Search results: dietary guidelines

Yesterday’s Hagstrom Report quotes USDA Secretary Tom Vilsack’s comments to the Commodity Classic on the Scientific Report of the 2015 Dietary Guidelines Advisory Committee:

The “folks who put those reports together … have freedom. They are like my 3-year-old granddaughter. She does not have to color inside the lines.”

His 5-year-old grandson, he said, “is learning about coloring within the lines.”

“I am going to color inside the lines,” Vilsack said.

Sounds like the USDA has no intention of doing what the DGAC recommends.

This is why it’s so important to file comments @ www.DietaryGuidelines.gov by April 8.  You can also register there for the public meeting in Bethesda, Maryland, on March 24.

Addition, March 10: Secretary Vilsack’s speech and press conference remarks are here.

The FDA Announces Qualified Health Claim for Yogurt and Reduced Risk of Type 2 Diabetes.

FDA intends to consider exercising its enforcement discretion for the following qualified health claims:

“Eating yogurt regularly, at least 2 cups (3 servings) per week, may reduce the risk of type 2 diabetes. FDA has concluded that there is limited information supporting this claim.”

“Eating yogurt regularly, at least 2 cups (3 servings) per week, may reduce the risk of type 2 diabetes according to limited scientific evidence.”

FDA intends to consider exercising enforcement discretion for the above qualified health claims for when all other factors for enforcement discretion identified in Section IV of this letter are met.

All I can do is laugh.  As I told CNN,

Qualified Health Claims are ridiculous on their face.

Why would any sensible person think that all you have to do to prevent type 2 diabetes is eat 2 cups of yogurt a week?…All we can hope is that the yogurt is at least unsweetened, but since it’s really hard to find unsweetened yogurt [in small cups], this is telling people who want to avoid type 2 diabetes that sweetened yogurts are good for them…According to the FDA’s review of the studies, the amount of sugar in the yogurt made no difference to the results…Therefore, according to the FDA, sugar is a non-issue.”

The reason for my amusement?  Limited evidence.  Translation: if you want to believe this, go ahead, but it’s not on the basis of compelling evidence.

Take a look at the Danone petition.  The company asked for—and got—the qualified claim on the basis of observational evidence along with consumption data indicating that Americans currently do not eat much yogurt.

Given this low consumption, such a QHC is important to encourage food companies to increase yogurt in the food supply and inform consumers of current evidence in order to help them make informed choices.

It’s not that the FDA is ignoring the sugar issue despite its allowing the claim no matter how much sugar the yogurt contains.  In its letter of acceptance of Danone’s petition, the FDA said,

we are concerned that the use of a qualified health claim on yogurts that contain a significant amount of added sugars could contribute empty calories to the diet. The Dietary Guidelines for Americans, 2020-2025 recommend limiting added sugars to less than 10 percent of total calories and note that added sugars account on average for almost 270 calories, or more than 13 percent of total calories per day in the U.S. population.

…Consequently, while there is currently no disqualifying level for added sugars, given that Americans are exceeding recommended limits on added sugars, and some yogurts on the market are high in added sugars, FDA encourages careful consideration of whether to use the claim on products that could contribute significant amounts of added sugars to the diet.

Is this a warning to Danone to avoid using the claim on sugary yogurts?  We shall have to wait and see.

In the meantime, Danone is delighted: Danone North America Announces the FDA’s Decision on Their Petition for the First-Ever Qualified Health Claim for Yogurt, Linking This Dairy Aisle Staple to a Reduced Risk of Type 2 Diabetes

In response to efforts led by Danone North America, the new claim states that “eating yogurt regularly, at least 2 cups (3 servings) per week” may reduce the risk of developing type 2 diabetes, a condition 1.4 million Americans are diagnosed with every year.

Qualified Health Claims are about selling food products, not science.

Two examples of  beef-industry attempted influence:

I.  Science teachers

This one comes from Wired: Inside the Beef Industry’s Campaign to Influence Kids

Big Beef is wooing science teachers with webinars and lesson plans in an attempt to change kids’ perceptions of the industry.

A beef industry group is running a campaign to influence science teachers and other educators in the US. Over the past eight years, the American Farm Bureau Foundation for Agriculture (AFBFA) has produced industry-backed lesson plans, learning resources, in-person events, and webinars as part of a program to boost the cattle industry’s reputation.

What is the AFBFA?

The AFBFA is a contractor to Beef Checkoff, a US-wide program in which beef producers and importers pay a per-animal fee that funds programs to boost beef demand in the US and abroad. In 2024, Beef Checkoff has approximately $42 million to disperse across its initiatives, and a funding request reveals that the AFBFA’s campaign for 2024 is projected to cost $800,000. The allocation of Beef Checkoff funding to programs like this is approved by members of the Cattlemen’s Beef Board and the Federation of State Beef Councils, two groups that represent the cattle industry in the US.

What does this program teach?

One lesson plan provided as part of the program directs students to beef industry resources to help devise a school menu. In another lesson plan students are directed to create a presentation for a conservation agency regarding the introduction of cattle into their ecological preserve. A worksheet aimed at younger students has them practice their sums by adding up the acreage of cow pastures. Another worksheet based around a bingo game aimed at 8- to 11-year-olds asks teachers to “remind students that lean beef is a nutritions source of protein that can be incorporated in daily meals.”

As for the answer to my question yesterday about whether this kind of training works:

According to survey data included in these documents, educators who attended at least one of the AFBFA’s programs were 8 percent more likely to trust positive statements about the beef industry. Some 82 percent of educators who participated in a program had a positive perception of how cattle are raised, and 85 percent believed that the beef industry is “very important” to society.

Again, this is a USDA-sponsored checkoff program.  The US Dietary Guidelines on beef call for it to be lean and unprocessed.  The checkoff does not.

II.  Public health professionals

I received this e-mailed message from a reader who wishes to remain anonymous.

I am a member of the Kentucky Public Health Association and so receive their email newsletters. The Beef Council promotion is fairly new. It is interesting to watch an industry PR campaign with health professionals happen in real time. I’ve also just realized that I don’t believe the Association has policies around sponsorships, something I had not worried about until the past few months.

She forwarded two messages sent to her from the Kentucky Public Health Association.  These are announcements from the Kentucky Beef Council: “Happy Nationl Nutrition Month,” and “Fueling Tween and Teens with Strong Minds and Bodies.”

The second is labeled as an advertisement; the first is not.

Both encourage visits to the Beef Nutrition Education Hub to get free continuing education credits and other resources.

Both say:

Thank you to our 38,000 Kentucky Beef Farmers! Fun Fact: Kentucky is the largest beef-producing state East of the Mississippi River

This email was sent on behalf of KY Beef Council and the content within shall be attributed to the sponsor. This email shall not indicate an endorsement on behalf of KPHA.

Copyright © 2023  Kentucky Public Health Association

Comment:  The Kentucky Beef Checkoff at work!   Regardless of the Kentucky Public Health Association’s protestations, these messages give the appearance of endorsement.  It should not be doing this.

Lately, I have been asked repeatedly to explain just how the food industry exerts influence to protect and promote product sales.  This week’s posts address that question, starting with the usual Monday industry-funded study of the week, in this case an opinion piece sponsored by the potato industry.

Potato trade associations work hard to overcome concerns about this food’s rapidly absorbable starch content.

I received an email from the Alliance for Potato Research & Education telling me that if I don’t eat potatoes, I might become nutritionally deficient.

New publication alert: swapping out starchy vegetables may lead to unintended nutrition consequences.

A new perspective paper published in Frontiers in Nutrition underscores starchy vegetables are more than just carbs – they’re a vital vehicle for essential nutrients. Yet, as confusion around “good versus bad carbs” persists among consumers, there is a risk of starchy vegetable avoidance in favor of other carbohydrate foods perceived as equally or more nutritious – or even carbohydrate avoidance all together.

The press release cited a paper with this conclusion:

Replacing starchy vegetables with grain-based alternatives, including whole-grain foods, for one day led to a 21% decrease in potassium, a 17% decrease in vitamin B6, an 11% drop in vitamin C and a 10% reduction in fiber.

This called for a look at the actual paper.

The paper: Carbohydrate confusion and dietary patterns: unintended public health consequences of “food swapping.”   Ayoob, K.  Front. Nutr., 28 September 2023. Volume 10 – 2023 |

Rationale: “Nutrient-dense dietary patterns include both grain foods and starchy vegetables. These food groups are currently considered separately [by the Dietary Guidelines for Americana], and they must remain separate to ensure people are encouraged to consume complementary nutrients from each of these food groups.”

Conclusion: “Using complex carbohydrate foods, specifically starchy vegetables (e.g., potatoes) and grains, interchangeably is at best, not a useful strategy, but at worst, may increase the risk of micronutrient inadequacy and/or dietary imbalances.”

Funding: “The author(s) declare financial support was received for the research, authorship, and/or publication of this article. Funding for this perspective was provided by Potatoes USA.”

Conflict of interest: “This study received funding from Potatoes USA. The funder had the following involvement with the study: composition and data analysis of the menu modeling. KA was compensated by Potatoes USA for preparation and revision of the manuscript.  The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.”

Comment: I like potatoes, think they have nutritional value (especially when baked rather than fried), and do not view them as poison.  But: this paper is an opinion piece commissioned, developed, and paid for by a potato trade association.  And sent to me in a press release.

I received this email from USDA’s MyPlate group:

Hi Marion

MyPlate National Strategic Partners, a group developed by the United States Department of Agriculture (USDA), just announced the launch of a new resource to help Americans build healthier sandwiches! The full press release is below, and I am happy to answer any questions or arrange any interviews!

WASHINGTON, D.C. – January 11, 2024 – As MyPlate National Strategic Partners, the Grain Foods Foundation, Hass Avocado Board, National Association of State Departments of Agriculture Foundation and National Wheat Foundation are excited to introduce a new resource aimed at helping individuals build healthier and more nutritious sandwiches.

Every day, nearly half of all Americans enjoy a sandwich – and most people are not meeting recommendations of the Dietary Guidelines for Americans.[1] The new “Build a Better Sandwich” resource features practical tips to help bridge this gap, with realistic and inspiring ideas for enjoying a variety of grains, lean proteins and fiber-filled fruits and vegetables and low-fat dairy in better-built sandwiches…To download the “Build a Better Sandwich” resource and other materials created by MyPlate National Strategic Partners, please visit https://www.myplate.gov/partner-resources.

[1] Sebastian et al. Sandwich consumption by adults in the U.S.: What We Eat In America, NHANES 2009-2012. Food Surveys Research Group Dietary Data Brief No. 14. Dec 2015.

Given the sponsors, want to take a guess at how you are supposed to make these sandwiches?

I’m all for healthier sandwiches and eating avocados (love them!), but this is an example of the Hass Avocado Board—a USDA-sponsored checkoff (marketing and promotion) program—at work.

Don’t you think it’s odd that the USDA’s doesn’t include a broader range of vegetables or plant foods in its sandwich advice?

This is one of the many things wrong with USDA sponsorship of checkoff programs….

The USDA has just announced Investments to Strengthen U.S. Specialty Crops Sector.

The launch of the Assisting Specialty Crop Exports (ASCE) initiative will provide $65 million for projects that will help the specialty crop sector increase global exports and expand to new markets. Additionally, today USDA is announcing $72.9 million in grant funding available to support the specialty crops industry through the Specialty Crop Block Grant Program. The Specialty Crop Block Grant Program (SCBGP) will fund innovative projects designed to bolster the competitiveness of the expanding specialty crop sector. Specialty crop exports totaled $24.6 billion in FY2023, representing 13.8 percent of total U.S. agricultural exports.

“Specialty crops” is USDA-speak for fruits, vegetables, nuts, and grains—the food plants everyone, including the USDA, recommends for health.

The USDA co-sponsored Dietary Guidelines say:

A healthy dietary pattern consists of nutrient-dense forms of foods and beverages across all food groups, in recommended amounts, and within calorie limits. The core elements that make up a healthy dietary pattern include:

• Vegetables of all types—dark green; red and orange; beans, peas, and lentils; starchy; and other vegetables

• Fruits, especially whole fruit

• Grains, at least half of which are whole grain

The USDA, however, defines “Specialty” crops as

Fruits and vegetables, tree nuts, dried fruits, horticulture, and nursery crops (including floriculture).

It lumps edible foods, herbs, and spices together with inedible annual and perennial bedding plants, potted house plants,  cut flowers, and Christmas trees, among others.  So the new money supports export of all of them, not just food.

The money—$65 million—is hardly a rounding error compared to the billions spent on support of commodity crops like corn and soybeans.

Commodity crops go for food for animals and fuel for automobiles; only a tiny fraction goes for food for people.

Despite the Dietary Guidelines, the USDA support of food for people is minimal.  Hence, “Specialty.”

We need the USDA to refocus its priorities on food for people and environmental sustainability.

Hey—I can dream.

On Thursdays I like posting things I want everyone to enjoy.

This one, I stole from Tamar Haspel, who writes about food for the Washington Post.

I follow her on X (the site formerly known as Twitter), where she recently posted:

This could be my all-time favorite BMI correlation!

In China and post-Soviet states, BMI correlates with corruption. The fatter, the crookeder.

The correlation she cites is from an article in the Economist, Are Overweight Politicians Less Trustworthy?

I agree.  This is a fabulous example of how correlation does NOT mean causation—a basic tenet of epidemiology often forgotten.

But here’s my personal favorite example.  I laugh every time I see it.

No, the Dietary Guidelines did not cause the prevalence of obesity to rise.

This is correlation, NOT causation.

For causes, please consider food overproduction, pressures on food companies to sell food when there is so much of it, and the shareholder value movement, which demands not only profits, but  continual growth in profits.  All of these forced food companies to find new ways to get everyone to eat more food (by creating an “eat more” food environment.  I discuss all this in Food Politics and my other books).

Correlation is lots of fun but causation requires much deeper analyses.

Sorry about that.

Thanks Tamar.

Just because all of the major nutrition professional organizations partner with food companies, does not make it a good idea.  If nothing else, partnerships with food companies raise reputational risks.  They give the appearance of conflicted interests, as David Ludwig and I warned in 2008.  I have also written about the hazards of food industry sponsorship of professional organizations in Food Politics, Soda Politics, and Unsavory Truth.  Here’s what they are doing now.

Academy of Nutrition and Dietetics (AND, formerly the American Dietetic Association)  OOPS.  My error.  This should be the American Diabetes Association (even worse).  Abject apologies.  This is what I get for not reading more carefully.  Apologies again.

If I seem to be picking on AND, it’s because it is bigger and gets into more trouble than other nutrition professional societies.

The latest example: According to Reuters, a former AND officer, Elizabeth Hanna, has sued the organzation for “firing her for objecting to what she called a “pay to play” scheme to promote the no-calorie sweetener Splenda.

In its 2022 annual report, the ADA said Splenda was one of a group of “elite” supporters that had given more than $1 million, along with Bayer Healthcare, Blue Cross Blue Shield of Illinois, Helmsley Charitable Trust and others.

On its website, Splenda publishes “diabetes-friendly recipes,” endorsed by the ADA. Hanna, a registered dietitian nutritionist, said she refused to approve the endorsement of several of these recipes in July.

…The U.S. Centers for Disease Control and Prevention states on its website that some studies have found possible health risks associated with the sweeteners, but that more research is needed.

American Society for Nutrition (ASN)

I am a member of this society and raise objections every time I get something like this in my e-mail.

Sponsored Webinar: Oral Health and Nutrition: Imperative for Healthy People 2030 and US Dietary Guidelines   Sponsored By: Mars Wrigley and the Oral Health Alliance.  The 2020-2025 Dietary Guidelines (DGA) identified dental caries as a major diet-related chronic disease of public health concern….

Doing this sort of thing risks reputation.

Evidence:  In a video on ultra-processed foods, the Financial Times identifies the ASN as “food industry advocacy group.”

The ASN’s executive director assures me they will ask for a correction.

Society for Nutrition Education and Behavior

Et tu?

It just announced a webinar, “Latinos love affair with Mangos: Maintaining Generational Food Traditions to Improve Health Outcomes.”

This is “a webinar sponsored by the National Mango Board, SNEB Organizational Member.”

The mango is…one of the world’s most popular fruits, and a staple food across Spanish speaking countries of North America, South America, and the Caribbean. Beyond its culinary popularity, an expanding body of research shows associations with mangos and risk reductions for inflammation and metabolically- based chronic disease, many of which disproportionately impact Hispanic American populations.

Mangos as opposed to any other fruit?

I am also a member of this society.

Overall comment

Are the reputational risks—and the loss of integrity—worth the money?  I don’t think so.