Jerry Mande, a co-founder of Nourish Science wrote me to urge support for a national action plan to reduce obesity—and the chronic diseases for which it raises risks. (Note: he also has an op-ed in The Hill on NIH research and leadership needs).

Here is what we should do. It’s time for a new federal nutrition goal. For decades it’s been some variation of “access to healthier options and nutrition information.” Jim Jones [the new head of food and nutrition at FDA] used that last week in his vision for the new human foods program. It’s in USDA FNS’s mission too. The WaPo reporting on life expectancy, fatty liver disease, & Lunchables in school meals reveals that goal has failed and needs to be replaced.

The goal should be updated to: ensuring that every child reaches age 18 at a healthy weight and in good metabolic health. Cory Booker proposed making it the U.S. goal in his attached letter to Susan Rice on the WHC [White House Conference]. It’s part of the Nourish Science vision.

It’s doable.  USDA has the necessary power, reach, and resources. Over half of infants are on WIC, 1/3 of children in CACFP [Child and Adult Care Feeding Program], virtually all in school meals, and almost ½ of SNAP recipients are under 18. If we leveraged those programs to achieve the new goal and with FDA’s & CDC’s help, we could make substantial progress. For example, USDA was able to raise school meal HEI [Healthy Eating Index] scores from failing U.S. average of 58 to an acceptable 82 in just three years.

We have a successful blueprint in FDA regulation of tobacco. When we began our FDA investigation in 1993 1/3 of adults and ¼ of kids smoked cigarettes. Today we have a $700M FDA tobacco center and 11% of adults and only 2% of high school students smoke cigarettes.

We should set the new goal in the upcoming Farm Bill. We should change USDA’s name to the U.S. Department of Food and Agriculture and state the new goal.

The only needed ingredient to make this happen is an effective federal nutrition champion. That’s how tobacco happened.

I’m optimistic. We can do this.

I like the vision.  I’m glad he’s optimistic.  Plenty of work to do to get this on the agenda.

Some background

• The CDC on how nearly 70% of American adults are overweight or have obesity.
• My report on the White House Conference, a year ago
• Politico (Helena Bottemiller Evich, now at Food Fix)  on how diet- and obesity-related diseases are a huge public health problem, especially for COVID-19, but no government program exists to prevent them.
• Politico (Catherine Boudreau and Helena Bottemiller Evich) on how federal research on prevention of diet- and obesity-related diseases hardly exists.

How’s this for bad, but not unexpected, news: household food insecurity is up again. 

It’s especially up among households with children.

And it’s the worst in years.

Food insecurity declined during the pandemic because the USDA increased benefits and waived some restrictions to enable easier access.

Guess what: if you make sure people have the resources they need, their food insecurity declines.

If you reduce benefits, as Congress did when it declined to continue the pandemic benefits, food insecurity increases—and sharply, given what inflation is doing to food prices.

How’s this for evidence for the clear effects of good public policy followed by bad.

The remedy here is simple: restore the pandemc benefits.

Halloween is about candy, no?  Here are four thoughts on the topic.

I.  From CagleWorld.com

II.  From The CandyStore.com.

III.  From Consumer Reports: What 100 calories of Halloween candy looks like. 

IV.  From my son Charles, who forwarded this, I know not from where:

Enjoy the occasion!

Everything in moderation!

I’m talking about the mushrooms in grocery stores here, not the psychodelic varieties.  A reader who is a member of the Academy of Nutrition and Dietetics, but wishes to remain anonymous, forwarded this message to members of the academy.

