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My monthly (first Sunday) San Francisco Chronicle Food Matters column is on guess what?  This will be the last post on the new food icon for a while at least, I promise.

Food plate icon improvement of pyramid

 

 

 

 

 

 

 

 

Q: What’s the big deal over the government’s new food icon? A plate? That seems really boring.

A: The Department of Agriculture’s plate may look banal, but it is a key part of first lady Michelle Obama’s healthy eating campaign and I see it as a big step forward. Unlike the 2005 MyPyramid, this one is mostly about food, is easy to understand, and does not require use of a computer.

The plate does a better job of reflecting current thinking about healthy diets than previous guides. Its four sectors are unequal. Vegetables get the most space, and dairy – a discretionary choice – is off to the side.

You are to pile half your plate with fruit and vegetables, and a quarter with grains (half of them whole grains). All these come from plants.

I’m less happy about the sector marked “protein.” Protein is not a food. It is a nutrient.

USDA must think everyone knows that “protein” means beans, poultry and fish, as well as meat. But grains and dairy, each with its own sector, are also important protein sources. The meat industry wants you to equate protein with meat. It should be happy with this guide.

What I like best are the messages that come with the plate. My favorite? “Enjoy your food, but eat less.”

At last! Enjoyment is part of dietary advice. High marks to USDA for this one.

Other messages are designed to help you eat less while eating better. Smaller portions keep calories under control. Making half your plate fruits and vegetables is a profound switch from the six to 11 calorie-rich grain servings you were supposed to eat daily under the old MyPyramid.

For people who drink milk (really, you don’t have to), switching to low-fat is an effective way to save on calories, and whole grains are better for health than refined, rapidly absorbable starches that behave like sugars in the body.

So far, so good. But next come the politically charged “foods to reduce.” Here, the USDA is leaning in the right direction, but still pulling punches. USDA tells you to reduce sodium from soup, bread and frozen meals, but says nothing about salty snacks or other sodium-laden processed foods. This is a glaring omission.

And the final principle – “drink water instead of sugary drinks” – puts naturally sweet fruit juices (fine in small amounts) in the same category as sugar-added juice drinks, sports drinks and sodas, which ought to be reserved for occasional treats.

Let’s give USDA credit for going as far as it could without directly confronting the processed-food and soft-drink industries.

Optimist that I am, I think the icon has plenty for everyone to work with. It emphasizes the positives – fruits, vegetables, whole grains – and leaves lots of room for enjoyment. You can pile whatever foods you like on that plate as long as they fit within their assigned sectors.

Best of all, you do not have to count numbers of servings. If you want to control the size of your servings, just use a smaller plate.

Consider the alternatives. From 1958 until 1979, the USDA’s uncontroversial Four Food Groups advised eating two or three servings a day from dairy, meat, fruits and vegetables, and breads and cereals – half the plate from animal-source foods.

In 1979, in an effort to help reduce dietary risks for chronic diseases, USDA stacked the groups with plant foods above animal foods, eliciting a furor that led USDA nutritionists to begin a 12-year project to research a new food guide.

USDA released a food guide Pyramid in 1991, withdrew it under protest from meat producers, and re-released it a year later. Meat and dairy producers did not like being at the “eat less” top of the Pyramid. Nutritionists thought it promoted too many servings of high-calorie grains.

In 2005, the USDA replaced that Pyramid with the unobjectionable, food-free MyPyramid. This was impossible to teach (you had to know what each color stood for), eliminated any sense that it is better to eat some foods than others, and required a computer to personalize your own diet.

USDA officials say they spent about $2 million to research and test the new plate logo, create its website, and publicize it. This is a lot or a little depending on your perspective, but a plate is not exactly a new concept. The American Diabetes Association, American Institute for Cancer Research and Canadian government have all used similar plant-focused plates for years. The Physicians Committee for Responsible Medicine has one with a similar design but 100 percent vegetarian.

We can argue over nutritional details, but I think USDA’s plate-plus-messages works better than anything it has done before. The plate works for health and for disease prevention. It took courage to make half of it fruit and vegetables. That’s real progress.

Now the challenge is to Congress: How about fixing agricultural policies so they support these recommendations?

 

 

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

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

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

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

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

The Washington Post covered it (I’m quoted)

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

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

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

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

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

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

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

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

The American Heart Association supports it.

The American Dietetic Association supports it:

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

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

The meat industry spins it (MeatPoultry.com):

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

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

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

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

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

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

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

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

The USDA’s press announcement explained:

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

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

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

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

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

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

Balancing Calories

• Enjoy your food, but eat less.

• Avoid oversized portions.

