Food Politics

by Marion Nestle
Aug 26 2024

Industry-influenced study of the week: Sourdough bread (a new one!)

Nutrients, a journal that requires authors to pay CHF 2900 ($3400) for their articles, does publish the most amazing studies, ostensibly peer-reviewed (I’ve heard mixed things about its process).  This journal is a source for many of my Monday posts, each more creative than the next.

This is a good one. 

Sourdough Bread with Different Fermentation Times: A Randomized Clinical Trial in Subjects with Metabolic Syndrome. Pérez-Vega KA, Sanllorente A, Zomeño M-D, Quindós A, Muñoz-Martínez J, Malcampo M, Aldea-Perona A, Hernáez Á, Lluansí A, Llirós M, et al.. Nutrients. 2024; 16(15):2380. https://doi.org/10.3390/nu16152380

Rationale: The Mediterranean diet, featuring sourdough bread, shows promise in managing metabolic syndrome.

Method: In a double-blind clinical trial, participants randomized to consume either Elias Boulanger® long-fermentation (48 h) sourdough bread (EBLong) or Elias Boulanger® short-fermentation (2 h) sourdough bread (EBShort) over a two-month period.

Results. EBShort bread was effective in reducing some inflammation markers.

Conclusion.  The consumption of sourdough bread may offer potential benefits in reducing inflammation markers in individuals with metabolic syndrome; however, longer fermentation times did not show additional benefits.

Conflicts of interest: “I.E. and N.EM. were employees of Elias–Boulanger and received funding from RTC-2017-6467-2 program. They had no role in the collection, analyses, and interpretation of data or in the decision to publish the results. The rest of the authors declare no conflicts of interest.”

Comment: I’ll bet they didn’t.  Sourdough bread is responsible for the benefits of the Mediterranean diet?  That’s news to me.  The bread is healthier if its fermented for a shorter time?  Also news.

The paper does not describe the taste or texture of the bread.

  • Ingredients EBLong: whole-grain flour, water, yeast, salt [in other words, real bread].
  • Ingredients EBShort: refined wheat flour, water, yeast, salt, wheat gluten, xanthan gum, emulsifier E471, antioxidant E-300 [this is ultra-processed bread].

Thus, the underlying purpose of this study must be to give Elias-Boulanger an excuse to cut down on fermentation time and claim the cheaper, ultra-processed bread is healthier. Count me as dubious, on taste grounds alone.

But isn’t this a great example of marketing research in action?  You can’t make this stuff up.

ADDITION

A reader points out that Nutrients is not alone in requiring Article Processing Charges (APCs) for open-access publication.  Prestigious journals charge much more.

  • BMJ: £5408 / €6154 / $7159 $7,159 
Aug 23 2024

Weekend Reading: Soda Science

Susan Greenhalgh. Soda Science: Making the World Safe for Coca-Cola.  University of Chicago Press, 2024.

This terrific book picks up where I left off with Soda Politics: Taking on Big Soda (and Winning) (2015) and Unsavory Truth: How the Food Industry Skews the Science of What We Eat (2018).

Susan Greenhalgh’s focus, however, is on ILSI, the International Life Sciences Institute (now renamed the Institute for the Advancement of Food and Nutrition Sciences).  ILSI is a classic industry front group,  It was created originally by Coca-Cola to make sure science promoted corporate interests.  It is funded by big food companies.  It positions itself as an independent think tank.  Hence: front group.

Soda Science documents how ILSI, working through personal connections (guanxi) at the Chinese Ministry of Health, convinced the Chinese government to target obesity prevention measures at physical activity (“move more”), rather than diet (“eat less,” or “eat better”).

The first half of the book tells the story of ILSI’s role in the Global Energy Balance Network, a group outed as funded by Coca-Cola (I wrote about this in 2015, particularly here, here, and here in The Guardian).

The second half gives an intimate, first-hand account of how science politics works in China.

Greenhalgh is a distinguished anthropologist.  She retired from Harvard as as the John King and Wilma Cannon Fairbank Research Professor of Chinese Society (she is an expert on China).  She uses social science methods—interviews and qualitative research as well as document review—to study this particular example of soda politics.

