by Marion Nestle

Search results: children's nutrition

May 12 2021

The hidden secrets of juice drinks

I saw this question on The Lunch Tray, Bettina Siegel’s column on Substack.

Turns out that lots of people have no idea what’s in these things.

That’s what my NYU colleague Jennifer Pomeranz and Jennifer Harris of the University of Connecticut’s Rudd Center found in their recent study,  Misperceptions about added sugar, non-nutritive sweeteners and juice in popular children’s drinks: Experimental and cross-sectional study with U.S. parents of young children (1-5 years)

Their overall finding: Most parents in their survey did not know what was in these drinks.

  • 62% could not identify most drinks that contained diet sweeteners, even when shown the information panel with nutrition and ingredient information.
  • Parents overestimated the average percent juice content in sugar-sweetened drinks, believing that these drinks contained 22% juice, when they actually contained 3% juice on average.
  • Even with the nutrition information and ingredient list on the information panel, 53% incorrectly believed that unsweetened 100% juice and/or juice/water blends contained added sugar.
  • Parents were more likely to believe that statements of identity with the words “natural” and “water beverage” meant the drink did not contain added sugar or diet sweeteners and did contain juice, although they are commonly used on children’s flavored water drinks that contain added sugar, diet sweeteners, and no juice.

These drinks are confusing (deliberately, I’m guessing) and it’s understandable why their contents are obscure.

The authors recommendation is a  good one, in my view.

Put on the front label of juice drinks:

  • Added sugars (this is currently buried in the Nutrition Facts label)
  • Diet sweeteners
  • Juice content
Oct 29 2020

“Healthy” kids food: an oxymoron?

Foods marketed to kids are an enormously profitable enterprise, but most foods marketed to kids are ultraprocessed junk foods.  Companies are scrambling to come up with profitable food items for kids that might actually be good for them.  Hence: “healthy” kids food.

By the way, kids don’t need special foods designed for them; they are perfectly capable of eating anything that adults eat, cut or smashed to size and in smaller portions, of course.

This collection of articles is from FoodNavigator.com, an industry newsletter that I find highly informative.

Special Edition: Healthy kids food

From fussy eaters, to early years nutrition, allergies and healthy snacks for kids, we take a look at the latest developments in children’s food and profile innovation for the next generation.

And while we are on the subject of “healthy” kids foods, what about what General Mills is doing?

General Mills is bringing back its classic recipes for four of its cereals: Cocoa Puffs, Golden Grahams, Cookie Crisp and Trix, according to a release. This reformulation back to retro ’80s recipes is permanent and is now available at retailers nationwide.

Just what kids do not need.  Sigh.

Nov 8 2019

Weekend reading: Let’s take real action on childhood obesity

On World Obesity Day, I posted links to three recent reports.

An editorial in The Lancet made me realize that I had not read this one nearly carefully enough.  It deserves careful reading.

It comes from Sallie Davies, who just stepped down as Britain’s Chief Medical Officer.  In another Lancet piece, she and her colleagues insist that children have a right to live in a healthy environment:

Today, government legislation is necessary not simply because we have an obligation to protect vulnerable children, but because children have rights. The UN Convention on the Rights of the Child (UNCRC), the most widely ratified international human rights treaty, sets out children’s rights to protection, education, health and health care, shelter, and good nutrition…a child rights approach requires us to recognise childhood obesity as the responsibility of the state and as an issue that must be addressed across society…It is time to address childhood obesity as a rights issue.

In her report, she insists that government should enact legislation to ensure a healthy food environment; Annex A lists recommendations:

  • Increase taxes on sugary drinks
  • Require product reformulation to reduce sugar and calories
  • Tax unhealthy foods
  • Label calories
  • Provide free drinking water
  • Remove tax exemptions for advertising
  • Phase out marketing of unhealthy products
  • Ban eating and drinking on public transport
  • Only permit healthy options at sports facilities
  • Promote smaller portion sizes

Her report also suggests ways to promote physical activity.

Worth a try?  I think so.

Mar 26 2019

Pediatric Academy and Heart Association endorse soda taxes!

The American Academy of Pediatrics (AAP)) and the American Heart Association (AHA) have issued a joint statement endorsing soda taxes along with other policies aimed at reducing risks for childhood obesity (the full statement is published in Pediatrics).

The AAP and AHA recommend:

  • Local, state and national policymakers should consider raising the price of sugary drinks, such as via an excise tax, along with an accompanying educational campaign. Tax revenues should go in part toward reducing health and socioeconomic disparities.
  • Federal and state governments should support efforts to decrease sugary drink marketing to children and teens.
  • Healthy drinks such as water and milk should be the default beverages on children’s menus and in vending machines, and federal nutrition assistance programs should ensure access to healthy food and beverages and discourage consumption of sugary drinks.
  • Children, adolescents, and their families should have ready access to credible nutrition information, including on nutrition labels, restaurant menus, and advertisements.
  • Hospitals should serve as a model and establish policies to limit or discourage purchase of sugary drinks.