From: Mushroom Council <info@mushroomcouncil.com>
Date: August 18, 2023 at 11:04:09 AM EDT
To: [REDACTED]
Subject: Re: New, free meal plans for your clients + cognition research update
Reply-To: Mushroom Council <info@mushroomcouncil.com>

NUTRITION NEWS ABOUT MUSHROOMS  |

…Researchers have been exploring the potential role of mushroom consumption in cognitive function. While more research is needed, the emerging evidence is encouraging. Below are some highlights from the current body of evidence:

• • • • A cross-sectional study exploring the association between mushroom intake and mild cognitive impairment (MCI) among 663 Singaporean adults aged 60 and older found that individuals who consumed more than two servings of mushrooms per week (1 ½ cups total) had reduced odds of having MCI compared to people who consumed mushrooms less than once per week.¹ Fresh golden, oyster, shiitake, and white button mushrooms; dried mushrooms; and canned button mushrooms were included in the analysis of mushroom intake.
      • A prospective cohort study examined the relationship between mushroom consumption and incident dementia in a population of 13,230 elderly Japanese subjects aged 65 and older.² Participants who consumed mushrooms one to two times per week and more than three times per week had a 5% and 19% lower chance of developing dementia, respectively, compared to people who consumed mushrooms less than one time per week. After further analysis by gender, an inverse relationship between mushroom consumption and incident dementia was only found in women.
      • A double-blind, parallel-group, placebo-controlled trial investigated the impact of lion’s mane mushroom (Hericium erinaceus) supplementation on cognitive impairment among 30 Japanese men aged 50 to 80 years with MCI.³ Participants were randomized to two groups; one group took tablets containing lion’s mane in dry powder form three times a day for 16 weeks and other group was given a placebo. Participants were observed for four weeks after consuming the supplement for 16 weeks. Compared to the placebo group, the lion’s mane group showed significantly increased scores on the cognitive function scale, based on the Revised Hasegawa Dementia Scale (HDS-R), throughout the trial. Four weeks after stopping supplementation, the scores decreased significantly. The placebo group scores also showed significant increases at weeks 8 and 16, compared to the start of the trial. Researchers believe possible causes of an increase might be the placebo effect or familiarity with the cognitive function scale.
      • A cross-sectional study looking at the association between mushroom consumption and cognitive performance among 2,840 older adults aged 60 years and older found that greater mushroom intake was associated with certain cognitive performance tests.⁴

  Findings from cross-sectional and prospective cohort studies do not demonstrate cause and effect relationships – only associations. In addition, these studies cannot be generalized to the broader population, relied on self-reported dietary information which may not always be accurate, and residual confounding could have impacted the results even though researchers adjusted for a range of confounding factors, such as age, education, lifestyle behaviors, and more.

  Future clinical trials in broader populations will help shed light on the unique role of mushrooms in cognition and overall health.

  Sources:1. Feng L, Cheah IK, Ng MM, et al. The Association between Mushroom Consumption and Mild Cognitive Impairment: A Community-Based Cross-Sectional Study in Singapore. J Alzheimers Dis. 2019;68(1):197-203. doi:10.3233/JAD-180959 2. Zhang S, Tomata Y, Sugiyama K, Sugawara Y, Tsuji I. Mushroom consumption and incident dementia in elderly Japanese: The Ohsaki Cohort 2006 study. J Am Geriatr Soc. 2017;65(7):1462Y1469. 3. Mori K, Inatomi S, Ouchi K, Azumi Y, Tuchida T. Improving effects of the mushroom Yamabushitake (Hericium erinaceus) on mild cognitive impairment: a double-blind placebo-controlled clinical trial. Phyther Res. 2009;23(3):367Y372. 4. Ba DM, Gao X, Al-Shaar L, et al. Mushroom intake and cognitive performance among US older adults: the National Health and Nutrition Examination Survey, 2011-2014. Br J Nutr. 2022;128(11):2241-2248. doi:10.1017/S0007114521005195

Comment: This is typical of the kind of thing companies send out to dietitians nearly every day.  The Mushroom Council knows perfectly well that the probability of mushrooms having anything to do with improved cognitive ability has to be vanishingly small.  Its critique in the last paragraph tells you everything you need to know.  The Council sponsored some of the studies cited.  This is about marketing mushrooms.  If you like them, enjoy.  If not, don’t bother.  Note to the Academy of Nutrition and Dietetics: Such notices should be labeled clearly as advertisements.  Members should also be told how much companies pay the Academy for such mailings.

