Dr. Yoni Freedhoff sent me Canada’s Heart and Stroke Foundation’s  new position statement on Sugar, Heart Disease, and Stroke.

Its major recommendation is just like the one from the World Health Organization:

The Heart and Stroke Foundation recommends that an individual’s total intake of free sugars not exceed 10% of total daily calorie (energy) intake,and ideally less than 5%.

The Canadian government, the Foundation says, should:

• Ensure clear and comprehensive nutrition labelling of the free sugars content in the Nutrition Facts table of all packaged foods, grouping all sugars together when listingingredients on product packaging, and standardized serving sizes on the Nutrition Facts table.
• Restrict the marketing of all foods and beverages to children.
• Educate Canadians about the risks associated with free sugars consumption through public awareness and education campaigns.

Shouldn’t we be doing that too?

As Dr. Freedhoff puts it, it’s “Amazing how forceful and sweeping public health organizations can be when they don’t need to worry about upsetting their industry partners.”

Sunday’s New York Times discussed how foreign governments are dropping millions on Washington DC think tanks to fund reports explicitly designed to influence government agencies to set policies favorable to the donor country’s interests.  One such interest is food trade with Asia.

The line between scholarly research and lobbying can sometimes be hard to discern.

Last year, Japan began an effort to persuade American officials to accelerate negotiations over a free-trade agreement known as the Trans-Pacific Partnership (TPP), one of Japan’s top priorities. The country already had lobbyists on retainer, from the Washington firm of Akin Gump, but decided to embark on a broader campaign.

Akin Gump lobbyists approached several influential members of Congress and their staffs…seeking help in establishing a congressional caucus devoted to the partnership, lobbying records show. After those discussions, in October 2013, the lawmakers established just such a group, the Friends of the Trans-Pacific Partnership.

To bolster the new group’s credibility, Japanese officials sought validation from outside the halls of Congress. Within weeks, they received it from the Center for Strategic and International Studies, to which Japan has been a longtime donor. The center will not say how much money the government has given — or for what exactly — but an examination of its relationship with a state-funded entity called the Japan External Trade Organization provides a glimpse.

In the past four years, the organization has given the center at least $1.1 million for “research and consulting” to promote trade and direct investment between Japan and the United States. The center also houses visiting scholars from within the Japanese government…one Japanese diplomat…said the country expected favorable treatment in return for donations to think tanks.  “If we put actual money in, we want to have a good result for that money — as it is an investment,” he said.

Ah yes, the Trans-Pacific Partnership (TPP).  Let’s start with the context: The US has trade agreements with 20 countries.

These, says the US, provide many benefits:

Trade is critical to America’s prosperity – fueling economic growth, supporting good jobs at home, raising living standards and helping Americans provide for their families with affordable goods and services.

Obviously, Japan must think the TPP will do all that and more for Japan.

But trade negotiations run into trouble when one partner has higher food safety standards—Sanitary and Phytosanitary (SPS) Measures—than another.

This is an issue in current negotiations over the TPP.

Like other trade agreements, the negotiations are conducted in secret.

Over the past two years there has been a steady drip of stories about the secretive negotiations regarding the Trans Pacific Partnership (TPP). Members of Congress and congressional staffers have been stymied in their efforts to perform some measure of oversight while major corporations have reportedly been given unfettered access and influence over the deal. The public has been kept almost completely in the dark regarding negotiations that affect everything from food prices to our ability to innovate on the Internet…Historically, international trade negotiations have happened through the World Trade Organization…Trade negotiators have had trouble closing major deals over the past decade, in part because the public, and sometimes their elected officials, have stood up to decry these secret negotiations, demanding oversight opportunities and setting up websites to post leaked drafts of the agreements.

According to PoliticoPro, negotiations on TPP with Japan and 10 other countries in the Asia-Pacific region are close to conclusion, but pork producers, other farm groups, and Republicans are insisting that Japan eliminate all agricultural tariffs and completely open its market to U.S. agricultural exports.

Japan says it can offer improved market access but cannot eliminate all tariffs because of pressures from its own farm groups.

At the end of July, some House members demanded that Japan—and Canada—be dropped from the TPP if they do not agree to eliminating tariffs.

Trade negotiations work in predictable ways.  for example, despite the North American Free Trade Agreement (NAFTA—and also see this link— which allows unfettered imports from Mexico, the US is imposing tariffs on Mexican sugar to prevent flooding the US market with cheap supplies that undermine sales of US sugar (NAFTA allows this).

The moral: In trade agreements, each country looks to maximize its own interests.  Hence: Japan’s lobbying via Washington think tanks.

A reader who prefers his name to go unmentioned writes this in response to yesterday’s post about low-carb v. low-fat diets:

Hi Marion,

It is pretty simple.

1. Calories in, Calories out!

2.  Eat less. I cut out beer and ice cream.

3.  Get a Labrador retriever and walk everyday. If you don’t the dog will drive you crazy and probably destroy your house.

I got my first Lab in 2002 and weighed 240.  I am on my second Lab and now continue to weigh about 210 after having lost 35 pounds by 2006, and have crept up about 5 pounds.

It ain’t complicated!

He could make a fortune.  Just think: the “Get a Lab” diet—a guaranteed success!

To my great surprise, a new clinical trial finding that low-carbohydrate diets help people lose weight has been getting a lot of press. Its conclusion:

The low-carbohydrate diet was more effective for weight loss and cardiovascular risk factor reduction than the low-fat diet. Restricting carbohydrate may be an option for persons seeking to lose weight and reduce cardiovascular risk factors.

This is news?

The trial, conducted by authors who previously published a meta-analysis that came to the same conclusion, told people to eat either a low-carbohydrate diet of less than 40 grams a day (the amount of sugar in one 12-ounce soda) or a “low-fat” diet of 30% of calories from fat or less.

They didn’t do either, of course (for one critic’s analysis, see examine.com).

I put quotes around “low-fat” because 30% of calories is not exactly what I would call low—lower, for sure, but not low. After a year, the low-carb dieters lost about 3.5 kg more than did the “low-fat” dieters.  They also showed greater improvements in their risk factors for cardiovascular disease.

As I told Andy Bellatti

The folks eating the low carbohydrate diet…were eating less, and probably a lot less.  It’s easier for some people to lose weight if they cut out whole categories of food, in this case, carbohydrates.  But is this a long-term solution?  For that, we need to see results for several years.   Studies that examine the effects of different kinds of diets—and there have been many—typically find that all work to the extent that they cut calories, but that people have trouble sticking to extreme diets, which the low-carb one was in this study.  Personally, I like carbs and would rather cut my calories some other way, but that’s just me.  The bottom line: if you want to lose weight and are having trouble doing it, you need to eat less.

This profoundly boring conclusion, discussed at length in my book with Malden Nesheim, Why Calories Count: From Science to Politics, has just been confirmed by yet another meta-analysis.  This one doesn’t seem to be getting much press, however.

It reports significant weight loss with any low-carbohydrate or low-fat diet.

Weight loss differences between individual named diets were small. This supports the practice of recommending any diet that a patient will adhere to in order to lose weight.

An accompanying editoria,  “A Diet by Any Other Name Is Still About Energy,” points out that study investigators only rarely analyze for how well participants in these studies actually adhere to the different diets, and for how long.

This makes it impossible for readers to figure out whether the weight loss was due to the specific components excluded from the diet or to the level of adherence.

In other words, whatever helps you eat less, helps you lose weight.  Go for it.

The Johnson Museum of Art on the Cornell University campus is displaying this remarkable, 8-foot wide, soft sculpture in its lobby.

The artist is Vincent J.F. Huang.  He calls it “Polar Bear Hamburger, 2014.”

Mr. Huang says his work is devoted to “creating statements that will raise awareness around various political and environmental issues.”

It works for me.

