by Marion Nestle

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Mar 3 2022

Infant formula marketing: an update

As the WHO/UNICEF report I posted yesterday makes clear, the marketing of infant formula—impossible for new mothers to avoid—interferes with breast feeding and, therefore, is a public health concern.

I posted about the Abbott Labs infant formula recall last week.

Here are some additional items I’ve collected on this topic.

I.  What the marketing looks like.

II.  Study finds no benefit of enriched infant formula on later academic performance: Children who are given nutrient or supplement enriched formula milk as babies do not appear to have higher exam scores as adolescents than those fed with standard formula, suggests a study published by The BMJ, leading researchers to argue renewed regulation is needed to better control infant formula promotional claims…. Read more

III.  IBFAN, the International Baby Foods Action Network, writes that it is:

launching a PETITION calling for an immediate halt to a new study  –  funded by the Gates Foundation and led by researchers from the University of California – that is randomly allocating infant formula to breastfeed in low-birth-weight babies in Uganda and Guinea-Bissau on assumption that this might prevent wasting and stunting.

The study, which has been cleared by ethics committees in the USA, Uganda and Guinea -Bissau – uses purchased ready-to-use infant formula made by Abbott, a US pharmaceutical corporation operating in 160 countries.  Abbott is a major violator of the International Code and is currently at the centre of a media storm in the USA because of contamination in its powdered formula. (NB. The formula used in the trial is liquid Ready-to-Feed).

IV.  IBFAN issued an earlier statement: The baby food industry’s destruction of an irreplaceable natural resource.

The International Code of Marketing of Breastmilk Substitutes was adopted forty years ago by the World Health Assembly, the world’s highest health policy setting body…Today 70% of countries have adopted laws based on the Code, however far too many are limited in scope and full of loopholes as a result of industry interference. As a consequence predatory marketing of baby food products continues throughout the world.  and the global Baby Food Drink Market is forecast to rise more than 30% in 5 years (from $68bn in 2020 to $91.5bn by 2026)….Aside from its crucial role in child survival (more than 800,000 children die each year because they are not breastfed and many more do not reach their full potential, ­­ breastfeeding is the most environmentally friendly way to feed an infant, resulting in zero waste, minimal greenhouse gases, and negligible water footprint. As a renewable natural food resource, mother’s milk makes an important contribution to local food and water security.the baby food industry lost no time in exploiting the fear and confusion during the pandemic: falsely claiming their products build immunity; that their  ‘donations’ are humanitarian; encouraging the needless separation of mothers and babies and pretending that they are essential ‘partners’ who are genuinely working to address the problems.

V.  The Access to Nutrition Initiative (ATNI) assesses nine formula companies’ adherence to WHO recommendations.  Its report is here.

According to its press release,

Despite the World Health Assembly (WHA) adopting ‘The International Code of Marketing of Breast-milk Substitutes’ forty years ago and passing 18 associated resolutions since (collectively referred to as ‘The Code’), the BMS/CF Marketing Index 2021 found that none of the companies it assessed fully abides by The Code’s recommendations and most fall well short.

The summary: 

  • Danone retained first place with a score of 68%, up from its 2018 score of 46%
  • Nestlé, the market leader in sales value, retained its second place with a score of 57% – also a substantial improvement on its score of 45% in 2018
  • KraftHeinz achieved the greatest improvement, ranking third, with a score of 38% compared to in 2018 when it didn’t score at all
  • Reckitt (previously RB) substantially improved its BMS Marketing policies which led to a big jump in its score from 10% in 2018 to 32% in 2021 and climbing one place to fourth in the ranking.

