Archives

I was interested to see this report in the BMJ (formerly British Medical Journal): Revolving door: You are free to influence us “behind the scenes,” FDA tells staff leaving for industry jobs. BMJ 2024;386:q1418. doi: 10.1136/bmj.q1418.

The “Revolving Door,” of course, is the term used to describe how officials of federal regulatory agencies leave to take jobs with the industry they formerly regulated, and vice versa.  I’ve written about this previously. Others have written about the FDA’s “revolvement” with the drug industry.

You can easily imagine why a food company would want to hire a former FDA official.  That person will know how to deal with annoying regulatory issues, and will no doubt still have friends and former colleagues in the agency who can help smooth the way.aa

So what does the BMJ add to this?  Plenty, unfortunately.  Evidence from e-mails obtained through FOIA (freedom-of-information) requests.

Internal emails show that the US Food and Drug Administration informs employees leaving for industry jobs that, despite restrictions on post-employment lobbying, they are still permitted to influence the agency…The legal ability to work “behind the scenes” is enshrined in federal regulations2 and highlights a “critical, critical loophole” in US revolving door policy, says a leading consumer advocate.

Craig Holman, a government affairs lobbyist for the organisation Public Citizen, told The BMJ that the rules forbid various forms of direct lobbying contact but permit lobbying activity that is indirect. “So, people will leave government service and can immediately start doing influence peddling and lobbying,” Holman explained. “They can even run a lobbying campaign, as long as they don’t actually pick up the telephone and make the contact with their former officials—and that’s exactly the advice that’s being given here.”

The BMJ notes:

Since 2000 every FDA commissioner, the agency’s highest position, has gone on to work for industry. These include Robert Califf, the agency’s current chief, who re-established ties with industry in between his two stints at the agency’s helm.

One argument here is that the human resources folks are just explaining existing ethical requirements.

But a legitimate worry is corporate “capture.”  When federal regulatory agencies are “captured,” they neglect public interest in favor of corporate interest.

This has been a concern about the FDA for a long time.  The FDA needs to do all it can to restore public trust in its integrity.

I saw this announcement in Food Navigator: Study: Nutrient dense formula could improve cognition and behaviour in infants.

My immediate question: Who paid for this?

I went right to it.

The study: Schneider N, Hartweg M, O’Regan J, Beauchemin J, Redman L, Hsia DS, Steiner P, Carmichael O, D’Sa V, Deoni S. Impact of a Nutrient Formulation on Longitudinal Myelination, Cognition, and Behavior from Birth to 2 Years: A Randomized Clinical Trial. Nutrients. 2023; 15(20):4439. https://doi.org/10.3390/nu15204439

Conclusions: The results suggest that brain development may be modifiable with brain- and age-relevant nutritional approaches in healthy infants and young children, which may be foundational for later learning outcomes.

Funding: This study received funding from the Société des Produits Nestlé S.A.

Conflicts of Interest: This study received funding from the Société des Produits Nestlé S.A. The funder had the following involvement with the study: study design, study monitoring and oversight, data collection and analysis, decision to publish, and preparation of the manuscript.

Comment: Some of the authors of this study are employed by Nestlé (no relation).  Their disclosure statement is unusually candid: the funder was totally involved in every aspect of the research.  It’s refreshing to see that dislosed.  But the underlying issue still holds: industry-funded reseach all too often produces results favorable to the commercial interests of the funder.

The concern here is that promoting infant formula as better than breast milk is a marketing strategy, as described in reports from the World Health Organization.  And see my previous post on this.

This book was sent to me by its publisher (Penguin) and was it ever fun to read.  Twilley’s subtitle says it all.  She connects it to everything.

I particularly enjoyed two things in this book: its broad scope, from home ice boxes to economic development in Rwanda, and her personal experiences visiting icy cold packing plants, storage facilities, trucks, and seed vaults on the Faroe Islands.

Here is Twilley on bananas, of all things:

Contrary to popular belief, bananas are the ultimate refrigerated fruit.  In order to be a global commodity rather than an exotic luxury, the banana depends on a seamless network of thermal control.  This comes as something of a shock to most people.  Indeed, it seems to directly contrdict the advice issued by one of America’s most memorable brand mascots, Miss Chiquita….this sultry lady banana warned viewers, “Bananas like the climate of the very, very tropical equator / So you sould never put bananas in the refrigerator.”   In reality, before the advent of refrigeraion, bananas were a rare and expensive treat outside their tropical homelands.

Bananas, she tells us, are picked green and refrigerated, sometimes for weeks “between their places of harvest and their ultimate country of consumption.”

Refrigeration, she points out, changed the American diet, especially with respect to meat.

The ripple effect of this transformation shapes the geography and economics of American meat to this day.  Urban stockyard workers had been unionized since the 1930s; employees of the new rural processing plants were not: they were and are paid much less.  With the savings on labor and food costs, the new meat-packers could cut beef prices while still making more money, and Americans responded by eating ever more meat.

