Food Politics

by Marion Nestle
Jan 10 2025

Weekend reading: Three thoughts on the MAHA “movement”

I.  Darius Mozaffarian, a nutrition professor at Tufts University, has an editorial in the American Journal of Clinical Nutrition:“The Dietary Guidelines for Americans—is the evidence bar too low or too high?”

He writes about an analysis of the systematic literature reviews SRs) that form the basis of science-based decisions in the guidelines.  His comments gives an insight into the Dietary Guidelines process worth seeing.

For the 2025–2030 DGAC, I served as a peer reviewer for the SR on UPFs…I felt that the SR’s question, design, and planned methods were appropriate, but that its implementation and conclusions were weakened by important deviations from these standards. For example, contradicting its stated eligibility criteria, the SR included numerous studies that did not appropriately or adequately define or assess UPF. Following inclusion of such heterogeneous studies, the SR concluded that the scientific evidence on UPF was limited due to many studies having serious concerns around exposure misclassification as well as evaluating dietary patterns not directly varying in amounts of UPF. This demonstrated a circular and dismaying reasoning: the SR included studies it should not have that had heterogeneous and poorly characterized assessments of UPF, and then concluded that heterogeneous and poorly characterized assessments of UPF limited the strength of the evidence.

He observes:

Most importantly, the DGA and SR requirements make clear that guiding Americans toward a healthier diet is an unfair fight from the start. The food industry can do almost anything it wishes to our food, combining diverse ingredients, additives, and processing methods with virtually no oversight or required evidence for long-term safety  In contrast, the DGAs and other federal agencies can only make recommendations to avoid certain foods or limit certain manufacturing methods when there is extensive, robust, and consistent evidence for harm. In this severely imbalanced playing field, industry wins again and again.

II.  Senator Bernie Sanders posted on Facebook Sanders Statement on How to Make America Healthy Again.  Among other issues, he’s taking on the food industry.

Reform the food industry. Large food corporations should not make record-breaking profits addicting children to the processed foods which make them overweight and prone to diabetes and other diseases. As a start, we must ban junk food ads targeted to kids and put strong warning labels on products high in sugar, salt and saturated fat. Longer term, we can rebuild rural America with family farms that are producing healthy, nutritious food.

III.  California Governor Gavin Newsom “issues executive order to crack down on ultra-processed foods and further investigate food dyes.”

The food we eat shouldn’t make us sick with disease or lead to lifelong consequences. California has been a leader for years in creating healthy and delicious school meals, and removing harmful ingredients and chemicals from food. We’re going to work with the industry, consumers and experts to crack down on ultra-processed foods, and create a healthier future for every Californian.

Comment

Mozaffarian offers these opinions despite disclosing financial ties to food companies.  Sanders is a welcome addition to the handful of legislators concerned about food issues.  Newsom is making it easier for other states to take similar steps.

Maybe there’s a glimmer of hope for coalition building among advocates for healthier food systems.  Maybe this really is a movement!

How’s that for a cheery thought for 2025.  Happy new year everyone!

Jan 9 2025

A Thursday giggle: Politics makes strange bedfellows

How did a nice girl like me end up in New York Magazine’s MAHA issue?  I was amazed to find myself in this.

MAHA is the Trump Administration’s Make America Healthy Again campaign.

For the record: I’m totally for making America healthy, and especially for doing everything possible to reduce risks from chronic disease.  I’m for some of what RFK, Jr wants to do (reduce intake of ultra-processed foods, get toxins out of the food supply, reduce conflicts of interest) but by no means all.

Oh well, I didn’t want you to miss this. Enjoy (?).

Jan 8 2025

The FDA’s Healthy Claim Rule is Final

Here’s what the FDA says about Use of the Term Healthy on Food Labeling.

To meet the updated criteria for the claim, a food product needs to

  1. contain a certain amount of food from at least one of the food groups or subgroups (such as fruit, vegetables, grains, fat-free and low-fat dairy and protein foods) recommended by the Dietary Guidelines for Americans, and
  2. meet specific limits for added sugars, saturated fat and sodium.