Comment:  This action of the AAP is truly remarkable.  In 2015, this Academy was heavily criticized for taking funding from Coca-Cola and, surely not coincidentally, saying little about the need for children to reduce consumption of sugary drinks.  Once exposed, the AAP said it could no longer accept that funding. I did, however, hear an alternative story.  Coca-Cola officials told me that as a result of their transparency initiative, the company would no longer fund the Pediatric, Dietetic, and Family Practice Academies.  It is also hardly a coincidence that now that the AAP no longer takes money from Coke, it is free to promote soda taxes as a useful public health strategy.

Jan 9 2017

FoodNavigator-USA’s Special Edition on Snack Foods

I always like to share FoodNaviagator-USA’s special editions—collections of articles on one theme, in this case, what’s happening with snacks from the industry’s perspective.

Special Edition: Snacking trends 

What’s hot in snacks? Sprouted grains? Posh jerky? Chickpeas? Gourmet marshmallows? What’s the difference between a meal and a snack, or are the lines becoming increasingly blurred? What’s a suitable portion-size? This FoodNavigator-USA special edition explores the hottest new trends and brands in the market.

Jul 19 2016

Check out who funded this study of kids’ lunches in Brazil

Brazilian researchers have published a study clearly aimed at countering Brazil’s dietary guidelines, which the authors say, include advice to “avoid fast food.”

The study, which looked at the nutritional quality of children’s lunches, comes to three conclusions:

  1. The nutrition quality of lunch in fast food restaurants is similar to a typical Brazilian meal [Really?  Who paid for this?].
  2. The restaurant meals could fit into a balanced diet from time to time [Of course.  Anything can].
  3. Every meal observed here could be improved with regard to sodium and fiber to promote children’s health in adulthood [Ditto].

Did you guess?

The authors acknowledge Equilibrium Consultancy which led this study. Funding by McDonald’s Corporation for the project was primarily to Equilibrium.

This is yet another industry-funded study with results favorable to the sponsor’s interests.  These especially require scrutiny of hypotheses, methods, and interpretation and repetition by independently funded investigators.

Mar 28 2016

From research to policy: making school food healthier and more effective

Why anyone would be opposed to giving healthy food to kids in schools is beyond me, but school food is a flash point for political fights.

Sometimes research helps.  Two recent studies produce results that can be used to counter criticisms of government school meal programs.

Kids are eating more healthfully than they used to, according to a research study funded by the Department of Health and Human Services and the Robert Wood Johnson Foundation.  The study concludes:

Food policy in the form of improved nutrition standards was associated with the selection of foods that are higher in nutrients that are of importance in adolescence and lower in energy density. Implementation of the new meal standards was not associated with a negative effect on student meal participation. In this district, meal standards effectively changed the quality of foods selected by children.

This is excellent news for proponents of better school food.  USDA Secretary Tom Vilsack issued a statement:

This study is the latest in a long list of evidence which shows that stronger school meal standards are leading to healthier habits in schools. Children are eating more fruits and vegetables and consuming more nutrients, making them better prepared to learn and succeed in the classroom. After decades of a growing obesity epidemic that harmed the health and future of our children and cost our country billions, we are starting to see progress in preventing this disease. Now is not the time to take as step backwards in our efforts to do what is right for our children’s health. I urge Congress to reauthorize the child nutrition programs as soon as possible and to maintain the high standards set by the Healthy, Hunger-Free Kids Act.

Kids who eat breakfast in school are healthier.  Even if they have already had breakfast at home, kids who eat school breakfasts are less likely to be overweight or obese than those who don’t, finds a study from groups at U. Connecticut and Yale.

The press release explains:

The findings of the study…add to an ongoing debate over policy efforts to increase daily school breakfast consumption. Previous research has shown that, for students, eating breakfast is associated with improved academic performance, better health, and healthy body weight. But there have been concerns that a second breakfast at school following breakfast at home could increase the risk of unhealthy weight gain.

So now we know: they do not.

Research like this is unlikely to settle the matter but it ought to help school personnel who are working hard to make sure that kids get something decent to eat and to move ahead on school food initiatives.

Feb 2 2016

Food-Navigator’s Special Edition: Food for kids!

I greatly enjoy Food-Navigator’s collections of articles on specific topics.  Here’s one on marketing foods to kids.

While there is some evidence that the tide may now be turning on childhood obesity, 8.4% of US 2-5 year-olds; 17.7% of 6-11 year-olds and 20.5% of 12-19-year-olds are still obese, and many are lacking in essential nutrients from potassium, dietary fiber and calcium, to vitamin D. So how can the food industry respond to these concerns and develop more nutritious, but appealing snacks, meals and beverages for kids?

Addition, February 3: A reader reminds me that Food-Navigator published a guide to creating successful children’s brands a couple of months ago.