Evidence map›Paper›PMID 41705347›Full record

ArticlePublic health nutrition2026

Monitoring the impacts of international trade and investment agreements on food environments: a Canadian case study.

Ashley Schram, Kelly Garton, Caroline Vaillancourt, Lana Vanderlee

Abstract read
In one paragraph

Article in Public health nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ashley SchramAustralian Research Centre for Health Equity (ARCHE), School of Regulation and Global Governance (RegNet), Australian National University, 8 Fellows Rd, Canberra, ACT2600Australia.ORCID 0000-0001-5231-6291
Kelly GartonDepartment of Epidemiology & Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, https://ror.org/03b94tp07The University of Auckland, 22-30 Park Ave, Grafton, Auckland1023, New Zealand.ORCID 0000-0002-6313-9128
Caroline VaillancourtÉcole de Nutrition, Centre de Nutrition, Santé et Société (NUTRISS), Université Laval, 2425 Rue de L'Agriculture, Québec, QCG1V 0A6, Canada.
Lana VanderleeÉcole de Nutrition, Centre de Nutrition, Santé et Société (NUTRISS), Université Laval, 2425 Rue de L'Agriculture, Québec, QCG1V 0A6, Canada.ORCID 0000-0001-5384-1821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo monitor the influence of international trade and investment agreements (TIA) on the food environment and population nutrition in Canada.

designImplementation of a revised version of the International Network for Food and Obesity/Non-communicable Diseases Research, Monitoring and Action Support (INFORMAS) trade and investment monitoring protocol to guide descriptive analysis of quantitative trade and investment data over the period 1994 to 2021/22 as well as qualitative review of policy documents related to nutrition regulations and trade concerns.

settingCanada, which has fifteen TIA in force with fifty-one countries as of 2024.

resultsExtensive tariff reductions occurred in 1995 with the introduction of the World Trade Organization (WTO), with minimal tariff reductions since that time. Tariff rates were generally highest on ultra-processed focus foods, though many countries gained tariff-free access over the study period. There were large surges in imports of dairy products, meats, sugars and soft drinks after joining the WTO, while exports of grains, dairy products, sugars, processed meats, ready-to-eat meals and sauces saw substantial growth. Foreign direct investment into Canada's food manufacturing sector increased consistently, reaching $32·6 billion in 2020-2022. Canada has raised several specific trade concerns at the WTO over other countries' nutrition labelling policies, and some of the challenged policies have subsequently been abandoned, modified or delayed.

conclusionsIncreased trade and investment openness in Canada appears linked to changes in food imports, exports and foreign investment that may impact the nutritional quality of food environments. Monitoring how trade agreements shape national food supplies is critical to developing trade policies that improve nutrition in alignment with public health goals at home and abroad.

Indexed as

CommerceFood IndustryFood SupplyInternational CooperationInvestmentsNutrition PolicyCanadaFood, ProcessedHumansCanadaCommercial determinants of healthFood environmentsMonitoringTrade and investment

Identifiers

PMID41705347
PMCPMC13087990

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.