by Marion Nestle

Currently browsing posts about: Fruit

Nov 16 2020

Industry-funded studies of the week: blueberries—again!

Thanks to Lisa Young for sending this announcement: New Research Examines Blueberries’ Positive Impact in Men with Type 2 Diabetes. 

I am already on record as saying that I love blueberries, but I wish they weren’t marketed as superfoods.  All fruits, vegetables, nuts, and grains provide nutrients and fiber.  That makes all of them worth eating for their nutrition-and-health value as well as their taste.  Singling out one or another makes no sense to me, but I’m not in the business of selling one rather than another.  Because similar results would be expected from studies of many other fruits, I put this one in the category of marketing research.

Effect of Blueberry Consumption on Cardiometabolic Health Parameters in Men with Type 2 Diabetes: An 8-Week, Double-Blind, Randomized, Placebo-Controlled Trial.  Kim S Stote, Margaret M Wilson, Deborah Hallenbeck, Krista Thomas, Joanne M Rourke, Marva I Sweeney, Katherine T Gottschall-Pass, Aidar R Gosmanov.  Current Developments in Nutrition, Volume 4, Issue 4, April 2020, nzaa030. 

Conclusion: “Consumption of 22 g freeze-dried blueberries for 8 wk may beneficially affect cardiometabolic health parameters in men with type 2 diabetes.”

Funding:  “Supported by the US Highbush Blueberry Council (to KSS, MMW, and ARG) and by resources and the use of facilities at the Stratton VA Medical Center, Albany, NY, USA.  Author disclosures: KSS, MMW, and ARG received intervention products from the US Highbush Blueberry Council. All other authors report no conflicts of interest.  The US Highbush Blueberry Council supplied the funds to conduct the study but was not involved in the design, implementation, analysis, or interpretation of data.

Comment:  The funder does not have to be involved.  Everyone knows funders are not interested in funding research that might produce results unfavorable to their product.  Freeze-dried blueberries sound like medicine.  I’d rather eat the real things.

Aug 27 2020

Odd items I’ve been saving up

For no particular reason other than curiosity, I’ve been hanging on to these items.  This feels like a good time to share them.

Mar 9 2020

Industry-funded study of the week: fruit extracts and cognitive function

I learned about this one from Nutra-Ingredients-latam.com, one of those industry newsletters I avidly follow: “Grapes plus blueberries may boost cognitive function in college students.”

The study: Acute Intake of a Grape and Blueberry Polyphenol-Rich Extract Ameliorates Cognitive Performance in Healthy Young Adults During a Sustained Cognitive Effort.  Philip P, et al.  Antioxidants 2019, 8, 650; doi:10.3390/antiox8120650.

Purpose: “This study investigated the acute and sustained action of a polyphenols-rich extract from grape and
blueberry (PEGB), on working memory and attention in healthy students during a prolonged and intensive cognitive effort.”

The comparison: “Participants were asked to either consume 600 mg of polyphenol-rich active extract made from
grape (Vitis vinifera L.) and wild blueberry (Vaccinium angustifolium) (Memophenol, Activ’Inside, Beychac et Caillau, France), or a placebo containing pure maltodextrin (Maltrin® M100, Roquette, Lestrem, France) and providing no polyphenol.”

Conclusion: “Our findings suggest that consumption of PEGB coupled with a healthy lifestyle may be a safe alternative to acutely improve working memory and attention during a sustained cognitive effort.”

Funding: This study was funded by Activ’Inside (Bordeaux area, France).

Comment: All I had to do was see the title of this study to guess that it was funded by a company with a vested interest in the study’s outcome.  Activ’Inside makes antioxidant extracts for purposes like this.  I’m all for college students eating grapes and blueberries rather than taking drugs to keep them up all night, but flavanol extracts?  Not the same.  Chalk this one up to marketing, not science.

Jan 13 2020

Sponsored research study of the week: Apples

Every now and then a study comes out that I just love.

Two apples a day lower serum cholesterol and improve cardiometabolic biomarkers in mildly hypercholesterolemic adults: a randomized, controlled, crossover trial.

At last, scientific proof of what we’ve always been taught.

Well, two apples, but OK.

Also OK, who paid for this?

Supported in part by AGER (Agribusiness and research) grant no. 2010-2119 funding the project “Apple fruit quality in the post-genomic era, from breeding new genotypes to post-harvest: nutrition and health.”

AGER is an Italian foundation devoted to promoting Italian agribusiness, supported, it says, by banking foundations.

I’ll take that at face value and enjoy the research.

Nov 18 2019

Industry-funded study of the week: Pomegranates

The study: Matthews LG, Smyser CD, Cherkerzian S, Alexopoulos D, Kenley J, Tuuli MG, et al. (2019) Maternal pomegranate juice intake and brain structure and function in infants with intrauterine growth restriction: A randomized controlled pilot study. PLoS ONE 14(8): e0219596.

The findings (my emphasis): “There were no group differences in brain injury, metrics or volumes. However, treatment subjects displayed reduced diffusivity within the anterior and posterior limbs of the internal capsule compared with placebo. Resting state functional connectivity demonstrated increased correlation and covariance within several networks in treatment subjects, with alterations most apparent in the visual network in per-protocol analyses. Direct effects on health were not found.

Conclusion: In conclusion, maternal pomegranate juice intake in pregnancies with known IUGR was associated with altered white matter organization and functional connectivity in the infant brain, suggesting differences in brain structure and function following in utero pomegranate juice exposure, warranting continued investigation.

Funding: This work was supported by National Institute of Health Grants R01 HD29190 (D. M. Nelson), K02 NS089852 (C.D. Smyser), U54 HD087011 and P30 HD062171 (T.E. Inder), The Foundation for Barnes-Jewish Hospital (D. M. Nelson) and an unrestricted gift to Washington University School of Medicine from POM Wonderful, Los Angeles, CA. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Comment: This is a classic example of interpretation bias.  Studies of bias associated with industry funding find that it shows up mostly in the framing of the research question or in the interpretation, as this one demonstrates.  The study did not find anything significant but concluded that drinking pomegranate juice during pregnancy is good for the growing fetus.

Bottom line: Fruit juices (of any kind) are good for health as long as volumes are small.  Eating the fruit itself is better–less sugar, more fiber.

Nov 4 2019

How industry funding of research introduces biases from the get-go

I get letters like this from food trade associations all the time.  Here is the latest:.

The U.S. Highbush Blueberry Council has issued a request for research proposals (RFP) for which it offers grants ranging from $75,000 to $300,000 (or larger).

Here’s the get-go bias point (my emphasis):

The goal of our research funding is to provide initial funds, or additional funds, to explore blueberry health benefits.

The Council wants research to demonstrate benefits.  Of course it does.  These will be useful for marketing.

A priority for funding will be given to human clinical studies however the committee is also interested in further investigation of possible health benefits for pet or performance animals including dogs, cats and horses.

If the proposal is unlikely to demonstrate benefit, it won’t be funded.

That’s why I consider industry-funded research to be about marketing, not science.

Aug 26 2019

Industry-funded study of the week: cherries prevent dementia!

Effect of Montmorency tart cherry juice on cognitive performance in older adults: a randomized controlled trial, Sheau C. Chai,, et al. Food Funct., 2019,10, 4423-4431.

Method: In this randomized controlled trial, 37 adults between the ages of 65–80 with normal cognitive function were recruited and randomly assigned to consume two cups of Montmorency tart cherry juice for 12 weeks.

Results: The within-group analysis showed that the visual sustained attention (p < 0.0001) and spatial working memory (p = 0.06) improved after the 12-week consumption of tart cherry juice compared with corresponding baseline values. Daily tart cherry juice consumption may improve cognitive abilities.

Conclusion: Our study demonstrated that daily intake of Montmorency tart cherry juice may help improve subjective memory and cognitive abilities in older adults as evidenced by increased contentment with memory, improved visual sustained attention and spatial working memory, and reduced movement time and total errors made on new learning tasks in older adults. T

Acknowledgements: The present study was supported by the Cherry Research Committee of the Cherry Marketing Institute, a non-profit organization. Tart cherry concentrates were provided by the Cherry Marketing Institute. Funders had no role in the study design, data collection, data analysis or interpretation, or writing of the manuscript.

Comment: I love cherries—a joy of summer—and wouldn’t it be wonderful if eating them was all you had to do to prevent cognitive decline.  Are cherries better than any other fruit or vegetable for this purpose?  This study did not examine that question but eating a healthy diet is always a good idea.  As for funders having no role, they don’t have to.  The mere fact that they funded this study skews the research question, as much evidence demonstrates (I reviewed this evidence in Unsavory Truth).

Jun 3 2019

Industry-funded study of the week: blueberries again

I love blueberries and grow two different kinds on my 12th-floor Manhattan terrace, both delicious if I can get to them before the voracious birds do.

I wish the blueberry industry could just accept delicious and leave it at that, but no such luck.  It is desperate to get research it can use to promote blueberries as a superfruit (I wrote about the history of blueberry-funded research in Unsavory Truth).

Here’s the latest.

The study: Blueberries improve biomarkers of cardiometabolic function in participants with metabolic syndrome—results from a 6-month, double-blind, randomized controlled trial.  Peter J Curtis, et al. Am J Clin Nutr 2019;109:1535–1545.

Method: Participants were fed powdered blueberries equivalent to a half or full cup a day, compared to placebo.

Conclusions: Despite insulin resistance remaining unchanged we show, to our knowledge, the first sustained improvements in vascular function, lipid status, and underlying NO [nitric oxide] bioactivity following 1cup blueberries/d. With effect sizes predictive of 12–15% reductions in CVD risk, blueberries should be included in dietary strategies to reduce individual and population CVD risk.

Funder: Supported by the US Highbush Blueberry Council (USHBC) with oversight from the USDA and the Biotechnology and Biological Sciences Research Council (BBSRC, UK). AC and ERB both act as advisors to the USHBC grant committee. The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.

Comment: The press picked this one up:  “Study: Blueberries benefit heart health.”  This study used powdered blueberries.  Trust me, the fresh ones are much better.  You can tell this is an industry-funded study because the published study is open access, which somebody has to pay for—a clue that it is about marketing.  And what about the comment that funders had no influence?  They didn’t have to.  The study did not compare blueberries to any other fruits.  The science here provides some interesting information about how anthocyanins in this fruit might work, but wouldn’t they work the same way in any other fruit?  Are blueberries the only fruit that contains these particular anthocyanins?   This questions suggest that this study is not about the science, it is about demonstrating that there is something special about blueberries.  Dietary advice?  Eat whatever fruits you like.  And vegetables.  And nuts.  They all have something good about them.