José Tenorio.  School Food Politics in Mexico: The Corporatization of Obesity and Healthy Eating Policies.  Routledge, 2023.  

I was asked for a blurb for this one:

From first-hand observations and deep research, José Tenorio makes it clear that school food in Mexico is about much more than feeding hungry kids; it’s about how food corporations have taken advantage of social inequalities to replace native food traditions with less healthful but profitable products.  School food politics, indeed!

This book may seem specialized, but it is a useful case study in the politics of school food—not confined to the United States, apparently.

Mexico leads the way in efforts to promote healthier diets.  It has  excellent dietary guidelines.   It also has warning labels on food products (see my post on these), soda taxes, a ban on trans fats, and other measures.

Mexico’s schools do not provide meals for kids in schools.  They sell foods at canteens.

The country set nutrition standards for foods sold in schools in 2011, but compliance is not great.

Public health and food advocacy groups support laws to ban unhealthy foods and drinks from schools.  Despite formidible industry opposition, this may actually happen.

This book provides evidence for why it should.

Here’s my third Who Knew post of the week, this one an at-a-glance explanation of what’s wrong with the US food system, courtesy of FarmDocDaily.

In 1980 or so, corn and soybeans comprised about 20% each of total crop acreage.  Now it’s 30% each.

To bring this point home:

Recall that more than 40% of US corn is used to feed animals and another more than 40% is used to make ethanol.

Monoculture, anyone?  Lack of biodiversity?  Greenhouse gas emissions?  A focus on feed and fuel, not food?

Time to rethink the food system!

I saw this notice of Nestlé closing a baby formula factory in Ireland.   I wondered why.

Nestlé cited a significant downward trend in demand for infant nutrition products in the Greater China region as the main driver behind the factory closure, thanks to a sharp decline in the birth rate projected in 2023—9 million down from 18 million in 2016, according to Statista.  The market, which had previously been reliant on imported infant formula products, is also seeing rapid growth in locally-produced products, according to the manufacturer.

What?

• Nestlé’s factory in Ireland makes formula exclusively for sale in China.?
• China’s birth rate has dropped by half just since 2016?

The infant formula market is one bizarre entity.  It depends entirely on these factors:

1. How many mothers breastfeed their infants.
2. How many babies are born.
3. How many breastfeeding mothers can be induced to switch to formula.
4. Ho long caretakers can be induced to continue using formula.

All of this pushes the formula industry to undermine breastfeeding.

Nestlé is moving its factory to China where it must think it can sell even more.

Maybe the Irish factory can make formula for Europe.   Scotland, for example, is worried about the high cost of formula—surely a supply-and-demand problem, at least in part.

This week, I’m posting some items that surprised me.  Here’s the first: How to deal with bribery in your supply chain.

Really?  This is an international problem?  Apparently so, at least for the U.K.

We have approximately 160 coudntries from all over the world contributing to our food supply and this can lead to vulnerabilities in respect of fraud and financial crime.

The vulnerabilities:

• Bribery and corruption
• Food fraud such as adulteration and mislabeling
• Dealing with entities on international fraud and sanction lists
• “Dealing with individuals or entities that do not share your own approach to issues such as sustainability and modern slavery.”

This particular article deals with bribery.  A few excerpts from this discussion:

• It is not necessary to show the payment was made with a corrupt motive or intention to persuade or influence the agent; the payment is presumed to have been corrupt if the principal was unaware.
• There is also no need to show the principal suffered a loss as a result of the agent being bribed.
• Given the serious consequences which can flow from bribery (corporate criminal conviction, fines, reputational damage) and the cost of carrying out your own investigation, prevention is clearly better than cure.
• In the food industry, supply chains can be particularly long and complex, with suppliers involved from all over the world; therefore, it is crucial that businesses invest time in getting to know their suppliers.
• The key message is to keep the risk of bribery in mind at all stages of dealing with suppliers and ensure that all counterparties are aware of your organisation’s understanding of how the civil law of bribery can protect and help scrutinise suppliers, so to maintain a robust supply chain with in-built deterrents for rogue parties.

One more thing to worry about if you are in the food business.