Food Politics

by Marion Nestle
Mar 4 2020

Coca-Cola wants the 2020 dietary guidelines to say more about beverages

I am indebted to Margarita Raycheva, who writes for the highly informative newsletter, IEG Policy Agribusiness, for her recent article, which certainly got my attention: “Coca-Cola asks DGAC to develop detailed dietary recommendations for beverages” (this is probably behind a paywall).

Her article is about comments filed by Coca-Cola to the DGAC, the 2020 Dietary Guidelines Advisory Committee.  She did not provide a link to those comments, so I had to search for them.  This involved finding the DGAC comments page, searching for Coca-Cola, locating the company’s letter, and opening the pdf attachment.

The 12-page document reads like a highly sophisticated advertisement for Coca-Cola’s astounding number of beverage options, many of them low in sugar or sugar-free.

Over the last few years, Coca-Cola has been transforming to become a total beverage company that meets Americans’ fast-changing preferences across a wide array of beverage categories. We support the World Health Organization’s recommendation that people should limit added sugar to no more than 10% of their total daily calorie consumption1 and are rethinking existing recipes, package sizes and offerings to ensure we are helping consumers manage their daily intake of added sugar and other nutrients from our portfolio.  Today, we offer more than 800 drinks in the U.S. alone, ranging from soft drinks to juices, teas, coffee, dairy, sports drinks, water and more – more than 250 of which are low- or zero-sugar options. More than 40% of our sparkling beverage brands in the U.S. are now available in package sizes that are smaller than 8.5 ounces. We are increasing marketing support for low-sugar, no-sugar and unsweetened products…; we are introducing less sweet versions of classic soft drinks…; and we are accelerating our expansion into new beverage categories through the acquisition of brands….We are taking these actions because we recognize the critical role that we – and the entire industry – can play in advancing nutritional goals by using our scale for good.

Why do this?

• About 15% of energy comes from beverages
• Beverages, such as sweetened soft drinks, coffee and tea contribute more than 40% of daily added sugar intake
• Beverages, mainly milk and 100% juice, contribute over 40% of vitamin C and D intake and more than 20% intake of carbohydrates, calcium, potassium and magnesium
• Fruit intake (0.9 cup/day) is half of recommended levels (2 cups/day); 100% fruit juice contributes up to 24% of fruit intake in children, but decreases after adolescence
• Coffee and tea contribute up to 12% of potassium intake in adults
• Waters contribute up to 10% of calcium intake in adults

In other words, drink more (of our) beverages!

Coca-Cola’s proposals for how beverages can enhance diets:

  • Hydration
  • Nutrition and health
  • Enjoyment
  • Performance

What should the DGAC do?

By creating a framework that includes guidance for all types of beverages, the DGA can help drive Americans towards healthier versions of drinks they are typically consuming. Recommending limited
consumption or small shifts towards healthier beverages is more effective than simply discouraging the consumption of entire beverage categories.

The company’s proposals for how the DGAC can help it sell more beverages include sample statements like these examples [with my translations]:

  • Water should be the primary beverage choice [recommend our bottled water]
  • Milk plays an important role in development and health, and contributes essential nutrients to healthy eating patterns, including protein, calcium, vitamin D and potassium [recommend our milk drinks]
  • When fortified, plant-based beverages may provide nutrients and support consumer choice, but generally should not be considered a replacement for dairy [please don’t recommend almond, soy, or oat milks–we don’t make any of those drinks]
  • Juice contributes to the public’s consumption of essential nutrients, phytonutrient and fruit/vegetable intake [recommend our juice drinks]
  • Coffee and tea are sources of health-promoting phytonutrients and are associated with reduced risk of rtain non-communicable diseases (NCDs) [recommend them; we sell those too]
  • Replace sugar-sweetened beverages >40 kcal that do not contribute significantly to nutrition needs with these beverages to reduce calorie and sugar consumption [if you must recommend avoing sugary beverages, at least recommend replacement with everything else we sell]
  • Sports drinks can be beneficial for individuals who engage in prolonged vigorous physical activity, or those sweating for prolonged hours due to warm to hot temperatures [OK, they have sugar, but recommend them anyway]

I can’t wait to see what the DGAC does with this impressively written document.

Not that it matters, really.  Recall: The DGAC submits the research report, but the agencies—USDA takes the lead this time—write the actual guidelines.

Mar 3 2020

The food politics of Coronavirus

Food politics connects to everything and Coronoavirus is no exception.  I’ve been collecting items.

For starters,  Coca-Cola gets its artificial sweeteners from China.  Oops.  Its supply chain is now disrupted.