The book focuses on the Big Picture:

In short, our food system is frostbitten: it has been injured by its exposure to cold.  Part of the reason for that is that refrigeration was implemented, for the most part, in order to optimize markets rather than human and environmental health.

I thought this was a great read, totally deserving of its front page review in the New York Times.

But I wish she had cited Hi’ilei Julia Kawehipuaakahaopulani Hobart’s Cooling the Tropics: Ice, Indigeneity, and Hawaiian Refreshment (Duke University Press, 2022)   Hi’ilei’s terrific book covers some of the same themes with respect to Hawai’i.  She got her doctorate in my NYU department and is now teaching at Yale.  We are proud of her!

And one tiny quibble.  Twilley makes the point that refrigeration technology is so solid that refrigerators last for decades.  Well, they used to.  Today, not so much.  Those big expensive machines are not expected to last more than a few years, not because of the refrigeration mechanisms but because of the electronics.  These burn out but by the time they do, the companies are no longer making replacements–as expensive and wasteful example of planned obsolescence as anyone can imagine.  I was sorry she didn’t mention this.

I’ve been collecting articles on snacks.

Some things to know about snacks:

• They are hugely profitable
• They have largely replaced meals among some population groups
• They are mostly ultra-processed
• The more snacks you eat, the more calories you are likely to take in

With that said, here are some recent items:

• The Evolution of the Snacking Category:  Several food giants are turning to better-for-you ingredients and new flavors to meet changing consumer needs and strengthen their presences in the snacking category. Learn more in this Trendline.
• How to be snack-savvy: Key insights for 2024:  SNAC International has released its 2024 State of the Industry Report, which highlights category dollar and unit sales, the top performing brands and the influences that continue to shape consumer behavior and preferences…. Read more
• PepsiCo sees slowdown in US salty snack business, plans to ‘make disciplined commercial investments’:  PepsiCo’s second quarter 2024 earnings released this morning, revealing new challenges to its Frito-Lay North America business, as company Chairman and CEO Ramon Laguarta vows to tap into consumer demand for zero-sugar and functional products and increase productivity initiatives and commercial investments to spur growth…. Read more
• Conagra ‘nudges’ up snacks, frozen food volumes with merchandising, advertising & innovation:  Conagra successfully boosted “meaningful” volume sales of key snacks and frozen foods in the past year despite “a challenging consumer environment,” in which shoppers gave a cold shoulder to some competitors, including PepsiCo, thanks in part to strategic merchandising, advertising and innovation, CEO Sean Connolly told investors yesterday during the company’s fourth quarter earnings call…. Read more
• Why are snack prices continuing to rise? Analysis sheds light on inflation versus the costs of potato chips, chocolate chip cookies, yogurt and ice cream…. Read more
• ‘A snack is a snack, not a meal replacement’: UPFs, Nutri Score, the EC elections, regulations and other issues impacting the European snacks sector: A major concern for the European Snacks Association (ESA) is the debate over ultra processed foods (UPFs), which director general Sebastian Emig believes is not based on scientific fact and is causing confusion among consumers. We caught up with him at Snackex to find out how changes in the European Commission (EC) could impact regulations…. Watch now
• Bringing the snacks industry up to date on acrylamide:  Acrylamide – the naturally occurring chemical compound that forms in carb-rich foods like potato chips and pretzels during high-temperature cooking processes such as frying, baking and roasting – is an ongoing concern for the salty snacks sector…. Read more

And last but not least…

• Toothpaste chips anyone? Just how adventurous are you prepared to be?  With Snackex coinciding with Euro 2024, Hügli created mixes inspired by familiar dishes from the participating European countries, while Euroma showcased ‘crazy’ flavors that took snackers into new realms…. Read more

NutraIngredients-Europe is interested in AI.  Here’s another item:

ChatGPT’s nutrition advice is limited for NCD patients: Study: ChatGPT is “unable to replace a healthcare professional’s consultation”, new research has concluded, following an assessment of the chatbot’s ability to handle prompts for nutrition advice for patients with multiple noncommunicable diseases (NCDs).

I went right to the study:

Ponzo V, Goitre I, Favaro E, Merlo FD, Mancino MV, Riso S, Bo S. Is ChatGPT an Effective Tool for Providing Dietary Advice? Nutrients. 2024; 16(4):469. https://doi.org/10.3390/nu16040469.

The conclusion: “although ChatGPT exhibited a reasonable accuracy in providing general dietary advice for NCDs, its efficacy decreased in complex situations necessitating customized strategies; therefore, the chatbot is currently unable to replace a healthcare professional’s consultation.”

Here’s an exeerpt from an example:

Prompt: I have type 2 diabetes mellitus, obesity, and chronic kidney disease. Can you give me nutritional advice?

ChatGPT answer:
I’m not a doctor, but I can offer some general advice that you may find helpful. It’s important to consult with a healthcare professional or a registered dietitian who can provide personalized advice based on your specific health conditions and needs.

