by Marion Nestle

Search results: american journal of clinical nutrition

Jan 31 2012

Want to lose weight? Eat less.

A new diet study just out from the American Journal of Clinical Nutrition went to a lot of trouble to prove the obvious.  When it comes to weight loss, how much you eat matters more than the proportion of fat, carbohydrate, and protein in your foods.

Researchers at the Pennington Biomedical Research Center got volunteers to eat diets that were supposed to differ in proportions of fat (40% vs 20%), carbohydrates (35% vs. 65%), and protein (25% vs. 15%).

The results of the study are consistent with the findings from many previous studies:

  • The major predictor for weight loss was adherence to the diet.
  • People on all of the diets lost weight by six months, but regained some of it by two years.
  • The study had a high drop-out rate (hence the importance of adherence).
  • It was hard for people to stick to the diets, especially those at the extremes of one dietary component or another.

In my book with Malden Nesheim coming out on April 1, Why Calories Count: From Science to Politics, we review the previous studies of whether what you eat matters more to weight loss than how much you eat.

Some people find it easier to stick to diets that are higher in protein and fat.  I’m guessing that proponents of low-carbohydrate diets will argue that none of the diets in this particular study was really low in carbohydrate.

But studies show that people have a hard time adhering to diets that are very low in carbohydrate.  The low range in this study—35%—is at the lower end of acceptability for many people.

The bottom line: all diets work if you stick to them.

Nov 16 2011

Why Calories Count: From Science to Politics

Order from your local independent bookstore or University of California Press or Barnes and Noble or Amazon.com.

Reviews, interviews, and commentary on Why Calories Count

2014

July 26   Review in Science Magazine

2013

September  Review in Health Affairs 2012;31 (9):2150-2151.

September 7 Radio interview with Dr. Don

August 15  Review in Frankfurter Allgemeine Zeitung by Thomas Weber (in German)

August 1  Review in the American Journal of Clinical Nutrition by Barbara Rolls

July 26  Interview with Tami O’Neill for EcoCentric blog

July 13  Interview with Donna Feldman on MyNetDiaryBlog

July 19   Interview about Why Calories Count with Nina Kahori Fallenbaum for Hyphen magazine: “Rice is Nice.”

June 6  KQED’s Forum (radio) Host: Spencer Michels

May 25 Video interview with Linda Watson on HuffPo.

May 21  Radio New Zealand

May 15 Radio interview with Susan Moran

May 14 TV Interview with Linda Watson on Cook for Good

May 9  Jenny Hutt radio

May 9  Candy Sagon on the AARP blog

May 4  Fort Worth Star-Telegram

May 2  Oprah.com

April 26 Review in Eat.Drink.Better

April 26  Susan Albers in the Huffington Post

April 24 Review on StarChildScience

April 20 Review in the Wall Street Journal

April 19  Interview with LifeScript

April 18 Review on The Black Sheep Dances.

April 17  The Page 99 Test and Campaign for the American Reader’s Page 99 of Why Calories Count.

April 16  A review in Serious Eats by Leah Douglas.

March 29: Times Higher Education (U.K.)

People should read this book. They should read it if they are obsessive weight-watchers or serial dieters, or just concerned about what their children eat. They should read it if they work in public health, the food industry, catering or education. And they should certainly read it if, like my colleague who reacted with horror to the title and the idea, they work to counter the “myth of obesity” and are supporters of the “health at any size” movement.

March 29: a blog from Finland (in Finnish)

March 28: Healthy Eating blog

March 26: Lisa Young’s portion teller blog

March 25: Miriam Morgan’s review in the San Francisco Chronicle

March 22: Eleanor West’s interview on Civil Eats.

March 21: Mark Bittman in the New York Times

March 20: Jane Brody in the New York Times

March 15: Nature magazine

Obesity has gone global — as has misinformation about nutrition and food. Nutrition scientists Marion Nestle and Malden Nesheim unscramble the confusion with a serving of science. They reveal how calories — those potent but ill-understood measures of heat energy — are really counted, why we need them, how we use them, how many we actually need and why it all sometimes goes so wrong. From ‘secret’ calories to food politics, malnourishment and calorie restriction for health, this is a feast for the mind.

February 1: The Scientist

Nutritional science guru Marion Nestle’s new book, Why Calories Count, seeks to crack open the inscrutable nature of the calorie. Think of the book, cowritten with Cornell University nutritionist and biochemist Malden Nesheim, as a diner’s elemental guide to eating. Nestle and Nesheim deconstruct the calorie—the bane of many a belly in the developed and developing worlds—to its barest components as a humble unit of work or heat before reassembling it and discussing its implications for disease, obesity, politics, and modern marketing.

From the strict chemical definition of a calorie to the 25-year quest by the Center for Science in the Public Interest to require nutritional labels, including calories, on alcoholic beverages, Why Calories Count weaves scientific and social tales into a rich portrait of the American diet and the laws that have shaped it.

