Search results: dietary guidelines

Two articles I’ve written are in journals this week: a short one in Newsweek (!) and my monthly Food Matters column in the San Francisco Chronicle.

New York’s Calorie Counts: A Good National Model (Newsweek, April 30 online and May 10 in print)

The new health-care law contains an overlooked boost for nutritionists like me: by next year, all national chains with more than 20 locations must offer “clear and conspicuous” calorie information. It’s the most important obesity-related public policy since the USDA’s food pyramid. But reception to the new mandate has been muted so far, largely because the benefits of New York City’s similar 2008 law seem minor: one study found just 15 fewer calories were consumed per meal; another reported it was 30; and a third found that people ate more.

The problem with these studies is that they focus on Starbucks customers and fast-food goers in low-income neighborhoods—patrons who often care about convenience and value above all. They also fail to capture the long-term benefits of calorie counting, namely education and social pressure. Labels will offer case-by-case lessons in exactly what 1,000 calories looks like, and they may even spur restaurants to ease up on sugar and fat. (Denny’s, McDonald’s, and Cosi, among others, have debuted lighter fare in New York City.) Of course, much depends on the definition of “clear and conspicuous.” Still, the country’s nutritional literacy is about to improve—making my job a lot easier.

Sugary school meals hit lobbyists’ sweet spot (San Francisco Chronicle, Sunday, May 2)

Nutrition and public policy expert Marion Nestle answers readers’ questions in this monthly column written exclusively for The Chronicle. E-mail your questions to food@sfchronicle.com, with “Marion Nestle” in the subject line.

Q: I’m stunned by the amount of sugar my daughter is served routinely in school: candied cereals, flavored milk, Pop Tarts, breakfast cookies, fruit juice – 15 teaspoons of sugar, just in breakfast. Why no standards for regulating sugar in school meals, especially when obesity and diabetes are such concerns?

A: Politics, of course. The U.S. Department of Agriculture spends $12 billion a year on school meals. Kids buy foods from snack carts and vending machines. Food companies fight fiercely to protect their shares in that bounty.

If you watched “Jamie Oliver’s Food Revolution,” you witnessed the struggle to get sugary foods out of schools. Fifteen teaspoons – 60 grams and 240 calories – is a lot for breakfast, but kids get even more sugar from snacks, treats from teachers and birthday cupcakes.

Sugars were never a problem when we supported school lunch programs decently. That changed when schools ran out of money, sought vending contracts with soft drink companies and encouraged kids to buy sodas and snacks. Schools evaded restrictions on snack sales during lunch periods. Nobody paid much attention to what kids ate in schools – until kids began getting fatter.

Why no standards? Nobody wants to take on the sugar lobbyists.

In 1977, a Senate committee recommended an upper limit of 10 percent of calories from added sugars. This was so controversial that from 1980 to 2000, the Dietary Guidelines gave no percentages when they said “eat less sugar.” The 1992 food pyramid said “Use sugars only in moderation.” It defined moderation in teaspoons – for example, 12 a day in a diet of 2,200 calories, which comes to less than 10 percent of calories. By then, health officials in at least 30 countries had adopted the 10 percent sugar guideline.

A committee of the Institute of Medicine undermined that consensus. Because science provides only circumstantial evidence for the effects of sugars on obesity and other health problems, the committee suggested a safe maximum of 25 percent of calories. Sugar trade associations happily interpreted this percentage as a recommendation.

In 2003, the World Health Organization issued a research report restating the 10 percent guideline. Using the IOM report as evidence, sugar trade associations enlisted senators from sugar-growing states to lobby U.S. government officials to withdraw funding from WHO. They also lobbied governments of sugar-growing countries to oppose the 10 percent guideline. WHO dropped the 10 percent sugar guideline.

Dietary guidelines are the basis of federal nutrition policy. The 2005 guidelines advised limits on sugars without stating a percentage. In a footnote, the guidelines said that sugars could be part of a day’s “discretionary calories,” defined as 2 to 8 teaspoons a day. This is less than 10 percent of calories, but the guidelines do not say so explicitly.