We have never met but I have a vested interest in this book, and not just because I write about similar topics.  In 2018, the BMJ asked me to peer review an article she had written about ILSI’s machinations around obesity policy in China.
I thought her account of the inner workings of Chinese decision-making around obesity policy was wonderfully documented and well worth publishing. I commented that even though others had written about Coca-Cola and ILSI, “as an in-depth qualitative study it makes a critically important contribution to our understanding of how food companies use front groups to achieve policy objectives.”
I urged the BMJ to accept the article with some minor revisions. No such luck.  The BMJ rejected the article.
I was so appalled that I wrote the editors to reconsider, which they eventually did.
I also wrote Susan to offer help finding a journal to publish her writings on this topic and recommended she look at the Journal of Public Health Policy.
She followed through.  When her articles appeared, I cited and wrote about them: Coca-Cola’s political influence in China: documented evidence (Jan 15, 2019).
I’ve also had plenty to say about ILSI over the years, most recently:

The story she tells here is fascinating in its own right and a great read.

It also makes one other point: social science methods are really useful in getting information unavailable any other way.

I say this because bench scientists tend to look down on qualitative research and consider it non-research.  I disagree.  I think qualitative research is essential, and has plenty to contribute.  This book is a great example of why.

Aug 22 2024

What I’m reading: AI in food and beverage

While I’m on the topic of AI—a hot issue in the food business—here are a few items I’ve collected recently.

 

Aug 21 2024

AI for tracking advertising health claims?

I definitely wanted to read more of this article from the newsletter, NutrIngredients-Europe:

ASA targets menopause claims with AI assisted crackdown:  The UK’s advertising standards authority (ASA) has warned supplement firms they must remove ads which make claims to treat or cure the symptoms of menopause, as part of a wider AI-assisted campaign…. Read more

Apparently, the UK’s version of our Federal Trade Commission is using artificial intelligence to monitor supplement advertising claims.   The AI system picked up ads for supplements made by Rejuvit Labs and FemTech Healthcare.

An ad for Rejuvit Menopause Relief supplement

included a customer testimonial that stated, “round 2-8 weeks after my first capsule, I already had extra room in my pants (everyone was asking how I lost weight), I felt more energized, and the hot flashes [sic] were gone […] I just keep feeling better, healthier, and happier.”

The ASA stated: “We considered that consumers would understand these to be claims that the product could treat symptoms of menopause, including resolving menopause-related weight gain, increasing energy levels and stopping hot flashes.”

The ASA takes a dim view of non-medical “cures” for menopausal symptoms and is going after them.

With AI algorithms!

It’s a brave new world out there.

Aug 20 2024

The FDA’s Revolving Door: an ongoing concern

I was interested to see this report in the BMJ (formerly British Medical Journal): Revolving door: You are free to influence us “behind the scenes,” FDA tells staff leaving for industry jobs. BMJ 2024;386:q1418. doi: 10.1136/bmj.q1418.

The “Revolving Door,” of course, is the term used to describe how officials of federal regulatory agencies leave to take jobs with the industry they formerly regulated, and vice versa.  I’ve written about this previously. Others have written about the FDA’s “revolvement” with the drug industry.

You can easily imagine why a food company would want to hire a former FDA official.  That person will know how to deal with annoying regulatory issues, and will no doubt still have friends and former colleagues in the agency who can help smooth the way.aa

So what does the BMJ add to this?  Plenty, unfortunately.  Evidence from e-mails obtained through FOIA (freedom-of-information) requests.

Internal emails show that the US Food and Drug Administration informs employees leaving for industry jobs that, despite restrictions on post-employment lobbying, they are still permitted to influence the agency…The legal ability to work “behind the scenes” is enshrined in federal regulations2 and highlights a “critical, critical loophole” in US revolving door policy, says a leading consumer advocate.

Craig Holman, a government affairs lobbyist for the organisation Public Citizen, told The BMJ that the rules forbid various forms of direct lobbying contact but permit lobbying activity that is indirect. “So, people will leave government service and can immediately start doing influence peddling and lobbying,” Holman explained. “They can even run a lobbying campaign, as long as they don’t actually pick up the telephone and make the contact with their former officials—and that’s exactly the advice that’s being given here.”

The BMJ notes:

Since 2000 every FDA commissioner, the agency’s highest position, has gone on to work for industry. These include Robert Califf, the agency’s current chief, who re-established ties with industry in between his two stints at the agency’s helm.

One argument here is that the human resources folks are just explaining existing ethical requirements.

But a legitimate worry is corporate “capture.”  When federal regulatory agencies are “captured,” they neglect public interest in favor of corporate interest.

This has been a concern about the FDA for a long time.  The FDA needs to do all it can to restore public trust in its integrity.

