January 13, 2015 President Steven J. Stack, M.D. AMA Plaza 330 N. Wabash Ave. Chicago, IL 60611-5885 Dear President Stack: I want to first thank you for your commitment to improving health outcomes in our nation and for your tireless efforts to help people live longer, healthier lives. As the Founder and CEO of CrossFit, Inc. – the largest gym chain in the nation and the world – I share your mission. I also appreciate your comments last week on new federal dietary guidelines that call for significantly reducing the amount of added sugars and sugar-sweetened beverages from the American diet. However, I write to respectfully express my concerns with Exercise is Medicine (EIM), an initiative co-founded by the American Medical Association (AMA). In 2007, the AMA joined the American College of Sports Medicine (ACSM) to found EIM. At first glance, this effort seems reputable and worthy of support; we can all agree that exercise improves health. Our issue lies with Coca-Cola’s status as a founding partner of EIM. When the AMA co-founded EIM, it was likely unaware of the degree to which Coca-Cola would attempt to influence and subvert the scientific consensus on diet and exercise. This past August, The New York Times revealed that Coca-Cola and ACSM fellows founded another health-focused organization, the Global Energy Balance Network (GEBN). Though the GEBN claimed that Coca-Cola had no input in its decisions, The New York Times brought to light the full extent of Coca-Cola’s involvement: it registered the GEBN’s website and “helped pick the group’s leaders, edited its mission statement and suggested articles and videos.” This level of involvement from an organization with so much to gain from the subversion of the scientific consensus (that diet, not exercise, is the prime factor in weight management) is disturbing. The GEBN scandal has also begun to expose EIM as a front organization for Coca-Cola. Anahad O'Connor's investigative journalism targeted the organization in The New York Times, and The Guardian revealed EIM's role in spreading Coca-Cola propaganda in Mexico. The GEBN is dead. EIM may very well find itself facing a similar fate. It appears the AMA is wisely distancing itself from EIM. While the ACSM has loudly proclaimed its involvement in the program, searching the AMA website yields only one hit for EIM and no evidence of any involvement since 2007.

And to its credit, the AMA is conspicuously absent from Coca-Cola's list of funded medical organizations. The AMA has taken a strong stance against added sugar consumption by supporting the Food and Drug Administration (FDA) proposal to include added sugar on food labels. CrossFit's 13,000 gyms and 117,000 trainers similarly advise their millions of clients to consume "no sugar." I would like to ask the AMA to clarify its current stance on Coca-Cola campaigns such as EIM and the GEBN. Has the AMA formally cut ties with EIM? And will the AMA continue to advance the medical profession by publicly declaring its stance on EIM? As the foremost authority in medical ethics, the AMA has the opportunity to lead by example. It is for that reason that I humbly invite the AMA to join CrossFit, Inc. in our mission to remove inappropriate corporate influence from the health sciences. The AMA has a rich history of finding solutions that enhance the delivery of care and enable physicians to achieve better health for all. We believe that effort starts with soda, and we hope you will consider CrossFit your partner in this endeavor. I eagerly await your response. Sincerely,

Greg Glassman Founder and CEO CrossFit, Inc.

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Letter to President Stack - AMA.pdf

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