Added Sugar
Australians consume around 14 teaspoons of added sugar a day - two more than the 12 teaspoons limit recommended by the World Health Organisation (WHO). Eating too many foods high in added sugars can lead to weight gain, an increased risk of obesity related diseases, and is a major risk factor in tooth decay.
What is sugar?
Sugar is a type of carbohydrate that occurs naturally in foods such as milk and fruit and can also be added to foods and drinks in various forms by the manufacturer or the consumer.
Total sugars of a product refers to the combination of sugars that are naturally present and those that are added.Intrinsic and milk sugars occur in foods and drinks such as intact fruits and vegetables (i.e. fructose) and milk (i.e. lactose).Added sugars are all other sugars. It is these sugars that are associated with poor health outcomes and we should avoid. They are often added by manufacturers to give greater sweetness or other desired characteristics.
What is added sugar
Commercial Determinants of Health Program
Program Overview
Commercial determinants of health refer to the systems, structures, and strategies employed by commercial actors, such as corporations and industries, that influence health outcomes.
The Commercial Determinants of Health team at The George Institute works across Australia and internationally to reduce the burden of death and disease linked to harmful commercial practices. Through rigorous, independent research, we provide governments, NGOs, and public health organisations with the evidence needed to develop and implement effective solutions. Our team employs multi-disciplinary and multi-method approaches across key areas, including nutrition, alcohol, tobacco and vaping, and transport.
Nutrition: health and sustainabilityOur research examines food environments, focusing on unhealthy food marketing, ultra-processed foods, and the baby food market. We evaluate and support behaviour change tools like to help consumers make healthier choices. Planetary health is also a
Nutrition Science
Program overview
The Australian health system spends billions of dollars each year treating preventable diet-related chronic diseases - including type 2 diabetes, heart attacks, and strokes. These key killers affect millions of Australians and disproportionately affect more vulnerable communities, including those with food insecurity.
The Nutrition Science research team is focused on reducing diet-related diseases through implementing innovative research techniques, with a commitment to reaching more vulnerable populations.
Together with healthcare partners, The George Institute for Global Health has established ‘Food is Medicine’ programs to provide fresh produce and medically tailored meals to improve the health and wellbeing of Australians experiencing food insecurity and chronic diseases. The team is currently conducting a series of world-class clinical trials to assess their effectiveness, alongside comprehensive program evaluations to inform future scale-up.
The N
How can nutrition labelling support large-scale food fortification?
What is the problem?
Malnutrition in all its forms – including nutritional deficiencies – is a leading cause of death and disability globally. Food fortification is a proven and cost-effective intervention to address nutritional deficiencies. Large-scale food fortification (LSFF) is the practice of adding minerals or vitamins to commonly consumed foods i.e., staple foods such as salt, flours, oil, and rice during industrial processing to increase their nutritional value and deliver potential health benefits to populations.
Nutrition labelling has the potential to help achieve public health goals by improving the transparency around food product contents, including the contents of fortified foods.
What did we do?
The George Institute for Global Health was commissioned by the Bill and Melinda Gates Foundation to study how nutrition labelling regulations act as a barrier or an enabler to fortification programs in Ethiopia, Indonesia, Kenya, Nigeria, Pakistan, Philipp
2025 FoodSwitch State of the Food Supply Report: Planetary Health Edition
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Food governance
Program overview
Law is a powerful tool to promote public health. Yet despite Australia’s leadership in areas like tobacco control and road safety, law remains underused as a tool to promote healthy and sustainable population diets. The Food Governance Program seeks to change this.
Our aim is to improve dietary intake at scale by monitoring the global food supply, assessing food policy impacts, and strategically strengthening food policies and regulations to promote health and sustainability.
Program objectives
Monitor and evaluate the performance of existing food policies and regulations by leveraging the Institute’s FoodSwitch dataset
Analyse regulatory innovation worldwide to develop recommendations on best-practice food regulation
Work closely with UN agencies, national and state governments, public health and consumer organisations and academic collaborators to translate evidence into effective law and policy change.
View projects
Food is Medicine Program
Program overview
The Nutrition Science Team at The George Institute for Global Health are leading an innovative research initiative centred on food-based interventions, known as ‘Food is Medicine’.
‘Food is Medicine’ programs aim to treat diet-related diseases and reduce food insecurity by providing people with the nutritious foods they need – prescribed just like medicine. These programs often include nutrition education and are subsidised by healthcare systems as part of treatment.
Depending on a person’s medical needs and preferences, they may receive:
Medically tailored meals, or
Produce prescriptions (e.g., fresh fruits and vegetables)
Australians do not eat enough fruits and vegetables with only 5% eating the recommended amount. And access to nutritious foods is a challenge faced by up to one in four low income Australian households who experience food insecurity. These challenges are major contributors to Australia’s growing burden of
Using pregnancy to improve women’s lifelong health
By utilising a life-course approach to the prevention of non-communicable diseases, when women are screened during pregnancy.
The physiological changes in a woman’s body during pregnancy to support fetal growth and wellbeing and prepare for labour and birth have been compared to a nine-month marathon that finishes with a sprint. For some women, this pregnancy “stress test” will result in medical complications of pregnancy, such as gestational diabetes (“GDM”, affecting approximately 1 in 7 pregnancies globally), high blood pressure disorders (affecting up to 1 in 10 pregnancies globally) and anaemia (10-40%). Existing mental and physical health conditions may also worsen.
The course of a woman’s pregnancy also gives a window into a woman’s future health, as the effect of pregnancy complications on mother and child do not end with the pregnancy. For example, after hypertensive pregnancy there is at least doubled risk of cardiovascular disease (beginning within 5-10 years of
Improve outcomes for women specific conditions globally
Globally efforts to improve women’s health largely focus on maternal health, overlooking women’s health needs beyond pregnancy and childbirth. The weight given to the maternal health outcome neglects the full range of women’s health. Diseases that affect women are substantially under-studied and under resourced. Gynaecological cancers and conditions like endometriosis, uterine fibroids, poly cystic syndrome, and cervical cancers might have been better understood if they also affected men. Since these are women-specific health issues that affect a woman’s quality of life across her lifespan, there has been little investment, particularly in low-and middle-income countries, to improve early diagnosis and treatment. For example, approximately 180 women globally with endometriosis remain undiagnosed and suffer from its symptoms like pain and infertility for almost seven years before getting diagnosed. Hence, more research and concerted action is needed to improve women’s health and to ensure tha
Centre for Sex and Gender Equity in Health and Medicine
The health of women and girls, people with variations in sex characteristics (intersex people) and trans and gender-diverse people has been understudied in health and medical research. An almost exclusive focus on male cells, male animals and men in health and medical research has led to poorer health outcomes and evidence gaps for women, intersex people, and trans and gender-diverse people, and inefficient health spending. Women’s health research often focuses only on their sexual, reproductive, and maternal health rather than the leading causes of death and disability for women. Research on intersex and gender-diverse people is even less developed and availability of health data remains a challenge. For some health conditions, we also have very little information on men and boys, given the conditions occur predominantly in women. The Centre for Sex and Gender Equity in Health and Medicine is addressing these inequities through world-class research, advocacy for policy change, and capacity building
Harnessing AI to improve women’s health
The George Institute's Women’s Health Program aims to improve the health of women and girls around the world by adopting a life course and equity approach. We are a global group of researchers, clinicians, policy and advocacy specialists, and communications specialists who are passionate about improving the lives and health of women and girls through conducting high-quality, innovative and cutting-edge research.
AI and women’s health
Artificial intelligence is changing our world with exciting potential to improve women’s health. Some examples include improved diagnosis, prediction of future disease, clinical decision support, health worker training and continuous supportive supervision, and rapid evidence synthesis. However, AI also brings challenges, with the risk of entrenching biases for groups underrepresented in large datasets used to train AI models, the risk of hallucinations, a changing regulatory environment, concerns around the energy required, and safety concerns for use
Protecting pregnant women from environmental change
The physiological and social demands of pregnancy are immense. A period of transformation that tests a woman's body and resilience in profound ways. Yet, this time of vulnerability also offers an unparalleled opportunity to understand and improve women's health across the life course. Environmental change including rising temperatures, air and water pollution, and extreme weather events is now emerging as a major stressor during this critical life stage, shaping both immediate pregnancy outcomes and long-term health trajectories for mothers and their children.
Women and girls are disproportionately affected by environmental hazards. Biological factors such as hormonal and thermoregulatory changes interact with entrenched social and economic inequities --- limited access to healthcare, insecure housing, unpaid care responsibilities, and occupational exposures --- to heighten risk. For pregnant women in particular, exposure to extreme heat has been linked to complications such as preterm birth, l