Production and exports have been delayed for Coke’s suppliers of sugar alternatives used in the company’s diet and zero-sugar drinks, Coca-Cola disclosed Monday as part of its annual report.

“We have initiated contingency supply plans and do not foresee a short-term impact due to these delays…However, we may see tighter supplies of some of these ingredients in the longer term should production or export operations in China deteriorate.”

The primary artificial sweeteners Coca-Cola (KO) uses in its products include aspartame, acesulfame potassium, sucralose, saccharin, cyclamate and steviol gylcosides.

In its annual report, Coca-Cola indicated that it considered sucralose a “critical raw material” sourced from suppliers in the US and China. Splenda, a sucralose product used in Diet Coke with Splenda, is made in the US and not sourced from China.

This worries you?  Join the hoarders.  Some people are trying to make sure they have a 14-day supply of food in case they get quarantined.  This situation has gotten so out of hand that stores are running out of food.

The FDA wants everyone to calm down.  It has a web page on what’s happening with supply chains.  Most of this is about the supply of pharmaceuticals made in China, but here’s what it says about food:

We are not aware of any reports at this time of human illnesses that suggest COVID-19 can be transmitted by food or food packaging. However, it is always important to follow good hygiene practices (i.e., wash hands and surfaces often, separate raw meat from other foods, cook to the right temperature, and refrigerate foods promptly) when handling or preparing foods.

It’s hard to calm down if the situation affects you.  The organizers of Food Expo West, the natural products show scheduled for Anaheim, says COVID-19 fears could cut Expo West attendance by as much as 60% (the article links to official and unofficial lists of companies that have pulled out).

But every crisis has winners as well as losers.  The possible winners here?  Food delivery companies (as long as they can get supplies).

Stay tuned.

Update 3/3: Expo West has been postponed.

Mar 2 2020

Industry-funded reviews of the week: dairy foods

The dairy industry, ever under siege, is doing its best to convince us to eat dairy foods.  Full disclosure: I eat and like dairy foods.  I do not, however, like the way the dairy industry funds research aimed at marketing its products.  Here are two examples.

Example 1: Full-fat dairy foods are good for you [yes, they can be, but in moderation]

The study: Potential Cardiometabolic Health Benefits of Full-Fat Dairy: The Evidence Base.  Kristin M Hirahatake, Arne Astrup, James O Hill, Joanne L Slavin, David B Allison, and Kevin C Maki.  Adv Nutr 2020;00:1–15.

Conclusions: “Emerging evidence shows that the consumption of full-fat dairy foods has a neutral or inverse association with adverse cardiometabolic health outcomes, including atherosclerotic cardiovascular disease, type 2 diabetes, and associated risk factors.”

Conflicts of interest and funding (dairy groups are highlighted):

Example 2: Dairy foods can help reduce world hunger [of course they can]

The report: Dairy’s Impact on Reducing Global Hunger

Major finding: “The remarkable consistency of the positive association between dairy animal ownership,
milk/dairy intake, and child growth across the experimental and observational studies, and
the dose-response relationship between dairy consumption and child growth…provide strong evidence that, in rural
low-income settings, household milk production increases household milk consumption, and increased milk consumption results in improved child growth and reduced stunting.”

Recommendation: “dairy development needs to be accompanied by nutrition education of caregivers to ensure that milk is provided in the most critical phase of childhood, namely in the 0.5 to 2-year age group”

Sponsors: “Published by Food and Agriculture Organization of the United Nations, Global Dairy Platform and
IFCN Dairy Research Network.

Comment:  It’s interesting to compare the first paper to another one done by investigators who are not funded by the dairy industry.  They don’t disagree, exactly, but spin the results much less favoably.  See: Milk and Health, by Walter C. Willett and David S. Ludwig. N Engl J Med 2020;382:644-54.

…guidelines for milk and equivalent dairy foods ideally should designate an acceptable intake (such as 0 to 2 servings per day for adults), deemphasize reduced-fat milk as preferable to whole milk, and discourage consumption of sugar-sweetened dairy foods in populations with high rates of overweight and
obesity.

Dairy foods are foods.  Like any other, they are not essential.  If you like them, eat them—in moderation, of course.

Feb 28 2020

Weekend reading: Food Banks and their Discontents

Graham Riches.  Food Bank Nations: Poverty, Corporate Charity, and the Right to Food.  Routledge, 2018.

I’m not sure how I missed this one when it came out.  It’s really good.

It is a tough analysis of the politics of charitable food—the institutionalized use of corporate food waste to feed hungry people, largely in OECD countries but also in the U.S.

