Coca-Cola and PepsiCo’s actions in battling anti-soda legislation and sponsoring health organizations resemble the tactics used for years by tobacco and alcohol giants, according to a study published in the American Journal of Preventive Medicine.

The two soft-drink companies – either individually or together – have backed a total of 96 national health organizations and lobbied against 29 health bills intended to reduce consumption of their products and fight obesity, the Boston University study found. The authors looked at activity from 2011 and 2015.

Coca-Cola, which struggles with declining soda consumption in the U.S., is working with fitness and nutrition experts who suggest its cola as a healthy treat.

Coca-Cola, which struggles with declining soda consumption in the U.S., is working with fitness and nutrition experts who suggest its cola as a healthy treat. Associated Press

“These companies lobbied against public health intervention in 97 percent of cases, calling into question a sincere commitment to improving the public’s health,” according to the study. “By accepting funding from these companies, health organizations are inadvertently participating in their marketing plans.”

The report reflects the growing pressure on soda giants, which are facing criticism from health advocates and legislation that targets their products. Philadelphia became the first major U.S. city to pass a tax on soft drinks in June, and similar measures are on the ballot next month in San Francisco and Oakland, California. Since 2009, there have been about 40 attempts to enact such a tax in cities across the U.S.

Michael Bloomberg, whose philanthropy supports anti-smoking campaigns and other health initiatives, supported the Philadelphia tax proposal, as well as other campaigns. The former mayor is the founder and majority owner of Bloomberg LP, the parent company of Bloomberg News.

Diet Pepsi drinks on display at a market in Palo Alto, Calif. The decision to swap sweeteners comes as Americans keep turning away from popular diet sodas. Coca-Cola said this week that sales for Diet Coke fell 5 percent in North America in the first three months of the year. The Associated Press

Diet Pepsi drinks on display at a market in Palo Alto, Calif. The decision to swap sweeteners comes as Americans keep turning away from popular diet sodas. Coca-Cola said this week that sales for Diet Coke fell 5 percent in North America in the first three months of the year. Associated Press

The study spotlighted the health and medical groups that are backed by soda companies, likening the practice to the ways tobacco companies confronted concerns about cigarettes. The organizations that were funded by both Coca-Cola and PepsiCo included Feeding America, Academy of Nutrition and Dietetics, American Society for Nutrition and Healthy Weight Commitment Foundation, according to the study.

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William Dermody, a spokesman for the American Beverage Association, said the ties represent a long commitment by the industry to support community organizations across the country.

“As this report points out, some of these organizations focus on strengthening public health, which we are proud to support,” he said in an email. “We believe our actions in communities and the marketplace are contributing to addressing the complex challenge of obesity.”

Coca-Cola referred questions about the study to the American Beverage Association. The Atlanta-based company responded to criticism last year by creating a searchable database of organizations that have received funding for research. PepsiCo hasn’t followed suit, but the company took issue Monday with being characterized as a “soda company.”

“Only a quarter of our global revenue comes from carbonated soft drinks,” PepsiCo said. “Today, about 45 percent of our revenue comes from everyday nutrition products (such as oats), zero and low calorie beverages, and snacks with low levels of salt and saturated fats.”

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