by Marion Nestle

Search results: a life in food

Dec 12 2022

Industry-funded study of the week: Headline vs. Study

As regular readers know, I subscribe to the weekly newsletter, Obesity and Energetics Offerings, and particularly enjoy its section on Headline vs Study.

Here’s a particularly amusing example, which right away triggers my question: Who paid for this?

Headline vs Study

Let’s take a look.

Headline: Snacking on Almonds Can Help People Reduce Calorie Intake: Study.

A handful of almonds may be the latest weight loss hack, new research suggests.

new study from the University of South Australia found that eating 30 to 50 grams of almonds could regulate appetite, leading to less calories consumed each day.

The research, which examined both the hormones that regulate appetite and how almonds could aid in controlling hunger, discovered that the consumption of the nut ultimately led to about 300 fewer calories [sic*]consumed at the following meal.

Press Release: Believe It or ‘Nut’, Almonds Can Help You Cut Calories, Study Finds.

Examining how almonds can affect appetite, researchers found that a snack of 30-50 grams of almonds could help people cut back on the number of kilojoules they consume each day.

Published in the European Journal of Nutrition, the study found that people who consumed almonds — as opposed to an energy-equivalent carbohydrate snack — lowered their energy intake by 300 kilojoules (most of which came from junk food) at the subsequent meal.

Study:  Acute feeding with almonds compared to a carbohydrate-based snack improves appetite-regulating hormones with no effect on self-reported appetite sensations: a randomised controlled trial. Carter, S., Hill, A.M., Buckley, J.D. et al.Eur J Nutr (2022). https://doi.org/10.1007/s00394-022-03027-2

Results: “…Cholecystokinin, ghrelin, glucagon-like peptide-1, leptin and polypeptide YY AUCs were not different between groups. Self-reported appetite ratings and energy intake following the buffet did not differ between groups.”

Conclusion: “More favourable appetite-regulating hormone responses to AL did not translate into better self-reported appetite or reduced short-term energy consumption. Future studies should investigate implications for longer term appetite regulation.”

Funding: “This work was funded by the Almond Board of California. This funding source had no role in the design of this study or the analysis and interpretation of the data.”

Conflict of interest: “AMC has consulted for Nuts for Life (an initiative of the Australian Tree Nut Industry). S-YT has previously been involved in studies funded by the Californian Walnut Commission. AMC, JDB and S-YT have previously been involved in studies funded by International Nut and Dried Fruit Council.”

*Comment: How could the headline get it so wrong?  The authors write: “Although not significant, the AL group consumed 300 kJ less energy in the meal challenge than the SB group, 270 kJ of which came from discretionary foods, which may be a clinically important benefit in weight management.”  The sic partly explains the problem.  The 300 refers to kilojoules (kj), not calories.  300 kj = 72 calories, not 300.  No wonder the result wasn’t statistically significant.

But the press release and resulting headline explain why the nut industry funds studies like this.  Even when the result shows no difference, the PR people can spin the data to produce the expected favorable result.

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Dec 5 2022

Industry funded studies of the week: meat!

The meat industry is hard at work these days to overcome concerns about the effect of high-meat diets on health and the climate.  Here are two recent examples.

I.  Early Life Beef Consumption Patterns Are Related to Cognitive Outcomes at 1-5 Years of Age: An Exploratory StudyVictoria C WilkMichelle K McGuireAnnie J Roe.  Nutrients.  2022 Oct 26;14(21):4497.   doi: 10.3390/nu14214497.

  • Conclusion: Higher intake of beef…at 6-12 months was associated with better attention and inhibitory control at 3-5 years of age. These findings support the role of beef as an early food for cognitive development, although controlled dietary intervention studies are needed.
  • Funding: This research was funded by the Idaho Beef Council, grant number AL5329 AL5544.

II. Approximately Half of Total Protein Intake by Adults Must be Animal-Based to Meet Nonprotein, Nutrient-Based Recommendations, With Variations Due to Age and Sex.  Florent Vieux, Didier Rémond, Jean-Louis Peyraud, Nicole Darmon.  The Journal of Nutrition, Volume 152, Issue 11, November 2022, Pages 2514–2525, https://doi.org/10.1093/jn/nxac150

  • Background: Shifting towards a more plant-based diet, as promoted in Western countries, will reduce the animal protein contribution to total proteins. Such a reduction may not only impair protein adequacy, but also the adequacy in other nutrients.
  • Conclusions: “this study showed that for this French adult population, the lowest animal protein contributions to total proteins that are compatible with nutritional adequacy, affordability, and eating habits vary from 45% to 60%, depending on age and sex, with the highest contributions needed for older populations and young women.”
  • Funding: “MS-Nutrition and MoISA received financial support from the French National Interprofessional Association of Livestock and Meat (Interbev)…Interbev had no role in the design, implementation, analysis, or interpretation of the data.”
  • Author disclosures: “The authors report no conflicts of interest.”

Comment: These are classic examples of article titles that make me immediately ask: Who paid for this?   Bingo!   They are also classic examples of studies with conclusions that can easily be predicted if you know who funded them.  The authors may believe that they have no conflicts of interest but it sure looks like they do.

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Nov 21 2022

Industry-funded study of the week: Unprocessed red meat is good for you

My theme for this week is meat, poultry, and their alternatives, starting today with this:

The study: Unprocessed red meat in the dietary treatment of obesity: a randomized controlled trial of beef supplementation during weight maintenance after successful weight lossFaidon Magkos, Sidse I Rasmussen, Mads F Hjorth, Sarah Asping, Maria I Rosenkrans, Anders M Sjödin, Arne V Astrup, Nina R W Geiker.  The American Journal of Clinical Nutrition, nqac152, https://doi.org/10.1093/ajcn/nqac152.  

Objectives: “We sought to investigate the effects of healthy diets that include small or large amounts of red meat on the maintenance of lost weight after successful weight loss….”

Conclusions: “Healthy diets consumed ad libitum that contain a little or a lot of unprocessed beef have similar effects on body weight, energy metabolism, and cardiovascular risk factors during the first 3 mo after clinically significant rapid weight loss.”

Funding: “The study was supported by The Beef Checkoff (a program of the National Cattlemen’s Beef Association, CO, USA) and the Danish Agriculture & Food Council (Copenhagen, Denmark). Lighter Life (Essex, UK) sponsored very-low-calorie diet products for the weight-loss phase of the study. The sponsors had no role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the article for publication.”
Conflicts of interest: NRWG has received funding from The Beef Checkoff program (National Cattlemen’s Beef Association, CO, USA) and the Danish Agriculture & Food Council (Copenhagen, Denmark) to conduct additional studies relevant to the role of meat in the diet. AVA is a member of the scientific advisory board for Weight Watchers, USA…All other authors report no conflicts of interest.
Comment:  The beef industry is worried about all those dietary recommendations calling for less red meat, for reasons of human and planetary health.  The more studies it can produce that cast doubt on those linkages, the more doubt it can raise about the health impact of red meat.  This study contributes to that effort.

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Nov 17 2022

Hyping research: coffee

I always appreciate the Headline vs. Study sections of the Obesity and Energetics newsletter that arrives in my email once a week.

This one concerns coffee.  It amuses me that researchers are always trying to prove either that coffee is a superfood or that it is poison.

It’s neither, but never mind.  The research is fun to track.

Headline: Coffee Lowers Risk of Heart Problems and Early Death, Study Says, Especially Ground and Caffeinated.

Researchers found “significant reductions” in the risk for coronary heart disease, congestive heart failure and stroke for all three types of coffee. However, only ground and instant coffee with caffeine reduced the risk for an irregular heartbeat called arrhythmia. Decaffeinated coffee did not lower that risk, according to the study published Wednesday in the European Journal of Preventive Cardiology.

Press-Release: Coffee Drinking Is Associated with Increased Longevity.

Study: Self-Reported Coffee Consumption in the UK Biobank… Again. Causation Not Established.

Drinking two to three cups of coffee a day is linked with a longer lifespan and lower risk of cardiovascular disease compared with avoiding coffee, according to research published today in the European Journal of Preventive Cardiology, a journal of the ESC.1 The findings applied to ground, instant and decaffeinated varieties.

Headline vs Study Déjà Vu: For More Coffee in the UK Biobank Headlines, See Headline vs Study from July 30, 2021.

And just for fun, here’s the Washington Post’s adorable interactive comparison of the relative benefits of coffee vs. tea.

My view?  Drink whichever you like, don’t worry, be happy, enjoy!

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Nov 2 2022

Some good news for school meals

TODAY: San Francisco, Omnivore Books on Food, 3885 Cesar Chavez at Church.  Information is here.

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I was happy to see this press release from the USDA: Biden-Harris Administration Invests $80 Million to Improve Nutrition in School.

School districts can use the funds to purchase upgraded equipment that will support:

  • Serving healthier meals, including those sourced from local foods;
  • Implementing scratch cooking;
  • Establishing or expanding school breakfast;
  • Storing fresh food;
  • Improving food safety.

This adds to what this administration is already doing for school meals.  It’s an impressive list.

What’s next?  Universal school meals, please.

School Year 2022-2023 USDA Support for School Meals infographic

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Nov 1 2022

Industry-funded research proposal of the week: Sweeteners

TODAY: KPFA book talk in Berkeley.  The Back Room, 1984 Bonita Avenue, 7:00 pm.  Ticketing info is here.

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Jim Krieger, who I will see in Seattle on Saturday, sent this one.

The study: Protocol for a multicentre, parallel, randomised, controlled trial on the effect of sweeteners and sweetness enhancers on health, obesity and safety in overweight adults and children: the SWEET project.  Louise Kjølbæk 1Yannis Manios 2 3Ellen E Blaak 4J Alfredo Martínez 5 6Edith J M Feskens 7Graham Finlayson 8Sabina S H Andersen 9Kyriakos Reppas 2Santiago Navas-Carretero 5 10Tanja C Adam 11Charo E Hodgkins 12Marta Del Álamo 13Tony Lam 14Hariklia Moshoyiannis 15Jason C G Halford 8 16Joanne A Harrold 16Anne Raben 9 17  BMJ Open.  2022 Oct 12;12(10):e061075.   doi: 10.1136/bmjopen-2022-061075.

Purpose: “The aim of this randomised controlled trial (RCT) is to investigate whether prolonged consumption of sweeteners and sweetness enhancers (S&SEs) within a healthy diet will improve weight loss maintenance and obesity-related risk factors and affect safety markers compared with sugar.”

Competing interests: “AR has received honoraria from Unilever and the International Sweeteners Association. CEH’s research centre provides consultancy to, and has received travel funds to present research results from organisations supported by food and drink companies. JCGH and JH have received project funds from the American Beverage Association. TL works for a company, NetUnion sarl, which has no conflict of interest in the study outcome.”

Comment: This is the official announcement of the research and analysis methods for a new clinical trial.  Once the study gets going, it will take a year to get the results.  It looks like the trial will be comparing the effects of artificial sweeteners and sugar on body weight and other markers.  It is sponsored by a company that makes artificial sweeteners and a trade association for the makers and users of artificial sweeteners.  Want to take bets on what the results will look like?

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Oct 24 2022

Industry-funded study of the week: Pistachios

I haven’t posted anything about pistachio industry conflicts of interest since 2019 so it’s time for another one.

Here’s a press release sent to me by a reader, Matthew Kadey:

NEW STUDY REVEALS PISTACHIOS ARE AN ANTIOXIDANT POWERHOUSE…Antioxidant-rich foods are regularly encouraged as part of a healthy lifestyle, and research suggests that a diet high in antioxidants may even help to reduce the risk of death.1 While certain fruits and vegetables are often thought of as high-antioxidant foods, a new study conducted by Cornell University and published in the journal, Nutrients, produced surprising results2. Pistachios have a very high antioxidant capacity, among the highest when compared to values reported in research of many foods commonly known for their antioxidant capacity, such as blueberries, pomegranates, cherries, and beets.3,4,5  (I’ve posted the references at the end).

My first question, as always when I see a press release like this: Who paid for it?

The study: uan, Wang, Bisheng Zheng, Tong Li, and Rui Hai Liu. 2022. Quantification of Phytochemicals, Cellular Antioxidant Activities and Antiproliferative Activities of Raw and Roasted American Pistachios (Pistacia vera L). Nutrients 14, no. 15: 3002. https://doi.org/10.3390/nu14153002

Conclusion:  It is shown that the roasting of pistachios could produce a series of beneficial phytochemical changes, leading to enhanced biological activity. Pistachios are a nutrient-dense food containing a unique profile of good-quality protein, fats, minerals, vitamins, and antioxidants, such as carotenoids and polyphenols, with cellular antioxidant activity. Dietary Guidelines for Americans 2020–2025 suggested including nuts as a health dietary pattern. Further research on antiproliferative activity and mechanisms of action of free-form extracts of roasted pistachios, and more biological activities related cellular antioxidant activity and oxidative stress, are worthy of further investigation.

 

Funding: This study was partially supported by Innovative Leading Talents Project of Guangzhou Development Zone and 111 Project: B17018, Cornell China Center, and American Pistachio Growers: 2021-09.

Conflicts of Interest: The authors declare no conflict of interest.