To qualify, a breakfast cereal, bread, or any other grain food would need to have 3/4 ounce of whole grains, and have less than 10% of the Daily Value for added sugars (5 grams per serving), less than 10% for sodium (230 mg per serving), and less that 1 gram of saturated fat (5% DV).

On this basis, kids cereals won’t qualify.

Oh.  And the FDA is still working on the symbol.

Resources

Jan 7 2025

The big fight over alcohol recommendations: not over yet

What are we to make of this?

The National Academies of Sciences, Engineering, and Medicine’s Review of Evidence on Alcohol and Health says moderate drinking

  • Reduces all-cause mortality (moderate certainty)
  • Reduces the risk of cardiovascular disease (moderate certainty)
  • Increases the risk of breast and colorectal cancer (but can’t decide about others)

The Surgeon General, Vivek Murthy, says in his Advisory on Alcohol and Cancer Risk

  • Consuming alcohol increases the risk of developing at least 7 types of cancer.
  • The causal relationship between alcohol consumption and cancer is firmly established.

Let me try some context.

That alcohol is a risk factor for cancer has been known since the 1980s.

The Surgeon General’s conclusion is especially noteworthy for its lack of ambiguity.  He says flat out: alcohol causes cancer, and 7 kinds no less.

In contrast, the NASEM report talks about low and moderate certainty for its conclusions.

Presumably, both reports were based on the same data.

Here’s what this is about.

At issue: what the 2025-2030 Dietary Guidelines will say about how much alcohol is safe to drink (if any).

Since 1990, Dietary Guidelines have said two standard drinks a day for men and one for women could be considered low risk.

But the 2020-2025 Dietary Guidelines Advisory Committee, based on recent research indicating harm from any level of alcohol intake, said only one drink a day for both men and women was probably OK.

This alarmed the alcohol industry and other industries that profit from drinking.  They convinced Congress and federal agencies to revisit the effects of moderate drinking.

Yet another report on moderate drinking and health, this one from federal agencies, is expected any day now.

The bottom line

While all this is going on, the moral is pretty clear: the less alcohol, the better.

Resources

NASEM report press release

Industry pressure to make sure Dietary Guidelines to not toughen alcohol restrictions

New York Times: What is Moderate Drinking?

Example of alcohol industry pressure on Dietary Guidelines

Rani Rabin has been right on top of this fuss.  See, for example

 

 

 

 

Jan 6 2025

Industry-funded study of the week: The Beef Checkoff!

Let’s start the new year off with a classic industry-funded study with predictable results.

Beef Consumption and Cardiovascular Disease Risk Factors: A Systematic Review and Meta-analysis of Randomized Controlled Trials.  Sanders, Lisa M et al. Current Developments in Nutrition, Volume 8, Issue 12, 104500

Background: Results from observational studies suggest associations of red meat intake with increased risk of cardiovascular disease (CVD); however, RCTs have not clearly demonstrated a link between red meat consumption and CVD risk factors. Further, the specific effects of beef, the most consumed red meat in the United States, have not been extensively investigated.

Objectives: This study aimed to perform a systematic review and meta-analysis of RCT data evaluating the effects of minimally or unprocessed beef intake on CVD risk factors in adults.

Methods: A search of the literature was conducted using PubMed and CENTRAL databases.

Results: Beef intake did not impact blood pressure or most lipoprotein-related variables, including total cholesterol, HDL-cholesterol, triglycerides, non–HDL-cholesterol, apolipoprotein A or B, and VLDL-cholesterol. Beef consumption had a small but significant effect on LDL-cholesterol (0.11; 95% CI: 0.008, 0.20; P = 0.03), corresponding to ∼2.7 mg/dL higher LDL-cholesterol in diets containing more beef than that in low-beef or -o beef comparator diets. Sensitivity analyses show this effect was lost when 1 influential study was removed.

