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This one was sent to me by Sara Henriques Martins, a nutritionist from Portugal.

She writes: “I came across an interesting study about the effects of phytosterols on lowering blood cholesterol  which was funded by Danone, a company that sells Danacol, a drink that is sold with this exact purpose.”

The study: Phytosterols, Cholesterol Control, and Cardiovascular Disease.    Andrea Poli, Franca Marangoni, Alberto Corsini, Enzo Manzato, Walter Marrocco, Daniela Martini, Gerardo Medea,  Francesco Visioli.  Nutrients. 2021, 13(8), 2810; https://doi.org/10.3390/nu13082810

Reference: For a summary of research on the “funding effect”—the observation that research sponsored by food companies almost invariably produces results favorable to the sponsor’s interests but that recipients of industry funding typically do not recognize its influence—see my book, Unsavory Truth: How Food Companies Skew the Science of What We Eat.

The American Heart Association (AHA) has just issued its latest set of dietary guidelines aimed at preventing the leading cause of death in the United States: 2021 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement From the American Heart Association.

Because AHA guidelines apply not only to coronary heart disease but also to all other chronic disease conditions—and sustainability issues—influenced by dietary practices, they deserve special attention.

Most of these repeat and reinforce the 2020-2025 Dietary Guidelines for Americans.

The two big differences in the recommendations:

• Clarifying protein recommendations: these include all sources but emphasize plant sources (#4)
• Including a new one: minimize ultra-processed foods (#6)

These recommendations are way ahead of the US Dietary Guidelines in recognizing how much ultra-processed foods contribute to poor health, and how important it is to minimize their intake.

Also unlike the US guidelines, these are unambiguous and easily summarized.

The statement is worth reading for its emphasis on two other points.

• This dietary pattern addresses problems caused by other chronic conditions and also has a low environmental impact.
• Following this dietary pattern requires much more than personal responsibility for food choices.  It requires societal changes as well.

The press release summarizes the problems in society that make following healthy diets so difficult, if not impossible:

• Widespread dietary misinformation from the Internet;
• A lack of nutrition education in grade schools and medical schools;
• Food and nutrition insecurity – According to references cited in the statement, an estimated 37 million Americans had limited or unstable access to safe and nutritious foods in 2020;
• Structural racism and neighborhood segregation, whereby many communities with a higher proportion of racial and ethnic diversity have few grocery stores but many fast-food outlets; and
• Targeted marketing of unhealthy foods and beverages to people from diverse racial and ethnic backgrounds through tailored advertising efforts and sponsorship of events and organizations in those communities.

As the statement concludes: “Creating an environment that facilitates, rather than impedes, adherence to heart-healthy dietary patterns among all individuals is a public health imperative.”

Amen to that.

Comment: From my perspective, this statement thoroughly supersedes the 2020-2025 Dietary Guidelines for Americans, which—because they say nothing about ultra-processed foods , differential protein sources, sustainability, or doing anything to counter societal determinants of poor diets—were out of date the instant they appeared.

Some of the details of the AHA statement will be debated but its overall approach should not be.

The committee that put these guidelines together deserves much praise for basing its advice on today’s research and most pressing societal needs.

Additional AHA Resources:

• Spanish news release 
• Available multimedia is on right column of release link: https://newsroom.heart.org/news/new-look-at-nutrition-research-identifies-10-features-of-a-heart-healthy-eating-pattern?preview=288ef57763869cab946e725d341dbb63
• After Nov. 2, 2021, view the manuscript online.
• What kind of diet helps heart health?
• Eating walnuts daily lowered bad cholesterol and may reduce cardiovascular disease risk
• Eating more plant foods may lower heart disease risk in young adults, older women
• Sugar 101
• Follow AHA/ASA news on Twitter @HeartNews

FAO says the world food price index is higher than it’s been in years, due to reduced harvests, fuel prices, climate change, and Covid-19.

According to the New York Times, the prices of foods in the U.S. are also up—and by 15 percent since early 2020.

Steak, ground beef for hamburger, and turkey are especially costly.

The increases are due to supply chain shortages and higher labor costs and there is little relief in sight. In fact, some economists think prices could rise even more, given the increase in energy prices.

These increases may be hard on consumers, but they are also hard on food banks.

A case of peanut butter that was $13 to $14 before the pandemic now costs $16 to $19…Green beans that used to retail for $9 a case now sell for $14.

BUT, the New York Times also reports:

Despite higher prices, McDonald’s, Kraft Heinz and Coca-Cola post solid earnings.

The Coca-Cola Company, McDonald’s and Kraft Heinz all reported quarterly earnings on Wednesday that were better than expected, despite continuing challenges with the global supply chain and pandemic restrictions in many parts of the world. The enormous scale of each business, as well as their ability to pass on price increases to consumers, appears to have helped them during a time of uncertainty.

Ironic, no?

I am not a litigious person and much prefer to stay out of the legal system.

But I am a big fan of Bill Marler, who represents victims of food poisonings, not least because his lawsuits against companies with sloppy food safety procedures should encourage them to clean up their processes.

I’m not sure what to think of NPR’s account of Spencer Sheehan’s 400 or so lawsuits against food companies for misleading labeling.

The one that triggered off the article is on behalf of a woman suing Kellogg over the number of strawberries in Strawberry Pop-Tarts.

Enriched flour (wheat flour, niacin, reduced iron, vitamin B1 [thiamin mononitrate], vitamin B2 [riboflavin], folic acid), corn syrup, high fructose corn syrup, dextrose, soybean and palm oil (with TBHQ for freshness), sugar, bleached wheat flour. Contains 2% or less of wheat starch, salt, dried strawberries, dried pears, dried apples, leavening (baking soda, sodium acid pyrophosphate, monocalcium phosphate), citric acid, gelatin, modified wheat starch, yellow corn flour, caramel color, xanthan gum, cornstarch, turmeric extract color, soy lecithin, red 40, yellow 6, blue 1, color added.

Some of his other cases:

Keebler and Betty Crocker and others over “fudge” cookies and baking mixes that contained no milkfat.

Frito-Lay alleging it didn’t use enough real lime juice in its “hint of lime” Tostitos.

Coors suggesting its pineapple-and-mango-flavored Vizzy Hard Seltzers are sources of Vitamin C “nutritionally-equivalent” to actual pineapples and mangos.

Snack Pack pudding — advertised as “made with real milk” — actually made with fat-free skim milk.

Many cases targeting vanilla products — soda, soy milk, yogurt, ice cream — that use synthetic vanilla or other flavors alongside or in place of the more expensive natural vanilla.

NPR says

Most of Sheehan’s suits, including the strawberry Pop-Tart cases, allege damages based on the so-called “price premium theory,” which says that products are sold at higher prices than they would have otherwise commanded had the companies marketed them honestly.

Are these cases frivolous or in the public interest?

I’m for anything that gets the makers of ultra-processed foods to advertise them for what they are, not for what they aspire to be.

Hat tip to Lisa Young for sending this one.

I have a long-standing interest in pet food (see Feed Your Pet Right, and Pet Food Politics: The Chihuahua in the Coal Mine) and in conflicts of interest in research (see Unsavory Truth: How Food Companies Skew the Science of What We Eat).  Knowing of both, a reader, Teresa Reinhardt, alerted me to this one.

The study:  Investigation of diets associated with dilated cardiomyopathy in dogs using foodomics analysis.  Caren E. Smith, Laurence D. Parnell, Chao-Qiang Lai, John E. Rush & Lisa M. Freeman.  Scientific Reports volume 11, Article number: 15881 (2021).

Purpose: to identify specific pet food ingredients associated with Dilated Cardiomyopathy (DCM) in dogs.

Methods: Metabolomic profiling of 25 diets associated with canine DCM and 9 diets not associated with DCM.

Results: “Four diet ingredients distinguished the two diet groups (peas, lentils, chicken/turkey, and rice). Of these ingredients, peas showed the greatest association with higher concentrations of compounds in 3P/FDA diets [the ones associated with DCM].“

Funding:  “This work was funded in part by Nestlé Purina PetCare and the Barkley Fund. This work was funded in part by United States Department of Agriculture project number 8050-51000-107-00D, and this entity had no part in the design of the experiments, in the collection, analysis and interpretation of data, nor in composing the manuscript.”

Conflicts of interest: “In the last 3 years, Dr. Freeman has received research funding from, given sponsored lectures for, and/or provided professional services to Aratana Therapeutics, Elanco, Hill’s Pet Nutrition, Nestlé Purina PetCare, P&G Pet Care (now Mars), and Royal Canin. In the last 3 years, Dr. Rush has received research funding from, given sponsored lectures for, and/or provided professional services to Aratana Therapeutics, Boehringer Ingelheim, Elanco, IDEXX, Nestlé Purina PetCare, and Royal Canin. None of the other authors has any competing interests to declare.”

Comment:  DCM is a common heart disease affecting dogs, with a prevalence that exceeds 50% in some breeds (e.g., Doberman Pinschers). More than 1100 cases have been reported to the FDA.

Despite endless speculation, its cause is unknown.  Much attention has focused on one or another dietary deficiencies or specific components (e.g., grains).  As the authors explain:

The diets reported to be associated with DCM often are marketed as “grain-free” and often contain certain ingredients that became part of commercial foods relatively recently (e.g., pulses, potatoes, and sweet potatoes) and lack others (such as rice or corn). Most of the ingredients that are included in the associated diets are also found in human diets, but dogs often eat them in even higher quantities because most dogs eat a single commercial pet food, rather than a variable mixture of multiple foods as humans do.

I think there three issues need further discussion.

(1)  Grains. Some pet owners believe that dogs should not eat grains. They buy pet foods that do not contain them.  This study identified grains only in the pet foods that were not associated with DCM.  Ms. Reinhardt also sent a link to a commentary from someone who questions this finding and raises other critical points about the study.  Dogs are fully capable of digesting grains and grains have been used safely in pet foods for decades.  The FDA describes the association of DCM with on its website.  What’s needed to resolve the peas question is a long-term (years, not months) trial of diets with and without peas.  The pet food industry has no incentive to pay for something like that.

(2)  The funding effect.  Nestlé Purina PetCare [no relation] paid for the study, and two of the authors consult widely for pet food companies.  Grains are inexpensive pet food ingredients and it is to Nestlé’s interest to have evidence demonstrating that grains do no harm.  How much influence did this company have over the research?  The conflict of interest statement is oddly worded.  The USDA funder is stated to have stayed out of the study, but the statement does not seem to apply to Nestlé, suggesting company influence.

(3)  Pet food research funding in general.  This study had some USDA funding, but government funding for pet food research is rare.  Most pet food research is funded by pet food companies, and most focuses on taste preferences.  Remarkably little research is designed to answer questions about which diets are better than others—a big issue because most pets eat commerical pet foods designed to take care of their complete nutritional needs.

This study identified peas as most strongly associated with DCM.  Pea protein is a main ingredient in plant-based meat alternatives.  It would be good to know more about the dietary effects of peas and pea proteins.

If nothing else this study demonstrates why pet food research matters.  We only have one food system, and pet food is very much a part of that system.

Ana Eliza Port Lourenço & Priscila Vieira Pontes. Eating at School: Reflections from Brazil.  Editora CRV, 2021.

To the ever expanding library of books on school food, this one is a welcome addition.  It aims to improve school food in Brazil, but has plenty of information relevant to everywhere else.

The book is short—just 88 pages—but covers diet and kids’ health, regulation of school food, barriers to eating healthfully in school, and what to do to overcome them in short chapters.  These have important information in boxes like this one.

Imagine!  Brazil has laws governing sales and use of junk food in schools.

The reality, however, is a challenge.

I heard about this book when I was asked to do a blurb (endorsement) for it.  I was happy to.  Here’s what I said:

For anyone who has kids in school or who cares about what kids eat, Eating at School is essential reading.  It is a warm, reality-based, and entirely practical guide to why school food should set a healthy example, and how to approach fixing it when it doesn’t.   The authors understand what schools and caretakers are up against and provide all the evidence anyone needs to make healthy school food a priority.

