by Marion Nestle

Search results: Coca Cola

May 22 2019

Annals of marketing: dairy-based functional drinks in Asia

A notice from FoodNavigator-Asia got my attention: Coca-Cola is partnering with the New Zealand dairy company Fonterra to produce “Nutriboost” products for Southeast Asia.

What are these?

  • Nutriboost Kids is targeted at children above three years of age, with each of its products being fortified with different occasion-based vitamins and minerals:…Morning Growth (fortified with vitamins for growth), Playtime (designed for stronger immunity) and Good Night (fortified with DHA for brain development).
  • Nutriboost To-Go is an energy-providing breakfast range enriched with oats and fibre.
  • Nutriboost Beauty is fortified with fitness and beauty-associated minerals like collagen and zinc.

Given the lack of evidence for significant nutritional benefits of any of these things, and the high prevalence of lactose intolerance among Asian populations, why this partnership?

  • Vietnam is the third largest dairy market in the ASEAN region.
  • To grow [sales] to 40 million or 50 million cases within the next five years.
  • Coca-Cola’s strategy is to evolve away from drinks with high sugar content.

The article doesn’t say how much money is going into this partnership, but both companies must think there is a big market for such products.

I’m not a fan of “functional” foods, alas.

Real food, anyone?

May 2 2019

A roundup of articles about—Beer!

This is BeverageDaily.com’s monthly beer special, from the industry’s point of view.  If you don’t think of beer as an industry, think again.

And, thanks to reader Polly Adema, here is one more:

 

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Apr 12 2019

Access to Nutrition Index: the 2018 update

The George Institute in Australia (see clarification below) publishes an annual index holding the ten largest U.S. food and beverage corporations accountable for how they addrss nutrition challenges.

The 2018 Index ranks corporations on their governance, products, accessability, marketing, lifestyle, labeling, and engagement.  Here’s what it looks like.

 

Here’s how this is explained:

Seven out of ten companies claim to focus on improving health and nutrition (all except Coca-Cola, Dr Pepper Snapple and Kraft Heinz), as expressed in their mission statements or corporate growth strategies, the objectives they defined related to health and wellness are mostly limited to product development, product reformulation and responsible marketing. Only two companies (Nestlé and Unilever) have defined a more comprehensive set of objectives within their nutrition strategy.

To remind you: food corporations are not social service or public health agencies.  They have stockholders to please as their first priority.  The conflicts of interest with public health approaches are obvious.  That’s why none of them does particularly well on this Index.

Clarification from a reader

I believe you are referring to the US Spotlight Index, a product of the Access to Nutrition Foundation, an independent nonprofit in the Netherlands.  (https://www.accesstonutrition.org).  The George Institute provided research support for the US Spotlight index. RWJF [Robert Wood Johnson Foundation] was a major funder.  The Foundation has also published an India Spotlight Index (2016) and a Global Index (latest in 2018).  Shiriki Kumanyika chairs the Expert Group.

Mar 26 2019

Pediatric Academy and Heart Association endorse soda taxes!

The American Academy of Pediatrics (AAP)) and the American Heart Association (AHA) have issued a joint statement endorsing soda taxes along with other policies aimed at reducing risks for childhood obesity (the full statement is published in Pediatrics).

The AAP and AHA recommend:

  • Local, state and national policymakers should consider raising the price of sugary drinks, such as via an excise tax, along with an accompanying educational campaign. Tax revenues should go in part toward reducing health and socioeconomic disparities.
  • Federal and state governments should support efforts to decrease sugary drink marketing to children and teens.
  • Healthy drinks such as water and milk should be the default beverages on children’s menus and in vending machines, and federal nutrition assistance programs should ensure access to healthy food and beverages and discourage consumption of sugary drinks.
  • Children, adolescents, and their families should have ready access to credible nutrition information, including on nutrition labels, restaurant menus, and advertisements.
  • Hospitals should serve as a model and establish policies to limit or discourage purchase of sugary drinks.

Comment:  This action of the AAP is truly remarkable.  In 2015, this Academy was heavily criticized for taking funding from Coca-Cola and, surely not coincidentally, saying little about the need for children to reduce consumption of sugary drinks.  Once exposed, the AAP said it could no longer accept that funding. I did, however, hear an alternative story.  Coca-Cola officials told me that as a result of their transparency initiative, the company would no longer fund the Pediatric, Dietetic, and Family Practice Academies.  It is also hardly a coincidence that now that the AAP no longer takes money from Coke, it is free to promote soda taxes as a useful public health strategy.

Dec 6 2018

Do probiotics work? Maybe, if you are lucky

The industry newsletter, NutraIngredients.com, regularly posts Special Editions on Probiotics, meaning collections of its articles on the topic.  These promote the benefits—to digestion and many other physiological and mental aspects—of eating healthy bacteria.   But do probiotics really work?  And could they actually be harmful?  See comments below these selected articles.

Two recent articles in Cell raise questions about the benefits of probiotics.

In translation:

  • The murine [mouse] & human gut mucosal microbiome only partially correlates with stool
  • Mice feature an indigenous-microbiome driven colonization resistance to probiotics
  • Humans feature a person-specific gut mucosal colonization resistance to probiotics
  • Probiotic colonization is predictable by pre-treatment microbiome & host features

In further translation:

  • Not everyone responds to probiotics, which means that they may be worth a try and you may get lucky.

And an even more recent article in JAMA Internal Medicine questions whether probiotics might be harmful.  It warns about:

  • The safety of bacteria in probiotic supplements has not been fully established.
  • They can lead to infections and allergic reactions.
  • Probiotic supplements often do not meet manufacturing standards (identity, purity, strength, composition).
  • Introduction of new genes for antibiotic resistance into microbiomes.