Worth the visit,

Section 7606 of the 2014 Farm Bill says that notwithstanding the Controlled Substances Act, The Safe and Drug-Free Schools and Communities Act, and other laws that govern the cultivation of marijuana, it is now OK for state agriculture departments and universities to grow “industrial” hemp for research purposes.

Industrial hemp, the Farm Bill says, means “the plant Cannabis sativa L…with a delta-9 tetrahydrocannabinol [THC] concentration of not more than 0.3 percent on a dry weight basis.”

To put this in context: the average THC potency of domestically grown recreational hemp  (a.k.a. marijuana) is about 6 percent, but can go much higher.

With so little THC in industrial hemp, why would anyone want to bother with it?   Textiles of course, but also medical purposes and dietary supplements.

Even a little THC, apparently, goes a long way.

The New York Times reports that companies are growing industrial hemp to make hemp oil as a treatment for epilepsy.

On the legalities of hemp oil, The Times explains that the

Drug Enforcement Administration is offering few clues, insisting in public statements that while it is willing to allow marijuana sales in states that have legalized the drug, it might step in if growers try to sell beyond state borders…Any chemical that comes from the plant is still a controlled substance…When we get into hemp, it gets a little squishy, but it still is illegal.

Squishy?  Growing and using industrial or recreational hemp is illegal in America except in states that have made hemp legal or quasi-legal.

For example, New York State recently passed a hemp bill that would set up pilot programs for the production of industrial hemp.

At least one company is growing hemp in Colorado for use in dietary supplements.   At a trade show last year, it displayed US Hemp Oil promoted for its content of CBD—cannabidiol, a non-narcotic fraction of the hemp plant.

The company insists that CBD is a legal ingredient of dietary supplements.

Hemp, it argues, is a vegetable:

The pure oil is considered GRAS [generally recognized as safe]. Under the United States Uniform Tariff Code they tax and code hemp as a vegetable. I don’t know anything that’s a vegetable that isn’t GRAS. When we import it, it is always considered a vegetable, so that’s what we use in our declaratory actions…in March of last year Canadian company Abattis announced plans to bring a CBD-infused kombucha drink to market.

However and whether CBD works for medical purposes, everyone expects industrial hemp to be a huge cash crop for its textile and health food uses.

This is especially a boon for Kentucky, and it’s no coincidence that Kentucky Republican Senator Mitch McConnell spearheaded the hemp provision through the Farm Bill.

The boon-for-Kentucky Website provides a long list of potential applications for industrial hemp, ranging from textiles to cosmetics to auto parts.

Proponents of CBD provide an even longer list of diseases for which industrial hemp’s CBD is a treatment option.  There isn’t much research on the physiological effects of CBD.  This makes industrial hemp perfect as a dietary supplements.  It might do something.  That’s all you need for supplement marketing.

The legal battles will be fun to watch.  Stay tuned.

In the meantime, there is hemp cereal—organic of course.  Enjoy!

It’s the end of summer and time to contemplate, if not visit, State Fairs selling increasingly imaginative deep-fried treats.  Apparently, deep-fried Oreos and deep-fried butter are so last year.

The Wall Street Journal tells us that the Great New York State Fair—in Syracuse, right now—has a better one: “Twinks.”

And what, pray tell, is a Twink?

The recipe:

• Take one Twinkie.
• Stuff with a Twix candy bar
• Wrap in bacon.
• Dip in batter.
• Deep-fry.
• Sprinkle with sugar.

The damage?  Just south of 1,000 calories.

And from Montana, Daniel Schultz sends this photo of the latest grocery store deal.  If you buy a soda cake (soda cake?) for $4.99, you get 2 liters of your favorite soft drink to wash it down, free.

Drive carefully.

Lawrence Haddad, senior researcher at the International Food Policy Research Institute (IFPRI), invited me to comment on how to strengthen accountability in the fight against malnutrition in the United States.

This is a contribution to the Global Nutrition Report, a project chaired by the Governments of Malawi and the UK as an outcome of the 2013 Nutrition for Growth Summit in London.

My comments are in response to this specific question:

Q.  How can citizens of the United States hold their government accountable for preventing and reversing malnutrition?