With apologies for how silly this question might sound, Whitney Kimball of Hopes&Fears asked, “Is breakfast the most important meal of the day?”

Here’s what I told her:

The question isn’t silly at all, although I always laugh when I hear it. That is because I am publicly outed as not a breakfast eater—at least not first thing in the morning. I don’t usually start getting hungry until 11 or so and rarely eat before then. Coffee, yes. Solid food, later please. The idea that early eating is essential makes perfect sense for farm laborers and small children. Whether it matters for normal, sedentary adults is a different question.

Many—if not most—studies demonstrating that breakfast eaters are healthier and manage weight better than non-breakfast eaters were sponsored by Kellogg or other breakfast cereal companies whose businesses depend on people believing that breakfast means ready-to-eat cereal.  Independently funded studies tend to show that any eating pattern can promote health if it provides vegetables and fruits, balances calories, and does not include much junk food. For most people, when you eat matters far less than how much you eat.  If you wake up starving, by all means eat an early breakfast. If not, eat when you are hungry and don’t worry about it.   Kids who won’t have access to decent food in school may well be better off fed breakfast at home and surely will learn better if their stomachs aren’t growling.

The Wall Street Journal, hoping to generate some controversy, got me involved in a point/counterpoint about the Paleo Diet: “Is a Paleo diet healthy?”

It can be, but this is a point/counterpoint.  Hence, I took the position “NO: You Lose Too Much Pleasure for Dubious Benefits.”  

Here’s what I said:

Nutritionist that I am, the first questions I have about any diet are: What is it? Is the rationale behind it logical? And does it promote health?

A paleo diet is based on the premise that our genes govern what’s best for us to eat. We evolved to eat whatever could be hunted or gathered. This makes it OK to eat leaves, shoots, roots, seeds, eggs, animals, birds and fish, but not OK to eat grains, legumes, dairy or processed foods.

Why do paleo proponents think the ills of modern society stem from a mismatch between our genetics and today’s typical diets? The cave men, some argue, didn’t suffer from diseases such as obesity, heart disease and diabetes.

The problem with that theory is that we really don’t know what our Paleolithic ancestors ate. As I often argue, determining what people eat is the single most intellectually challenging question in nutrition science. It is extraordinarily difficult to get an accurate idea of what people ate yesterday, let alone 10,000 to a million or more years ago.

In reality, scientists are nowhere near being able to match genes to specific kinds of diets. The reason cave men didn’t have chronic diseases like diabetes is more likely because they didn’t live long enough and lacked antibiotics, rather than because they didn’t eat carbohydrates.

Variety is key

What we know for sure is that the fundamental tenets of nutrition are variety, balance and moderation. The fewer kinds of foods consumed, the greater the chance of nutrient deficiencies. So while it is certainly possible to eat healthfully on a paleo diet, restricting whole groups of relatively unprocessed foods can make this more challenging. It also can take some of the joy out of eating by forcing people to give up foods that they love or that are part of their cultural heritage.

While there is no doubt that highly processed “junk” foods are unhealthy and should be kept to a minimum, grains and legumes are hardly the enemy. Diets that vary enormously—from the traditional high carbohydrate, rice-based cuisines of Asia to those of the Mediterranean rich in grains and olive oil—have been shown to promote health and longevity.

Yes, grains contain glutens, and bread and pasta are caloric, but such foods are also delicious and part of traditional diets in nearly every culture. Yes, legumes contain unpleasant phytochemicals, but these are mostly destroyed by cooking, and beans and peas are excellent sources of vegetable protein. If you eat foods from animal sources, why restrict dairy? Cheese and yogurt are lovely foods, and I, for one, cannot imagine life without an occasional serving of ice cream.

Eating less works

Any restrictive diet helps to reduce calorie intake, so it isn’t surprising that there are studies linking paleo to weight loss, lower blood sugar and a reduced risk of cancers for which obesity is a risk factor. Eating less works every time.

So does eating a largely plant-based diet. Research suggests that we can reduce risks for today’s diseases of affluence by eating more foods from plant sources and balancing calorie intake with expenditure. To the extent the paleo diet achieves these goals, it is a reasonable choice.

But food is so much more than bundles of nutrients. What we eat also nourishes us psychologically and culturally. So while a paleo diet isn’t necessarily bad, why bother? I’d be sad to miss all those delicious forbidden foods.

I signed an today’s ad in the New York Times to encourage support for considering sustainability in the 2015 Dietary Guidelines.

We need health policies that consider agriculture and agricultural policies that consider health.

Here are:

• The  press release
• A fact sheet about the dietary guidelines
• Fact sheet on environmental impact of industrial food animal production

• ‘Big Food’: taking a critical perspective on a global public health problem, by Simon N. Williams & Marion Nestle. 

• The transitional dynamics of caloric ecosystems: changes in the food supply around the world, by Sanjay Basu.
• Big Food without big diets? Food regimes and Kenyan diets, by K. O’Neill.
• Density of outdoor food and beverage advertising around schools in Ulaanbaatar (Mongolia) and Manila (The Philippines) and implications for policy, by Bridget Kelly, Lesley King, Batjargal Jamiyan, Nyamragchaa Chimedtseren, Bolorchimeg Bold, Victoria M. Medina, Sarah J. De los Reyes, Nichel V. Marquez, Anna Christine P. Rome, Ariane Margareth O. Cabanes,John Juliard Go, Tsogzolmaa Bayandorj, Marie Clem B. Carlos & Cherian Varghese. 
• Snack food advertising in stores around public schools in Guatemala, by Violeta Chacon, Paola Letona, Eduardo Villamor & Joaquin Barnoya.  
• Comparison of food industry policies and commitments on marketing to children and product (re)formulation in Australia, New Zealand and Fiji, by Gary Sacks, Melissa Mialon, Stefanie Vandevijvere, Helen Trevena, Wendy Snowdon, Michelle Crino & Boyd Swinburn.  
• Encouraging big food to do the right thing for children’s health: a case study on using research to improve marketing of sugary cereals, by Jennifer L. Harris, Megan E. LoDolce & Marlene B. Schwartz.  
• Big Soda’s long shadow: news coverage of local proposals to tax sugar-sweetened beverages in Richmond, El Monte and Telluride.  Laura Nixon, Pamela Mejia, Andrew Cheyne & Lori Dorfman.  

Commentaries

• Big Food’ and ‘gamified’ products: promotion, packaging, and the promise of fun, by Charlene Elliott.
• Food as pharma: marketing nutraceuticals to India’s rural poor, by Alice Street.

Thanks to Simon Williams for initiating (and doing the heavy lifting on) this project, and to all the terrific contributors.

Enjoy!

The WHO’s International Agency for Research on Cancer (IARC) has just published a report from 17 experts from 11 countries who concluded that glyphosate (“Roundup”) is “probably carcinogenic to humans.”

The IARC Working Group found evidence that

Case-control studies of occupational exposure in the USA, Canada, and Sweden reported increased risks for non-Hodgkin lymphoma that persisted after adjustment for other pesticides…In male CD-1 mice, glyphosate induced a positive trend in the incidence of a rare tumour, renal tubule carcinoma. A second study reported a positive trend for haemangiosarcoma in male mice.  Glyphosate increased pancreatic islet-cell adenoma in male rats in two studies. A glyphosate formulation promoted skin tumours in an initiation-promotion study in mice.

Glyphosate has been detected in the blood and urine of agricultural workers, indicating absorption. Soil microbes degrade glyphosate to aminomethylphosphoric acid (AMPA). Blood AMPA detection after poisonings suggests intestinal microbial metabolism in humans. Glyphosate and glyphosate formulations induced DNA and chromosomal damage in mammals, and in human and animal cells in vitro. One study reported increases in blood markers of chromosomal damage (micronuclei) in residents of several communities after spraying of glyphosate formulations. Bacterial mutagenesis tests were negative. Glyphosate, glyphosate formulations, and AMPA induced oxidative stress in rodents and in vitro.

Organophosphate pesticides and herbicides have long been known to be toxic to mammals, but experts have been undecided about whether they cause cancer.

Glyphosate is the herbicide used in conjunction with glyphosate-resistant genetically modified crops.  These are widely planted in the United States (HT means herbicide tolerant).

In addition to causing widespread selection of resistant weeds, glyphosate may also cause cancer.

Add this to the list of scientific reasons for concern about widespread production of GMO crops.  Roundup is used on plants other than GMOs, but GMO corn, cotton, and soybeans use the most.

Note: The FDA has just approved new varieties of GMO apples and potatoes.  These do not use Roundup.

Next: watch Monsanto, the maker of Roundup, attempt to cast doubt on IARC’s scientific judgment.

Addition, March 22:  As an example of the level of the general discussion of GMOs and glyphosate, see this short video clip from French TV (in English) with Patrick Moore.  Mr. Moore, a former director of Greenpeace, has controversial views on climate change and GMOs.

Additions, March 23:

DTN/The Progressive Farmer quotes a Biotechnology Industry Organization representative as pointing out that IARC took the Séralini study seriously, immediately casting doubt on the quality of its literature review (but I can’t find any mention of this study in the IARC report).

Center for Science in the Public Interest urges the EPA to take this seriously.

Consumer Reports is concerned about the vast amounts of glyphosate used and thinks the government should monitor it.

Kiera Butler.  Raise: What 4-H Teaches 7 Million Kids & How its Lessons Could Change Food & Farming Forever.  University of California Press, 2014.

Kiera Butler usually writes for Mother Jones (her latest is about how McDonald’s markets to kids) but this time took on an investigative reporter’s immersion into the world of 4-H, the venerable youth-mentoring program aimed at “growing confident kids.”

Although the program’s website says “4-H is the youth development program of our nation’s Cooperative Extension System & USDA,” you have to look hard to see how it relates to its farming origins.

Butler follows several individual 4-H members, young teenagers, who are deeply engaged in raising and showing animals at county fairs.  She follows their experiences for a year and observes their demonstrable growth in skills, confidence, and the handling of disappointment.  These are the impressive accomplishments of this program.

But she is also well aware of the many contradictions of 4-H: the high cost of participation, its lack of racial and ethnic diversity, its promotion of the values of industrial agriculture, the divide between urban and rural members, and the surprising lack of attention to what agriculture is about and its importance to the economy and society.

Her conclusion: 4-H needs to be challenged to promote critical thinking about agriculture.

Raise is a good read and is thoroughly convincing about the need for such thinking.

Thanks to my NYU colleague Marie Bragg for sending this along.  She particularly likes the reflection of the school bus passing by.

In case you can’t read it, it says: “Hospital Employees receive 10% off.  Must show valid hospital i.d.”

Don’t miss the heart monitor line in the middle.

My e-mail inbox is filled with items about the Academy of Nutrition and Dietetics (AND, formerly the American Dietetic Association).  Its “seal of approval” on Kraft cheese singles (as discussed in an earlier post) was embarrassing—so embarrassing that it was discussed by Jon Stewart: “The Academy is an Academy in the same way this [Kraft Singles] is cheese” (the clip starts at 4:37).

The Onion also had some fun with this.

But now there is even more about how food companies buy the opinions of dietitians.

Candice Choi writes about how Coca-Cola pays dietitians to promote its drinks as healthy snacks (for an example of one of the paid posts, click here).  She explains that the dietitians

wrote online posts for American Heart Month, with each including a mini-can of Coke or soda as a snack idea. The pieces — which appeared on nutrition blogs and other sites including those of major newspapers — offer a window into the many ways food companies work behind the scenes to cast their products in a positive light, often with the help of third parties who are seen as trusted authorities.

Ms. Choi quotes a Coca-Cola spokesman:

“We have a network of dietitians we work with,” said Sheidler, who declined to say how much the company pays experts. “Every big brand works with bloggers or has paid talent.”

Other companies including Kellogg and General Mills have used strategies like providing continuing education classes for dietitians, funding studies that burnish the nutritional images of their products and offering newsletters for health experts. PepsiCo Inc. has also worked with dietitians who suggest its Frito-Lay and Tostito chips in local TV segments on healthy eating.

These are individual actions.  But at last the dietetic membership is objecting to the Academy’s partnership with Kraft.

1. They have started a Change.org petition to #RepealTheSeal.
2. The President of the New York State AND chapter (NYSAND), Molly Morgan, sent out a note in support of the petition.

Thank you to the many of you that have expressed your concern and disappointment about the Academy of Nutrition and Dietetics partnership with Kraft. This issue has been reviewed carefully by the NYSAND Board of Directors and the entire board is in support of actively taking steps to share our members concerns. Below are the action steps that NYSAND is taking:

–       Last week (March 11, 2015) the NYSAND Sponsorship Task Force recommendations were received and yesterday (March 16, 2015) at the March NYSAND Board of Directors meeting the Sponsorship Task Force recommendations were reviewed. Please stay tuned for more updates and note that a motion will be forth coming this week for the board to take the next step in addressing sponsorship for NYSAND.

–       Today (March 17, 2015) a letter was sent to the Academy president and emailed to several Academy leaders expressing the views that our members have shared and that as an Affiliate we are not comfortable responding with the talking points provided by the Academy on this issue.

–       Dietitians have started a petition, “Repeal the Seal”; NYSAND will be sharing this on our Affiliate Facebook and Twitter pages and encourages all members who share the concern to sign the petition as well. CLICK HERE to sign the petition.

3.  The AND national CEO, Patricia M. Babjak, sent out this letter to members, also on March 17:

Let me begin by apologizing for the concerns caused by the education initiative with Kraft. The Academy and the Foundation are listening. As a member-driven organization, the Academy’s staff and leadership hear your concerns and welcome your input.

Unfortunately, recent news articles misstated a collaboration as a Kids Eat Right “endorsement” of Kraft Singles, and that it represents a “seal of approval” from Kids Eat Right, the Foundation, or the Academy. It is not an endorsement. It is not a seal of approval. We understand this distinction is of little consequence to many Academy members who are concerned with the perception. We are working on a solution.

In addition, we are working to establish a joint, member-driven Member Advisory Panel. This Panel will work closely with both Boards to:

• Establish dialogue with members
• Gather input and give feedback on member issues
• Make specific recommendations

Recognizing sponsorship as a significant issue of concern among members, the House of Delegates leadership team, who also serve on the Board of Directors, scheduled a dialogue on sponsorship for the upcoming virtual House of Delegates meeting, May 3. We encourage all members to reach out to your delegates and share your thoughts on the benefits of, concerns about and suggestions for the sponsorship program. The Academy and Foundation Boards are looking forward to your input.

Applause to members who are speaking out.

As I said in an interview with TakePart:

The food companies have learned from tobacco and drugs and other industries like that how to play this game…Let’s confuse the science, let’s cast doubt on the science, let’s shoot the messenger, let’s sow confusion.

But since everyone has to eat, the food industry has been given a pass on its pay-to-play practices….

The capital N news…is that dietitians are fighting back at last.

I hope they join Dietitians for Professional Integrity and insist that the leadership respond to their concerns.

Addition: A dietitian sends this communication from the Executive Board of the California Dietetic Association to members about the Kraft situation:

We would like to direct your attention to what the California Dietetic Association (CDA) has done to address our own issues surrounding sponsorship. We heard your concerns regarding CDA Annual Conference sponsorship and we have listened. We voted and McDonalds was not invited as a sponsor in 2015. This decision has impacted our finances; however, we believe it was important to respond to our member feedback. In addition, an ad hoc committee approved by the CDA executive board, reevaluated the sponsorship guidelines. The new sponsorship policy will be posted soon on www.dietitian.org.