  • The analysis is seen in chapter subtitles, for example:
  • Corporate capture: hunger as a charitable business
  • Shaming the hungry, regulating the poor
  • The “dark side” of food banking
  • The corporate food charity state
  • Food, as a matter of human rights

The solution?  Put rights and politics back into hunger.  The book gives examples of how to do this.

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Feb 27 2020

What’s up with sugars?

I’m still seeing articles coming out from the USDA’s Economic Research Service, now sadly moved to Kansas City.  This one is based on an older article.*  It’s about how “consumption” of sugars (in quotes because the data actually reflect the availability of sugars in the food supply—production less exports plus imports).

Here’s how I read this chart:

  • Overall sugars are down almost to the level of the late 1970s.
  • Refined (table) sugar dropped at about the time High Fructose Corn Syrup (HFCS) became widely used; it is holding steady.
  • HFCS accounted for the increase in total sugars from 1975-1999.  The subsequent decline is also mainly in HFCS.

The big reason for the decline is lower consumption of soft drinks (these account for nearly half total sugars consumed).

Another trend is substitution of HFCS by table sugar.  This is to the higher cost of HFCS relative to table sugar.  It used to be much cheaper but increased demand for corn to produce ethanol has made HFCS and table sugar cost about the same.

Also, HFCS has a reputation for being worse for health than table sugar, but they are about the same physiologically.  HFCS is glucose and fructose separated.  Table sugar is glucose and fructose stuck together (but quickly separated in the body).

I’m all for eating less of either one.  This, at least, is a healthy trend.

*Sugar and Sweeteners Outlook: July 2019 , by Michael McConnell and David W. Olson, ERS, July 2019

Feb 26 2020

What’s up with infant formula?

DairyReporter.com has a Special Edition on infant feeding 

Infant formula companies have a problem: the products are virtually identical in nutrient composition (they all have to meet the same FDA standards), babies only need them for the first year, and the number of babies is finite.  From the formula industry’s perspective, the challenge is how to increase sales.  Here’s how this industry is managing this challenge.

Where next for infant nutrition?

In this special edition, we take a look at the infant formula sector, which far from being static is changing through novel ingredients, smart packaging, the explosion in plant-based products, and production of breast milk from cells.

Feb 25 2020

Meat recalls keep going up. It’s time for USDA action.

A report from the U.S. Public Interest Research Group (PIRG) says that USDA recalls of meat and poultry have nearly doubled since 2013.

  • USDA posts its recalls and notices here.

The PIRG report says FDA recalls of the products it regulates—produce, seafood, and processed foods—have dropped.  The Food Safety Modernization Act rules are in effect, and working.

  • FDA posts its recalls and notices here.

To do something about meat and poultry recalls, some of which involve Salmonella, food safety lawyer Bill Marler along with  Consumer Reports and other advocacy groups, have petitioned USDA to classify Salmonella as an adulterant, an action that is long overdue (see the Washington Post’s story on Marler’s action.

Does USDA have the authority to do this?  I think yes, even though courts have ruled that because Salmonella can be killed by cooking, they are a natural contaminant.

Yes, but supermarket raw chicken is frequently contaminated with Salmonella and frequently associated with disease outbreaks.

Salmonella-contaminated chicken requires special handling in kitchens: Don’t wash it!  Keep it entirely separate from all other foods.  Don’t put it on counters, plates, or cutting boards that can come in contact with other foods.   In other words, run your kitchen like a maximum security laboratory.

It’s high time the USDA did something about this one.

Feb 24 2020

Industry-funded study of the week: collagen supplements

The study: A Collagen Supplement Improves Skin Hydration, Elasticity, Roughness, and Density: Results of a Randomized, Placebo-Controlled, Blind StudyNutrients 201911(10), 2494.

Purpose: “The purpose of this randomized, placebo-controlled, blind study was to investigate the effects of the drinkable nutraceutical ELASTEN® (QUIRIS Healthcare, Gütersloh, Germany) on skin aging and skin health.”

Conclusions: The test product significantly improved skin hydration, elasticity, roughness, and density…These positive effects were substantially retained during the follow-up.

Funding: This research was funded by Quiris Healthcare, Germany.

Conflicts of Interest: The authors declare no conflict of interest. The sponsor had no influence on execution, analysis and interpretation of the data.

Comment: The funder, Quiris Healthcare, “develops and sells innovative, natural health products. The focus is on effectiveness and special quality.”  What struck me about this particular example is how the authors report no conflict of interest and state that the sponsor had no influence on how the study was conducted, analyzed, and interpreted.  Most research on the influence of industry funding indicates that it most often shows up in the study design.  Research also shows that investigators are unaware of the influence; it occurs at an unconscious level.  I review data backing up these statements in my book Unsavory Truth: How Food Companies Skew the Science of What We Eat.