by Marion Nestle

Search results: Ultra processed foods

Apr 2 2025

Keeping up with MAHA: RFK Jr’s latest actions

There is never a dull moment with Robert F. Kennedy Jr’s taking over the Department of Health and Human Services.

The Wall Street Journal announced this first: RFK Jr. Plans 10,000 Job Cuts in Major Restructuring of Health Department

Kennedy on Thursday said the agency would ax 10,000 full-time employees spread across agencies tasked with responding to disease outbreaks, approving new drugs, providing insurance for the poorest Americans and more. The cuts are in addition to roughly 10,000 employees who chose to leave the department through voluntary separation offers since President Trump took office, according to the department.

Together, the cuts would eliminate about one-quarter of a workforce that would shrink to 62,000. The department would lose five of its 10 regional offices.

RFK Jr explained what all this was about in a six-minute video) on Twitter (X: “We’re going to eliminate an entire alphabet soup of departments and agencies while preserving their core function.”The agency said the 25% reduction in workforce would not affect essential services.

That, however, is a matter of opinion.  As Politico put itRFK Jr.’s massive cuts stun staff, leave senior employees scrambling, which, one can only suppose, is the point.

To further explain, HHS issued Fact Sheet: HHS’ Transformation to Make America Health Again.

You can read it for yourself, but here are selected items that got my attention [my comments follow]

    • FDA will decrease its workforce by approximately 3,500 full-time employees, with a focus on streamlining operations and centralizing administrative functions. This reduction will not affect drug, medical device, or food reviewers, nor will it impact inspectors. [This is hard to believe.  Many staff have already left.  Were they scientists?  Who is left who can write Federal Register notices, for example].
    • The CDC will decrease its workforce by approximately 2,400 employees, with a focus on returning to its core mission of preparing for and responding to epidemics and outbreaks. [But the first layoffs were of probationary staff of the Epidemiology Intelligence Service.  They may have been hired back, but it’s hard to imagine what morale is like]
    • The consolidation and cuts are designed not only to save money, but to make the organization more efficient and more responsive to Americans’ needs, and to implement the Make America Healthy Again goal of ending the chronic disease epidemic. [How, pray tell]
    • A new Administration for a Healthy America (AHA) will…coordinate chronic care and disease prevention programs and harmonize health resources to low-income Americans. [This could work if done right and if adequate personnel are still available]

My question here is to what end?  What, exactly, does RFK Jr plan to do to Make America Healthy Again?

So far, he has done a few things:

  • Made it clear that food companies have to stop using artificial color dyes.
  • Started talking about closing the GRAS loophole (that allows companies to say whether additives are safe)
  • Indicated that he prefers beef tallow to seed oils.

I am all for getting rid of artificial colors and closing the GRAS loophole but neither of those is a major cause of obesity and its health consequences.  Nor will replacing seed oils with beef tallow addresss that problem; both have about the same number of calories.

If RFK Jr really wants to Make America Health Again, he needs to get American eating less junk food and more real food.  Yes, food colors are a marker of ultra-processed foods but they are mainly in candy, confectionary, and kids’ cereals.

I’m eagerly waiting to hear what RFK Jr plans to do to help Americans reduce calorie intake, reduce intake of ultra-processed foods, stop smoking, avoid drinking too much alcohol, become more physically active, and eat more vegetables.

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Mar 25 2025

Keeping up with U.S. food politics

It’s not easy to figure out what’s happening on the food front in DC these days, but a lot of it does not sound good.  Here are a bunch from last week.

I.  Food Bank Support. USDA stops $500 million worth of shipments of food to food banks.

Food banks across the country are scrambling to make up a $500 million budget shortfall after the Trump administration froze funds for hundreds of shipments of produce, poultry and other items that states had planned to distribute to needy residents.

The Biden administration had slated the aid for distribution to food banks during the 2025 fiscal year through the Emergency Food Assistance Program, which is run by the Agriculture Department and backed by a federal fund known as the Commodity Credit Corporation. But in recent weeks, many food banks learned that the shipments they had expected to receive this spring had been suspended.

II.  Line speeds in meat processing plants.  USDA announces “streamlined” meat processing.  This is USDA-speak for increasing line speeds in processing plants, something terrifying to anyone who cares about worker safety and food safety.  As Food Safety News puts it, this is unsafe at any speed—again.

Once more, policymakers are making the same catastrophic mistake. Once more, industries are downplaying risk while lives hang in the balance. Once more, we are choosing efficiency over responsibility…It’s a reckless increase in processing speeds that threatens to overwhelm the very safeguards meant to protect both workers and consumers.

III.  Food safety rules.  FDA puts food safety rule on hold

In an announcement on March 20, the Food and Drug Administration said it intends to publish a proposed rule “at a later time.” The rule has already been published and approved and was set to go into effect Jan. 1, 2026. The rule was mandated by the Food Safety Modernization Act, which Congress approved in 2010.

The food industry has been pushing back against the rule since before it was written, citing expenses. Industry groups applauded the FDA’s postponement of enforcement of the rule.

IV.  Seed Banks.  DOGE is trying to fire staff of the USDA’s National Plant Germplasm System, which stores 62,000 seed samples.

In mid-February, Trump administration officials…fired some of the highly trained people who do this work. A court order has reinstated them, but it’s unclear when they will be allowed to resume their work.

On the other hand, a few useful things are happening.

V.  Infant formula. FDA launches “Operation Stork Speed to Expand Options for Safe, Reliable, and Nutritious Infant Formula for American Families.  This will involve

  • Increased testing for heavy metals and other contaminants.
  • Encouragement of companies to develop new infant formulas
  • Reviewing baby formula ingredients
  • Collaborating with NIH to address research gaps

This is in response to the loss in availability of infant formula due to contamination at an Abbott plant.  I don’t see anything in this initiative aimed at enforcing food safety rules in production plants, or anything about the ridiculous pricing of infant formula, which can range four-fold for essentially identical products (all infant formulas have to meet FDA nutrition standards).  See: FDA’s main page on Infant Formula.

According to FoodFix, this announcement came after RFK Jr. met with the CEOs of major formula makers, but before Consumer Reports issued a report finding “concerning” levels of heavy metals in some infant formula products.

USA Today reports:

The FDA’s testing is ongoing. To date, it has completed testing of 221/340 samples, which at this time, do not indicate that the contaminants are present in infant formula at levels that would trigger a public health concern.

VI.  Chemical contaminants in food. FDA has published a Chemical Contaminant Transparency Tool.  This gives action levels for each contaminant. Presumably, the 221 tests gave results that did not exceed those levels.

Comment

I’m not seeing much about Making America Healthy Again, beyond encouraging the elimination of artificial colors and trying to do something about the GRAS loophole, which lets companies essentially self-determine whether additives are safe.  Those are both worth doing, and have been a long time coming.  I still want to see this administration take strong action on:

  • Ultra-processed food
  • Food Safety
  • School meals
  • Support for small and medium farms

The cancelling of funding for the Diabetes Prevention Program, a 30-year longitudinal study, seems at odds with MAHA.  I hope the funding gets restored quicky.

Mar 19 2025

Dietary Guidelines in the MAHA era

USDA and HHS have announced an update on the dietary guidelines process.

A quick recap: The Dietary Guidelines Advisory Committee released its report last year.  The agencies are responsible for writing the actual guidelines, based on that report or not.

The USDA Secretary, Brooke Rollins, writes:

Secretary [of HHS] Kennedy and I have a powerful, complementary role in this, and it starts with updating federal dietary guidance. We will make certain the 2025-2030 Guidelines are based on sound science, not political science. Gone are the days where leftist ideologies guide public policy.”

Leftist ideologies?  She has to be kidding.  Since when did leftist ideologies influence the dietary guidelines?

Oh.  Wait.  Silly me.  I get it.  She means meat. 

Plant-based = leftist ideology.

You don’t believe me?  See Nina Teicholz’s editorial in the Wall Street Journal:  Meat will make America Healthy Again.

Ms. Rollins and Mr. Kennedy should reject suggestions from an expert committee that the 2025-30 federal guidelines place an even greater emphasis on plant-based proteins and that they recommend “reducing intakes of red and processed meats.” As the Agriculture Department found in 2010, there is either “no relationship” or a “limited inconsistent” relationship between any protein type and chronic diseases, including obesity, diabetes and cardiovascular disease.

Protein, sure.  But meat?  Consistent evidence for years indicates that people in industrialized countries would be healthier eating less meat and more plants.  Less does not necessarily mean none; it means less than currently consumed and a lot less in some cases.

If USDA and HHS are serious about Making Americans Healthier Again, they will revise the Dietary Guidelines according to the science.  In my view, that means advising eating less of ultra-processed foods, as well as meat.

Mar 18 2025

The latest on MAHA: a video

The White House posted this video last week.

I can’t figure out how to make it play on this site, but you can watch it at this link.

It’s worth watching:

  • It comes straight from the White House.
  • Robert F. Kennedy Jr, the new Secretary of Health and Human Services, does not recognize or know how to pronounce the vitamin riboflavin.
  • USDA Secretary Brooke Rollins appears in this as a self-identified MAHA mom.
  • It makes the point that food labels are hard to read.
  • It issues a direct threat to the food industry to get artificial colors out of their products.
  • It’s fun.

It also says a lot about MAHA priorities.  I’m all for getting artificial colors out of the food supply, but I view other food issues as far more important.

I want to see RFK Jr videos about what FDA is planning to do to really Make America Healthy Again.  What, for example, is the agency planning to do about:

  • Food safety
  • Ultra-processed foods
  • Food marketing to kids
  • Toxic chemicals in the food supply
  • Mercury in fish
  • School food

These are all issues he has raised, many of them requiring collaboration with USDA, EPA, FTC, and other agencies.

Tomorrow: Dietary Guidelines.

 

 

 

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Feb 13 2025

Brazil tax reform!

At the end of December, I received an email from Paula Johns, director of ACT Health Promotion in Brazil.

Today we are celebrating the approval of the tax reform in Brazil. This Tuesday, Dec 17th, the text was approved by the National Congress!!

The tax reform is a historic achievement for Brazil and we celebrate the fact that products harmful to health, such as tobacco, alcohol and sugary drinks, are included in the selective tax. We followed each stage of the discussion and saw the intense lobbying by the economic sector that profits from these products to weaken the selective tax proposal, but it was finally approved, as well as the tax-exempt basic food basket, with healthier products in accordance with the Brazilian Food Guidelines.

…Important to highlight that our National Congress is one of the worst we’ve ever had! To beat The Coca-Cola lobby there is quite an achievement! Wanted to celebrate with you. The inclusion of carbonated drinks in the selective tax now opens the door for a broader discussion about other categories of ultraprocessed foods in the revision that will happen in five years from now.

I also received a press announcement: “Historic Public Health Victory”: Vital Strategies Applauds Brazil’s Approval of Selective Tax on Tobacco, Soft Drinks, and Alcohol

The newly approved legislation includes annual tax adjustments for tobacco, soft drinks and alcohol in line with inflation. Additionally, it establishes an innovative basic food basket of healthy, sustainable products exempt from taxation. The tax reform also grants a 60% reduction in tax rates for horticultural and minimally processed products, nuts, oils, flours, and items from Brazil’s rich socio-biodiversity.  These measures will help ensure better access to nutritious food while discouraging consumption of unhealthy commodities.

…The specific tax rates for tobacco, alcohol, and soft drinks will be determined in 2025. To fully realize the public health benefits of this new tax structure, the levels of tax must be sufficient to reduce consumption. Vital Strategies, Brazil, will collaborate closely with partners to advocate for tax rates that prioritize public health. Setting these rates at levels that significantly reduce consumption of harmful products will protect communities from preventable diseases.

I tried to find more details, and hit upon Covington ‘s Brazil’s historic tax reform: a primer.  This lays out what will have to happen before implementation.  It says almost nothing about the public health taxes except this:

Key Change: the Selective Tax
In addition to the dual VAT (CBS/IBS), the reform establishes a new Selective Tax (IS) to regulate goods and services it characterizes as having significant negative health and environmental externalities. The IS will be charged on production, extraction, sale, or importation of these goods and services.

This will be interesting to watch.  Stay tuned!

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Jan 10 2025

Weekend reading: Three thoughts on the MAHA “movement”

I.  Darius Mozaffarian, a nutrition professor at Tufts University, has an editorial in the American Journal of Clinical Nutrition:“The Dietary Guidelines for Americans—is the evidence bar too low or too high?”

He writes about an analysis of the systematic literature reviews SRs) that form the basis of science-based decisions in the guidelines.  His comments gives an insight into the Dietary Guidelines process worth seeing.

For the 2025–2030 DGAC, I served as a peer reviewer for the SR on UPFs…I felt that the SR’s question, design, and planned methods were appropriate, but that its implementation and conclusions were weakened by important deviations from these standards. For example, contradicting its stated eligibility criteria, the SR included numerous studies that did not appropriately or adequately define or assess UPF. Following inclusion of such heterogeneous studies, the SR concluded that the scientific evidence on UPF was limited due to many studies having serious concerns around exposure misclassification as well as evaluating dietary patterns not directly varying in amounts of UPF. This demonstrated a circular and dismaying reasoning: the SR included studies it should not have that had heterogeneous and poorly characterized assessments of UPF, and then concluded that heterogeneous and poorly characterized assessments of UPF limited the strength of the evidence.

He observes:

Most importantly, the DGA and SR requirements make clear that guiding Americans toward a healthier diet is an unfair fight from the start. The food industry can do almost anything it wishes to our food, combining diverse ingredients, additives, and processing methods with virtually no oversight or required evidence for long-term safety  In contrast, the DGAs and other federal agencies can only make recommendations to avoid certain foods or limit certain manufacturing methods when there is extensive, robust, and consistent evidence for harm. In this severely imbalanced playing field, industry wins again and again.

II.  Senator Bernie Sanders posted on Facebook Sanders Statement on How to Make America Healthy Again.  Among other issues, he’s taking on the food industry.

Reform the food industry. Large food corporations should not make record-breaking profits addicting children to the processed foods which make them overweight and prone to diabetes and other diseases. As a start, we must ban junk food ads targeted to kids and put strong warning labels on products high in sugar, salt and saturated fat. Longer term, we can rebuild rural America with family farms that are producing healthy, nutritious food.

III.  California Governor Gavin Newsom “issues executive order to crack down on ultra-processed foods and further investigate food dyes.”

The food we eat shouldn’t make us sick with disease or lead to lifelong consequences. California has been a leader for years in creating healthy and delicious school meals, and removing harmful ingredients and chemicals from food. We’re going to work with the industry, consumers and experts to crack down on ultra-processed foods, and create a healthier future for every Californian.

Comment

Mozaffarian offers these opinions despite disclosing financial ties to food companies.  Sanders is a welcome addition to the handful of legislators concerned about food issues.  Newsom is making it easier for other states to take similar steps.

Maybe there’s a glimmer of hope for coalition building among advocates for healthier food systems.  Maybe this really is a movement!

How’s that for a cheery thought for 2025.  Happy new year everyone!

Jan 9 2025

A Thursday giggle: Politics makes strange bedfellows

How did a nice girl like me end up in New York Magazine’s MAHA issue?  I was amazed to find myself in this.

MAHA is the Trump Administration’s Make America Healthy Again campaign.

For the record: I’m totally for making America healthy, and especially for doing everything possible to reduce risks from chronic disease.  I’m for some of what RFK, Jr wants to do (reduce intake of ultra-processed foods, get toxins out of the food supply, reduce conflicts of interest) but by no means all.

Oh well, I didn’t want you to miss this. Enjoy (?).

Dec 17 2024

The Dietary Guidelines Advisory Committee releases its report

The USDA announced last week the arrival of the Scientific Report of the Dietary Guidelines Advisory Committee (DGAC).

The DGAC deserves much praise for getting this job done on time under what I consider to be difficult constraints (large committee size, large areas of research to review, requirement that all recommendations be “evidence-based” which sounds good, but is unreasonable given the inability to conduct long-term controlled clinical studies).

The report is now open for public comment (see information at bottom of post).

The process to develop the Dietary Guidelines for Americans, 2025-2030 is under way. Get involved by providing written and oral comments to the Departments on the Scientific Report of the 2025 Dietary Guidelines Advisory Committee (Scientific Report). You may also sign up to receive email updates on news related to the development of the next edition of the Dietary Guidelines…For more information, visit the Public Comments to the Departments page.

A reminder about the process:  The DGAC report is advisory.  Since 2005, the agencies appoint an entirely separate internal governmental committee to write the actual guidelines.  This, of course, makes the process far more political and subject to lobbying (file comments!).

The recent election will install new leaders of USDA and HHS.  If they follow the same process, they will appoint and instruct the new committee.  Or, they can change the process entirely.

Another reminder: When I was on the DGAC in 1995, our committee chose the research questions, did the research, wrote the scientific report, and wrote the actual guidelines.  Those were the days.

Comments on the DGAC report

For starters, it’s 421 pages.

Its bottom line:

This healthy dietary pattern for individuals ages 2 years and older is: (1) higher in vegetables, fruits, legumes, nuts, whole grains, fish/seafood, and vegetable oils higher in unsaturated fat; and (2) lower in red and processed meats, sugar-sweetened foods and beverages, refined grains, and saturated fat. A healthy dietary pattern, as indicated by the systematic reviews, may also include consumption of fat-free or low-fat dairy and foods lower in sodium, and/or may include plant-based dietary options.

The proposed guidelines:

  1. Follow a healthy dietary pattern at every life stage. At every life stage—infancy, toddlerhood, childhood, adolescence, adulthood, pregnancy, lactation, and older adulthood—it is never too early or too late to eat healthfully.
  2. Customize and enjoy nutrient-dense food and beverage choices to reflect personal preferences, cultural traditions, and budgetary considerations.
  3. Focus on meeting food group needs with nutrient-dense foods and beverages, and stay within calorie limits.
  4. Limit foods and beverages higher in added sugars, saturated fat, and sodium, and limit alcoholic beverages.

This looks like all the other Dietary Guidelines since 1980.  Its bottom-line statement is more explicit than previously about reducing red meat and sugar-sweetened beverages.

Worth reading

  • Support federal data.  I especially appreciated the strong support for strengthening nutrition monitoring, food composition data (FoodData Central, an invaluable resource), and updating the Dietary Reference Intakes.  Yes!
  • The chapter on portion size.  At last!  Larger portions have more calories!

What’s missing

  • A separate chapter on calories stated explicitly.  The report discusses concerns about obesity and diet-related chronic disease in an excellent paragraph on page 1, and mentions calories but “stay within calorie limits” doesn’t get at what’s needed.  I want more on “…adults and children [should] consume smaller portions of foods and beverages that are high in energy density and low in nutrient density.”
  • A guideline to reduce consumption of ultra-processed foods.  This committee, unwisely in my view, chose not to advise minimizing intake of ultra-processed foods, deeming their definition too uncertain and ignoring what are now three controlled clinical trials demonstrating that diets based on these food induce people to overconsume calories.

What’s confusing

–The addition of recommendations for diets in early childhood.  This was done for the 2020-2025 guidelines and it involved doubling the size of the committee. This makes the committee’s work much harder and its report insufferably long.  I would rather see a separate report on children (this could deal with the effects of food marketing as well).

–The health equity lens.  I’m all for this but its discussion dominates the report.  It is discussed in a separate chapter but then in boxes and other places throughout.  The word “equity” is mentioned 217 times and “health equity lens” 38 times.

Although prior Committees incorporated basic demographic factors such as age, race, and ethnicity into their reviews of the science, this Committee considered additional factors and did so in a holistic manner as it reviewed, interpreted, and synthesized evidence across data analysis, systematic reviews, and food pattern modeling. In particular, this Committee considered factors that reflect social determinants of health (SDOH). In doing so, the Committee could interpret the evidence based on both demographic factors (which are considered to be downstream, i.e., more proximal in terms of their influence on behavior) and socioeconomic and political factors (which are considered to be upstream, i.e., broader societal factors that influence the distribution of power and resources). Addressing SDOH is considered key to achieving a just, equitable society.

Other comments

From the Meat Institute:  Meat Institute Issues Statement on the Scientific Report of the 2025 Dietary Guidelines Advisory Committee

“The Meat Institute remains strongly opposed to the Report’s recommendation to reduce meat consumption and will urge the agencies to reject it,” said Meat Institute President and CEO Julie Anna Potts.

From the Physicians Committee for Responsible Medicine: Prioritizing Plant-Based Protein in the Scientific Report of the 2025-2030 Dietary Guidelines for Americans Committee is a Step Forward, Doctors Say

For the first time, the advisory committee tasked with making scientific recommendations for revising the Dietary Guidelines for Americans recommended that the 2025-2030 Dietary Guidelines “include more nutrient-dense plant-based meal and dietary recommendation options,” prioritize plant-based protein over animal protein, and recognize the many benefits of beans, peas, and lentils as a protein source. The Dietary Guidelines Advisory Committee (DGAC) continued to discourage consuming foods like red meat, eggs, and dairy that are high in saturated fat, while also suggesting that the next Dietary Guidelines for Americans specifically recommend plain drinking water as the primary beverage for people to consume.

I can’t wait to see what comes next.

How to commennt

A 60-day public comment period on the Committee’s Scientific Report is open through February 10, 2025. More information about how to provide written and oral comments to the Departments is available at DietaryGuidelines.gov.

  • Read about opportunities to provide public comments, including requirements for oral comments 
  • Register to provide oral comments to the Departments.   Note: do this now.  Spaces are limited.
  • Submit written public comments to the Departments
  • Register to attend the virtual public meeting to hear oral comments on the Scientific Report  

Read the Committee’s Scientific Report