Aug 19 2024

Industry-funded study of the week: supplemented infant formula

I saw this announcement in Food Navigator: Study: Nutrient dense formula could improve cognition and behaviour in infants.

My immediate question: Who paid for this?

I went right to it.

The study: Schneider N, Hartweg M, O’Regan J, Beauchemin J, Redman L, Hsia DS, Steiner P, Carmichael O, D’Sa V, Deoni S. Impact of a Nutrient Formulation on Longitudinal Myelination, Cognition, and Behavior from Birth to 2 Years: A Randomized Clinical Trial. Nutrients. 2023; 15(20):4439. https://doi.org/10.3390/nu15204439

Conclusions: The results suggest that brain development may be modifiable with brain- and age-relevant nutritional approaches in healthy infants and young children, which may be foundational for later learning outcomes.

Funding: This study received funding from the Société des Produits Nestlé S.A.

Conflicts of Interest: This study received funding from the Société des Produits Nestlé S.A. The funder had the following involvement with the study: study design, study monitoring and oversight, data collection and analysis, decision to publish, and preparation of the manuscript.

Comment: Some of the authors of this study are employed by Nestlé (no relation).  Their disclosure statement is unusually candid: the funder was totally involved in every aspect of the research.  It’s refreshing to see that dislosed.  But the underlying issue still holds: industry-funded reseach all too often produces results favorable to the commercial interests of the funder.

The concern here is that promoting infant formula as better than breast milk is a marketing strategy, as described in reports from the World Health Organization.  And see my previous post on this.

Aug 16 2024

Weekend reading: refrigeration!

This book was sent to me by its publisher (Penguin) and was it ever fun to read.  Twilley’s subtitle says it all.  She connects it to everything.

I particularly enjoyed two things in this book: its broad scope, from home ice boxes to economic development in Rwanda, and her personal experiences visiting icy cold packing plants, storage facilities, trucks, and seed vaults on the Faroe Islands.

Here is Twilley on bananas, of all things:

Contrary to popular belief, bananas are the ultimate refrigerated fruit.  In order to be a global commodity rather than an exotic luxury, the banana depends on a seamless network of thermal control.  This comes as something of a shock to most people.  Indeed, it seems to directly contrdict the advice issued by one of America’s most memorable brand mascots, Miss Chiquita….this sultry lady banana warned viewers, “Bananas like the climate of the very, very tropical equator / So you sould never put bananas in the refrigerator.”   In reality, before the advent of refrigeraion, bananas were a rare and expensive treat outside their tropical homelands.

Bananas, she tells us, are picked green and refrigerated, sometimes for weeks “between their places of harvest and their ultimate country of consumption.”

Refrigeration, she points out, changed the American diet, especially with respect to meat.

The ripple effect of this transformation shapes the geography and economics of American meat to this day.  Urban stockyard workers had been unionized since the 1930s; employees of the new rural processing plants were not: they were and are paid much less.  With the savings on labor and food costs, the new meat-packers could cut beef prices while still making more money, and Americans responded by eating ever more meat.

The book focuses on the Big Picture:

In short, our food system is frostbitten: it has been injured by its exposure to cold.  Part of the reason for that is that refrigeration was implemented, for the most part, in order to optimize markets rather than human and environmental health.

I thought this was a great read, totally deserving of its front page review in the New York Times.

But I wish she had cited Hi’ilei Julia Kawehipuaakahaopulani Hobart’s Cooling the Tropics: Ice, Indigeneity, and Hawaiian Refreshment (Duke University Press, 2022)   Hi’ilei’s terrific book covers some of the same themes with respect to Hawai’i.  She got her doctorate in my NYU department and is now teaching at Yale.  We are proud of her!

And one tiny quibble.  Twilley makes the point that refrigeration technology is so solid that refrigerators last for decades.  Well, they used to.  Today, not so much.  Those big expensive machines are not expected to last more than a few years, not because of the refrigeration mechanisms but because of the electronics.  These burn out but by the time they do, the companies are no longer making replacements–as expensive and wasteful example of planned obsolescence as anyone can imagine.  I was sorry she didn’t mention this.

Aug 15 2024

What’s up with: Snacks

I’ve been collecting articles on snacks.

Some things to know about snacks:

  • They are hugely profitable
  • They have largely replaced meals among some population groups
  • They are mostly ultra-processed
  • The more snacks you eat, the more calories you are likely to take in

With that said, here are some recent items:

And last but not least…