By thoroughly burrowing into the meaning and impacts of calories, the authors intend to bestow a more relaxed yet active state of mind upon the reader. “Get organized. Eat less. Move more. Get political,” they suggest. Sounds like the most succinct diet book ever written.

Excerpts from other reviews

From Kirkus Reviews: A strong, rigorous overview of the calorie, its regulation and the politics behind food labeling and marketing.

From Library Journal (see the Barnes and Noble website): Neither a diet nor a weight-loss book, this scholarly, seriously researched work assists readers in evaluating diet claims, formulating strategies to lose, gain, or maintain weight, and learning how to make healthy food choices….and—what will probably be of most interest to the general reader—the role of big business in creating calorie-laden food and why it’s less politically controversial to recommend exercising than cutting back on calories.  

Summary

Calories—too few or too many—are the source of health problems affecting billions of people in today’s globalized world. Although calories are essential to human health and survival, they cannot be seen, smelled, or tasted. They are also hard to understand.

This book explains in clear and accessible language what calories are and how they work, both biologically and politically.   It takes readers through issues fundamental to understanding diet and food, weight gain, loss, and obesity, and sorts through the misinformation put forth by food manufacturers and diet program promoters.

Nestle and Nesheim explain the political stakes and show how federal and corporate policies have come together to create an “eat more” environment and give readers the information needed to interpret food labels, evaluate diet claims, and understand evidence as presented in popular media.

Their concluding advice: Get organized. Eat less. Eat better. Move more. Get political.

Blurbs for Why Calories Count:

“We need to understand what ‘empty calories’ are, so that we can feed our children food that is truly nourishing. On this topic, there is no better teacher than Marion Nestle, who writes with meticulousness, clarity and grace.”  —Alice Waters, author of The Art of Simple Food

“If you want to understand what’s wrong with our eating habits, you must understand the central role that calories play.  Nestle and Nesheim are two of the America’s finest nutritionists–and this book explains, clearly and succinctly, why calories count.  It is essential reading not only for people interested in food policy, but for everyone who wants to eat well and be well.” —Eric Schlosser, author of Fast Food Nation

“This superbly well-researched and scientifically sound book makes it clear how today’s food environment often overrides physiological regulatory controls of body weight. Why Calories Count is essential reading for anyone who wants to understand why so much about food choice lies in the hands of food marketers whose goal is to sell more products, not necessarily in the interests of public health.”  —Dr. David Kessler, author of The End of Overeating


“Thank god authorities like Nestle and Nesheim have teamed up to give us an epic view of a calorie: what it is, where it came from, what it means, how and why we count them. Thank god they’ve managed to decode nutritional science into a commonsense language we can all understand.  And thank god they’ve put calories in their place in a wider cultural and political context to help us think meaningfully about the food our lives depend upon.  I’m grateful.”  —Betty Fussell, author of Raising Steaks

“Calories. We all talk about them—many are even obsessed with them—but what do we really know about them? Not much. Marion Nestle and Malden Nesheim’s latest book changes all that, pulling back the curtain on calories and helping us understand them in a whole new light. You’ll never look at a 100-calorie pack of corporate cookies the same way again.” —Anna Lappé, author of Diet for a Hot Planet

 

Oct 22 2010

The latest salvos in the sodium debates

Scientific debates about the role of sodium in high blood pressure go on and on.  Committees of scientists reviewing the research invariably conclude that people would be healthier if they ate less salt (salt is sodium chloride).  The 2010 Dietary Guidelines Advisory Committee is only the most recent group to urge population-wide reductions in sodium intake.

The Institute of Medicine has just issued a new report on reducing sodium.  Its Report in Brief gives a quick summary

As its primary strategy for sodium reduction, the committee recommends that the FDA set mandatory national standards for the sodium content in foods…beginning the process of reducing excess sodium in processed foods and menu items to a safer level. It is important that the reduction in sodium content of foods be carried out gradually…Evidence shows that a decrease in sodium can be accomplished successfully without affecting consumer enjoyment of food products if it is done in a stepwise process that systematically and gradually lowers sodium levels across the food supply.

But wait!  Hypertension rates have been increasing for years without any change in sodium excretion, says a report in FoodNavigator.com.  The report refers to new study in this month’s American Journal of Clinical Nutrition reviewing trends in sodium excretion from 1957 to 2003.

Sodium excretion, a precise reflection of intake, say Adam Bernstein and Walter Willett of the Harvard School of Public Health, has not changed in the last half century, despite rising rates of high blood pressure.   Instead, they suggest that rising rates of obesity might be the cause.

The accompanying editorial, by David McCarron and his colleagues, takes the argument even further as can be seen just from its title: “Science trumps politics: urinary sodium data challenge US dietary sodium guideline.

