by Marion Nestle

Search results: food policy action

Nov 15 2011

Ketchup is a vegetable? Again?

Food Chemical News (FCN) reports today that the USDA has sent its final rules on nutrition standards for school lunches and breakfasts to the Office of Management and Budget for approval.  The final content of what got submitted is not known.

These rules, you may recall from previous posts, are based on recommendations of the Institute of Medicine in a 2009 report on School Meals.

Several of the USDA’s proposals for implementing these suggestions have elicited more than the usual level of fuss.  The most controversial:

  • Limits on starchy vegetables to two servings a week.  As I noted a few days ago, the Senate passed an amendment to the USDA’s appropriations bill to block any restrictions on potatoes.  Most observers think this means that unlimited potatoes will stay in the school meals.
  • Preventing tomato paste on pizza from counting as a vegetable.  According to FCN, language in the appropriations bill “also stipulates that tomato paste used to make pizzas can be counted toward the weekly total of vegetable servings.”

Does the Senate think this can pass the laugh test?

Historical note:  Remember when the Reagan administration proposed to allow ketchup to count as a vegetable in school meals:

An additional proposed change in crediting policy would allow vegetable and fruit concentrates to be credited on a single-strength reconstituted basis rather than on the basis of the actual volume as served.

For example, one tablespoon of tomato paste could be credited as 1/4 cup single-strength tomato juice.  Previously, it was only credited as 1 tablespoon, the volume as served (Federal Register 9-4-81).

Meaning ketchup!

The press had a field day.  The  ensuing bipartisan hilarity and what Nutrition Action (November 1981) called a “maelstorm of criticism from Congress, the press, and the public alike” induced the USDA to rescind the rules one month later.

  • The Washington Post (9-26-81) quoted the budget director’s comment that USDA “not only has egg on its face, but ketchup too.”
  • Republican Senator John Heinz (whose company owns Heinz ketchup) said “Ketchup is a condiment.  This is one of the most ridiculous regulations I ever heard of, and I suppose I need not add that I know something about ketchup and relish–or did at one time.”
  • The New York Times (9-28-81) noted that “Democrats are still chortling at what they hail as ‘the Emperor’s New Condiments’—the attempt to declare ketchup a school-lunch vegetable.”

Times have changed.  Senators used to have the health of American school children in mind.  Now, they undermine efforts by USDA to improve meals for kids.

The Senate’s action has nothing to do with public health and everything to do with political posturing and caving in to lobbyists.

The Senate should reconsider its actions.  The USDA should not back down on this one.

Additions, November 17: background documents and additional links

Sep 30 2011

Disappointing UN Declaration on chronic disease prevention

As I mentioned in a previous post, the United Nations General Assembly met this month to consider resolutions about doing something to address rising rates of “non-communicable” diseases (i.e., chronic as opposed to infectious diseases such as obesity-related coronary heart disease, type 2 diabetes, and cancers).

The Declaration adopted by the Assembly disappointed a consortium of 140 non-profit public health advocacy groups who issued a statement noting the conflicts of interest that occur when international agencies “partner” with companies that make products that contribute to an increase in disease risks.”

The consortium suggested actions that they hoped the U.N. would recommend, such as:

  • Realign food policies for food and agricultural subsidies with sound nutrition science
  • Mandate easy-to-understand front-of-pack nutrition labeling
  • Ban the promotion of breast-milk substitutes and high-fat, -sugar and -salt foods to children and young people
  • Prohibit advertising and brand sponsorship for alcohol beverages
  • Increase taxes on alcohol beverages
  • Expand nutritious school meal programs

The group also said that the U.N. should still work on:

  • Developing tools to navigate the trade law barriers to health policy innovation,
  •  Establishing disease-reduction targets and policy implementation schedules
  • Instituting mechanisms to keep commercially self-interested parties at arms-length and public-interest groups constructively involved

Food companies and trade associations are actively involved in lobbying the U.N. not to do any of these things.  This consortium has much work to do.


 

 

Jun 3 2011

Everybody loves MyPlate. Really?

I’ve been collecting public reactions to MyPlate, not least because I’m quoted in many of them.

