Van Tulleken Links Ultra-Processed Food to Early Death, Calls for Bans

The Junk Food Doctor: "THIS Food Is Worse Than Smoking!" - Chris Van Tulleken Ultra-Processed People — The Diary Of A CEO

The Diary Of A CEO

Ultra-processed food alters brain chemistry to drive overeating and causes more global deaths than tobacco, requiring strict regulatory action and an end to corporate policy influence.

AI-assisted summary of The Junk Food Doctor: "THIS Food Is Worse Than Smoking!" - Chris Van Tulleken Ultra-Processed People — original source. Check the original for full context.

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## Background This video was published on YouTube by The Diary Of A CEO channel on October 23, 2023. The page description features a conversation with Dr. Chris van Tulleken discussing his book 'Ultra-Processed People' and how ultra-processed foods impact human health, nutrition, and addiction.

## TL;DR Dr. Chris van Tulleken explains how ultra-processed food (UPF) has quietly rewritten our food environment, triggering addiction pathways and causing global health crises like obesity, diabetes, and early mortality. Drawing from evolutionary biology, personal dietary experiments, and industry insights, he demonstrates how financial incentives drive corporations to manufacture soft, hyper-palatable non-foods that bypass innate satiety mechanisms. Ultimately, van Tulleken dismantles the myth of individual willpower, framing UPF consumption as a systemic social justice issue that demands policy reform, corporate accountability, and a shift toward viewing industrial food with disgust.

## Atmosphere & style The conversation carries an urgent, eye-opening, and deeply grounded tone as host Steven Bartlett and Dr. Chris van Tulleken explore the hidden reality of the modern food industry. Van Tulleken blends rigorous scientific authority with empathetic candor, moving fluidly between shocking statistics, personal anecdotes, and practical insights. The dialogue creates a compelling emotional arc that transitions from quiet alarm and outrage over corporate tactics to a reassuring sense of agency, empowerment, and pragmatic optimism.

## Key takeaways - [00:00](https://www.youtube.com/watch?v=dzUDhstqXbg&t=0s) In the UK, poor dietary quality, largely driven by ultra-processed foods (UPF), has overtaken tobacco as the primary cause of early mortality globally. - [02:45](https://www.youtube.com/watch?v=dzUDhstqXbg&t=165s) Ultra-processed foods meet clinical diagnostic criteria for addiction, impacting brain circuitry in ways similar to tobacco, alcohol, and gambling. - [06:36](https://www.youtube.com/watch?v=dzUDhstqXbg&t=396s) Framing obesity as a failure of individual willpower is scientifically, morally, and economically flawed, as weight trends shifted systematically across populations following changes to the food environment around 1975. - [16:42](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1002s) UPFs are industrial formulations designed from cheap commodity extracts (like soy, corn, and dairy waste) specifically to maximize profit margins and shelf appeal rather than nourish. - [19:21](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1161s) Mechanical processing and unnaturally soft textures enable rapid calorie consumption that bypasses the body's natural satiety signals. - [22:41](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1361s) Marketing tactics, such as front-of-pack health claims and small serving sizes on front-of-pack labels, obscure high sugar content and metabolic confusion caused by synthetic additives and sweeteners. - [35:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2148s) A month-long 80% UPF experiment resulted in rapid weight gain, increased neural connectivity between reward centers and habit-driven brain regions, and elevated hunger hormones after eating. - [40:12](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2412s) High UPF diets are linked to mental health disruptions, sleep fragmentation, constipation, and long-term risk of cognitive decline. - [45:57](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2757s) Dr. Clara Davis's 1920s experiment demonstrated that infants and toddlers naturally self-regulate their nutritional needs when offered unprocessed whole foods. - [53:24](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3204s) The 'calories in, calories out' model fails because the human body operates under a constrained energy expenditure model where total daily energy burn remains relatively fixed regardless of exercise levels. - [01:00:33](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3633s) Gene expression related to obesity is heavily influenced by the socio-economic food environment, with living in poverty significantly increasing exposure and vulnerability to high-UPF diets. - [01:18:09](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4689s) Overcoming UPF consumption relies on an emotional shift from infatuation to disgust by recognizing these products as artificial, non-food entities. - [01:13:31](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4411s) Addressing the public health crisis requires three key policy changes: reducing poverty, implementing clear warning labels on packaging, and eliminating food industry influence from public health policy.

## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=dzUDhstqXbg&t=0s) Intro and the Looming Health Crisis

Dr. Chris van Tulleken opens with a sobering personal experiment: after consuming a standard British diet high in ultra-processed foods (UPF), he rapidly gained weight, entering a dark, vicious cycle characterized by persistent overeating, anxiety, and sleeplessness. Brain scans later revealed structural shifts in his neural circuitry, warning that continuing this dietary pattern for even a single year would cause irreversible damage.

Across the globe, diet-related chronic illnesses have reached epidemic proportions. In the UK, one in five people now derive 80% of their daily energy intake from ultra-processed food. Globally, poor diet has quietly surpassed tobacco as the leading cause of premature human death. Beyond mortality, the physiological consequences on child development are striking: four-to-five-year-old children in the UK are on average 9 cm shorter than their peers in countries with healthier, whole-food traditions—a physical stunting that carries inevitable intellectual and cognitive consequences.

- **Global Caloric Control:** 75% of all calories consumed worldwide originate from just six multinational agribusiness corporations. - **Leading Cause of Early Death:** Poor dietary quality has officially eclipsed smoking as the top risk factor for early mortality globally. - **Stunted Development:** Children at age five in the UK are 9 cm shorter than same-aged peers in nations with lower UPF consumption.

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[02:45](https://www.youtube.com/watch?v=dzUDhstqXbg&t=165s) The Motivation Behind *Ultra-Processed People*

When host Steven Bartlett asks why Chris dedicated years of painstaking effort to authoring *Ultra-Processed People*, Chris explains that society has long lacked a clear, scientifically rigorous framework to classify what we consume. Terminology like "junk food," "processed food," or "high fat, salt, and sugar (HFSS)" fails to capture the true mechanism of harm. Meanwhile, the industrial food system driving this crisis doubles as a primary catalyst for environmental destruction—ranking as the single largest cause of global biodiversity loss, the leading source of plastic pollution, and the second-largest contributor to greenhouse gas emissions.

The modern scientific understanding of ultra-processed food originated around 2009–2010 through the work of public health researchers in Brazil led by Carlos Monteiro. Looking at countries across Central and South America, such as Mexico, Colombia, and Brazil, researchers observed a sudden, unnatural surge in public health crises. In towns where obesity was virtually non-existent, an influx of American-style industrial food caused obesity and severe type 2 diabetes complications—including amputations—to become widespread within a single decade.

On a personal level, Chris shares how his lived experience as an identical twin shaped his research. While Chris was partially shielded by socioeconomic privilege, his brother, Xand, struggled with severe obesity for years. Observing Xand's daily battles helped Chris realize that many ultra-processed products meet every clinical diagnostic criterion for addiction, acting on human brain circuitry in ways directly comparable to tobacco, alcohol, or gambling.

- **Origin of the Term:** The NOVA classification system defining UPF was formulated in 2009–2010 by researchers at the University of São Paulo, Brazil. - **Rapid Public Health Shift:** In Mexico, the rapid introduction of industrial food transformed whole communities from near-zero obesity rates to widespread metabolic disease within ten years.

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[06:36](https://www.youtube.com/watch?v=dzUDhstqXbg&t=396s) The Danger of Nagging and the Fallacy of Personal Responsibility

Chris reflects deeply on the relational dynamics of weight and addiction, detailing how his familySpent nearly a decade nagging Xand to lose weight. The turning point came when Chris accompanied Xand to see a behavioral change expert. Rather than focusing on Xand, the therapist pulled Chris aside and declared, "You are the problem. For your brother to lose weight now would mean losing a decade-long argument with you." By incessantly nagging his brother, Chris had unintentionally stripped Xand of agency, forcing him into a defensive posture where giving up UPF felt like admitting defeat.

This insight fundamentally reframes how society views weight gain. The prevailing narrative—which insists that obesity is merely an individual failing of willpower or poor personal choices—is morally, scientifically, and economically bankrupt. When willpower is tested under laboratory settings, such as the classic "marshmallow test," long-term outcomes cease to correlate with personal grit once researchers control for maternal education and household income. Children from socioeconomically disadvantaged backgrounds do not fail to delay gratification out of a lack of character; they make a rational calculation based on an environment where promised future rewards rarely materialize.

- **The Marshmallow Re-evaluation:** Controlling for maternal education negates the predictive power of the marshmallow test regarding future life success, exposing it as a metric of childhood poverty rather than inherent self-control. - **Relational Dynamics:** Interpersonal nagging forces individuals living with addiction or obesity to "own" the argument rather than owning their personal health journey.

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[08:36](https://www.youtube.com/watch?v=dzUDhstqXbg&t=516s) The 1975 Inflection Point and the Modern Food System

To dismantle the myth that obesity is a personal moral failing, Chris points to historical public health data from the mid-1970s. Around 1975, standard weight curves across every demographic in the Western world experienced a sharp, simultaneous upward inflection. Men, women, children, elderly populations, and every ethnic demographic began gaining weight concurrently. It is statistically impossible for millions of disparate human beings to experience a sudden, simultaneous collapse in personal responsibility. What changed was not human biology or morality, but the food environment itself.

The industrial transformation of food began post-WWII as a solution to feed a booming global population while accommodating changing family dynamics as women entered the workforce. Products like Swanson TV dinners in the 1950s introduced unprecedented convenience. However, over subsequent decades, the food industry underwent deep financialization. Today, the core directives governing major food manufacturers are strictly tied to financial indicators—maximizing profit margins, utilizing cheap debt for share buybacks, and prioritizing investor yields over public health outcomes.

This hyper-financialized landscape has consolidated global agricultural production down to an alarmingly narrow foundation. The human species, biologically adapted to consume thousands of wild plant and animal species, now relies on a fragile, industrial assembly line dominated by a handful of corporate giants.

| Category | Primary Components of the Modern Global Diet | |:--- |:--- | | **Dominant Animal Proteins** | Pork, Beef, Chicken (with minimal Lamb, Goat, or Duck) | | **Dominant Caloric Crops** | Corn, Rice, Wheat, Soy, Palm Oil, Sunflower Oil | | **Corporate Control** | 6 companies supply 75% of global calories; 15–20 companies process most UK food |

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[14:36](https://www.youtube.com/watch?v=dzUDhstqXbg&t=876s) Defining Ultra-Processed Food: From Traditional Processing to Novel Substances

To clarify what ultra-processed food actually is, Chris outlines the three primary evolutionary stages of human diet and food preparation:

1. **Unprocessed / Whole Foods:** Foods consumed directly from nature with zero or minimal alteration (e.g., an fresh apple, a raw oyster, or fresh milk directly from a cow). 2. **Processed Foods:** Whole foods modified using traditional culinary methods to extend shelf life or enhance safety and flavor (e.g., churning milk into butter, or fermenting milk with salt to create cheese). Humans have practiced traditional processing for thousands of years; early pastoralists in the Sahara were making cheese 7,000 to 8,000 years ago. 3. **Ultra-Processed Foods (UPF):** Industrial formulations made predominantly or entirely from substances derived from foods and additives, with little to no intact whole food remaining.

Chris points out that humans are uniquely adapted to traditional food processing. Over a million years of controlled fire use, chopping, fermenting, and cooking have shortened our digestive tracts, reduced our tooth size, and softened our jawlines. Our kitchens have essentially functioned as an external organ of digestion. However, ultra-processed food is fundamentally different: it is not real food processed for preservation, but an assembly of cheap industrial inputs, cosmetic additives, and engineered structures designed explicitly to maximize shelf life, generate proprietary intellectual property, and drive overconsumption.

- **Evolutionary Adaptations:** Human teeth, jaw structures, and intestinal lengths have shrunk over evolutionary time because cooking and traditional processing pre-digest our food. - **The Core Formula of UPF:** Formulated by prioritizing the cheapest raw ingredients, maximum shelf stability, high intellectual property rights, and hyper-palatability.

<ElicitationsGroup message="Where would you like to go next?"> <Elicitation label="Continue to Part 2: Sweeteners, Additives, and Gut Health" query="Please provide the walkthrough for Part 2 of this transcript series."/> <Elicitation label="Summarize the core arguments against UPF" query="Summarize the primary scientific and economic arguments against ultra-processed foods discussed in Part 1."/> </ElicitationsGroup>

[16:42](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1002s) The Industrial Logic of Ultra-Processed Food

Dr. Chris van Tulleken points out that virtually every traditional diet around the world—from various Asian cuisines to French cooking rich in butter and red wine—is linked to good health because each evolved naturally over centuries. The only diet systematically proven to cause health harm is the financialized American industrial model of Ultra-Processed Food (UPF). The core economic engine of UPF involves taking cheap, ubiquitous commodity crops like soy, corn, rice, and low-grade meat, and processing them into powders, pastes, and refined extracts.

To illustrate the profit motive, van Tulleken contrasts whole foods with their industrial derivatives: a farmer can only make a small profit selling raw cobs of corn. However, by breaking that same corn down into modified cornstarch, corn oil, and high-fructose corn syrup, manufacturers create functional building blocks for thousands of lucrative packaged goods. These ingredients have an infinite shelf life and can be reassembled with synthetic additives, artificial texturizers, and flavorings before being wrapped in branded packaging. This process yields massive profit margins—frequently converting what was historically industrial waste into premium products.

* **Upcycling Waste Products:** Whey proteins used in nutritional powders were originally dairy farm waste dumped on fields or fed to livestock; turning them into supplements increases their value well over a thousandfold. * **Citrus Fiber:** A byproduct extracted from the peels leftover by the juicing and canning industries, chemically processed to add bulk to snack bars. * **The Business Model:** UPF relies on creating products protected by intellectual property using the cheapest possible raw materials with maximum shelf life.

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[19:21](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1161s) How Mechanical Processing and Formulation Drive Overeating

While many focus on artificial additives, van Tulleken emphasizes that the physical structure of UPF is equally damaging. Ultra-processed foods are typically heavily processed, resulting in an unnaturally soft texture, high energy density, and low moisture content—a combination designed to maximize shelf life. Because these foods require minimal chewing, calories are consumed at a rate that outpaces the body's hormonal satiety signals, driving overconsumption before a person feels full. Additionally, refining strips out key phytonutrients and complex chemical matrixes present in whole plants and animals that interact favorably with human biology.

Beyond the physical mechanics, UPF products undergo continuous consumer testing to maximize intake. Food industry scientists conduct focus groups comparing different formulations; if consumers eat Formulation B 5% faster than Formulation A, Formulation B is chosen for store shelves because it translates to a 5% increase in sales velocity. This creates a "darwinian evolutionary process" where every sensory attribute—sweet-to-salt ratios, mouthfeel, and packaging colors—is continuously optimized to make products irresistible.

> "If the focus group eats box B quicker than box A, box B is the one that goes on the shelf, because if they eat it 5% quicker, you'll sell the boxes 5% faster... Everything is dialed up to 11 so that things become irresistible."

* **Loss of Biological Signals:** Isolated vitamins in additives interact differently with human physiology compared to the complex matrix of whole plant and animal foods. * **Binge Eating Behavior:** Highly engineered UPF products frequently lead individuals to consume multiple adult portions in a single sitting, overcoming normal appetite controls.

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[22:41](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1361s) Deciphering "Healthy" UPF: Diet Drinks, Traffic Lights, and Marketing Clues

To test these concepts on real-world items, host Steven Bartlett presents four everyday supermarket staples typically viewed as healthy or guilt-free: **Cheerios**, **Actimel**, **Diet Coke**, and **Whole Grain Bread**. Van Tulleken highlights that these items represent the "shallow end of the pool"—they are far from the most extreme UPF examples, but they pose the greatest moral hazard because consumers and parents purchase them under the assumption that they are nutritious.