The editorial says that this new study provides:

plausible, scientific evidence of a “normal” range of dietary sodium intake in humans that is consistent with our understanding of the established physiology of sodium regulation in humans. This scientific evidence, not political expediency, should be the foundation of future government policies….Guidance for sodium intake should target specific populations for whom a lower sodium intake is possibly beneficial. Such an approach would avoid broad proscriptive guidelines for the general population for whom the safety and efficacy are not yet defined.

Is this review likely to change the Dietary Guidelines due out later this year?  The Advisory Committee was convinced that the preponderance of evidence favors the importance of sodium as a causative agent in high blood pressure.

Because so much is at stake for the processed food industry, this argument is not likely to be resolved quickly.  Stay tuned.

Mar 22 2010

Saturated fat vs. heart disease: current state of the science

Despite recent publications finding no correlation between intake of saturated fat and coronary heart disease (CHD) – see, for example, the recent meta-analysis in the American Journal of Clinical Nutrition – the debates over the role of saturated fat continue.

In that same issue of the Journal, another study says that reducing saturated fat only works if you replace it with something better.  If you replace saturated fat with carbohydrates, the effects on heart disease will be worse.

The fat story is not simple (in What to Eat, I explain the biochemistry of food fats in the chapter on fats and oils and in an appendix).  The main reason for the complexity is that different kinds of fats do not occur separately in foods.

Without exception, food fats are mixtures of  three kinds of fatty acids: saturated (no double bonds and solid at room temperature), monounsaturated (one double bond), and polyunsaturated (two or more double bonds and liquid at room temperature).  Food fats just differ in proportions of the three kinds.

Meat, dairy, and egg fats generally are more saturated.  Plant fats and oils are generally more unsaturated.

How to make sense of the saturated fat story? An expert panel from WHO and FAO just produced a new review of the evidence.  The panel evaluated CHD morbidity and mortality data from epidemiological studies and controlled clinical trials.  It found:

  • Convincing evidence that replacing saturated fat with polyunsaturated decreases the risk of CHD.
  • Probable evidence that replacing saturated fat with largely refined carbohydrates (starch and sugar) has no benefit and even may increase the risk of CHD.
  • Insufficient evidence relating to the effect on the risk of CHD of replacing saturated fat with monounsaturated fats or whole grain carbohydrates, but a trend suggesting that these might decrease CHD risk.
  • Possible positive relationship between saturated fat and increased risk of diabetes.
  • Insufficient evidence for establishing any relationship of saturated fat with cancer.

The panel’s recommendations:  (1) Replace saturated fat with polyunsaturated fats (omega-3 and omega-6) in the diet, and (2) Limit saturated fat to 10% of daily calories or less.

Translation: Eat less animal fat and replace it with vegetable fats.

Historical note: These are precisely the same recommendations that have been standard in the U.S. for at least fifty years.  This was good advice in the late 1950s.  It is still good advice.

UPDATE, March 22,2011:  Another major review has just come to precisely the same conclusions, this one from an international expert panel.  It also suggests areas for future research.  See American Journal of Clinical Nutrition 2011;93:684-88.

Jan 8 2010

Genetic causes of obesity: 1%?

Recent news reports encouraged me to take a quick look at the January 2010 American Journal of Clinical Nutrition where investigators have attempted to identify the proportion of human obesity accounted for by genetic variation.  Their conclusion: probably no more than 1% (we used to think it was 5%).  I don’t know why anyone would be surprised.  Obesity rates rose sharply in the early 1980s, with no possibility for so rapid a change in the genetic composition of the population.

I don’t think we need complicated genetic explanations for obesity.  We have so much evidence that people started consuming more calories at about that time and are continuing to do so.  Why more calories?  Portion sizes got bigger, and – hard as it may be to believe – larger portions have more calories!

In a commentary on the study, Claude Bouchard puts it this way:

The obesity epidemic we are facing today unfolded over the past few decades and can clearly not be explained by changes in the frequency of risk alleles. It is more likely due to a changing social and physical environment that encourages consumption and discourages expenditure of energy, behaviors that are poorly compatible with the genome that we have inherited.

Hence: eat less, move more!  And have an active weekend!

Jul 30 2009

Today’s huge flap about organics: forget nutrients

I’m in London and today’s tabloid Daily Express has a headline in type two inches high: “ORGANIC FOOD NO HEALTHIER.”  The article begins, “Eating organic food in the belief that it is good for your health is a waste of money, new research shows.”

2009-07-301

Really?  This surprising statement is based on the conclusions of a lengthy report just released from the British Food Standards Agency, Comparison of composition (nutrients and other substances) of organically and conventionally produced foodstuffs: a systematic review of the available literature.  This report, done by excellent researchers at the prestigious London School of Hygiene & Tropical Medicine, looked at the results of 162 studies comparing organic to conventionally grown foods for their content of nutrients and other substances.  Although it found higher amounts of some nutrients in organic crops, it found higher amounts of others in conventional crops, and no difference in others.  On this basis, the report concludes:

There is no good evidence that increased dietary intake, of the nutrients identified in this review to be present in larger amounts in organically than in conventionally produced crops and livestock products, would be of benefit to individuals consuming a normal varied diet, and it is therefore unlikely that these differences in nutrient content are relevant to consumer health.

In a statement accompanying release of the report, the Food Standards Agency says:

The Agency supports consumer choice and is neither pro nor anti organic food. We recognise that there are many reasons why people choose to eat organic, such as animal welfare or environmental concerns. The Agency will continue to give consumers accurate information about their food based on the best available scientific evidence.

Fine, but do animal welfare and environmental concerns not matter?  The authors of the report summarize their findings in a paper in the American Journal of Clinical Nutrition. The paper concludes:

On the basis of a systematic review of studies of satisfactory quality, there is no evidence of a difference in nutrient quality between organically and conventionally produced foodstuffs. The small differences in nutrient content detected are biologically plausible and mostly relate to differences in production methods.

Oh?  I thought that’s what organic foods were about – production methods: no antibiotics, hormones, pesticides, herbicides, chemical fertilizers, irradiation, genetic modification, or sewage sludge.  I thought better production methods were the precise point of organic foods.

But these authors did not compare amounts of antibiotics, hormones, pesticides, herbicides, chemical fertilizers, irradiation, genetic modification, or sewage sludge.  They did not look at any of those things.  They only looked at nutrients.  This is an example of nutritionism in action: looking at foods as if their nutrient content is all that matters – not production methods, not effects on the environment, and not even taste.

I’m surprised that investigators of this caliber would focus so narrowly on nutrient content.  There is no reason to think that organic foods would have fewer nutrients than industrially produced foods, and there are many reasons to think that organics have greater benefits for the environment, for pesticide reduction, and for taste, all of which affect human health at least as much — or more — than minor differences in nutritional content.   I buy organics because I want foods to be produced more naturally, more humanely, and more sustainably.  I see plenty of good reasons to buy organics and this study does not even begin to address them.

[Posted from London]

Tags:
Dec 14 2008

FAQ

Here are a few of the questions I get asked most often. I will be adding to this section as more come up. Enjoy!

Questions

  1. I’m really interested in nutrition. How do I study it?
  2. I want to study about food. Can I get a degree in Food Studies?
  3. I want to do something to improve the food system, nutritional status, and health. How do I get started?
  4. I want to work in food policy. How do I get started?
  5. I’m a lawyer. I want to work on food issues. How do I get started?
  6. I want to find out what Americans eat. What are the best sources?
  7. Do trans fats have anything to do with obesity?
  8. Are organics worth it?
  9. Which is better: organic or locally grown?
  10. What’s the deal on soy? Is it good or bad for me?
  11. Is high fructose corn syrup good, bad, or indifferent to health?
  12. Whose nutrition advice can I trust?

Answers

1. I’m really interested in nutrition. How do I study it?

My first question for anyone who asks me this is what, exactly, do you want to end up doing? There are many approaches to nutrition and you have choices among rather separate fields of study, each with different requirements and training, and each with its own professional journal. An easy way to start figuring this out is to look at the journals and see which one covers work or advertises jobs that might interest you. Here are the most obvious options that lead to professional credentials or degrees:

Clinical Nutritionist: If you would like to work in a hospital or counsel patients about diet and disease, you will need to be credentialed as a Registered Dietitian (RD) and must meet course, degree, and practice requirements of the American Dietetic Association (Journal of the American Dietetic Association).

Nutritionist: If you would like to counsel clients about diet and health, and are quite sure you do not want to work in a hospital or qualify for a state license, you can get a master’s or doctoral degree in nutrition education, nutrition science, clinical nutrition, or any other field (Journal of Nutrition Education and Behavior)

Nutrition scientist: If you want to do research, you will need a science degree of some type. Look for a university with a department of nutrition science or epidemiology and apply for masters or doctoral degree programs (American Journal of Clinical Nutrition, Journal of Nutrition).

Public health nutritionist: If you want to work with community groups, government agencies, or international agencies, look for degree programs accredited by or affiliated with the American Public Health Association (Journal of the American Public Health Association, Public Health Nutrition). A privately run website makes this easy for you; it describes accredited programs on one site.

Nutrition is a controversial field and credibility is essential. Anyone can claim to be a nutritionist, but to be credible, the more you know about nutrition, the better. Degrees help. I think it’s good to understand as much as you can of the science and its implications for dietary choices. Get a degree of some kind but also read as much and as deeply as you can and form your own conclusions about what you are reading and being told.

2. I want to study about food. Can I get a degree in Food Studies?

As recently as ten years ago, I would have had to answer no, but today students who want to learn more about food have several options. New York University, for example, hosts undergraduate, master’s, and doctoral programs in Food Studies with a choice of two areas of focus: Food Culture, which examines the social, economic, cultural, and psychological factors that influence food consumption now and in the past, and a brand new program in Food Systems, which traces commodities and agricultural production from farm to table. Boston University has a master’s program in Gastronomy. So does the University of Adelaide in Australia. And if you want to go to Italy, you can study at the University of Gastronomic Sciences, which grew out of the Slow Food movement. I was responsible for starting the NYU program in 1996 so I am prejudiced in its favor but I have talked to graduates of all of the others and they all have great things to say about whichever one they went to. My conclusion: studying about food is so much fun and so useful that anyplace you can do it will be great.