The USDA collected supportive blurbs from a wide ranging group of supporters (mine among them)

Weight Watchers saluted the new icon in a full-page ad in the Washington Post

The Los Angeles Times covered it (I’m quoted)

The New York Times covered it (I’m quoted)

The Washington Post covered it (I’m quoted)

The Journal of the American Medical Association (JAMA) covered it (I’m quoted)

The New York Daily News covered it (I’m quoted)

The Des Moines Register covered it (I’m quoted)

USA Today covered it and published a photo of the plate with not-quite-fitting food models (I’m quoted)

ObamaFoodorama covered the many restrictions on using the plate (I’m quoted)

FoodNavigator.com covered it, focusing on the protein issue (I’m quoted)

Marian Burros wrote about it for Rodale (I’m not quoted).  She points out:

First of all, the complexities of good nutrition haven’t disappeared. You can find some of them at ChooseMyPlate.gov. And there are factors contributing to obesity—the unhealthy practices of the food industry, the presence of obesogens in the environment, an unsustainable food system to name a few—that won’t go away just because the pyramid is gone.

The American Heart Association supports it.

The American Dietetic Association supports it:

As we have in past years, the American Dietetic Association was deeply involved in the development of the 2010 Dietary Guidelines. And we will use the Guidelines and the new MyPlate to provide the unequalled advice and services of registered dietitians to individuals and communities alike.

Unsurprisingly, the produce industry loves it, according to The Packer and the trade association, United Fresh.

The meat industry spins it (MeatPoultry.com):

We are pleased that the new food icon unveiled today…affirms in a clear and simple fashion that protein is a critical component of a balanced, healthy diet….Lean meat and poultry products are some the most nutrient rich foods available, are excellent sources of complete protein, iron and zinc and maintain an excellent nutrition per calorie ratio.

Amber Healy of Food Chemical News (the site is only open to subscribers) has collected a bunch of food industry responses.  Here are some excerpts:

Jeane Wharton, executive director of the U.S. Dry Bean Council, couldn’t be more delighted with Thursday’s news.  “Beans are a great protein, and they’re also a vegetable,” says Wharton, who observes that her industry’s product benefits twice from the new image.

The American Bakers Association joined in with their praise of the plate, especially for grains “appropriately occupying a large portion on the dinner plate,” which shows that the agencies responsible for nutrition advice “are making a strong statement regarding the importance of grains as the foundation of a healthy lifestyle.

The National Dairy Council, National Milk Producers Federation, International Dairy Foods Association and Milk Processor Education Program (MilkPEP) also praise the new image in a statement released Thursday. While dairy isn’t included on the plate directly, the importance of dairy products in a healthy diet is clear, they say.

“Dairy foods are rightfully being recognized — from the school house to the White House — as an important part of everyone’s diet,” says Jerry Kozak, NMPF’s president and CEO. “USDA’s new icon, with a simple visual metaphor of a serving of dairy products alongside a plate, says it’s vital to consume three servings of low-fat and fat-free dairy foods every day.” [Really?  Vital?  That’s not how I read it.]

Last but not least, Andy Bellatti in his Small Bites blog and Melanie Warner on BNET provide excellent analyses of the disconnect between MyPlate recommendations and current agricultural policies—both coming from the same, historically schizophrenic USDA.

You think “schizophrenic” is too harsh?  The Physicians Committee for Responsible Medicine explains why agricultural policy needs a fix.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May 29 2011

MyPyramid R.I.P.

On May 26, the USDA announced that it will be releasing a new “food icon” to replace the foodless and useless 2005 MyPyramid:

 

The USDA’s press announcement explained:

The 2010 White House Child Obesity Task Force called for simple, actionable advice to equip consumers with information to help them make healthy food choices. As a result, USDA will be introducing the new food icon to replace the MyPyramid image as the government’s primary food group symbol. It will be an easy-to-understand visual cue to help consumers adopt healthy eating habits consistent with the 2010 Dietary Guidelines for Americans.

What will the new icon look like?  The USDA isn’t saying, but William Neuman of the New York Times did some sleuthing.  According to his account:

The circular plate, which will be unveiled Thursday, is meant to give consumers a fast, easily grasped reminder of the basics of a healthy diet. It consists of four colored sections, for fruits, vegetables, grains and protein, according to several people who have been briefed on the change. Beside the plate is a smaller circle for dairy, suggesting a glass of low-fat milk or perhaps a yogurt cup.

And WebMD scored an interview with Robert C. Post, PhD, deputy director of the USDA Center for Nutrition Policy and Promotion, who gave additional hints:

“There will be a ‘how-to’ that will resonate with individuals. That is the behavioral part that is needed. We need to transcend information — ‘here’s what the science says’ — and give people the tools and the opportunities to take action.”