Neither does the USDA’s 2005 pyramid, which personalizes diet plans based on age, activity level and gender. I, for example, am allowed 195 discretionary calories for added fats and sugars. If I use them all for sugars, I get to eat 12 teaspoons – about 10 percent of my daily calories. This is less than the amount your daughter ate for breakfast or the sugars in a 20-ounce soda. Hence: lobbying.

Will we get an explicit sugar policy when Congress gets around to reauthorizing the Child Nutrition Act? The draft bill says nothing about sugars but does require school foods to adhere to “science-based” nutrition standards based on the dietary guidelines. If so, this means a maximum of 10 percent of calories from added sugars.

The IOM has just released a “School Meals” report. This says that with careful planning, 10 percent should provide enough sugar discretionary calories to permit sweetened low-fat milk, yogurt and breakfast cereals. The IOM warns that without these sweetened foods, student participation rates and nutrient intakes might decline.

Sorry, but I don’t buy the “kids won’t eat it” argument. I’ve seen plenty of schools where kids eat unsweetened foods. Somehow, they survive. Kids will eat healthier foods when meals are prepared by adults who care what kids eat, as Oliver has demonstrated.

As for legislation, California led the way with the 2007 school food nutrition standards bill, which regulated soda sales and the amount of sugar in snacks. Companies responded by reducing the sugars in their products. Passing the Child Nutrition Act will help, but its big drawback is funding. The draft bill increases school reimbursements by only about 6 cents per meal, not enough to meet costs in many school districts and much less than the $1 increase that many believe necessary.

But with luck, 2010 will bring us national legislation and improved editions of the dietary guidelines and pyramid. Let’s hope these make it easier for schools to help kids cut down on sugars.

Note: Nestle and Malden Nesheim will speak about their new book, “Feed Your Pet Right,” at 3 p.m. May 22 at Omnivore Books in San Francisco and at 3 p.m. May 23 at Point Reyes Books in Point Reyes Station.  Addition: Holistic Hound, Berkeley, Tuesday, May 18, 6:30 p.m.

Marion Nestle is the author of “Food Politics,” “Safe Food” and “What to Eat,” and is a professor in the nutrition, food studies and public health department at New York University. E-mail her at food@sfchronicle.com and read her previous columns at sfgate.com/food.  This article appeared on page K – 8.

My San Francisco Chronicle column, now appearing in print on the first Sunday of the month, is also online.

Its title:  “Hot food issues ready to boil over this year.”

Q: What do you think will happen with food and nutrition in 2010?

A: I wish I could read the leaves while I drink tea, but the best I can do is tell you which issues I’m going to be watching closely this year.

Hunter Public Relations recently asked 1,000 Americans which food-related issues they thought were most important in 2009. The top three? Food safety, hunger and food prices. For the decade, the winner was childhood obesity.

I have my own top 10 list of hot-button issues for 2010, and here they are:

• Hunger: More than 35 million Americans get benefits to which they are entitled under the Supplemental Nutrition Assistance Program (formerly, food stamps). The economy may be improving, but not quickly enough for millions who have lost jobs, health care and housing. Will Congress do anything this year to strengthen the safety net for the poor? It needs to.
• Childhood obesity: Rates of childhood obesity may have stabilized, but we all want to figure out how to prevent kids from gaining so much weight that they develop adult chronic diseases. I expect to see more efforts to improve school food and make neighborhoods more conducive to walking to school, riding bikes and playing outside.
• Food safety regulation: Congress is sitting on a bill to give the Food and Drug Administration some real authority for food safety. The bill does not do what is most needed – establish a single food-safety agency – but is a reasonable step in the right direction. Let’s hope Congress gets to it soon.
• Food advertising and labels: The long-dormant FDA and Federal Trade Commission are getting busy at last. In the wake of the Smart Choices fiasco, the FDA is working to make package labels less misleading and easier to understand. The agencies have proposed nutrition standards for products marketed to children. These voluntary standards fall far short of my preference – an outright ban on marketing junk foods to kids – but puts food companies on notice that their products are under scrutiny. The FDA is also working on designs for front-of-package labels. I’m hoping it chooses a “traffic-light” system that marks foods with a green (any time), yellow (sometimes) or red (hardly ever) dot. Expect plenty of opposition from the makers of red-dotted products.
• Meat: The meat industry has been under fire for raising food animals under inhumane conditions, using unnecessary hormones and antibiotics, mistreating immigrant labor, and polluting soil and water. Now it is also under fire for contributing to climate change. Recent films like “Food, Inc.” and “Fresh” and books such as Jonathan Safran Foer’s “Eating Animals” are encouraging people to become vegetarians or to eat less meat to promote the health of people and the planet. I’ll bet the meat industry pushes back hard on this one.
• Sustainable agriculture: The back-to-the land movement has loads of people buying local food, choosing foods produced under more sustainable conditions and growing their own food. The number of small farms in America increased last year for the first time in a century. Seed companies cannot keep up with the demand. It will be fun to follow what happens with this trend.
• Genetically modified (GM) foods: My book, “Safe Food,” comes out in a new edition this year, so I am paying especially close attention to debates about GM foods. The FDA’s 1994 decision to prohibit labeling of GM foods continues to haunt the food biotechnology industry. By now, nearly all American soybeans and sugar beets (95 percent) are GM, as is most corn (60 percent). But when the U.S. Department of Agriculture approved GM sugar beets in 2005, it neglected to perform the required environmental impact assessment. On that basis, environmental groups want to ban further planting of GM sugar beets. The dispute is now in the courts.
• Chemical contaminants: The FDA has yet to release its report on the safety of bisphenol A, the plastic chemical that acts as an endocrine disrupter. Shouldn’t it be banned? The bottling industry says no. Watch for fierce arguments over this one.
• Salt: Nutrition standards allow 480 mg sodium (the equivalent of more than 1 gram of salt) per serving. A half cup of canned soup provides that much. A whole cup gives you 4 grams and the whole can gives you 8 grams – much more than anyone needs. Nearly 80 percent of salt in American diets comes from processed and restaurant foods. Companies are under pressure to cut down on salt. Will they? Only if they have to.
• Dietary advice: The new edition of Dietary Guidelines for Americans, which the government publishes every five years, is due this year. What will it say? I can’t wait to find out.

Those are the issues I am tracking these days. My one crystal-ball prediction? We will be hearing a lot more about them this year.

Happy new year!

We now have a piece mentioning the Smart Choices program in The Economist as well as a letter from Dr. Eileen Kennedy, the member of the Smart Choices program committee to whom the quotation about Froot Loops, “Better than a doughnut,” is attributed.

The Economist discusses the booming business of functional foods: “Consumers are swallowing such products, and the marketing claims that come with them.” It mentions the fuss over Smart Choices, but the best part is the caption to the illustration that comes with it.

And, I’ve been sent a copy of an e-mail letter to alumni from Dr. Eileen Kennedy, dean of the Friedman School of Nutrition Science and Policy at Tufts University, explaining her participation in the Smart Choices program:

Dear Friedman School Alumni,

There is an issue that has emerged as a result of a NY Times article that appeared in the business section on Sept 5, 2009. Since I believe I was grossly misquoted in the article and that the article does not accurately depict the Smart Choices program, I want to share with you some background on this program and my involvement.

In 2007, I was invited to join the Keystone Roundtable on Food and Nutrition. Keystone is a non-profit organization that brings individuals together around potentially controversial issues. The roundtable included health organizations, food companies, retailers, and academic researchers from a variety of U.S. universities. I was one of the academics who served pro bono on the roundtable. Initially, we met to discuss revisions to the FDA nutrition label. Ultimately, we decided to address the issue of Front of Pack Labels on food products. The final recommendations of the group were based on consensus science including the Dietary Guidelines for Americans, the FDA definition of healthy, WHO recommendations and the Institute of Medicine Scientific reports. The program that emerged from this meticulous process is called “The Smart Choices Program (SCP).” Food products that qualify as “better for you” get a check mark as well as disclosure of calories per serving and number of servings in a product.

I believe there are three major advantages to this program in addition to the rigorous scientific underpinnings.

First, the SCP is intended to improve food patterns at point of purchase – the super markets. To do this, food products are divided into 19 categories – based on research – that reflect how people buy food. All fruits and vegetables without additives automatically qualify.

Second – and a major plus – the program was tested prior to launch with consumers.

Finally, food companies who participate in the program have agreed to abandon their proprietary systems and adopt one system – the Smart Choices Program.

Thus, thousands of products using the SCP check mark will reach millions of consumers. It is a credit to the social responsibility of participating companies that because of the strict nutrition criteria, fewer of the individual food products will qualify for the Smart Choices Program.

As a non-industry board member, I have been targeted by negative emails, letters and even some phone calls. I regret that some of this hostility has been focused on the Friedman School and Tufts University and must note that I serve as an individual on the Smart Choices Program. Tufts University is not involved with it….

As nutritionists, we know that, in many ways, the science of nutrition is straight-forward. It is the translation of science into action that is often complex and can be contentious. Within our field, there are many opinions on how to improve the nutritional well-being of people worldwide. It is precisely at an academic institution like Tufts that we should have a respectful and open dialogue about these issues….For additional information, you may also want to go to www.smartchoicesprogram.com….

The letter gives me a chance to repeat a few points that I have made in previous posts (see Smart Choices, Scoring Systems) and on the general matter of corporate sponsorship of nutrition activities (tagged as Sponsorship).

First, this enterprise was paid for by participating companies to the tune of $50,000 each for a total of $1.67 million.  Social responsibility?  I don’t think so.  Companies usually get what they pay for.  Hence: Froot Loops.

Second, a comment on the research basis.  I have written extensively in Food Politics and in What to Eat about the influence of food companies on federal dietary guidelines and the compromises that result.  Even at its best, the process has to be impressionistic and cannot be either meticulous or rigorous.  The guidelines are meant to be generic advice for healthful eating.  They were never meant to be used – and cannot be used – as criteria for ranking processed foods as healthful.

The FDA standards for comparison to Daily Values on food labels are also worth a comment.  They were the basis of Hannaford supermarkets’ Guiding Stars program, which awards one, two, or three stars to foods that meet FDA-based criteria.  By those criteria, Froot Loops does not qualify for even one star.  If Smart Choices had relied on FDA criteria, such products would not be check marked.

Dr. Kennedy makes some excellent points in her letter and I particularly agree with one of them: nutritionists differ in opinion about how best to advise the public about diet and health.  Mine is that the Smart Choices program is a travesty and the sooner it disappears, the better.

September 29 update: The L.A. Times weighs in with a story (which quotes me).  It’s got another great comparison from a member of the Smart Choices committee:  “Cereal provides an array of nutrients and is a good breakfast…especially if the alternative is a sweet roll.”  My son, who saw the story, has this comment: “Hey! I think Froot Loops are a “Smart Choice.” After all, they have “froot,” don’t they? And maybe no nutritionist you know would recommend Froot Loops for breakfast, but what about for lunch or dinner?”

This book has its own Facebook Page (Feed Your Pet Right) on which Mal Nesheim and I deal with current issues about pet food, answer questions, and respond to comments.

Order from your local independent bookstore or Free Press/Simon and Schuster or Amazon or Borders or Barnes & Noble or IndieBound.

Media Interviews and book reviews [scroll all the way down to read review examples]

September/October 2010 Review in The Bark magazine

September 2010 Pet Food Industry review by Packaged Facts

August 18, 2010 Jill Richardson reviews the book on AlterNet

August 18, 2010 Jill Richardson blogs about the book

July 28, 2010 Interview with Amy Lieberman on Zootoo.com

July 17, 2010 Radio interview with Evan Kleinman on Good Food

June 28, 2010 Podcast interview with Tracie Hotchner’s “Authors on Animals”June 25, 2010 DailyAdvance.com review by Vicky Hagmeister.

June 23, 2010 San Francisco Chronicle Q and A with Meridith May.  Great photos!

June 10, 2010 Corby Kummer comments on the book on the Atlantic Food Channel.

June 8, 2010 Christie Keith’s review for the San Francisco Chronicle online

June 5, 2010 The San Francisco Chronicle online Tails of the City reviews the book

June 1, 2010 Jane Brody writes about the book in her Personal Health column

May 22, 2010 Live blogging from Omnivore Books on PetConnection by Christie Keith

May 20, 2010 Interview with Joyce Slayton on Chow.com

May 14, 2010 Good Morning America with JuJu Chang

May 13, 2010 Interview with Kerry Trueman, Eating Liberally, Mudroom

May 13, 2010 Brian Lehrer NPR radio

May 13, 2010 St Louis Post-Dispatch review

May 12, 2010: Diane Rehm Show , NPR radio

May 11, 2010: Time.com Q and A (print)

Summary

Feed Your Pet Right is an entertaining and informative examination of the booming pet food industry—its history, constituent companies, products, and marketing practices—written by two experts who took an objective look at the science behind pet food industry practices and claims. The book should be of interest to anyone who cares about how businesses function in today’s market economy but it especially aims to give pet owners the facts they need to decide for themselves how best to feed their cats or dogs.

The result of extensive research by experts in animal and human nutrition, the book covers the range of pet food products available, analyzes the ingredients in those products, reveals how and why pet food labels look the way they do, and explains how to read and decode the information and health claims on those labels. With this information, pet owners can better evaluate the quality and safety of what they are buying for their cats and dogs.

The authors make no attempt to dictate how pet owners should feed their cats and dogs. Instead, Feed Your Pet Right provides a roadmap to providing healthful diets for cats and dogs in ways that fit the great range of pet owners’ personal beliefs, value systems, and lifestyle choices.

The book also explains how pet foods are and are not regulated, how pet food companies influence government oversight and veterinary training and research, and how ethical considerations affect pet food research and product development. The book concludes with specific recommendations not only for pet owners, but also for the pet food industry, government regulators, and veterinarians.

Co-author: Dr. Malden Nesheim:

Malden Nesheim was born in Rochelle, Illinois. He earned a BS degree in Agricultural Science (1953) and an MS degree in Animal Nutrition (1954) from the University of Illinois and the Ph.D. degree in Nutrition (1959) from Cornell University.

Nesheim joined the Cornell faculty in 1959. In 1974 he was named Professor of Nutrition and Director of the newly formed Division of Nutritional Sciences at Cornell, a post which he held until the summer of 1987 when he was appointed Vice President for Planning and Budgeting. In 1989 he was appointed Provost of Cornell University. In that position, he was the chief academic officer of Cornell University responsible for oversight of all programs on the Ithaca campus. In 1995, he was named Provost Emeritus and became professor of Nutrition Emeritus in 1997.

Nesheim received the American Institute of Nutrition’s Conrad A. Elvehjem Award for public service, was elected Fellow of the American Academy of Arts and Sciences and Fellow of the American Society of Nutritional Sciences. He has served as President of the American Institute of Nutrition and on several review panels for the National Institutes of Health and the Department of Agriculture. He chaired the NIH Nutrition Study Section from 1983-1986, and was a member of the Food and Nutrition Board of the Institute of Medicine for nine years. He chaired the 1990 joint USDA/HHS Dietary Guidelines Advisory Committee. In 1995 he was appointed Chair of a Presidential Commission on Dietary Supplement Labels. He finished his term as Chairman of the Board of Trustees of the Pan American Health and Education Foundation in 2008.

How we came to write this book:

The idea for this book originated as an extension of Marion Nestle’s book, What to Eat, which addressed common questions about human food choices using supermarkets as an organizing principle. The book did not cover the pet food aisle, which in most supermarkets is extensive and loaded with products whose labels differ greatly from those on foods for humans and are indecipherable to most people. We were curious to know what those products were and what their labels meant. What to Eat is a guide to how to think about human food choices. Feed Your Pet Right is a guide to how to think about food choices for cats and dogs.

Early comments

From Dr. David Fraser, former dean of the Veterinary College at the University of Sydney:

I have at last finished reading the manuscript of your book…Your book is mind blowingly excellent!! It is brilliant in every way. It is comprehensive in scope. It is so clearly impartial – free of any hidden influence on the writers. The style of writing is extremely attractive and should make this book accessible to any reader regardless of their knowledge level…The book of course is written for the USA. Nevertheless, I shall be recommending that my veterinary students read it…I am amazed at the range of issues that you covered. Together they give the most complete understanding of commercial pet foods that could possibly be created…your recommendations and criticisms are all highly relevant to the Australian situation.

Reviews in print

Library Journal, April 1, 2010:

Nestle, Marion & Malden C. Nesheim. Feed Your Pet Right: The Authoritative Guide to Feeding Your Dog and Cat. Free Pr: S. & S. May 2010. c.320p. illus. index. ISBN 978-1-4391-6642-0. pap. $18. PETS

Dog and cat owners encounter a dizzying array of choices and confusing labels when shopping for pet foods in supermarkets. They will welcome the information Nestle (nutrition, New York Univ.; Pet Food Politics) and Nesheim (nutrition, emeritus, Cornell Univ.) obtained from their research and firsthand experience. Readers learn what pets are supposed to eat (dogs are omnivores; cats are carnivores) and the scientific standards and government regulations that led to the development of commercial pet food. Owners are guided through the many food choices, including dry, canned, wet, and semimoist foods; products called “premium,” “all natural,” “prescription diet,” and “hairball control”; and more unconventional diets, like raw, vegetarian, and home cooked. After discussing various foods and nutrients, they conclude with specific and sensible recommendations for pet owners, the industry, and the government. VERDICT Filled with useful information, this well-written guide is the pet nutrition counterpart to Nestle’s human nutrition guide, What To Eat. Recommended for all pet owners.—Eva Lautemann, Georgia Perimeter Coll. Lib., Clarkston

Tulsa World, May 9, 2010

Surprising bits about kibble, by Kim Brown, World Scene Writer

We’re a culture obsessed with food, so why not be that way about pet food?

The answer is what authors Marion Nestle and Malden Nesheim search for in their new book, “Feed Your Pet Right: The Authoritative Guide to Feeding Your Dog and Cat,” (Simon & Schuster, $16.99).

From breaking down pet food labels to detailing the many nutrition plans for your dog or cat, the authors dig deep into the $40 billion a year pet industry and learn that there are no definitive answers.

But they first take us through history to learn what our domestic animals used to eat, and how it compares with the foods we feed them today.

Not only do they tackle the commercial pet food industry, but the authors also look inside the natural and organic product claims on some specialty, or more expensive, pet food products.

Some of Nestle and Nesheim’s research surprised them, particularly that they found was no single diet to be superior.

“The books that are out there tend to cite every bit of research or experience they can muster to argue that you must feed your pet only one kind of diet — only commercial pet food, only one or another alternative pet food, only meat, only grains and vegetables, only raw foods, or only home-cooked foods. Humans don’t eat only one way. Pets don’t need to either. Any or all of those methods, singly or together, can promote excellent health in a dog or cat,” they write.

In fact, they find that commercial pet food is “adequate and appropriate” for many pets.

“We found no evidence that these foods routinely cause nutrient deficiencies or other health problems or shorten pets’ lives ” they write.

However, they also lament that there is no “real research” to tell if pets are living longer lives now than before.

Cape Cod Times, May 9, 2010, Bookshelf, by Melanie Lauwers

One of the hottest topics going is how we feed ourselves in the modern world — where our food comes from, how it’s processed and whether we get the best possible nutrition from our diet. But what about our pets? We spend millions of dollars each year on wet and dry food, treats and supplements, and truthfully, how much do we know about those products? And how do we know they’re right for our pets?

Expert nutritionist Marion Nestle of New York University and Cornell University professor emeritus Malden Nesheim explain what pets used to eat, what they eat now and what they actually need in their diet to stay healthy and happy. Included are analyses of pet food products and recommendations for owners, the pet food industry and regulators. There’s more than plain old kibble in this pet food encyclopedia.

My book, What to Eat, has a chapter on the mercury-in-fish dilemma.   Do we follow dietary guidelines to eat more fish or do we worry about the amount of toxic methylmercury those fish might have?

The U.S. Geological Survey and Department of the Interior have just released a report that will not make this dilemma easier to resolve.     Fish in every one of 291 streams sampled throughout the country are contaminated with mercury.  According to the press release, the good (well, slightly better) news is that “only” a quarter of the samples exceeded federal guidelines for people eating average amounts of fish.

Where does the mercury come from?  “Coal-fired power plants are the largest source of mercury emissions in the United States — but 59 of the streams also were potentially affected by gold and mercury mining.”

The remedy seems pretty obvious: let’s insist that coal-burning power plants and mining operations clean up their emissions.   How about right now!

You may recall my previous posts about the new Smart Choices program.  This program was developed by food processors to identify products that are ostensibly “better for you”  because they supposedly contain more good nutrients and fewer bad ones.  This program is about marketing processed foods and I wouldn’t ordinarily take it seriously except that several nutrition professional associations are involved in this program and the American Society of Nutrition is managing it.  In effect, this means that nutritionists are endorsing products that bear the Smart Choices logo.

So what products are nutritionists endorsing?  I went grocery shopping last week and bought my first Smart Choice product: Froot Loops!

Look for the check mark in the upper right of the package.  Frosted Flakes also qualifies for this logo, and do take a look at what else is on the approved list.

A close look a the Nutrition Facts label of Froot Loops shows that it has 12 grams of added sugars in a 110-calorie serving.  That’s 44% of the calories (12 times 4 calories per gram divided by 110).  The usual program maximum for sugar is 25% of calories but it makes an exception for sugary breakfast cereals.  Note that the fiber content is less than one gram per serving, which makes this an especially low-fiber cereal.

OK.  I understand that companies want to market their processed foods, but I cannot understand why nutrition societies thought it would be a good idea to get involved with this marketing scheme.  It isn’t.  The American Society of Nutrition gets paid to manage this program.  It should not be doing this.

But, you may well ask, where is the FDA in regulating what goes on package labels?

Good news: I am happy to report that our new FDA is on the job!  FDA officials have written a letter to the manager of the program.  Although the letter is worded gently, I interpret its language as putting the program on high alert:

FDA and FSIS would be concerned if any FOP [Front of Package] labeling systems used criteria that were not stringent enough to protect consumers against misleading claims; were inconsistent with the Dietary Guidelines for Americans; or had the effect of encouraging consumers to choose highly processed foods and refined grains instead of fruits, vegetables, and whole grains [my emphasis].

Update August 25: I received an interesting e-mail message from a member of the Keystone group that developed the Smart Choices program.  The message confirms that this program is a scheme to make junk foods look healthy.  It says:

Glad to see your posting about Froot Loops! The negotiations over criteria were interesting. Lots of good debate on various points, but when the companies put their foot down, that was it; end of discussion. And sugar in cereals was one such point. Others included the non-necessity for breads, etc. to contain half or more whole grains and the acceptance of fortification to meet the nutrient requirement.

In other words, some people in the group argued that breads needed to contain at least half a serving of whole grains to quality and that added vitamins and minerals should not count toward qualification.  Too bad for them.  I guess the companies put down feet.  But why didn’t they speak up then?  And why aren’t they speaking up now?

Mark Hegsted, who headed the USDA’s now-defunct Center for Human Nutrition in the Carter Administration, died in June at the age of 95.  He was one great guy.  Before USDA, he was on the faculty of the Harvard School of Public Health, where he was famous for studies on how different types of fats affected blood cholesterol levels (the Hegsted equation) and on the epidemiology of calcium and osteoporosis.  These, counter-intuitively, showed that populations with the highest intakes of calcium and dairy products had the highest rates of osteoporosis.  At USDA, he dealt with now historical documents in nutrition history: the 1977 Dietary Goals for the United States and the 1980 Dietary Guidelines.  When President Reagan came into office in 1980, he was immediately fired from his director’s position and relegated to an office in USDA”s version of Siberia.

The New York Times published an obituary, and Harvard University sent out a press release.

I learned about his death from his son, who wrote on June 21:

Dear Friends,

My Dad, David Mark Hegsted, passed away on Tuesday, June 16, 2009 in Westwood, MA, after a brief illness.  He was 95.

For those of you who did not know him, he was born in Rexburg, Idaho in 1914, studied at the University of Idaho and received his Doctorate in Biochemistry from the University of Wisconsin at Madison.  He was one of the first two Professors of Nutrition appointed in 1942 at the Harvard School of Public Health and had a long and distinguished career there.  He authored dozens of scientific papers, traveled all over the world and received many awards from colleagues in his field.  During the Carter administration he headed the U.S. government’s newly created Center for Human Nutrition in Washington, DC and published the first “Dietary Guidelines for Americans”.

More importantly, he was a good and gracious man who will be remembered fondly by all who knew him.  In his later years he especially enjoyed playing bridge and working in his garden at Fox Hill and was a faithful follower of the Boston Red Sox.  He is survived by my family in the Yukon, and his granddaughter Camilla Franck and great-granddaughter Sarah Hespe of New York City.  My mother, Maxine, and my sister, Christina, predeceased him.

It was great for both of us that I could be with him so much during this last phase of his life.  Please take a moment to remember this special man.

Best,
Eric

About five years ago, I went to visit Mark Hegsted in his retirement home outside Boston.  I brought along a tape recorder.  Here is the transcript of our interview.

Henry Blackburn at the University of Minnesota has been collecting historical documents about the history of heart disease prevention.  This includes Mark Hegsted’s personal account of the history of the Dietary Guidelines for Americans.  For anyone interested in the history of nutrition in the United States, this is invaluable information.

I’m glad I got to know him, even so late.

Over the weekend, I received a letter from the American Society of Nutrition (ASN) nominating me to join the Board of Directors of the Smart Choices program.  Smart Choices, you may recall from my previous posts on this program as well as on other such systems, is a food industry-initiated plan to put a check mark – a stamp of approval – on processed food products that meet certain nutritional criteria.  Apparently, the ASN Board agreed to administer (and, implicitly, endorse) this program without discussing the matter with the membership.  I think involvement of independent nutrition researchers with Smart Choices represents a conflict of interest and the ASN should not be involved in this effort.  Here is what I told Katrina Dunn, the ASN Program Coordinator:

Dear Katrina—

Thank you for inviting me to join the Board of Directors of the Smart Choices program.  I regret that I cannot accept.  Participating in Smart Choices represents a serious conflict of interest for nutrition educators who wish to maintain independence from the influence of the food industry on nutrition advice.

But participation also represents a serious conflict of interest for the American Society of Nutrition (ASN).  I am dismayed that the ASN—an organization devoted to the highest standards of nutrition research–is involved in this project.  I think the ASN should reconsider this involvement and withdraw immediately.

The ostensible purpose of Smart Choices is to guide the public to select more healthful foods.  I am unaware of a research basis indicating that the program is likely to succeed in this goal.

Evidence does, however, support two additional goals of the program.  The first is to provide a basis for marketing highly processed food products.  I think we would all agree that highly processed foods are, in general, demonstrably nutritionally inferior to whole or minimally processed foods.

The second is to stave off federal regulations requiring a traffic-light food rating system such as that in use in the United Kingdom.   Preliminary research indicates that consumers prefer this system to numerical scores and understand the colors to mean that they should choose green-lighted foods and avoid red-lighted foods.

The cut points selected for the Smart Choices program may meet criteria of the Dietary Guidelines, but their health benefits are debatable (the sodium cut point is particularly generous).  Surely, a great deal more research is needed before ASN directly or indirectly endorses specific processed foods simply because they meet arbitrary nutrient cut points.

These concerns all address questions of intellectual conflict of interest.  But I am also concerned about financial conflicts of interest.  If ASN receives payment for its endorsement and administration of this program, the organization—and its members—risk losing intellectual independence.

I appreciate the invitation but I believe the entire program is ill advised and I urge ASN to extricate as quickly as possible.

Sincerely yours,

Marion Nestle
Paulette Goddard Professor of Nutrition, Food Studies, and Public Health
New York University