robinson E, L’Abbé M. Food and beverage manufacturers in Canada: policies and commitments to improve the food environment. Toronto: The University of Toronto; 2019.
33.
go back to reference Kraak V, Patiño SRG, Renukuntla D, Kim E. Progress evaluation for transnational restaurant chains to reformulate products and standardize portions to meet healthy dietary guidelines and reduce obesity and non-communicable disease risks, 2000–2018: a scoping and systematic review to inform policy. Int J Environ Res Public Health. 2019;16(2732):1–31. Kraak V, Patiño SRG, Renukuntla D, Kim E. Progress evaluation for transnational restaurant chains to reformulate products and standardize portions to meet healthy dietary guidelines and reduce obesity and non-communicable disease risks, 2000–2018: a scoping and systematic review to inform policy. Int J Environ Res Public Health. 2019;16(2732):1–31.
40.
go back to reference Vandevijvere S, Kasture A, Sacks G, Robinson E, Mackay S, Swinburn B. Committing to health: food company policies for healthier food environments. Company assessments and recommendations using the business impact assessment on obesity and population nutrition (BIA-obesity) tool. New Zealand: The University of Auckland; 2018. Vandevijvere S, Kasture A, Sacks G, Robinson E, Mackay S, Swinburn B. Committing to health: food company policies for healthier food environments. Company assessments and recommendations using the business impact assessment on obesity and population nutrition (BIA-obesity) tool. New Zealand: The University of Auckland; 2018.
41.
go back to reference Baharad E, Ben-Yashar R, Nitzan S. Variable competence and collective performance: unanimity vs. simple majority rule. Tokyo: Hitotsubashi Institute for Advanced Study, Hitotsubashi University; 2018. Baharad E, Ben-Yashar R, Nitzan S. Variable competence and collective performance: unanimity vs. simple majority rule. Tokyo: Hitotsubashi Institute for Advanced Study, Hitotsubashi University; 2018.
42.
go back to reference World Health Organization (WHO). WHO nutrient profile model for the Western Pacific Region 2016: a tool to protect children from food marketing. Manila: WHO, Regional Office for the Western Pacific; 2016. World Health Organization (WHO). WHO nutrient profile model for the Western Pacific Region 2016: a tool to protect children from food marketing. Manila: WHO, Regional Office for the Western Pacific; 2016.
43.
go back to reference World Health Organization (WHO). WHO Nutrient Profile Model for South-East Asia Region. New Delhi: WHO, Regional Office for South-East Asia; 2017. World Health Organization (WHO). WHO Nutrient Profile Model for South-East Asia Region. New Delhi: WHO, Regional Office for South-East Asia; 2017.
44.
go back to reference Cetthakrikul N, Phulkerd S, Jaichuen N, Sacks G, Tangcharoensathien V. Assessment of the stated policies of prominent food companies related to obesity and non-communicable disease (NCD) prevention in Thailand. Glob Health. 2019;15:12.CrossRef Cetthakrikul N, Phulkerd S, Jaichuen N, Sacks G, Tangcharoensathien V. Assessment of the stated policies of prominent food companies related to obesity and non-communicable disease (NCD) prevention in Thailand. Glob Health. 2019;15:12.CrossRef
45.
go back to reference Sacks G, Mialon M, Vandevijvere S, Trevena H, Snowdon W, Crino M, et al. Comparison of food industry policies and commitments on marketing to children and product (re)formulation in Australia, New Zealand and Fiji. Crit Public Health. 2015;25(3):299–319.CrossRef Sacks G, Mialon M, Vandevijvere S, Trevena H, Snowdon W, Crino M, et al. Comparison of food industry policies and commitments on marketing to children and product (re)formulation in Australia, New Zealand and Fiji. Crit Public Health. 2015;25(3):299–319.CrossRef
46.
go back to reference Bursa Malaysia Securities Berhad (Bursa Malaysia). Sustainability Reporting Guide. 2nd ed. Kuala Lumpur: Bursa Malaysia; 2018. Bursa Malaysia Securities Berhad (Bursa Malaysia). Sustainability Reporting Guide. 2nd ed. Kuala Lumpur: Bursa Malaysia; 2018.
47.
go back to reference Swinburn B, Kraak V, Rutter H, Vandevijvere S, Lobstein T, Sacks G, et al. Strengthening of accountability systems to create healthy food environments and reduce global obesity. Lancet. 2015;385(9986):2534–45.PubMedCrossRef Swinburn B, Kraak V, Rutter H, Vandevijvere S, Lobstein T, Sacks G, et al. Strengthening of accountability systems to create healthy food environments and reduce global obesity. Lancet. 2015;385(9986):2534–45.PubMedCrossRef
48.
go back to reference Mialon M, Swinburn B, Sacks G. A proposed approach to systematically identify and monitor the corporate political activity of the food industry with respect to public health using publicly available information. Obes Rev. 2015;16(7):519–30.PubMedCrossRef Mialon M, Swinburn B, Sacks G. A proposed approach to systematically identify and monitor the corporate political activity of the food industry with respect to public health using publicly available information. Obes Rev. 2015;16(7):519–30.PubMedCrossRef
49.
go back to reference Collin J, Hill SE, Eltanani MK, Plotnikova E, Ralston R, Smith KE. Can public health reconcile profits and pandemics? An analysis of attitudes to commercial sector engagement in health policy and research. PLoS One. 2017;12(9):e0182612.PubMedPubMedCentralCrossRef Collin J, Hill SE, Eltanani MK, Plotnikova E, Ralston R, Smith KE. Can public health reconcile profits and pandemics? An analysis of attitudes to commercial sector engagement in health policy and research. PLoS One. 2017;12(9):e0182612.PubMedPubMedCentralCrossRef
50.
go back to reference Kraak VI, Harrigan PB, Lawrence M, Harrison PJ, Jackson MA, Swinburn B. Balancing the benefits and risks of public-private partnerships to address the global double burden of malnutrition. Public Health Nutr. 2011;15(3):503–17.PubMedCrossRef Kraak VI, Harrigan PB, Lawrence M, Harrison PJ, Jackson MA, Swinburn B. Balancing the benefits and risks of public-private partnerships to address the global double burden of malnutrition. Public Health Nutr. 2011;15(3):503–17.PubMedCrossRef
51.
go back to reference Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013;381:670–9.PubMedCrossRef Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013;381:670–9.PubMedCrossRef
52.
go back to reference Draper AK, Adamson AJ, Clegg S, Malam S, Rigg M, Duncan S. Front-of-pack nutrition labelling: are multiple formats a problem for consumers? Eur J Pub Health. 2011;23(3):517–21.CrossRef Draper AK, Adamson AJ, Clegg S, Malam S, Rigg M, Duncan S. Front-of-pack nutrition labelling: are multiple formats a problem for consumers? Eur J Pub Health. 2011;23(3):517–21.CrossRef
53.
go back to reference Kelly B, Jewell J. Health evidence network (HEN) synthesis report 61: what is the evidence on the policy specifications, development processes and effectiveness of existing front-of-pack food labelling policies in the WHO European Region? WHO regional Office for Europe: Copenhagen; 2018. Kelly B, Jewell J. Health evidence network (HEN) synthesis report 61: what is the evidence on the policy specifications, development processes and effectiveness of existing front-of-pack food labelling policies in the WHO European Region? WHO regional Office for Europe: Copenhagen; 2018.
54.
go back to reference Federation of Malaysian Consumers Associations (FOMCA). Malaysian Consumers Wishlist for the 13th General Election. Petaling Jaya: FOMCA; 2012. Federation of Malaysian Consumers Associations (FOMCA). Malaysian Consumers Wishlist for the 13th General Election. Petaling Jaya: FOMCA; 2012.
59.
go back to reference Ng SH, Swinburn B, Kelly B, Vandevijvere S, Yeatman H, Ismail MN, et al. Extent of implementation of food environment policies by the Malaysian government: gaps and priority recommendations. Public Health Nutr. 2018;21(18):3395–406.PubMedCrossRef Ng SH, Swinburn B, Kelly B, Vandevijvere S, Yeatman H, Ismail MN, et al. Extent of implementation of food environment policies by the Malaysian government: gaps and priority recommendations. Public Health Nutr. 2018;21(18):3395–406.PubMedCrossRef
60.
go back to reference Wootan MG, Almy J, Ugalde M, Kaminski M. How do nutrition guidelines compare for industry to market food and beverage products to children? World Health Organization nutrient profile standards versus the US Children’s food and beverage advertising initiative. Child Obes. 2019;15(3):194–9.PubMedCrossRef Wootan MG, Almy J, Ugalde M, Kaminski M. How do nutrition guidelines compare for industry to market food and beverage products to children? World Health Organization nutrient profile standards versus the US Children’s food and beverage advertising initiative. Child Obes. 2019;15(3):194–9.PubMedCrossRef
61.
go back to reference Sacks G, Rayner M, Stockley L, Scarborough P, Snowdon W, Swinburn B. Applications of nutrient profiling: potential role in diet-related chronic disease prevention and the feasibility of a core nutrient-profiling system. Eur J Clin Nutr. 2011;65:298–306.PubMedCrossRef Sacks G, Rayner M, Stockley L, Scarborough P, Snowdon W, Swinburn B. Applications of nutrient profiling: potential role in diet-related chronic disease prevention and the feasibility of a core nutrient-profiling system. Eur J Clin Nutr. 2011;65:298–306.PubMedCrossRef
Metadata
Title
Benchmarking the transparency, comprehensiveness and specificity of population nutrition commitments of major food companies in Malaysia
Authors
SeeHoe Ng
Gary Sacks
Bridget Kelly
Heather Yeatman
Ella Robinson
Boyd Swinburn
Stefanie Vandevijvere
Karuthan Chinna
Mohd Noor Ismail
Tilakavati Karupaiah
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Globalization and Health / Issue 1/2020
Electronic ISSN: 1744-8603
DOI
https://doi.org/10.1186/s12992-020-00560-9

Other articles of this Issue 1/2020

Globalization and Health 1/2020 Go to the issue