by Marion Nestle

Search results: public health strategies

Feb 1 2012

Survey result: low-income families want to eat healthfully too

I was invited yesterday to a press event to announce the results of a survey conducted by Share Our Strength’s Cooking Matters program.  The program and the survey, It’s Dinnertime: A Report on Low-Income Families’ Efforts to Plan, Shop for and Cook Healthy Meals, are sponsored by the ConAgra Foods Foundation.

I went because I was interested in the survey and also because I admire the work of chef Sara Moulton who, among many other things, works with Share Our Strength on this program.

Cooking Matters is part of Share Our Strength’s No Kid Hungry Campaign.  Its goal is to help low-income families increase access to public food resources (food assistance benefits, farmers’ market coupons) and produce healthy meals at low cost.  It does this through a 6-week course that teaches shopping strategies, meal planning, and cooking.

The research produced some important findings, perhaps obvious:

  • 8 out of 10 low-income families cook at home at least 5 times per week, more if they are poorer.
  • 85% of low-income families consider eating healthy meals to be important and realistic.
  • Low-income families struggle to put healthy meals on the table: food costs and preparation time are big barriers.
  • Low-income families are eager for cooking and budgeting tips and tools.

Where does ConAgra fit in?

ConAgra owns countless food product brands that pack the center aisles of supermarkets.

Working under the premise that it takes more than food to fight hunger, the ConAgra Foods Foundation, a national sponsor of Cooking Matters, funded It’s Dinnertime as part of its ongoing strategy to find sustainable solutions to help surround kids with the nourishment they need to flourish.

The ConAgra Foods Foundation is funded solely by ConAgra Foods.  One of the study’s conclusions is very much in ConAgra’s interest.

A better understanding of the health benefits of frozen and canned fruits and vegetables could also put more healthy options in reach for low-income families: While 81 percent of low-income parents rated fresh produce as extremely healthy, that rating drops down to 32 percent when it comes to frozen fruits and vegetables and 12 percent with canned fruits and vegetables.

The program works to improve the image of frozen and canned fruits and vegetables among low-income families.

Ordinarily, food industry-sponsored programs make me squirm.  This one makes me squirm less than most even though Sara Moulton was cooking with at least one ConAgra product: Wesson Oil.

But the program worked with 18,000 families last year and its goals make sense.

Canned and frozen fruits and vegetables really do retain much of the nutritional value of fresh produce unless they are loaded with salt and sugars.  Sara was cooking with low-salt products and the dishes she made were easy, inexpensive, nutritious, and quite delicious.

I’m impressed with how this program teaches families to fend for themselves in today’s tough environment.

Now, if ConAgra would just get busy promoting policies to improve access to healthy foods for everyone….

 

Jul 13 2011

Google’s impressive healthy food program

I’m just back from judging Google’s first Science Fair for kids 13 to 18 at its corporate headquarters in California (yes, those are tomatoes growing in the foreground).

Google’s famous food program: Why famous?  It is:

  • Available 24/7
  • Totally free
  • Varied and delicious
  • Designed to promote health as well as environmental values (local, organic, sustainable)

On this last point, the recycling program is comprehensive and the campus is planted with organic vegetables, free for the picking:

But what about the “freshman 15”?

If free food is available 24/7, isn’t Google creating a classic “obesogenic” environment?  Do new Google employees gain weight?

Indeed, they do, and this creates a dilemma for the food team.  I met with Joe Marcus, Google’s food program manager, and executive chef Scott Giambastiani.  Free and very good food, they explain, is an important recruiting perk for Google.   Employees learn to manage it.  And those who are eating healthy food for the first time in their lives find that they actually lose weight.

Google’s food labeling program

Google labels its snacks, drinks, and the foods prepared in its 25 or so cafeterias with traffic lights: green (eat anytime), yellow (once in a while), or red (not often, please).  It bases the decisions about which food goes where on the Harvard School of Public Health’s healthy eating pyramid.   It labels foods at the top of the Harvard pyramid red, the ones in the middle yellow, and those at the bottom green.

In theory this makes sense as a starting point.  In practice, it tends to seem a bit like nutritionism—reducing the value of the foods to a few key nutrients.

The difficulties are most evident in the snack foods, freely available from kiosks all over the campus.   Products are displayed on shelves labeled red, yellow, or green.  For example:

GREEN: Sun chips, 1.5 oz, 210 kcal, 10 g fat, 180 mg sodium, 3 g sugar, 4 g fiber

YELLOW: Lentil chips, 1 oz, 110 kcal, 3 g fat, 170 mg sodium, 1 g sugar, 3 g fiber

YELLOW: Walnuts, 0.8 oz, 150 kcal, 15 g fat, 0 g sodium, 1 g sugar, 2 g fiber

RED:  Luau BBQ chips, 1.5 oz, 210 kcal,  14 g fat, 158 mg sodium, 2 g sugar, 1 g fiber

Note: the weights of the packages are not the same, so the amounts are not really comparable, but the ranking scheme seems to give most credit for fiber.

As for these and the foods cooked in cafeterias, Google uses other strategies to promote healthier choices.  It:

  • Puts the healthiest products at eye level
  • Uses small plates
  • Tries to include vegetables in everything
  • Makes healthier options available at all times
  • Uses the smallest sizes of snack foods (packages of 2 Oreos, rather than 6)
  • Makes it easy to be physically active (Google bicycles!)

The only place on the campus where employees pay for food is from a vending machine.  The pricing strategy is based on nutrient content, again according to the Harvard pyramid plan.  For the vended products, you pay:

  • one cent per gram of sugar
  • two cents per gram of fat
  • four cents per gram of saturated fat
  • one dollar per gram of trans fat

On this basis, Quaker Chewy Bars are 15 cents each, Famous Amos cookies re 55 cents, and an enormous Ghirardelli chocolate bar is $4.25.  Weights don’t count and neither do calories.  The machine is not run by Google.  Whoever does it has a sense of humor.

Impressive, all this.  Not every company can feed its nearly 30,000 employees like this but every company can adopt some of these strategies.  It might save them some health care costs, if nothing else.

Nov 25 2008

Publications

This page lists books and articles. Books start under the first photo, and articles under the second.

Witt Program on Activism, DeWitt Clinton High School, Bronx NY, 12-8-09

BOOKS: For more information on books, click here

  • 2022:  Nestle M.  SLOW COOKED: AN UNEXPECTED LIFE IN FOOD POLITICS.  University of California Press.  
  • 2020: Nestle M, Trueman K.  LET’S ASK MARION: WHAT YOU NEED TO KNOW ABOUT THE POLITICS OF FOOD, NUTRITION, AND HEALTH, University of California Press.
  • 2018: Nestle M.  UNSAVORY TRUTH: HOW FOOD COMPANIES SKEW THE SCIENCE OF WHAT WE EAT, Basic Books.  Portuguese (Brazil) edition, 2019.
  • 2015: Nestle M.  SODA POLITICS: TAKING ON BIG SODA (AND WINNING), Oxford University Press.  Paperback, 2017.
  • 2013: Nestle M.  EAT, DRINK, VOTE: AN ILLUSTRATED GUIDE TO FOOD POLITICSRodale Books.
  • 2012: Nestle M, Nesheim M. WHY CALORIES COUNT: FROM SCIENCE TO POLITICS, University of California Press.  Paperback, 2013.
  • 2010: Nestle M, Nesheim MC. FEED YOUR PET RIGHT, Free Press/Simon & Schuster.
  • 2008: Nestle M. PET FOOD POLITICS: THE CHIHUAHUA IN THE COAL MINE, University of California Press. Paperback, 2010.
  • 2006: Nestle M. WHAT TO EAT, North Point Press/Farrar, Straus and Giroux. Paperback, 2007. Hebrew (Israel) edition, 2007.
  • 2003: Nestle M. SAFE FOOD: BACTERIA, BIOTECHNOLOGY, AND BIOTERRORISM, University of California Press.  Paperback 2004; Chinese edition 2004, Japanese edition 2009. Revised and expanded edition retitled SAFE FOOD: THE POLITICS OF FOOD SAFETY, 2010.   
  • 2002: Nestle M. FOOD POLITICS: HOW THE FOOD INDUSTRY INFLUENCES NUTRITION AND HEALTH, University of California Press. Paperback 2003; Revised and expanded edition 2007; Chinese edition, 2004; Japanese edition, 2005; 10th Anniversary Edition with a Foreword by Michael Pollan2013.
  • 1985: Nestle M. NUTRITION IN CLINICAL PRACTICE. Greenbrae CA: Jones Medical Publications. Asian edition, 1986. Greek edition, 1987.

Edited Books

Dr. Nestle at FAO 082

ARTICLES (SELECTED): For the most part, these are columns, professional articles, book chapters, letters, and book reviews for which links or pdf’s are available (or will be when I get time to find or create them). Additional publications are listed in the c.v. link in the About page.

2023

2022

2021

  • Young LR, Nestle M.  Portion Sizes of Ultra-Processed Foods in the United States, 2002 to 2021. American Journal of Public Health 2021;111(12):2223-2226.
  • Carlos Augusto Monteiro,Mark Lawrence, Christopher Millett, Marion Nestle, Barry M Popkin, Gyorgy Scrinis, Boyd Swinburn.  The need to reshape global food processing: a call to the United Nations Food Systems Summit.  BMJ Global Health 2021;6:e006885. doi:10.1136/bmjgh-2021-006885
  • Nestle M.  Public health nutrition deserves more attention.  Review of Jones-Smith J, ed. Public Health Nutrition: Essentials for Practitioners (Johns Hopkins Press, 2020).  American Journal of Public Heath. 2021;111(4):533-535.
  • Woolhandler S, Himmelstein DU, Ahmed S, Bailey Z, Bassett MT, Bird M, Bor J, Bor D, Carrasquillo O, Chowkwanyun M, Dickman SL, Fisher S, Gaffney A, Galea S, Gottfried RN, Grumbach K, Guyatt G, Hansen H, Landrigan PH, Lighty M, McKee M, McCormick D, McGretor A, Mirza R, Morris JE, Mukherjee JS, Nestle M, Prine L, Saadi A, Schiff D, Shapiro M, Tesema L, Venkataramani A.  Public policy and health in the Trump era: A Lancet Commission Report.  The Lancet, February 10, 2021.
  • Nestle M.  Review of Jessica Harris, Vintage Postcards from the African World: In the Dignity of Their Work and the Joy of Their Play.  Food, Culture, and Society, 2021;743-744.

2020

2019

2018

2017

2016

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

2002 – 2005

  • Nestle M. Preventing childhood diabetes: The need for public health intervention (editorial). American Journal of Public Health 2005;95:1497-1499.
  • Nestle M. Increasing portion sizes in American diets: more calories, more obesity (commentary). Journal of the American Dietetic Association 2003;103:39-40.
  • Berg J, Nestle M, Bentley A. Food studies. In: Katz SH, Weaver WW, eds. The Scribner Encyclopedia of Food and Culture, Vol 2. New York: Charles Scribner’s Sons, 2003:16-18.

  • Nestle M. The ironic politics of obesity (editorial). Science 2003:299:781.

  • Nestle M. Not good enough to eat (commentary). New Scientist 2003;177 (February 22):25.

  • Nestle M. Hearty Fare? Review of Faergeman, O. Coronary Heart Disease: Genes, Drugs, and the Agricultural Connection. Amsterdam: Elsevier, 2003. Nature 2003;425:902.
  • Nestle M. Thinking about food (letter). Wilson Quarterly Autumn 2003 [27(4)]:4.

  • Young LR, Nestle M. The contribution of expanding Portion Sizes to the U.S. obesity epidemic. American Journal of Public Health 2002;92:246-249.
  • Mahabir S, Coit D, Liebes L, Brady MS, Lewis JJ, Roush G, Nestle M, Fay D, Berwick M. Randomized, placebo-controlled trial of dietary supplementation of a-tocopherol on mutagen sensitivity levels in melanoma patients: a pilot trial. Melanoma Research 2002;12:83-90.
  • Byers T, Nestle M, McTeirnan A, Doyle C, Currie-Williams A, Gansler T, Thun M, and the American Cancer Society 2001 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention: Reducing the Risk of Cancer with Healthy Food Choices and Physical Activity. CA Cancer Journal for Clinicians 2002;52:92-119.
  • Fried EJ, Nestle M. The growing political movement against soft drinks in schools (commentary). Journal of the American Medical Association 2002;288:2181.

2001

  • Nestle M. Genetically engineered “golden” rice unlike to overcome vitamin A deficiency (letter). Journal of the American Dietetic Association 2001;101:289-290.
  • Nestle M. Nutrition and women’s health: the politics of dietary advice [editorial]. Journal of the American Medical Women’s Association 2001;56:42-43.

  • Kumanyika SK, Morssink CB, Nestle M. Minority women and advocacy for women’s health. American Journal of Public Health 2001;91:1383-1388.

  • Nestle M. Food company sponsorship of nutrition research and professional activities: A conflict of interest? Public Health Nutrition 2001;4:1015-1022.
  • Nestle M. Review of: Bendich A, Deckelbaum RJ, eds. Primary and Secondary Preventive Nutrition (Totowa, NJ: Humana Press, 2001). American Journal of Clinical Nutrition 2001;74:704.

2000

1999

  • Nestle M. Hunger in America: A Matter of Policy. Social Research 1999;66(1): 257-282.
  • Nestle M. Commentary [dietary guidelines]. Food Policy 1999;24(2-3):307-310.
  • Nestle M. Meat or wheat for the next millennium? Plenary lecture: animal v. plant foods in human diets and health: is the historical record unequivocal? Proceedings of the Nutrition Society 1999;58:211-218 (online here).
  • Nestle M. Heart disease’s decline (letter). New York Times, August 12, 1999:A18.
  • Nestle M. Dietary supplement advertising: a matter of politics, not science. Journal of Nutrition Education 1999;31:278-282.

1998

1987-1997

  • Nestle M.Broccoli sprouts as inducers of carcinogen-detoxifying enzyme systems: clinical, dietary, and policy implications [Commentary].Proceedings of the National Academy of Sciences, USA 1997;94:11149-11151.

  • Nestle M.The role of chocolate in the American diet: nutritional perspectives.In: Szogyi A, ed.Chocolate, Food of the Gods.Westport, CN: Greenwood Press, 1997:111-124.
  • Nestle M.Epidemiologists’ Paradise.Junshi C, Campbell TC, Junyao L, Peto R.Diet, Life-style, and Mortality in China: A Study of the Characteristics of 65 Chinese Counties.NY: Oxford University Press, 1990 [book review].BioScience 1991;41:725-726.

  • Nestle M. National nutrition monitoring policy: the continuing need for legislative intervention. J Nutrition Education 1990;22:141-144.
  • Nestle M, Porter DV. Evolution of federal dietary guidance policy: from food adequacy to chronic disease prevention.Caduceus: A Museum Journal for the Health Sciences 1990;6(2):43-67.

  • McGinnis JM, Nestle M. The Surgeon General’s report on nutrition and health: policy implications and implementation strategies. American Journal of Clinical Nutrition1989;49:23-28.
  • Department of Health and Human Services, Public Health Service. The Surgeon General’s Report on Nutrition and Health. Publ. No. (PHS) 88-50210. Washington DC: U.S. Government Printing Office, 1988, 712 pages [Managing Editor]. Reprint: Prima Publishing, 1989. Reprint: Warner Books, 1989.

  • Nestle M. Promoting health and preventing disease: national nutrition objectives for 1990 and 2000. Food Technology 1988;42(2):103-107.
  • Nestle M, Lee PR, Baron, RB. Nutrition policy update.  In: Weininger J, Briggs GM, eds.  Nutrition Update, Vol 1.  New York: John Wiley and Sons, 1983:285-313.

1968-1972 Dissertation and Postdoctoral Papers

Nestle M, Sussman M.  The effect of cyclic-AMP on morphogenesis and enzyme accumulation in Dictyostelium discoideum.  Developmental Biology 1972;28:545-554.

Nestle M, Roberts WK.  An extracellular nuclease from Serratia marcescens. II. Specificity of the enzyme.  Journal of Biological Chemistry 1969;244:5219-5225.

