Feb 19 2014

Brazil’s new dietary guidelines: food-based!

Brazil has issued new dietary guidelines open for public comment.  For the Brazilian Dietary Guidelines document (in Portuguese), click here..

Brazilian health officials designed the guidelines to help protect against undernutrition, which is already declining sharply in Brazil, but also to prevent the health consequences of overweight and obesity, which are sharply increasing in that country.

The guidelines are remarkable in that they are based on foods that Brazilians of all social classes eat every day, and consider the social, cultural, economic and environmental implications of food choices.

The guide’s three “golden rules:”

  • Make foods and freshly prepared dishes and meals the basis of your diet.
  • Be sure oils, fats, sugar and salt are used in moderation in culinary preparations.
  • Limit the intake of ready-to-consume products and avoid those that are ultra-processed.

The ten Brazilian guidelines:

  1. Prepare meals from staple and fresh foods.
  2. Use oils, fats, sugar and salt in moderation.
  3. Limit consumption of ready-to-consume food and drink products
  4. Eat regular meals, paying attention, and in appropriate environments.
  5. Eat in company whenever possible.
  6. Buy food at places that offer varieties of fresh foods. Avoid those that mainly sell products ready for consumption.
  7. Develop, practice, share and enjoy your skills in food preparation and cooking.
  8. Plan your time to give meals and eating proper time and space.
  9. When you eat out, choose restaurants that serve freshly made dishes and meals. Avoid fast food chains.
  10. Be critical of the commercial advertisement of food products.

Now if only our Dietary Guidelines Advisory Committee would take note and do the same?

Would you like us to have sensible, unambiguous food-based guidelines like these?  You can file comments on the 2015 Dietary Guidelines here.

Thanks to Professor Carlos A. Monteiro of the Department of Nutrition, School of Public Health at the University of Sao Paulo for sending the guidelines and for their translation, and for his contribution to them.

Feb 14 2014

President’s Day Weekend Reading: The Diet Fix

Yoni Freedhoff.  The Diet Fix: Why Diets Fail and How to Make Yours Work.  Harmony Books, 2014.

Ordinarily I don’t pay much attention to diet books but this one comes from the Canadian obesity physician, Dr. Yoni Freedhoff, whose Weighty Matters blog is fun to read and well worth following.

The key to healthy dieting, he says, is to avoid dieting’s seven deadly sins: hunger, sacrifice, willpower, restriction, sweat, perfectionism, and denial.

This sounds hopeful.

Instead, you are to reset your relationship with food forever, starting with a 10-day preliminary experiment in which you get ready, keep a diary, banish hunger, cook, think, exercise, indulge, eat out, and set goals.  Then you move forward, one day at a time.

“You absolutely CAN do this,” he says.

This is a seriously mindful weight-loss program that works well for his patients.  It ought to.

Give it a try?

The book even comes with recipes.

Feb 12 2014

Sugar v. HFCS: How I got involved in this lawsuit

Eric Lipton of the New York Times, who wrote Monday’s revelation of how the National Restaurant Association funds front groups to fight a raise in the minimum wage, has just topped that story.

Today, he writes an enlightening account of the legal battles between sugar and HFCS trade associations over marketing issues, in which I seem to have played a part.  The story quotes me:

Marion Nestle, a New York University professor and nutrition expert named in several documents [scroll down to "Using Marion Nestle"] as someone whom corn industry executives sought to influence, said the role both industries played was unfortunate.

“It is a plague on both of their houses,” she said, adding that she felt manipulated by the corn refiners industry, which used her statements to defend its products. “It is a disgusting performance neither should be proud of.”

Mr. Lipton sent me two of the documents last night (letters from Audrae Erickson of the Corn Refiners Association to Larry Hobbs of the Institute of Beverage Technologists, and to J. Justin Wilson of Rick Berman’s public relations arm of the Center for Consumer Freedom).

Here’s my recollection of how I ended up in this lawsuit:

Yes, I argue that the science shows that sucrose (table sugar) and high fructose corn syrup (HFCS) contain the same sugars—glucose and fructose—and do much the same things in the body.  I think everyone would be better off eating a lot less of either.  I repeated this in many blog posts over the years.

Sometime in 2010, Christopher Speed, then director of food and nutrition sciences at Ogilvy Public Relations, asked if I would meet with his client, Audrae Erickson, president of the Corn Refiners Association (CRA).  I agreed, provided the CRA make a contribution to the NYU library’s food studies collection for cataloging expenses.  This turned out to be $1,500.  We met.

Shortly after that, my statements about the equivalence of sucrose and HFCS appeared on the Corn Refiners’ website.

I asked to have the comments removed.

Ms. Erickson’s response?  My comments were public and if I wanted them removed I could take the CRA to court.

That ended our correspondence.

From Mr. Lipton’s account I learned for the first time of the CRA’s involvement with the Center for Consumer Freedom (see previous blog posts).

This explains what had been a great mystery.  The Center for Consumer Freedom has not exactly been my great fan.  It features me under ActivistCash, and usually has rather unpleasant things to say about my work and opinions.

But with respect to my opinions about sucrose v. HFCS, its comments were quite complimentary.  I should have realized that CRA was paying the Center, via Berman, to do this.

I was also fascinated to learn:

  • The CRA spent $30 million since 2008 on public relations.
  • Of that, $10 million funded research by James Rippe to prove HFCS is no different from sucrose (something you would learn from any basic biochemistry textbook).
  • Mr. Rippe got a $41,000 monthly retainer from the CRA.

Clearly, I should have asked for a lot bigger donation to our library.

Thanks Eric Lipton, for terrific investigative reporting.  Please do more of these.

Feb 10 2014

We have a farm bill at last, for better or worse

On Friday, President Obama signed the Agriculture Act of 2014, a.k.a. the farm bill.

 The green object on the left is a John Deere tractor.  Why is it there?

The John Deere company:

The bill has 12 titles or sections:

  1. Commodities
  2. Conservation
  3. Trade
  4. Nutrition
  5. Credit
  6. Rural Development
  7. Research, Extension, and Related Matters
  8. Forestry
  9. Energy
  10. Horticulture
  11. Crop Insurance
  12. Miscellaneous

I took a quick look at what’s new in Title 4: Nutrition—the part that deals with SNAP.  Here are a few of its details [with my comments]:

Sec. 4001. Preventing payment of cash to recipients of supplemental nutrition assistance benefits for the return of empty bottles and cans used to contain food purchased with benefits provided under the program.  [This closes a loophole but hardly seems worth the trouble---how much cash is involved here?  And won't it be impossible to enforce?]

Sec. 4018.  No funds authorized to be appropriated under this Act shall be used by the Secretary for recruitment activities designed to persuade an individual to apply for supplemental nutrition assistance program benefits. [This one is especially troubling, as it eliminates USDA outreach activities to people who might be eligible for benefits but don't know about them.]

Sec. 4028. Nutrition education is to include physical activity in addition to healthy food choices.  [Translation: Focus obesity-prevention efforts on activity, not on making fewer purchases of junk foods and sodas.]

Sec. 4202.  The Secretary [of USDA] shall conduct a pilot project…[to] facilitate the procurement of unprocessed fruits and vegetables in not more than 8 States. [It's only a pilot program but it's to promote local farm-to-school programs! Score this one as a small win.] 

Sec. 4204.  Not later than the 2020 report [on the Dietary Guidelines for Americans] and in each report thereafter, the Secretaries [of USDA and HHS] shall include national nutritional and dietary information and guidelines for pregnant women and children from birth until the age of 2.  [I'm baffled by this one.  Current Guidelines apply to everyone over the age of 2 and already contain advice for pregnant women.  I doubt this is meant to make sure that the Guidelines advise parents to avoid giving sodas to kids under the age of 2.]

Sec. 4208. Food Insecurity Nutrition Incentive.  This provides for competitive matching grants to increase the purchase of fruits and vegetables by SNAP participants.  [As discussed by Michele Simon and Daniel Bowman Simon, the bill does not necessarily favor local foods or purchases at farmers' markets, and the size of the incentive is unclear.]

Sec. 4209.  Food and agriculture service learning program…to increase capacity for food, garden, and nutrition education within host organizations or entities and school cafeterias and in the classroom.  The USDA is to award competitive grants to entities that have a proven track record; work in underserved rural and urban communities; teach and engage children in experiential learning about agriculture, gardening, nutrition, cooking, and where food comes from; and facilitate a connection between elementary schools and secondary schools and agricultural producers in the local and regional area. [This must mean Food Corps.  The bill authorizes $25 million until spent, but the funding is not mandatory.  Will it be funded?  Fingers crossed.]

Sec. 4213.  Pulse crop products.  The [USDA] Secretary shall purchase eligible pulse crops and pulse crop products for use in the school lunch program…[and] the school breakfast program. [Bean growers---soybean growers?---must be doing some effective lobbying.]

Sec. 4214. The Secretary shall carry out a pilot project in schools participating in the Fresh Fruit and Vegetable Program…in not less than 5 States, to evaluate the impact of allowing schools to offer canned, frozen, or dried fruits and vegetables.  [It looks like the frozen food industry is also doing some effective lobbying.  Frozen vegetables are fine, but not if they mean giving up fresh ones.]

—Thanks to Daniel Bowman Simon for pointing out some of these issues and for providing links to relevant sources.

Feb 7 2014

Coca-Cola marketing scores again

Far be it from me to defend Coca-Cola’s advertisements.  They have only one purpose: to get you to buy more of the company’s flavored, colored, caffeinated water with nearly a teaspoon of sugar per ounce.

Drink a 20-ounce Coke?  That’s 18 teaspoons.

But you have to hand it to Coke’s marketers.

They just got me to write about the fuss over the company’s “It’s Beautiful” Super Bowl ad, which shows people of all colors and kinds singing America the Beautiful in—can you believe this?—foreign languages.

The response?  Tweeted bigotry:

WTF? @CocaCola has America the Beautiful being sung in different languages in a #SuperBowl commercial? We speak ENGLISH here, IDIOTS.

What amazes me about the response is that Coca-Cola has been doing commercials like this for decades.

Remember these?

Why this sudden outpouring of xenophobia and homophobia?  

It’s disturbing to think about why this is happening now, but I won’t be surprised if the controversy brings Coke lots of favorable publicity and helps the company sell even more sugary beverages.

Feb 6 2014

Is surgery really the best way to deal with obesity?

I received an e-mail message from Dr. Justine Davies, the editor of The Lancet Diabetes & Endocrinology, announcing a series of review articles on bariatric surgery for treatment of obesity.

Bariatric surgery, she says,

is the most effective treatment for both obesity and type 2 diabetes. In many people with type 2 diabetes, bariatric surgery not only limits disease progression, but also reverses complications.

She asks: So why is this procedure not being used more often to treat
patients with obesity?

Bariatric surgery has substantial benefits in terms of weight loss, metabolic status, and quality of life. It is safe and effective, and the future savings made through prevention of comorbid diseases could counterbalance its high cost. The surgery should, therefore, be available as an option to use when appropriate, and not only when all other options have been eliminated. Bariatric surgery offers a real opportunity for preventing comorbid diseases and complications of obesity. If it is only used as a final resort, this opportunity will be missed.

I can think of several good reasons: pain and suffering, treatment complications, questionable long-term prognosis, and cost, for starters.

Prevention is a better option.

If only we knew how….

Here are the papers:

Feb 5 2014

The 2014 Farm Bill: Reactions from relief to aghast

Jerry Hagstrom, who writes the daily Hagstrom report on agriculture matters, explains why the farm bill passed.   After 3 or 4 years of fuss, practically everyone thought it was the best they could do:

Critics on the right and the left say that such an outpouring of endorsements shows that the farm bill is filled with government spending, but it also shows the importance of the farm bill—and the activities of the Agriculture Department—in every corner of the country. [The farm bill] provides purchasing power and food for low-income people in cities and it allows for the inspection of meat, poultry, and eggs. It also pays for financing electricity, telephones, and the Internet in rural America.

The bottom line: it could have been a lot worse.

The New York Times scores the winners and losers.  The big winner?  The insurance industry.

Unlike the food stamp program, the federally subsidized crop insurance program was not cut. The program, which is administered by 18 companies that are paid $1.4 billion annually by the government to sell policies to farmers, pays 62 percent of farmers’ premiums.

Enthusiasm for the bill depends on what it gives to whom.

USDA Secretary Tom Vilsack says, grudgingly:

Building on the historic economic gains in rural America over the past 5 years, this bill will accomplish those goals while achieving meaningful reform and billions of dollars in savings for the taxpayer. While no legislation is perfect, this bill is a strong investment in American agriculture and supports the continued global leadership of our farmers and ranchers.

Former USDA Secretary Dan Glickman, now with the Bipartisan Policy Center, looks at the bright side:

While this is not a perfect bill, its passage was critical for our nation’s agriculture infrastructure. I’m glad to see the bill will allow low-income Americans to double their SNAP benefits at farmers markets, which will help tens of thousands of people eat more nutritious foods. However, I believe there is still a fundamental disconnect between the nation’s farm policies and critical issues of public health and nutrition.

Wholesome Wave is pleased with the bill’s support (comparatively small as it is) for fruits and vegetables:

While we are reluctant to support this legislation because of the disheartening cuts to SNAP, the bill does include funding for many critical programs that will enhance access to affordable, local food and drive revenue to local and regional farmers. Specifically, there is mandatory funding for nutrition incentives at $20 million per year, for five years, as well as increased funding for the Farmers Market and Local Food Promotion Program, Community Food Projects, Specialty Crop Block Grants, the Senior Farmers Market Nutrition Program, Beginning Farmers and the Healthy Food Financing Initiative.

The Organic Farming Research Foundation calls the bill “a victory for organic farming:”

The Farm Bill restores long overdue support for organic agriculture including significant funding increases for the Organic Extension and Research Initiative (OREI), the National Organic Certification Cost Share Program (NOCCSP), the National Organic Program (NOP) and the Organic Data Initiative (ODI). Despite significant shortcomings in the commodity, conservation and crop insurance titles of the proposal, the Organic Farming Research Foundation (OFRF) is celebrating the victories for organic agriculture found in the bill and urging the president to sign it.

The Fair Food Network’s Oran Hesterman says:

While no Farm Bill is perfect, this bill continues support for critical programs and advances innovations that will support small and mid-scale farmers and help more low-income families access healthy and affordable foods in their communities…Specifically, the Farm Bill includes $100 million to support the Food Insecurity Nutrition Incentive Program, a new national healthy produce program modeled after successful efforts such as Fair Food Network’s Double Up Food Bucks.

But, New York City Coalition Against Hunger Executive Director Joel Berg says:

I am devastated, but unfortunately not surprised, by the Senate’s passage of a Farm Bill cutting SNAP by nearly $9 billion, on top of $11 billion in cuts that took place last November 1st. Our political system is so broken it has morphed into spineless versus heartless, and low-income Americans are, once again, those who will suffer most…It’s an orgy of corporate welfare and subsidies for the wealthy paid for by cuts to programs that help the needy put food on the table. It is Robin Hood in reverse.

I’ll end with Senator John McCain (Rep-AZ), whose analysis of the specifics is worth a look:

Mr. President, how are we supposed to restore the American people’s confidence with this monstrosity? Just a few weeks ago we crammed down their throats a $1.1 trillion Omnibus Appropriations Bill loaded with wasteful spending. Tomorrow we’ll wash the Omnibus down with another trillion dollars. The only policy that gets bipartisan traction in Congress is Washington’s desire to hand out taxpayer money like its [sic] candy.

Will the President sign this bill?  He says he will, on Friday.

Jan 28 2014

A brief early comment on the (ugh) farm bill

It’s too soon for me to say much about the farm bill other than to express disgust for the entire process.

The House and Senate still have to vote on it, which leaves plenty more opportunity for last-minute amendments, the addition of even more pork, and even more welfare for the rich at the expense of the poor.

In the meantime, we have the

What can I say?  The farm bill is a mess—the worst example of the worst of food politics.

Every clause in those 949 pages exists as the result of special-interest lobbying.  Guess what: some special-interest groups have more money and power than others.

The result: an unattractive compromise.

If the bill is ever to pass, everyone has to compromise, but some groups have to compromise more than others.

How else to explain the Center for Budget and Policy Priorities’ statement that the SNAP cuts represent a reasonable compromise?

To be sure, the conference agreement does include $8.6 billion in SNAP cuts over the next decade. Yet it stands in sharp contrast to the nearly $40 billion in SNAP cuts in the House-passed bill of September, which contained an array of draconian provisions and would have thrown 3.8 million people off SNAP in 2014, according to the Congressional Budget Office (CBO). The conference agreement includes none of the draconian House provisions — and it removes virtually no low-income households from SNAP.

I am indebted to ProPoliticoAg for listing the winners: groups that want to retain Country-of-Origin Labeling (COOL), the dairy manufacturers, organic producers (!), the U.S. catfish industry (USDA will inspect catfish, not FDA), and animal welfare groups (states can insist on standards),   The soybean and rice industries are also happy with the bill, as are groups that want more flexibility in food aid.

ProPoliticoAg’s losers:  meat packers and processors who wanted to get rid of COOL, dairy farmers who preferred a different program, the poultry industry (which will have to abide by state cage-size requirements), anti-hunger advocates (the SNAP cuts).

ProPoliticoAg also read the fine print (as I promise to do once the bill passes):

  • $20 million per year for emergency relief to producers of livestock, honey bees and farm raised fish (p. 131-132)
  • A USDA report on the federal standard for the identity of honey (p. 802)
  • A citrus disease subcommittee to advise on citrus research (p. 568-569)
  • A requirement for USDA to recognize feral swine risks (p. 890)
  • $2.25 million per year through 2019 for wool research and promotion (p. 928)
  • A go-ahead to create a Christmas tree promotion board and 15-cent tax on fresh-cut trees (p. 805).
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