He referred to six how-to messages to guide healthy eating that were released with the 2010 Dietary Guidelines, and which I enthusiastically posted when the Guidelines were released (I was disappointed that they weren’t actually part of the Guidelines):

Balancing Calories

• Enjoy your food, but eat less.

• Avoid oversized portions.

Foods to Increase

• Make half your plate fruits and vegetables.

• Switch to fat-free or low-fat (1%) milk.

Foods to Reduce

• Compare sodium in foods like soup, bread, and frozen meals—and choose the foods with lower numbers.

• Drink water instead of sugary drinks.

A bit of history:

From 1958 until 1979, the USDA’s food guide was sort of a rectangle illustrating four food groups: Dairy, meat, fruits and vegetables, breads and cereals.  In 1979, USDA introduced a highly controversial design with food groups stacked on top of each other, with the plant-food groups at the top and the animal-food groups underneath (the producers of these foods did not like that).

Beginning in 1980, the USDA conducted an extensive research project to develop a new design—the pyramid—which it released in 1991 and withdrew immediately under pressure from meat producers.

In 1992, after a year of extraordinary controversy (recounted in my book Food Politics), the USDA released its highly controversial Food Guide Pyramid.

 

Why was it controversial?  The food industry objected that the Pyramid make it look as if you were supposed to eat more foods from the bottom of the pyramid than the top (which, of course, was its point).

Nutritionists objected that it encouraged eating too many servings of grains and, therefore, encouraged obesity.

In 2005, the USDA replaced it with the unobjectionable MyPyramid.  The food industry liked this one because it did not indicate hierarchies in food choices.  Most nutritionists that I know hardly knew what to do with it.  It required going online and playing with a website, and was unteachable in clinic settings.

I thought the 1992 pyramid had a lot going for it, particularly the idea that it’s better to eat some foods than others.  But MyPyramid was a travesty–hopelessly complicated, impossible to teach, and requiring the use of a computer.

Given this situation, the new image is highly likely to be an improvement.  If the new icon keeps the hierarchy, conveys concepts easily, and does not require online access, I will consider it a great step forward.

Fingers crossed.

Details about the release:

The announcement will be Thursday, June 2, 10:30 a.m. EDT. It will be live-streamed at www.usda.gov/live.   All information will be posted at www.cnpp.usda.gov.

I’ll be there.  Stay tuned.

 

 

Balancing Calories• Enjoy your food, but eat less.

• Avoid oversized portions.

Foods to Increase

• Make half your plate fruits and vegetables.

• Switch to fat-free or low-fat (1%) milk.

Foods to Reduce

• Compare sodium in foods like soup, bread, and frozen meals—and choose the foods with lower numbers.

• Drink water instead of sugary drinks.

May 6 2011

AGree: “Can’t we just all get along?”

The title of this post is a quote from Steve Clapp’s article today in Food Chemical News about the unspoken message behind formation of a new group called AGree (Agriculture, Agree, get it?).  AGree, according to its gorgeous website, aims to “advance the well-being and prosperity of people in the United States and abroad by transforming food and agriculture policy.”

AGree is a bold new initiative designed to tackle long-term agricultural, food and rural policy issues. AGree has significant funding from eight of the world’s leading foundations for at least the next eight years…We also recognize the interconnected nature of agriculture policy globally and we seek to break down traditional silos and work across issue areas.

The funders? These are heavy hitters: Ford Foundation, Bill & Melinda Gates Foundation, The William & Flora Hewlett Foundation, The David and Lucile Packard Foundation, W.K. Kellogg Foundation, The McKnight Foundation, Rockefeller Foundation and The Walton Family Foundation.

Who is running the show? AGree is to be led by former Agriculture Secretary Dan Glickman; Gary Hirshberg, chairman and CEO of Stonyfield Farm; Jim Moseley, former USDA deputy secretary in the first Bush administration; and Emmy Simmons, former assistant administrator of the U.S. Agency for International Development (USAID).

What’s the plan? AGree will “Build bridges among groups that have not traditionally worked together…This approach is needed because policy reform efforts targeting the food and agriculture system have traditionally operated in many independent silos – governmental, political, stakeholder, geographic and substantive – that have made transformative change impossible.”

Steve Clapp quotes Dan Glickman saying that AGree is going to “operate outside the partisan political process” because “Food policy is too important to be left to the food industry.”

What are we to make of this? It’s much too soon to say but it reminds me of two previous efforts to forge consensus among stakeholders.

