by Marion Nestle

Currently browsing posts about: Food-assistance

Nov 11 2010

Three reports: eat more fruits and vegetables

The Institute of Medicine (IOM) has just published a review and assessment of the nutritional needs of the populations served by the USDA’s Child and Adult Care Food Program (CACFP), with recommendations for revising the program’s meal requirements.

CACFP supports the nutrition and health of the nation’s most vulnerable individuals—more than 3 million infants and children and more than 114,000 impaired or older adults, primarily from low-income households. CACFP meals must meet regulations designed to ensure that participants receive high-quality, nutritious foods.

The IOM says that USDA should:

  • Fix the meal requirements to promote eating more fruits and vegetables,  whole grains, and foods that are lower in fat, sugar, and salt.
  • Offer training and technical assistance to providers.
  • Review and update the Meal Requirements to maintain consistency with current dietary guidance.

The Produce for Better Health Foundation, the non-profit educational arm of the fruit and vegetables industries, recently issued its 2010 State of the Plate Report.  The major findings:

  • Only 6% of individuals achieve their recommended target for vegetables; 8% achieve their recommended target for fruit in an average day.
  • Vegetable achievement levels (vs. targeted levels) follow a standard bell-shaped curve, with half of individuals consuming between 40-70% of their target. The picture is less favorable for fruit, however, as two-thirds don’t even consume half of their recommended number of cups of fruit.
  • Children under the age of 12 and females 55 and older are most likely to achieve their fruit target. Males ages 55 and older, teens, and children under the age of 6 are most likely to achieve their vegetable target.The average person consumes 1.8 cups of fruits and vegetables per day or about 660 cups annually. Vegetables account for 60% of this average, while fruit represents 40%.
  • Per capita fruit and vegetable consumption (in cups) has remained fairly stable overall during the past 5 years….Berries, apple juice, and bananas have all shown growth since 2004.
  • Several groups have increased their fruit consumption by at least 5% since 2004. These include children ages 2-12, males 18-34, and females 18-54.
  • Older adults are eating fewer fruits and vegetables compared to just 5 years ago. Men and women aged 65 and over have decreased their intake nearly 10% vs. 2004 levels.

The Produce for Better Health Foundation’s 2010 GAP Analysis,  correlates the gap between consumption and recommendations to the ways in which USDA funding priorities ignore fruits and vegetables.  The report is hard to read and goes on and on, but its thrust is understandable.

The Foundation wants the USDA to spend a greater proportion of its dollars on fruits and vegetables, rather than on meat and dairy foods. USDA’s current allocations for subsidies look like this:

  • Meat: 54.7%
  • Grains (which mostly go to feed animals): 18.0%
  • Dairy (non-butter): 11.4%
  • Fats and oils: 6.2%
  • Fruits and vegetables: 9.8%

These reports aim to align agricultural policy with health policy, and about time too.

Jun 18 2010

Anti-hunger programs: recent research

The Government Accountability Office has analyzed the current status of food assistance programs in a recent report, “Domestic Food Assistance: Complex System Benefits Millions, but Additional Efforts Could Address Potential Inefficiency and Overlap among Smaller Programs” (GAO-10-346, April 15, 2010).

The GAO says that the prevalence of food insecurity rose to nearly 15 percent (or about 17 million households) in 2008, and that the federal government spent more than $62.5 billion on 18 different food and nutrition assistance programs that year.

Although the programs are poorly coordinated and often overlap, streamlining them is not easy and involves trade offs.  The GAO recommends that USDA:

identify and develop methods for addressing potential inefficiencies among food assistance programs and reducing unnecessary overlap among the smaller programs while ensuring that those who are eligible receive the assistance they need. Approaches may include conducting a study; convening a group of experts…considering which of the lesser-studied programs need further research; or piloting proposed changes.

More research needed!

Fortunately, we have some.  The Robert Wood Johnson Foundation has studied the question of whether food insecurity is linked to obesity.  Past research suggested that it is.

Foundation researchers reviewed studies examining a possible relationship between food insecurity and obesity, and those examining links between federal nutrition assistance programs and an increased risk of obesity.

The report, “Food Insecurity and Risk for Obesity Among Children and Families: Is There a Relationship?, finds no evidence of a direct relationship between food insecurity and obesity.  It also does not find a direct relationship of use of food assistance to obesity.

Food insecurity is linked to a host of physical and mental health problems and it is difficult to distinguish the effects of lack of reliable food from those due to the lack of money, education, transportation, stable housing, and health care also common among low-income households.

Jan 1 2010

What’s up with food and nutrition in 2010?

My San Francisco Chronicle column, now appearing in print on the first Sunday of the month, is also online.

Its title:  “Hot food issues ready to boil over this year.”

Q: What do you think will happen with food and nutrition in 2010?

A: I wish I could read the leaves while I drink tea, but the best I can do is tell you which issues I’m going to be watching closely this year.

Hunter Public Relations recently asked 1,000 Americans which food-related issues they thought were most important in 2009. The top three? Food safety, hunger and food prices. For the decade, the winner was childhood obesity.

I have my own top 10 list of hot-button issues for 2010, and here they are:

  • Hunger: More than 35 million Americans get benefits to which they are entitled under the Supplemental Nutrition Assistance Program (formerly, food stamps). The economy may be improving, but not quickly enough for millions who have lost jobs, health care and housing. Will Congress do anything this year to strengthen the safety net for the poor? It needs to.
  • Childhood obesity: Rates of childhood obesity may have stabilized, but we all want to figure out how to prevent kids from gaining so much weight that they develop adult chronic diseases. I expect to see more efforts to improve school food and make neighborhoods more conducive to walking to school, riding bikes and playing outside.
  • Food safety regulation: Congress is sitting on a bill to give the Food and Drug Administration some real authority for food safety. The bill does not do what is most needed – establish a single food-safety agency – but is a reasonable step in the right direction. Let’s hope Congress gets to it soon.
  • Food advertising and labels: The long-dormant FDA and Federal Trade Commission are getting busy at last. In the wake of the Smart Choices fiasco, the FDA is working to make package labels less misleading and easier to understand. The agencies have proposed nutrition standards for products marketed to children. These voluntary standards fall far short of my preference – an outright ban on marketing junk foods to kids – but puts food companies on notice that their products are under scrutiny. The FDA is also working on designs for front-of-package labels. I’m hoping it chooses a “traffic-light” system that marks foods with a green (any time), yellow (sometimes) or red (hardly ever) dot. Expect plenty of opposition from the makers of red-dotted products.
  • Meat: The meat industry has been under fire for raising food animals under inhumane conditions, using unnecessary hormones and antibiotics, mistreating immigrant labor, and polluting soil and water. Now it is also under fire for contributing to climate change. Recent films like “Food, Inc.” and “Fresh” and books such as Jonathan Safran Foer’s “Eating Animals” are encouraging people to become vegetarians or to eat less meat to promote the health of people and the planet. I’ll bet the meat industry pushes back hard on this one.
  • Sustainable agriculture: The back-to-the land movement has loads of people buying local food, choosing foods produced under more sustainable conditions and growing their own food. The number of small farms in America increased last year for the first time in a century. Seed companies cannot keep up with the demand. It will be fun to follow what happens with this trend.
  • Genetically modified (GM) foods: My book, “Safe Food,” comes out in a new edition this year, so I am paying especially close attention to debates about GM foods. The FDA’s 1994 decision to prohibit labeling of GM foods continues to haunt the food biotechnology industry. By now, nearly all American soybeans and sugar beets (95 percent) are GM, as is most corn (60 percent). But when the U.S. Department of Agriculture approved GM sugar beets in 2005, it neglected to perform the required environmental impact assessment. On that basis, environmental groups want to ban further planting of GM sugar beets. The dispute is now in the courts.
  • Chemical contaminants: The FDA has yet to release its report on the safety of bisphenol A, the plastic chemical that acts as an endocrine disrupter. Shouldn’t it be banned? The bottling industry says no. Watch for fierce arguments over this one.
  • Salt: Nutrition standards allow 480 mg sodium (the equivalent of more than 1 gram of salt) per serving. A half cup of canned soup provides that much. A whole cup gives you 4 grams and the whole can gives you 8 grams – much more than anyone needs. Nearly 80 percent of salt in American diets comes from processed and restaurant foods. Companies are under pressure to cut down on salt. Will they? Only if they have to.
  • Dietary advice: The new edition of Dietary Guidelines for Americans, which the government publishes every five years, is due this year. What will it say? I can’t wait to find out.

Those are the issues I am tracking these days. My one crystal-ball prediction? We will be hearing a lot more about them this year.

Happy new year!

Dec 2 2009

An improving economy? Ask people on Food Stamps!

I keep reading that the economy is getting better but I think anyone who says this must be talking about fat cats on Wall Street.   As for everyone else, take a look at the shocking piece about the Food Stamp program that the New York Times ran on its front page on Sunday.

More than 36 million Americans qualify for and get Food Stamps, an increase of 30% or so in just the last two years.  The Food Stamp program, says the Times, helps feed nearly 13% of American adults and 25% of children.

The Food Stamp program, now called Supplemental Nutrition Assistance Program, or SNAP, is one of several food assistance programs run by the USDA.  SNAP is an entitlement program, meaning that anyone who meets income eligibility requirements can get benefits.  Even so, only two-thirds of people eligible for the program apply for and get the benefits.  What recipients get is a credit card to use at grocery stores.  The cards were worth an average of $101 per month in 2008 for individuals, and $227 for households.

SNAP participants can use the money to buy foods, seeds, and food plants.  They cannot use the cards for alcohol, tobacco, pet food, supplements, paper goods, or hot prepared foods.

So what’s going on?  Nearly 15% of American households, up a couple of percentage points this year, are considered “food insecure,” meaning that they cannot count on a reliable, legally obtained source of food from one day to the next.  Surprise!  The uptick in SNAP participation exactly parallels the uptick in jobs lost.

What do you have to do to qualify for Food Stamps?  For a family of four, your household must make less than $2,389 per month gross, or $1,838 net and meet certain other requirements.  An individual can’t make more than about $1,000 a month.   These days, 36 million Americans make less than that or otherwise qualify for food assistance, and their numbers are rising rapidly.

This doesn’t look like an improving economy to me.  Or am I missing something?

Oct 16 2009

World Food Day

Today is World Food Day and I am in Rome giving the 6th Annual George McGovern World Food Day lecture at the Food and Agriculture Organization (FAO).  The lecture is sponsored by the U.S. Embassy.

World Food Day marks the founding of FAO on October 16, 1945.  I love the FAO motto: Fiat Panis (let there be bread).  Its job is to make sure the world gets fed adequately.

FAO has just released its 2009 edition of “The State of Food Insecurity in the World.”  It contains nothing but bad news: hunger is on the rise, the global economic crisis is making things worse, with people in developing countries hit hardest.

The George McGovern lecture is in honor of the former U.S. Senator (Dem-South Dakota) and presidential candidate who has had a distinguished history of anti-hunger efforts as director of the Food for Peace program, chair of the Senate Select Committee on Nutrition and Human Needs, and U.N. global ambassador on hunger.

I am most familiar with his work as chair of the Senate Select Committee from 1968-1977.   This committee greatly expanded food assistance programs and then developed the first federal guidelines for chronic disease prevention: Dietary Goals for the U.S. In Food Politics, I describe the work of this committee and the way it improved the safety net and transformed nutrition education in the United States.

It is a great honor to be giving a lecture in his honor.

Apr 18 2009

USDA’s food assistance programs: 2008 report

The USDA has just published three new reports about food assistance.  The first is the 2008 annual report on these programs. The USDA spent nearly $61 billion of taxpayers’ money on food and nutrition assistance programs for low-income individuals and families last year, 11% more than in 2007.  Overall, 2008 was the eighth year in a row that the total amount spent on these programs set an all-time record.

WIC (Special Supplemental Program for Women, Infants, and Children) is among the most important of these programs.  Even though it is not an entitlement and serves only about half of the women and children who are eligible for benefits, its enrollments are astonishing.  About half of all of the infants in the U.S. are enrolled in it as are about one quarter of all children 1 to 4 years old.

Rates of obesity are higher among children enrolled in WIC than they are in comparable populations.  Does this mean that WIC promotes obesity in low-income children?  The evidence suggests not, but Mexican-American participants have especially high rates of obesity.

I’m still trying to get my head around what it means that half of U.S. infants are born into families so poor that they are eligible for WIC benefits.  Even so, these are just the infants whose families get into the program.  What about all the ones who are eligible but can’t get in because all the places are filled?  Most children born in America are poor?  Isn’t something wrong with this picture?  And what can be done about it?

Dec 30 2008

Are food stamps humiliating?

An interesting question came in yesterday (see comment #32) from Susan, who is planning to apply for Food Stamps (now called SNAP – Supplemental Food Assistance Program).  Susan writes: “I am afraid of being humiliated by my employers and/or coworkers when they find out…My main concern is my employers will humiliate me when they discover I applied for FS/Snap. Any responses?”

Mine: SNAP is an entitlement program. If Susan qualifies, she is entitled to the benefits.  Other ideas?  

Nov 8 2008

Can the poor afford to eat healthfully?

USDA’s latest analysis says yes, but only if they make careful food choices, avoid convenience foods, and live in a low-cost area.  At the time of the study, a half gallon of whole milk, for example, cost a lot less in Pittsburgh ($1.45) than it did in Boston ($2.51) .

But can people in low-income areas even find food?  The Rudd Center at Yale has a new report out on how tough it is to find anything other than fast food in low-income areas –  food “deserts” as they have come to be known.