A reader in Australia, Anthony Power, sent me this one, which he noticed discussed in an article in the Australian The Conversation.”

This one is not obviously funder takes all.  Indeed, it might need to be categorized as a rare example of an industry-funded study with results unfavorable to the sponsor’s interests.

The study: A Systematic Review and Meta-Analysis of Randomized Controlled Trials on the Effects of Oats and Oat Processing on Postprandial Blood Glucose and Insulin Responses.  Kathy Musa-Veloso, Daniel Noori, Carolina Venditti , Theresa Poon ¹, Jodee Johnson ², Laura S Harkness ², Marianne O’Shea ², YiFang Chu ²  J Nutr.  2021 Feb 1;151(2):341-351.  doi: 10.1093/jn/nxaa349.

Objectives: The study objective was to determine the effects of differently processed oats on the postprandial blood glucose and insulin responses relative to refined grains.

Conclusions: A disruption in the structural integrity of the oat kernel is likely associated with a loss in the glycemic benefits of oats.

Funding: The systematic review and meta-analysis, as well as the writing of the manuscript, were funded by PepsiCo, Inc.

Conflicts of interest: Author disclosures: KM-V, DN, CV, and TP are employees of Intertek Health   ciences Inc., which has provided consulting services to PepsiCo, Inc. JJ, MO, and YC are employees of PepsiCo, Inc., which manufactures oatmeal products under the brand name Quaker Oats and which funded this systematic review and meta-analysis. LSH is a former employee of PepsiCo, Inc. The views expressed in this article are those of the authors and do not
necessarily reflect the opinion or policies of Intertek Health Sciences Inc. or PepsiCo, Inc.

Comment: Oats are good sources of soluble fiber which in some studies helps lower blood cholesterol levels.  PepsiCo owns Quaker Oats, which makes oatmeals of varying degree of integrity.  The least processed ones, according to this review, do the best job.  This means that quick oats have less of a beneficial effect than the longer-to-cook less processed varieties.  As the paper puts it: “The postprandial glycemic and insulin responses
with thin/instant/quick oats were not significantly different from those elicited by the refined grain control.”

PepsiCo currently extols the health benefits of oatmeal on its website, without making a distinction between the Instant and Need-to-be-Cooked-Longer varieties.  Will it change its website in response to this study?  We will see in due course.

I’m thrilled to announce that information about my forthcoming book—out October 4—is now available on the University of California Press website

Preordering options

• Amazon
• Barnes & Noble
• Bookshop
• IndieBound
• Powell’s
• UC Press

Here’s the official description:

Marion Nestle reflects on her late-in-life career as a world-renowned food politics expert, public health advocate, and a founder of the field of food studies after facing decades of low expectations.

In this engrossing memoir, Marion Nestle reflects on how she achieved late-in-life success as a leading advocate for healthier and more sustainable diets. Slow Cooked recounts of how she built an unparalleled career at a time when few women worked in the sciences, and how she came to recognize and reveal the enormous influence of the food industry on our dietary choices.

By the time Nestle obtained her doctorate in molecular biology, she had been married since the age of nineteen, dropped out of college, worked as a lab technician, divorced, and become a stay-at-home mom with two children. That’s when she got started. Slow Cooked charts her astonishing rise from bench scientist to the pinnacles of academia, as she overcame the barriers and biases facing women of her generation and found her life’s purpose after age fifty. Slow Cooked tells her personal story—one that is deeply relevant to everyone who eats, and anyone who thinks it’s too late to follow a passion.

And here are the amazing back-cover blurbs (for which I am deeply grateful):

• “Marion Nestle is one of my heroes. After reading her riveting memoir, I admire her more than ever. She is one of the most important voices in the food world, and in this book she gets personal for the first time.”—Ruth Reichl, former editor of Gourmet Magazine 
• “Marion Nestle is a national treasure, and now you can learn how she came to be. Just like Nestle herself, this beautiful memoir is thoughtful, generous, unstinting, and deeply committed to learning from the past to build a better world.”—Raj Patel, author of Stuffed and Starved: The Hidden Battle for the World Food System 
• “I have always had such admiration for Marion Nestle: she is one of our nation’s shrewdest thinkers and has transformed the way all of us think about public health, the industrial food industry, nutrition, and the future of food. With this extraordinary book, I see for the first time how she became the clear-eyed, indefatigable warrior that she is. Her radical self-reflection and honesty is deeply moving—and in telling her life’’s story, Marion is forging a path for the next generation of food activists.”—Alice Waters, chef, author, food activist, and founder of Chez Panisse restaurant 
• “Marion Nestle is a brilliant, courageous champion of healthy food, social justice, and scientific integrity. This poignant and inspiring book tells us how she came to be that way.”—Eric Schlosser, author of Fast Food Nation: The Dark Side of the All-American Meal 
• “Extraordinary! Nestle’s story moves me, heart and soul. I have long admired her leadership in awakening us to the crisis of our corporate-corrupted food system. In this work, however, she offers hope in the capacity of humans to transform obstacles and denigration into opportunity and dignity. She shares a gripping, very personal story that will help us discover our own courage. Just what’s needed now more than ever.”—Frances Moore Lappé, cofounder of Small Planet Institute