One is a group that I belong to called PAPSAC, which stands for Private and Public, Scientific, Academic, and Consumer Food Policy Group.  The group, organized by Ray Goldberg, has been meeting for about 15 years, first at the Harvard Business School and more recently at the Kennedy School.  The meeting brings together high level CEOs of food and agribusiness companies, government officials, people in business and public relations, academics, and advocates to exchange views in private.  Its original purpose was to try to find middle ground on controversial issues such as genetically modified foods.   But one of the unstated hopes was that consumer advocates would relent on opposition to GM foods.

The second example is the ill-fated Smart Choices.  This, you may recall, was an attempt of the Keystone Center to get food companies and academics to agree on common standards for front-of-package labeling.  When it became evident that food companies were calling the shots, the consumer advocates dropped out.  The result?  The Smart Choices logo appeared on Froot Loops and failed the laugh test.

The problem with attempts to build consensus is that the sides aren’t equal.  Agribusiness calls the shots or won’t play.

I’m curious to know how the leadership intends to proceed.  At the Future of Food meeting in Washington this week, Gary Hirshberg made it clear that he is a strong proponent of organic agriculture and strongly against GM.  I don’t see easy bridges between stakeholders with this particular issue, but maybe AGree will start with easier ones.

If I read between the lines correctly, AGree will convene meetings and produce policy papers.  The group seems to be steering clear of the 2012 Farm Bill until after it’s passed.

As with all such things, let’s wish the AGree leaders luck and give them a chance to see what they can do.

Apr 8 2011

How to get involved: the Farm Bill

When giving talks here and there, I am invariably asked how listeners can get involved in social and political action on food issues.

From the standpoint of personal responsibility, it’s easy: Vote with your fork!  Buy and eat according to your principles to the extent that you can.

But participating in democratic processes is also part of personal responsibility, and here is where things get more complicated.  Over the next week or so, I am going to post suggestions about how to get involved in a variety of food issues, starting with work on the 2012 Farm Bill, the legislation that governs everything having to do with agricultural policy in the United States—subsidies, water rights, organics, food assistance programs, and anything else you can think of.

I only am familiar with a few organizations gearing up to work on this bill:

If you know of others, please tell me about them in a comment.

Also: please mention groups advocating for better school food, limits on food marketing to children, and other food policy issues—groups that beginners might want to join.

Thanks!

Feb 1 2011

2010 Dietary Guidelines, deconstructed

I have now had time to look at the full report of the 2010 Dietary Guidelines–all 95 pages of what they are calling “the policy document.”

Oh no!  What happened to the Selected Messages for Consumers that I posted yesterday?  “Enjoy your food” is not in it and neither are any of the other clear, straightforward messages.  This is a big disappointment.

Nevertheless, the document is well worth reading.

It addresses my complaints about the executive summary.  It explains the meaning of the annoying SOFAS (solid fats and added sugars).  It discusses the need to improve the food environment.

Let me share a few thoughts about selected issues.


SOFAS

The report translates its advice (pages 62-68).   It translates  “Cut back on foods and drinks with added sugars,” a nutrition euphemism, as:

Drink few or no regular sodas, sports drinks, energy drinks, and fruit drinks.  Eat less cake, cookies, ice cream, other desserts, and candy.  If you do have these foods and drinks, have a small portion.

But it translates “Cut back on solid fats” in yet another euphemism:  “Select lean meats and poultry, and fat-free or low-fat milk and milk products.”  This, no doubt, is to avoid the politically impossible “eat less meat.”

Added sugars

The report lists synonyms for added sugars that you might find on a food label (page 75).  The 2005 Dietary Guidelines included “fruit juice concentrates” on that list.  The 2010 guidelines do not.  The Table lists “nectars” but not fruit juice concentrates.  How come?  It doesn’t say.

Food group patterns

The report describes healthy patterns for diets ranging from 1,000 to 3,200 calories a day.  For a diet containing 2,000 calories, you are only allowed 258 calories a day from SOFAS.  That’s all? One 20-ounce soft drink contains more than that and so does  one tablespoon of butter and a 12-ounce soft drink.  No wonder the guidelines don’t want to be specific about foods when they mean “eat less.”

Sodium

The recommendation to reduce sodium intake to 2,300 or 1,500 mg per day is addressed to the wrong people.  Individuals cannot do this on their own since most salt is already added in restaurant and processed foods.  The report recognizes this:

  • Consume more fresh foods and fewer processed foods that are high in sodium.
  • Eat more home-prepared foods, where you have more control….
  • When eating in restaurants, ask that salt not be added….

Vegetarian and vegan diets

The report includes diet plans for lacto-ovo vegetarians and vegans (pages 81 and 82).  Applause, please.  When I was on the dietary guidelines advisory committee in 1995, we tried to say something useful about vegetarian diets but were forced to add something about the nutritional hazards of such diets, minimal as they are.  Not having to do this is a big improvement.  But you too only get 258 calories for SOFAS.

How about changing the food environment?

The report makes it clear that the food environment strongly influences the food choices of individuals, and it urges efforts to

  • Improve access to healthy foods
  • Empower people with improved nutrition literacy, gardening and cooking skills
  • Develop policies to prevent and reduce obesity
  • And for kids, fix school meals, encourage physical activity, and reduce screen time

In short, there is plenty to work with here.  You just have to look hard and dig deep to find it.

What is the food industry’s reaction?

Just for fun, I’ve been tracking some of the industry reactions.  The soy people love it.  The report mentions soy along with nuts and seeds in the USDA’s meal patterns (page 79), and soy has its own category in the vegetarian and vegan diets (page 81 and 82).

The meat people don’t love it so much.  They are a little worried that seafood is pushed more than meat, but the American Meat Institute is giving it a nice spin, pointing out that the overall meat recommendation has not changed since 2005.

And the Salt Institute?  “Dietary Guidelines on Salt Drastic, Simplistic, Unrealistic.”

I rest my case.

Jan 25 2011

“Singing Kumbaya,” GMA/FMI displays preemptive label design

I listened in on the conference call at which the Grocery Manufacturers of America and the Food Marketing Institute announced their new Nutrition Keys design for front-of-package labels.

My favorite comment: We are all “singing kumbaya” here.  Nutrition Keys, they said, was the result of a” monumental, historic effort” in which food companies “stepped up to the plate in a big way,” “with 100% support.”

Why did they go to all this trouble?  Because “A healthy consumer makes for a happy consumer.”

Kumbaya, indeed.

The real reason, as I explained yesterday, is to preempt the FDA’s front-of-package food labeling initiatives which might make food companies reveal more about the “negatives” in processed foods.

Here’s what GMA and FMI say the new label will look like:

Four of these things are required: Calories, Saturated fat, Sodium, and Total (not added) sugars.  Packages can also display up to two “nutrients to encourage” picked from this collection:  protein; fiber; vitamins A, C, and D; and potassium, iron, and calcium.

Let’s give these food trade associations credit for listing sugars instead of the Institute of Medicine’s recommendation for trans fat.  Trans fats are already gone from most processed foods.  Everyone cares about sugars.  But these are total sugars, not added sugars, which is what really matters.

And protein?  Since when does protein need to be encouraged in American diets?  We already eat twice the protein we need.  The rationale?  Vegetarians.   I repeat.  Since when don’t vegetarians get enough protein?  Never mind, protein makes the products look better.

Nutrition Keys merely repeats what’s on the Nutrition Facts labels, only worse.  It makes the percent Daily Values practically invisible.  Which is better?  High or low milligrams or grams.  You have to know this, and Nutrition Keys doesn’t help with that problem.

Nutrition Keys, says the industry, is about “more clarity in labeling.”  Really?  Here’s what it will look like on a food package.

I’ve been collecting reactions.

Although GMA and FMI insist they they are doing this in response to the First Lady’s Let’s Move campaign, the White House issued this statement:

The White House, including the First Lady, recognizes these companies for the leadership they have shown in advancing this initiative. We regard their commitment to dedicate space, for the first time, to an industry-wide front-of-pack label as a significant first step and look forward to future improvement. The FDA plans to monitor this initiative closely and will work with experts in the field to evaluate whether the new label is meeting the needs of American consumers and pursue improvements as needed. We will continue to work on seeking solutions for the problem of childhood obesity in America.

Congresswoman Rosa DeLauro was more forthcoming:

The industry’s unveiling today of its front-of-package labeling system is troubling and confirms that this effort should not circumvent or influence FDA’s effort to develop strong guidelines for FOP labels.

Given that negative and positive nutrients will not be differentiated on the package, there is significant risk that these labels will be ignored.  An adequate labeling system must clearly alert consumers about potentially unhealthy foods, and should not mislead them into believing that some foods are healthy when they clearly are not.

Reporters asked tough questions on the conference call about preemption of FDA efforts to do front-of-package labeling in a rational way (see my post from yesterday).  Perhaps space limitations made full accounts impossible: