Search results: sugar policy

The Bipartisan Policy Center, a Washington-based think tank whose slogan is “Working to find actionable solutions to the nation’s key challenges,” did a study on SNAP: “Leading with Nutrition: Leveraging Federal Programs for Better Health.”

The report extends and updates the SNAP to Health report I was involved with in 2012.

Like that report, this one recommends making nutrition a priority.

• Make diet quality a core SNAP objective.
• Eliminate sugar-sweetened beverages from the list of items that can be purchased with SNAP benefits.
• Support healthy purchases by continuing and strengthening incentives for purchasing fruits and vegetables.
• Authorize funds for the U.S. Department of Agriculture (USDA) to conduct a range of evidence-based pilots to improve SNAP participants’ diets.
• Consolidate USDA authority over the agency’s nutrition standards and nutrition-education efforts.
• Authorize the USDA to collect and share store-level data on all products purchased with SNAP funds. 7. Strengthen SNAP retailer standards to improve the food environment for all shoppers.

Two of these recommendations jump right into SNAP politics: collecting data and eliminating sugary drinks.

A recent article analyzes issues related to the quality of diets purchased by SNAP participants.  Consistent with previous studies, it finds that the diets consumed by SNAP participants are nutritionally worse than those of people of equivalent low income who are not enrolled in SNAP.   Some evidence suggests that SNAP encourages participants to buy junk food.  It would be good to have better data.

Another recent article explains the politics in no uncertain terms.  Making any change in what SNAP participants can buy with their benefits is blocked by:

• America’s culture of personal (not social) responsibility
• Corporate lobbying by the beverage and food retail industries
• Liberal attitudes defending SNAP as income support for the poor
• Institutional inertia within USDA and Congress.

These last three constitute what these authors call the “iron triangle” of resistance to changing SNAP for the healthier.  Their advice: try different approaches.

If the Bipartisan Policy Center wants its recommendations followed, it has a lot of work to do.

While the farm bill is in play, it’s worth looking at what The Bipartisan Policy Center has to say about SNAP:

It provides evidence for a long list of recommendations for improving SNAP, among them:

• Make diet quality a core SNAP objective
• Eliminate sugar-sweetened beverages from SNAP eligibility
• Provide incentives for purchases of fruits and vegetables
• Authorize USDA to collect and share data on SNAP purchases

It also has recommendations for improving education of SNAP recipients, and no wonder.

This is an excellent follow-up to the 2012 SNAP to Health initiative in which I participated.  That report made similar recommendations.

Maybe now is the time?

Last week, FDA Commissioner Scott Gottlieb spoke at the National Food Policy Conference in Washington, DC where he announced FDA’s Nutrition Innovation Strategy.

His speech, Reducing the Burden of Chronic Disease, specifies five areas that FDA intends to consider (meaning, at best, proposing suggestions for public comment and going through FDA’s interminable rulemaking process):

• Modernizing health claims
• Modernizing ingredient labels
• Modernizing standards of identity
• Implementing the Nutrition Facts Label and Menu Labeling
• Reducing sodium

The documents:

• Commissioner Speech: https://www.fda.gov/NewsEvents/Speeches/ucm603057.htm
• FDA Nutrition Innovation Strategy: https://www.fda.gov/Food/LabelingNutrition/ucm602651.htm

My immediate reactions: sounds good, but short on commitment.

I was impressed that Gottlieb focused on public health and prevention:

We can’t lose site of the public health basics – better diet, more exercise, and smoking prevention and cessation…The public health gains of such efforts would almost certainly dwarf any single medical innovation or intervention we could discover.

Yes!

I was particularly interested in two initiatives under consideration:

Front-of-package icon for “healthy”

This is to be based on a food-based definition that focuses on the healthful attributes of a food product—not, apparently, on its content of sugar, salt, or saturated fat.  Only healthful attributes?

This sounds like a highly pro-industry position, since research on front-of-package labeling is pretty clear that warning labels about unhealthful attributes (salt, sugar, saturated fat) are most effective in discouraging purchases of “ultraprocessed” foods.  The warning labels used in Chile, for example, are proving to be highly effective.

Gottlieb did not mention the the FDA-sponsored reports on front-of-package labeling performed by the Institute of Medicine early on in the Obama administration.  Those were serious attempts to develop an effective front-of-package labeling system that identified nutrients to be avoided.  The FDA seems to have forgotten about those reports.

Reduce sodium

This is the item that got the most attention.  Gottlieb said: “There remains no single more effective public health action related to nutrition than the reduction of sodium in the diet.”

OK, but if that’s true, how about ensuring that food companies gradually reduce sodium in their products, as was done in the UK.  No such luck.  Instead: “I’m committed to advancing the short‐term voluntary sodium targets” (my emphasis).

I suppose “voluntary” could work, but if sodium reduction isn’t across the board, companies will have little incentive to risk changing their formulas.

In short, Gottlieb’s words reflect modern public health thinking the good news) and it’s great that FDA is considering taking these actions (also good news).  Now, let’s see what the agency actually does.

 

For review copies, interviews, etc, contact Kelsey Odorczyk at Basic Books: Kelsey.Odorczyk@hbgusa.com

For information about the book, see Basic Books/Hachette,  IndieBound,  Amazon

For reviews and media accounts, scroll down.

Portuguese translation, Elefante Editora, 2019:

Summary

Is chocolate heart-healthy? Does yogurt prevent type 2 diabetes? Do pomegranates help cheat death? News headlines bombard us with such amazing claims. They are reported as science, and have dramatic effects on what we eat.  Yet, as food expert Marion Nestle explains, these studies are more about marketing than science; they are often paid for by the companies and trade associations that sell those foods. Whether it’s a Coca-Cola-backed study hailing light exercise as a calorie neutralizer, claims for beef as a health food, or a report from investigators paid by a blueberry trade group concluding that this fruit prevents erectile dysfunction, every corner of the food industry knows how to turn conflicted research into big profit. As Nestle argues, it’s time to put public health first. Written with unmatched rigor and insight, Unsavory Truth reveals how the food industry manipulates nutrition science—and suggests what we can do about it.

Blurbs

“What happens when one of the country’s great nutrition investigators follows the money in food and science? You get this riveting, provocatively-written book, which deftly explores how the processed food industry has deepened our dependence on its products by sponsoring and manipulating food research for decades. This book should be read by anyone who has been seduced by the words, ‘New study shows…’—which is all of us.”  —Michael Moss, author of Salt Sugar Fat

“Marion Nestle is a tireless warrior for public health, and her meticulous research and irrefutable arguments are desperately needed right now. This book, as frightening as it is, compels us to discover where true health begins: nutrition starts in the ground, with real food that is sustainably grown, eaten in season, and alive.”  —Alice Waters, founder, owner, and executive chef of Chez Panisse

 “In clear, concise language, Marion Nestle details the many ways our ideas about what to eat are being manipulated by Big Food.  If you want to make better choices, read this book.”  —Ruth Reichl, former editor of Gourmet Magazine

 “Marion Nestle is a national treasure.  She has the courage to take on multinational corporations and the wisdom to separate the facts from the spin.  If you care about our food system and the health of your family, Unsavory Truth is essential reading.”  —Eric Schlosser, author of Fast Food Nation

“Marion Nestle has been a guiding light for sanity, credibility, and justice in food and nutrition for decades; she stands alone in her field. In Unsavory Truth, she exposes the awful deceptions practiced on eaters by manipulative food companies using ‘scientific research’ try to make themselves look good.”  —Mark Bittman, author of How to Cook Everything

 “Marion Nestle is a truth-teller in a world awash with nutrition lies of one kind and another. In this scintillating and eye-opening book, Nestle reveals how much of our confusion about food in modern times has been spread by the food industry itself, which passes off marketing as science and funds ‘research’ designed to show that its products are harmless. Unsavory Truth is essential reading for anyone in search of hard facts about what to eat.”  —Bee Wilson, author of First Bite and Consider the Fork

Reviews and media

2021

July 7   SPINS: What We’re Reading

2019

June 6  Review in American Journal of Public Health 2019;109(7):952-953.

Mar 11  Interview with VegSource with Jeff Nelson

Mar 5  TVO (Canada) The Agenda with Steve Paikin: Battling bias in nutrition research.  Also on YouTube.

Feb 17 Cover story based on Unsavory Truth, San Francisco Chronicle: “The myth-making of food”

Feb 5  KQED San Francisco, Michael Krasny’s Forum

Feb 2  Sarah Boseley reviews Unsavory Truth in The Lancet

Jan/Feb  Nutrition Action Healthletter: Peter Lurie’s editorial

Jan 25  Interview with Holly Friend of LS:N Global

Jan 22  KPFK radio interview , Feminist Magazine with Lynn Harris Ballen

Jan 21  Cookery by the Book, podcast with Suzy Chase

Jan 16  Kara Goldin’s podcast on Unstoppable, Unsavory Truth

2018

Dec 21 The Hagstrom Report’s five best ag books of 2018

Dec 19  Podcast with Max Lugavere, The Genius Life Episode 39 (iTunes), on Unsavory Truth