Foods to Increase

• Make half your plate fruits and vegetables.

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

Foods to Reduce

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

• Drink water instead of sugary drinks.

A bit of history:

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

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

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

 

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

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

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

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

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

Fingers crossed.

Details about the release:

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

I’ll be there.  Stay tuned.

 

 

In April, the FDA released proposed rules for listing calories on menu labels (see previous post).  One surprising omission was an exemption for alcoholic beverages.  The surprise was that FDA had included alcoholic beverages in earlier versions.

The FDA’s reason for omitting alcohol is that these drinks are regulated by the Treasury Department, which proposed rules for calories on the labels of such drinks.  Yes it did, but that was at least four years ago and Treasury has done nothing since.  And Treasury has never said a word about menu boards.

Jurisdiction cannot be the real reason.  FDA does not regulate meat and poultry (USDA does) but its proposed regulations cover those foods.

If you think the FDA should require restaurants to display calories for alcoholic beverages, now is the time to say so.

I think consumers’ right to know is a sufficient reason for demanding calorie labeling on alcoholic beverages, but if you want more, the Marin Institute  lists useful talking points.

• Alcoholic beverages contain calories and few nutrients.
• It is difficult for drinkers to calculate the number of calories contained in a specific alcoholic beverage on their own.
• Congress did not explicitly exclude alcoholic beverages from food labeling requirements.
• The FDA has jurisdiction over the regulation of alcoholic beverages for health purposes.
• The TTB [Treasury Department agency] continually fails to act regarding the labeling of alcoholic beverages.
• Exempting small alcohol producers can remove burden of obtaining nutritional information.

If you are convinced by these arguments, or have others of your own, be sure to share them with FDA.  Do it right away.  The deadline is July 5.

Thanks to FoodSafetyNews for the heads up on the latest Government Accountability Office(GAO) attempt to get Congress to consolidate federal food safety functions on one agency.

The GAO’s latest 345-page report on how the federal government can save money lists its proposals in alphabetical order by area.  Agriculture comes first and, therefore, so does food safety.  You have to love the way GAO titles its sections: “Fragmented food safety system has caused inconsistent oversight, ineffective coordination, and inefficient use of resources.”

GAO has been saying this for 20 years.  In 1990, for example, it published reports on who does what in the federal government about food safety and the inconsistencies in oversight.

As I wrote in Safe Food: The Politics of Food Safety (2010),

Today, an inventory of federal food safety activities reveals a system breathtaking in its irrationality: 35 separate laws administered by 12 agencies housed in six cabinet-level departments….

At best, a structure as fragmented as this one would require extraordinary efforts to achieve communication let alone coordination, and more than 50 interagency agreements govern such efforts.

Among the six agencies with the broadest mandates, all conduct inspections and collect and analyze samples, and at least three–though not necessarily the same ones–have something to do with regulating dairy products, eggs and egg products, fruits and vegetables, grains, and meat and poultry.

Until recently, the system had no mission statement (for whatever such statements are worth) and it still does not have consistent rules, clear lines of authority, a rational allocation of resources, or standards against which to measure success.

With such a system, some issues–such as use of animal manure to fertilize food crops—inevitably fall between the cracks and are governed by no rules whatsoever.

Not much has changed in the subsequent 20 years, as this new report attests.  As is inevitably the case, some of the areas of overlap are simply absurd:

The 2008 Farm Bill assigned USDA responsibility for catfish, thus splitting seafood oversight between USDA and FDA. In September 2009, GAO also identified gaps in food safety agencies’ enforcement and collaboration on imported food.

Specifically, the import screening system used by the Department of Homeland Security’s Customs and Border Protection (CBP) does not notify FDA’s or FSIS’s systems when imported food shipments arrive at U.S. ports.

But the worst is the situation with shell eggs, seemingly unfixable, given the 2010 recall of 500 million eggs:

FDA is generally responsible for ensuring that shell eggs, including eggs at farms such as those where the outbreak occurred, are safe, wholesome, and properly labeled and FSIS [USDA] is responsible for the safety of eggs processed into egg products.

In addition, while USDA’s Agricultural Marketing Service sets quality and grade standards for the eggs, such as Grade A, it does not test the eggs for microbes such as Salmonella.

Further, USDA’s Animal and Plant Health Inspection Service helps ensure the health of the young chicks that are supplied to egg farms, but FDA oversees the safety of the feed they eat.

I repeat.  This is not a new issue.  The hope was that the food safety act passed in January would pave the way to establish a single food safety agency.  The GAO report, while urging its creation, doubts that it will cut costs.

But it might save lives.

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

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

Nevertheless, the document is well worth reading.

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

Let me share a few thoughts about selected issues.

SOFAS

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

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

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

Added sugars

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

Food group patterns

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

Sodium

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

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

Vegetarian and vegan diets

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

How about changing the food environment?

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

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

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

What is the food industry’s reaction?

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

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

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

I rest my case.

The 2010 Dietary Guidelines for Americans were just released.  Here are the take-home messages:

Balancing Calories

• Enjoy your food, but eat less.

• Avoid oversized portions.

Foods to Increase

• Make half your plate fruits and vegetables.

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

Foods to Reduce

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

• Drink water instead of sugary drinks.

I’m in shock.  I never would have believed they could pull this off.  The new guidelines recognize that obesity is the number one public health nutrition problem in America and actually give good advice about what to do about it: eat less and eat better. For the first time, the guidelines make it clear that eating less is as priority.

My two quibbles:

Quibble #1: They still talk about foods (fruits, vegetables, seafood, beans, nuts) when they say “eat more.”   But they switch to nutrient euphemisms  (sodium, solid fats and added sugars) when they mean “eat less.”

They say, for example: “limit the consumption of foods that contain refined grains, especially refined grain foods that contain solid fats, added sugars, and sodium.”

This requires translation: eat less meat, cake, cookies, sodas, juice drinks, and salty snacks.

That’s politics, for you.

Let’s give them credit for “drink water instead of sugary drinks.”  That comes close. But I listened in on the press conference and conference call and several people pushed federal officials about why they didn’t come out and say “eat less meat.”  The answers waffled.

Quibble #2: This is all about personal responsibility.  What about the “toxic” food environment?  Shouldn’t these guidelines be directed at the food and restaurant industries?  The Dietary Guidelines Advisory Committee made a big point of that.  Apparently, that’s in the full dietary guidelines report but I’ve only seen the executive summary.

For background, see my previous posts, one on the politics of this report, and one on the science of the dietary guidelines.

Overall, the new guidelines aren’t perfect but they are a great improvement.

Next: let’s see what they do to improve the implementation guide—the pyramid or its equivalent.  This, they say will come out in a few months.  Stay tuned.

 Bill Marler, the food safety lawyer in Seattle, is asking for responses to the question, “if you had a magic wand, how would you fix the food safety system?” 

I’ve been mulling over his question in light of the recent enactment of the food safety bill, as yet unfunded.  Magic wand in hand, here’s what I’d do:

Create a single food safety agency: the new law is designed to fix the FDA.  It does nothing to fix the USDA’s food safety functions.  These remain divided between the two agencies, with USDA responsible for the safety of meat and poultry, and FDA responsible for everything else.  This division pretends that animal wastes have nothing to do with the safety of fruits and vegetables which, alas, they do. 

Require safety control systems for all foods.  Everyone who produces food should do it safely using proven methods for identifying where hazards can occur, taking steps to prevent those hazards, monitoring to make sure the steps were taken, and—when appropriate— testing to make sure the system is working. 

Apply safety controls from farm to table.  The new law does this for FDA-regulated foods.  But USDA safety regulations begin at the slaughterhouse after animals have already been contaminated in feedlots or in transport.  Everyone involved in food production, even farmers large and small, should be actively engaged in food safety efforts.

Fund food safety through congressional health committees.  For irrational reasons of history, the FDA gets its funding through agricultural committees, not health—even though FDA is an agency of the Public Health Service within the Department of Health and Human Services.   As a consequence, the FDA is at the mercy of appropriations committees whose mandate is to protect agricultural interests.  This anomaly explains why 80% of food safety funding goes to USDA, and only20% to FDA.  The new chair of the House agricultural appropriations committee has made it clear that he does not believe FDA needs any more funding.   Health appropriations committees might view FDA’s role in food safety in a more favorable light.

Fund food safety adequately.  To protect the domestic food supply—and to ensure the safety of imported foods—more money is needed to pay for inspection, testing, and research. 

Give the food agency cabinet-level status.  Everyone eats.  Food safety affects everyone.  Food has critically important economic and food security dimensions, domestically and internationally.   

Require election campaigns to be publicly funded, with no loopholes. This is the only way we will be able to remove corruption from our political system and elect officials who care more about public health than corporate health.

Require Wall Street to rate corporations on long-term sustainability.  Wall Street pressures on corporations to report growth every quarter are at the root of corner-cutting on food safety.  Food corporations should be valued for excellent food safety records and for maintaining high ethical standards in every aspect of their business.

Even a magic wand may not be enough to do this.  It will take more than a magic wand to do this, I fear.  Hey, I can dream.