That being said, managing type 2 diabetes, obesity, and chronic kidney disease often requires a combination of healthy eating habits, regular physical activity, and sometimes medication.

[It then goes on an on about controlling portion sizes, limiting sugars, choosing lean proteins and healthy fats, etc, and ends with]

Consult a Registered Dietitian: A registered dietitian can create a personalized meal plan tailored to your specific needs, taking into account your type 2 diabetes, obesity, and chronic kidney disease.

Comment

AI is only as good as its programming.  This is boilerplate.  I don’t know about you but I don’t like talking to machines and robots (dealing with Verizon, anyone?).

Part of the demonstrable effectiveness of health care professionals is the human interaction; someone cares enough about you to offer personalized advice.

Is this kind of thing better than nothing?  I remain to be convinced.

I was interested to see this article in The Lancet: Mexico’s bold new law on adequate and sustainable nutrition.  

Mexico’s new General Law on Adequate and Sustainable Nutrition (Ley general de Alimentación Adecuada y Sostenible) is a substantial step towards transforming food systems to address NCDs and promote environmental sustainability… It enshrines the human right to food…It prioritises health, environmental stewardship, water access, children’s health, enhanced food supply and distribution, the promotion of nutritious food, reduced food loss and waste, food provision in crisis situations, and social participation in food strategies…>It includes specific goals such as the prevention of diet-related non-communicable diseases (NCDs) and the mitigation of global warming….

Last year, the Egg Nutrition Center offered free continuing education credits for dietitians.

This year, I received an e-mailed press release: EMBARGOED FOR RELEASE: 8:00 a.m. ET, Thursday, March 28, 2024

Fortified Eggs Did Not Raise Cholesterol in Modest-Sized Cardiology Study

Further study needed to investigate secondary findings.

…A study presented at the American College of Cardiology’s Annual Scientific Session and led by researchers at Duke, offers new evidence on fortified eggs, which are eggs enriched with various vitamins or nutrients. In a modest-sized randomized trial, researchers found that fortified eggs did not have a negative impact on bad cholesterol (LDL cholesterol) or good cholesterol (HDL cholesterol) over the course of the four-month study.

The study was sponsored by Eggland’s Best, a company that makes and sells fortified eggs. It also provided the eggs used in the research.

The egg industry funds research in collaboraion with the USDA.

Example: Mott MM, Zhou X, Bradlee ML, Singer MR, Yiannakou I, Moore LL. Egg Intake Is Associated with Lower Risks of Impaired Fasting Glucose and High Blood Pressure in Framingham Offspring Study Adults. Nutrients. 2023 Jan 18;15(3):507. doi: 10.3390/nu15030507.

Conclusion: This study found that regular egg consumption as part of a healthy diet had long-term beneficial effects on blood pressure and glucose metabolism and lowered the long-term risks of high blood pressure and diabetes.

Funding: These data were originally collected with funding from the National Heart, Lung, and Blood Institute (Framingham Study contract N01-HC-25195 and HHSN268201500001I). These analyses were also supported by a small grant from the American Egg Board’s Egg Nutrition Center of the U.S.Department of Agriculture.

Comment: Regardless of recommedations about dietary cholesterol, the advice has always been that one egg a day is OK.  That’s 365 a year.  According to the USDA’s per capata availability data, the average is only 275 (in 2021).  The egg industry wants you to eat more eggs and is working hard to get you to do that.

This brand new book—all 498 pages of it—is open access.

As the publisher explains,

• This book is open access, which means that you have free and unlimited access
• Analyzes the connections between agriculture and resource use, commodity trade, food businesses, and retail markets
• Provides diagrams and data visualizations to explain, predict, and assess changes in the food system
• Features rich visualizations and primary source information for updated charts from US and international sources

The authors have gone to a lot of trouble to make basic economic concepts clear.  For example,

We use the term monopoly to describe a market with just one seller and the less common term monopsony when there is just one buyer. The two are symmetrical, so both kinds of market power are sometimes called monopoly power. But distinguishing between monopoly and monopsony is useful because food businesses can potentially exercise both at the same time. For example, a large dairy processor and distributor might become a monopsonist in buying raw milk from farmers and a monopolist in selling dairy products to consumers. Their potential market power is ‘two-sided’, similar to online platforms for food delivery that could potentially become the only intermediary between restaurants and customers.

They also have lots of ifnteresting points to make.

The persistence of family farming is among the most surprising facts about the economics of food. In the U.S. and elsewhere most farms do not sell directly to consumers but operate behind the scenes, selling their produce in bulk to specialists for transport and distribution, often for use as ingredients in packaged and processed foods. Unlike farms, the food companies with whom consumers usually interact are typically owned by investors and run by hired managers. They buy ingredients from various sources, often combining produce from many different farms. Consumers everywhere in the world often seek out opportunities to buy directly from individual farmers, but that is special in part because it is relatively rare.

Take advantage of this offer!

• Download book PDF
• Download book EPU