This is not just about plastic particles in soil and in the ocean.  It’s about microplastics in us.

See:  Discovery and quantification of plastic particle pollution in human blood. 

Plastic particles are ubiquitous pollutants in the living environment and food chain but no study to date has reported on the internal exposure of plastic particles in human blood. …In this study of a small set of donors, the mean of the sum quantifiable concentration of plastic particles in blood was 1.6 µg/ml, showing a first measurement of the mass concentration of the polymeric component of plastic in human blood.

As for plastics in the environment, a news release from the FAO announced a new report: “Assessment of agricultural plastics and their sustainability: a call for action.”

According to data collated by the agency’s experts, agricultural value chains each year use 12.5 million tonnes of plastic products. A further 37.3 million tonnes are used in food packaging. The crop production and livestock sectors were found to be the largest users, accounting for 10.2 million tonnes per year collectively, followed by fisheries and aquaculture with 2.1 million tonnes, and forestry with 0.2 million tonnes.

According to the report, the benefits of plantics are enormous—and that’s a big part of the problem.

In agriculture, plastic products greatly help productivity. Mulch films, for instance, are used to cover the soil to reduce weed growth, the need for pesticides, fertilizer and irrigation; tunnel and greenhouse films and nets protect and boost plant growth, extend cropping seasons and increase yields; coatings on fertilizers, pesticides and seeds control the rate of release of chemicals or improve germination; tree guards protect young seedlings and saplings against damage by animals and provide a microclimate that enhances growth.

Moreover, plastic products help reduce food losses and waste, and maintain its nutritional qualities throughout a myriad of value chains, thereby improving food security and reducing greenhouse gas (GHG) emissions.

OK, but how do you get rid of them?

The effects of large plastic items on marine fauna have been well documented. However, as these plastics begin to disintegrate and degrade, their impacts begin to be exerted at the cellular level, affecting not only individual organisms but also, potentially, entire ecosystems.

Microplastics (plastics less than 5 mm in size) are thought to present specific risks to animal health, but recent studies have detected traces of microplastic particles in human faeces and placentas. There is also evidence of mother-to-foetus transmission of much smaller nanoplastics in rats.

The report recommends the 6R model (Refuse, Redesign, Reduce, Reuse, Recycle, and Recover).  Good luck with that one.

Commentary

• Here’s my previous post on the plastics issue.
• And here is Civil Eats’ comment on the report: “Ocean Plastic Is Bad, but Soil Plastic Pollution May Be Worse“

The FDA is issuing yet another notice about consumer research on a symbol for “healthy.”

The U.S. Food and Drug Administration is issuing a 30-day procedural notice on the preliminary quantitative consumer research it plans to conduct on voluntary symbols that could be used in the future to convey the nutrient content claim “healthy”…while at the same time developing a proposed rule that would update when manufacturers may use the “healthy” nutrient content claim on food packages.

It’s déjà vu all over again.

I went right back to what I wrote on  January 1, 2016.

**** Here’s what I said back then:

FDA: What is happening with front-of-package labels?

****So here we are six years later:

• Procedural Notice on Consumer Research on “Healthy” Symbol (May 2021)
• Use of the Term Healthy on Food Labeling
• Food Labeling & Nutrition

I can’t wait to see what this symbol is going to look like.  The mind boggles.

If you are plenty old, or up on your history of US nutrition policy, you might remember the 1969 White House Conference on Food, Nutrition, and Health.

Tufts held a 50th anniversary conference at which I spoke (videos of the talks are here–I was on Panel 3 starting at about 17 minutes in).

In early December 1969, President Richard M. Nixon convened the first and only White House Conference on Food, Nutrition and Health to “put an end to hunger in America for all time” and improve the nutritional well-being of all Americans at a time when malnutrition was of urgent national concern. The agenda of the Conference was to draft recommendations that could be implemented by a bipartisan coalition into national nutrition policy.

The conference was notable for Nixon’s amazing speech kicking off the conference.

We see, then, that the problem of hunger and malnutrition is, really, two separate problems. One is to insure that everyone is able to obtain an adequate diet. The second is to insure that people actually are properly fed, where they have the ability to obtain the adequate diet.

On the one hand, we are dealing with problems of income distribution. On the other hand, with problems of education, habit, taste, behavior, personal preferences-the whole complex of things that lead people to act the way they do, to make the choices they do.

Look at what Nixon was proposing:

For the first time–Mr. Moynihan [Counsellor to the President] please notice–for the first time, this new family assistance plan would give every American family a basic income, wherever in America that family may live. For the first time, it would put cash into the hands of families because they are poor, rather than because they fit certain categories. When enacted, this measure alone will either supplement the incomes or provide the basis for the incomes of 25 million American men, women, and children.

The conference was also notable for its hundreds of recommendations—among them, free food stamps, cash income supports, transfer of food assistance out of the USDA.  We didn’t get the Universal Basic Income but we did get food stamps (now SNAP), school meals,and other useful policies.

The Tufts program kicked off demands for another White House Conference, and it looks like we may actually get that.

Congress allotted $2.5 million for a White House Conference on Food, Nutrition, Health, and Hunger in the FY22 omnibus spending package (see page 112), as part of efforts to end hunger.

The conference should be developed using a whole-of-government approach- in partnership with the Executive Office of the President, the Department of Agriculture, and other Federal agencies-and in consultation with State, territories, local, and Tribal officials, and a diverse group of interested parties from across the country, including anti-hunger, nutrition, and health experts; the private sector; and people with lived experience of hunger and nutrition insecurity. The conference should examine why hunger and nutrition insecurity persist and how they affect health, including their role in the high prevalence of chronic disease. It should also review existing and crossdepartmental strategies and consider new approaches to improve health by eliminating hunger, reducing the prevalence of chronic disease, and improving access to and consumption of nutritious foods in accordance with Dietary
Guidelines for Americans.

The conference was called for in bills S. 3064 sponsored by Senator Cory Booker (D, NJ) and Mike Braun (R, IN) and H.R. 5724 sponsored by House Rules Chair Jim McGovern (D, MA) and Jackie Walorski (R, IN).

HHS is to work with other federal agencies to “report initial findings” to the Hill about conference plans probably by late July.

This is great news.  Can’t wait to see how this develops.

Thanks to Georgene Grover for sending this one, with this comment: “What about this? Ten prunes a day seems excessive!”

The study:  The Role of Prunes in Modulating Inflammatory Pathways to Improve Bone Health in Postmenopausal Women.  Janhavi J Damani, Mary Jane De Souza, Hannah L VanEvery, Nicole CA Strock, and Connie J Rogers. Adv Nutr 2022;00:1–17.

Purpose:  Prunes (dried plums; Prunus domestica L.) have been studied as a potential whole-food dietary intervention to mitigate bone loss in preclinical models of osteoporosis and in osteopenic postmenopausal women.

Method: This is a review of previous studies.  It summarizes findings from preclinical and clinical studies that have assessed the effect of prunes on oxidative stress, inflammatory mediators, and bone outcomes. Most of the studies that reported effects required 100 grams per day of prunes (about 10 per day).

Conclusion: Overall, evidence from in vitro, preclinical studies, and limited clinical studies suggests the potential role of prunes in ameliorating bone loss.

Funding and COI: Supported by the California Prune Board provided funding to MJDS and CJR. Publication funds came from the Hershey Company endowment, Department of Nutritional Sciences, Penn State University. California Dried Plum Board (grant no. 100804). Author disclosures: CJR is member of the Nutrition Advisory Panel for the California Dried Plum Board. The other authors report no conflicts of interest.

Comment: This is a standard industry-funded paper with a predictable outcome.  As far as I can tell, every food trade association is funding research that can help with marketing.  Even prunes.

Prunes are fine, but studies of one food don’t really tell you anything about diets as a whole.  Eat prunes if you like them.  Ten prunes means ten plums.  Seems like a lot, no?

The Intergovernmental Panel on Climate Change (IPCC) has released its 6th report.  

The news gets worse with each successive report.

Human-induced climate change is causing dangerous and widespread disruption in nature and affecting the lives of billions of people around the world, despite efforts to reduce the risks. People and ecosystems least able to cope are being hardest hit…The world faces unavoidable multiple climate hazards over the next two decades with global warming of 1.5°C (2.7°F). Even temporarily exceeding this warming level will result in additional severe impacts, some of which will be irreversible. Risks for society will increase, including to infrastructure and low-lying coastal settlements.

One paragraph (C.2.2) deals with the effects of agriculture on climate change, and the strength of the associations.

• Effective adaptation options, together with supportive public policies enhance food availability and stability and reduce climate risk for food systems while increasing their sustainability (medium confidence).
• Effective options include cultivar improvements, agroforestry, community-based adaptation, farm and landscape diversification, and urban agriculture (high confidence).
• Institutional feasibility, adaptation limits of crops and cost effectiveness also influence the effectiveness of the adaptation options (limited evidence, medium agreement).
• Agroecological principles and practices, ecosystem-based management in fisheries and aquaculture, and other approaches that work with natural processes support food security, nutrition, health and well-being, livelihoods and biodiversity, sustainability and ecosystem services (high confidence).
• These services include pest control, pollination, buffering of temperature extremes, and carbon sequestration and storage (high confidence).
• Trade-offs and barriers associated with such approaches include costs of establishment, access to inputs and viable markets, new knowledge and management (high confidence) and their potential effectiveness varies by socioeconomic context, ecosystem zone, species combinations and institutional support (medium confidence).
• Integrated, multi-sectoral solutions that address social inequities and differentiate responses based on climate risk and local situation will enhance food security and nutrition (high confidence).
• Adaptation strategies which reduce food loss and waste or support balanced diets (as described in the IPCC Special Report on Climate Change and Land) contribute to nutrition, health, biodiversity and other environmental benefits (high confidence).

Here are the documents:

• Summary for policymakers
• Figures for policymakers
• Technical summary
• Full report

The previous IPCC reports

• The Overview of the First Assessment Report (1990)
• The IPCC Second Assessment Report Synthesis of Scientific-technical Information Relevant to Interpreting Article 2 of the UNFCCC (1995)
• The Synthesis Report of the Third Assessment Report (2001)
• The Synthesis Report of the Fourth Assessment Report (2007)
• The Synthesis Report of the Fifth Assessment Report (2014)

I am a big fan and daily reader of ConscienHealth, mainly because its producer, Ted Kyle, invariably and consistently has something interesting to say about whatever he is writing about (obesity and health, usually).

I liked this one so much—it sounds just like something I would say—that I asked his permission to reproduce it.  He agreed.  Enjoy!

Controlled Study Shows How to Sell Less Easter Candy (if you click on the link, you can find the place to subscribe or comment)

Not every study in PLOS Medicine is thoroughly impressive, but this one is pure genius. Researchers at the University of Oxford have discovered that if grocers don’t promote Easter candy, they will sell less of it. But wait, there’s more. Those same researchers showed that promoting “healthy items” – like low fat potato chips – yields higher sales for those health-promoting snacks.

PLOS Academic Editor Jean Adams obviously recognized the genius of this research by Carmen Piernas, Georgina Harmer, and Susan Jebb. So she published an opinion paper alongside them, praising it. She says:

“Piernas and colleagues’ studies add to the accumulating evidence that restricting marketing on less healthy foods and encouraging marketing on healthier foods may be an effective way to support public health.”

But she also lamented the fact that implementation of tighter regulation of food marketing is slow to come. She calls it “a sad indictment of our collective inability to create a world that supports everyone to eat in the way they want to, rather than the way the marketers want for us.”

Easter Egg Hunts and a Trip to the Zoo

There’s a lot of great material in this trifecta of medical research and commentary. Adams tells us that supermarkets are out of control:

“The concentration of food marketing in grocery stores can feel particularly overwhelming with parents describing the ‘temptation’ as ‘like a trip to the zoo every week’ for their children.”

Seeing the brilliance of this research and commentary, headline writers got into the spirit. Our favorite:

Hiding Easter eggs better in supermarkets could rescue UK’s waistlines, Oxford study claims

Clearly, journalists understand how to capture the essence of serious public health science.

Actual Health Outcomes?

Crispy Fruit, photo by Ted Kyle

There’s just one tiny gap in this beautiful story. None of this research offers any evidence of healthier waistlines. It presumes that selling less Easter candy and more low-fat chips will cause waistlines to shrink.

Good luck with that. For decades now, food marketers in the U.S. have been selling us all kinds of food with claims that it’s healthy stuff to eat. Sales boomed and obesity kept rising. Onward and upward.

So count us skeptical that selling more low-fat chips and a little less Easter candy will put a dent in the UK problem with obesity.

Click here for the Easter candy study and here for the study of merchandising for low-fat chips. For the commentary by Adams, click here. And if this screed hasn’t been enough, click here for our further thoughts on the quest for a sustainable, nourishing, food supply.