Addition, 11-8-21

At some point, this book will be listed on Amazon.com.  In the meantime, if you would like to order it but get stuck on the website, contact this address for help: logistica@editoracrv.com.br

Digital marketing, especially when targeted to children, is a rising source of concern and for well-documented reasons.

Two reports provide the data.  The big issue?  Digital marketing promotes unhealthful eating.

I.  From the World Health Organization’s Regional Office in Europe: Digital Food Environments Factsheet

Digital technologies are becoming integrated to varying degrees into everyday life across the 53 countries of the WHO European Region. The increase in digital technologies can increase the convenience of food and prepared meals. A recent unrepresentative survey of 10 European countries found that every fifth meal was consumed outside of the home, with 80% from commercial outlets. The influence of digitalization on dietary behaviour, however, is not well understood, raising questions about its influence on the health and nutrition of adults and children.

II.  From the U.S. Center for Digital Democracy comes Big Food, Big Tech, and the Global Childhood Obesity Pandemic

The full report

Some of the largest food and beverage corporations—including Coca-Cola, McDonald’s, and Pepsi—have, in effect, transformed themselves into Big Data businesses, acquiring specialist firms, establishing large in-house operations, and hiring teams of data scientists and technology experts to direct these systems. With these enhanced capabilities, they can more effectively engage in ad targeting—whether on the leading platforms or through their own mobile apps.

The Executive Summary

A growing body of academic research has documented the increasing presence of unhealthy food promotion in digital media, as well as clear patterns of youth engagement with major brands, and influences on health behaviors.

The Press Release

Tech platforms especially popular with young people—including Facebook’s Instagram, Amazon’s Twitch, ByteDance’s TikTok, and Google’s YouTube – are working with giant food and beverage companies, such as Coca Cola, KFC, Pepsi and McDonald’s, to promote sugar-sweetened soda, energy drinks, candy, fast food, and other unhealthy products across social media, gaming, and streaming video. The report offers fresh new analysis and insight into the most recent industry practices.

Comment: All this calls for regulation, of course.  Any chance of that coming our way?

The majority staff of the House Select Subcommittee on the Coronavirus Crisis has issued a scathing report: “Coronavirus Infections and Deaths Among Meatpacking Workers Were Nearly Three Times Higher than Previous Estimates.”

Newly obtained documents from five of the largest meatpacking conglomerates, which represent over 80 percent of the market for beef and over 60 percent of the market for pork in the United States—JBS USA Food Company (JBS), Tyson Foods, Inc. (Tyson), Smithfield Foods (Smithfield), Cargill Meat Solutions Corporation (Cargill), and National Beef Packing Company, LLC (National Beef)—reveal that coronavirus infections and deaths among their meatpacking workers were substantially higher than previously estimated.

The report’s main findings:

• At least 59,000 meatpacking workers were infected with the coronavirus during the first year of the pandemic—almost triple the 22,700 infections previously estimated by the Food and Environment Reporting Network (FERN).
• At least 269 meatpacking workers lost their lives to the coronavirus between approximately March 1, 2020 and February 1, 2021—over three times higher than what was previously estimated by FERN.

• Certain meatpacking plants saw particularly high rates of coronavirus infections during the first year of the pandemic. For example, 54.1 percent of the workforce at JBS’ Hyrum, Utah plant contracted the coronavirus between March 2020 and February 2021.
• Across companies, Tyson saw 29,462 employee infections and 151 employee deaths, and JBS saw 12,859 employee infections and 62 employee deaths.
• Coronavirus Outbreaks in Meatpacking Plants Disproportionately Impacted Minority Workers
• The full extent of coronavirus infections and deaths at these meatpacking companies was likely much worse than these figures suggest.
• OSHA made a political decision not to issue regulatory standards that might require meatpacking companies to take actions to protect workers.

Recall that meatpacking workers were among the first to get sick from Covid-19, causing

• People in their communities to become ill
• Plant closures
• Meat shortages
• Meat companies to succeed in inducing President Trump to issue an executive order to keep the plants open.

The report confirms that Covid-19 in meatpacking workers was and is a national tragedy and scandal, a direct result of corporate consolidation and capture of government.

The report’s recommendations to meatpacking plants, government agencies, and Congress can’t come soon enough.