VI.  A study: Conflicts of interest are harming maternal and child health: time for scientific journals to end relationships with manufacturers of breast-milk substitutes.  Pereira-Kotze C, et al.  BMJ Global Health. 2022 Feb;7(2):e008002. doi: 10.1136/bmjgh-2021-008002

The promotion and support of breastfeeding globally is thwarted by the USD $57 billion (and growing) formula industry that engages in overt and covert advertising and promotion as well as extensive political activity to foster policy environments conducive to market growth. This includes health professional financing and engagement through courses, e-learning platforms, sponsorship of conferences and health professional associations and advertising in medical/health journals…journal publishers may consciously, or unconsciously, favour corporations in ways that undermine scientific integrity and editorial independence—even perceived conflicts of interest may tarnish the reputation of scientists, organisations or corporations.  Such conflicts have plagued infant and young child nutrition science for decades.

Comment: As I mentioned yesterday, we now have more than enough evidence to put a stop to this.

Feb 3 2022

The coming influx of hard soda

As if we don’t have enough trouble with alcohol in this country, it’s now being added to sodas.  In states that allow such things, expect to see them taking up more and more room in supermarket aisles.

The business press is interested in this trend; there is much money to be made on drinks of any kind.

See, for example, Bud Light to Launch Hard Soda.

Bud Light Seltzer Hard Soda will have no sugar or caffeine. Anheuser-Busch describes it as ‘light like a seltzer and bold like soda pop.’ Each can will contain 100 calories and 5% alcohol.

This comes in cola, cherry cola, orange and lemon-lime flavors.

Consumer demand has soared over the past few years for nonalcoholic seltzers such as LaCroix and alcoholic ones such as White Claw that are low on calories and offer just a hint of flavor. Now some consumers are migrating toward stronger flavors, industry experts say, and brewers are trying out new fizzy drinks.

This, then, is about market share.

Lots of other companies are getting into this act.

Given all that, what are we to make of this piece of news?

  • Alcohol and COVID-19: Good news for red wine drinkers, but blow for beer boozers?  People who consume red wine between one to more than five glasses a week had a 10 to 17% lower risk in contracting COVID-19, but beer drinkers had a heightened risk, according to a recent study…. Read more
  • Here’s the study: COVID-19 Risk Appears to Vary Across Different Alcoholic Beverages.
  • Here’s the caveat: Association does not equal causation.  Drinkers of red wine have different lifestyles than beer drinkers, perhaps?
  • And here are the study’s sensible conclusions:  The COVID-19 risk appears to vary across different alcoholic beverage subtypes, frequency, and amount…Consumption of beer and cider and spirits and heavy drinking are not recommended during the epidemics. Public health guidance should focus on reducing the risk of COVID-19 by advocating healthy lifestyle habits and preferential policies among consumers of beer and cider and spirits.

Amen.

 

Dec 8 2020

The Cocoa industry’s big problems: farmer poverty and child labor

Everybody loves chocolate but there’s a lot about its production that’s not to love.  It is a classic example of an exploited commodity: cocoa is grown in developing countries, sold at low cost, and processed in industrialized countries which reap the profits.

Chocolate producers are under pressure (not enough, in my view) to pay farmers decently and to make sure their kids go to school, not work.

I’ve been seeing a lot of articles about these issues lately.   You can see what the issues are just from their headlines:

These are long-standing issues.  They should have been addressed more effectively years ago.   Here is some background reading:

Sep 21 2020

Industry-funded study of the week: soup prevents obesity?

When I saw the title of this study, I had two questions:

  • Why would anyone do a study like this? (OK, in short-term studies, consuming water or soup before meals reduces immediate calorie consumption, but in the long term?)
  • Who paid for it?  (Getting the answer to this one took some digging).

The study: Association between soup consumption and obesity: A systematic review with meta-analysis. M.Kuroda and K. Ninomiya. Physiology & Behavior,  Volume 225, 15 October 2020, 113103.

Conclusion: “soup consumption is significantly related to lower odds ratio of obesity…suggesting that soup consumption was inversely correlated with a risk of obesity.”

Nov 14 2019

Lab-based meat and dairy: recent trends

No lab-based meat or dairy product is yet on the market, but lots of people are working on such things.  Here are some recent examples, starting with my favorite.

