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According to FoodProductionDaily.com, a new report says that consumer concerns are driving companies to take bisphenol A (BPA) out of their packaging.  BPA, you may recall from previous posts, is an estrogen disrupting chemical in plastic containers and the linings of food cans.  Although the harm it causes is not well established, many groups have been working to get rid of it on the theory that estrogen disruption is not a good idea.

The USA Today account says

Some retailers say they’re working hard to go BPA-free. Last year, only 7% of companies had timeliness to phase out BPA. This year, 32% have set timelines, the report says. Most large baby bottle makers already have stopped using BPA.

It quotes the author of the report as saying that consumers are “voting with their shopping carts….This is definitely a story about consumers having a lot of power with the big companies….Investors and shareholders have a big impact, as well.”

In other words, getting BPA out of plastics is good for business.

And sometimes, consumer choice really works.

In a online press release yesterday, the Grocery Manufacturing Association (GMA) and Food Marketing Institute (FMI) announced a new labeling initiative for their member companies:

America’s leading food and beverage manufacturers and retailers joined forces today in the fight against obesity and announced their commitment to develop a new front-of-package nutrition labeling system. The unprecedented consumer initiative will make it easier for busy consumers to make informed choices when they shop….America’s food and beverage manufacturers and retailers have agreed to support the change to their product labels with a $50 million consumer education campaign.

Forget the consumer-friendly rhetoric.

There is only one explanation for this move: heading off the FDA’s Front-of-Package (FOP) labeling initiatives.

Only two weeks ago, the Institute of Medicine released its first FDA-sponsored FOP labeling report.  The IOM committee recommended that FOP symbols only mention calories, sodium, trans fat, and saturated fat.  This led William Neuman of the New York Times to summarize its approach as: “Tell us how your products are bad for us.”

GMA and FMI would much rather label their products with all the things that are good about them, like added vitamins, omega-3s, and fiber.  If they must do negatives, they prefer “no trans fat” or “no cholesterol.”

What they especially do not want the FDA to impose is “traffic-light” symbols.  These U.K. symbols, you may recall from previous posts, discourage consumers from buying anything labeled in red, and were so strongly opposed by the food industry that they caused the undoing of the British Food Standards Agency.

GMA and FMI, no doubt, are hoping the same thing will happen to our FDA.

In today’s New York Times, Mr. Neuman quotes a GMA representative:

Mary Sophos, an executive vice president for the group, said the label would not characterize a food’s overall nutritional qualities as good or bad — like the traffic signal label in Great Britain that displays a red circle for less healthy nutrient levels and a green circle for healthier levels.

“We’re not going to get into interpreting elements of the food,” Ms. Sophos said.

This move is all the evidence the FDA needs for mandatory FOP labels.   GMA and FMI have just demonstrated that the food industry will not willingly label its processed foods in ways that help the public make healthier food choices.

Let’s hope the GMA/FMI scheme goes the way of the ill-fated, not-so-Smart Choices program.

FDA: you should be outraged by this move.  Say so!

Every now and then, Kerry Trueman tosses a “Let’s Ask Marion” question at me, and these are invariably a challenge.  Today’s: “Is stealth the way to healthy eating for kids?”

(With a click of her mouse, Eating Liberally’s Kerry Trueman, aka kat, corners Dr. Marion Nestle, NYU professor of nutrition and author of Feed Your Pet Right, Pet Food Politics, What to Eat, Food Politics, and Safe Food):

KT: NPR’s Morning Edition ran a story today about “stealth” strategies that some schools and researchers are employing to get kids to eat healthier foods–for example, by sneaking pureed vegetables into a line of cafeteria foods being marketed under the name “Hidden Healthies.”

But doesn’t this approach reinforce the perception kids have that vegetables taste lousy? David Just, co-director of the Cornell Center for Behavioral Economics in Child Nutrition, pointed out that “Taste is a suggestion more than anything else. If you think something is going to taste really good — if you’ve been told by others that it tastes good — you build that into your head when you eat it.”

A researcher who’s experimenting with enhanced cafeteria lighting to make healthy foods appear more appealing to kids told NPR, “We got to figure out some things so that the last thing in the world they know is that we’re trying to get them to eat well.”

We know that kids (and plenty of grown-ups!) turn up their noses at foods that are presented to them as healthy. Kids have also come to expect that their preferences should be catered to, which is why carrot and apple growers have begun packaging their products to resemble snack foods like potato chips.

In short, veggies have a serious pr problem. Do these strategies strike you as a good solution?

Dr. Nestle: Oh no! Not stealth again. I thought we were done with that in 2007 when we had to live through the plagiarism fight between Jessica Seinfeld’s Deceptively Delicious, and Missy Lapine’s Sneaky Chef, both of them pushing stealth strategies.

I remember being given hamburgers as a kid and how betrayed and condescended to I felt when they turned out to contain ground spinach—a vegetable I detested at the time but now think is terrific, especially when young and tender. Kids’ tastes do change, and should be encouraged in an honest way.

That is why I am so intrigued by the approach shown in the New York Times “Lunch Line Redesign” op-ed last week. Check out the way that Brian Wansink and his colleagues suggest redesigning lunch lines. These do nothing draconian or deceitful. Instead, they gently nudge kids to made healthier choices on their own.

How? By doing such things as putting salads near the cash register, using bowls instead of trays, and describing the foods more attractively. My favorite of these strategies is simply to ask the kids whether they would like a salad. All of these increase kids’ selection of healthier food choices.

But will the kids eat the foods? Of course they will. From my observations of school meals, the single most important indicator of whether the kids are eating healthfully is if the school food service people know their names and talk to them about what they are choosing. It helps a lot if the food tastes good, but kids respond to adults who care about what they eat.

When I hear parents say that the kids won’t eat anything healthy, I suspect that I’m talking to someone who isn’t willing to take adult responsibility for what kids eat and finds it easier to be stealthy than direct. Kids need to trust the adults in their lives and food should be used to instill trust, not destroy it.

This exchange appeared on the Huffington Post website on October 25 and elicited a response from Missy Chase Lapine, the original Sneaky Chef herself (reproduced with permission):

Dear Dr. Nestle,

I understand you had a bad experience with sneaky spinach as a child, but I respectfully disagree with your position that sneaking healthy food in kids’ meals is a bad idea. As the author of the Sneaky Chef cookbooks, I receive thousands of testimonials from parents to the contrary. They are thrilled that their kids are finally eating veggies–and most of the kids are in on the secret and love it.

The reason sneaking is needed is highlighted in the recent CDC report showing that all of the efforts and billions of dollars spent on nutrition education has failed. Everyone now knows that they SHOULD eat their veggies. The problem is HOW to get them to do it. Teaching alone is conclusively insufficient–we need to sneak and teach. They work hand in hand.

Sneaking veggies gives people an easy way to experience the benefits of eating veggies, yet lets them enjoy their favorite foods, like spaghetti and meatballs–-only now they’re loaded with spinach, broccoli, peas, wheat germ and cauliflower. This direct experience opens the door to learning.

Parents from around the world write me letters like this:

“Every time I use one of your healthy (and sneaky) tips or wonderful recipes, I just want to scream with joy because they eat it.” –Mindi B., TX

The bottom line is: combining “sneaking and teaching” works for everyone.

Respectfully,
Missy Chase Lapine, The Sneaky Chef

Not exactly everyone, if I may respectfully submit.  But I’m glad she wrote.  OK, readers: opinions, please!

I’ve been saying for ages that the sugar composition of high fructose corn syrup (HFCS) is no different from that of table sugar (sucrose).

Oops.  A new study in the journal, Obesity, actually measured the amounts and kinds of sugars in 23 kinds of HFCS-sweetened drinks.

The findings are summarized in a fact sheet:

• The sugar content varied widely from amounts stated on labels.  Some drinks had 15% less sugar than labeled, but others had as much as 30% more.
• On average, the drinks had 18% more fructose than expected.
• Several brands of sodas seemed to be made with HFCS that is 65% fructose, not 55%.
• The average amount of fructose in the drinks was 59%.

The press release points out one other finding.  You know how everyone thinks Mexican Coca-Cola is so much more delicious than American Coke because it is made with table sugar (sucrose), not HFCS?  Oops again.  The investigators could not find any sucrose in the Coke, but did find plenty of glucose and fructose.  This suggests that Mexican Coke is also made with HFCS (or it could also mean that the sucrose had been split into its constituent glucose and fructose).

To review the biochemistry: sucrose is a double sugar of glucose and fructose bonded together.  HFCS is glucose and fructose, separated.  The sucrose bond is quickly split in the intestine and its glucose and fructose are the same as those in HFCS.

The metabolic problems that result from sugar intake are mostly due to the fructose content.  Less is better for health.  More is better for the soft drink industry, however.  Fructose is sweeter than either glucose or sucrose, and sweet is what sells sodas.

At most, HFCS is supposed to be 55% fructose, as compared to the 50% in table sugar.  Most foods and drinks are supposed to be  using HFCS that is 42% fructose.  A percentage of 55 is not much different biologically than 50, which is why the assumption has been that there is no biologically meaningful difference between HFCS and table sugar.   This study, if confirmed, means that this supposition may need some rethinking.

The study names the beverages that contain 65% fructose: Coke, Pepsi, Sprite. It identifies Dr. Pepper, Gatorade, and Arizona Ice Tea as containing close to 60% fructose.

If, in fact, the percentage of fructose is higher than advertised, it’s another good reason to avoid sugar-sweetened beverages.

Addition and possible caution:  I’ve now heard separately from two experts on measuring sugars in beverages who point out serious flaws in the methods used in this study:

• The results are based on one beverage sample, analyzed once.   Analytical methods invariably produce ranges of values and require multiple samples and analyses.
• Measuring sugars in beverages is technically challenging and there are several possible methods, some of which give more accurate results than others.  Although the paper says the investigators used standard methods, it does not specify which.
• The methods used did not seem to detect the small starches or maltose that are always present in HFCS.  If the methods “read” the little starches as fructose, the percentage could easily have been 59 rather than 55.
• The drinks that contained 65% fructose were bottled drinks, and that is a concern.  The fountain drinks are mixed by the company–McDonald’s or Burger King–and could have been made too concentrated by whoever did the mixing.
• The failure to find sucrose in Mexican Coca-Cola could be two to two reasons: the Coke is old and the sucrose “inverted” (split into glucose and fructose), or the company used HFCS instead of sucrose.

The bottom line remains the same: it’s best not to eat too much sugar or any kind.

Addition, October 27: Cara Wilking, an attorney with the Public Health Advocacy Institute in Boston, notes that this study raises the possibility that HFCS violates federal prohibitions against:

• False and misleading food labeling
• Food adulteration
• False and misleading advertising

It will be interesting to follow how the lawyers deal with these issues.

A Canadian reader, Professor Amir Attaran of the Law and Medicine Faculties at the University of Ottawa, has just discovered UNICEF-Canada’s Halloween partnership with Cadbury:

I was not made cheery this morning when at the grocery store, I found UNICEF’s name and logo plastered all over the packages of Halloween candy.  On closer investigation, UNICEF Canada have struck a three-year partnership with Cadbury (this is the final year) where UNICEF lends its name and logo to advertising some 4 million packages of Cadbury candies each year.  In exchange, Cadbury donated some money ($500k) to UNICEF for schools in Africa.

The UNICEF Cadbury “Schoolhouse Project” (now closed) collected donations from Canadian communities for children in Africa.

UNICEF continues to collect funds for such purposes and has declared October 31 as National UNICEF Day.

Remember UNICEF’s orange trick-or-treat boxes? They helped make October 31 National UNICEF Day – and taught scores of Canadians that they can make a vital difference around the world. Today, it’s easier than ever to have an impact on the lives of the world’s most vulnerable children.

But UNICEF-Canada is aggressively seeking donations from corporate partners, apparently with little regard for what they sell.

Invest in the world’s children today to make a world of difference tomorrow. On behalf of UNICEF Canada, we invite you to involve your organization in a rewarding partnership and unique business opportunity. UNICEF Canada designs exclusive customized initiatives that achieve real, measurable business results while meeting your humanitarian goals.

Enhance your brand, drive sales, increase revenues. UNICEF delivers….We have built direct relationships with governments, businesses and community leaders in every jurisdiction where UNICEF is present.

No other aid organization engenders greater trust. None has greater impact.

Make us part of your business strategy and join us in building a better world for children. For your bottom line, for the sake of our children and for the future of our world, there is no better investment.

As I keep saying, you cannot make this stuff up.

Candy?  Or, UNICEF’s other Canadian partners such as Pizza Nova?

I know the argument: It’s Halloween and kids will eat candy anyway, so why not make some money from it.  This is the same argument used to promote sales of junk food in vending machines in U.S. schools.

But should UNICEF-Canada be doing this?  Canadians: how about doing some serious talking about this embarrassing partnership.

Addition, October 26:  Here’s what Cadbury gets for its $500,000 donation:

A cornerstone of the partnership is the dedication of significant space on approximately 4.3 million boxes and bags of mini-treats each year to raise awareness about UNICEF and the Schools for Africa programme. Cadbury Adams will also use point of purchase displays, flyers, advertising and the Web to promote the programme and its toll-free number.

Brian Wansink and his Cornell colleagues have teamed up with a designer to reconfigure school lunch lines to encourage kids to make healthier food choices, according to their op-ed—it’s interactive!—in yesterday’s New York Times.

My favorite part: “When cafeteria workers asked each child,”Do you want a salad” salad sales increased by a third.

Of course they did.  From my observations, the single factor that works best in getting kids to eat real food is exactly this: an adult who cares what kids eat.

I can go into a school lunchroom anywhere in America and tell right away whether there is any chance of getting kids to eat healthfully.  Do the cafeteria workers know the kids names and talk to them about the food?

If the answer is yes, the chances are really good.

If not?  Watch Jamie Oliver’s Food Revolution TV programs, if you can find them.

Scientific debates about the role of sodium in high blood pressure go on and on.  Committees of scientists reviewing the research invariably conclude that people would be healthier if they ate less salt (salt is sodium chloride).  The 2010 Dietary Guidelines Advisory Committee is only the most recent group to urge population-wide reductions in sodium intake.

The Institute of Medicine has just issued a new report on reducing sodium.  Its Report in Brief gives a quick summary

As its primary strategy for sodium reduction, the committee recommends that the FDA set mandatory national standards for the sodium content in foods…beginning the process of reducing excess sodium in processed foods and menu items to a safer level. It is important that the reduction in sodium content of foods be carried out gradually…Evidence shows that a decrease in sodium can be accomplished successfully without affecting consumer enjoyment of food products if it is done in a stepwise process that systematically and gradually lowers sodium levels across the food supply.

But wait!  Hypertension rates have been increasing for years without any change in sodium excretion, says a report in FoodNavigator.com.  The report refers to new study in this month’s American Journal of Clinical Nutrition reviewing trends in sodium excretion from 1957 to 2003.

Sodium excretion, a precise reflection of intake, say Adam Bernstein and Walter Willett of the Harvard School of Public Health, has not changed in the last half century, despite rising rates of high blood pressure.   Instead, they suggest that rising rates of obesity might be the cause.

The accompanying editorial, by David McCarron and his colleagues, takes the argument even further as can be seen just from its title: “Science trumps politics: urinary sodium data challenge US dietary sodium guideline.^”

The editorial says that this new study provides:

plausible, scientific evidence of a “normal” range of dietary sodium intake in humans that is consistent with our understanding of the established physiology of sodium regulation in humans. This scientific evidence, not political expediency, should be the foundation of future government policies….Guidance for sodium intake should target specific populations for whom a lower sodium intake is possibly beneficial. Such an approach would avoid broad proscriptive guidelines for the general population for whom the safety and efficacy are not yet defined.

Is this review likely to change the Dietary Guidelines due out later this year?  The Advisory Committee was convinced that the preponderance of evidence favors the importance of sodium as a causative agent in high blood pressure.

Because so much is at stake for the processed food industry, this argument is not likely to be resolved quickly.  Stay tuned.

Nestlé, the world’s largest food company (no relation) has conducted periodic studies of infant feeding practices since 2002, no doubt to encourage sales of its Gerber products.  The surveys—FITS (Feeding Infants and Nutrition) Studies—invariably show that Gerber  baby foods would be better for babies than what they currently are fed.

The latest FITS results, says the Nestlé press release, “are startling.”

• One-third of toddlers and 50% of preschoolers eat fast food at least once a week.
• On-quarter of families eat dinner together four or fewer nights each week.
• Half of 2-year-olds and 60% of 3-year-olds watch more than one hour of television each day.
• 17% of 2-year-olds and 24% of 3-year-olds watch more than two hours of TV each day.
• 25% of older infants, toddlers and preschoolers do not eat even one serving of fruit on a given day, and 30% do not eat a single serving of vegetables.
• French fries are still the most popular vegetable among toddlers and preschoolers.
• 71% of toddlers and 84% of preschoolers consume more sodium than recommended on a given day.

If these trends are real, could food marketing have anything to do with them?  Nestlé/Gerbers does not speculate.

The survey does report some good news:

• “Only” 17% of infants age 6-8 months consumed a dessert or sweetened beverage on a given day compared to 36% in 2002.
• “Only” 14% of infants age 12-14 months drank a sweetened beverage on a given day, down from 29% in 2002.
• 33% of mothers are breastfeeding 9-11 month old children compared to 21% in 2002

The breastfeeding trend, if true, is good news indeed.  Evidently, the word is also getting out on sweetened beverages.  Progress?  Yes, but plenty more to do.