3. I want to do something to improve the food system, nutritional status, and health. How do I get started?

Start by reading a post I did on this topic in 2011. The easiest starting point is to join an organization working on an issue that interests you. In 2011, I posted a list of groups and websites. In August 2012, I posted about such groups and provided a spreadsheet of organizations by category.

In June 2012, the Harvard Food Law Society produced a career guide to relevant organizations, also by category.

I always recommend joining the Center for Science in the Public Interest (CSPI) because this group has been at it so long, is so extraordinarily good at taking on the major issues, and is independent of food industry funding. At the very least, subscribe to Nutrition Action Healthletter.

4. I want to work in food policy. How do I get started?

The easiest way to get involved in food policy is to start doing it. If you want to work locally, find a group in your area that is working on the food policy issue that most interests you. There are groups working constantly on food assistance programs, farmers’ markets, food deserts, school food, community gardens, school gardens, urban agriculture, community food security, locally grown food, agricultural sustainability, organic production, the Farm Bill (see list in 2011 blog post). You can usually identify such groups by an Internet search for “food advocacy” in your area. Or read the Edible magazine published closest to where you live. If you want to work on national food policy issues, you might try an internship at a Washington DC-based advocacy group working in your area of interest. For preparation, it helps to know as much as you can—depth and breadth–about the history of food and nutrition policy in the United States, have a firm grounding in how food policy works at the federal agency level (which agency does what), and how Congress and agencies work to implement policies. Much of this can be learned on the ground if you are working with a group engaged in challenging activities. You can also start by writing well researched letters, op-eds, and position papers since these will force you to know what you are talking about and to think clearly about them. What’s stopping you? Just do it!
Michele Simon has similar advice, with some more specifics.

Food Safety News provides a list of private organizations working on food safety issues, as well as public.

5. I’m a lawyer. I want to work on food issues. How do I get started?

Lawyers have important roles in promoting healthy food policies, and the more they know about food culture, history, politics, and even taste, the better. Michele Simon discusses career issues on her website in two posts, one for food policy careers in general and one for lawyers in particular. Go for it!

6. I want to find out what Americans eat. What are the best sources?

My favorite sources of information about the American food supply come from the USDA. The USDA provides data on the availability (“consumption”) of specific foods and food groups in the food supply from 1909 to the present. These figures are reported as pounds of whatever food it is per capita per day. They represent the amount of that food produced in the U.S for an entire year, less exports, plus imports, divided by the number of people in the population on a given day such as July 1. These are the data that used to say that the per capita availability of calories is about 4,000 per day.  USDA now adjusts that figure for waste, which is closer to actual consumption levels.

Actual data on dietary intake are reported at the site of What We Eat in America. These figures are self reports by individuals interviewed in dietary intake surveys. Because people tend to lie about (OK, can’t accurately remember) what they eat, these data underestimate actual intake. Self reports say that people eat about 1,800 to 2,200 calories per day, figures much lower than 3,900. The truth undoubtedly lies somewhere in between.

And in case you would like to know the nutrient composition of foods, the USDA provides that information at yet another site.

7. Do trans fats have anything to do with obesity?

Trans fats raise the risk of heart disease, and that’s why it’s good to have them out of the food supply. Their association with obesity is indirect. They are used in a lot of junk foods because hydrogenation prevents fats from turning rancid. But whatever fats get used to replace trans fats will have the same number of calories. That’s why I wish the FDA would not allow food companies to put “no trans fats” on their package labels. “No trans fats” is a calorie distractor. It makes you think the food is a diet food when, in fact, it has the same amount of calories.

One more point on trans fats: if the Nutrition Facts label says zero for trans fats, but the ingredient list mentions partially hydrogenated vegetable oil, it means that the amount of trans fat present is less than one-half gram per serving. Unless you are a big eater of junk food, that shouldn’t matter much.

8. Are organics worth it?

I think so. In doing the research for What to Eat, I spent a lot of time asking questions about whether the USDA Certified Organic seal meant anything. I concluded that is most definitely does. It means the producer of the food followed rules established by the USDA Organic Standards Board, and was inspected to make sure the rules were followed. The rules say that fruits and vegetables must not be treated with synthetic pesticides or fertilizers and cannot be genetically modified, irradiated, or fertilized with sewage sludge. Food animals must be fed organic feed, may not be treated with antibiotics or hormones, and must be permitted access to the outdoors. When you choose organics, you are voting with your fork for a planet with fewer pesticides, richer soil, and cleaner water supplies—all better in the long run. With that said, the quality of the rules themselves is highly debatable and there is much political jockeying about whether they are too lax or too stringent. I think they can’t be too stringent if anyone is going to trust them and that much vigilance is required to maintain the highest possible standards for organic production. To stay on top of the issues, consult the Organic Consumers Association (and see the chapters on organics in What to Eat).

9. Which is better: organic or locally grown?

My preference is both. When you choose locally grown, you are voting for conservation of fuel resources and the economic viability of local communities, along with freshness and better taste. Whenever I have the choice, my personal priority order is (1) organic and locally grown, (2) either organic or conventional and locally grown, depending on the season, and (3) Conventional (and see the chapters on produce issues in What to Eat).

10. What’s the deal on soy? Is it good or bad for me?

I would put it this way: if you are not confused about soy foods, you must not be reading product advertisements or newspaper accounts of research. For every study in my files demonstrating health benefits of soy foods, I have another disputing those benefits. Soybeans are high in good quality protein (meaning that their proteins are similar in amino acid content to those of meat and dairy foods), contain a good balance of carbohydrate and fat, and are loaded with minerals. Enthusiasts say that soy foods protect against practically any disease you can think of. No one food can possibly be that good. Overall, I find the science to be painfully inconsistent. Some studies find benefits, some find none, and others actually suggest that soy foods might cause the very health problems they are believed to prevent. Soybeans contain proteins found to reduce blood cholesterol levels and the risk of heart disease. They also contain isoflavones that behave in the body like weak estrogen (“phytoestrogens”). Although isoflavones work with soy proteins to reduce blood cholesterol levels, they also act like estrogens–and estrogens are known to increase the risk of breast and other cancers in women. As I explain in the soy chapter of What to Eat, the research is so inconsistent that it is difficult to draw conclusions. I can’t make sense of the health debates about soy foods, not least because so much of the research is sponsored by industries with a vested interest in its outcome. My feeling at this point is that soy is a food, not an essential nutrient. Like any food, you can eat it if you like it, but you don’t have to if you don’t.

11. Is high fructose corn syrup good, bad, or indifferent to health?

You are probably thinking that high-fructose corn syrup (HFCS) is the new trans fat— something to be avoided at all costs. But HFCS is not poison. It is just sugar in liquid form, differing from common table sugar (sucrose) mainly in how it affects the texture of foods. HFCS, however, is a marker for junk foods. Cheaper than sucrose, it turns up in all kinds of processed foods, particularly soft drinks. And there is nearly as much of it in the food supply as sucrose — 68 pounds per year per person versus 62 pounds for table sugar. Sucrose is a double sugar made of two single sugars — glucose (50 percent) and fructose (50 percent) — stuck together. HFCS also contains glucose and fructose, but the sugars are already separated and their percentages differ slightly. Because sucrose is quickly split by digestive enzymes, the body can hardly tell the two kinds apart. Glucose, by the way, is blood sugar, fructose is fruit sugar, and honey contains both. Fructose — unlike glucose — does not stimulate the release of insulin, and in small amounts can be a useful sweetener for people with diabetes. But fructose is preferentially metabolized to fat, raising the possibility that HFCS — or any other source of fructose (but we won’t worry about fruit) — could have something to do with current obesity trends. Both HFCS and sucrose give us more fructose than we need and for both the advice is the same: eat less.

11.Whose nutrition advice can I trust?

I’m always tempted to answer this question with “mine, of course.” I answered it more seriously in a column I wrote for the San Francisco Chronicle (October 11, 2009). I wrote What to Eat to inspire readers to think about nutrition and to figure out for themselves whose advice makes sense and not. I think some healthy skepticism is useful in interpreting anyone’s advice, even mine. Does the expert have a vested interest that might influence opinion? Does the conclusion of a research study completely contradict everything you’ve heard before? Does it announce a breakthrough? If so, you should be seeing caution signs everywhere. A lot of nutrition is plain common sense. Use it!

Nov 25 2008

Publications

This page lists books and articles. Books start under the first photo, and articles under the second.

Witt Program on Activism, DeWitt Clinton High School, Bronx NY, 12-8-09

BOOKS: For more information on books, click here

  • 2022:  Nestle M.  SLOW COOKED: AN UNEXPECTED LIFE IN FOOD POLITICS.  University of California Press.  
  • 2020: Nestle M, Trueman K.  LET’S ASK MARION: WHAT YOU NEED TO KNOW ABOUT THE POLITICS OF FOOD, NUTRITION, AND HEALTH, University of California Press.
  • 2018: Nestle M.  UNSAVORY TRUTH: HOW FOOD COMPANIES SKEW THE SCIENCE OF WHAT WE EAT, Basic Books.  Portuguese (Brazil) edition, 2019.
  • 2015: Nestle M.  SODA POLITICS: TAKING ON BIG SODA (AND WINNING), Oxford University Press.  Paperback, 2017.
  • 2013: Nestle M.  EAT, DRINK, VOTE: AN ILLUSTRATED GUIDE TO FOOD POLITICSRodale Books.
  • 2012: Nestle M, Nesheim M. WHY CALORIES COUNT: FROM SCIENCE TO POLITICS, University of California Press.  Paperback, 2013.
  • 2010: Nestle M, Nesheim MC. FEED YOUR PET RIGHT, Free Press/Simon & Schuster.
  • 2008: Nestle M. PET FOOD POLITICS: THE CHIHUAHUA IN THE COAL MINE, University of California Press. Paperback, 2010.
  • 2006: Nestle M. WHAT TO EAT, North Point Press/Farrar, Straus and Giroux. Paperback, 2007. Hebrew (Israel) edition, 2007; Korean edition, 2007.
  • 2003: Nestle M. SAFE FOOD: BACTERIA, BIOTECHNOLOGY, AND BIOTERRORISM, University of California Press.  Paperback 2004; Chinese edition 2004, Japanese edition 2009. Revised and expanded edition retitled SAFE FOOD: THE POLITICS OF FOOD SAFETY, 2010.   
  • 2002: Nestle M. FOOD POLITICS: HOW THE FOOD INDUSTRY INFLUENCES NUTRITION AND HEALTH, University of California Press. Paperback 2003; Revised and expanded edition 2007; Chinese edition, 2004; Japanese edition, 2005; 10th Anniversary Edition with a Foreword by Michael Pollan2013.
  • 1985: Nestle M. NUTRITION IN CLINICAL PRACTICE. Greenbrae CA: Jones Medical Publications. Asian edition, 1986. Greek edition, 1987.

Edited Books

Dr. Nestle at FAO 082

ARTICLES (SELECTED): For the most part, these are columns, professional articles, book chapters, letters, and book reviews for which links or pdf’s are available (or will be when I get time to find or create them). Additional publications are listed in the c.v. link in the About page.

2024

2023

2022

2021

  • Young LR, Nestle M.  Portion Sizes of Ultra-Processed Foods in the United States, 2002 to 2021. American Journal of Public Health 2021;111(12):2223-2226.
  • Carlos Augusto Monteiro,Mark Lawrence, Christopher Millett, Marion Nestle, Barry M Popkin, Gyorgy Scrinis, Boyd Swinburn.  The need to reshape global food processing: a call to the United Nations Food Systems Summit.  BMJ Global Health 2021;6:e006885. doi:10.1136/bmjgh-2021-006885
  • Nestle M.  Public health nutrition deserves more attention.  Review of Jones-Smith J, ed. Public Health Nutrition: Essentials for Practitioners (Johns Hopkins Press, 2020).  American Journal of Public Heath. 2021;111(4):533-535.
  • Woolhandler S, Himmelstein DU, Ahmed S, Bailey Z, Bassett MT, Bird M, Bor J, Bor D, Carrasquillo O, Chowkwanyun M, Dickman SL, Fisher S, Gaffney A, Galea S, Gottfried RN, Grumbach K, Guyatt G, Hansen H, Landrigan PH, Lighty M, McKee M, McCormick D, McGretor A, Mirza R, Morris JE, Mukherjee JS, Nestle M, Prine L, Saadi A, Schiff D, Shapiro M, Tesema L, Venkataramani A.  Public policy and health in the Trump era: A Lancet Commission Report.  The Lancet, February 10, 2021.
  • Nestle M.  Review of Jessica Harris, Vintage Postcards from the African World: In the Dignity of Their Work and the Joy of Their Play.  Food, Culture, and Society, 2021;743-744.

2020

2019

2018

2017

2016

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

2002 – 2005

  • Nestle M. Preventing childhood diabetes: The need for public health intervention (editorial). American Journal of Public Health 2005;95:1497-1499.
  • Nestle M. Increasing portion sizes in American diets: more calories, more obesity (commentary). Journal of the American Dietetic Association 2003;103:39-40.
  • Berg J, Nestle M, Bentley A. Food studies. In: Katz SH, Weaver WW, eds. The Scribner Encyclopedia of Food and Culture, Vol 2. New York: Charles Scribner’s Sons, 2003:16-18.

  • Nestle M. The ironic politics of obesity (editorial). Science 2003:299:781.

  • Nestle M. Not good enough to eat (commentary). New Scientist 2003;177 (February 22):25.

  • Nestle M. Hearty Fare? Review of Faergeman, O. Coronary Heart Disease: Genes, Drugs, and the Agricultural Connection. Amsterdam: Elsevier, 2003. Nature 2003;425:902.
  • Nestle M. Thinking about food (letter). Wilson Quarterly Autumn 2003 [27(4)]:4.

  • Young LR, Nestle M. The contribution of expanding Portion Sizes to the U.S. obesity epidemic. American Journal of Public Health 2002;92:246-249.
  • Mahabir S, Coit D, Liebes L, Brady MS, Lewis JJ, Roush G, Nestle M, Fay D, Berwick M. Randomized, placebo-controlled trial of dietary supplementation of a-tocopherol on mutagen sensitivity levels in melanoma patients: a pilot trial. Melanoma Research 2002;12:83-90.
  • Byers T, Nestle M, McTeirnan A, Doyle C, Currie-Williams A, Gansler T, Thun M, and the American Cancer Society 2001 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention: Reducing the Risk of Cancer with Healthy Food Choices and Physical Activity. CA Cancer Journal for Clinicians 2002;52:92-119.
  • Fried EJ, Nestle M. The growing political movement against soft drinks in schools (commentary). Journal of the American Medical Association 2002;288:2181.

2001

  • Nestle M. Genetically engineered “golden” rice unlike to overcome vitamin A deficiency (letter). Journal of the American Dietetic Association 2001;101:289-290.
  • Nestle M. Nutrition and women’s health: the politics of dietary advice [editorial]. Journal of the American Medical Women’s Association 2001;56:42-43.

  • Kumanyika SK, Morssink CB, Nestle M. Minority women and advocacy for women’s health. American Journal of Public Health 2001;91:1383-1388.

  • Nestle M. Food company sponsorship of nutrition research and professional activities: A conflict of interest? Public Health Nutrition 2001;4:1015-1022.
  • Nestle M. Review of: Bendich A, Deckelbaum RJ, eds. Primary and Secondary Preventive Nutrition (Totowa, NJ: Humana Press, 2001). American Journal of Clinical Nutrition 2001;74:704.

2000

1999

  • Nestle M. Hunger in America: A Matter of Policy. Social Research 1999;66(1): 257-282.
  • Nestle M. Commentary [dietary guidelines]. Food Policy 1999;24(2-3):307-310.
  • Nestle M. Meat or wheat for the next millennium? Plenary lecture: animal v. plant foods in human diets and health: is the historical record unequivocal? Proceedings of the Nutrition Society 1999;58:211-218 (online here).
  • Nestle M. Heart disease’s decline (letter). New York Times, August 12, 1999:A18.
  • Nestle M. Dietary supplement advertising: a matter of politics, not science. Journal of Nutrition Education 1999;31:278-282.

1998

1987-1997

  • Nestle M.Broccoli sprouts as inducers of carcinogen-detoxifying enzyme systems: clinical, dietary, and policy implications [Commentary].Proceedings of the National Academy of Sciences, USA 1997;94:11149-11151.

  • Nestle M.The role of chocolate in the American diet: nutritional perspectives.In: Szogyi A, ed.Chocolate, Food of the Gods.Westport, CN: Greenwood Press, 1997:111-124.
  • Nestle M.Epidemiologists’ Paradise.Junshi C, Campbell TC, Junyao L, Peto R.Diet, Life-style, and Mortality in China: A Study of the Characteristics of 65 Chinese Counties.NY: Oxford University Press, 1990 [book review].BioScience 1991;41:725-726.

  • Nestle M. National nutrition monitoring policy: the continuing need for legislative intervention. J Nutrition Education 1990;22:141-144.
  • Nestle M, Porter DV. Evolution of federal dietary guidance policy: from food adequacy to chronic disease prevention.Caduceus: A Museum Journal for the Health Sciences 1990;6(2):43-67.

  • McGinnis JM, Nestle M. The Surgeon General’s report on nutrition and health: policy implications and implementation strategies. American Journal of Clinical Nutrition1989;49:23-28.
  • Department of Health and Human Services, Public Health Service. The Surgeon General’s Report on Nutrition and Health. Publ. No. (PHS) 88-50210. Washington DC: U.S. Government Printing Office, 1988, 712 pages [Managing Editor]. Reprint: Prima Publishing, 1989. Reprint: Warner Books, 1989.

  • Nestle M. Promoting health and preventing disease: national nutrition objectives for 1990 and 2000. Food Technology 1988;42(2):103-107.
  • Nestle M, Lee PR, Baron, RB. Nutrition policy update.  In: Weininger J, Briggs GM, eds.  Nutrition Update, Vol 1.  New York: John Wiley and Sons, 1983:285-313.

1968-1972 Dissertation and Postdoctoral Papers

Nestle M, Sussman M.  The effect of cyclic-AMP on morphogenesis and enzyme accumulation in Dictyostelium discoideum.  Developmental Biology 1972;28:545-554.

Nestle M, Roberts WK.  An extracellular nuclease from Serratia marcescens. II. Specificity of the enzyme.  Journal of Biological Chemistry 1969;244:5219-5225.

Nestle M, Roberts WK.  An extracellular nuclease from Serratia marcescens. I.  Purification and some properties of the enzyme.  Journal of Biological Chemistry 1969;244:5213-5218.

Nestle M, Roberts WK.  Separation of ribonucleosides and ribonucleotides by a one-dimensional paper chromatographic system. Analytical Biochemistry 1968;22:349-351.