Comment: Roasted pistachios are healthy?  No surprise here.  Further research needed?  Also no surprise.  This is another example of an industry-funded study with unimpressive results but plenty of interpretation bias, along with the usual contention that industry funding does not induce conflicts of interest.  Alas, it does.

References to the press release paragraph

1 Jayedi A, Rashidy-Pour A, Parohan M, Zargar MS, Shab-Bidar S. Dietary Antioxidants, Circulating Antioxidant Concentrations, Total Antioxidant Capacity, and Risk of All-Cause Mortality: A Systematic Review and Dose-Response Meta-Analysis of Prospective Observational Studies. Adv Nutr. 2018 Nov 1;9(6):701-716. doi: 10.1093/advances/nmy040. PMID: 30239557; PMCID: PMC6247336.
2 Yuan W, Zheng B, Li T, Liu RH. Quantification of Phytochemicals, Cellular Antioxidant Activities and Antiproliferative Activities of Raw and Roasted American Pistachios (Pistacia vera L.). Nutrients. 2022; 14(15):3002. https://doi.org/10.3390/nu14153002
3 Wolfe KL, et al. Cellular Antioxidant Activity (CAA) Assay for Assessing Antioxidants, Foods, and Dietary Supplements. J Agric. Food Chem. 2007, 55, 8896–8907.
4 Song W, et al. Cellular Antioxidant Activity of Common Vegetables. J. Agric. Food Chem. 2010, 58, 6621–6629. DOI:10.1021/jf9035832
5 Wolfe, K., Kang, X., He, X., Dong, M., Zhang, Q., and Liu, R.H. Cellular antioxidant activity of common fruits. J. Agric. Food Chem. 56 (18): 8418-8426, 2008.

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Oct 12 2022

The FDA under siege

My book talk today:  Online with NYU’s Fales Library in conversation with Clark Wolf.  5:00-6:00 p.m.  Registration is HERE.

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The FDA has come under heavy criticism this year for its failure to handle the infant formula crisis adequately and for its internal disorganization and lack of leadership.

To deal with this, the FDA commissioned the Reagan Udall Foundation for the FDA to do an operational evaluation of its human foods and tobacco programs.  This Foundation is “an independent 501(c)(3) organization created by Congress ‘to advance the mission of the FDA to modernize medical, veterinary, food, food ingredient, and cosmetic product development, accelerate innovation, and enhance product safety.’”

As announced on July 19, 2022, the Reagan-Udall Foundation will facilitate, via two Independent Expert Panels, operational evaluations of FDA’s human foods and tobacco programs. Each evaluation will yield a report with operational recommendations to the FDA: one for human foods and the other for tobacco. Each evaluation, and therefore report delivery, is on its own 60-business-day timeline. Both reports will be delivered to the FDA Commissioner and made available to the public.

The Foundation began its work by

The two-day hearings were held right after the White House Conference on Hunger.  Videos are posted on YouTube

As far as I can tell, no reporter covered these hearings except for Helena Bottemiller Evich at Food Fix, which is what makes her newsletter an invaluable resource and essential to subscribe to (at least for me).

Her overview:

Wow, were people honest in their assessment of shortfalls at the agency.

There was a strong consensus among the nearly three-dozen experts who spoke that things are not working very well and serious changes are needed. The panel got an earful about problems with leadership structure, culture, inadequate funding and staffing, poor oversight of inspections and a lack of responsiveness to the public and Capitol Hill – as well as plenty of complaints about how painfully long it takes to get anything done.

If all of this sounds familiar, that’s because it is. I’m sure you are all tired of me referencing this, but I did an investigative piece on FDA earlier this year, based on more than 50 interviews, that found many of the same things.

Her piece goes into the details.  Subscribe and you can read them.

More complaints

  • One criticism of this entire procedure is that the Center for Veterinary Medicine (CVM) was excluded from the review.  This is a serious oversight, as noted by a letter from several groups to the FDA.
  • Senator Richard Burr says in a letter to the FDA that he won’t support funding until the agency cleans up its ac

We only have one food supply: it serves people and animals inextricably (an issue discussed in my books Feed Your Pet Right and Pet Food Politics).

In the meantime I want to know:  Why aren’t more journalists covering this issue?

The FDA is responsible for regulating the safety and health of 80% of the foods we eat.  If we want foods to be safe and healthy, we need a strong, vigilant FDA willing to stand up to lobbying and industry pressure.

This needs press attention.

The Reagan Udall Foundation has to issue reports within the next couple of months.  Let’s see how well those reports reflect what was said at the hearings.

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