Examining a can of Diet Coke, van Tulleken calls it the ultimate example of flawed food labeling. Under the UK's front-of-pack "traffic light" rating system—which grades products solely on fat, saturated fat, sugar, and salt—Diet Coke receives four green lights, framing it as a health food. However, an inspection of its ingredients reveals a complex chemical cocktail rather than real nourishment:

``` Diet Coke Ingredients Analysis: ├─ Carbonated Water ├─ Caramel E150d (Carbohydrates treated with acids, heat, ammonium, and sulfites) ├─ Artificial Sweeteners (Aspartame & Acesulfame K) ├─ Natural Flavorings ├─ Caffeine (Addictive stimulant) └─ Phosphoric & Citric Acids (Acids linked to mineral leaching from bones and teeth) ```

Van Tulleken explains that artificial sweeteners act as a "nutritional lie." When a sweet taste registers on the tongue, the body anticipates incoming carbohydrates and prepares physiologically (such as altering insulin levels). When those calories fail to arrive, it creates metabolic confusion. Consequently, World Health Organization guidance notes that non-sugar sweeteners do not assist with long-term weight management.

* **Flavors Out of Context:** Natural flavorings detach taste signals from actual nutritional content, confusing the body's internal feedback loops between the gut and brain. * **Child Consumption Rates:** In the UK, children as young as three years old consume an average of one can of artificially sweetened drinks per day. * **The "Health Claim" Rule of Thumb:** A reliable indicator that a packaged product is ultra-processed is the presence of explicit health claims on the box (e.g., "Immune Support", "Rich in Vitamin D"). Whole, unbranded foods like broccoli, eggs, or steak rarely carry formal health claims because there is no proprietary margin to fund marketing campaigns.

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[30:02](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1802s) Breakfast Cereals, Fortification, and Synthetic Supplements

Turning to popular breakfast items like Cheerios and Cocoa Pops, van Tulleken observes that despite marketing claims highlighting whole grains, fiber, iron, and vitamin D, these products meet the criteria for ultra-processed foods due to additives like palm oil, caramelized sugar syrup, unneeded colors, and synthetic antioxidants. When given to children, the combination of soft texture and high palatability allows them to consume far greater quantities than they would of plain whole-grain porridge.

Steven Bartlett points out that even products like Cocoa Pops feature front-of-pack green and orange traffic lights alongside cartoon mascots designed to appeal to children. Van Tulleken addresses the industry practice of nutrient fortification, noting that synthetic vitamins are often added back into processed foods primarily to justify front-of-pack health claims. Independent scientific evidence indicates that while naturally occurring vitamins and minerals within whole food matrices provide clear health benefits, isolated vitamin supplements offer minimal value to healthy individuals.

* **Misleading Traffic Lights:** Standardized front-of-pack color codes create confusion when a sugary, highly processed cereal displays green and orange indicators alongside health claims. * **Whole Foods vs. Fortification:** Unprocessed staples like milk, plain yogurt, and oats provide intrinsic nutritional value without requiring synthetic vitamin additives or chemical texturizers.

<ElicitationsGroup message="Explore related health and nutrition topics from this episode:"> {/* Reason: The user is consuming an informative walkthrough on ultra-processed foods; these options offer natural extensions into health mechanics, policy, or dietary alternatives discussed in the episode. */} <Elicitation label="Examine how artificial sweeteners impact gut microbiome health" query="How do artificial sweeteners impact gut microbiome health according to Dr. Chris van Tulleken?"/> <Elicitation label="Detail practical strategies to reduce UPF in everyday diets" query="What are practical strategies to reduce Ultra-Processed Foods in a family diet according to Dr. Chris van Tulleken?"/> <Elicitation label="Explore the systemic political and economic influences behind UPF" query="How does the food industry influence government nutrition guidelines and policies according to Dr. Chris van Tulleken?"/> </ElicitationsGroup>

[33:43](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2023s) Deceptive Marketing and the illusion of "Healthier" UPF Alternatives

Chris van Tulleken points out how ultra-processed foods target children through clever marketing, packaging, and misleading nutrition labels. Front-of-pack "traffic light" nutrition warnings can easily manipulate parents because the figures are calculated based on tiny, unrealistic serving sizes—such as a 30-gram portion of cereal, which equates to roughly a single large spoonful or a small handful. In reality, a child might eat five adult-sized portions in one sitting, rendering the green or amber warning lights on the box completely meaningless. This engineered hyper-palatability triggers addictive eating behaviors in both children and adults alike.

To demonstrate the ubiquitous nature of UPFs across price points, Dr. Chris compares a basic cheap frozen pizza with an upmarket "Tesco Finest" non-frozen pizza. While consumers naturally assume the expensive item is healthier, both products contain non-domestic kitchen ingredients like palm fat and dextrose. Both are manufactured by publicly traded corporations driven by institutional growth targets, meaning both products belong to the exact same incentive structure: engineered specifically to be overconsumed to the point where consumers end up "licking the packet."

- Traffic light labels are based on a 30g serving size—often just one spoonful—making them misleading for real-world consumption. - Premium store-brand UPFs (e.g., Tesco Finest) share the same underlying industrial formulations (palm fat, dextrose) as cheap frozen equivalents. - Publicly listed food corporations operate under institutional pressure for continuous growth, driving the design of products intended for overconsumption.

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[35:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2148s) The 80% UPF Experiment: Weight Gain, Brain Rewiring, and Hormonal Disruption

Dr. Chris recounts his self-experiment where he switched his diet from 20% to 80% ultra-processed foods for one month—a level typical for a British teenager and roughly 20% of the UK population. The experiment was conducted as part of an academic study at University College London (UCL). Within four weeks, he experienced rapid weight gain; had he maintained the diet for a full year, his body weight would have doubled.

Beyond physical weight gain, neuroimaging performed at the National Hospital for Neurology and Neurosurgery revealed profound changes in his brain structure. MRI scans showed significant increases in functional connectivity between the automatic, habit-driven regions at the back of the brain and the reward/addiction centers in the deep brain. Crucially, his satiety signaling was completely disrupted. Normally, chewing and digesting whole foods triggers a cascade of gut hormones that signal fullness. By the end of the month-long trial, his hunger hormones remained sky-high even immediately after finishing a heavy meal.

- **Weight gain velocity:** On an 80% UPF diet, his rate of weight gain extrapolated to doubling his body weight within 12 months. - **Brain changes:** Functional MRI showed heightened connectivity between habit-formation regions and reward centers. - **Hormonal dysfunction:** Satiety signals failed to trigger; post-meal hunger hormone levels remained elevated despite adequate caloric intake.

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[38:12](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2292s) The Brazilian Epiphany: Disgust as a Tool for Quitting UPF

Midway through the experiment, while indulging in childhood comfort foods like fried chicken wings, Dr. Chris was researching and speaking with colleagues. Brazilian nutrition researcher Fernanda Rauber offered a perspective shift, stating: *"This isn't food, Chris. It's an industrially produced edible substance."* That evening, while sitting down to a meal of takeaway fried chicken, a mental switch flipped, rendering the food instantly revolting.

He compares this psychological shift to Allen Carr’s famous book *The Easy Way to Stop Smoking*, where smokers are encouraged to continue smoking while reading about the underlying addiction mechanisms until the habit naturally becomes repulsive. By paying close attention to ingredients lists and realizing that most UPF items share identical baseline flavor profiles—heavy combinations of salt, sugar, fat, and acid—consumers can unravel the illusion of variety. The World Health Organization (WHO) endorses *The Easy Way* methodology as being as effective as nicotine replacement therapy, suggesting that framing UPFs as addictive industrial substances rather than real food can help individuals break free from consumption cycles.

- **Conceptual definition:** Dr. Fernanda Rauber defines UPF not as food, but as an "industrially produced edible substance." - **The Allen Carr method:** Immersing oneself in the details and ingredients of UPF while eating allows consumers to recognize the artificiality and develop a natural aversion. - **WHO endorsement:** The psychological framework used in *The Easy Way to Stop Smoking* is recognized by the WHO as being as effective as medical cessation aids.

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[40:12](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2412s) Mental Health, Sleep Disruption, and the Vicious Cycle of Stress

Addressing the parallel rises in physical illness and mental health diagnoses, Dr. Chris notes that broad epidemiological data links UPF consumption not only to metabolic diseases, cardiovascular problems, cancers, and early mortality, but also directly to anxiety, depression, and dementia.

He shares his personal experience on the 80% UPF diet, detailing uncaptured side effects that severely impacted his well-being. Due to high sodium levels and low dietary fiber, he experienced nocturnal urination, severe constipation, and chronic sleep fragmentation. Waking up in the middle of the night, he frequently found himself standing at the open refrigerator seeking comfort in the very foods that caused the disruption. This created a self-reinforcing feedback loop: poor sleep elevated cortisol levels, which heightened stress and drove further cravings for hyper-palatable, low-quality food.

- **Epidemiological links:** High UPF intake correlates with increased rates of anxiety, depression, and cognitive decline/dementia. - **Physiological side effects:** Low fiber and high salt cause gastrointestinal issues and nighttime awakenings. - **The stress feedback loop:** Sleep disruption raises cortisol, which directly increases cravings for high-calorie, ultra-processed food.

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[41:54](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2514s) Obesity Stigma, Policy Realities, and Economic Barriers

Dr. Chris emphasizes using person-first language—referring to people "living with obesity" rather than calling someone "obese"—to separate personal identity from a medical condition. According to statistics from the World Obesity Federation, over 51% of the global population (more than 4 billion people) will be overweight or living with obesity within the next 12 years. He warns that anti-obesity campaigns often morph into direct prejudice against those affected, when the root cause is an aggressive food environment rather than individual moral failure.

Regarding policy solutions, Dr. Chris clarifies that he does not advocate for taxing or banning ultra-processed foods. Instead, he argues for increasing consumer choice, economic freedom, and food equity. Drawing on his clinical experience treating disadvantaged patients, asylum seekers, and low-income families at the Hospital for Tropical Diseases, he refutes the common claim that eating healthily is simply a matter of personal choice. When individuals live on £8 a day without access to functional kitchens, refrigeration, basic utensils, or the time required for batch cooking, recommending whole foods like fresh vegetables and pulses ignores structural realities.

- **Global projections:** World Obesity Federation data projects that over 51% of the global population (4+ billion people) will be overweight or living with obesity within 12 years. - **Systemic barriers to healthy eating:** Low-income households often lack basic kitchen infrastructure (fridges, freezers, cookers, or knives) and the time required to prepare raw ingredients. - **Cost of cooking:** Fuel costs for boiling dried beans or lentils make "cheap" whole-food staples financially impractical for vulnerable populations.

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[45:57](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2757s) The Clara Davis Toddler Experiment: Innate Nutritional Wisdom

To illustrate human biology's innate ability to self-regulate food intake, Dr. Chris cites a classic 1920s experiment conducted by Dr. Clara Davis. In the study, young children and infants (including orphans and abandoned toddlers) were presented with a selection of 34 unrefined whole foods every day—including items like raw bone marrow, cooked rice, milk, yogurt, and plain salt—allowing them to eat whatever they chose without adult direction or restriction.

The results demonstrated that when given access exclusively to real, unprocessed foods, children naturally selected balanced diets that fulfilled all their micro- and macronutrient needs. In one notable case, an infant named Earl arrived at the study with severe rickets caused by vitamin D deficiency. On his own accord, Earl chose to drink a full cup of cod liver oil daily until x-rays confirmed his bones were fully healed, at which point he permanently stopped drinking it. The study revealed that human bodies possess internal wisdom to regulate appetite and correct nutritional deficiencies—a mechanism that breaks down only when exposed to modern industrial junk food.

- **Study setup:** Conducted in the late 1920s by Dr. Clara Davis, offering toddlers 34 distinct unprocessed, whole-food options daily. - **Self-regulation:** Without parental guidance, children naturally balanced their diets, gained weight normally, and experienced zero food-refusal issues. - **The Earl case study:** A child with rickets voluntarily drank cod liver oil daily until his vitamin D levels restored and bone lesions healed, then abruptly ceased consumption.

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[49:31](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2971s) The Challenge of Modern Parenting in a UPF Environment

When host Steven Bartlett envisions raising future children in a pristine food environment by stocking the home exclusively with healthy whole foods, Dr. Chris offers a grounded reality check. While keeping UPF out of the home is a noble start, he notes that preventing a child's exposure to ultra-processed foods in modern society is nearly impossible once they leave the house.

From school meals and playdates to birthday parties, sporting events, and aggressive commercial advertising, the modern environment is saturated with UPF. As children grow, their natural appetite-regulation mechanisms are continuously challenged by foods designed to override satiety. Simply locking the kitchen cabinets at home cannot fully insulate a child from an environment built around hyper-palatable, cheap, industrial food products.

- **Environmental exposure:** Children encounter UPF outside the home via schools, social activities, and public marketing. - **Satiety disruption:** Exposure to UPFs overrides the innate nutritional wisdom observed in the Clara Davis experiments.

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Here is a detailed, faithful walkthrough covering this part of the podcast:

[50:09](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3009s) The Ubiquity of Ultra-Processed Food and Social Justice

Dr. Chris van Tulleken opens by admitting the stark reality of raising children in a culture saturated with ultra-processed food (UPF). Despite having written a book on the subject and actively researching it, he explains that he wants his children to feel normal, as food is deeply tied to community, identity, and social connection. In the UK, the dominant food culture *is* UPF; refusing to eat or serve it risks turning someone into a "fanatical food snob." As a result, van Tulleken still eats UPF when visiting friends and allows his children to navigate the same social reality, noting that grandparents bring it over, schools serve it, and his youngest daughter is exposed to it at nursery from the moment she arrives.

While van Tulleken hopes readers gain actionable technical knowledge from his book, he emphasizes that his primary argument centers on **social justice**. It is an appalling failure of the food environment that real, unadulterated food has become extremely expensive, inconvenient, and inaccessible, even for people with significant financial means.

During the discussion, host Steven Bartlett steps in with sponsor messages: * **Whoop:** Highlighted for its new feature, *Whoop Coach*, which leverages advanced AI to analyze personal health and fitness data to offer custom recommendations (e.g., explaining fatigue or structuring strength training programs). * **Huel Daily Greens:** Bartlett notes that the product—boasting 91 vitamins, minerals, and whole-food ingredients per scoop—is back in stock in the US.

---

[53:24](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3204s) Debunking "Calories In, Calories Out" and the Fixed Energy Model

Bartlett brings up a common claim made in the fitness and weight loss communities: that weight management is purely a mathematical equation of "calories in versus calories out," meaning a person can eat anything as long as they maintain a calorie deficit. Van Tulleken agrees that while this is technically true mathematically, it fails in practice due to two major flaws. First, humans are not simple calculators; many people possess genetic drives and behavioral ties to food that make eating in strict, measured amounts nearly impossible when faced with hyper-palatable options. Attempting to limit a child or an adult to a single portion of a sugary cereal is like telling an alcoholic to "just have one drink" or a smoker to "just have one cigarette"—for many, UPF is genuinely addictive.

Second, van Tulleken explains the fascinating science behind energy expenditure. Citing ground-breaking research by evolutionary anthropologist Herman Pontzer, he outlines how human metabolism responds to physical activity. Pontzer studied the Hadza hunter-gatherer tribe in Tanzania, measuring their daily caloric expenditure with double-labeled water and metabolic hoods. Expecting the Hadza—who walk 15 kilometers daily hunting and digging—to burn vastly more calories than sedentary Westerners, Pontzer discovered their daily caloric burn was essentially identical.

Subsequent cross-species and cross-cultural literature confirmed this phenomenon, known as the **constrained (or fixed) energy expenditure model**. Across subsistence farmers, miners, and office workers, the body maintains a tight total daily energy budget (around 3,000 calories for an average adult male). Extreme exceptions exist—such as Tour de France cyclists or polar explorers—but for standard daily exercise, the body simply reallocates energy from other internal systems.

* **Why exercise is still healthy:** When you exercise for an hour, your total daily caloric burn stays roughly fixed; instead, the body "steals" calories away from inflammatory responses, stress hormones, and background anxiety pathways to fuel physical activity. * **Implications for weight loss:** For populations living with obesity, increasing exercise yields tremendous health benefits but does **not** drive significant long-term body weight reduction. * **Exercise limitations:** Bartlett shares his own routine of working out daily with a personal trainer, confirming that exercise changes muscle tone and strength but has virtually zero impact on his weight unless his diet changes.

---

[59:11](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3551s) Post-Exercise Psychology and Whole Foods for Athletes

The conversation shifts to the psychological aftermath of exercising. Bartlett notes that after an intense workout, he often views junk food like cookies or flapjacks as "two steps backward," though he admits to occasionally overconsuming "healthy" replacement items like protein bars instead. Van Tulleken points out that these commercial protein bars are heavily marketed UPF items designed to fit fitness aesthetics.

Interestingly, when looking at elite sports teams, top nutritionists steer athletes toward real, home-cooked food rather than heavily processed performance products: * Elite athletes are often fed real-food flapjacks made with standard kitchen ingredients. * They drink plain milk and eat real chicken pieces during intense training cycles rather than relying solely on engineered ultra-processed supplements.

---

[01:00:33](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3633s) Genetics, Deprivation, and the Illusion of "Willpower"

Addressing the topic of willpower, Bartlett admits his perspective has evolved after hearing arguments on both sides. Van Tulleken explains that attributing diet outcomes purely to individual willpower ignores critical genetic and environmental research. He cites twin studies conducted by his colleague Clare Llewellyn regarding the heritability of obesity genes.

Llewellyn's work builds on historic twin research (originally pioneered in IQ studies by Sandra Scarr) showing that gene expression is heavily modified by socio-economic environment: * **In wealthy, well-resourced environments:** Every individual’s basic needs are met, allowing variation in weight or IQ to be driven mostly by genetic inheritance. * **In low-income, deprived environments:** High levels of stress, poor nutrition, and lack of resources suppress gene expression. In these settings, genes for obesity are far more likely to be expressed, whereas potential for height or cognitive development may be constrained. * **The poverty link:** Llewellyn's findings indicate that eradicating poverty would eliminate roughly **60%** of diet-related disease issues, demonstrating that obesity is primarily a social and environmental problem rather than a personal failure of willpower.

---

[01:03:47](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3827s) Environmental Saturation and Marketing to Youth

To illustrate environmental influence, van Tulleken points to his own twin brother, who gained weight while living a high-stress lifestyle in Boston. Bartlett relates to this, describing how traveling to the US for work routinely ruins his health and causes weight gain because hotels and travel hubs make finding real food almost impossible. Bartlett shares a story of throwing hotel mini-bar cookies into the trash, only for housekeepers to replace them the next day with two more bags, assuming he had eaten them.

Van Tulleken identifies this as an insidious form of constant marketing. While adults find these environments difficult to navigate, British, American, Canadian, and Australian teenagers are immersed in 360-degree, 24/7 hyper-targeted advertising for addictive foods: * Marketing appears on bus tickets, receipts, social media feeds, and free music streaming apps. * Food corporations capture young people's phone numbers through contests, sending direct promotional push notifications and meal-deal texts ("ping, ping, ping") throughout the day. * Given this total immersion in aggressive marketing for addictive products, van Tulleken stresses that it is no surprise that roughly **25% of British children** are living with obesity.

[01:05:30](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3930s) Twin Study, Food Environments, and the Illusion of Willpower

Dr. Chris van Tulleken illustrates the overwhelming impact of the food environment through a deeply personal example involving his genetically identical twin brother. When his twin moved to Boston during a period of high stress—navigating an unplanned pregnancy with his son, Julian—he ended up living directly above a burger shop. Stress-eating in that specific food environment caused his brother to gain 30 kilograms (around 66 pounds). Chris points out that while they share the exact same genetic vulnerabilities, his own life in the UK was stable and embedded in a completely different food environment.

This stark contrast destroys the narrative that weight management is merely a matter of personal responsibility or individual willpower. Steven Bartlett responds by expressing his frustration with feeling a lack of autonomy, noting how the "big food mafia" bombards consumers with targeted marketing and engineered, addictive products designed to trigger brain chemistry beyond conscious control. Steven voices a desire for immediate, personal agency rather than waiting for slow political change from Downing Street or the White House.

- **Genetic Twins, Divergent Outcomes:** Identical twin gained 30 kg in Boston living above a burger joint under stress, while Chris maintained his weight in a stable UK environment. - **Willpower vs. Environment:** The drastic difference in outcomes demonstrates that environment and life circumstances dictate weight far more than personal willpower.

[01:07:19](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4039s) From Victim to Activist: Reclaiming Control

Chris validates Steven's desire for personal action and explains the emotional journey he guides readers through in his book, *Ultra-Processed People*. Readers typically start in an unconscious state, oblivious to how their food choices are manipulated. Midway through the book, readers realize they are victims of a predatory food system—a difficult realization, as no one likes to view themselves as a victim. However, Chris argues that the essential next step is transforming that victimization into outward-directed rage and activism.

For those with adequate financial resources and cooking skills, taking back control means actively eliminating ultra-processed food (UPF) from their diet and opting for whole foods or artisanal options like real sourdough. However, Chris acknowledges a painful reality: for a vast portion of the population facing economic hardship, avoiding UPF simply is not an option. Rather than directing guilt or rage inward, consumers must direct their anger outward toward the transnational food corporations that control the food supply. Chris refutes the political argument that regulating food is "nanny statism," arguing that we currently live in a corporate nanny state run by multinational conglomerates that pay minimal local taxes while dictating what society eats.

- **The Reader Journey:** Moving from unconscious consumer $\rightarrow$ victim $\rightarrow$ active self-advocate or political activist. - **Corporate "Nanny State":** Transnational food corporations currently exercise more nanny-state control over public health and diet than governments do.

[01:09:10](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4150s) The Science of Food Addiction and Speed of Delivery

Addressing how people without financial privilege can handle UPF, Chris emphasizes that he refrains from giving preachy individual advice because the broader system requires structural, political reform similar to how society tackled tobacco. When Steven asks whether UPF is truly addictive, Chris explains why "food addiction" was historically contested in scientific circles: classic addiction definitions require absolute abstinence, which is impossible with food. However, the modern definition of UPF isolates a specific class of industrial substances—not real food—that people compulsively consume.

Chris defines addiction as the continued use of a substance despite clear knowledge of physical or psychological harm and despite repeated, failed attempts to quit. Studies, brain scans, and genetic profiles confirm that UPF triggers the exact same neurological addiction pathways as traditional drugs. A critical factor in UPF's addictiveness is its fast speed of consumption and rapid nutrient hit, driven by its soft texture and lack of fiber. Chris draws a direct parallel to drug delivery systems: fast-acting substances like tequila shots, smoked tobacco, or crystal meth are intensely addictive, whereas slow-release substances like session beers or ADHD medications (such as slow-release methylphenidate) carry a vastly lower addiction profile.

- **Definition of Addiction:** Continued consumption despite explicit knowledge of personal harm and repeated failed attempts to stop. - **Rate of Consumption:** UPF's soft, pre-chewed texture enables rapid calorie consumption, mimicking the fast "hit" characteristic of highly addictive substances like crystal meth or tequila shots. - **Population Impact:** Chris estimates that roughly 40% of the population has a severely troubled, addictive relationship with UPF, where complete abstinence from UPF products might be the only effective strategy.

[01:12:00](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4320s) Health Risks, Neurodiversity, and the Real Cause of Chronic Disease

When Steven inquires about links between UPF and neurodiverse conditions like ADHD or binge eating disorders, Chris mentions an ongoing working group at the Royal College of Psychiatrists investigating these connections. While many children grow up on diets composed almost entirely of UPF alongside co-occurring factors like poverty, trauma, and poor housing, unravelling precise causal links remains complex. Nevertheless, the global health data regarding UPF is damning.

Chris highlights a staggering statistic from his research: diets high in ultra-processed foods are linked to more deaths globally than tobacco smoking, high blood pressure, or any other single health risk factor, accounting for roughly 22% of all global deaths. Steven reads out an extensive list of diseases directly linked to high UPF consumption, illustrating the catastrophic scope of the crisis:

- All-cause mortality and cardiovascular disease - Various cancers and high blood pressure - Fatty liver disease and inflammatory bowel disease (IBD) - Depression and adverse blood fat profiles - Irritable bowel syndrome (IBS), dementia, and physical frailty

[13:31](https://www.youtube.com/watch?v=dzUDhstqXbg&t=811s) Systemic Solutions: Poverty, Labeling, and Removing Industry Influence

Reflecting on his personal path, Steven outlines a three-step framework: building awareness of UPF definitions, conducting a personal diet audit to make intentional choices, and advocating for broader systemic change. Chris praises this approach, reiterating that his goal is not to dictate what individuals eat—as he strongly values personal liberty—but to ensure people have true agency free from predatory marketing.

To achieve real public health reform, Chris outlines three essential policy priorities: 1. **Tackle Poverty First:** Poverty forces people to buy cheap, energy-dense UPF. Health inequality is fundamentally rooted in wealth inequality. 2. **Implement Clear Front-of-Pack Warnings:** Current nutritional labels are deliberately confusing. Chris points to Argentina's bold warning system, where products like sodas carry prominent black octagonal warnings larger than the brand logos. National nutritional guidelines must explicitly warn against processed foods. 3. **Evict Industry from Policy-Making:** Food corporations must be completely removed from public health policy decisions, mirroring the ban on tobacco companies. Major health charities and advisory groups—including the British Nutrition Foundation, Cancer Research UK, Diabetes UK, and the British Dietetic Association—receive substantial funding from UPF manufacturers like Coca-Cola, Nestlé, and Cargill, severely compromising their independence.

> "Part of being an activist in this area for me is not taking food industry money myself... that is a very painful weekly process because if you write a book about food you get offered enormous amounts of money to go and work for the food industry."

[01:18:39](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4719s) Personal Transformation: Moving from Addiction to Disgust

Discussing how his own eating habits transformed while writing the book, Chris explains that willpower alone is useless against true addiction. The key to breaking free from UPF is transitioning emotionally from a state of infatuation/addiction to a state of profound **disgust**. Because love and disgust share closely related neural pathways in the brain, flipping that mental switch alters how one perceives industrial food items.

Chris describes experiencing an "uncanny valley" effect with ultra-processed food—a concept borrowed from robotics and computer animation where something looks almost human, yet feels unsettlingly off or corpse-like. As he researched the industrial processing, chemical additives, and corporate strategies behind UPF, the food crossed into this uncanny valley: it looked like food, but he recognized it as an artificial, non-food substance. Consequently, his craving vanished completely, replaced by a natural aversion, though he admits he will still politely eat it if served as a guest. He then gestures to the collection of UPF items brought into the studio—including packaged pizzas, Coco Pops, and Coca-Cola—to illustrate the reality of these products.

Here is a detailed, faithful walkthrough of this section of the interview:

[01:20:50](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4850s) Redefining Food and the Sources of Optimism

Chris Van Tulleken begins by challenging the traditional concept of food, pointing out that there is no strict working definition of "food" in law. He argues that food should be defined as a substance consumed for physical, cultural, social, and psychological nourishment. Ultra-processed foods (UPFs), however, are engineered strictly to generate financial growth for institutional investors rather than to nourish human beings. A concoction of colorings, addictive substances, and phosphoric acid—where nearly every ingredient carries potential harm—cannot reasonably be called food; it is simply a way to commodify ill health for corporate profit.

When asked if he feels optimistic about the future of public health, Chris explains that his outlook varies daily, but highlights several key reasons for hope: * **Alternative Business Models:** He cites a friend who transitioned from Big Pharma to lead a non-profit pharmaceutical company that pays standard industry salaries while reinvesting revenues to reduce global healthcare inequalities. Similar models could decouple the food industry from the demands of institutional investors. * **The Precedent of Tobacco Regulation:** Public health advocates successfully regulated the tobacco industry and significantly drove down smoking rates using established roadmaps and marketing controls. * **Public Outrage:** There is growing public anger as parents watch their children suffer physical and developmental setbacks due to ultra-processed diets.

- In the UK, five-year-old children are average-wise up to 9 cm shorter than their peers in countries like Bulgaria, the Netherlands, or Scandinavia due to poor nutrition—a degree of physical stunting that carries severe risks of intellectual stunting. - The physical stunting observed in children across the UK and the US is primarily driven by diet once maternal smoking during pregnancy is accounted for. - Individual food corporations often boast annual revenues equivalent to the GDP of nations such as Croatia or Venezuela.

[01:25:21](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5121s) Personal Stunting Narratives and Twins Studies

Steven Bartlett shares a personal story, reflecting on the striking height and academic differences between himself and his two older brothers, Kevin and Jason. Growing up, his mother made traditional, home-cooked African meals full of whole foods. However, by the time Steven was growing up, his mother had started businesses and was away from home more frequently, leaving Steven to rely heavily on convenience foods and sweet shops. He humorously wonders if his lower relative height—6'1" compared to his brothers' 6'3" and 6'5"—and his academic struggles (getting kicked out of school while his brothers were mathematical "super geniuses") might be a real-world case of UPF-induced stunting.

Chris acknowledges the anecdote, noting while one case study isn't definitive proof, it reflects population-level data. He points to natural twin studies to illustrate the point, such as a well-known pair of genetically identical twins born in China: one was adopted and raised in Norway, while the other was raised in the US. The Norwegian-raised twin grew up noticeably taller than her American counterpart due to environmental and dietary differences.

[01:27:45](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5265s) Giving Loved Ones Agency and Embracing Food Preparation

Discussing his twin brother, Xand, Chris reveals that writing *Ultra-Processed People* transformed their personal relationship. Rather than nagging Xand about his diet or feeling public embarrassment over his brother's weight, Chris learned to completely step back and let go. When loved ones are freed from constant external pressure and judgment, they gain agency and empowerment to make their own choices.

Steven agrees, drawing a parallel to a conversation he had with a music manager who observed that individuals struggling with addiction must reach their own "rock bottom" before making genuine changes. Forced interventions often backfire by stripping away agency. Chris uses a relatable domestic example: being about to clean up after dinner, only to be asked by his wife to do the dishes, which instantly transforms a self-motivated, empowering act into a frustrating chore.

- Chris emphasizes that food preparation should not be viewed as a chore, but as a meaningful connection to human ancestry—reclaiming the traditional, collective effort of grinding, cooking, and sharing meals. - People need "a little bit of pain" in their diets through bitter, chewy, and textured real foods that require actual effort to prepare and consume. - In modern food environments, individual choice is severely curtailed on high streets and motorways, where ultra-processed options overwhelmingly dominate.

[01:32:46](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5566s) Reasons for Pessimism and Sustainable Activism

Addressing the pessimistic side of the debate, Chris explains that regulating ultra-processed food will be an uphill battle. It took 50 to 60 years from establishing the firm link between tobacco and fatal health outcomes (strokes, heart attacks, lung cancer) to implementing strict regulations. Even today, tobacco companies stay profitable through vaping and expansion into developing nations.

Drawing on his background as a virologist, Chris compares the struggle against food corporations to an evolutionary arms race or a competitive business market: * You can never achieve a single, permanent victory because commercial entities constantly adapt and innovate to bypass regulation. * Activists must build a long-term, sustainable movement that continuously generates evidence, pushes for tighter policy, and funds alternatives like non-profit food initiatives. * The battle against "Big Food" has been waged for decades—dating back to early activist campaigns against Nestlé’s aggressive marketing of infant formula in low-income regions—and will continue across generations.

[01:35:05](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5705s) Closing Question: Parenting and Presence

To conclude the interview, Steven reads the traditional closing question left by the previous guest: *"What will we regret in 10 years about how we brought up our children today?"*

Chris responds candidly, sharing that he already experiences this regret firsthand: it is the failure to give children the same undivided, intentional presence that adults routine reserve for professional engagements. He notes that for high-profile interviews, people prepare thoroughly, listen attentively, and show up completely focused, yet often fail to bring that same high level of presence and quality time to their daily interactions with their own children.

[01:35:50](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5750s) Regrets, Family, and Being Present

Dr. Chris van Tulleken reflects warmly on the depth of the podcast conversation, sharing that he feels genuinely enriched by the experience. The dialogue prompts him to open up about his personal struggles with work-life balance and family time. He discusses the advice to "diarise lunch" and intentionally schedule time for loved ones rather than merely giving them the "crumbs" left over after work. With two young children (ages six and three) and a pregnant wife, he admits his home life often feels like a "scramble."

Looking forward, Chris candidly acknowledges that failing to spend present, quality time with his children is something he knows he will regret. He commits to making a conscious effort to force out time where he can simply be present, listen, and invest in his children regularly—just as he meticulously invests time in every other professional aspect of his life.

* Chris's children are six and three years old, and his wife is currently pregnant. * "You talk about diarising lunch... it's not just giving the crumbs to your family, but it's like investing in your family in the way you do in your work." * "If I'm going to regret it, who do I want to be?"

---

[01:36:44](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5804s) The Impact of "Ultra-Processed People"

Steven Bartlett offers high praise for Chris's book, *Ultra-Processed People*, noting its massive cultural footprint and its prolonged position near the top of the *Sunday Times* bestseller list. Steven emphasizes that books like this appear only once every few years or once in a generation—capturing the exact cultural moment with language, nuance, and inclusivity that brings people together rather than alienating them with extreme political or ideological stances.

Steven commends Chris for starting a vital, nation-wide revolution and conversation around modern nutrition, predicting that the book will ultimately drive meaningful real-world changes in legislation and public policy. Chris responds with genuine gratitude, admitting he is blushing and deeply moved to hear such high praise.

* *Ultra-Processed People* spent around 24 to 25 weeks on the *Sunday Times* bestseller chart, briefly knocking Steven Bartlett's own book off the number one spot. * "Books come along once every couple of years, once in a generation, that really meet culture at the exact moment with the exact language... bringing everyone in." * "It's starting a conversation that we really need to start... these books end up changing the world and changing legislation."

---

[01:38:26](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5906s) Sponsor: Shopify

Steven wraps up the episode with an endorsement for the podcast's new sponsor, Shopify. He shares that Shopify is a tool he uses daily across his various business operations and highlights how his team utilized the platform to launch and sell the official "DOAC Conversation Cards." He encourages listeners interested in launching or scaling a business to check out the platform.

* Dedicated promotional link mentioned for listeners: `[shopify.com/bartlett](https://shopify.com/bartlett)`.

## Notable quotes > [19:21](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1161s) If the focus group eats box B quicker than box A, box B is the one that goes on the shelf, because if they eat it 5% quicker, you'll sell the boxes 5% faster... Everything is dialed up to 11 so that things become irresistible. — Dr. Chris van Tulleken

> [38:12](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2292s) This isn't food, Chris. It's an industrially produced edible substance. — Fernanda Rauber

> [01:13:31](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4411s) Part of being an activist in this area for me is not taking food industry money myself... that is a very painful weekly process because if you write a book about food you get offered enormous amounts of money to go and work for the food industry. — Dr. Chris van Tulleken

## Mentioned Dr. Chris van Tulleken, Steven Bartlett, Xand van Tulleken, Carlos Monteiro, Fernanda Rauber, Dr. Clara Davis, Earl, Herman Pontzer, Clare Llewellyn, Sandra Scarr, NOVA classification system, University of São Paulo, University College London (UCL), National Hospital for Neurology and Neurosurgery, World Health Organization (WHO), World Obesity Federation, Hadza hunter-gatherer tribe, Royal College of Psychiatrists, British Nutrition Foundation, Cancer Research UK, Diabetes UK, British Dietetic Association, Swanson, Tesco, Cheerios, Actimel, Diet Coke, Cocoa Pops, Coca-Cola, Nestlé, Cargill, Whoop, Huel Daily Greens, Shopify, The Easy Way to Stop Smoking, Ultra-Processed People, Sunday Times

[Source](https://www.youtube.com/watch?v=dzUDhstqXbg)

中文简报

范图勒肯称超加工食品关联过早死亡,呼吁出台禁令 超加工食品会改变大脑化学机制以诱发暴食,且在全球导致的死亡人数已超过烟草,这需要出台严格的监管措施并终止企业对政策的影响。 Chris van Tulleken 博士阐述了超加工食品(UPF)如何悄然重构我们的膳食环境、激活成瘾通路,并引发肥胖、糖尿病和早亡等全球健康危机。结合演化生物学、个人膳食实验及行业内幕,他展示了经济利益如何驱使企业制造口感极佳、质地松软的“非食物”,进而绕过人体天然的饱腹机制。van Tulleken 最终打破了关于个人意志力不足的迷思,将超加工食品的消费定性为一项系统性的社会公正议题,呼吁推行政策改革、追究企业责任,并转变为对工业食品持排斥态度。 在英国乃至全球范围内,主要由超加工食品(UPF)引发的较差膳食质量已超越烟草,成为导致过早死亡的首要原因。 (0:00) 超加工食品符合成瘾的临床诊断标准,其对大脑回路的影响方式与烟草、酒精和赌博类似。 (2:45) 将肥胖归咎于个人意志力不足在科学、道德和经济层面上都是站不住脚的,因为随着1975年前后膳食环境的改变,整个人群的体重趋势发生了系统性转变。 (6:36) 超加工食品是由廉价大宗原料提取物(如大豆、玉米和乳品废料)加工而成的工业配方产品,其专门设计旨在最大化利润空间与货架吸引力,而非提供营养。 (16:42) 机械加工和反常的松软质地促使热量被迅速摄入,从而绕过了人体自然的饱腹感信号。 (19:21)

Reading summary

Dr. Chris van Tulleken argues that ultra-processed food (UPF) is an engineered industrial commodity designed to maximize corporate profits and consumption speed, eclipsing tobacco as the leading global cause of early mortality. He contends that widespread obesity reflects systemic changes in the food environment and socioeconomic inequality rather than individual deficits in willpower. Industrial Economics and the Formulation of UPF (16:42) Unlike traditional food processing methods such as fermentation or cheese-making, which humans adapted to over millennia, ultra-processed food is defined under the NOVA classification system as industrial formulations assembled from cheap, refined agricultural commodities like corn, soy, wheat, and palm oil. Agribusiness corporations—six of which supply 75% of global calories—rely on chemical additives, texturizers, and upcycled industrial byproducts, such as whey and citrus fiber, to produce high-margin, shelf-stable items protected by intellectual property. Van Tulleken points out that traditional culinary models across the globe evolved to sustain health, whereas the financialized industrial model systematically degrades it. Products are continually focus-tested and formulated to maximize eating velocity and sales volume. This structure externalizes significant environmental and public health costs while generating outsized corporate profits. Mechanical Softness, Brain Rewiring, and Addictive Properties (35:48) A primary driver of UPF overconsumption is its physical architecture: high energy density combined with low moisture and an absence of intact plant or animal cellular structures. Because these foods require minimal chewing, caloric intake outpaces the gut's hormonal satiety mechanisms. During a one-month academic experiment at University College London in which van Tulleken derived 80% of his diet from UPF, fMRI scans revealed heightened functional connectivity between habit-formation regions and reward centers in the brain, while his hunger hormones remained elevated immediately after large meals. Citing historical research by Dr. Clara Davis from the 1920s, van Tulleken notes that toddlers instinctively self-regulate balanced nutrition when offered whole foods. In contrast, modern UPFs disrupt this intrinsic nutritional regulation. UPF exhibits an addiction profile akin to fast-acting recreational substances: rapid consumption speed and intense sensory hits mimic the addictive mechanics of smoked tobacco or spirits, with van Tulleken estimating that up to 40% of the population experiences an addictive relationship with industrial food. The Willpower Fallacy and Constrained Energy Expenditure (53:24) Public health records show that weight distributions across Western demographics shifted upward simultaneously around 1975, which van Tulleken argues disproves the premise of a concurrent collapse in personal discipline. Socioeconomic research by Clare Llewellyn shows that poverty and deprivation heavily influence the expression of obesity-related genes, estimating that eradicating poverty could resolve roughly 60% of diet-related disease. Furthermore, nutritional deficits linked to UPF consumption contribute to childhood stunting, leaving five-year-olds in the UK up to 9 cm shorter on average than peers in countries with lower UPF consumption. Van Tulleken also challenges the conventional assumption that exercise drives long-term weight reduction, pointing to Herman Pontzer's constrained energy expenditure model. Research on the Hadza hunter-gatherers demonstrates that active populations burn roughly the same daily calories as sedentary Westerners because the body reallocates energy from inflammatory and stress pathways to fuel exertion. Consequently, while exercise offers critical health benefits, it cannot compensate for an ultra-processed diet. Misleading Labeling and Systemic Policy Priorities (22:41) Front-of-pack regulatory measures frequently obscure nutritional risks. Standard traffic light schemes calculate values using unrealistic portion sizes—such as a 30-gram cereal serving—and award favorable ratings to nutrient-poor formulations like Diet Coke based solely on low sugar, fat, and sodium content. Van Tulleken warns that non-sugar sweeteners create metabolic confusion, noting that World Health Organization guidelines conclude non-sugar sweeteners do not support long-term weight management. Furthermore, synthetic vitamin fortification is routinely used to justify prominent health claims on packaging. With the World Obesity Federation projecting that more than 51% of the global population will be overweight or living with obesity within 12 years, van Tulleken opposes individual food taxes that penalize low-income households. Instead, he advocates for direct structural interventions: alleviating poverty, implementing large front-of-pack warning labels modeled on systems like Argentina's black octagons, and barring food industry funding from public health organizations, nutrition charities, and regulatory advisory panels. Van Tulleken emphasizes that reforming the food system will require sustained activism comparable to the multi-decade campaign against tobacco, as commercial food entities continually adapt to circumvent regulations. He notes that while affluent consumers can selectively eliminate UPF, population-level change remains impossible until healthy whole foods become financially and practically accessible to low-income households.

精炼阅读摘要

英国传染病学专家 Chris van Tulleken 博士指出,超加工食品(UPF)并非真正的食物,而是以资本收益最大化为导向的工业化可食用混合物,其健康危害在全球范围内已超越烟草;他主张全球性的肥胖与代谢疾病危机本质上是食品环境恶化与贫困导致的系统性公共卫生失败,而非个人的意志力缺陷。 工业逻辑与超加工食品的生理欺骗 (16:42) van Tulleken 引用巴西圣保罗大学 Carlos Monteiro 团队提出的 NOVA 分类体系指出,人类演化历史上利用烹饪与发酵等传统加工技术作为体外消化器官,而现代超加工食品则是将大豆、玉米、劣质肉类和工业下脚料(如乳清)等廉价原材料,通过化学提取与结构重组制成高利润商品。全球 75% 的卡路里消耗目前仅由 6 家跨国农业企业掌控。这类产品具有高能量密度、极低水分与过于柔软的机械质地,使咀嚼过程被大幅压缩,进食速率直接超越了肠道饱腹感荷尔蒙的释放节奏,从而在生理层面破坏天然的食欲调控机制。 食品制造商通过焦点小组测试持续调整配方以加快摄入速度,并依靠添加剂与人工甜味剂制造感官误导。以无糖可乐为例,尽管在英国前包装“红绿灯”评级中因零糖零脂获得全绿评级,但其所含的人工甜味剂(如阿斯巴甜和安赛蜜)向大脑传递了虚假的甜味信号,引发机体代谢混乱。世界卫生组织(WHO)指南亦表明非糖甜味剂无助于长期体重管理。此外,工业界普遍采用微量合成维生素强化作为营销策略,但在脱离完整食物基质的情况下,孤立的添加剂无法提供全食物具备的生物利用价值与保护效益。 神经成瘾机制与跨代健康代价 (35:48) 在伦敦大学学院(UCL)开展的自体实验中,van Tulleken 将日常饮食调整为 80% 的超加工食品(相当于英国约 20% 人口及普通青少年的日常摄入比例),仅一个月内其体重急剧上升,推算持续一年体重将增加一倍。神经影像学检查显示,其大脑中负责习惯养成的区域与深层奖赏中枢之间的功能连接显著增强,且餐后饥饿素持续居高不下。van Tulleken 指出,超加工食品符合物质成瘾的全部临床标准,其极快的摄入速度与营养冲击模式,在神经成瘾通路上直接类似于香烟、烈酒或甲基苯丙胺。他评估约有 40% 的人群对超加工食品存在严重的成瘾性依恋。 在全球尺度上,劣质饮食已取代吸烟成为导致人类过早死亡的首要风险因素,占全球总死亡人数的约 22%。流行病学研究将高 UPF 摄入与心血管疾病、多种癌症、脂肪肝、炎症性肠病以及焦虑、抑郁和认知退化紧密关联。其低纤维与高钠特性还会造成严重便秘及夜间睡眠碎片化,继而引发皮质醇升高与暴饮暴食的恶性循环。在生长发育层面,由于劣质工业化饮食盛行,英国 5 岁儿童的平均身高比低 UPF 摄入国家的同龄人矮约 9 cm,这种身体发育迟缓往往伴随着不可逆的智力与认知功能受损。 瓦解意志力神话与固定能量消耗假说 (53:24) van Tulleken 强调,将肥胖归咎于个人自制力不足的叙事在科学上完全不成立。公共卫生数据显示,西方世界各阶层、各年龄段的体重曲线在 1975 年左右出现同步陡峭上扬,这在统计学上排除了数百万人道德意志发生集体坍塌的假设,其根源在于二战后食品供应链的全面工业化与金融化。演化人类学家 Herman Pontzer 针对坦桑尼亚哈扎狩猎采集部落的研究确立了“受限能量消耗模型”:人体的每日总能量消耗存在相对固定的预算上限(成年男性约为 3,000 卡路里),日常运动主要通过抑制体内炎症反应和压力通路来增进健康,但单纯增加运动并不能显著驱动长期体重的持续下降。 针对双胞胎的研究以及对经典“棉花糖实验”的重新评估表明,延迟满足能力在控制母亲受教育程度与家庭收入后便失去预测效力,其本质反映的是童年贫困程度而非个人意志力。在低收入和高压力环境中,肥胖相关基因的表达更容易被全面激活;学者 Clare Llewellyn 的研究指出,若彻底消除贫困,约 60% 的饮食相关疾病将随之化解。对于每天仅有 8 英镑生活费、缺乏冰箱、炊具及备餐时间的弱势群体而言,依赖廉价的高能量超加工食品是唯一的生存策略而非自由选择。 破局路径:认知脱敏与系统性规制 针对个人层面的饮食转变,van Tulleken 反对过度的人际规劝与说教,认为这会剥夺个体的心理自主权并激化防御性抵抗。他主张借鉴戒烟领域的认知重塑经验,引导公众认清超加工食品作为“工业合成可食用物质”而非真正食物的本质。随着消费者识别出其千篇一律的糖、盐、脂、酸工业调配与防腐剂构造,心理认知会从迷恋转向深刻的生理反感,利用大脑中紧密交织的依恋与厌恶神经机制跨越食物的“恐怖谷”。同时,重构烹饪文化、接纳天然食物中略带苦涩与高纤维咀嚼质感,有助于唤醒 Dr. Clara Davis 早期实验中所证实的人类天然营养调节本能。 然而,个体层面的觉醒无法替代系统性公共政策的变革。世界肥胖联合会预测未来 12 年内全球将有超过 51%(逾 40 亿)的人口面临超重或肥胖问题。van Tulleken 明确反对将责任转嫁给个体的单纯征税或惩罚性禁令,而是主张采取三项核心政策:首先从经济根源上缓解贫困以实现食物平权;其次推行类似阿根廷的显眼前包装黑色八角形警告标签,取缔基于极小份量(如 30g 麦片)的虚假红绿灯系统;最后必须效仿控烟历程,严禁超加工食品跨国企业介入公共卫生政策制定,切断其对主要健康慈善组织与学术顾问团体的资金渗透。 van Tulleken 坦承对抗跨国食品巨头的斗争将是一场漫长的持久战,其监管滞后性与商业利益阻力堪比长达数十年的烟草控烟历程。尽管目前全球法律层面对“食物”仍缺乏严格界定,且儿童在家庭环境之外难以完全回避 UPF 的商业包围,但他认为通过探索非营利性生产机制、凝聚公众对儿童生长发育迟缓的危机意识,并借鉴烟草监管框架切断食品资本对政策的渗透,是扭转全球慢性病蔓延局面的根本希望所在。

Detailed notes — zh

## Background 该视频由 YouTube 知名商业与访谈频道《The Diary Of A CEO》(主持人为 Steven Bartlett)于 2023 年 10 月 23 日发布。根据页面介绍,本期节目邀请了医生兼科研学者克里斯·范·塔勒肯(Dr. Chris van Tulleken),围绕其畅销专著《超加工人类》(Ultra-Processed People),深入探讨了超加工食品(UPF)对人体健康、成瘾机制及现代肥胖环境的深远危害,并反思了食品工业巨头背后的操纵手段与公共健康应对策略。 ## TL;DR 克里斯·范·塔勒肯在对谈中指出,超加工食品(UPF)已取代烟草成为全球过早死亡的首要诱因,全球大部分热量正被少数追求资本利润的跨国食品巨头操纵垄断。节目彻底颠覆了“管住嘴迈开腿”的个人意志力神话与热量守恒假说,结合脑部神经扫描与限制性能量消耗模型,揭示了工业化软质食物如何瘫痪人体的饱腹感反馈回路并诱发病态暴食。克里斯强调,肥胖危机本质上是贫困与有毒食物环境交织的社会正义议题,消除贫困并切断食品游说资本对政策的渗透是破局根本。在个人生活层面,他呼吁大众停止对亲友身材的指责与道德绑架,看清工业可食性物质的虚妄本质以唤醒天然厌恶感,重新夺回生活自主权并回归真实食物的滋养。 ## Atmosphere & style 整场对话在科学的冷峻严谨与人文的温情包容之间达成了巧妙平衡,既有流行病学铁证与神经生化机制的层层拆解,又有演播室现场审视日常食品包装时的生动互动。史蒂芬以兼具企业家敏锐与普通人困惑的视角展开追问,克里斯则毫无医学精英的说教姿态,坦诚剖析自己家庭内部的挣扎与育儿反思。访谈的情感弧线从揭露食品工业掠夺真相时的震惊与愤怒,平稳过渡到探讨人际赋权、放手与家庭陪伴时的深沉自省,整体氛围兼具思想冲击力与触动人心的真实感。 ## Bulletin - [00:00](https://www.youtube.com/watch?v=dzUDhstqXbg&t=0s) 劣质饮食已正式超越吸烟成为全球早亡的第一大诱因,其核心推手是超加工食品(UPF),而全球高达 75% 的卡路里供应已被区区六家跨国食品巨头操纵垄断。 - [54:43](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3283s) 人体每日总消耗遵循“固定能量消耗模型”:哈扎狩猎部落每日燃烧的热量与现代案头久坐族基本一致;运动对宏观减肥收效甚微,但能把有限的能量预算从系统性慢性炎症与焦虑中置换出来。 - [01:21:52](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4912s) 由于工业化超加工饮食造成的严重营养失衡,英国五岁儿童的平均身高比荷兰、保加利亚等同龄国家儿童矮了整整 9 厘米,严重损耗生理与智力发育潜能。 - [19:57](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1197s) 超加工食品研发遵循工业化“进食速度提速”原则:配方测试中进食速度只要提升 5%,商业报表上便直接等同于销量增长 5%;约 40% 的受众已对其产生病理级别的物质成瘾。 - [01:00:33](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3633s) 将肥胖归咎于个人意志力已被严谨科研证伪:双胞胎与遗传学研究表明,贫困环境会极度放大肥胖易感基因的表达,消除社会贫困可直接化解约 60% 的饮食相关疾病。 ## Key takeaways - [00:00](https://www.youtube.com/watch?v=dzUDhstqXbg&t=0s) 不良饮食已取代吸烟成为人类过早死亡的首要风险因素,占全球总死亡人数的 22%,而全球食物供应正被高度金融化的跨国寡头体系牢牢掌控。 - [07:08](https://www.youtube.com/watch?v=dzUDhstqXbg&t=428s) 1975 年全人类肥胖率突现陡峭拐点,并非人口道德自律集体坍塌,而是超加工食品为核心的致胖工业环境击溃了人类数百万年的代谢演化防线。 - [14:59](https://www.youtube.com/watch?v=dzUDhstqXbg&t=899s) 超加工食品的本质是通过化学与机械手段将大宗作物(玉米、大豆等)打碎重构,利用极度松软的质地剥夺咀嚼阻力,在饱腹感中枢报警前灌入大量空热量。 - [19:57](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1197s) 食品巨头利用焦点小组对糖、盐及咀嚼阻力进行残酷的“达尔文式调谐”,通过微调让进食速度加快以最大化刺激销量和股东资本回报。 - [30:02](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1802s) 识别超加工食品的黄金法则是看包装上的“健康声明”:天然全食物无专利壁垒、利润微薄,只有享有高额毛利的工业重构食品才有资本大肆营销“强化营养”。 - [26:15](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1575s) 人工代糖构成生理层面的谎言,舌尖感受甜味后身体提前启动胰岛素戒备却等不来真实热量,造成代谢严重紊乱,世卫组织证实其对减重并无实质益处。 - [35:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2148s) 80% 超加工饮食自测实验证实,受试者大脑自动化习惯区与奖赏成瘾区会形成超连接,餐后饥饿素仍处于峰值,人体与生俱来的饱腹停止开关被彻底破坏。 - [38:12](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2292s) 摆脱食物成瘾的关键在于心理层面的“恐怖谷效应”祛魅:认识到它们并非真正食物而是“工业合成的可食用物质”,借由认知重塑唤醒深层厌恶感实现戒断。 - [54:43](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3283s) 固定能量消耗模型打破“卡路里进出论”神话:人体长期总能耗相对恒定,单纯依靠运动制造热量缺口会被生理饥饿机制代偿,调整饮食构成才是控制体重的压倒性关键。 - [41:55](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2515s) 健康饮食存在深刻的阶级不平等:低收入群体不仅缺乏预算,更面临微波炉等简陋烹饪工具和时间匮乏的制约,消除贫困可直接消除约 60% 的饮食相关疾病。 - [01:09:25](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4165s) 超加工食品完全符合医学对成瘾物质的定义,其极低的咀嚼阻力使得热量和多巴胺以闪电般速度涌入血液与大脑,极速起效正是其成瘾的核心机制。 - [01:17:36](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4656s) 英国营养基金会、英国癌症研究中心等权威学术组织长期接受可口可乐等巨头资金资助,全社会应像对待烟草工业一样切断食品资本对公共政策制定的游说俘获。 - [01:21:52](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4912s) 深层营养素匮乏导致英国五岁儿童身高比荷兰同龄人缩水 9 厘米,饮食环境对下一代的骨骼生长与大脑认知发育构成了不可逆的系统性伤害。 - [01:27:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5268s) 戒除或改变饮食习惯必须依赖个体内在的自主能动性(Agency),亲属之间充满道德优越感的批评唠叨只会剥夺当事人的掌控感,反将其推向抵触深渊。 ## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=dzUDhstqXbg&t=0s) 开场引言:超加工食品的全球危机 节目开篇以一段极具冲击力的自述切入:克里斯·范·塔勒肯(Dr. Chris van Tulleken)医生尝试了一种对于普通英国人而言再正常不过的日常饮食,结果体重急剧飙升,陷入了过度进食、严重焦虑与彻夜失眠的恶性循环;脑部扫描更显示,如果这种饮食模式持续一年,他的大脑结构与神经回路将发生不可逆的可怕改变。身为医生、资深科研学者以及英国电影学院奖(BAFTA)得主,克里斯以法医般的严谨态度抽丝剥茧,直指现代饮食工业背后触目惊心的真相——全球高达 75% 的卡路里摄入竟被区区六家跨国巨头(所谓的“食品黑手党”)牢牢掌控。从连锁快餐店的汉堡到超市货架上的工业量产面包,所有产品从分子层面都被工程化设计为令人欲罢不能的“极度适口”状态,诱发人类本能的暴食机制。 这种工程化食品已在全球掀起了一场席卷一切的饮食相关疾病大流行。在英国,每五个人中就有一人高达 80% 的能量摄入依赖超加工食品(Ultra-Processed Food, UPF)。劣质饮食已经正式超越烟草,成为全球过早死亡的第一大诱因;由于严重缺乏完整营养,英国五岁儿童的身高相比其他同龄国家儿童甚至落后了整整 9 厘米——克里斯严正指出,你无法让一个孩子的身体发育受阻 9 厘米,却妄想他们的智力发育不受丝毫损耗。面对主流舆论“人们为什么不主动做出更好选择”的质疑,克里斯直言自己对所谓的“个人责任论”毫无兴趣,因为这本质上是残酷的社会正义与贫困问题:在低收入群体被迫依赖廉价劣质食品充饥的现实下,若能彻底消除贫困,就能直接消解约 60% 的饮食相关疾病。而那些抱残守缺坚持“能量守恒(卡路里进出平衡)”理论的人,正面临着坚实科学证据的无情驳斥。 - 全球 75% 的卡路里供应由六家跨国食品巨头操纵垄断。 - 英国有五分之一的人口其 80% 的日常热量来源于超加工食品。 - 不良饮食习惯已取代吸烟,沦为导致全人类过早死亡的最主要原因。 - 营养失衡导致英国五岁儿童平均身高缩水多达 9 厘米,严重影响生理与智力发育。 - 贫困与劣质食品直接绑定,消除贫困可直接消除约 60% 的饮食健康疾病。 ```mermaid flowchart TD accTitle: 超加工食品对人体与社会的系统性危害机制 accDescr: 展示跨国工业化食品如何诱发成瘾、社会健康崩溃并加剧结构性贫困 subgraph Industry["工业与资本操纵"] A["6家跨国食品巨头<br/>(掌控全球75%热量)"] --> B["超适口性工程化食品<br/>(高脂、高糖、乳化剂)"] end subgraph Individual["个体与生理影响"] B --> C["破坏大脑饱腹感回路<br/>引发暴食与成瘾"] C --> D["体重暴增 / 焦虑失眠 / 发育迟缓"] end subgraph Society["社会与公共卫生危机"] D --> E["超越烟草的早亡首因<br/>(二型糖尿病、心血管疾病)"] F["贫困阶层被迫选择廉价UPF"] --> C E --> G["社会健康与医疗负担剧增"] end ``` ### [01:30](https://www.youtube.com/watch?v=dzUDhstqXbg&t=90s) 主持人致谢与频道心声 在正式展开深度对谈前,主持人史蒂芬·巴特利特(Steven Bartlett)向所有守候在屏幕前的观众与听众表达了由衷的谢意。他坦言,正是全球受众每一次的点击收听,才让他以及整个幕后团队得以将梦想照进现实。对他个人而言,能够在这个平台上向最顶尖的头脑学习、从完全自私的“求解自身生活困惑”的角度对这些顶尖专家进行深入探询与质询,是他过往人生中从未敢想象的最大特权。 随后,史蒂芬诚恳地向观众提出了一项微小却至关重要的请求:动动手指点击“订阅”按钮。他解释道,这个简单的动作拥有着改变整个播客走向的力量——频道的嘉宾阵容之所以能够持续保持在世界级水准,完全依赖于庞大而坚定的订阅群体。无论是为了未来一年频道即将展开的宏大计划,还是为了汇聚更加深邃的思想,每一个订阅支持都是这趟共同探索之旅最坚实的原动力。 ### [02:45](https://www.youtube.com/watch?v=dzUDhstqXbg&t=165s) 为什么聚焦超加工食品:健康与生态的双重灾难 当谈话聚焦到克里斯的新书《超加工人类》(Ultra-Processed People)时,史蒂芬直言深知撰写一部严谨的专著需要耗费多么漫长而痛苦的心血,并询问克里斯为何在拥有横跨医学与多元科研领域的深厚资历后,偏偏选择向超加工食品发起声讨。克里斯解释道,长期以来,公众在“该吃什么”这个问题上陷入了无尽的迷思。数十年间,人们习惯用“垃圾食品”、“加工食品”或是“高糖高脂食品”等模糊且被淡化的词汇来称呼它们,导致整个社会在面对这场正在全球蔓延的饮食疾病大流行时,甚至连一套准确的定性语言都付之阙如。 这种危机在低收入国家以及英国本土的贫困群体中尤为严峻。克里斯强调,超加工食品不仅在人类寿命维度上超越烟草成为过早死亡的首因,其背后的工业农业系统同样在残酷屠戮自然界:它是全球生物多样性急剧丧失的第一大诱因、造成碳排放的第二大来源,更是不可降解塑料污染的头号源头。克里斯指出,这套概念最初是在大约 12 年前(2009 至 2010 年间)由巴西圣保罗大学的研究团队确立的,旨在精准定义典型的“西方工业化美式饮食”。中南美洲的科学家之所以能率先拉响警报,是因为在墨西哥、哥伦比亚和巴西等地,这种入侵是以断崖式速度降临的——在英国,肥胖是温水煮青蛙般缓慢渗入的;而在十年前几乎与肥胖绝缘的墨西哥小城镇,短短十年之内,肥胖迅速恶化为压倒一切的公共卫生绝症,人们转眼间就发现身边的邻居朋友竟然人人都有因二型糖尿病而截肢的悲惨遭遇。大量确凿证据表明,这种工业化人造物正是全球体重暴增、重度肥胖乃至过早死亡的核心元凶。 ### [05:14](https://www.youtube.com/watch?v=dzUDhstqXbg&t=314s) 双胞胎兄弟与成瘾困局:从唠叨指责到真正理解 在探究这套研究对个人的特殊意义时,克里斯剖析了自己极为私密且刺痛的家庭经历。他与同卵双胞胎兄弟赞德(Dr. Alexander "Xand" van Tulleken)虽然共享相同的基因,但赞德长期深陷重度肥胖的痛苦中;尽管克里斯凭借优渥的社会地位、受教育背景以及周遭资源筑起了一道屏障,使体重没有彻底失控,但他深知自己始终徘徊在体重暴增的悬崖边缘。在深刻自省后,他惊觉自己与兄弟一样,本质上都对各类超加工食品产生了无法自拔的成瘾性。 克里斯指出,超加工食品完全符合成瘾物质的所有医学定义,在神经机理与行为表现上与烟草、酒精、毒品乃至赌博无异。更具颠覆性的是他对家庭关系的深刻反思:过去整整十年里,全家人出于关爱,几乎无休止地向赞德“唠叨施压”,逼迫他节食减肥。直到克里斯带着兄弟去拜访一位行为心理转变专家时,专家竟直截了当地挡住克里斯说:“我不需要跟赞德谈,我需要谈话的对象是你。”面对克里斯的错愕(“明明他才是胖的那个人!”),专家掷地有声地指出:“你才是真正的阻碍。对于你的兄弟而言,如果他现在听话减肥,就意味着他在这场长达十年的拉锯争论中彻底向你认输服软。正是因为你永不停歇的指责与唠叨,你强行占有了属于他的问题,反而剥夺了他自主面对问题的权利。”这个顿悟成为了全书的核心基石:道德绑架与唠叨只会将受害者进一步推向成瘾深渊,唯有承认这种物质的极度成瘾属性,并摒弃居高临下的说教,真正的救赎与改变才有可能发生。 ### [07:08](https://www.youtube.com/watch?v=dzUDhstqXbg&t=428s) 破除“个人意志力”神话:棉花糖实验的真相与系统性拐点 面对当下舆论在“管住嘴迈开腿(个人意志力负责论)”与“基因及环境受害者论”之间的激烈撕裂,史蒂芬进一步发问:两者的边界究竟在何处?克里斯斩钉截铁地表示,大量极其严谨的高等级科研证据表明,将肥胖归咎于个人意志力薄弱的说辞,在道德层面上是残忍的,在科学层面上是破产的,在经济分析上更是毫无价值的谬误。在宏观公共卫生议题上,所谓个体的“自控力”根本经不起任何实际推敲。 克里斯援引了心理学史上著名的“棉花糖实验”作为典型反例。经典结论认为,那些在四岁时能够忍耐诱惑不吃第一颗棉花糖以换取第二颗奖励的孩子,成年后社会经济地位更高,而无法抵抗诱惑的孩子则走向了学业与人生的失败。然而,当后续严谨的学术追踪研究对“母亲受教育程度”以及“家庭贫困水平”进行变量控制调整后,这一神奇的意志力效应彻底烟消云散!真相残酷而现实:贫困家庭的孩子之所以立刻吃掉眼前的棉花糖,是基于真实匮乏经验所做出的极度理性的生存决策——在一个匮乏且充满不确定性的底层环境中,大人们承诺的“未来奖励”往往永远不会兑现,抓住眼前的即时卡路里才是最优解。四岁时面对棉花糖的表现,唯一能预测的只有该儿童出身于贫困匮乏家庭,与个人意志毫无瓜葛。 克里斯最后抛出了来自美国官方数据库的铁证:回顾整个人类肥胖史,大约在 1975 年前后,全球肥胖与超重曲线突然出现了急剧攀升的剧烈拐点。在此之前,人类的体重曲线数十年来始终平缓爬行,然而在 1975 年之后,无论黑人、白人,抑或是各个社会阶层与种族,全美及全球人口的体重如同遭遇了系统性突变一样陡然暴增。克里斯犀利地反问:难道人类是在 1975 年的某一个早晨,突然集体丧失了遗传自祖先的意志力与道德自律吗?答案显然只有一个——正是以超加工食品为核心的现代工业化毒性食物环境,彻底击垮了人类演化数百万年形成的代谢防御系统。 ### [09:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=588s) 肥胖危机背后的结构性真相:并非意志力崩溃 谈及体重增加的根源时,克里斯·范·图勒肯(Chris Van Tulleken)指出,全球范围内不同族群和年龄段——包括年轻的拉美裔男性、年长的非裔女性,以及五岁儿童到九十岁老人——几乎在同一时期普遍出现体重激增。如果将这种全人口维度的健康恶化归咎于个人的“道德责任缺失”或“意志力不足”,在逻辑上完全站不住脚。真正发生巨变的并不是人类的生理本能或道德品性,而是我们身处的整体“食物环境”(food environment)。 图勒肯强调,讨论这一问题唯一有意义的视角是剖析社会结构本身。来自经济学家、医生与社会学家的扎实研究反复证明:只要为人们提供充足的金钱与机会,他们自然会做出健康的明智抉择。富人之所以不吃垃圾食品,是因为他们有资源不吃;而低收入群体选择廉价的不良食品,往往是被现实环境逼入绝境。面对这种困境,穷人常常会产生认知失调,甚至在辩论中被迫为那些正在掠夺其健康的大型跨国食品企业辩护——因为如果不这么做,他们就只能承认自己是毫无还手之力的受害者。图勒肯表示自己对“个人责任论”几乎毫无兴趣,只要给予大众科学的技术常识、充裕的收入和公平的选择机会,绝大多数人都渴望活得健康且有质量。 ```mermaid flowchart TD accTitle: 肥胖根源的两种解释路径对比 accDescr: 对比个人责任论的缺陷与社会结构决定论的合理性 subgraph PersonalFailure["个人责任假说(站不住脚)"] A["全球各年龄/族裔同时肥胖"] --> B["道德与自律全面崩溃?"] B --> C["不符合常理与现实证据"] end subgraph SystemicCause["社会结构假说(核心真相)"] D["1970年代起食物环境剧变"] --> E["贫困迫使选择廉价超加工食品"] E --> F["认知失调:底层被迫为掠夺性企业站台"] F --> G["根治方案:提供收入、机会与健康食物"] end ``` --- ### [11:13](https://www.youtube.com/watch?v=dzUDhstqXbg&t=673s) 现代食品体系的金融化与寡头垄断 针对主持人史蒂芬·巴特利特(Steven Bartlett)关于“1970年代食物环境究竟发生了何种变化”的提问,图勒肯给出了直接答案:其直接诱因是超加工食品(Ultra-Processed Food, UPF)的发明以及食品供给的全面工业化。二战后婴儿潮带来的人口膨胀,加之女性走向职场对即食便利性的迫切需求,催生了诸如1950年代斯旺森电视便餐(Swanson TV dinners)之类的预制工业食品,并在1970年代彻底普及。 作为当下研究重点,图勒肯指出更深层次的推手是**食品行业的彻底金融化(financialization)**。如今掌控大众90%热量摄入的巨头企业,其所有经营指标完全建立在财务回报而非公共健康之上。它们利用低息借贷进行股票回购来抬高股价,并在股东大会上联合机构投资者投票否决改善公共卫生的议案。以往分散在千家万户、依靠自给种植或本地小店的食物系统,已被高度垄断的寡头体系取代: - **热量垄断**:全球消耗热量的75%仅由6家大型跨国巨头掌控;英国绝大多数加工食品仅由15至20家主要加工商垄断生产。 - **物种急剧萎缩**:人类原应从成千上万种动植物中摄取营养,但如今肉类几乎被猪、牛、鸡3种牲畜垄断(羊、鹅、鸭等仅占极小比例)。 - **主要热量作物**:全球热量大半来自4至5种单一作物——玉米、大米、小麦、大豆,外加棕榈油与少量葵花籽油。 主持人戏称这种高度垄断如同“食品黑手党”(Food Mafia),图勒肯虽不愿使用具有恶意色彩的阴谋论或新马克思主义词汇,但明确强调:当系统唯一的激励机制就是资本回报时,企业逻辑必然导向“使用最廉价的原料、达成最长保质期,并最大化获取专利知识产权”。 --- ### [14:59](https://www.youtube.com/watch?v=dzUDhstqXbg&t=899s) 三级食品分类与超加工食品的工业本质 为了厘清超加工食品的定义,图勒肯系统梳理了人类食物的三种形态及其进化史: 1. **未加工/天然食物(Unprocessed/Whole Food)**:直接源于自然,如苹果、生蚝或刚挤出的生牛奶。 2. **加工食品(Processed Food)**:人类已有上百万年的加工史。撒哈拉地区的北非牧民在七八千年前便掌握了将牛奶加工为黄油和奶酪的技艺,不仅浓缩了脂溶性维生素与热量,更大幅延长了保质期。人类是唯一必须加工食物的物种——正是烹饪、切碎、腌制与发酵等“体外消化”方式,塑造了人类短小的肠道、娇小的下颌和微缩的牙齿。无论北极的原住民海生哺乳动物饮食、东亚的鱼素饮食,还是南亚的素食与法国的黄油红酒,全球各类传统饮食都与健康共存。 3. **超加工食品(Ultra-Processed Food)**:真正带来系统性健康损害的,唯有这种源自美国工业金融化体系的产物。 | 食物类别 | 核心特征与定义 | 代表范例 | 对演化与健康的影响 | |:--- |:--- |:--- |:--- | | **未加工/天然食物** | 保持自然原貌,未经工业或深度人工改性 | 苹果、新鲜生蚝、天然鲜奶 | 最原始的生物学营养来源 | | **传统加工食品** | 借助盐渍、发酵、烟熏、罐装等传统工艺处理 | 黄油、传统奶酪、罐头、烟熏肉 | 属于“预消化”,塑造了人类小下颌与短肠道;与良好健康共存 | | **超加工食品 (UPF)** | 将大宗原料打碎成粉末与糊状,添加化学制剂重组并建立专利壁垒 | 高果糖玉米糖浆配方、工业代餐、含增稠剂软质汉堡 | 导致超额进食与慢性病风险,破坏人体饱腹信号传导 | 图勒肯进一步剖析了超加工的工业拆解与重组逻辑:大宗作物(如玉米)直接售卖经济价值有限,但一旦通过工业手段将其拆解成玉米淀粉(可任意化学改性)、玉米油和高果糖玉米糖浆(HFCS),它就能摇身一变化身为货架上成千上万种食品的万能基底。与此同时,企业将以往丢弃或当饲料的下脚料转化为暴利产品——例如将奶酪制造中的废弃物“乳清”包装为千倍溢价的营养蛋白粉,将果汁与罐头行业的果皮废渣通过化学萃取变成各类能量棒中的“柑橘纤维”(Citrus fiber)。 面对主持人“这是否意味着剔除有益成分、加入有害物质”的疑问,图勒肯澄清:人工甜味剂、改性淀粉、黄原胶、乳化剂和着色剂等添加剂确实存在健康争议,但更本质的问题在于其**极致的机械加工特性**——超加工食品质地异常柔软,彻底剥夺了咀嚼过程,从根本上重塑了人体的进食速度与代谢响应。 ### [19:57](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1197s) 食品工业的“达尔文进化”:为何超加工食品让人欲罢不能 超加工食品(UPF)之所以能神不知鬼不觉地驱动人们过度进食,关键在于它们的物理形态与工业设计逻辑。从连锁快餐、早餐麦片到超市货架上的工业面包,这些热量通常具备两个致命特征:质地极度松软,同时由于水分被抽干而具有极高的能量密度。在工业生产中,干燥意味着更长的保质期;而“松软”配合“高能量密度”,则意味着人们可以在极短的时间内大口吞下惊人的热量。人体本能的饱腹感信号需要时间传递,但在饱腹中枢来得及拉响警报之前,过量的热量早已被灌入胃中。克里斯·范·图勒肯(Chris Van Tulleken)指出,如果列一张超加工食品危害人体的“负面清单”,除了松软与能量密度,还包括各类食品添加剂带来的直接伤害,以及植物营养素(phytonutrients)的严重匮乏——天然动植物体内蕴含着复杂且人类尚未完全研究透彻的分子化学体系,从天然植物中摄取的维生素与人工提取物的代谢反应截然不同。 然而,更深层的危害在于这些食品的研发逻辑。克里斯在调研中采访了许多食品科学家,发现各大食品巨头普遍采用一套极其严密的焦点小组(focus group)测试流程。比如一款畅销数十年的经典麦片,研发团队在原有配方 A 的基础上调配出新配方 B 并送入测试。如果焦点小组吃掉 B 配方的速度比 A 快了 5%,那么 B 配方就会立刻取代旧产品走上货架,因为“进食速度提升 5%,在商业财务指标上就直接等同于销量增长 5%”。 ```mermaid flowchart TD accTitle: 超加工食品商业研发闭环 accDescr: 展示食品企业通过焦点小组进食速度测试来优化配方并提高产品销量的商业逻辑回路。 subgraph Lab["配方迭代与调校"] A["现有配方 A"] --> B["新配方 B(微调糖/盐/质地)"] end subgraph Testing["焦点小组评估"] B --> C{"进食速度是否更快?"} end subgraph Market["商业决策与反馈"] C -- "是(如进食速度 +5%)" --> D["取代旧配方推向货架"] D --> E["产品消耗与复购提速 5%"] E --> F["财务回报最大化"] C -- "否" --> B end ``` 这种研发机制宛如一场残酷的“达尔文进化”,每隔几个月,食品公司就会对产品的每一项指标进行微调:甜味、咸味、酸味的比例、入口时的咀嚼阻力、包装袋的颜色等,全部被刻意“调谐到了极致(dialled up to 11)”,最终演变成让人完全无法抗拒的成瘾性食品。克里斯感慨道,许多人会发现自己对某些特定食物毫无自控力,甚至会对其产生强烈的幻想,一旦开封就必须吃光好几份成人份量。克里斯以自己的家庭为例:“我有两个孩子,一个六岁,一个三岁。我那个六岁的孩子,能在大约二十分钟里吃光相当于五份成人份量的含糖早餐麦片。” ### [22:29](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1349s) 演播室里的道具:被当作“健康食物”的基础主食与道德风险 史蒂芬·巴特利特(Steven Bartlett)在演播室桌上摆出了一排他特意带来的食品,坦言这些都是他从小到大一直深信“对自己有益”的东西:奇脆滋(Cheerios)早餐麦片、达能益生菌饮品 Actimel、无糖健怡可乐(Diet Coke),以及包装上赫然标明“两片即可满足每日 50% 全谷物需求”的全麦面包。看到史蒂芬直接把这些大品牌的原包装摆在镜头前,克里斯忍不住开玩笑调侃他“胆子真大,这简直是在亲手切断未来的品牌赞助合作”。史蒂芬则笑着回应,自己偶尔确实会闪过这个念头,但他真正追求的是事实与真相,做节目的核心目的就是为了自我科普,进而启蒙大众,因此哪怕在这些领域暴露自己的无知他也毫不介意。 克里斯直言,虽然点名具体单品会让人感到有些不自在,因为科学证据针对的是整个食物类别,但这四样产品选得极其精妙,因为它们正是现代大众日常膳食的基础。目前食品工业界正在试图通过公关手段把克里斯描绘成一个“饮食脱离民情的高傲精英(snob)”,指责他居然连老百姓餐桌上的调味罐装豆子、超市切片面包、炸鱼柳这类平民食物都要批判。但在克里斯看来,这类日常主食虽然处于超加工危害光谱中相对较浅的一端,算不上毒性最烈的产品,却带来了最大的“道德风险(moral hazard)”——正因为全社会都被误导,坚信它们是不可或缺的健康食品,人们才会日复一日、毫无戒备地大量摄入。 - 史蒂芬带来的四样“伪健康”测试样品:Cheerios 早餐麦片、Actimel 益生菌饮料、健怡可乐(Diet Coke)、声称含 50% 每日全谷物的高纤面包。 - 食品工业应对健康批评的公关策略:将批评者塑造成何不食肉糜的“精英主义者”,以此捍卫低成本超加工基本口粮的市场地位。 - 道德风险的核心症结:越是披着全谷物、低糖、促消化等健康光环的工业食品,对大众日常饮食结构的侵蚀往往越隐蔽且深远。 ### [24:22](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1462s) 健怡可乐与“红绿灯”标签:披着健康外衣的工业配方 克里斯拿起桌上的健怡可乐,称其为最典型的讽刺案例:按照英国现行的食品标签评估体系,健怡可乐堪称“终极健康食品”。在正面包装的营养“红绿灯”系统(Traffic Light System)中,它拿下了罕见的四颗全绿标志。 所谓的营养红绿灯标签,是英国当下衡量食物是否健康的核心官方标准。然而,这套系统深受食品工业巨头的影响,它极其狭隘地只抓四个孤立指标:脂肪、饱和脂肪、糖分和盐分。只要这四项数值极低,系统就会给出一排令人安心的绿色;如果某项偏高,则显示橙色或红色。但这种规则存在巨大的制度性混乱: - **指引自相矛盾**:现实中大量工业食品(如 Cheerios 麦片)的正面标签同时混杂着橙色与绿色,消费者在马路上看到又亮橙灯又亮绿灯的信号灯根本无法判断是该走还是该停。 - **全凭自愿张贴**:该标签系统并非强制,许多高危产品(如 Actimel)在正面干脆直接隐去不标。 - **评判维度畸形**:只关注四大宏量营养素的有无,完全无视食物的加工机制和化学添加剂,从而让充斥人工化合物的液体轻松获评“全绿健康饮品”。 仔细检视健怡可乐的实际配料表,其工业本质暴露无遗。配料表第一位是碳酸水,第二位则是着色剂焦糖色(E150d)。克里斯解释说,“焦糖”这个词极具欺骗性,容易让人联想到 19 世纪法国传统甜点法式焦糖布丁(Crème Brûlée)里那种手工熬煮焦糖的诱人香气,给人一种“虽然放纵但无害”的错觉。然而,工业级着色剂“焦糖色 E150d”与传统厨房里的焦糖毫无瓜葛,它是将碳水化合物置于高温高压下,与各种酸液、铵盐和亚硫酸盐发生剧烈化学反应后制成的合成添加剂,对人体没有任何营养益处,纯粹是为了模拟可乐色泽而存在的化学工业产物。 ### [26:15](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1575s) 代糖与添加剂的生理骗局:比真糖更令人困惑的代谢陷阱 配料表中紧随其后的是人工甜味剂——阿斯巴甜(Aspartame)与安赛蜜(Acesulfame K)。克里斯剖析了代糖背后的生理悖论:过量摄入精制糖固然有害,会导致龋齿并通过刺激食欲引发肥胖,但人类在数千年的进化史中,早已适应了通过蜂蜜或成熟水果摄入大量糖分与精制碳水,生理系统具备应对天然糖分的处理通路。然而,代糖在本质上是一种“生理层面的谎言(nutritional lie)”。当舌头上的味蕾感受到甜味时,它会向整个中枢与消化系统发出“高糖热量即将来袭”的生理警报,身体随即进入代偿戒备,提前分泌胰岛素并调整代谢通路以迎接碳水化合物。可是,这股热量随后却彻底缺席,这种反复发生的信号落空造成了极为严重的代谢混乱。 世界卫生组织(WHO)目前的最新指南已明确指出:在控制体重方面,人工代糖并不比真糖表现得更好。尽管公众普遍焦虑阿斯巴甜与癌症的潜在关联,克里斯表示在常规摄入剂量下癌症风险或许并非当务之急,更真切的危害在于其对肠道微生物菌群与基础代谢系统的深层扰乱。 配料表里标注的“天然香精”同样暗藏陷阱。在自然界中,食物的风味从来不是供人消遣的独立属性,而是直接对应着食物内部的复杂营养成分——番茄之所以带有特定的番茄风味,是大脑用来辨识其微量元素与营养矩阵的天然信号链。现代工业将风味分子从真实基质中剥离、浓缩甚至人工合成,彻底切断了“风味-肠道营养感应”的潜意识神经链接,使大脑陷入认知紊乱。再叠加具有成瘾性的咖啡因,以及足以腐蚀牙齿并从骨骼中析出矿物质的磷酸(Phosphoric acid),健怡可乐实质上就是一罐由人工香精、成瘾药物、溶骨性酸液以及混淆代谢机制的代糖勾兑而成的化学混悬液。 由于英国推行了“含糖饮料税(Sugar Tax)”,各大品牌为了避税全面削减真糖,转而疯狂添加各类人工代糖。这一政策导致货架上几乎再也买不到不含代糖的气泡饮料,其直接后果是:全英国三岁左右的幼儿,平均每天都要喝下一整罐人工代糖饮料。整个社会用微生态杀手和代谢扰乱剂全面替代了糖分,但公共卫生层面的肥胖率却毫无下降迹象。面对史蒂芬关于“超市里到底还有什么健康替代品”的追问,克里斯强调自己从不主动向公众提供说教式建议,但他自己的原则极为坚决:家里孩子虽然不可避免会吃到其他超加工食物,但绝对严禁接触任何碳酸及加气饮料——无论是大人还是孩子,最纯粹、最健康的饮品选择永远只有水和纯牛奶。紧接着,史蒂芬将目光转向了桌上的下一件常客:无数家庭早餐桌上的主力——奇脆滋麦片。 ### [30:02](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1802s) 包装上的“健康声明”:超加工食品的商业伪装 在演播室里,Chris Van Tulleken 拿起一盒 Cheerios 早餐麦片仔细查看配料表,迅速指出了棕榈油、焦糖糖浆、色素以及抗氧化剂等成分,明确断定它完全符合超加工食品(UPF)的定义。Chris 坦言自己不想把早餐麦片妖魔化,毕竟他自己的孩子有时也会吃,甚至搭配全脂牛奶。但这和真正的一碗燕麦粥(纯全谷物)或天然手工面包截然不同。如果给一个孩子吃这种麦片,孩子能够吃下去的量远多于燕麦粥。最讽刺的是,这类产品外包装上往往印满了各种各样的健康益处声明。 ```mermaid flowchart TD accTitle: 超加工食品与资本专利循环 accDescr: 展示为何只有超加工食品拥有高额利润来投放营销与健康声明 subgraph RealFood["天然全营养食物(西兰花、鸡蛋、牛排等)"] RF1["无知识产权 / 无法申请专利"] --> RF2["极低利润甚至超市平价亏损"] RF2 --> RF3["没有广告预算 / 无包装健康宣传"] end subgraph UPF["超加工食品(工业复配食品)"] UP1["拥有品牌与独家配方专利"] --> UP2["工业成本极低 / 利润丰厚"] UP2 --> UP3["印制大量健康声明与巨额营销"] UP3 --> UP4["诱导消费者产生健康错觉"] end ``` Chris 指出了一条识别超加工食品的黄金法则:**如果包装上印有任何宣扬健康的标签(Health Claim),它几乎百分之百就是超加工食品。** 这背后的根本原因在于商业逻辑和知识产权。食品公司唯有通过打造具有专利和独家品牌的深加工产品,才能赚取巨额利润;而像西兰花、牛奶、牛排、李子或新鲜鸡蛋这样的天然农产品,由于没有品牌专利空间,超市在售卖它们时往往微利甚至亏损。因此,没人会在一块牛排或一棵西兰花上大做广告宣称其“强化健康”,只有利润空间惊人的超加工产品,资本才有动力斥巨资包装其所谓的健康价值。 - 辨别规律:全食物(Real Food)无需任何广告噱头即可自证营养,而充斥健康声明的产品往往是超加工的重灾区。 - 经济实质:天然生鲜商品因无法构建知识产权壁垒,往往成为零售渠道的走量甚至贴钱类目;工业再造的品牌零食则享受高额毛利。 --- ### [31:41](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1901s) 人造维生素与营养谎言:高糖酸奶与谷物麦片陷阱 Steven 拿起一小瓶益生菌乳饮品(如 Actimel),上面醒目地标着“支持免疫系统”、“富含维生素 D 和 B6”。Chris 尖锐地拆穿了这种把戏:如果仔细算一算里面的糖分,就会发现这本质上是一小管高热量的含糖液体,不仅极易腐蚀牙齿,其营养价值根本无法与普通的原味天然酸奶或鲜牛奶相比。食品巨头之所以反向添加维生素,纯粹是为了合法印上“支持免疫力”的健康声明招徕顾客。Chris 强调,健康人通过强化食品补充合成维生素几乎看不到真实的健康收益;除由维生素制造商资助的研究外,大多数独立的大型科研数据均证实,维生素与矿物质只有存在于完整天然食物的基质结构中时,才对人体有益。 紧接着,两人审视了一盒 Kellogg's 的 Cocoa Pops(可可米麦片)。包装上印着可爱的卡通猴子向儿童推销,宣称高纤维、添加维生素 D 和铁质、“呵护家庭健康”。正面英国营养标签系统(Traffic Light)给出了两绿两橙的评价,表面上看起来相当温和安全。然而,这一红绿灯评级仅基于极其苛刻的“30克建议摄入量”——大概只有一满勺或一小把。Chris 坦言,现实中自己的六岁孩子坐下来能连吃五份成人量,他自己也能轻松吃下300克。这种针对儿童的工业调味谷物,用看似合规的包装掩盖了极易诱发强迫性过量进食的成瘾本质。 - 营销悖论:监管体系下的份量陷阱使得食品工业能够以极小的标称克重(如 30g)规避高糖警示红标。 - 营养神话:独立实证研究表明,脱离食物天然基质的人工添加合成维生素,对健康个体并无明显防病延寿效果。 --- ### [34:27](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2067s) 无论是平价冷冻还是高端精选:披萨背后的工业成瘾设计 为了对比平价与高价的差异,Steven 特意从超市拿来两样东西:一款普通的廉价冷冻披萨,以及一款来自 Tesco Finest 系列的高端、昂贵、未经冷冻的冷藏披萨。直觉上,大众往往会认为价格昂贵、用料看似讲究的高端冷藏披萨肯定要比平价冷冻披萨健康得多。 然而 Chris 剖析后指出,从本质上讲,两者并没有高下之分。经过仔细对比两者的配料表,它们都属于不折不扣的超加工食品,都含有普通家庭厨房里绝不可能出现的工业原料,例如棕榈脂肪(Palm fat)或工业葡萄糖(Dextrose)。更深层的原因在于,生产这两款披萨的背后逻辑完全相同——它们要么出自同一批代工厂,要么都是由受制于机构投资者与无限增长利润诉求的上市公司制造。无论披萨的外包装设计得多么高贵或贴上怎样的品质标签,它们都来自于同一套追求工业化高效率与极端可口性的食品系统。结果就是,无论是吃平价款还是高级款,任何人都能在一次进食中不知不觉地吞掉整整一整张披萨,甚至吃完后还会意犹未尽地舔舐包装袋,因为它们在工程设计层面就是为了诱导人们“过量进食”而制造的。 --- ### [35:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2148s) 亲身实验80%超加工饮食:失控的体重、脑回路重塑与饱腹机制瘫痪 随后,Steven 提及 Chris 曾进行过的轰动一时的自我对照试验。Chris 解释道,他在一个月的时间里将自己每日热量的 80% 切换为超加工食品。这并非耸人听闻的极端挑战,在英国,五分之一的国民以及绝大多数英国青少年每天的饮食结构就是如此。在严格的科学监控下(作为 Chris 在伦敦大学学院主持的一项大型学术研究的前期部分),他记录了身体发生的惊人蜕变: ```mermaid flowchart LR accTitle: 超加工饮食对生理与神经回路的影响机制 accDescr: 展示从摄入超加工食品到体重激增、大脑连接改变及饱腹激素受损的链条 UPF["80% 超加工食品摄入"] subgraph BrainChanges["神经系统重塑"] HAB["后脑习惯与自动行为区"] REW["中脑奖赏与成瘾区域"] HAB <-->|"神经连接显著激增"| REW end subgraph HormoneDamage["内分泌调节瘫痪"] H1["进食结束"] --> H2["饥饿素仍处天花板级别"] H2 --> H3["饱腹感机制(Satiety)彻底失灵"] end UPF --> BrainChanges UPF --> HormoneDamage BrainChanges --> Weight["体重急剧上升(按此速率一年翻倍)"] HormoneDamage --> Weight ``` 短短一个月内,Chris 的体重出现了爆发式增长;根据测算,若这种饮食模式持续一年,他的体重将会彻底翻倍。为了探究大脑机制,他与英国国立神经病学与神经外科学医院(National Hospital for Neurology and Neurosurgery)的专家团队合作,进行了进食前后的高精度功能脑部扫描。即便只针对一个个体,在剔除所有背景噪音后,脑图像呈现出了令人震惊的变化:大脑后部负责自动化习惯与本能行为的区域,与中脑负责成瘾、奖励的核心区域之间,建立了异常紧密的超连接回路。 更致命的生理退化发生在饱腹感调控系统。进食天然真食物时,咀嚼过程与肠道感知会触发复杂的激素与神经级联反应,告知大脑“你已经饱了,可以停下了”。这一机制历经数亿年的生物演化,从最原始的摄食动物到人类皆是如此。然而在为期一个月的 UPF 实验结束时,Chris 在吃完一顿标准餐后进行血液检测,体内的饥饿激素指标竟然依然高悬在天花板水平。超加工食品彻底破坏了生物进化出的停止进食的精密开关。 - 实验基准:热量 80% 来自 UPF,契合全英 20% 人口及普通学龄青少年的常规饮食常态。 - 体重外推:在不刻意撑大胃口的前提下自发进食,增重速率折算一年足以让体重增加一倍。 - 神经连接:神经影像证实,负责自动化习惯行为的神经回路与奖赏成瘾通路被高度绑定。 - 激素瘫痪:吃完正餐后本应下降的饥饿素无动于衷,饱腹感反馈机制完全宕机。 --- ### [38:12](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2292s) “这不是食物”:借助厌恶心理戒断食物成瘾 在实验的中期,发生了一件彻底改变 Chris 心态的事。作为一个试图保持体型的中年男性,他原本很享受重温童年美食的过程,大口吃着辣鸡翅和各种多年未碰的垃圾食品。在此期间,他与巴西著名的营养学研究员 Fernanda Rauber 进行交流,Fernanda 在电话里一遍又一遍严肃地告诫他:"Chris, this isn't food. It's an industrially produced edible substance."(“Chris,这不是食物,这是工业生产出来的可食用物质。”) 这句话如同在 Chris 脑海中拨动了一个开关。那天晚上,当他再次坐下来准备吃一份外卖炸鸡时,他突然胃口全无、难以下咽。曾经令人欲罢不能的工业食品在这一瞬间变得恶心反胃。然而出于科研契约,他不得不强迫自己在接下来的两周里继续吃完这些东西。这个心理转变过程与 Allen Carr 著名的戒烟指南《这书能让你戒烟》(The Easy Way to Quit Smoking)如出一辙——读者被允许在阅读全书的同时尽情抽烟,当透彻理解了香烟的本质与成瘾机制后,吸完最后一根烟便会自然而然地心生厌恶、终身戒断。 Chris 将这种认知方法融入了自己的新书。他建议那些深陷暴食与成瘾挣扎的读者:在刚开始阅读时不要刻意节食或压抑欲望,完全可以“边读边吃”,尽情沉浸其中。但在吃的同时,仔细端详配料表,用心去体会食物的口感。人们很快就会察觉到,所有的工业超加工食品在风味底层完全是同质化的——无非是极其雷同的咸味、精制甜味与工业酸味的混合体。逐渐建立起的厌恶感能够切实瓦解进食成瘾的冲动。世界卫生组织(WHO)亦将这一认知脱敏疗法作为戒烟的有力推荐工具,在个体层面,将超加工食品视同成瘾物质对待,正在帮助许多人重新拿回对身体的主导权。对话随后顺理成章地延伸到了这种工业化食物对当代普遍上升的心理健康与精神疾病诊断所带来的深远冲击。 ### [40:25](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2425s) 超加工食品与心理健康危机的恶性循环 越来越多的人开始怀疑,席卷当下的心理健康危机与超加工食品(UPF)之间是否存在直接联系。克里斯·范·塔勒肯(Chris Van Tulleken)指出,现有的流行病学数据非常坚实,学界已经拥有数百项前瞻性队列研究(Prospective Studies)——这种研究正是当年证实吸烟与肺癌因果关系的黄金标准。这些数据表明,超加工食品不仅与代谢综合征、炎症性疾病、心血管疾病、多种癌症以及过早死亡等身体疾病高度相关,还与焦虑、抑郁以及痴呆症(Dementia)存在显著关联。 除了宏观统计,克里斯在自身亲历的超加工饮食实验中,体会到了许多实验室数据未能捕捉的生理与心理细节。由于超加工食品往往含盐量极高,他在夜间频繁起夜排尿;同时,这些食品缺乏膳食纤维,导致了严重的便秘与身体不适。这种生理紊乱迅速演变为睡眠障碍与心理焦虑的闭环:在凌晨失眠的时刻,他常常身不由己地徘徊在冰箱前,而眼前的加工食品反倒被大脑误认成“解决痛苦的灵药”。高压与睡眠剥夺拉高了皮质醇(Cortisol)水平,进一步刺激机体对低劣能量的渴望,促使他疯狂过量进食。许多中青年人日常生活中经历的轻度抑郁、中度焦虑和慢性压力,其根源往往正潜藏在这种恶劣的饮食循环之中。 ```mermaid flowchart TD accTitle: 超加工食品与身心健康恶性循环机制 accDescr: 展示超加工食品如何通过高盐低纤维引发身体紊乱、失眠、皮质醇升高,并最终加剧过度进食与心理焦虑的闭环。 subgraph Physiology ["生理机能紊乱"] A["摄入超加工食品"] --> B["高盐:夜尿频多"] A --> C["低膳食纤维:严重便秘"] B --> D["睡眠剥夺与昼夜节律失调"] C --> D end subgraph MentalCycle ["神经与心理反馈"] D --> E["皮质醇与压力水平升高"] E --> F["凌晨寻食并渴望劣质高热量食物"] F --> G["过度进食与内疚焦虑"] G --> A end ``` ### [41:55](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2515s) 肥胖污名化、社会不平等与“自由选择”的幻觉 史蒂文·巴特利特(Steven Bartlett)引用了克里斯书中的震撼数据:根据世界肥胖联合会(World Obesity Federation)的预测,在未来12年内,全球将有超过40亿人(占世界人口的51%)处于超重或肥胖状态。克里斯特别纠正了措辞,强调应该使用“伴随肥胖生活的人”(People who live with obesity),而非直接将“肥胖”(Obese)作为标签或身份认同。他警告道,当公众讨论肥胖问题时,往往极易滑向道德审判,导致“向肥胖宣战演变成了向伴随肥胖生活的人宣战”。现代科学已充分证明,肥胖的根本驱动力是劣质的食品环境,而非个体的道德缺陷或意志力薄弱。 基于这一认知,克里斯表明自己既不赞成对超加工食品征税,也坚决反对简单粗暴的全面禁令。他主张从“扩大自由、增加选择与平等机会”的视角解决问题,这一逻辑旨在说服崇尚自由市场与低监管的右翼政界人士:监管不仅完全可以与经济增长并存,更是在捍卫公民免受掠夺性商业侵害的权利。 面对“为什么穷人不能直接在超市里做出更健康的选择”这一常见的精英说辞,克里斯结合自身在伦敦热带疾病医院(Hospital for Tropical Diseases)的临床经验进行了有力驳斥: - **贫困群体的生存断层**:克里斯接诊的患者多数是无家可归者、赤贫家庭以及每天仅有8英镑生活费且被剥夺工作权利的寻求庇护者。他们并非不懂什么是健康食物,反而往往拥有深厚的传统饮食文化,但8英镑的预算根本买不起新鲜果蔬和肉类。 - **烹饪基础设施的匮乏**:在英国,有超过100万个家庭没有冰箱、冷冻柜或燃气灶,日常烹饪仅能依赖一台微波炉;他们甚至连切菜的案板和刀具都不具备。 - **批量烹饪(Batch Cooking)的隐形门槛**:政客常宣扬“去批发店花几镑买10公斤扁豆和大米”,却完全无视了加热食物所消耗的高昂燃气与电费、储存在深冷冻柜(Deep Freezer)和保鲜盒里的硬件成本,以及低收入人群最稀缺的资源——时间。因此,苛求赤贫群体“做出更健康的自律选择”完全是不知民间疾苦的无稽之谈。 ### [45:57](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2757s) 克拉拉·戴维斯的幼儿实验:生物本能与天然营养平衡 为了阐明生物摄食本能与环境的关系,讨论转向了自然界与经典的营养学史。克里斯指出,即便是看似只吃草的野生大型食草动物,其饮食结构也极为繁复。过往的动物学实验(通过在牛、羊颈部设立食管瘘管收集它们采食的植物标本)显示,草食动物一天之内会精准采食50到60种不同的植物。野生动物在卡路里充沛的环境下,能凭借天然的风味轮廓与矿物质信号,完美平衡自身营养需求,因此在野生动物王国中根本不存在肥胖症;只有在城市中翻食人类垃圾的动物才会出现肥胖。 人类的身体天生也具备这种精密调节的能力。克里斯详细回顾了北美医学先驱、著名女科学家克拉拉·戴维斯(Clara Davis)在1920年代进行的一项划时代实验: - **全天然食物自主选择实验**:戴维斯收容了一批被遗弃的婴儿与幼童,每天为他们提供34种未加工的天然食物(Whole Foods),包括生骨髓、熟米饭、酸奶、新鲜牛奶以及盛在小碗里的纯盐,让孩子们完全根据直觉自由挑选进食量。 - **患佝偻病的厄尔(Earl)案例**:其中一名叫厄尔的幼童在入组时患有严重的维生素D缺乏症(佝偻病),X光片显示其骨骼已明显弯曲畸形。在实验期间,厄尔每天都会极其渴望并大口喝下一整杯当时唯一的维生素D来源——鱼肝油(Cod Liver Oil)。令人震撼的是,就在X光片显示其佝偻病彻底痊愈的当天,厄尔立刻停止饮用鱼肝油,此后一生再未碰过一口;而其他身体健康、不缺维生素D的孩子自始至终一口鱼肝油都不肯喝。 - **本能驱动的自愈与成长**:在长达数年的随访中,所有完全接触天然食物的幼童不仅生长发育完美、智力超群,而且从未出现现代家庭中极为普遍的挑食、厌食或拒食问题。这有力地证明了人类机体拥有强大的自发调节能力,前提是饮食环境中绝不能掺杂工业化的人造劣质加工食品。 ### [49:27](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2967s) 未为人父的理想主义与现实环境的碰撞 听到克拉拉·戴维斯的实验结论,史蒂文联想到自己未来的家庭规划,提出了一个理想主义的构想:如果自己几年后为人父母,只要严格把控家庭环境,只采购未加工的天然食物,是不是就可以彻底打开食品储藏室的柜门,任由孩子们自由自在地随心取食? 克里斯听后忍不住大笑,展现出长辈兼过来人特有的幽默与宽容。他调侃道,自己最喜欢听那些“准父母”满怀憧憬地勾勒养娃蓝图:“祝你好运!咱们六年后再就这个话题聊聊吧。”克里斯坦言,史蒂文在生物学逻辑上完全正确,但在现实世界中,彻底将孩子隔绝在现代食品工业铺天盖地的超加工轰炸之外,几乎是一项“不可能完成的任务”。现代家庭所要对抗的,远不止自家的食品柜,而是整个被加工食品全天候包围的外部生态。 ### [50:06](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3006s) 超加工食品的文化围攻与社会正义 在现代社会中,想要完全将超加工食品拒之门外几乎是不可能的任务。Chris Van Tulleken 坦言,即便自己深入研究并撰写了一本关于超加工食品的专著,他也不希望自己的孩子因此变得脱离社会。食物不仅仅是用来构建肉体的营养物质,更是维系人际关系、家庭传统与社群文化的纽带。在英国,超加工食品本身已经构成了日常的饮食文化;如果一个人全然拒绝吃喝这些食物,就会沦为旁人眼中的“科学怪人”或“偏执的食物吹毛求疵者(food snob)”。因此,即便去朋友家做客,Chris 也会照样吃超加工食品。 这种无孔不入的渗透在育儿环境中尤为严峻。祖父母、亲友登门时会带来零食,学校与托儿所的饮食选择更是家长无法全权掌控的。Chris 提到自己年幼的小女儿就读于一家非常优质的幼儿园,但从她踏入校门的第一分钟起直到离开,提供的食物依然充斥着超加工食品。 针对这种现状,Chris 强调个人在技术层面掌握阅读标签和选择食物的知识固然有用,但将肥胖与健康恶化的责任归咎于个人意志完全是一种误导。这在本质上是一场深刻的**社会正义(social justice)**议题。真正令人震惊且愤慨的事实是:健康、天然的真正食物(real food)在当今社会变得昂贵且极难获取,即便是有相当经济能力的人群也深感购买门槛之高,而劣质的超加工食品却无处不在、廉价且唾手可得。 --- ### [51:28](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3088s) 节目赞助插播:Whoop 与 Huel Steven Bartlett 插入了播客赞助品牌的介绍: - **Whoop**:Steven 提到了他极其热衷的 AI 技术如何赋能日常生活。Whoop 手环搭载的 Whoop Coach 功能利用先进的人工智能综合分析用户的健康与体能数据,提供高度定制化的建议。用户可以直接向其提问(例如“为什么我总是这么累?”或“能帮我制定一个力量训练计划吗?”),AI 会根据个人数据给出针对性解答。 - **Huel**:Steven 介绍了该品牌的 Daily Greens 冲剂。这款产品此前曾售罄,如今在美国重新补货。每勺产品含有 91 种维生素、矿物质及全食物成分,免去了早晨吞服大批药片的麻烦,口感也优于市面上其他同类绿色粉末。由于该产品目前仅限美国地区发售,Steven 呼吁其他国家感兴趣的听众向他发送私信,以便他在 Huel 董事会上推动向全球更多地区拓展。 --- ### [53:24](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3204s) 破解“卡路里进出论”与成瘾机制 Steven Bartlett 提出了健身与减重圈子里根深蒂固的一个主流观点:“热量守恒定律(Calories In, Calories Out / CICO)”。许多健身狂热者和减重教练坚信,只要计算好摄入与消耗的热量,制造出热量赤字(calorie deficit),一个人“就算胡吃海塞垃圾食品也完全没问题”。 Chris Van Tulleken 指出,从纯数学物理的角度来看,这种说法并不完全算错,但在现实人类生物学与心理学面前,它存在两大致命漏洞: 1. **基因与食欲驱动力的现实差异**:许多人天生在基因上就对食物有着极强的渴望与冲动。对于这些人而言,要求他们精确控制超加工食品的分量,就像对烟瘾极重的人说“你只抽一根烟社交一下就好,别抽整包”,或者对酗酒者说“你只喝一杯酒就停下来,不会有事的”一样荒谬可笑。Chris 举例打趣道,如果那位坚信热量赤字的朋友来他家,试着在早餐时给他的女儿只倒“成人标准建议分量”的一小碗可可米(Cocoa Pops),现场必然会演变成一场伴随着尖叫、大哭和疯狂抢夺包装盒的灾难。 2. **食品的强成瘾性**:超加工食品从工业设计上就剥夺了人类大脑的饱腹与停止开关,它对许多个体而言具有确凿的成瘾特质。 --- ### [54:43](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3283s) 限制性能量消耗模型(固定能量模型) 除了食欲与摄入端,能量消耗端同样颠覆了人们的常识。Chris 详细讲述了演化人类学家赫尔曼·庞泽(Herman Pontzer)在 1990 年代以来的突破性科研历程: ```mermaid flowchart TD accTitle: 固定能量消耗模型对比流程 accDescr: 对比哈扎猎人与现代办公室职员的能量预算分配 subgraph Hadza["坦桑尼亚哈扎部落猎人"] H1["高强度体力活动<br>(日行15公里打猎、挖掘)"] H2["总能量消耗:约3000卡/天"] H3["生理平衡:低炎症、低慢性应激激素"] H1 --> H2 --> H3 end subgraph Modern["现代静坐久坐人群"] M1["极低体力活动<br>(案头工作、通勤久坐)"] M2["总能量消耗:约3000卡/天"] M3["多余预算挪用:高系统性炎症、高焦虑、内分泌紊乱"] M1 --> M2 --> M3 end ``` 庞泽为了弄清楚远古人类的生活方式究竟能多消耗多少卡路里,前往坦桑尼亚深入研究了哈扎(Hadza)狩猎采集部落。他利用科学界测量能量消耗的金标准——**双标记水法(doubly labeled water)**以及代谢面罩,对哈扎人进行了长达数月的追踪。哈扎人每天要在炎日下跋涉 15 公里追踪羚羊、挖掘坚硬土地下的块茎,体力消耗极大。然而,当庞泽分析数据时,结果令人震惊:**哈扎人每天燃烧的总卡路里,与生活在欧美现代都市中整天坐在电脑前的案头职员几乎完全一样**。 这一发现随后在动物实验、极地自给自足农民、矿工等各类人群的研究中得到了普遍验证。人体的总能量消耗在长期维持在一个相对恒定的范围内,即**限制性能量消耗模型(Fixed / Constrained Energy Model)**。 #### 为什么运动依然对健康至关重要? 既然运动不能显著增加每日总消耗,为什么医学界依然极力推崇运动?Chris 解释道,人体每天的能量总预算是相对固定的(假设约为 3,000 大卡): - **久坐不动的人**:这 3,000 大卡的能量无处释放,人体就会把多余的能量预算分配给**过度免疫与慢性炎症**、**高应激激素分泌**以及**焦虑情绪**等破坏性生理活动中。 - **保持规律运动的人**:高强度活动从这笔固定的预算中“偷走”了能量额度,从而硬性压缩了原本用于维持系统性炎症、内分泌异常和神经焦虑的能量支出。 #### 运动对减肥的现实局限 - **对宏观肥胖流行病无效**:对于受到肥胖困扰的群体而言,增加运动极为有益健康,但**对降低体重大体上没有显著作用**。 - **现实生活中的时间限制**:普通人即便竭尽全力,顶多每隔一天在健身房锻炼 40 分钟,这点运动量在整周的总热量池里微不足道。 - **补偿机制**:即使依靠极高强度运动勉强制造出少量热量缺口,身体也会通过刺激更强烈的饥饿感进行生理代偿,促使个体摄入更多能量。 Steven Bartlett 对此深表赞同,并分享了自己的亲身经历:他聘请了私人教练,坚持每周 7 天每天健身打卡,并在日历上严格规划日程甚至连午餐时间都要定闹钟。但他发现,如果自己的饮食结构不发生根本改变,无论每天怎么高强度锻炼,体脂依然纹丝不动,身体仅仅是稍微结实强壮了一点,体重的顽固脂肪却毫无减少,完全印证了身体的代谢补偿与饮食在减重中压倒性的决定地位。 ### [59:17](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3557s) 运动补偿心理与精英运动员的真实饮食 史蒂芬·巴特利特(Steven Bartlett)指出,身体在跑步或大运动量后会本能地保护体重以维持生存,但人在心理层面上往往会产生微妙的博弈。他提到自己在健身房筋疲力尽后回家看到饼干或燕麦脆块饼(flapjack),有时会警惕地觉得“吃掉它就等于前功尽弃,倒退了两步”;但也有很多时候,大脑会跳出来犒劳自己,产生“我刚跑了步,我配得上吃这个”的补偿心理。更隐蔽的陷阱在于替代选择——即便避开了显而易见的垃圾食品,很多人也会毫无防备地转去吃标榜为“健康营养”的能量棒,一吃就是好几根,最终摄入的热量和添加物反而更多。 克里斯·范·塔勒肯(Chris van Tulleken)对此补充道,当深入了解顶尖职业体育团队时,会发现精英运动员的真实食谱与消费市场上宣传的“运动功能食品”大相径庭。与顶级运动队合作的营养师透露,专业运动员主要摄入的是真正的食物,由专属厨师料理:哪怕他们吃高能量的燕麦饼,也是用厨房常备的基础原料手工烘烤而成,而非高度加工的工业棒;他们在骑行或高强度训练时往往直接喝牛奶,赛后补充的是切块的真实鸡肉,绝非充斥乳化剂和人造甜味剂的工业补充剂。 - **运动补偿效应的双重心理**:一种是“辛苦锻炼不能白费”的克制心理,另一种是“我已经消耗了热量所以可以放纵”的奖励心理。 - **健康光环陷阱**:用工业蛋白棒、代餐棒替代传统甜点,往往导致单次摄入过多高度加工配料。 - **精英运动团队的饮食哲学**:依赖厨师用天然食材(燕麦、牛奶、鸡肉等)制作全食物,而非市售工业能量补给品。 --- ### [01:00:33](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3633s) 意志力的神话:双胞胎研究与贫困对基因表达的影响 针对公众长期将肥胖归咎于“个人意志力薄弱”的偏见,克里斯明确表示,自己的学术思考经历了演变并彻底打破了这一迷思。他引用了同事克莱尔·卢埃林(Clare Llewellyn)的研究以及心理学家桑德拉·斯卡尔(Sandra Scarr)早期的双胞胎研究来解释基因与环境之间极其复杂的相互作用。在传统观念中,智力或肥胖常常被视为单纯由遗传决定的生理指标,但真实情况取决于个体的社会经济处境——在富裕家庭中,营养、教育等外部资源高度充足,环境障碍被消除,个体的差异主要由基因决定(肥胖基因的遗传表达率可能高达90%);然而在面临贫困和匮乏的环境中,潜力和健康的基因表达会受到严重压制。 克莱尔·卢埃林的数据揭示了一个惊人的公共卫生现实:如果一个人来自低收入或资源匮乏的家庭,其肥胖基因被激活并表达为实际肥胖病症的概率会大幅飙升;相反,优质的智力或身高基因可能因长期营养不良和教育缺失而根本无法表达。这意味着现代社会中大量的饮食疾病并非源自个人缺乏自律,而是贫困环境对易感基因的放大器效应。心理学若仅以白人中产阶级或大学生为样本,就会得出脱离实际的误导性结论。 ```mermaid flowchart TD accTitle: 基因与社会环境互动模型 accDescr: 展示社会经济环境如何决定肥胖基因与智力基因的实际表达程度 subgraph HighIncome["高资源 / 优渥环境"] H1["外部营养与教育资源充沛"] --> H2["环境制约降至最低"] H2 --> H3["个体差异主要由基因遗传显现"] end subgraph LowIncome["低资源 / 匮乏环境"] L1["承受贫困与超加工食品环境压迫"] --> L2["健康基因表达受阻"] L2 --> L3["肥胖易感基因被极度放大激活"] end LowIncome --> Conclusion["消除贫困即可消除约60%的饮食相关疾病"] ``` - **贫困消除的健康收益**:卢埃林的研究表明,如果彻底消除社会贫困,约 60% 与饮食相关的疾病问题将直接迎刃而解。 - **研究偏差的警示**:仅研究白人中产阶级(WEIRD 人群)或心理学系学生,会严重掩盖社会阶层与不平等对人体生物学表达的扭曲。 - **基因与环境的非线性关系**:携带肥胖基因并不必然导致发病,环境的不利因素才是按下基因表达开关的关键。 --- ### [01:03:45](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3825s) 迷你吧陷阱、全方位营销与波士顿增重 30 公斤的双胞胎兄弟 谈及环境对人的无情操纵,史蒂芬分享了自己去美国出差录制播客时的亲身经历:出差住酒店时想要维持健康饮食极其艰难,房间内的迷你吧每天自动补货,他为了克制食欲特意把迷你吧里的一袋高糖曲奇扔进了垃圾桶,结果第二天客房保洁以为他全吃光了,竟直接放了整整两袋作为补充。克里斯指出,这正是现代无孔不入的营销缩影——成年人在封闭的酒店房间尚且难以抵御这种诱惑,而英美等国的青少年则处于完全浸泡式的营销轰炸之中。商业算法与品牌通过公交车票、文具收据、免费音乐软件、社交媒体广告,乃至通过线上抽奖获取未成年人手机号后全天候推送“特惠套餐”短信,形成“360度、全天候24小时”的成瘾产品包围网,直接导致英国有高达 25% 的儿童不仅是超重,而是达到临床意义上的严重肥胖。 为了证明环境而非“意志力”对体重的绝对掌控,克里斯列举了自己与同卵双胞胎兄弟赞德(Xand van Tulleken)的真实案例。两人拥有完全相同的基因拷贝,克里斯留在英国生活稳定,身材维持良好;而赞德前往美国波士顿攻读硕士学位,不仅面临突如其来的育儿压力(非预期出生的儿子朱利安),还恰好租住在一家汉堡店楼上。在巨大的精神压力和恶劣的美国食物环境下,赞德通过进食来排解情绪,短时间内体重飙升了 30 公斤(约合 66 磅)。克里斯直言:“把我的基因克隆人搬到美国,稍微给他增加一点压力,他就胖了 30 公斤。难道是他的个人意志力或责任感一夜之间消失了吗?这与意志力毫无关系,纯粹是一连串生活巧合与致胖食品环境造成的后果。” - **青少年的广告浸润**:青少年无法像付费成年人那样屏蔽广告,其手机应用、账单与社交软件已被高度加工食品的成瘾性推广全方位渗透。 - **英国儿童肥胖率**:在全天候营销围攻下,已有 25% 的英国儿童处于肥胖状态。 - **同卵双胞胎对照**:基因完全一致的双胞胎,仅因搬至波士顿、生活压力剧增并居住在快餐店上方,便出现 30 公斤的巨大体重分歧。 --- ### [01:06:34](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3994s) 从“受害者”到“行动者”:夺回食物自主权与系统性愤怒 面对无处不在的食品巨头营销与大脑奖赏机制被劫持的现实,史蒂芬坦言这会引发强烈的失控感与无力感,他渴望在个人层面上重新掌控自己的生活,而不愿坐等唐宁街或白宫出台滞后的监管法案。克里斯回应称,这正是他在《超加工人类》(*Ultra-Processed People*)一书中希望读者完成的思想转变路径:读者刚翻开书时通常处于懵懂无知的盲目消费状态;读到中途,会痛苦地认清“自己其实是工业食品体系的受害者”;但绝不能停留在自怨自艾中,必须迅速从“受害者”蜕变为“行动者”(activist)。 克里斯进一步剖析了行动背后的阶层现实与特权壁垒。他坦言写作时的最大焦虑在于:有经济能力购买并阅读这类书籍的精英读者,往往拥有充足的预算和时间去高端精品烘焙坊购买天然酸种面包,从而摆脱超加工食品的控制;但对于社会底层、真正深受食品环境毒害的贫困阶层而言,廉价的工业包装面包几乎是他们维持温饱的唯一选项,根本没有选择的余地。克里斯呼吁,拥有自主权和资源的人应当停止将内疚、自责和羞耻感内化在自己身上,而是应该将这股愤怒转向外部,直接对准操控大众饮食的失衡商业体系;同时必须警惕并反驳政界将食品安全监管污名化为“保姆式国家”(Nanny statism)和政府越权的虚伪言论。 - **三阶段认知跃迁**:从“无意识的麻木消费者”,到认清现实的“食品系统受害者”,最终成长为在个人与公共领域发起反抗的“主动行动者”。 - **健康饮食的阶层鸿沟**:精制酸种面包是有产者的消费特权,而最脆弱的贫困群体在经济上被强制绑定在工业超加工食品之上。 - **情绪重塑倡议**:拒绝自责与身材羞耻,将负面情绪转化为对抗工业食品垄断与推动制度性改革的正向怒火。 ### [01:08:26](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4106s) 跨国食品公司的“保姆国家”与戒除困境 克里斯·范·图勒肯(Chris Van Tulleken)指出,人们常抱怨英国是一个“保姆国家”(Nanny State),但现实中真正充当保姆、对公众指手画脚的并不是政府,而是跨国食品巨头。这些跨国公司在本国几乎不缴纳什么税款,虽然雇佣了一部分劳动力,却根本谈不上融入本土文化,但它们却在深层控制着大众的日常饮食。克里斯认为,社会现在必须从这些公司手中夺回控制权。 斯蒂芬·巴特利特(Steven Bartlett)随即抛出一个现实问题:克里斯书中呼吁的改变,对于像他们这样拥有财富、时间和选择权的人来说相对容易,但对于那些买不起锅碗瓢盆、砧板,更请不起厨师代劳的底层大众,他们究竟该怎么做?克里斯回应称,这正是他从不在书中给出个人化生活建议的原因——在这个阶段,人们必须在政治和政策层面上像当年对待烟草公司那样去对待食品巨头。对于如今许多底层普通人而言,试图戒掉超加工食品(UPF),其艰难程度就如同在 20 世纪 60 年代人人抽烟的大环境中尝试戒烟。 ### [01:09:25](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4165s) 超加工食品的成瘾机制与科学证据 长期以来,“食物成瘾”在科学界一直是一个难以定性的复杂难题。克里斯解释道,传统成瘾概念中内嵌了一个铁律——唯一有效的治疗策略是“完全戒断”(Abstinence)。然而人类不可能对食物完全戒断,否则就会饿死,因此过去学界普遍认为食物本身不会成瘾,而将其归为“行为成瘾”(Behavioral addiction),即成瘾的是进食行为而非物质本身。但是,“超加工食品”这一科学分类的出现彻底打破了僵局,它精准圈定了那类真正具有成瘾性的工业物质。当询问那些自称有“食物成瘾”的人究竟对什么上瘾时,答案无一例外都是超加工产品——无论是健怡可乐、饼干还是冷冻比萨,绝没有人会对纯天然原料成瘾。 克里斯列举了医学上对成瘾的核心定义:“即使明知会带来身体或心理伤害,且经过多次尝试戒除,依然持续使用该物质。”在现实中,大约 40% 的人群与超加工食品之间存在这种困扰性的病态关系。克里斯将受众划分为两类:一类人尚能自主控制,仅把 UPF 当成周五晚上的偶尔犒劳,就像偶尔喝一杯酒或抽一支烟;但对另外 40% 的人来说,哪怕一口都会引发失控,对他们而言,采取彻底戒断的策略反而更容易。 从脑部扫描、问卷调查、成瘾基因图谱到基础神经生物学,多项证据均支持 UPF 具有成瘾特质。成瘾物质的共性在于“摄入后的起效速度极快”——例如烈酒一口闷(Tequila shots)、冰毒(Crystal meth)或吸入式烟草;相比之下,咀嚼烟草、治疗 ADHD 的缓释哌甲酯(Methylphenidate)或是低度数啤酒则极难成瘾。超加工食品经过高度工业软化与预消化处理,人体咀嚼阻力极小,热量与多巴胺奖励能够瞬间涌入血液与大脑,这种极快的冲击速度正是其诱发成瘾的关键所在。 ```mermaid flowchart TD accTitle: 成瘾性物质的作用速度与成瘾机制对比 accDescr: 展现超加工食品与烈性成瘾物相似的快速起效与失控恶性循环 subgraph FastTrack["快速起效物质(极易成瘾)"] A["超加工食品 (UPF) / 烈酒 / 烟草 / 冰毒"] --> B["超软质地 / 极速吸收"] B --> C["大脑多巴胺与神经回路瞬间爆发"] C --> D["形成病理性依赖与失控进食"] end subgraph SlowTrack["慢速缓释物质(低成瘾风险)"] E["天然完整食物 / 缓释药物 / 低度酒"] --> F["耐咀嚼 / 消化吸收平缓"] F --> G["正常生理饱腹信号释放"] end ``` ### [01:11:55](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4315s) 神经多样性、全因死亡率与惊人的健康风险清单 针对超加工食品与神经多样性(如 ADHD 等)的关联,克里斯透露,英国皇家精神科医学院(Royal College of Psychiatrists)目前正设立专门工作组,深入研究暴食症(Binge Eating Disorder)、其他进食障碍与超加工食品之间的联系。虽然因果关系的科学求证才刚刚起步,但现实是英国大量儿童从幼年起饮食就几乎被纯超加工食品填满。由于这种情况往往与童年创伤、恶劣住房条件和贫困等不利社会因素高度交织,在统计学上剥离出单一因素十分复杂,但其对神经和精神健康的负面叠加效应已不容忽视。 斯蒂芬援引克里斯书中的震撼数据指出:在全球范围内,高超加工食品饮食导致的死亡人数已经超过了烟草、高血压以及其他任何单一健康危险因素,占全球总死亡人数的 **22%**。斯蒂芬随后念出了一长串与高摄入 UPF 直接相关的疾病清单: - **全因死亡率**增加 - **心血管疾病**与**高血压** - 多种**癌症** - **非酒精性脂肪肝** - **炎症性肠病(IBD)**与**肠易激综合征(IBS)** - **重度抑郁症** - **恶化的血脂谱** - **认知障碍与痴呆症** - **身体虚弱症(Frailty)**(斯蒂芬在此念错单词,两人就老年衰弱与生育力打趣了一番) ### [01:13:30](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4410s) 斯蒂芬的自我破局与克里斯的“自由主义”底色 斯蒂芬针对克里斯书中的第五部分“我该怎么办”梳理了自己的行动步骤: 1. **建立认知(Awareness)**:明确界定何为超加工食品; 2. **饮食审计(Audit)**:审视自己频繁摄入的食物,告别虚假健康营销(斯蒂芬自嘲曾误以为含有维生素 D,喝了整整 20 年的“阳光软饮”Sunny D); 3. **做出更好选择**:利用自身的经济条件与知情权,有意识地增加天然全食物(Whole Foods); 4. **推动系统性变革**:借助公开对谈与传播,为缺乏选择权的人发声。 克里斯对斯蒂芬自主总结出这些步骤表示赞赏,并坦言自己骨子里是个坚定的自由主义者:“我其实根本不在乎大家吃什么,我讨厌被人指手画脚,因此我也绝不对任何人的食谱发号施令。”他在整本书中从未以说教口吻写过“你应该少吃 UPF”。克里斯强调,没有人是自愿被生到这个世界上的,人们没有义务为了促进国家经济增长而强行保持健康;人出生后,理应拥有按照自己意愿生活的权利。 克里斯真正追求的核心是公众的**“自主权”(Agency)**——让普通人摆脱食品巨头掠夺性营销的无死角围猎,获得真正意义上的自由选择权。 ### [01:15:30](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4530s) 扭转食品环境的三大政策层级 克里斯与众多公共卫生专家正共同推动一项系统性政策倡议,其核心目标是让真正的天然食品变得廉价且唾手可得。他梳理了推动社会变革的优先层级: - **根本之策:消灭贫困** 贫困完全是一种政治选择的结果。英国拥有巨大的财富累积,出身贫困家庭的儿童不应该承受与富裕家庭完全不同、甚至注定病态的童年。在现实中,住在克里斯家对街贫困社区的孩子,其预期健康结局与优渥家庭存在天壤之别,消除这种贫富健康鸿沟是首要任务。 - **温和监管与清晰标签** 克里斯明确反对出台惩罚性的歧视性税收或直接禁售,但他主张推行清晰明了的包装警示。英国现行的红黄绿营养标签混乱不堪,普通人根本无法看懂。同时,国家膳食指南必须正式纳入 UPF 类别与各类慢性病因果关联的科学证据,明确建议国民减少摄入。克里斯指出,这在政治上会引发一场巨大的危机:因为当下的食品环境本就是政府默许塑造的,当政府一边告诫底层大众“不要吃超加工食品”,大众一边却发现“这是我们唯一买得起的东西”时,政治矛盾将不可调和。 - **核心阻断:将食品工业游说踢出政策制定室** 克里斯刚在纽约的“世界肥胖联盟”(World Obesity Federation,联合国及世卫组织对口机构)发表了演讲。他指出,在英国以外的国际科学界,关于“全球肥胖大流行主要是由西方工业化饮食和超加工食品驱动”这一点早已达成绝对共识,没有任何争议。例如阿根廷等国家,一听可乐包装上必须印有三个巨大的黑色警示六边形,其尺寸甚至超过了饮料品牌本身的商标,早餐麦片亦是如此。然而在英国,公共卫生话语权和政策制定依然被跨国食品巨头深度渗透与严格掌控。 ### [01:17:36](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4656s) 食品工业对政策的渗透与个人立场的坚守 英国几乎所有能够对公共健康政策产生深远影响的大型慈善机构与学术组织,其背后都有超加工食品制造巨头的资金支持。克里斯·范·图勒肯(Chris van Tulleken)直言不讳地指出,英国营养基金会(British Nutrition Foundation)的大部分资金来自可口可乐、雀巢和嘉吉(Cargill)等食品巨头;英国癌症研究中心(Cancer Research UK)、英国糖尿病协会(Diabetes UK)以及英国饮食协会(British Dietetic Association)同样接受着这类企业的资助。在他看来,全社会必须像对待传统烟草工业那样对待这些食品公司,断然拒绝它们的资助,因为金钱的介入必然扭曲食品政策的制定与推行。 这种抵制不仅体现在公共倡导层面,更构成了克里斯个人的行为底线。作为一名活跃的反超加工食品倡导者,他坚持拒收食品工业的一分一毫。这对他而言是一个“每周都在发生的痛苦抉择”,因为撰写了一本畅销的食品专著后,食品工业频繁向他抛出橄榄枝,开出令人咋舌的巨额报酬邀请他合作,但他始终选择坚决回绝。 - **受食品巨头赞助的权威机构**:英国营养基金会、英国癌症研究中心、英国糖尿病协会、英国饮食协会。 - **赞助商代表**:可口可乐、雀巢、嘉吉等全球跨国食品与大宗商品集团。 - **核心倡张**:全面借鉴烟草管控的伦理隔离机制,切断商业资本与公共健康政策研究的利益链条。 --- ### [01:18:35](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4715s) 从成瘾走向厌恶:超加工食品的“恐怖谷”效应 当被问及在写书过程中自己的饮食习惯发生了怎样的改变时,克里斯解释道,如果一个人深陷成瘾状态,单凭意志力去“克制抗拒”几乎注定失败,因为抵抗本就是成瘾机制中最脆弱的一环。走出成瘾的真正突破口,在于完成从“成瘾迷恋”到“心生厌恶”的心理转变。在神经解剖学上,爱与厌恶的脑区位置非常相近,许多戒烟者或从一段狂热恋爱中清醒过来的人都体会过这种“突然祛魅”的时刻——原本让人欲罢不能、恨不得时时刻刻沉溺其中的事物,可能因为某个认知扳机的扣动,在瞬间转化为令人彻底反感的对象。 克里斯将自己对超加工食品的这种心理蜕变比作动画领域的“恐怖谷理论”(Uncanny Valley)。在动画制作中,卡通风格的角色让人感到亲切,极度逼真的人类形象也令人舒适,但介于二者之间、似人非人且略带僵尸感或尸体感的形象则会引发强烈的生理不适。超加工食品如今在他眼中正处于这个恐怖谷之中:它们看起来像是食物,质地模仿食物,但本质上绝非真正的食物。一旦看清了工业配方的虚幻本质,那种强烈的进食冲动便彻底瓦解,现在的他除非为了社交礼貌,否则对这些产品已经毫无食欲。 --- ### [01:20:36](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4836s) 重新定义食物:为了滋养生命,还是为了取悦机构投资者? 面对演播室桌上摆放的冷冻披萨、可可脆片(Coco Pops)和可口可乐,史蒂文询问这些东西究竟能否被算作“食物”。克里斯严肃地指出,尽管法律层面对食物缺乏严密的定义,但从文化、社会、心理和生理层面上讲,食物的根本定义应当是“为了滋养而摄入的物质”。真正的食物应当蕴含着制作人对食用者的关爱与滋养之情;而眼前的这些工业化产品,其研发的核心目标纯粹是“为机构投资者创造金融化增长”,制造者与消费者之间毫无爱意与关怀可言。 克里斯进一步剖析了可口可乐这类产品的本质:它不过是色素、成瘾性药物(咖啡因)以及磷酸的混合液体,既缺乏人体必需的营养素,而且其中的绝大部分成分都已被科学证实会在不同程度上对人体造成损害。他强调,不能将这类产品称之为食物,它们的本质是一种“将公众的健康恶化变现为极少数人商业利益的商品化工具”。在文化与认知上剥离这些工业产品的“食物身份”,是打破人们饮食迷思的关键一步。 ```mermaid flowchart TD accTitle: 超加工食品与真实食物的根本属性对比 accDescr: 对比传统食物以滋养生命为导向与超加工食品以金融增长为导向的核心差异 subgraph RealFood["真实食物 (Real Food)"] direction TB A1["制作动机:滋养家人与社群"] --> A2["多维滋养:生理、文化、心理健康"] A2 --> A3["结果:个体健康与生命活力"] end subgraph UPF["超加工产品 (UPF)"] direction TB B1["研发动机:取悦机构投资者与资本扩张"] --> B2["工业配方:色素、成瘾物、磷酸等人工添加物"] B2 --> B3["结果:将公众健康恶化变现为商业利润"] end ``` --- ### [01:21:52](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4912s) 乐观的理由与严峻的现实:烟草监管范式与被“矮化”的儿童 在讨论对未来是否持乐观态度时,克里斯坦言自己的心境每天都在波动,但他列举了促成乐观的几大核心支柱: 首先是**新型经济组织模式的可行性**。他分享了一位来自传统大药企的好友创办非营利制药公司的案例。该企业运作完全遵循商业化大公司的严密逻辑并产生了巨额营收,按期偿还了投资人,全公司仅有首席执行官一人主动降薪,员工待遇完全比照顶级药企。由于免受公共金融市场机构投资者的绑架,该公司致力于为低收入地区研发急需药物,以缩减医疗不平等为核心使命。克里斯认为,这种在资本主义架构内部服务公共利益的企业模型,完全可以复制到食品工业中。 其次是**控烟战争的成功经验**。公共卫生运动曾成功通过立法和严格的营销禁令将吸烟率大幅压低,这为超加工食品监管提供了现成的行动蓝图与治理工具箱。 最重要的一点在于**公众情绪的普遍觉醒与愤怒**。过去四十年来,英国社会眼睁睁看着孩子们的体格不仅走向过度肥胖,而且出现了严重的“发育迟缓”。克里斯援引了令人震惊的研究数据:在五岁时,英国儿童的平均身高比保加利亚、荷兰或斯堪的纳维亚半岛国家的儿童整整矮了 9 厘米,而这一差异完全是由低质的超加工饮食造成的。 克里斯沉痛地指出,如果一个孩子在五岁时身体发育被矮化了 9 厘米,其大脑智力发育也绝不可能不受损伤。面对眼前无处不在的肥胖与健康危机,公众的愤怒正在转化为夺回传统饮食文化的政治动能。然而,这种乐观预期也面临着令人窒息的阻力:任何一家大型跨国食品巨头的年度营收,都足以匹敌委内瑞拉或克罗地亚等中等国家的国内生产总值(GDP),其实力堪比庞大的跨国经济帝国。 --- ### [01:25:21](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5121s) 史蒂文的童年猜想:家庭烹饪缺席与兄弟间的身高之谜 克里斯关于饮食导致儿童身高受限的论述,引发了史蒂文对自己家庭经历的强烈共鸣与“阴谋论”猜想。史蒂文透露,自己在家里的四兄妹中排行最小,上面有两个哥哥。大哥凯文身材魁梧,身高足有 6 英尺 5 英寸(约 196 厘米);二哥杰森也高达 6 英尺 3 英寸(约 191 厘米);而史蒂文自己的身高则是 6 英尺 1 英寸(约 185 厘米),在两个哥哥面前显得格外“矮小”。 史蒂文回忆,在哥哥姐姐成长阶段,母亲全职在家照顾家庭,坚持做传统非洲家常菜,餐桌上全都是鸡肉、蔬菜、沙拉等未经深加工的完整食材(Whole Foods)。然而轮到史蒂文成长时,母亲投身商业创业,整天不在家。失去家庭膳食照料的史蒂文成了四处觅食的“拾荒者”(scavenger),整天出入糖果店吃垃圾食品。他不禁猜测,自己比哥哥们矮了整整数英寸,或许正是童年超加工食品剥夺了生长潜能的直接后果。 克里斯打趣道,身高 6 英尺 1 英寸的史蒂文恐怕很难在公众面前把自己的“发育不良论”推销出去,但家庭饮食环境的代际断层确实是一个耐人寻味的变量。两人随后还调侃了出生顺序对智商的影响:史蒂文自嘲自己是家里的“笨蛋”,因为他的哥哥们从小就是数学奇才,甚至因为在课本编写上的突出表现登上过地方报纸《普利茅斯先驱报》(Plymouth Herald)的头版。这一段充满家庭趣事的插曲,生动印证了家庭日常烹饪环境的变迁对下一代饮食构成的深远冲击。 ### [01:26:47](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5207s) 孪生实验与饮食环境的深远影响 史蒂文·巴特利特(Steven Bartlett)回忆起自己的成长经历,提到他的两个哥哥杰森(Jason)和凯文(Kevin)在学业上极其优异,杰森的优异成绩甚至登上了当地报纸《普利茅斯先驱报》(Plymouth Herald),而凯文同样聪明绝顶;相比之下,史蒂文自己当年却被学校开除。克里斯·范·图勒肯(Dr. Chris Van Tulleken)借此指出,传统的家庭自制天然完整食物饮食与高超加工食品(UPF)饮食之间可能存在潜移默化的深远差异。虽然史蒂文作为一个单一个案如今在体格与智识上都极其出色,但科学证据正是建立在大量案例的基础之上。 克里斯随后分享了一个生动的真实自然实验:一对在出生时被不同家庭收养的中国双胞胎,在完全相同的基因背景下,一人在挪威长大,另一人在美国长大。当克里斯在播客中采访她们时发现,在挪威长大的那个女孩明显比在美国长大的双胞胎姐妹高出一截。这一极端的现实案例印证了成长环境与饮食结构对人类身体发育的塑造力。 --- ### [01:27:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5268s) 放手与赋权:停止对亲人的饮食控制 谈到克里斯的双胞胎哥哥赞德(Xand Van Tulleken)的近况时,克里斯透露,写这本书带给他最大的改变,其实是他彻底放下了对赞德饮食的干涉。听众在听到关于超加工食品的危害时往往非常急迫,常常想着要把书买给妻子、丈夫或孩子,试图逼迫他们戒除 UPF。然而,克里斯强调,全书最核心的忠告之一就是“别再拿这些大道理去敲打你爱的人”。 克里斯反思,他和赞德同为电视健康节目的主持人,过去当赞德体重大幅增加时,克里斯总觉得十分难堪:“天哪,你太让我丢脸了,我们正在电视上向孩子们讲解健康和医学,看看你自己成什么样了!”他过去下意识地将哥哥视为自己形象的延伸。直到克里斯彻底放下评判,不再将注意力放在赞德吃了什么上面,转而纯粹去爱和欣赏赞德的人格,赞德反而获得了自我掌控的能动性(Agency)。后来,赞德与一位公共卫生学者结了婚,生活步入新阶段并有了自己的转变。克里斯感慨,人生充满机缘巧合,他不愿去公开大肆鼓吹所谓的“减肥成功”,但放手确实从根本上修复了兄弟二人的亲密关系。 - **赋权原则**:当停止替他人承担他们的问题时,才能赋予他们自主权去面对和解决自身困境。 - **停止唠叨**:人们的饮食行为受控于远大于个人的强大商业力量,对亲人的体重唠叨只会徒增压力,适得其反。 --- ### [01:29:42](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5382s) 改变的契机与“洗碗心理学” 史蒂文由此展开对人生转变契机的讨论:人往往在什么时候才会痛下决心做出改变?是否人必须经历某种“痛苦”或跌入谷底?史蒂文提到自己曾与一位顶尖音乐艺人的经纪人交谈,询问该如何帮助那位身陷成瘾漩涡的朋友。经纪人直言:“你帮不了他。我带过很多陷入各种成瘾的艺人,只有当他们真正跌落谷底、自己下定决心的那一刻,转变才会发生。”眼睁睁看着自己在乎的人陷入自由落体般的坠落,固然残酷且令人心碎,但外力的强加往往无效。 克里斯对此深表赞同,并举了一个极为生活化的“洗碗”例子:在吃完饭后,他原本正充满男子气概、满怀英雄主义情怀地准备起身收拾残局,为全家做贡献;可就在他刚要动身的那一秒,妻子对他说:“你能把盘子收了、把碗洗了吗?”瞬间,他的心态从一个“主动赋能、英勇奉献的家庭顶梁柱”,沦落为一个“被迫执行他人命令的受气包”,内心顿时涌起怒火。克里斯指出,这正是人性的微妙之处——医生们习惯了指点别人的生活,但学会退后一步、允许他人自己去把握问题,是一门极其艰难的修行。 ```mermaid flowchart LR accTitle: 自主能动性与被迫顺从的心理机制对比 accDescr: 对比主动承担行为与被催促提醒后导致的心理抗拒和动力丧失过程。 subgraph 自主赋权 A["内在自发意图<br/>(准备主动洗碗/改变饮食)"] --> B["英雄主义体验<br/>(掌握自主能动性)"] end subgraph 外力干预 C["外部催促提醒<br/>('你能把碗洗了吗?')"] --> D["沦为执行命令<br/>(引发抵触情绪与失控感)"] end ``` --- ### [01:31:22](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5482s) 匮乏的食物选择与回归烹饪的“苦痛”价值 史蒂文坦言,现代饮食环境最令他反感的一点是“被控制感”——走在商业街或身处高速公路服务区时,人根本没有真正的选择。克里斯对此表示赞同:除非一个人有足够的财富并且每天清晨起大早亲自备餐,否则普通人在日常街道上几乎买不到未经加工的健康午餐,现代人的选择权已经被商业资本严重剥夺。 关于史蒂文提到的“痛苦”,克里斯给出了独特的生物学与文化层面的解读:我们的饮食其实需要一点“苦痛”。 - **味觉与质感上的挑战**:人类的生理机制需要带有苦味、真实、耐嚼、需要费力咀嚼的食物,而不是入口即化、无需消化的超加工软泥。 - **时间与精力的投入**:现代人把准备食物视为一种负担和苦工,但烹饪实际上是维系我们与祖先联系的纽带。人类之所以能繁衍至今,是因为漫长岁月中祖先们每天花费数小时捣碎、研磨、腌制、烹煮食材,并将这个过程演变为群体维系感情的社交核心。重新享受食物制作的过程,是摆脱工业控制的重要一步。 --- ### [01:32:46](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5566s) 控烟历程的警示与无止境的“军备竞赛” 当史蒂文追问克里斯内心悲观的一面时,克里斯表达了对制度化监管的忧虑。在控烟历史上,科学界早在数十年前就确凿证实烟草不仅会导致肺癌,还会引发中风、心脏病及早逝(这些负面健康后果与当今超加工食品造成的危害高度重合),但从确凿证据到真正落实严格的监管政策,足足耗费了五六十年。即使在当今英国,仍有相当比例的女性在孕期持续吸烟——即便她们有着最强烈的戒烟动机,成瘾的力量依然让她们无法摆脱;与此同时,电子烟(Vapes)又迅速崛起。 作为一名拥有病毒学博士学位、研究过病毒与人类相互博弈的科学家,克里斯指出,公共卫生抗争就像商业竞争或病毒博弈一样,是一场永无止境的“军备竞赛”(Arms Race)。在军备竞赛中,没有任何一方能够一劳永逸地高枕无忧。食品巨头永远在寻找规避监管的新配方与新营销手段,因此健康倡导者们不能寄希望于速战速决,而必须建立起一种可持续的行动机制,通过持续产生科研证据、推动层层递进的法规,并扶持非营利性食品企业来维持持久的制衡力量。 --- ### [01:34:11](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5651s) 跨代际的抗争与“唯一的遗憾” 面对未来的漫长战役,克里斯坦言自己“必须保持乐观”。他清醒地认识到:“任何真正值得为之奋斗的伟大目标,都不可能在我们这一代人的有生之年彻底完成。”他视自己为这场接力赛的一环,正接过老一辈活动家的火炬——这一运动最早可追溯至几十年前雀巢公司因在极度贫困地区激进推销婴儿配方奶粉、严重伤害第三世界儿童健康而遭到全球抵制与起诉的事件。如今,那些当年投身斗争的先驱已经比克里斯年长二三十岁,来自全球南方及多元社区的倡导者正在将经验托付给他这一代人,而他也终将把这项使命传递给下一代。 节目的最后,史蒂文按照惯例拿出了上一位嘉宾留下的匿名问题:“十年后,我们(你)会对如今抚养孩子的方式感到什么遗憾?” 克里斯毫不犹豫地回答,他根本不用等十年,因为他现在就已经深感懊悔。他坦言自己最大的遗憾,就是未能给自己的孩子们留出像今天接受采访时这样全神贯注的高质量陪伴。为了录制这期播客,他提前深入准备、全神贯注地思考并投入心力;而在家庭生活中,这种真正专注、不分心的倾听与陪伴,往往被琐事挤压殆尽。 ### [01:35:46](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5746s) 把时间留给家人:打破生活忙乱的反思与陪伴 在对谈尾声,克里斯·范·塔勒肯(Chris van Tulleken)由衷地分享了自己阅读史蒂文·巴特利特(Steven Bartlett)著作并长期收听其播客的感悟。克里斯坦言,这次对话让他感到收获颇丰、内心充实,同时也促使他深度反思自己在家庭生活中的缺位。史蒂文曾在多次分享中强调“将午餐写入日程”(diarising lunch)这一理念,警醒人们不要把工作之余的“残羹冷炙”(crumbs)留给至亲,而应当像经营事业一样对家庭进行全力投资。克里斯对此深有触动,他坦白自己的现实生活正处于一片忙乱之中:妻子目前正怀有身孕,家里还有两个分别为六岁和三岁的幼童。 克里斯感慨,如果任由这种仓促忙乱的状态延续,这将是他未来人生中最大的遗憾。借由这次对话的机会,他得以当场梳理并直面内心的焦虑,重新追问“自己究竟想成为一个怎样的人”。他下定决心要在日后强行腾出专属时间,全心全意地陪伴在孩子身边。哪怕孩子们有时候对他并不感兴趣、沉浸在自己的小世界里,他也愿意只是静静地待在旁边,专心倾听他们的声音,像对待生命中其他重要事务一样,持之以恒地为家庭投入心力。 - **家庭现状**:妻子怀孕在身,育有两名幼儿(分别为 6 岁和 3 岁),日常生活常陷入应接不暇的忙乱。 - **核心理念**:不能只把工作消耗殆尽后剩下的零碎时间给家庭,而要像对待日常工作日程一样,主动规划并全情投入对家人的陪伴。 --- ### [01:36:42](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5802s) 时代之书的文化影响力:开启饮食革命与政策变革 史蒂文对克里斯的著作《超加工人类》(Ultra-Processed People)给予了极高的赞誉。该书在《星期日泰晤士报》(Sunday Times)畅销书排行榜上连续霸榜长达 24 至 25 周,甚至一度将史蒂文自己的作品挤下了榜首位置。史蒂文半开玩笑地提到“你把我从第一名挤下去了”,克里斯则幽默地回应道:“得了吧,我只是上去串个门,你才是常驻那里的房客!我大概只能在上面待个五秒钟。”史蒂文随即认真地强调,克里斯的书正在开启一场至关重要的饮食认知革命。 在史蒂文看来,有些现象级书籍每隔几年、甚至每隔一代人才能出现一次。它们之所以能改变世界,是因为它们在最精准的历史契机切入文化脉搏,拥有恰到好处的话语体系,并对读者的处境保持同理心与包容度。这本书既没有走向极端激进的立场,也没有陷入非左即右的对立攻防,而是巧妙平衡了复杂议题的两面性,让每一个群体都能参与其中。史蒂文坚信,正是这种兼具科学严谨与文化温度的叙事,才能真正撼动公众意识,并最终推动国家层面的食品立法变革。面对史蒂文高度的肯定,克里斯由衷地表示自己“受宠若惊得脸都红了”,直言从史蒂文这里获得如此评价意义非凡。 - **榜单成就**:《超加工人类》登顶《星期日泰晤士报》畅销榜,并连续在榜 24 至 25 周。 - **书籍价值**:超越二元对立的健康叙事,兼具包容性与严谨度,旨在开启全社会关于饮食体系的严肃讨论,并推动未来的政策与立法改变。 --- ### [01:38:26](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5906s) 商业赋能与栏目赞助:Shopify 工具的实战应用 在节目收尾环节,史蒂文宣布了播客的新合作伙伴 Shopify,并分享了自己企业在日常运营中深度依赖该平台的真实体验。他指出,无论是个人开启副业、与朋友合作新项目,还是运营规模化的跨国企业,Shopify 都在全球范围内彻底重塑着数百万家商业机构的运作模式。 史蒂文特别提到,团队此前推出的衍生产品——包含历期重磅嘉宾提问的“The DOAC 对话卡片”(The DOAC conversation cards),从项目筹备到正式上线的全流程,均完全依托 Shopify 进行电商搭建与订单管理。他表示,Shopify 让整个商业流程运转得无比顺畅,是自己团队成员极度喜爱并频繁使用的核心工具,并建议有创业或拓展业务需求的听众访问 `shopify.com/bartlett` 进行尝试。 ## Notable quotes > [00:00](https://www.youtube.com/watch?v=dzUDhstqXbg&t=0s) 你无法让一个孩子的身体发育受阻 9 厘米,却妄想他们的智力发育不受丝毫损耗。 — Chris van Tulleken > [05:14](https://www.youtube.com/watch?v=dzUDhstqXbg&t=314s) 你才是真正的阻碍。对于你的兄弟而言,如果他现在听话减肥,就意味着他在这场长达十年的拉锯争论中彻底向你认输服软。正是因为你永不停歇的指责与唠叨,你强行占有了属于他的问题,反而剥夺了他自主面对问题的权利。 — 行为心理转变专家 > [30:02](https://www.youtube.com/watch?v=dzUDhstqXbg&t=1802s) 如果包装上印有任何宣扬健康的标签(Health Claim),它几乎百分之百就是超加工食品。 — Chris van Tulleken > [38:12](https://www.youtube.com/watch?v=dzUDhstqXbg&t=2292s) Chris, this isn't food. It's an industrially produced edible substance. — Fernanda Rauber > [01:03:45](https://www.youtube.com/watch?v=dzUDhstqXbg&t=3825s) 把我的基因克隆人搬到美国,稍微给他增加一点压力,他就胖了 30 公斤。难道是他的个人意志力或责任感一夜之间消失了吗?这与意志力毫无关系,纯粹是一连串生活巧合与致胖食品环境造成的后果。 — Chris van Tulleken > [01:13:30](https://www.youtube.com/watch?v=dzUDhstqXbg&t=4410s) 我其实根本不在乎大家吃什么,我讨厌被人指手画脚,因此我也绝不对任何人的食谱发号施令。 — Chris van Tulleken > [01:27:48](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5268s) 别再拿这些大道理去敲打你爱的人。 — Chris van Tulleken > [01:34:11](https://www.youtube.com/watch?v=dzUDhstqXbg&t=5651s) 任何真正值得为之奋斗的伟大目标,都不可能在我们这一代人的有生之年彻底完成。 — Chris van Tulleken ## Mentioned Chris van Tulleken, Steven Bartlett, Alexander 'Xand' van Tulleken, Fernanda Rauber, Allen Carr, Clara Davis, Herman Pontzer, Clare Llewellyn, Sandra Scarr, Ultra-Processed People, The Easy Way to Quit Smoking, The Diary Of A CEO, Diet Coke, Cheerios, Actimel, Cocoa Pops, Whoop, Huel, Shopify, Swanson TV dinners, Nestlé, Cargill, Coca-Cola, Tesco Finest, World Health Organization (WHO), World Obesity Federation, British Nutrition Foundation, Cancer Research UK, Diabetes UK, British Dietetic Association, Royal College of Psychiatrists, University College London (UCL), National Hospital for Neurology and Neurosurgery ## Video description If you want to hear about how you can improve your nutrition and health, I recommend you check out my most recent conversation with Dr. Tim Spector, which you can find here: https://www.youtube.com/watch?v=7XrntcEUjLM Join this channel to get access to perks: https://www.youtube.com/channel/UCGq-a57w-aPwyi3pW7XLiHw/join 00:00 🌟 Intro 02:45 🤯 Impact & Concerns about "Ultra-Processed Food" 06:36 📚 Understanding Health Issues and Addiction 08:36 🍔 Role of Food Environment in Obesity 23:44 🛒 Ultra-Processed Food and Health 24:11 🚦 Unhealthy Food Marketing 24:37 🍬 Food Labeling and Healthiness 27:26 🍭 Artificial Sweeteners 34:46 🍕 Impact of Ultra-Processed Diet 45:35 🍽️ Economical Home Cooking 46:01 🧒 Importance of Choice in Food 46:28 🦒 Diverse Food Selection 47:40 🧒 Balancing Nutritional Needs 51:09 🏠 Environment's Impact on Health 01:06:37 🧠 Food Industry's Influence 01:07:19 📚 Advocating for Change 01:09:10 🚬 Food Addiction Discussion 01:15:06 💡 Reasons for Optimism 01:29:28 🤔 Personal Transformation 01:31:02 🍽️ Embrace Food Preparation 01:34:14 🌱 Sustainable Food Activism 01:35:41 🕓 Importance of Being Present You can purchase Chris’ most recent book, ‘Ultra-Processed People: Why Do We All Eat Stuff That Isn’t Food … and Why Can’t We Stop?’, here: https://amzn.to/3sikpaZ Follow Chris: Instagram: https://bit.ly/491nqwz Twitter: https://twitter.com/DoctorChrisVT?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor Listen on: Apple podcast - https://podcasts.apple.com/gb/podcast/the-diary-of-a-ceo-by-steven-bartlett/id1291423644 Spotify - https://open.spotify.com/show/7iQXmUT7XGuZSzAMjoNWlX Join this channel to get access to perks: https://www.youtube.com/channel/UCGq-a57w-aPwyi3pW7XLiHw/join FOLLOW ► Instagram: https://www.instagram.com/steven/ Twitter: http://bit.ly/3ztHuHm Linkedin: https://www.linkedin.com/in/steven-bartlett-56986834/ Sponsors: Whoop: https://join.whoop.com/CEO Huel: https://g2ul0.app.link/G4RjcdKNKsb Shopify: http://shopify.com/bartlett [Source](https://www.youtube.com/watch?v=dzUDhstqXbg)

Source quotes

[0:00] Chris van Tulleken: 你无法让一个孩子的身体发育受阻 9 厘米,却妄想他们的智力发育不受丝毫损耗。 [5:14] 行为心理转变专家: 你才是真正的阻碍。对于你的兄弟而言,如果他现在听话减肥,就意味着他在这场长达十年的拉锯争论中彻底向你认输服软。正是因为你永不停歇的指责与唠叨,你强行占有了属于他的问题,反而剥夺了他自主面对问题的权利。 [30:02] Chris van Tulleken: 如果包装上印有任何宣扬健康的标签(Health Claim),它几乎百分之百就是超加工食品。 [38:12] Fernanda Rauber: Chris, this isn't food. It's an industrially produced edible substance. [63:45] Chris van Tulleken: 把我的基因克隆人搬到美国,稍微给他增加一点压力,他就胖了 30 公斤。难道是他的个人意志力或责任感一夜之间消失了吗?这与意志力毫无关系,纯粹是一连串生活巧合与致胖食品环境造成的后果。 [73:30] Chris van Tulleken: 我其实根本不在乎大家吃什么,我讨厌被人指手画脚,因此我也绝不对任何人的食谱发号施令。 [87:48] Chris van Tulleken: 别再拿这些大道理去敲打你爱的人。 [94:11] Chris van Tulleken: 任何真正值得为之奋斗的伟大目标,都不可能在我们这一代人的有生之年彻底完成。

Source quotes

[19:21] Dr. Chris van Tulleken: If the focus group eats box B quicker than box A, box B is the one that goes on the shelf, because if they eat it 5% quicker, you'll sell the boxes 5% faster... Everything is dialed up to 11 so that things become irresistible. [38:12] Fernanda Rauber: This isn't food, Chris. It's an industrially produced edible substance. [73:31] Dr. Chris van Tulleken: Part of being an activist in this area for me is not taking food industry money myself... that is a very painful weekly process because if you write a book about food you get offered enormous amounts of money to go and work for the food industry.

Original transcript

[0:00] I ate a diet that's very normal for a [0:02] British person I gained so much weight [0:04] got in this vicious cycle of overeating [0:06] anxiety sleeplessness scanned my brain [0:09] and if I'd continued for a year I would [0:11] have Dr Chris Van toin doctor researcher [0:14] and a b award-winning broadcaster Chris [0:17] forensically examines the effects Ultra [0:19] processed food have on us all 75% of the [0:22] calories that are consumed globally come [0:24] from six companies a food mafia they are [0:27] controlling our food and what we eat [0:29] engineers to be consumed to excess [0:31] whether it's a burger from a fast food [0:33] chain or a supermarket bread everything [0:35] is adjusted so that Things become [0:36] irresistible and a pandemic of diet [0:39] related diseases has taken over the [0:41] world one in five people in this country [0:43] get 80% of their calories from ultral [0:45] processed food poor diet has overtaken [0:47] tobacco as the leading cause of early [0:49] death on planet Earth and for the age of [0:51] five kids in this country will be that [0:53] much shorter 9 cm compared to other [0:56] countries and it is all diet now you [0:58] can't stunt a body by 9 cm and not also [1:01] stunt them intellectually why don't we [1:03] just all make better choices I have [1:05] almost no interest in personal [1:06] responsibility this is about social [1:08] justice and people without money they're [1:10] forced to eat bad food if you got rid of [1:12] poverty you would get rid of around 60% [1:14] of the problem of diet related disease [1:16] what about the people that say this is [1:17] just about calories in calorie out there [1:19] are two very big problems with that and [1:21] this is very good robust science the [1:23] first is that and if people are [1:25] listening and they want to lose weight [1:27] the evidence [1:28] says [1:30] I just want to start this episode with a [1:33] message of thanks a thank you to [1:34] everybody that Tunes in to listen to [1:35] this podcast by doing so you've enabled [1:38] me to live out my dream but also for [1:40] many members of our team to live out [1:42] their dreams too it's one of the [1:43] greatest privileges I could never have [1:45] dreamed of or imagined in my life to get [1:47] to do this to get to learn from these [1:48] people to get to have these [1:49] conversations to get to interrogate them [1:51] from a very selfish perspective trying [1:53] to solve problems I have in my life so I [1:55] feel like I owe you a huge thank you for [1:57] being here and for listening to these [1:59] episodes and for making this platform [2:00] what it is can I ask you a favor I can't [2:03] tell you how much um you can change the [2:05] course of this podcast the the course of [2:07] the guests were able to invite to the [2:09] show and to the course of everything [2:10] that we do here just by doing one simple [2:12] thing and that simple thing is hitting [2:14] that subscribe button helps this channel [2:16] more than I could ever explain the [2:17] guests on this platform are incredible [2:20] because so many of you have hit that [2:21] button and I know when we think about [2:23] what we want to do together over the [2:25] next year on this show a lot of it is [2:27] going to be fueled by the amount of you [2:29] that are subscribed and that tune into [2:30] this show every week so thank you let's [2:33] keep doing this and I can't wait to see [2:34] what this year brings for this show for [2:36] us as a community and for this [2:38] [Music] [2:44] platform Dr Chris [2:48] vanel you wrote a book ultr processed [2:52] people I know from firsthand experience [2:55] that writing books is a painful [2:57] experience it takes a long long time to [2:59] do it and you have an extensive [3:02] experience across medicine um across [3:05] different sort of scientific [3:07] disciplines why does this book and this [3:10] subject matter matter to society and [3:14] maybe even more importantly why did it [3:16] matter enough to you it matters to all [3:19] of us because for a very long time we've [3:22] been incredibly confused about what to [3:26] eat and we've called the foods that [3:29] harmless junk food and processed food [3:31] and high fat salt sugar food and we've [3:33] we've not had a way of labeling Foods [3:36] even as a pandemic of diet related [3:38] disease has take taken over the world [3:40] really and this is particularly true now [3:42] in low-income countries and particularly [3:44] true with low-income people living in [3:46] the UK so poor diet which means a diet [3:49] high in ultra-processed food has [3:52] overtaken tobacco as the leading cause [3:54] of early death on planet Earth for [3:55] humans for the animals we farm and for [3:58] wild animals of course because ultr [4:01] processed food is produced by a food [4:03] system that is the leading cost of cause [4:05] of loss of biodiversity the second [4:07] leading cause of carbon emissions and [4:09] the leading cause of plastic pollution [4:11] so about 12 years ago the definition was [4:15] developed to [4:17] describe a western industrial American [4:20] diet and it was done by a team in Brazil [4:22] and much of the best work on this stuff [4:24] has been done by teams in Central and [4:25] South America because what they saw in [4:27] those countries whereas this is crept up [4:29] on in the UK in places like Mexico and [4:32] Colombia and Brazil obesity was [4:34] essentially unheard of and within a [4:36] decade it went to being the dominant [4:38] public health problem in towns in Mexico [4:41] you wouldn't know anyone who was living [4:42] with obesity and within a decade [4:44] everyone would know someone who'd had an [4:46] amputation for type 2 [4:48] diabetes the only thing that had changed [4:50] was the influx of broadly an American [4:53] diet industrially processed foods so the [4:56] definition was [4:57] invented 2009 20 2010 and we've had a [5:01] decade of evidence now that is very [5:04] clear that it is ultr processed food [5:07] that is responsible not just for [5:08] pandemic weight gain and obesity but [5:10] also for a long list of other health [5:12] problems including early death why did [5:14] this matter so much to [5:16] you what is the personal reason here [5:20] I've I'm an identical twin I've got a a [5:22] brother who lived with obesity for a [5:25] very long time and I would my weight [5:28] would fluctuate I'm I'm insulated by by [5:30] privilege by my surroundings by [5:32] education but I'm always on the brink of [5:34] weight gain and I recognized in myself [5:37] uh that I lived with an addiction to [5:39] many ultr processed products and my [5:41] brother particularly did and so at the [5:44] core of the book [5:46] is it was this sort of moment of [5:49] understanding where I there are several [5:51] sort of fulcrums in the book I suppose [5:54] but but two of the key elements are [5:55] first of all for many of us ultr [5:57] processed food isn't just harmful it is [5:58] addictive and it makes all the criteria [6:00] for addiction and it has there's so much [6:02] evidence that for some people these [6:04] products are as addictive as tobacco [6:06] products drugs of abuse alcohol [6:09] gambling but that nagging people is [6:11] really really harmful so I'd had a very [6:13] toxic relationship with my brother and [6:15] in fact our the whole family we're very [6:17] close family but we had for the better [6:19] part of a decade been nagging him to [6:21] lose weight and I took him to see a [6:23] behavioral change expert who said to me [6:26] I don't need to speak to to sand I need [6:28] to speak to you I said no no he's the [6:30] fat one you got to speak to him he said [6:32] no you are the problem for your brother [6:34] to lose weight will be to lose an [6:36] argument that's been a decad long with [6:38] you you are the barrier and so because [6:41] I'd been nagging him I owned his problem [6:44] and he didn't own [6:46] it and so at the heart of the book is [6:48] this this idea that nagging people [6:51] generally pushes them toward doing [6:53] things that that are harmful it [6:55] generally makes them more likely to do [6:56] the thing you're you're naging them [6:58] about and I've tried to engage with [7:00] these products when we come to [7:01] individual Solutions I've tried to [7:03] engage with ultrapress food as an [7:04] addictive substance a substance that I [7:06] was addicted to what is the balance [7:08] there between personal responsibility [7:11] and being a victim of circumstance in [7:15] the in the sort of food landscape and [7:17] society that we live in because there's [7:18] a there's obviously been a huge debate [7:21] around obesity and and weight you know [7:24] there's one school of thought maybe over [7:26] on the more extreme side that says just [7:27] get out there and you know make better [7:30] choices in your life and go I don't know [7:32] go for a run or something and then [7:33] there's another school of thought that [7:34] says weight gain and obesity are a [7:36] byproduct of genetic the our genes and [7:41] the environment we live in what is the [7:43] truth in your view and in the case of [7:45] your brother I think we have really [7:47] really good [7:49] evidence that personal responsibility [7:52] that these arguments around will parent [7:54] personal responsibility are morally [7:57] scientifically and economically [7:59] redundant they they have no [8:02] value so when it comes to population [8:06] Health there are loads of different ways [8:08] we can argue this if we look at [8:11] willpower in so far as it's ever been [8:14] operationalized for research and there's [8:15] not a huge [8:17] amount the research and you will know [8:19] some of this the research is quite [8:21] nuanced but broadly it serves as a proxy [8:23] for poverty so the original marshmallow [8:26] experiment which I think you've talked [8:28] about where you you offer a child a [8:31] marshmallow and say you know we'll give [8:32] you another one if we come back in five [8:34] minutes and you haven't eaten this one [8:36] that experiment those children who were [8:38] unable to resist the [8:40] marshmallow went on to really suffer in [8:44] life they had much uh across all kinds [8:46] of different indicators their lives were [8:47] much more troubled they had lower [8:49] achievement economically and and [8:51] socially what it turned out is when you [8:53] adjusted for maternal education the [8:55] effect went away in other words the kids [8:57] who were taking the marshmallow were [8:59] from poor households and they were [9:01] making a sensible choice they were [9:04] taking an opportunity when it arose [9:06] because if you come from a situation of [9:09] uh deprivation or disadvantage often [9:11] things that are promised never [9:13] materialize so once you you controlled [9:16] for that in the studies broadly your [9:18] ability to resist a marshmallow age4 [9:21] predicts the household you're from you [9:22] might be from a low education low income [9:24] household doesn't predict anything else [9:27] so that's one way of looking at willp [9:29] Power and there's lots of other evidence [9:31] the other thing is that if we look at [9:32] weight in the mid 1970s and this is um [9:36] you know American government data there [9:38] was a sudden inflection in weight gain [9:40] where that the Obesity pandemic took off [9:42] around 1975 and you look at a graph it's [9:44] bumbling along it's suddenly everyone [9:45] goes up when I say everyone black white [9:48] hispanic men women you know 5ye olds 50y [9:52] olds 90y olds everyone starts gaining [9:55] weight so unless you're going to propose [9:57] when it comes to weight gain that there [9:59] was some failure of moral responsibility [10:02] in young hispanic men and older black [10:06] women and middle-aged white [10:09] people you know that just doesn't Stack [10:11] Up what changed was the food environment [10:13] so my feeling is the only thing that is [10:16] interesting to talk about is the [10:19] structure of the society around us and [10:21] and we have really good evidence that [10:22] when when you simply give people money [10:24] we've done this this research has been [10:26] done by economists by doctors by social [10:29] scientists when you give people money [10:30] they make smart choices rich people [10:33] don't eat bad food because they don't [10:35] want to eat bad food and people without [10:37] money eat bad food because they're [10:39] forced to eat bad food and the the [10:41] cognitive dissonance that you and I were [10:43] talking about quite often we will find [10:45] people with low incomes making quite [10:47] cogent arguments about the food that [10:50] they eat appearing to side with the [10:52] companies that are predating on them [10:55] because otherwise how could you live [10:56] with this dissonance in your life [10:57] otherwise you're just a powerless victim [10:58] of of transnational food corporations so [11:01] I I have almost no interest in personal [11:04] responsibility I think you if you give [11:06] people technical knowledge and you give [11:08] people income and opportunity most [11:11] people want to be healthy and live good [11:13] lives 1970 the food environment [11:16] changes can you tell me exactly how the [11:19] food environment changed that caused [11:21] multiple demographics [11:23] to to to gain weight there are two [11:25] answers to that one the the sort of [11:28] approximate reason is the invention of [11:29] ultra-processed food so the [11:32] industrialization of of food supply you [11:34] can you can talk about why that happened [11:36] in a lot of different ways part of it [11:37] was to you know a a booming population [11:41] post-war uh and these products were [11:43] extremely convenient they allowed women [11:45] to continue to be in the workplace of [11:47] course women had entered the war entered [11:49] the workplace in the war so there were a [11:50] lot of things that were immediately [11:52] appealing about these products TV [11:54] dinners Swanson TV dinners appear in the [11:56] in the 50s and by the time of the s [11:59] these products had become very [12:00] widespread so in the same thing we were [12:03] a decade behind in the UK but this this [12:05] stuff is now our national [12:07] diet why exactly it took over is the [12:10] subject of a lot of the research I'm [12:11] doing at the moment so now I work much [12:13] more with economists the nutritionists [12:16] and what we see is the [12:18] financialization of the food industry so [12:20] the primary uh determinance of almost [12:25] every action that happens in almost [12:27] every food company that supplies say 90% [12:29] of our calories all the indicators are [12:32] Financial they're not to do with public [12:35] health and so we can use Financial [12:36] indicators we can use Financial research [12:38] to to show that the food industry does [12:41] these things like buy cheap debt use [12:43] that to do uh share BuyBacks rather than [12:47] generating value we can show that they [12:48] vote down uh activist investors will [12:51] vote institutional investors we'll vote [12:53] down Public Health proposals at uh [12:56] shareholder meetings and so part of it [12:58] is the Takeover of the food system from [13:01] being a system where people would grow a [13:03] lot of their own food make food at home [13:05] they buy ingredients from local shops to [13:07] a small number of companies supplying [13:09] food so now uh 75% of the calories that [13:13] are consumed globally come from six [13:14] companies there are about 15 to 20 [13:18] companies that make most of the food we [13:21] eat in the UK that that primary that [13:24] process the food so we've got a very [13:26] small number of Agri business produc [13:28] juers that make more or less 12 things [13:31] that you know we eat broadly pigs cows [13:35] and chickens those are our Meats we [13:37] don't really eat other meat maybe a bit [13:38] of lamb maybe goat maybe Goose not [13:41] really duck perhaps so we eat really [13:44] three meats and then our main sources of [13:46] calories come from four or five crops [13:49] corn rice wheat soy Palm bit of [13:53] sunflower so the human diet which should [13:56] Encompass thousands perhaps tens tens of [13:59] thousands of different species of thing [14:01] has now because of the pressures of of [14:04] commercial efficiency become reduced to [14:06] a very small number of companies with [14:08] enormous power um producing making a [14:12] very small number of food products and [14:15] needing to generate intellectual [14:16] property it's kind of like sounds like a [14:19] mafia of sorts like a food [14:22] Mafia I'm going to let you say that yeah [14:25] well [ __ ] no don't let me say it don't [14:27] want them coming for me [14:29] um I think it's I don't mean it to sound [14:31] malevolent so the argument I've just [14:34] made can sound a bit neo- Marxist or [14:36] anti-growth or antic capitalist and I I [14:38] really don't mean it to sound like that [14:40] but it is important to understand the [14:42] incentives within the system and if the [14:44] incentives are Financial you'll end up [14:46] with ultra processed food so the logic [14:48] of the food is the cheapest possible [14:50] ingredients with the longest possible [14:52] shelf life and maximum intellectual [14:54] property what is ultr processed food [14:59] so broadly there are three types of food [15:01] there's unprocessed a whole food which [15:03] might be like an apple or an oyster or [15:06] you can drink milk out of a cow you [15:08] shouldn't because you get brucelosis but [15:10] you can do it that's whole unprocessed [15:12] food then there's processed food so [15:15] there's uh butter so we can take whole [15:17] milk we can process it into butter or [15:19] cheese now we've been doing that so [15:21] North African pastoralists started doing [15:24] this in the Sahara region maybe 7 8,000 [15:26] years ago started making Dairy [15:29] and if you can make butter you get all [15:31] the vitam fat soluble vitamins uh from [15:33] milk you get very high calorie and it [15:35] almost never goes off it's really long [15:37] shelf life similarly cheese add a bit [15:39] ferment it add some salt you get a long [15:41] shelf life very nutritional product so [15:43] those are processed foods and we've been [15:46] eating processed foods for over a [15:48] million years I mean humans are the only [15:51] animals that have to process their Foods [15:53] we it you know food processing has [15:55] shaped our Jaws our teeth our guts so [15:58] compared to any animal of similar size [16:00] we have tiny little teeth minuscule [16:03] fragile Jaws very short guts because [16:05] we've extended our digestive tracts out [16:08] of our bodies and into our kitchens we [16:10] chop food rather than chewing it we cook [16:12] it rather than uh digesting it so our [16:14] food is is pre-digested so processed [16:17] food is good tinning canning [16:19] concentrating fermenting salting smoking [16:22] all these projects techniques were [16:24] invented really by women over hundreds [16:26] of thousands of years working in cave [16:29] and huts and shelters and then kitchens [16:31] they produced modern food and diets from [16:34] the high Arctic to you know sea mamal [16:37] diets from the high Arctic pescatarian [16:39] diets in East Asia vegan diets of South [16:42] Asia any traditional diet you point to [16:45] is basically associated with good health [16:48] all of them they've all evolved in [16:49] different ways same is true of French [16:51] cuisine rich in butter and red wine the [16:54] only diet that we've studied that really [16:56] seems to bring Health harms is an ult [16:58] ultr processed diet so that is the [16:59] American financialized industrial diet [17:02] so ultr [17:04] processing is about using these [17:08] commodity ingredients that I just listed [17:10] you know commodity ingredients like soy [17:11] corn rice and a bit of meat reducing [17:14] them into powder form basically so if [17:17] you grow corn the market I mean you [17:20] understand all this much better than me [17:21] you you get money in finance the market [17:23] for cobs of corn spread with butter and [17:25] salt is pretty limited if you grow cobs [17:28] of corn you can sell a few of them but [17:30] if you can turn the rest of them into [17:31] corn starch which you can modify and [17:33] turn it so it's like you can create any [17:35] chemical property that starch you want [17:38] you can turn it into corn oil and you [17:40] can turn it into high fructose corn [17:42] syrup suddenly you have the ingredients [17:44] for every single food product on the [17:47] planet so the logic is to take your corn [17:50] break it into pastes and powders with an [17:52] infinite shelf life then recombine them [17:54] with additives texturize them flavor [17:57] them put aown brand on it and then you [17:59] can add just enormous value and a lot of [18:01] the ingredients we see in ultr processed [18:04] food are waste products from old food [18:07] processing so whey what the Whey [18:09] proteins we see in our nutritional [18:11] powders I mean this was a waste product [18:13] from dairying you know we used to be [18:14] spread on fields or fed to cows but now [18:17] the value you add instead of it being [18:20] used for fertilizer the value you add [18:22] when you turn it into a nutritional [18:23] supplement is a thousandfold probably [18:26] more than a thousandfold um Citrus fiber [18:29] you'll see Citrus fiber is an ingredient [18:30] in a lot of bars sounds healthy doesn't [18:32] it like it's um you know citrus fruit [18:35] fiber what could be and it probably is [18:36] reasonably healthy it's left over from [18:39] the juice the juicing and tinning [18:42] Industries where you have to get the [18:44] peel off fruit and if you put it through [18:47] a set of chemical processes you can [18:49] extract the fiber add it to the human [18:50] food chain and create enormous value so [18:53] the logic of ultr processed food really [18:55] is about creating products with [18:58] intellectual property that use the [19:00] cheapest ingredients you can that will [19:02] last for a long time and from what I [19:04] understood there the that last process s [19:08] step three so you had Whole Foods then [19:10] you had processed foods then you had [19:11] Ultra processed foods and in the ultra [19:13] processed foods category what they're [19:15] doing is taking the good stuff out and [19:17] putting some bad stuff in is that a [19:19] simple way to think about it I would [19:21] think I think that is a very simple way [19:24] that's a straightforward way of thinking [19:25] about it the additives are not really [19:28] the problem so the problem I would say [19:33] some of the additives we think are [19:34] harmful we've got some quite good [19:36] research around some of the artificial [19:38] sweeteners some of the modified starches [19:40] uh zanam gum um the emulsifiers and some [19:43] of the colorings and textur and then we [19:46] have some research that says the fact [19:49] the food is is mechanically processed so [19:52] hard it's generally very soft so think [19:54] of any ultr processed food you can [19:55] whether it's a a burger from a fast food [19:57] chain or a bref bref cereal or [19:58] Supermarket bread um uh generally these [20:03] calories are soft and and they're energy [20:05] dense because they're dry and so dry [20:07] frood is important for shelf life the [20:10] softness and the energy density means [20:11] you consume them very quickly and so you [20:14] essentially consume them before you [20:16] become full and so that's one of the [20:18] ways they drive over cons excess eating [20:21] so so if if you like the laundry list of [20:24] the ways in which the food harms us is [20:27] softness energy density some direct [20:30] harms from the additives a lack of [20:33] phytonutrients so it doesn't contain [20:35] much real food and real food real plants [20:39] and animals should have a great variety [20:41] of molecules and chemicals that we don't [20:43] understand very well but vitamins from a [20:45] plant seem to interact with you very [20:47] differently from than vitamins in an [20:49] extract but the main thing is the way [20:52] the foods are developed so I spoke to so [20:54] many people in the food industry who [20:56] were all Wonderful by the way you know I [20:57] I I've really enjoyed most of all [20:59] talking to them but the food scientists [21:01] all said the same thing that the [21:02] products are generally put through um a [21:05] focus group so you start with your box [21:08] of cereal that you've been making for [21:09] for decades and you have formulation a [21:12] and then you make a new formulation [21:13] formulation B you put it through the [21:14] focus group if the focus group eats box [21:17] B quicker than box a box B is the one [21:20] that goes on the Shelf because if they [21:21] eat it 5% quicker you'll sell the boxes [21:23] 5% faster and that's that's the [21:25] financial indicator and so it's not any [21:29] one aspect of the food that's harmful so [21:31] much as when the intention is to create [21:34] products that people will use as much as [21:37] possible then you end up with addictive [21:39] food interesting it Evol the food is put [21:42] through if you like a almost a darwinian [21:44] evolutionary process where every single [21:46] thing every dial is tweaked on every [21:48] product every few months everything is [21:50] adjusted from the sweet salt sugar [21:53] ratios to the texture in the mouth to [21:55] the color of the packet and everything [21:58] is DED up to 11 so that Things become [22:00] irresistible and you maybe you don't [22:02] live with this but people who many [22:05] people listening will recognize in [22:07] themselves that there are products that [22:10] they cannot stop eating they fantasize [22:12] about them they think about them and [22:14] once they start eating them they will [22:16] consume five adult portions and my I've [22:18] got a six-year-old and a three-year-old [22:20] and my six-year-old can eat five adult [22:23] portions of any sugary breakfast cereal [22:26] in about 20 minutes I brought some food [22:29] along with me today I'm looking at it [22:31] cuz I wanted to get [22:33] distracting I wanted to get your opinion [22:35] on it so I brought um a group of food [22:39] products on the left here now these are [22:41] things that I I think growing up I [22:44] thought were good yeah [22:48] so you're very bold with these Brands I [22:51] mean you're really limiting sponsorship [22:52] opportunities well you [22:54] know you know I do think about that [22:57] sometimes but I also they don't really [22:58] care I I think like I'm in The Pursuit [23:00] Of Truth here so much of why I do this [23:03] is to educate myself and I I think if I [23:05] educate myself then I'll help educate [23:07] other people that's why I'm also okay [23:09] being a total idiot on this subject [23:10] matter because that is the truth so here [23:13] I've got four products that [23:15] are typically seen as being quite [23:17] healthy breakfast cereal Cheerios I grew [23:20] up thinking good for me um actal good [23:24] for me Diet [23:25] Coke great cuz there's no sugar in there [23:28] and then this [23:30] is whole grain whole grain bread 50% of [23:34] your daily whole grain in just two [23:36] slices great [23:38] perfect so for a start I have a slight [23:41] une EAS I am going to talk about these [23:42] products I have a slight une talking [23:44] about any one product the evidence [23:46] applies to the category of food and this [23:49] kind of stuff in a sense I think you're [23:50] ABS these are such brilliant [23:53] choices because this is the foundation [23:55] of our diet and one of the things that's [23:57] happening at the moment is is the food [23:59] industry exploring painting me as a [24:02] snob because I'm I'm critiquing these [24:04] sort of core things you know tins of [24:07] beans with flavoring or Supermarket [24:09] bread fish [24:11] fingers I think this stuff is at the [24:13] shallow end of the pool in a way it's [24:15] not by any means the worst stuff but in [24:18] a way it presents the biggest moral [24:20] hazard because we think it's so healthy [24:22] can I have the diet coke y so Diet Coke [24:25] is my is my favorite example because [24:28] this is the Ultimate Health Food [24:31] according to the way we label food at [24:33] the moment it has four where's the [24:35] camera it's all green on the um it's [24:37] four green traffic lights right what [24:39] what does what do they call that that [24:40] traffic light system on the so this is [24:42] the way we describe healthy whether a [24:44] food is healthy or not in this country [24:45] at the moment and this system is quite [24:47] influenced by the food industry and it [24:49] breaks all foods down into fat sat [24:52] saturated fat sugars and salt and says [24:55] that you know if those are the bad [24:56] things and if a food is behind them [24:58] it'll it'll have oranges and greens so [25:00] if you look at the Cheerios they're most [25:03] they're mostly on the front it's on the [25:04] front it's optional by the way so it's [25:07] not always on every packet but the [25:08] Cheerios are oranges and greens yeah now [25:12] part there is a baked in confusion for [25:14] this because what do you do at a traffic [25:16] light that's orange and green or red [25:18] orange and green do you go do you stop [25:21] is it on the ACL is it is it on it's not [25:23] on there no I couldn't see it on there [25:24] it maybe on the [25:26] bottom [25:30] it's optional so who knows if you know [25:32] we we don't we don't have any way in [25:36] this country of describing either [25:38] healthy food or unhealthy food other [25:40] than these traffic lights anyway this is [25:42] a healthy food now if we look at the [25:43] ingredients on the diet coke carbonated [25:46] water fine now there's a color called [25:47] caramel e150d caramel makes you think of [25:50] you traditional it's it's a French 19th [25:53] century invention burned sugar Creme [25:55] Brule it's like it's a bit naughty but [25:57] it's fine caramel e150d has nothing to [25:59] do with caramel it is um carbohydrate [26:02] treated with a mixture of acids and and [26:04] uh and heat to produce uh things that [26:07] contain ammonium and sulfite so it's [26:09] it's it's a food additive color um with [26:12] no no benefits nothing to do with [26:13] caramel um artificial sweeteners [26:15] aspartame and asame K now sweeteners are [26:20] tricky because we know sugar is harmful [26:22] because it rots teeth and it promotes [26:24] weight gain because it makes you eat [26:25] more the weird thing about sweetness is [26:28] they don't seem to help with weight loss [26:30] at all they may some of them seem to be [26:33] more metabolically harmful than sugar [26:36] itself humans are quite good at eating [26:38] sugar when we eat lollipops continuous [26:41] continuously as kids or have sugary [26:43] drinks it's not good for us but human [26:45] societies have for Millennia existed [26:48] with a huge amount of honey and refined [26:50] carbs so sugar we can handle although we [26:53] should reduce our intake sweeteners are [26:55] quite weird because they're a [26:56] nutritional lie you put sweet taste on [26:59] the tongue which says to your body sugar [27:01] is coming so maybe put up some insulin [27:05] maybe um start preparing in other ways [27:08] physiologically to receive refined [27:10] carbohydrate and when that refined [27:11] carbohydrate when the sugar never [27:12] arrives it seems to be physiologically [27:14] confusing so the World Health [27:15] Organization now says sweeteners aren't [27:18] better than sugar when it comes to [27:20] weight loss and there is there is an [27:22] anxiety about aspartam and cancer that [27:24] I'm I'm personally not not in a big [27:26] sweat about there's some there's some [27:27] evidence but not not at normal dosage [27:29] then we've got natural flavorings we've [27:30] got caffeine flavoring an addictive drug [27:33] and phosphoric acid and citric acid [27:35] natural it said natural flavorings I [27:37] mean you know that's good well [27:39] flavorings are flavorings flavorings [27:41] should signal nutritional content when [27:44] you eat a tomato it has flavor not for [27:46] fun it has flavor because it signals the [27:48] nutritional content of the Tomato when [27:50] you put flavorings out of context e even [27:52] if you extract them from the tomato or [27:54] the strawberry or the peach it's very [27:56] confusing for you phys biologically [27:58] you've you have a very sophisticated [28:00] internal system to link flavor molecules [28:03] which are broadly smell and taste [28:05] molecules salt Sweet Bitter sour and [28:10] some Savory ones you you your body has a [28:13] way of linking all that information with [28:14] nutritional information that you get [28:16] from your gut subconsciously when you [28:18] muddle it all up in a product like this [28:20] it's very confusing the phosphoric acid [28:23] will dissolve the minerals out of your [28:25] bones as well as dissolving your teeth [28:28] so what we have here is a solution of [28:29] flavorings an addictive drug an acid [28:32] that will Lee stuff out of your bones [28:33] and sweeteners that seem to be [28:35] metabolically confusing and certainly [28:36] aren't better than sugar and yet we [28:38] think of this as a health product so [28:40] that for me is the archetypal confused [28:43] way of thinking about food I um and what [28:45] we also know is that when it comes to [28:47] kids the age of my youngest so the age [28:49] of three they are drinking on average [28:51] one can of artificially sweetened drinks [28:55] every single day so we've we've taxed [28:57] sugar sugar has come out of our diet [28:59] we've seen no weight loss no indication [29:02] that it's helping health and what we are [29:04] doing is consuming huge numbers now of [29:07] these artificial sweetness which we also [29:08] know affect our microbiome what is a a [29:12] better alternative that's popular on on [29:14] the market than because it appears to me [29:17] that all of the drinks in the bloody [29:18] Supermarket have artificial sweeteners [29:20] and flavorings and they do because of [29:22] the sugar tax so it's almost impossible [29:24] now to buy fizzy tax without sweeten to [29:26] to buy fizzy [29:27] without sweetness um bet so for kids I [29:31] try and not give any advice to anyone [29:34] ever but my [29:36] kids um my kids eat a lot of UPF but [29:40] they don't have fizzy drinks I think I [29:42] think fizzy drinks are really quite [29:45] harmful across the board so so kids [29:47] should just drink milk and water milk if [29:49] they can have it and [29:51] grown-ups um can do pretty well on milk [29:55] and water if you drink milk what about [29:58] breakfast cereals and Cheerios and [29:59] things like that so breakfast cereals [30:02] are really convenient I mean let me see [30:03] the Cheerios so I think [30:06] these uh so these these probably do meet [30:09] the def yeah these do meet the [30:11] definition oh they are yeah so we've got [30:13] things like um uh palm oil caramelized [30:17] sugar syrup uh colors and Aton noxin and [30:21] an antioxidant and so this is ultr [30:24] processed it'll have some Fiber you'll [30:26] have it with whole milk I don't want to [30:29] demonize breakfast cereals my kids eat [30:31] eat uh breakfast cereals for breakfast [30:33] but it's not like eating porridge which [30:36] is just whole grains or real bread this [30:39] is this is and what you will find is if [30:41] you give this to a kid um compared to [30:45] porridges they will be able to eat much [30:46] much more of this and there is there's a [30:49] lot of marketing that this is a really [30:52] really healthy product and I would say [30:54] the evidence says that this falls into a [30:56] cat category of foods that we actually [30:58] know are associated with negative Health [31:00] outcomes it says on the side there [31:02] doesn't it the list of all the health [31:04] benefits a really good way of telling if [31:07] a food is ultr processed is if there is [31:09] any health claim on the packet it's [31:11] almost certainly ultr processed and part [31:13] of that is to do with this intellectual [31:14] property thing that the only food you [31:16] can make lots of money out of is is a [31:18] branded product so there's no money in [31:20] broccoli milk steak eggs um supermarkets [31:24] quite often make losses on all those [31:25] things there's no heal claim on broccoli [31:28] or on plums or on milk there's no Health [31:32] claim on on steak it's only the ultra [31:35] process things that you get marketed to [31:37] you in this way because there's enough [31:39] money to do it the acl's interesting as [31:41] well the immune support well it says [31:43] immune support and it says vitamin D and [31:47] B6 so that rich in Vitamin D immune [31:51] support that is definitely [31:54] healthy I mean this is this is a [31:58] this is where we need we we we should [32:00] have done the maths and shown how much [32:01] sugar there was in each pot these are [32:04] very high calor shots of sugary liquid [32:07] that will harm teeth and I don't know [32:10] why you'd have this if you could just [32:11] have real yogurt and or [32:16] milk and the reason they back add the [32:18] vitamins is to be able to make Health [32:19] claims so generally foods with added [32:22] vitamins um real food doesn't need added [32:25] vitamins and we're again we're pretty [32:27] sure [32:28] that and I'm I'm conscious who I'm [32:30] talking to here I've got to I'm I'm uh [32:34] uh uh I probably have to tread a bit [32:38] carefully supplementing vitamins into [32:41] food doesn't seem to have many health [32:44] benefits for healthy people so we've got [32:47] quite a lot of very big data on this um [32:52] and there are lots of studies that show [32:53] benefits that are funded by people who [32:55] make vitamins but broadly the [32:56] independent evidence shows that um when [32:59] you get vitamins and minerals in the [33:01] context of food they're really good for [33:03] you and when you take them in pill or [33:05] supplement form they don't seem to have [33:07] many benefits if you are healthy and [33:09] this food here this bottle of coke I've [33:11] got can of Pringles and uh cocoa pops [33:14] Kellogg cereal this is the stuff that I [33:17] typically think of as like bad processed [33:19] Ultra processed stay away from you would [33:22] but give me the cocoa pops so the cocoa [33:24] pops we look at these traffic lights [33:27] okay green green orange orange pretty [33:30] healthy I mean there is a there is a [33:31] monkey on the pack selling it to my to [33:35] my kids yeah it says high in vitamin [33:37] high in fiber vitamin D iron yeah iron [33:41] supporting your family's health right s [33:43] goodness I mean everything about this [33:46] tells you that this is a product not [33:48] just safe for kids but intended for kids [33:52] and we all know you like you can't sell [33:54] things if they're not healthy there must [33:55] be some regulat dealing with that and [33:58] this is the thing that my six-year-old [34:01] will eat five adult portions of so when [34:03] you eat five adult portions the the the [34:05] traffic lights only apply to a 30 G [34:08] serving for you now a 30 G serving is is [34:12] a handful like that it's it's one big [34:15] spoonful okay so this is the product [34:19] that I I recognize addictive behavior in [34:23] my kids and frankly myself I mean I [34:24] could eat you know 300 grams but and the [34:27] other thing that I I went and got from [34:28] the supermarket because I was thinking [34:30] about what I typically think is ultra [34:33] processed and good for me I went and got [34:35] this [34:36] frozen pizza here and then I went and [34:40] got a Tesco finer so this is high-end [34:44] you know much more expensive not frozen [34:47] pizza and I thought surely this pizza [34:50] here is better for a lot better for me [34:53] than this one [34:55] here so again that there's a complexity [34:59] talking about is one better than the [35:01] other because we've we've never done a [35:03] trial testing them against each other [35:05] they're both Ultra processed I know [35:07] because I looked at the ingredients they [35:08] both contain ingredients that you don't [35:10] have in a domestic kitchen like um Palm [35:13] fat or dextrose um and they're both made [35:17] really in a sense by the same company so [35:20] both of they're both made by plc's who [35:23] will be owned by institutional investors [35:25] with requirements for growth so they [35:27] come from the same food system with the [35:30] same incentives about production and my [35:34] bet is that you or I would be able to [35:36] eat the entire pizza at a single sitting [35:39] um and we'd be still licking the pack of [35:40] both of them so this is food that in [35:42] essens is is engineered to be consumed [35:46] to [35:48] excess you did an experiment didn't you [35:50] quite a famous experiment now where you [35:53] put yourself on an ultr processed food [35:55] diet can you tell me about that [35:57] experiment and the symptoms that you saw [36:00] when you did lived off Ultra processed [36:03] food pretty much [36:04] exclusively so I I ate a diet that's [36:07] very normal for a British teenager I ate [36:09] 80% of my calories from Ultra processed [36:11] food so for for a teenager in in you [36:14] know the my kid school for example that [36:17] this would be a completely normal thing [36:18] to do one in five people in this country [36:20] get 80% of their calories from UPF so I [36:23] wasn't really putting my body on the [36:24] line um I was switching from 20% to 80% [36:28] um kind of two really big things [36:30] happened there was some health effects [36:32] so um in terms of the physical effects [36:34] on my body I gained so much weight and I [36:37] wasn't it wasn't supersizing me I wasn't [36:38] forcing it in this was done as part of a [36:41] um a scientific experiment for a big [36:43] study that I'm now running at at [36:45] University College London where I where [36:46] I work as an [36:48] academic I gained so much weight that in [36:51] if I'd continued for a year I would have [36:53] doubled my body [36:55] weight we scanned my brain before and [36:58] after I work with colleagues at the [36:59] National Hospital for neurology and [37:00] Neuroscience so neurology and [37:02] neurosurgery so this these were scans [37:04] done very expertly and while I'm only [37:05] one patient you can you can subtract the [37:08] noise you can be very sure that what you [37:09] see is real we saw enormous in increases [37:12] in connectivity be between the the [37:15] automatic Behavior habit bits the back [37:18] of the brain and those reward addiction [37:21] bits right in the middle of the brain so [37:23] we can't exactly say what's happening [37:25] but certainly behaviors and rewards are [37:28] getting much much more connected most [37:30] significantly I think we saw a change in [37:32] my hormonal response to a meal so when [37:34] you eat real [37:36] food whilst you're eating you're chewing [37:39] all kinds of hormonal and neurological [37:40] changes happen in your body that will [37:42] come to a point they'll say look you've [37:44] had enough Stephen you're fine you can [37:45] stop eating now and that's called [37:46] satiety and we've evolved this mechanism [37:49] since living things first started eating [37:51] food hundreds of millions of years ago [37:53] and uh all animals have it and humans [37:56] have it too what we saw is that the at [37:58] the end of a standard meal at the end of [38:00] this month my hunger hormones remained [38:02] Skyhigh so this is food that is [38:05] interfering with our body's evolved [38:07] mechanisms to say I am done it's time to [38:10] stop eating but there was there was this [38:12] other thing that happened kind of the [38:14] most important thing and it's at the [38:16] core of the book is that Midway through [38:19] this diet which I was quite enjoying you [38:20] know if you're if you're a sort of [38:21] middle-aged man trying to you know the [38:23] quest is always to lose lose weight and [38:25] I could go back to eating the foods of [38:27] my childhood and I was eating hot wings [38:29] and all this stuff that I hadn't eaten [38:30] for years I was really enjoying it but I [38:33] was also doing all this research partly [38:34] for the book and I'm you know as a [38:36] scientist I study nutrition and uh I was [38:39] talking to a colleague in Brazil called [38:40] Fernanda rbert and she just kept saying [38:43] this isn't food Chris it's an [38:45] industrially produced edible substance [38:48] and I sat down that evening to meet eat [38:50] a a meal of of takeaway fried chicken [38:52] and I I could hardly finish it and she [38:54] had flicked this switch in my brain [38:57] where all of this ultrapress food had [38:59] become disgusting but I then had to keep [39:01] eating it for another fortnite and so it [39:04] was a bit like the very famous book the [39:06] easy way to quit smoking where you smoke [39:08] all the way through reading the book [39:10] while you learn about smoking and by the [39:13] end of the diet I I I mean I now don't [39:15] want to eat any ultr processed products [39:17] so the the gift I'm trying to give the [39:20] reader is if you're living with [39:22] addiction my invitation at the beginning [39:24] is eat along eat while you read don't [39:26] forbid this stuff to yourself let [39:28] yourself wallow in it immerse it taste [39:31] it and you'll start to and read the [39:33] ingredients lists while you eat and [39:35] you'll realize that all the food is has [39:37] the same flavor profile it's all equally [39:39] salty and sugary and sweet it's all [39:41] acidic um and you will gradually become [39:45] disgusted and that's not a promise that [39:48] seems to be what's happening to a lot of [39:50] people and that is a very well-evidenced [39:52] technique when it comes to living with [39:54] addiction so the World Health [39:55] Organization who I work with recommends [39:58] the easy way to quit smoking for [40:00] quitting smoking uh as as being as [40:02] useful as patches or any other technique [40:06] so I'm For The Individual treating it as [40:09] an addictive substance may be really [40:11] useful for some people what was the [40:13] impact on your sort of mental health and [40:16] how you felt from a sort of psychology [40:18] perspective because I you know we've [40:19] seen this huge rise in sort of mental [40:23] health diagnosis across the board [40:25] especially in younger younger people but [40:27] it seems to be pretty consistent [40:28] throughout different ages and [40:30] demographics and I wondered if there's a [40:32] link between ultra-processed foods and [40:34] Mental Health crisis that we're living [40:36] through we've got really good [40:39] epidemiological data so we now have [40:41] hundreds of perspective studies which [40:43] are the best the kind of studies we use [40:44] to link smoking to to cancer that it is [40:48] not just associated with physical ill [40:50] health metabolic disease inflammatory [40:52] disease cardiovascular disease cancers [40:54] early death it's all also associated [40:57] with anxiety depression and also [41:00] dementia and um my experience of being [41:03] on the diet was that [41:05] um there was a there was a there was a [41:07] thing that I think the research doesn't [41:08] capture which is because it's salty I [41:10] was getting up to pee more at night and [41:12] I was I don't know if I can say this I [41:14] was getting really constipated and [41:15] uncomfortable because it's quite low in [41:17] fiber and so I got in this vicious cycle [41:21] of sleeplessness and I'd often find [41:23] myself where at the fridge in the kind [41:25] of small hour at the morning and the [41:27] food felt like the solution to the [41:29] problem so I got in this spiral of [41:31] sleeplessness anxiety overeating and we [41:34] know that stress and elevated cortisol [41:36] also generally increases your desire for [41:38] for low quality food and makes people [41:40] overeat so in a way that kind of [41:43] middle-aged stress anxiety the sort of [41:46] mild mental health symptoms that so many [41:48] people live with often it is just driven [41:52] by by the food I read this um stat in [41:55] your book according to the world's [41:57] obesity Federation 51% of the world or [41:59] more than 4 billion people will be obese [42:01] or overweight within the next 12 years [42:05] so I like to say they will live with [42:06] obesity um rather than the rather than [42:09] use obese as an adjective because I [42:11] think the biggest problem for people who [42:15] live with obesity is stigma it's that [42:17] being obese is your identity and what we [42:20] actually know is that the the world OBC [42:24] Federation are doing some really good [42:25] work work identifying this as the major [42:28] public health problem the ticklishness [42:30] talking about this is it's really hard [42:32] to say that obesity is a problem without [42:34] also saying that people who live with it [42:37] are the problem and if you're not [42:38] careful a war on Obesity becomes a war [42:40] on people who live with it and I think [42:42] the evidence is very clear it's just [42:44] about the food environment so yes you [42:47] can make these very powerful economic [42:49] arguments that we simply cannot afford [42:53] to have a food system that's driving [42:55] this rate of disease [42:57] um I think the moral arguments are much [43:00] more powerful that this is stuff that [43:03] causes human suffering so I I would not [43:06] actually tax Ultra processed food and I [43:09] certainly wouldn't ban it I think all my [43:13] arguments are about increasing Freedom [43:15] increasing Choice increasing opportunity [43:18] and that's quite conscious I mean you [43:20] you know this as a as a skillful [43:22] Communicator you talk about kind of [43:24] doing exactly this in your book where [43:26] I'm trying to make an argument that will [43:28] appeal to the political right that are [43:32] much more on the side of of uh you know [43:35] free market low regulation and in fact [43:37] we can have regulations completely [43:39] compatible with huge economic growth and [43:42] what I'm asking for is a food system [43:44] where people with low incomes have [43:45] access to healthy affordable [43:48] food because a lot of people would say [43:50] and this is sort of part two of your [43:51] book that okay so the solution here is [43:53] really just for people to make better [43:56] choices when they're I don't know in [43:58] their fridges or when they're walking [44:00] through a supermarket why don't we just [44:02] all make better choices I mean you you [44:04] will you may have a much more profound I [44:07] I think you're asking this question in a [44:08] provocative way I think you will [44:10] understand it much better than me I've [44:12] always had choice and so when I choose [44:15] to buy things I that are unhealthy it is [44:18] with a degree of choice I do my my [44:21] patients um I run a clinic at the [44:23] hospital for tropical disease where I [44:24] work and most of my patients have no [44:26] addresses they're very disadvantaged [44:28] they're migrants Asylum Seekers um they [44:31] come from very low-income families [44:32] because those are the people who get [44:34] infections now when I say to them go and [44:36] eat some healthy food they all know what [44:40] healthy food is they've often got very [44:41] they very diverse community' got very [44:43] rich traditions of healthy food from the [44:47] the communities of the cultures they've [44:48] come from they are completely unable to [44:50] buy it in the case of the Asylum Seekers [44:52] they're on 8 pound a day and they can't [44:54] work you can't you can't say to someone [44:56] on spend your eight pound a day on [44:57] apples and broccoli and me they haven't [45:00] got knives to cut it with now we know a [45:01] million households in this country don't [45:04] have fridges freezers stove top cookers [45:07] so there are a huge number of families [45:09] that only have a microwave to cook and [45:12] fresh food while there is always a [45:14] politician willing to advance this [45:16] argument like you can buy a bag of [45:17] lentils if you go to the cash and [45:19] carryer you can buy rice or lentils for [45:21] you know a couple of quid for 10 kilos [45:23] it costs money to heat it it cost time [45:26] time is the most expensive thing for for [45:28] people with low incomes they need pots [45:30] pans cutting boards knives Tupperware if [45:33] you're going to batch cook which is the [45:35] only way to make home cooking economical [45:37] you got a deep freezer to store it in so [45:39] saying to people with low incomes you [45:42] know make healthier choices it is it is [45:45] nonsense it's just it's it's and so I [45:48] feel very strongly it the world does not [45:50] need another person like me saying that [45:52] and in fact no one I mean we all people [45:55] hate being told what to do there was a [45:57] study done on toddlers in 1920 that you [45:59] write about which is quite Illuminating [46:01] where they got to choose their own food [46:03] from a selection of un unprocessed foods [46:07] and the children instinctively chose [46:08] their own diet which met their [46:10] nutritional needs and Cal calorie [46:12] intake what was that experiment and what [46:14] does that indicate to us about the [46:16] nature of this argument what as it [46:18] relates to just being able to control [46:20] what we and choose what we [46:22] want if we look at the animal kingdom [46:24] even if you look at something you might [46:26] think has quite a simple diet like a [46:28] like a big herbivore living in you know [46:30] any of the big herbivores living on any [46:32] of the big PLS of the world and you [46:33] think well they just eat grass they [46:34] don't we've done loads of experiments [46:35] where you put sounds a bit unkind but [46:37] you put a hole in the neck of the animal [46:39] and you put a bag on the hole and you [46:40] collect the plants they're eating and [46:41] you can do this in a way that's [46:43] relatively Humane and what we discover [46:45] is if we study goats or cows they're [46:46] eating 50 or 60 different plants a day [46:50] calories are abundant and what those [46:52] animals are doing is balancing all their [46:55] nutrition needs from all those different [46:57] plants and selecting them and learning [46:59] them about the flavor profile and the [47:00] mineral content they're moving to avoid [47:03] predators in the rains to different [47:04] soils so animals are incredibly [47:07] sophisticated at at perfectly balancing [47:10] their nutritional needs from their [47:11] environment and obesity is uh [47:14] non-existent in the wild animal kingdom [47:17] in urban animals actually that start to [47:19] scavenge from humans there is some [47:20] evidence of obesity but in wild animals [47:22] there is there is no obesity humans [47:25] turns out obviously have the same [47:27] ability and so a scientist called uh [47:29] claraa Davis who's amazing woman she was [47:32] she was a a gay woman uh one of the [47:34] first medical graduates in in North [47:36] America and she did this experiment [47:38] where she was she was taking abandoned [47:40] kids in ENT she was functioned almost [47:42] like an orphanage and each child got [47:44] access to 34 different Whole Foods every [47:47] single day and it was things like there [47:49] was raw bone marrow and cooked rice and [47:52] yogurt and milk and they had a little [47:54] bowl of salt they could have as much or [47:56] as little salt as they wanted and her [47:58] question was could the kids balance [48:00] their nutritional needs and the best [48:02] example was a kid called Earl who she uh [48:04] took in a few months old and he came in [48:06] with Ricket so he had very bad vitamin D [48:08] deficiency had bendy bones and they did [48:11] some X-rays and you could see the [48:12] rickets on the x-rays and every single [48:14] day he would glug an entire cup of cod [48:18] liver oil which at the time was one of [48:20] the only really the only source of [48:22] vitamin D and he drink this every single [48:25] day enthus I asically he always wanted [48:26] his codli Roy and on the day his rickets [48:30] were healed and you couldn't see them [48:32] anymore on the x-rays he stopped [48:34] drinking the cod liver oil never asked [48:35] for it again and none of the kids [48:37] without vitamin D deficiency would drink [48:39] would touch the cod liver oil so [48:41] something in Earl's body was saying I [48:44] will when I need this stuff I'll have it [48:47] once I don't need it anymore I won't [48:49] have any more of it and all the kids [48:51] that she studied over many many years [48:53] with access to a full range of foods [48:56] perfectly matched all their nutritional [48:57] leads they all grew really well they [49:00] were intellectually welldeveloped they [49:01] extremely healthy and they didn't have [49:03] any of the sort of food refusal problems [49:05] that that parents have nowadays so and [49:08] she knew very well that the point was [49:11] the kids only had access to good food [49:13] she wasn't giving them access to um [49:15] industrially processed junk foods which [49:17] were still slightly available in in the [49:20] 20s it was a really cool experiment for [49:22] me I take away from that that our bodies [49:24] can kind of self regulate what we need [49:27] if they're in an environment where the [49:30] options are good so if I'm a parent and [49:32] I'm sure I'll be a parent in the next [49:33] couple of years I hope so um if I just [49:36] make sure in my house all the food [49:39] options are good for my kids Whole Foods [49:42] all the good stuff you've described [49:44] presumably then I can just unlock the [49:46] cupboards and let them run free I love [49:49] talking [49:50] to um people who might become parents [49:53] about what they think I mean like wow [49:56] you just I mean yeah good good luck to [49:58] you let's can we have this conversation [50:00] again in about six years can you tell me [50:02] why I'm you're not wrong you're [50:03] completely right it will be impossible [50:06] for you to limit the influx of ultra [50:09] processed food into your house so [50:11] clearly I've written a book on this I [50:12] study this I would love to do that I [50:14] want my kids to be normal being normal [50:17] is really important as a kid and food [50:20] isn't just stuff we put in to build our [50:21] bodies food binds us to the people [50:23] around us food is part of our community [50:25] and our culture in the UK our food [50:27] culture is ultr processed food and if [50:30] you don't eat and drink Ultra processed [50:32] food you become a slightly odd person [50:35] and so I still eat it when I go to [50:36] friends houses because otherwise I look [50:39] like some you know uh fanatical food [50:42] snob so and it's the same with my kids [50:45] so so uh grandparents friends relatives [50:48] all bring it round you don't control [50:49] what they eat at school um you know my [50:51] youngest ones a really nice Nursery but [50:54] still ultrapress food food from uh from [50:56] the minute she gets there to to when she [50:58] leaves so um very good luck to you but [51:02] this is why I argue I I nod to if an [51:06] individual wants to read my book I think [51:09] they will come away with technical [51:11] knowledge that they will be able to use [51:13] and and I wish them well with that the [51:16] big argument of the book is about this [51:18] this is about social justice you know it [51:19] is it is really appalling that even for [51:23] people with with a lot of means real [51:25] food is incredibly affordable and [51:28] unavailable as you guys may know this [51:30] podcast is sponsored by one of my [51:31] favorite brands in all the world which [51:32] is whoop AI is a topic I've spoken about [51:35] various times on this podcast and it's a [51:36] topic that I'm pretty obsessed with but [51:38] we don't often talk about how it could [51:40] be used as a force to make our lives [51:42] even better whoop is using the power of [51:44] AI to drive meaningful positive change [51:47] my whoop doesn't leave my wrist and [51:49] their new feature which is called whoop [51:51] coach uses the power of advanced AI to [51:54] synthesize all of your health and [51:56] fitness data and to provide you with [51:58] personalized 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nice not to have to think about [52:48] taking lots of different pills and [52:50] vitamins in the morning I can just take [52:52] this and I know that I'm giving my body [52:54] a good dose of all the vitamins and [52:56] minerals that it needs every morning [52:57] it's a lot better tasting than having to [52:59] force down some of the other green [53:01] powders I've tried and it's really [53:02] reassuring to know that I'm looking [53:04] after my body properly unfortunately and [53:07] currently this product is only available [53:09] in the US so anyone in the USA head to [53:11] hu.com to get it before it runs out [53:13] again but anyone that's not in the US [53:15] and wants it to come to their country [53:16] please send me a DM a direct message and [53:18] I'll speak to the team at hu in our [53:20] board meetings and I'll let them know [53:22] that you want it in your country what [53:24] about the people that say this is just [53:27] about calories in calorie out the you [53:30] know Fitness Community lot of the weight [53:32] loss Community just say what you've got [53:34] to do and I've actually got a friend [53:35] that said this to me quite passionately [53:36] he says what I do is I just measure the [53:39] amount of calories I'm taking in measure [53:41] the calories that are coming out and I [53:43] make sure that there's a calorie deficit [53:45] and if you have a calorie deficit he [53:46] actually said to me one day he goes you [53:48] can eat whatever you want and you'll be [53:51] fine mathematically he's he's not [53:54] entirely [53:55] wrong that there are there are some very [53:58] very there are two very very big [54:00] problems with that the first is that [54:02] while some people can just eat to [54:04] instructions many of us have genes that [54:07] uh lead us to engage with food in a more [54:10] interesting way you know I care about [54:11] food I love food I'm driven to it so you [54:14] your friend should come around my house [54:15] in the morning with a box of cocoa pops [54:17] and try and get my daughter to eat one [54:20] adult portion and good luck to him I [54:22] mean they'll be screaming and crying and [54:24] she'll be grabbing the bo [54:25] so the food it's a bit like saying to [54:27] smokers all you have to do is just smoke [54:30] one cigarette don't smoke the whole pack [54:32] just have like one to be social or [54:34] people who live with addiction to [54:36] alcohol well just have one drink and [54:38] that won't do you any harm the the food [54:40] really is addictive for many people but [54:43] there is this other bit of the equation [54:44] which is really fascinating which is [54:46] that when we do more activity of the [54:48] kind that most of us do it doesn't seem [54:50] to have an enormous impact on the [54:52] calories that we burn and this is very [54:55] very good robust sence going back to the [54:57] going back to the '90s [54:59] um the the most if I tell this as a [55:02] story which I think it's the way you'd [55:03] do it um there was a scientist called [55:06] Herman poner and he wanted to know how [55:08] many more calories he'd burn if he went [55:10] and lived as a hunter gatherer with the [55:12] hadza tribe in Tanzania so he went and [55:14] studied them and he put He used a thing [55:17] called double labeled water where you [55:18] can measure very accurately calorie [55:20] expenditure and he put them in metabolic [55:21] hoods and he studied them for months and [55:23] months and he came back and he looked [55:25] looked at his data and he thought he' [55:27] got it all wrong because the data showed [55:28] that for um essentially if you or I went [55:31] and lived in Tanzania and we walked 15 [55:33] kilometers a day hunting Antelope and [55:35] digging tubers out of the ground we [55:37] wouldn't burn any more calories per day [55:39] and he just could not make sense of this [55:41] so then he went back and looked at all [55:43] the data available in the literature [55:45] we've studied animals we've studied [55:46] different human populations there are um [55:49] we've studied subsistence Farmers [55:50] compared to secretarial workers in the [55:52] states we've looked at miners the same [55:54] thing is true in all the studies when [55:56] you do sustained activity over a long [55:58] period it doesn't massively impact your [56:01] calories now some exceptions if you do [56:03] polar expiration if you cycle in the tur [56:04] France if you go to the gym for an hour [56:06] and a half every day six days a week you [56:09] probably do burn a few more calories but [56:11] activity of the kind we all do doesn't [56:13] seem to and that explains why exercise [56:16] is good for us because if you don't do [56:19] exercise I burn 3,000 calories a day [56:22] rough let's say we slightly different [56:25] body compositions but roughly you and I [56:27] burn 3,000 calories a day if you do your [56:29] hour and a half of exercise every day [56:31] you're stealing energy from your other [56:34] budgets you're taking it away from [56:36] inflammation away from hormones and away [56:39] from anxiety and that's why exercise [56:41] seems to be good for us because I'm [56:44] sitting here and I'm ready to live said [56:46] said and TR with my two kids I don't go [56:47] to the gym for an hour a day so I spend [56:49] my calories but they're spent on [56:50] inflammation and anxiety and relatively [56:53] High hormone levels and is this what we [56:55] call the fixed energy model I read that [56:57] in your book that term yeah so that's [56:59] that's um that's that's the model and [57:03] there are lots of exceptions um but what [57:05] that model tells us along with all the [57:08] other available data is that when we are [57:10] talking about populations who live with [57:13] obesity increasing activity will be [57:16] really good for them but it will not [57:17] have a significant effect on body weight [57:20] so when we're talking about the pandemic [57:21] of obesity um activity isn't hugely [57:24] important and if people are listening [57:25] and they want to lose weight many people [57:27] have the experience that [57:30] um putting a healthy diet in the context [57:32] of lots of other healthy things is often [57:34] really a good way of bringing about [57:36] behavioral change you'll feel good in [57:37] other ways but the activity in the [57:39] exercise if you think that putting in [57:40] your slog at the gym every most of us [57:43] can manage 40 minutes every other day [57:46] tops and I I get nowhere near that it's [57:49] not going to have an impact on your [57:50] weekly calories e even if even if we [57:53] accepted that the even if we did think [57:56] that it increased the number of calories [57:57] you burn there's other evidence that [57:59] says you you either eat more because [58:01] your your body isn't just the [58:03] mathematical uh machine that your your [58:05] friend proposes um but also it's if you [58:08] add up the calories and you go to the [58:09] gym for half an hour four times a week [58:11] it's just not very many calories in [58:13] terms of your weekly calories unless [58:15] even if you're cycling as hard as you [58:16] can for the whole thing I can I can [58:18] definitely relate I I work out every day [58:20] because just because I if I didn't you [58:22] do it every day you set you seven days a [58:24] week I have PT every single day and the [58:26] reason I do that is purely because I am [58:29] best disciplined when I have a clear [58:31] routine so knowing that it's part of my [58:33] habit and that it's actually today it's [58:35] in my calendar yesterday it was in my [58:36] calendar even I even have lunch in my [58:39] calendar now because I'm just trying to [58:40] make sure that I have some kind of [58:42] routine um with my with my eating or [58:44] else I just won't eat I remember on [58:46] Friday I my first meal was at 600 p.m. [58:49] because I was podcasting had some stuff [58:50] with the BBC and I don't want to do I [58:53] don't want to eat before I do anything [58:54] because my I'll slump my point here [58:56] though is with my personal trainer every [58:59] day if I don't change my diet very [59:02] little happens with my body I actually I [59:03] end up growing a bit more muscles I end [59:05] up getting a bit stronger but in terms [59:06] of weight loss the fast it just sits [59:09] there yeah interestingly though from a [59:11] psychology perspective I've spoken to a [59:13] lot of scientists and doctors who have [59:14] said your body will basically [59:15] overcompensate for what you've just [59:17] burned if you went go for a five or 10 [59:18] mile run your body wants to defend its [59:20] weight because that's defending its [59:22] survival chances for me one of the [59:24] things that happens is if I go out go [59:26] and work out in the gym because it was [59:28] so painful I'll then come home and look [59:31] at the flapjack or the cookie whatever [59:33] and I'll think that's two steps [59:35] backwards that's interesting whereas [59:37] some people will come home look at the [59:39] flapjack and go I've earned that but to [59:42] counteract my own point that also [59:44] happens sometimes I go well I can have [59:47] it because I just ran or whatever um [59:49] what I what I might do is I might avoid [59:52] the flapjack the obviously bad thing but [59:54] then I might eat more of something that [59:57] I think isn't bad you see what I'm [60:00] saying you'll have a sort of nutritional [60:01] bar or something that is sold to you as [60:03] being part of that kind of accer yeah [60:06] and I'll eat four of those and when you [60:07] speak to one of the really interesting [60:08] things is when you speak to [60:09] nutritionists and I've spoken to a [60:11] couple who work with really Elite Sports [60:13] Teams um those athletes generally eat [60:17] food so they that they have chefs that [60:20] make and they might make quite an [60:21] elaborate Flapjack but it will be a [60:23] flapjack made with the ingredients you [60:24] would have in your kitchen and they will [60:26] often drink milk while they're cycling [60:28] or running and they'll eat pieces of [60:30] chicken rather than other things this [60:33] topic of willpower again we kind of [60:35] started with it I love because willpower [60:37] comes up a lot in your stuff and it's [60:38] been so interesting listening to your [60:40] your stuff about it yeah I have to be [60:42] honest I have evolved in my thinking [60:44] about it because I've listened to both [60:46] sides of the argument around will power [60:49] and it does appear to me that there is [60:53] probably something else going going on [60:54] but with all these studies on Willpower [60:57] it's hard to establish causation because [60:59] there are other factors that are quite [61:01] clearly could confound the variables in [61:03] play so it's something that I've gone [61:04] back and forward on you talk about twin [61:06] studies in the context of willp power [61:08] and what that can teach us why did why [61:11] did you talk about twin studies in [61:12] chapter nine part of it was done by a [61:15] colleague called CL lellan and um what [61:19] CLA was looking at was the her this it's [61:22] a bit convoluted let me see if I can do [61:23] this the heritability of obesity genes [61:25] so there's a weird thing we see this [61:27] with with um it's bit easy to understand [61:29] with IQ but it's it's true of IQ genes [61:32] and obesity genes that in some places if [61:36] your parents have genes for obesity you [61:39] will have a 90% chance of inheriting the [61:41] Obesity but in other families it's more [61:44] like 10% same is true with with IQ so um [61:48] what CLA lellan showed was that if you [61:50] came from a situation of deprivation if [61:52] you came from a low-income household [61:54] your genes for obesity are much more [61:56] likely to be expressed so you would [62:00] inherit those you'd inherit those genes [62:01] and you would develop obesity now the [62:05] the social importance of this was [62:07] because IQ studies originally showed [62:11] that intelligence was hereditary and [62:14] this caused huge problems because um it [62:18] was done in the states and uh minority [62:22] groups were measured as having lower in [62:24] elligence and this provided that kind of [62:27] core argument of saying well some people [62:29] are genetically less intelligent and [62:32] there's a woman called Sandra Scar and [62:33] she did the first intelligence first [62:35] studies and it was twin studies that [62:37] showed it were that um whilst [62:39] intelligence is heritable in some [62:42] communities it isn't in others and [62:44] basically it works like this if you come [62:46] from a well-off household all your genes [62:49] whether they're for a healthy body shape [62:51] or for intelligence they're all maxed [62:53] out and so you all the variability is [62:56] genetic in the population if you come [62:58] from a low-income household you might [63:00] have genes for height that never get [63:02] expressed you might have genes for [63:03] intelligence that because you have been [63:05] poorly nourished you haven't been as [63:06] educated as well those genes for [63:08] intelligence never get expressed so you [63:12] have a really complicated picture where [63:14] genes can be inherited but not expressed [63:17] in different communities according to [63:19] how those populations are treated and so [63:21] that's one of the crucial things in [63:23] Psychology is when only study white [63:26] middleclass populations when we only [63:27] study psychology students we get very [63:30] very different answers to when we go and [63:32] look at populations who live with [63:34] disadvantage or low income so [63:37] essentially what one of the big findings [63:39] from clell's work is if you got rid of [63:41] poverty uh you would get rid of around [63:43] 60% of the problem of diet related [63:45] disease and you and your brother because [63:47] you are [63:48] twins are quite a good example of this I [63:52] guess because you reference how he went [63:53] and lived in Boston and was having a [63:55] stressful time and gained weight I mean [63:57] every time I go to America we we travel [63:59] out there to record the podcast it's [64:00] just absolutely [ __ ] wild like we I [64:04] just feel terrible um I I always gain [64:07] weight um I un avoid if you're doing [64:11] work like you do in the states and [64:13] you're you're at hotels and you're on [64:15] the move and you're traveling you you [64:17] cannot eat good food that mini bar in [64:19] the bloody hotel which they just keep [64:21] topping up I remember I was saying to [64:22] the team I was like I put the cookies in [64:24] the [ __ ] bin and then I came back the [64:26] next day and they' put two bags there [64:28] like yeah they think you've eaten the [64:30] cookie yeah they thought I enjoyed them [64:32] I mean the marketing that's a form of [64:34] marketing and if you think that you are [64:37] struggling I'll come back to Boston but [64:39] if you think that someone like you [64:41] struggles in a hotel room when they've [64:43] put cookies and all this junk there and [64:45] you have to sort of put it out of sight [64:47] for a British teenager this is true for [64:49] teenagers in States Canada Australia [64:52] they are saturated in marketing in a way [64:54] that you would be completely invisible [64:55] to you and I it's I mean you you may [64:57] remember this from childhood it's on [64:59] your bus tickets when you buy stationary [65:00] at the shop it'll be on your receip it's [65:02] on your music apps because we pay for [65:04] our music apps but kids don't it's on [65:07] their social media um the companies get [65:10] their phone numbers directly uh from [65:13] they enter competitions and then they [65:14] send them meal deals and messages ping [65:16] ping ping to their phones so they it's [65:19] 360 247 immersion in marketing of [65:24] addicted products and so it's it's not [65:27] that confusing why 25% of British kids [65:30] live with obesity not just overweight [65:32] anyway so Boston yeah my twin my twin [65:36] moved to Boston it was a situation of [65:37] some stress he'd had a a kid um uh a son [65:41] Julian uh with someone in a way that [65:43] that wasn't planned I suppose Julian [65:45] knows this uh I mean Julian's the whole [65:48] it's all part of a very dear family now [65:50] um but it was very stressful he went [65:52] there to do a master's degree he lived [65:54] above a burger shop and he he kind of [65:56] ate his problems and he he gained 30 [65:59] kilos and that that is an example of we [66:01] both have a genetic vulnerability but my [66:04] life in the UK was very stable and I was [66:05] in a different food environment in the [66:07] UK you move my genes my clone [66:10] genetically we're identical you move my [66:11] clone to the states stress him out a bit [66:14] he gains 30 kilos I mean it's it's [66:17] nothing and oh has our willpower changed [66:19] has our personal responsibility changed [66:22] you know a set of um accidents and and [66:27] uh uh coincidences and the food [66:31] environment are what determine his [66:32] weight has nothing to do with willpower [66:34] at all whenever I feel like I'm in a [66:36] situation where I don't have autonomy [66:37] and control I'm like G and when I hear [66:40] about this sort of food environment [66:41] we're living in and the the big food [66:43] Mafia and the marketing and pinging me [66:45] left right and center and all the [66:47] products that are in some of these ultr [66:50] processed foods that are making me feel [66:51] addicted to them that I just it's just [66:53] triggering my my brain in a in a way [66:55] that I can't seem to control either I go [66:57] I want to be able to do something about [66:59] it on an individual level I want to be [67:01] able to take back control without having [67:02] to wait for bloody Downing Street or the [67:05] White House to change things I love that [67:08] and what what I try and propose in the [67:10] book is that you need to make that [67:13] Journey probably when you start reading [67:15] the book you're you're in this sort of [67:17] unconscious stage if you don't think of [67:19] yourself as either a victim or anything [67:20] you're just eating your food and then [67:22] Midway through the B book I think I do [67:25] propose to you that you are a victim and [67:26] that's a hard thing for any of us to [67:28] listen to most of us don't want to be [67:29] victims and I think you have to make the [67:32] journey from victim to activist pretty [67:34] quickly and you can be an activist in [67:36] your own life for yourself and you can [67:40] if you have resources and money and [67:42] skills you you can get rid of ultra [67:44] processed food lots of people actually [67:47] can't I just I just got to be really [67:49] blunt here like there is there is an [67:51] anxiety I had write in this book that um [67:53] for the core audience of readers who can [67:55] afford books most of them will be able [67:57] to buy sourdough from a fancy Bakery [68:00] rather than you know the Loa of PR we [68:02] just looked at but for the people who [68:04] are most affected by the problem that it [68:06] simply won't be a choice for someone [68:08] like you yes you you need to take that [68:10] kind of emotional reaction and turn it [68:11] into um direct that rage rather than [68:15] than directing it inwards it's directing [68:17] it out to a food system that controls [68:19] you I mean one of the one of the [68:20] political narratives we hear is is is [68:22] that any kind of Regulation is Nanny [68:24] statism it's about government overreach [68:26] at the moment we live in a nanny State [68:28] the nannying is done by transnational [68:30] food corporations they don't pay any [68:32] particular tax in this country they're [68:34] you know they do employ some people but [68:36] these these are not companies that are [68:39] part of our sort of culture and yet they [68:42] are controlling our our food and what we [68:44] eat and I think we need to rest a little [68:46] bit of control back off those of th of [68:48] those companies but that group of people [68:50] that maybe weren't the majority of [68:52] people you were speaking to with your [68:53] book that [68:54] don't have the privilege that me and you [68:56] have to make better choices as it [68:59] relates to food or to um buy the pots [69:02] and pans and chopping boards or get a [69:04] chef to cook it for us whatever what you [69:06] say to them what do they do I mean this [69:08] is why I don't give advice because there [69:10] is there we are at this moment where we [69:13] do have to politically treat the [69:16] companies like the tobacco companies now [69:19] at the moment for many people trying to [69:21] quit ultr processed food will be like [69:23] trying to quit smoking in the 1960s is [69:25] it really addictive so the do you want [69:27] me to do a bit on the the evidence for [69:29] addiction so the the the the definition [69:31] of adct because people food addiction [69:32] has been really scientifically complex [69:35] for a long time because baked into the [69:36] notion of addiction is that the only [69:38] strategy that ever works is abstinence [69:40] you cannot be adct abstinent from food [69:43] and so food can't be addictive so for a [69:46] long time we said well food is a [69:47] behavioral addiction where it is the the [69:50] food Behavior not the food itself the [69:53] definition of Ultra processed food [69:54] allows you to describe the category of [69:57] substances that are addictive and when [69:59] we go and speak to people who say I live [70:02] with addiction to food and you say what [70:04] do what do you feel addicted to It's [70:06] Always ultra processed product it'll be [70:08] very different some people it's going to [70:09] be the diet colors some people it's [70:10] Biscuits some people it's pizzas but [70:12] it's always UPF um the definition of [70:15] addiction is continued use of a [70:17] substance despite knowledge of harms [70:19] physical or psychological and despite [70:21] repeated attempts to quit and you and I [70:24] will both know people in our own lives [70:26] who continue to uh eat this food I mean [70:29] I was definitely one of these people uh [70:31] despite knowing it was harming me and [70:33] wanting to stop eating it so that's why [70:36] I think I have two groups of readers [70:37] some people are just going to want to [70:38] cut down you you might be someone who's [70:41] maybe eating a little bit more than you [70:43] want and you just want to go I'm going [70:44] to maximize my health and I'm just going [70:45] to I'm going to have it as a treat on a [70:47] Friday night and that's fine it's like [70:48] it can be like booze or or the [70:50] occasional [70:51] cigarette for some people that one [70:54] cigarette that one glass of wine for for [70:57] many probably 40% of people I don't know [70:59] about your audience but across the [71:02] country 40% of people will have a [71:04] troubled relationship with it and for [71:05] those people abstinence may be a an [71:08] easier strategy so yeah I think it's [71:10] addictive when we look at scans it's [71:12] addictive when we do surveys it's [71:13] addictive when we um look at the profile [71:17] of genes and the other um surrounding [71:20] factors that lead to addiction it's [71:21] caused by the same things and there's [71:23] lots of basic science about um the the [71:26] speed of consumption and addiction so [71:28] addictive things are normally very [71:29] quickly consumed shots crystal meth um [71:34] tobacco products if you chew tobacco if [71:37] you have slow release methylphenidate [71:39] it's a treatment for ADHD it's not [71:41] addictive um if you have weak session [71:44] beer it's not addictive like tequila [71:46] shots are so the speed of hit seems to [71:49] be important and that may be partly to [71:51] do with the softness of UPF you get a [71:53] you get a very quick hit of your [71:54] nutrition is there a link between ultr [71:57] processed foods and [71:58] neurodiversity you know [72:00] ADHD those kinds of things because [72:03] there's some emerging evidence about [72:04] ADHD I'm speaking to um there's a [72:07] working group at the Royal College of [72:09] psychiatrists who are really interested [72:10] in the links between uh binge eating [72:13] disorders and other eating disorders and [72:15] um and ultr processed food um I think we [72:18] we are only at the very beginning of [72:21] discovering the health effects but [72:22] remember from from very early on in [72:24] childhood a huge number of kids in this [72:26] country are on a diet of ultra almost [72:28] pure Ultra processed food but that's [72:30] often in a situation where there is also [72:33] other sources of um trauma of um [72:37] there'll be other health factors [72:38] there'll be poor housing um it will go [72:40] hand inand with lots of other things so [72:42] as an adjunct to other other problems I [72:45] would think there will be a link but [72:48] teasing it all out is going to be [72:49] complicated a high UPF diet is linked to [72:52] More Death glob than tobacco high blood [72:54] pressure or any other health risk 22% of [72:58] all deaths that's a stat I got from your [73:00] book and also increased consumption of [73:02] UPF Ultra processed foods is linked to [73:05] the following diseases all cause [73:07] mortality cardiovascular disease cancers [73:09] high blood presses fatty liver disease [73:10] in inflammatory bowel disease depression [73:13] worse blood fat profile irritable bowel [73:16] syndrome dementia and I can't even say [73:19] that other one F Frailty Frailty just [73:22] fertility being weak and [73:29] old CH part five of your book is what am [73:32] I supposed to do about it and I've kind [73:34] of answered it I want to make sure I'm [73:36] really clear of my own life here I can [73:39] because I have the privilege of doing so [73:40] I can make better food choices the first [73:42] part of it is awareness knowing what [73:44] Ultra processed foods are and I believe [73:46] I've got that definition from you step [73:48] two is I really need to do an audit of [73:50] the things that I'm consuming frequently [73:52] to make sure that I'm at least [73:54] intentional about my consumption of [73:56] ultra processed foods and then I can [73:59] make better choices to bring in more [74:01] Whole Foods into my into my diet um [74:03] because you're right there's so many [74:04] things that I'm consuming that I thought [74:05] were good for me I mean I I drank bloody [74:08] orange juice for [ __ ] Sunny D for 20 [74:11] years because I just thought it was [74:12] great for me vitamin D or something I [74:14] can't remember so Sunny yeah exactly and [74:16] it was it was marketed at me um [74:19] awareness is step one making making more [74:21] informed choices I guess is step two for [74:23] me [74:24] um and then there's a broader point [74:26] which is about trying to change the [74:27] system for [74:29] others which I I can do by having these [74:31] kind of conversations I [74:33] guess I love that th those steps are [74:36] coming from you that I I don't have a I [74:40] I honestly don't care what people eat I [74:43] I like freedom I don't like being told [74:45] what to do and so I am not prescriptive [74:47] about what anyone should eat nowhere in [74:49] the book do I say you should like as a [74:51] normative statement you should eat less [74:52] up F so if you want to knowing what you [74:55] know that's up to you I don't think [74:57] anyone has a duty to be healthy to [75:01] generate economic growth I just think no [75:05] one asked to be born you're born you [75:06] should be able to live your life as you [75:08] want what I do think is what I want for [75:10] for [75:11] everyone is that they can they have [75:15] agency so that they are not subject to [75:17] constant predatory marketing and they [75:19] have true choice so all the policies [75:22] that proposing and I'm part of a big [75:25] group working on this are about making [75:28] real food affordable and available so in [75:31] terms of the the hierarchy of what needs [75:33] to be done for everyone the number one [75:36] thing is tackle poverty poverty is a [75:37] political Choice there is enormous [75:40] wealth in this country and uh and people [75:44] born into disadvantage should not have a [75:47] different [75:48] childhood than people who are born rich [75:50] and and and it feels kind of almost [75:52] revolutionary to say that but it's [75:53] really obvious to me like what why I [75:56] mean I can talk about this all day but [75:57] but Health outcomes are so different for [76:00] people born in poverty for people who [76:01] live across the road from from from my [76:03] kids so that's the number one thing the [76:06] second thing is um some very light [76:09] regulation I don't want to tax things I [76:11] don't want to ban things we need to [76:13] appropriately label unhealthy food and [76:15] at the moment the labels are so [76:17] confusing as to be unusable we need to [76:19] put in our national nutrition guidance [76:21] that there is good evidence linking [76:23] processed food as a category to all [76:25] these poor health outcomes and we should [76:27] recommend uh the government should [76:29] recommend that people do try and consume [76:31] less now there will be a real problem [76:32] for the government doing that because [76:34] the government creates a food [76:35] environment and it's really hard for a [76:37] government to say look on the one hand [76:38] don't eat all this and they go on the [76:40] other hand that is all you can afford to [76:41] eat so that's going to create a real [76:43] political problem and that's sort of [76:44] what we're up against um the most [76:47] important policy step is to get industry [76:51] out of the room when it comes to making [76:53] policy so this is so the I just spoke at [76:58] the world of obesity Federation in New [77:00] York um they're a un aligned who aligned [77:03] group outside of the UK there is no [77:06] discussion about the role of ultra [77:08] processed food that pandemic obesity is [77:10] primarily due to this Western industrial [77:12] diet everyone agrees on this countries [77:15] like Argentina a can of cola has three [77:18] big black hexagons on it bigger than the [77:20] logo of the company that makes the cola [77:23] same with most of the breakfast cereals [77:24] you know there are warnings in the [77:26] National Garden so globally people are [77:28] very very aware of this in the UK um [77:31] there is real control of the public [77:33] health n narrative by the by the food [77:36] and drink industry so as an example all [77:38] our major Charities that influence [77:40] policy and a lot of policy comes from [77:41] charity they're all paid by companies [77:43] that make by UPF so if we look at the [77:45] British nutrition Foundation it is [77:47] majority funded by all the major food [77:50] companies you can name Coca-Cola Nestle [77:52] Cargill all of them um cancer research [77:55] UK diabetes UK the British dietetic [77:58] Association all of them are funded by [78:00] companies that make ultr processed food [78:02] so we need we need to start treating the [78:05] companies like the tobacco industry and [78:07] saying no no your money is is not good [78:09] and we won't take it because it [78:10] influences food policy that's kind of [78:12] the most important step and so part of [78:14] being an activist in this area for me is [78:18] um not taking food industry money myself [78:21] and so that that is a very painful [78:24] weekly process because if you write a [78:26] book about food you get offered you know [78:30] I mean enormous amounts of money to go [78:32] and to go and work for the food [78:35] industry how how did how did your food [78:39] consumption change from the beginning of [78:41] this book Till the End of This Book what [78:43] were there any particular choices that [78:45] you have unmade or made because of what [78:49] you learned in the process of writing [78:50] this book I think resist existing [78:54] addictions if you live with addiction is [78:56] almost impossible that's the whole point [78:58] about addiction MH and what you need to [79:00] do is to make the journey from being [79:03] addicted to being disgusted and love and [79:06] disgust are quite they're they're [79:08] anatomically close in the brain they're [79:10] neurologically quite related and many of [79:12] us have experienced this falling out of [79:15] love process where something you're in [79:17] something or someone you're infatuated [79:19] with that is irresistible you want to [79:21] spend all your time engaging with [79:23] um suddenly becomes something you really [79:25] don't want to do and smokers will [79:27] describe it some people have this [79:28] experience in human relationships um it [79:31] it can happen that switch can be flicked [79:33] quite quickly and I think if you're [79:35] someone who lives with addiction you [79:37] need to figure out how to flick that [79:38] switch that at the moment if you're [79:40] addicted to this food and you constantly [79:42] trying to resist it it it will be too [79:44] much so I I think that that is kind of [79:48] the priority if you're living with the [79:50] addiction is to try and get to disgust [79:52] and that's what happened to me is the [79:55] food became you know this thing about [79:57] the uncanny valley where if if um [80:01] there's a thing in animations where if [80:02] animations are very cartoony they're [80:05] fine but if they become quite human they [80:08] suddenly start looking weird there's [80:09] some films where they get it a bit wrong [80:11] um uh where the where the cartoon [80:13] characters are too realistic they they [80:15] become almost zombie or corpse likee and [80:18] so this this uncanny valley that [80:19] animation goes through where it becomes [80:21] weird and then when Ultra human that [80:23] they're fine again the food for me was a [80:25] bit like that it entered this sort of [80:27] uncanny valley where it's it's similar [80:28] to food but it it isn't food and so so [80:32] now I just don't want any of it but I [80:36] will eat it to be polite this stuff that [80:38] I that I brought with [80:40] me you know the the pizzas I got the [80:43] cocoa pops I've got the the Coca-Cola [80:47] here is this [80:50] food I don't think it me [80:53] so food is very poorly defined we don't [80:55] have a working definition of food sort [80:56] of in law but I think food is [81:00] substance that you eat for nourishment [81:02] and it should be about nourishment [81:04] culturally socially personally [81:06] psychologically as well as physically [81:08] and these products are uh developed to [81:11] generate financialized growth for [81:13] institutional investors they're not made [81:16] by people who love you who want to [81:18] nourish you and so I don't think it [81:20] meets what I think is a useful cultural [81:22] definition of food I think it's very [81:24] useful to not think of them as food and [81:26] I don't think a mixture of um coloring [81:30] addictive drugs and phosphoric acid [81:32] could be called food in any sense of the [81:35] word it doesn't have nutrition it only [81:37] has things that will we're we're pretty [81:40] sure that almost every ingredient does [81:41] you harm in some way so I I don't see [81:44] how that could be called food it's a way [81:45] of commodifying your ill health for the [81:48] benefit of a very small number of people [81:52] are you optimistic sck oh that's such a [81:54] great question like I live with and I [81:56] want the real answer that's sort of [82:00] oh you could ask me you get a different [82:03] answer each morning so at the moment uh [82:07] here are my sources of optimism there is [82:08] another way of doing this I have a [82:10] friend who runs a not for-profit Drug [82:11] Company works as a normal drug company [82:13] has a huge quantity of Revenue only one [82:16] person took a pay cut that was the CEO [82:18] so he doesn't own it everyone else is [82:20] paid exactly as if they're at a normal [82:22] pharmaceutical company the purpose of [82:24] and he paid back investors it's a [82:26] really it would be cool for you to [82:28] interview actually he's one of the the [82:29] smartest people I know he came from Big [82:32] farmer and because he's not obliged to [82:35] institutional investors he develops [82:37] drugs for low-income settings he also [82:39] sells them in middle and high income [82:40] settings and does really a great job but [82:43] the purpose of the company is to reduce [82:45] Healthcare inequalities now there are [82:47] lots of people who are working on a [82:49] similar model that will sit within you [82:52] know a capital capitalist structure that [82:53] will pay back investors but where food [82:56] needn't become so beholden to [82:58] institutional investors so I think there [83:00] are financial reasons for optimism there [83:02] are economic models we can we can [83:04] propose corporate structures we can [83:06] incorporate things in different ways [83:08] that will serve the community in [83:09] different ways that's one source of [83:11] optimism the second source of optimism [83:13] is we sort of did it with tobacco and [83:15] the cool terrible thing about tobacco is [83:19] we regulated the tobacco industry and [83:20] got smoking rates right down [83:23] and the um growth of equity value of the [83:26] tobacco companies has continued more or [83:28] less uninterrupted throughout now part [83:31] of that comes from selling cigarettes in [83:33] other countries some of it comes from [83:34] the rise of vaping but nonetheless we [83:36] did manage to get control of tobacco so [83:38] as a public health activist I have a [83:40] template I know how to do it I know how [83:42] to tackle marketing um and we we have a [83:45] road map and we also know that people [83:47] are Furious I mean people are enraged [83:50] for 40 years we've watched particularly [83:52] our children not just get bigger but get [83:55] shorter so if you have kids if you have [83:57] kids in this country by the age of five [83:59] they will be that much shorter than if [84:01] you had kids in Scandinavia or Bulgaria [84:04] or the Netherlands okay that at the age [84:06] of five that much 9 cm that is the [84:09] difference between a British 5-year-old [84:11] and a Bulgarian 5-year-old and is his [84:14] all diet so it's not just our kids live [84:16] with the beasty they are stunted now you [84:17] can't stunt a body by 9 cm at the age of [84:20] five and not also stunt them [84:21] intellectually [84:23] so people are Furious we sort of know [84:25] this is happening we know we can't stop [84:27] eating this food we obesity is all [84:29] around us and so I I think there is real [84:32] real uh [84:33] momentum for people to to reclaim their [84:35] foods and we do we do have a lot of [84:38] amazing food cultures in this country [84:40] that we can draw for kind of Rich [84:42] phenomenal diets might explain why the [84:44] US is so poor from an education [84:47] standpoint to some degree you know what [84:48] I mean because they always rank at the [84:49] very bottom of the education tables it's [84:52] the same in the it's about the same in [84:53] the US the stunt the physical stunting [84:55] and physical stunting once we once you [84:57] get rid of cigarette smoking during [84:58] pregnancy which is still far too high [85:01] it's really it's really all due to diet [85:03] so there's all those causes of optimism [85:06] and yet I also I'm up against the the [85:09] power any one of these corporations has [85:11] revenues equivalent to the GDP of a of a [85:14] pretty decent sized country like [85:16] Venezuela or Croatia yeah so and that's [85:19] any one of the the companies do you know [85:21] this is just such conspiracy theory that [85:23] I just popped into my head about my own [85:24] childhood um I'm the youngest of four [85:28] right and if we just look at the [85:29] brothers so there's three of us Brothers [85:32] I'm the youngest brother and Kevin my [85:35] oldest brother is a monster he's like 65 [85:38] or something even Jason is like 63 and [85:41] then I'm short and I'm like short in [85:43] comparison to them I'm 61 but they're so [85:46] much there're so much taller than me and [85:47] I did I was thinking about it as you're [85:48] speaking my mother did make homecooked [85:51] foods she was at home during [85:52] my my older brothers and sisters um as [85:55] they were growing up so she was cooking [85:56] in the house the whole time African food [85:58] lots of Whole Foods and chickens and [86:00] vegetables and salads any traditional [86:02] diet like any traditional diet yeah and [86:04] then she started businesses and stopped [86:07] coming home so I was a scavenger and I [86:10] had like free reain to go to the Sweet [86:12] Shop and eat not not so good things so I [86:14] was just thinking about I've always [86:15] wondered why I'm why I'm shorter than [86:17] them and I'm younger but maybe there's [86:19] sted physically and intellectually maybe [86:21] I think you're going to difficulty [86:22] selling people on this but I mean it is [86:25] an intriguing point we know about [86:26] youngest people in in the in in Europe [86:29] that youngest children are about I don't [86:33] know I don't know that D they're about [86:34] five IQ points uh less smart because IDI [86:38] of the family as well my brothers are [86:40] absolute super they're like um they're [86:43] like mathletes in the UK my brother was [86:45] rewriting the textbook he was on the [86:46] front of the Plymouth Herald because of [86:47] his bloody the grades that he got I [86:49] think it was the Plymouth Herald it's [86:50] one of the newspapers he was in there [86:52] and Kevin was even smarter he was a [86:54] another Super Genius I got kicked out of [86:56] school I was it is really I mean that [86:58] idea of eating a sort of traditional [87:00] home-cooked whole food [87:02] diet versus your probably quite High UPF [87:06] I I mean I it was the datas you know [87:09] you're you're one case but we build [87:10] evidence out of case studies you know I [87:12] love that idea I'm not sure I can really [87:14] accept you as kind of intellectually and [87:16] physically stunted sitting across from [87:18] you no but academically they were just [87:20] so much so they still are so far ahead [87:22] of me in fact Jason now works in my [87:24] company just to help me with everything [87:25] because he's so smart we there's there's [87:27] a pair of twins I know who separated at [87:29] Birth adopted in China separated at [87:31] Birth they're quite well known I've [87:32] interviewed them for for a podcast and [87:34] one grew up in Norway one grew up in the [87:36] states genetically identical and the [87:38] Norwegian twin is is that much taller [87:41] than the American twin so we we do see [87:42] these natural experiments too it's crazy [87:45] how's your brother getting on so he [87:48] maybe the biggest effect of the book is [87:49] he kind of I [87:51] stopped a message in the book and I [87:53] would say this because people people are [87:54] listening and listeners are selfish we [87:55] like how do I lose the way how do I quit [87:57] UPF well I've said that but the the [87:59] bigger thing is don't beat your loved [88:02] ones over the head with this so many [88:04] people like I'm going to buy your book [88:05] for my wife or husband or daughter or [88:07] I'm going to tell my kids and and when [88:09] we let people go and we stop owning [88:11] their problems it gives them agency it [88:14] empowers them and and then it's up to [88:17] them to decide and they if they have the [88:20] resources and the opportunities [88:21] generally they will and so a big a kind [88:24] of core message of the book is stop [88:26] nagging your loved ones about their food [88:27] their food is controlled by forces that [88:29] are far bigger than you they know what [88:31] to eat nagging people about their weight [88:33] only stresses them out and makes it [88:35] worse so when I it was when I Let Go [88:38] properly of what zand eats and stop [88:41] really really stopped caring about him [88:43] and and started to kind of not see him [88:47] as an extension of myself because when [88:50] he he would be big in public you know we [88:52] work together as television presenters [88:53] and I'd be like God you're embarrassing [88:56] me like we're trying to talk about [88:57] health and medicine to kids and look at [88:59] you and when I let all that go and saw [89:01] him as like you know he's such a [89:03] wonderful person I love him so much who [89:05] who cares about his weight that enabled [89:07] him to sort of engage with it then lots [89:09] of other things happened he's just got [89:11] married to a public health academic um [89:15] uh he's got resources he got a bit older [89:17] I mean all kinds of things happen so [89:19] much of life is is luck we can tell [89:22] these narratives of how someone got from [89:23] A to B but he's very fortunate and I [89:26] think celebrating weight loss is just [89:28] something I'm I'm so anxious about doing [89:31] but he yeah he a big product of the book [89:34] was an improvement in my relationship [89:36] with him because I stopped caring what [89:38] he ate I find it so interesting why [89:42] people decide to make changes in their [89:44] life and it's so different for everybody [89:47] I've I've wondered and pondered [89:49] whether sometimes we need a little bit [89:51] more pain [89:53] you [89:53] know I can't forget a conversation I had [89:56] with a manager of one of the top music [90:00] artists in this country that was [90:02] struggling and this person was a friend [90:04] of mine the person struggling and I kind [90:06] of went to him and I was like listen how [90:08] can I help and he goes you can't he goes [90:12] um I've managed a lot of music artists [90:13] that have struggled with addictions of [90:15] various kinds and at some point they'll [90:17] reach a rock bottom and they'll decide [90:19] themselves that they need to make a [90:21] change and it's such a hard thing to [90:22] accept just to kind of let someone in [90:24] your view go into freefall in an area of [90:27] your life you want to catch them you [90:28] want to hold them up and support them [90:30] that that Moment of [90:33] clarity of decision that's when we've [90:36] all had it switch suddenly flick that [90:38] can never arise as long as someone else [90:41] is telling it and the the clearest [90:43] example of this is the washing up that [90:44] my you know I you know we've got a [90:46] family and everyone's and sometimes as [90:48] I'm about to heroically at the end of a [90:50] meal get up and do all the wash washing [90:52] up my wife will say to me could you [90:54] clear these plates and do the washing up [90:55] and I've gone from being an empowered [90:58] person with agency about to heroically [91:00] do my bit for the family to being [91:02] someone doing the bidding of someone [91:03] else and I it enrages me and we do it to [91:06] each other so just allowing other people [91:09] to grasp their problems um and deal with [91:12] them or not is you know that's that's [91:14] it's a really hard journey for a doctor [91:16] because doctors are all about telling [91:18] you about yourself and I try and do it [91:21] lesson [91:22] it kind of reminds me a little bit of [91:23] what I was saying earlier about um I [91:25] don't like it when it feels like I'm [91:27] being controlled yeah yeah and that's [91:29] kind of what the food food environment [91:31] we live in makes me feel like it makes [91:33] me feel like I don't have a choice you [91:35] don't and I want to have a choice you [91:37] don't really have a choice I mean if you [91:40] have enough money and you're really [91:41] prepared to get up early in the morning [91:43] you have some choices but our our food [91:46] food choices are severely curtailed and [91:48] if you're on a Motorway if you're [91:49] traveling around this country if you [91:51] just if you try and go out on that High [91:52] Street out there and just buy yourself a [91:54] quick lunch there aren't a lot of [91:57] choices the pain thing's interesting we [92:00] need a little bit of pain in our diet we [92:01] need foods that are bitter and real and [92:04] chewy and crunchy and make us work for [92:06] them and take time to prepare and one of [92:10] the big switches is trying to see food [92:12] preparation not as a chore but as [92:14] something that connects you to your [92:17] ancestors I mean you know we've survived [92:19] because we come from this long chain of [92:21] people who just spent hours a day [92:23] grinding and pulverizing and salting and [92:25] mashing and figuring out how to make [92:27] food to nourish this and it's a thing we [92:30] should do with other people and it you [92:32] know that trying to enjoy food prep is [92:34] is is a big change for me second ago I [92:36] asked you if you're optimistic and you [92:39] you gave me I dodged it you gave me the [92:41] RE you did a little bit but you gave me [92:43] the reasons for being optimistic what [92:44] are the reasons you're [92:46] pessimistic I think because when it came [92:48] to Tobacco Control it took from from the [92:52] certainty that tobacco caused not just [92:55] lung cancer but but Strokes heart [92:57] attacks and a whole range of other [92:58] health outcomes including early death [93:00] the same list of Health outcomes that [93:01] Ultra processed food [93:03] causes uh from that knowledge to proper [93:07] regulation took 50 60 years and because [93:11] around uh a signific a significant [93:14] percentage of of women still smoke [93:16] throughout pregnancy in this country you [93:17] know which is a good Benchmark of of not [93:19] succeeding they're they're highly [93:20] motivated to St anded and unable to and [93:23] we see the rise of Vapes so it's an arms [93:26] race you know I'm I'm a virologist by [93:28] training my PhD is in studying how [93:31] viruses compete with humans and in an [93:34] arms race you never get ahead for very [93:36] long it's like business business is a [93:37] great example of an arms race you [93:39] understand arms RAC is better than [93:40] anyone you can't just build your company [93:42] and be like well that's that's done home [93:44] I go let's watch the money flow you [93:46] someone's always always trying to [93:48] overtake you and so we're we're as a as [93:50] a community of activists what we need to [93:52] build is a is a sustainable form of [93:55] activism that is you build regulation [93:57] you build on that you keep generating [93:59] evidence and there are some we have more [94:01] and more ways of doing it with these [94:03] sustainable non for-profit not [94:05] for-profit food companies for example as [94:07] a way of funding [94:08] activism so are you [94:11] optimistic I have to be I mean nothing [94:14] worth achieving will be achieved in our [94:16] lifetime so this will not be just the [94:18] work of my lifetime and I'm I'm [94:20] inheriting this work uh many of us are [94:22] inheriting this work from a generation [94:24] of people who've been slaving at this [94:27] since Nestle were indicted for uh [94:31] aggressively marketing infant formula in [94:33] very very low-income settings and really [94:35] harming children in in low-income [94:37] countries so you know that that was kind [94:39] of the first engagement with big food [94:42] where people were were angry and we [94:44] could really point to a problem and [94:46] those activists now they're my they're [94:48] my they're 20 30 years older than me and [94:50] they're they're sort of handing [94:51] knowledge to me and a whole bunch of [94:52] other people across around the around [94:54] the world people from the global South [94:56] people from very diverse communities and [94:58] so we're you know I'm going to hand this [94:59] to my kids but you know there's a fight [95:02] and you can be on one side of it I [95:05] guess Chris we have a closing tradition [95:07] on this podcast where the last guest [95:08] leaves a question for the next guest not [95:10] knowing who they're going to leave it [95:11] for and the question that's been left [95:13] for you is what [95:15] will [95:18] we also has a little brackets and says [95:20] you reget in 10 years about how we [95:24] brought up our children [95:28] today I can tell you because I already [95:32] regret it and it's it's not spending the [95:36] kind of quality time that I've just [95:38] given you with [95:41] them that you know to spend time with [95:44] you today I prepared I thought about it [95:46] I've read your book I've you know I've [95:47] been listening to the podcast for ages [95:50] and as a result we've had at least what [95:51] feels to me like quite a meaningful [95:53] engagement it's really nice I leave kind [95:54] of enriched and my kids get this these [95:57] sort of snatches at time of time and you [95:59] you talk about diarising lunch and I [96:01] know this is this is a thing you you [96:03] talk about in lots of places it's not [96:05] just giving the crumbs to your family [96:07] but it's like giving the investing in [96:10] your family in the way you do in your [96:11] work and I I don't do it because you [96:13] know my wife's pregnant I've got two [96:16] kids six and three and and it's just a [96:18] scramble so that's what I will regret [96:21] and and it's great actually being given [96:23] the opportunity to articulate that and [96:24] go okay if I'm going to regret it who do [96:26] I want to be and you know I love that [96:28] question I'm going to go away and try [96:30] and force time with them that that I'm [96:33] present and often they don't want [96:35] they're not interested but it's just [96:36] being there listening to them and and uh [96:39] investing in them regularly in the way [96:41] that that I do with everything else in [96:42] my life Chris thank you so much because [96:44] you you um I feel like this book I think [96:47] it's been in the Sunday Times best [96:49] seller chart for like 25 24 weeks was [96:51] something mental um you you knocked me [96:54] off number one oh listen you're I'm just [96:57] visiting you live there so I'll be there [96:59] for another 5 Seconds you I'm sure [97:01] you'll be there for for many many uh [97:03] many more weeks and you're starting a [97:06] really important Revolution and [97:07] conversation around what we eat a really [97:10] important one and books come along once [97:13] in a once in a while once every couple [97:15] of years once in a generation that [97:18] really meet culture at the exact moment [97:20] with the exact language with the exact [97:23] appreciation of the reader the Nuance [97:25] the um [97:27] inclusivity um not taking provocative [97:32] stances that are so far on the right or [97:34] so far on the left that they alienate a [97:36] certain group they kind of bring [97:37] everyone in and they appreciate both [97:39] sides of that nuance and that [97:42] perspective and this is exactly what [97:44] this book does perfectly timed written [97:47] perfectly to appeal to both sides [97:52] of the most tricky [97:55] narratives um and that is why it's such [97:58] a brilliant book and that's why [97:59] everybody needs to read it because as [98:00] you said I think before we started [98:01] recording it's starting a conversation [98:04] that we really need to start and it's [98:06] and it's these books that end up [98:07] changing changing the world and changing [98:10] legislation so congratulations first and [98:13] foremost but thank you secondly for [98:15] writing such an important book at such [98:17] an important time I'm really blushing I [98:18] mean this there there's very few people [98:20] I'd hear that from the new it really [98:22] means a huge amount so thank [98:26] you we've got an exciting new sponsor on [98:29] this podcast and I couldn't be more [98:30] excited to announce that we're now [98:31] working with Shopify and if there's one [98:33] tool that I use pretty much every single [98:35] day in my businesses that is certainly [98:37] Shopify I'm sure you've all heard about [98:39] Shopify but for some reason if you [98:41] haven't then Shopify is the Commerce [98:43] platform that is revolutionizing [98:45] millions of businesses worldwide whether [98:47] you're starting a side hustle a new [98:48] project with a friend or a global [98:50] business Shopify I has you covered you [98:52] guys may know that we recently sold a [98:53] product on this platform called the Dio [98:55] conversation cards which featured [98:57] questions from the guests in these [98:58] episodes and from start to finish from [99:00] launching that product we used Shopify a [99:02] total Game Changer makes life incredibly [99:04] incredibly smooth when it relates to [99:06] business and a tool that my team have [99:08] absolutely loved using which is not [99:10] always the case with technology we [99:11] couldn't have launched those [99:12] conversation cards without it and if you [99:14] guys haven't tried Shopify out for [99:16] yourself then I highly suggest you do [99:18] head to shopify.com Bartlet to take your [99:21] business to the next level today and let [99:22] me know how you get on that's [99:24] shopify.com Bartlet let me know how you [99:26] get [99:27] [Music] [99:50] on