Dec 17  Radio interview with Rose Aguilar, KALW San Francisco on Unsavory Truth

Dec 14 Podcast review by Narsai David, KCBS

Dec 13  Lecture on Unsavory Truth (video) at Hunter College NYC Food Policy Center

Dec 13  Online interview at PLoS Blog

Dec 12  Podcast with Wooden Teeth

Dec 6  NYU Journalism Kavli Conversation on Science Communication with Paul Greenberg, moderated by Robert Lee Hotz

Dec 3  Interview (podcast) with Bhavani Jaroff of iEat Green

Nov 30  Conor Purcell interview for Undark’s Five Questions

Nov 29 Paul Thacker on Unsavory Truth in the BMJ

Nov 28  Podcast interview with Monica Eng on Unsavory Truth: Chewing episode 55

Nov 26  Lisa Held on Unsavory Truth, Edible Manhattan

Nov 19  Interview with Gabrielle Lipton, Landscape News

Nov 18  Video of interview with Dean Malcolm Clemens, Forum at Grace Cathedral, San Francisco (audio file).

Nov 15  Review by Gavin Wren, Medium.com

Nov 15  Video of keynote at launch of UCSF Food Industry Documents Library (my talk is in Part I: 14:30)

Nov 12  Jennifer Bowden on Unsavory Truth in New Zealand’s The Listener.

Nov 12  Interview with Jesse Mulligan, Radio New Zealand

Nov 10  Review in New Scientist

Nov 7  Podcast interview with The Potter Report

Nov 7  A. Pawlowski.  What are superfoods?  The truth about blueberries, dark chocolate and pomegranate.  Today.

Nov 6  Interview with Paul Thacker.  Tonic.

Nov 4  Lorin Fries.  Who decides what you eat?  (Hint: it’s not only you).  Forbes.

Nov 1  Review in New York Journal of Books

Oct 31 Review from New York Magazine’s The Cut

Oct 31  Interview with Julia Belluz in Vox

Oct 30  Excerpt from Unsavory Truth on Medium.com: “When Big Soda Started Stalking Me”

Oct 30  NPR radio interview with Brian Lehrer

Oct 30 Yoni Freedhoff, Weighty Matters.

Oct 30  Jane Brody.  Confused by nutrition research?  New York Times, Science section.

Oct 29  RT America video interview on Boom Bust about Unsavory Truth.

Oct 28  Hailey Eber. How the food industry fooled us into eating junk.  New York Post, 42-43.

Oct 23  Nestle M.  Superfoods are a marketing ploy (excerpt).  The Atlantic .

Oct 22  Àlex Pérez.  Una verdad desagradable no vende.  ElPiscolabis (Spain).

Oct 18 Nature Magazine (2018;562:334-335): Felicity Lawrence reviews Deborah Blum’s The Poison Squad and Unsavory Truth as “Poisoned Platefuls.”  “Nestle…could make a fair claim to [Harvey] Wiley’s mantle today…The book is a remorseless dissection of the corruption of science by industry.”

Oct 18  Interview with Maggie Tauranac on Unsavory Truth, FoodPrint

Oct 16 Podcast with Danielle Nierenberg on Unsavory Truth and other matters

Oct 2  Science Magazine: “There is indeed something rotten in the state of dietary science, but books like this show us that we consumers also hold a great deal of power.”

Sept 25 La Stampa (Italy): “I cibi di lunga vita sono illusori e troppi sponsor li promuovono.” (The newspaper clip).

Sept 24  Publishers Weekly: ” a groundbreaking look at how food corporations influence nutrition research and public policy.”

Aug 13 Booklist: “This well-documented, accessible venture makes a compelling argument.”

Aug 1  Kirkus: “Nestle proves yet again that she is a unique, valuable voice for engaged food consumers.”

July 17  Phil Lempert’s Lempert Report: Get ready for a new era of transparency (video)

July 9  David Wineberg, “Nutrition: conflict of interest as a career,” Medium.com.

Feb 12 Finnish Public Radio interview about Unsavory Truth (Google Translate, English)

Jan 31 Profile in New Scientist: The Unpalatable Truth about Your Favorite foods

Tweets (Highly Selected)

Michael Pollan, October 30

Ing Fei Chen, October 16:  Undark

Yoni Freedhoff, October 7: his mentions

Basic Books, October 2: Mark Bittman blurb

Basic Books, September 25: Ruth Reichl blurb

Basic Books, September 6: Eric Schlosser blurb

Basic Books, August 28: Alice Waters blurb

Michael Pollan, August 18: “This is a terrific and eye-opening book”

Bee Wilson, August 17: “I feel lucky to have an advance copy …A great piece of investigative writing.”

Basic Books, August 17: Bee Wilson blurb

This report from the UK Health Forum is a compendium of case studies about food industry influence on government food and nutrition policies in developing countries such as Mexico, Chile, Fiji, Brazil, and Guatemala, but also England, Canada, and others.

To pick just one example, that of Chile:

This case study examines the long-standing relationship between the food
industry and the Institute of Nutrition and Food Technology (INTA) of the
University of Chile – the most prestigious food and nutrition-related institution
in the country. The types of collaboration include:

• industry-funded research
• scholarships and awards
• membership of industry-funded or linked foundations
• awarding of nutrient-specific certification of foods that are high in calories,
  sugar, saturated fats or salt
• joint public health programmes
• marketing in institutional publications and websites.

INTA plays a major role in food policy-making in Chile…The existence of
strong financial ties between INTA and the food and drinks industry represents
a conflict of interest, potentially compromising INTA’s independence in highly
relevant research and policy areas.

This tweet certainly got my attention:

It referred to Alex Kotch’s article in the International Business Times about how White House lawyer Donald McGahn has granted a waiver of conflict of interest rules to allow Kailee Tkacz, a former lobbyist for the Snack Food Association and, more recently, for the Corn Refiners Association, to advise the USDA about the forthcoming 2020 dietary guidelines.

Ms. Tkacz also was food policy director for the Corn Refiners Association, which represents producers of high fructose corn syrup (HFCS).

McGahn explained that this waiver would allow Ms. Tkacz “to advise the Secretary of Agriculture and other senior Department officials with respect to the Dietary Guidelines for Americans process.”

He says “it is in the public interest to grant this limited waiver because of Ms. Tkacz’s expertise in the process by which the Dietary Guidelines for Americans are issued every five years.”

The dietary guidelines historically have issued recommendations to consume less salt and sugar.  Snack foods are major sources of salt in U.S. diets.  Soft drinks sweetened with HFCS are major sources of sugars.

USDA is the lead agency for the 2020 guidelines.

Want to make some bets on what they will say about salt and sugar (a wild guess: the science isn’t firm enough to suggest eating less of either).

Since September, the New York Times has been investigating how the food industry markets its products in the developing world, and how this marketing is encouraging a rising prevalence of obesity and its health consequences. The series is called Planet Fat.   This is the complete set to date, in reverse chronological order.

If you haven’t read them, this week is a good time to catch up.  Enjoy!

One Man’s Stand Against Junk Food as Diabetes Climbs Across India

India is “sitting on a volcano” of diabetes. A father’s effort to ban junk food sales in and near schools aims to change what children eat.

By GEETA ANAND

Dec. 26, 2017

 

Dec. 23, 2017

 

Dec. 11, 2017

 

Nov. 13, 2017

 

Oct. 2, 2017

 

Oct. 2, 2017

 

Sept. 16, 2017

 

Sept. 17, 2017

 

The USDA announces its revised school meal rules, in words that would make George Orwell proud:

The U.S. Department of Agriculture (USDA) today provided local food service professionals the flexibility they need to serve wholesome, nutritious, and tasty meals in schools across the nation. The new School Meal Flexibility Rule…reflects USDA’s commitment, made in a May proclamation to work with program operators, school nutrition professionals, industry, and other stakeholders to develop forward-thinking strategies to ensure school nutrition standards are both healthful and practical…This action reflects a key initiative of USDA’s Regulatory Reform Agenda, developed in response to the President’s Executive Order to alleviate unnecessary regulatory burdens.

Try and get your head around this.  The revised rules make school meals less nutritious.  They allow schools to:

• Serve flavored rather than plain low-fat milk (higher in sugar)
• Be exempt from serving whole grain-rich products.
• Have until the end of the 2020-2021 school year to reduce the salt in school meals.

This rule will be in effect for SY 2018-2019. USDA is accepting public comments for longer term use at www.regulations.gov.

I will never understand why adults would lobby to make school meals less healthful, but here is the School Nutrition Association praising the changes.  The Association cites survey data indicating that 65 percent of school districts are having trouble with whole grains and 92 percent with sodium requirements.

I love Margo Wootan’s quote (she is director of nutrition policy at the Center for Science in the Public Interest):

The proposal is a hammer in search of a nail…Virtually 100 percent of schools are already complying with the final nutrition standards, including the first phase of sodium reduction.

Here are:

• USDA’s press release
• CSPI’s press statement
• American Heart Association’s press release