Conclusions: In summary, the results of this analysis showed no meaningful effect of daily unprocessed beef intake, compared with diets with less or no beef, on circulating lipoprotein lipids, apolipoproteins, and blood pressures, except for a small effect to increase the LDL-cholesterol concentration by ∼2.7 mg/dL. Given that unprocessed beef has minimal to no impact on these CVD risk factors but is a significant source of highly bioavailable protein as well as iron, zinc, and selenium, its inclusion in the diet may help improve dietary nutrient profiles without significantly affecting lipids or blood pressures.

Funding: This study was supported by the Beef Checkoff. The funding sponsor provided comments on early aspects of the study design. A report was shared with the sponsor prior to submission. The final decision for all aspects of the study and the manuscript content were those of the authors alone.

Comment:  As I said, an instant classic of the genre.  The USDA-managed Beef Checkoff had input into the study design and got to comment on the results and conclusions before the article was submitted for publication.  The sponsor exerted influence at the two places bias is most often found: the study design and the interpretation of the results.  Hence, industry influenced and predictable.

More to come.  Happy new year!

Dec 23 2024

FoodPolitics is on vacation until January 6

I’ve just been sent the copy-edited manuscript of my forthcoming book, What to Eat Now, the new and almost entirely revised edition of What to Eat to be published in fall 2025 (Picador Press).  I will be working on that over the holidays, will have more to say about it next year, and will return to the daily updates on January 6.

Have wonderful holidays.  Happy new year!

Dec 20 2024

More good news: USDA is requiring testing of raw milk

Let’s end Food Politics this year (this is the last post until January 6) with some more good news: USDA Builds on Actions to Protect Livestock and Public Health from H5N1 Avian Influenza

The Agriculture Department’s Animal and Plant Health Inspection Service (APHIS) today announced a new National Milk Testing Strategy (NMTS) requiring that raw (unpasteurized) milk samples nationwide be collected and shared with USDA for testing.  T

This new guidance, developed with input from state, veterinary and public health stakeholders, will facilitate comprehensive H5N1 surveillance of the nation’s milk supply and dairy herds, USDA said.

Testing will be mandatory.

  • Producers will have to share raw milk samples, if asked
  • Producers must provide epidemiological data to enable contact tracing of infected cattle
  • Veterinarians and labs must report positive results to USDA

Great.  Now if USDA would only enact the same requirements for testing for toxic E. coli.

As food safety lawyer Bill Marler explains in Hey, RFK, your “Raw Milk Czar” has had a few E. coli issues:

A total of 11 people infected with the outbreak strain of E. coli were reported from 5 states…Of 11 people with information available, 5 were hospitalized and 2 developed hemolytic uremic syndrome, a serious condition that can cause kidney failure. No deaths were reported.

Raw milk, after all, is high on the list of foods Bill Marler won’t eat.

On that cheerful note, happy food politics holidays.  I will be back on January 6.

Dec 19 2024

Good news: The Kroger-Albertson’s acquisition is not going to happen

A federal judge has said no to the proposed $25 billion purchase of Albertson’s by Kroger.  This is a win for the Federal Trade Commission and for consumers faced with store closures and higher prices almost certainly expected as a result of the merger.

U.S. District Judge Adrienne Nelson agreed in the ruling that the merger was likely to remove direct competition between the two grocers, which would make it unlawful…Albertsons shares were down around 2.2% on Tuesday afternoon. Kroger shares were up around 5%.

I’ve written about the proposed merger in earlier posts.

A lot of money was at stake.  Now things are geting really ugly.

Albertson’s is suing Kroger for not trying hard enough to get the merger through the FTC.

Kroger says this charge is baseless.

“This is clearly an attempt to deflect responsibility following Kroger’s written notification of Albertsons’ multiple breaches of the agreement, and to seek payment of the merger’s break fee, to which they are not entitled.

The cases are likely to go on and on.  In the meantime, enjoy going to your local supermarket while you can.