May 30 2019

The latest on CBD edibles and supplements

NutraIngredients.com, one of those informative industry newsletters I subscribe to, has a collection of articles on CBD (cannabidiol, the component of hemp and marijuana that does not make you high but may have some health benefits).

Manufacturers are rushing to produce CBD edibles and supplements, despite concerns about their legal status, as you can see here.

And from this and other sources

Tags:
May 27 2019

Industry-funded journal supplement: dairy and health

Nutrition journals sometimes publish supplements on specific topics.  These are paid for by sponsors.  The papers listed here are part of a supplement to the May 2019 issue of Advances in Nutrition.

The sponsor?  As stated in the introductory article,

This supplement was sponsored by the Interprofessional Dairy Organization (INLAC), Spain. The sponsor had no role in the design of the studies included in the supplement; in the collection, analyses, or interpretation of the data; in the writing of the manuscripts; or in the decision to publish the results. Publication costs for this supplement were defrayed in part by the payment of page charges. The opinions expressed in this publication are those of the authors and are not attributable to the sponsors or the publisher, Editor, or Editorial Board of Advances in Nutrition.

Author disclosures: The authors have no conflicts of interest to declare.

The authors may think they have no conflicted interests, but as I discuss in Unsavory Truth, the effects of industry funding often are unconscious, unintentional, and unrecognized.

As is typical of industry-sponsored studies, the results of these dairy-funded studies are predictable.  From looking at these titles, you can predict that they will show dairy foods to have positive effects on pregnancy, lactation, child growth, bone density, and cognition, and no negative effects on mortality, metabolism, type 2 diabetes, cardiovascular disease, or cancer.

The overall conclusion is also predictable:

In conclusion, the systematic reviews and meta-analyses of the present supplement support adequate milk consumption at various stages of life and in the prevention/control of various noncommunicable chronic diseases.

If the dairy industry wants the public to believe these results, it should not be paying for them. 

Supplement—Role of Milk and Dairy Products in Health and Prevention of Noncommunicable Chronic Diseases: A Series of Systematic Reviews

 

Jan 28 2019

New Lancet report: The Global Syndemic: Uniting Actions to Address Obesity, Undernutrition, and Climate Change

The Lancet has been busy.  Last week, it published a blockbuster report on the need for worldwide dietary changes to improve human health and that of the environment.  I posted about this EAT-Forum report on Friday.

Now, The Lancet releases yet another report, this one taking a unified approach to dealing with the three most important nutrition issues facing the world: Malnutrition (undernutrition), obesity, and the effects of our food production and consumption system on the environment and climate change—for which this report coins a new term: The Global Syndemic.

This report breaks new ground in identifying the food industry as one of three main barriers to ending this “Syndemic.”  I’ve added the numbers for emphasis.

  • Powerful opposition by [1] commercial vested interests, [2] lack of political leadership, and [3] insufficient societal demand for change are preventing action on The Global Syndemic, with rising rates of obesity and greenhouse gas emissions, and stagnating rates of undernutrition.
  • New social movement for change and radical rethink of the relationship between policymakers, business, governance and civil society is urgently needed.
  • The Commission calls for a global treaty to limit the political influence of Big Food (a proposed Framework Convention on Food Systems – modelled on global conventions on tobacco and climate change); redirection of US$5 trillion in government subsidies away from harmful products and towards sustainable alternatives; and advocacy from civil society to break decades of policy inertia.

Wow.  This is telling it like it is—at long last.  From the press release:

  • A key recommendation from the Commission is the call to establish a new global treaty on food systems to limit the political influence of Big Food.
  • The food industry’s obstructive power is further enhanced by governance arrangements that legitimise industry participation in public policy development, and the power that big corporations have to punish or reward governments by relocating investment and jobs.
  • Regulatory approaches to product reformulation (eg. salt and sugar reduction), labelling and marketing to children are needed because industry-led, voluntary approaches have not been effective.

Yes!

The documents

The press

▪ The Guardian
The Times (London)
Irish Farmers Journal

Additional press, posted January 30

Newswires (syndicated in international outlets):

UK:

US:

Rest of world: