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Background  Unhealthy food environments contribute to the rising rates of obesity and diet-related diseases. To improve the Canadian nutritional landscape, Health Canada launched the  Healthy Eating Strategy  in October 2016 which involved several initiatives including the restriction of unhealthy food marketing to children, the reduction of sodium in the food supply and the introduction of front-of-package labelling. Subsequently, various stakeholders engaged in discussions with Health Canada. This study sought to describe the interactions between Health Canada and industry and non-industry stakeholders and to identify the strategies used by industry to influence food and nutrition policy in Canada.    Methods  Documents such as correspondences and presentations exchanged in interactions between Health Canada and stakeholders regarding the  Healthy Eating Strategy  were obtained from Health Canada’s Openness and Transparency website. The participating stakeholders of each interaction and the topics discussed were determined and described quantitatively. A directed content analysis was then conducted to identify the strategies employed by industry to influence policy. This was guided by a previously developed coding framework that was adapted during analysis.    Results  A total of 208 interactions concerning the  Healthy Eating Strategy  occurred between October 2016 and June 2018. Of the interactions for which documents were received ( n  = 202), 56% involved industry stakeholders, 42% involved non-industry stakeholders and 2% involved both. Industry stakeholders were more likely to initiate interactions with Health Canada (94% of their interactions) than non-industry stakeholders (49%). Front-of-package labelling was the most frequently discussed topic by industry stakeholders (discussed in 49% interactions involving industry) while non-industry stakeholders most frequently discussed the  Healthy Eating Strategy  as a whole (discussed in 37% of interactions involving non-industry). A wide variety of strategies were used by industry in their attempts to influence policy. Those most frequently identified included: “framing the debate on diet- and public health-related issues”, “promoting deregulation”, “shaping the evidence base”, “stressing the economic importance of industry”, and “developing and promoting alternatives to proposed policies”.    Conclusion  Industry stakeholders are highly active in their attempts to influence Canadian nutritional policies. Policymakers and public health advocates should be aware of these strategies so that balanced and effective food and nutrition policies can be developed.

Strategies used by the Canadian food and beverage industry to influence food and nutrition policies