Nestle M, Roberts WK.  An extracellular nuclease from Serratia marcescens. I.  Purification and some properties of the enzyme.  Journal of Biological Chemistry 1969;244:5213-5218.

Nestle M, Roberts WK.  Separation of ribonucleosides and ribonucleotides by a one-dimensional paper chromatographic system. Analytical Biochemistry 1968;22:349-351.

 

 

Jan 5 2024

Weekend reading: Equitable access to USDA’s food assistance programs

I was guest editor for a supplement to the American Journal of Public Health: Policies and Strategies to Increase Equitable Access to Family Nutrition.

It is open access so you can access it here.

I wrote the lead editorial: Equitable Access to the USDA’s Food Assistance Programs: Policies Needed to Reduce Barriers and Increase Accessibility.  113(S3)pp. S167–S170.  

This special supplement to AJPH deals with a critically important topic: enabling and increasing access to federal nutrition assistance programs among low-income Americans who are eligible for these programs but unaware, unable, or unwilling to participate in them. To help identify the barriers to nonparticipation and to recommend policies to reduce them, the Robert Wood Johnson Foundation funded research projects aimed at these goals, especially as they pertain to families with young children.  PDF/EPUB

Editor’s choice

Perspectives

Notes from the field

Research articles

Sep 29 2023

Weekend reading: rising prevalence of obesity in developing countries

The International Fund for Agricultural Development (IFAD), as part of its IFAD Research Series, released a report, Overweight and obesity in LMICs in rural development and food systems, along with a literature review.

The report finds obesity rates across developing countries to be approaching levels found in high-income countries.

The study attributes the rise to:

  • Food Prices: The price gap between healthy foods (expensive) and unhealthy foods (inexpensive) is greater in developing countries than in rich developed countries.
  • Diet: Sugar-sweetened beverage consumption is on the rise in developing countries and the global sales of highly processed foods rose from 67.7kg per capita in 2005 to 76.9kg in 2017.
  • Culture: In some developing countries, childhood fatness is associated with health and wealth and consumption of unhealthy foods carries prestige.
  • Gender: Women are more likely to be overweight or obese than men in nearly all developing countries.

One strength of this study is its consideration of the need for interventions across the entire food system:

The study results show that food system-related interventions are not overweight or obesity specific. Instead, they tap into the wider field of making diets more healthy and nutritious, and emerge as necessary strategies to set the scene for creating non-obesogenic food supply chains. The identified intervention strategies cut across different food system domains: there were production strategies for improved dietary diversity, strategies for processing (which involved food package labelling or price mechanisms), strategies for changing the food environment and strategies to address consumer behaviour.

Jul 28 2023

UNICEF’s manual on protecting children from food marketing

Increasingly and more urgently concerned about the effects on children of unrestricted marketing of unhealthy foods and beverages, UNICEF and WHO have produced an invaluable manual on why and how governments must act to curb such marketing.

This is a follow up to the UNICEF report I talked about last week on engagement with food and beverage companies and to the WHO recommendations I posted about yesterday.

WHO and UNICEF are on a roll!

The rationale for this publication:

Food and beverage companies play a significant role in shaping children’s food environments, but their objectives are profit driven rather than child centred. They have a vested commercial interest in increasing sales of their unhealthy products and use highly immersive, engaging – and often unethical – marketing techniques to target children and their caregivers.
We know that food marketing harms children. It negatively affects children’s food preferences, purchase decisions and consumption behaviours, ultimately contributing to childhood obesity and diet-related disease. Food marketing also affects household purchasing decisions and the types of foods that are eaten in the home.

Among this report’s key messages:

  • The evidence is clear that food marketing harms children – especially the poorest and most vulnerable.
  • Tackling food marketing is challenging: past experience shows that food companies use loopholes and develop new strategies to bypass restrictions.
  • Voluntary schemes are ineffective in reducing children’s exposure to foodmarketing.
  • Mandatory regulation has the potential to be the most effective path to protecting children from the harmful impact of food
    marketing

Governments must act.  Now.

This exceptionaly timely and important report explains how.

Jun 27 2023

The UNICEF-WHO Congress on infant formula marketing: a brief report

Last week, I attended and spoke at the UNICEF-WHO Global Congress on Implementation of the International Code of Marketing of Breast-Milk Substitutes at WHO headquarters in Geneva.

The meeting was attended by more than 400 government, health, and advocacy representatives from more than 100 countries.  Representatives of infant formula companies were not invited to participate.

Its purpose was to encourage governments to promote and enforce the International Code, which nearly all U.N. member states ratified and committed to in 1981 (the U.S. was a long-standing holdout).

This meant they would control inappropriate marketing of infant formulas by banning advertising to people who are pregnant or nursing, gifts of formula samples, and doing anything to make formula appear superior to breastfeeding.

The logic of the Congress:

  • Breastfeeding is the superior method for feeding human babies.
  • Successful breastfeeding requires support from families, society, and government.
  • It is quite easy to undermine confidence in the ability to breastfeed.
  • Formula companies do all they can to undermine confidence in breastfeeding.
  • Formula companies’ main goal is to sell more formula.
  • Formula companies promote their products as normal and superior.
  • Breastfeeding is easier when formula marketing is controlled.y

I talked about the food industry “playbook”—strategies and tactics used by industries (tobacco, chemical, drug, alcohol, and food as well as infant formula) to cast doubt on unfavorable research, fund their own research, and lobby against public health recommendations (photo: Arum Gupta).

Many country representatives discussed the effects of the playbook in their areas, and what they are trying to do to stop formula companies from using  the playbook to get around the Code.

The general consensus:  Formula companies should NOT be allowed to:

  • Advertise or market products in violation of the Code.
  • Participate in public health policymaking.
  • Partner with relevant government agencies or non-governmental groups.

Obviously, formula companies are not happy with such recommendations.  If you would like to see an example of the playbook in action, take a look at the response  from the International Special Dietary Foods Industries.

It was exciting to be with so many people who cared so deeply about this issue.

Resources

 

Nov 16 2022

Food-industry front group: The International Food Information Council (IFIC)

The International Food Information Coouncil (IFIC) headlines its website:  “We promote science-based information on nutrition, food safety and agriculture.”

IFIC is a nonprofit 501(c)(3) education and consumer research organization that communicates evidence-based information on health, dietary patterns, ingredient safety and agricultural production. Our vision is a global environment where credible science drives food decisions.

I have long argued that any time you hear a food company or organization say it is “science-based,” you need to imagine a red warning flag flying into the air.  The term unfailingly means do not criticize food products unless you can prove conclusively that they do harm.  This, of course, is virtually impossible in populations that consume many different foods in meals from day to day.

IFIC lists health organization partners on its website.   Finding out who funds it is not so easy.

IFIC is a 501(c)(3) nonprofit organization governed by a Board of Trustees, the majority of whom are independent, academic researchers. Our work is primarily supported by grants and contributions from the private sector. IFIC is non-partisan. IFIC does not represent any company, industry or product. IFIC does not lobby or serve as an advocacy organization.

Who in the private sector?  The FAQ takes you to the same health organization partners and to an uninformative 990 tax form.  Who funds IFIC?  According to SourceWatch, food companies used to provide the bulk of funding but I’ve been unable to find a list of current funders.

I’m curious about this because investigators associated with the Bloomberg School of Public Health at Johns Hopkins and US Right to Know have just published: “How independent is the international food information council from the food and beverage industry? A content analysis of internal industry documents.”

The study team reviewed emails and documents obtained via public records requests related to IFIC and the IFIC Foundation, with the purpose of describing how IFIC generates and disseminates nutrition information to policy stakeholders and the general public. Results from this content analysis suggest IFIC communicates nutrition information to broad audiences using a variety of tactics designed to shape preferences about the link between unhealthy foods and chronic disease outcomes, manufacture doubt about existing evidence linking certain foods to negative health outcomes, and influence key opinion leaders in academia and government positions to support limited public health interventions designed to reduce consumption of unhealthy foods.

IFIC, they charge, is a food industry front group (this has been known for a long time) Their observations of industry funding sources date to 2018.

I’ve always thought IFIC was the most reasonable of industry front groups, perhaps because of its now former long time president, Sylvia Rowe, who understood consumer concerns exceptionally well.

This paper documents IFIC’s strategies in promoting food industry interests.

Documents

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