The article concludes:

Consumers and physicians should not assume that the label on probiotic supplements provides adequate information to determine if consuming the live microorganism is worth the risk.

What to think about all this?  If you like yogurt, enjoy!  But supplements are another matter.

Oct 1 2018

Unsavory Truth: Early reviews

Coming October 30:  My new book about food company sponsorship of nutrition research and its effects on public health.

The Kirkus review (August 1)

A leading nutritionist asks whether consumers can trust highly publicized research into whether food and beverages are healthy and safely produced.

Nestle (Emerita, Nutrition, Food Studies, and Public Health/New York Univ.; Big Soda Politics: Taking on Big Soda (and Winning), 2015, etc.), who has a doctorate in molecular biology and a master’s degree in public health nutrition and has conducted decades of research into food producers, is perfectly positioned for this topic. She makes the convincing case that because so much of the research is paid for by industries that benefit from the results, buyers should interpret the results skeptically. Many of Nestle’s previous books, articles, and academic studies focused on specific types of food. Here, the author turns her attention to large corporations, investigating why they pay for supposedly independent researchers, why the quality of the research might be compromised by conflicts of interests, how consumers can separate reliable science from compromised science, and why consumers should lobby legislators, government regulatory agencies, and universities for reforms regarding the disclosure of conflicts. Nestle emphasizes research paid for and disseminated by the sugar/candy industry, producers of dairy foods, marketers of meat, and—in its own chapter, “A Case Study in Itself”—the soda giant Coca-Cola. Since the author is a prolific nutrition researcher who has accepted funding that could involve conflicts of interest, she admirably scrutinizes her own policies of funding and how she discloses it. Ultimately, researchers must act as ethicists as well as scientists. When her own studies and those of fellow researchers become marketing tools for multinational conglomerates, the author admits that she feels queasy about how consumers might be misled by the marketing. On the other hand, she writes, some studies paid for by industry can be trusted scientifically—and be marketed and advertised responsibly.

Nestle proves yet again that she is a unique, valuable voice for engaged food consumers.

Other early reviews & interviews based on the bound galley proofs

Sept 25 La Stampa (Italy): “I cibi di lunga vita sono illusori e troppi sponsor li promuovono.”

Sept 24  Publishers Weekly: ” a groundbreaking look at how food corporations influence nutrition research and public
policy.”

Aug 13 Booklist review: “This well-documented, accessible venture makes a compelling argument.”

Aug 1  Kirkus review: “Nestle proves yet again that she is a unique, valuable voice for engaged food consumers.”

July 17  Phil Lempert’s Lempert Report: Get ready for a new era of transparency (video)

July 9  David Wineberg, “Nutrition: conflict of interest as a career,” Medium.com.

Feb 12 Finnish Public Radio interview about Unsavory Truth (Google Translate, English)

Jan 31 Profile in New Scientist: The Unpalatable Truth about Your Favorite foods

Sep 11 2018

Why food companies should not have a role in formulating obesity policy

I was interested to read FoodNavigator-Asia’s account of food industry comments on what to do about obesity is Australia.

By all reports, two-thirds of Australian adults meet definitions of overweight or obesity, along with a quarter of all children.  A Senate committee is collecting ideas about what to do about this, including those from the food industry.

Food-Navigator-Asia has taken a look at some of the submitted comments, particularly in light of comments from medical groups encouraging social, environmental, regulatory and medical interventions, and arguing that food companies should be kept out of formulating policies due to their inherent conflicts of interest.

The article quotes three companies.

Coca-Cola Amatil says taxes would be counterproductive because it is already reducing the sugar in its products.

Fonterra (a dairy company) says obesity is not the problem; instead, underconsumption of dairy products is the problem.

Nestlé [no relation] blames consumers; it is trying to reduce salt and sugar in its products but the public isn’t buying them.  It also blames government, which it says should do a better job of educating the public about diet and health.

Obesity poses a formidable problem for food companies making junk foods.  They have stockholders to please.  They cannot be expected to voluntarily act in the interest of public health if doing so affects profits.

That is why food companies should have no role whatsoever in developing policies to prevent or treat obesity.

Jul 24 2018

The Obesity Society should support public health, not corporate health

My email inbox was flooded last week with The Obesity Society’s call for more research on the value of taxes on sugar-sweetened beverages.

“Although taxing SSBs might generate revenue that can be used to promote other healthy food items, the net outcome may not necessarily decrease overweight and obesity rates in the United States or worldwide,” said Steven B. Heymsfield, MD, FTOS, President-Elect of The Obesity Society (TOS) and professor and director of the Body Composition-Metabolism Laboratory at the Pennington Biomedical Research Center at Louisiana State University in Baton Rouge.

Why would a professional society that represents people who ostensibly care about obesity science, treatment, and prevention issue a statement aimed at casting doubt on a demonstrably effective public health measure?  (Soda companies know the taxes are effective; that’s why they fight them so hard).

The Obesity Society (TOS), alas, often appears far more favorable to the interests of food and beverage companies than those of public health.  Could funding of the society and its members have anything to do with this?

Here is the TOS position on corporate funding:

TOS recognizes the value in providing any donor that wishes to support our mission to find solutions to the obesity epidemic the opportunity to provide financial support.

The current TOS policy expressly eliminates all forms of evaluation or judgment of the funding source (other than the stipulation that funding is reasonably assumed not to be derived from activities deemed ‘illegal’).

TOS chooses instead to focus its ethical mission on transparency in disclosing the sources of funding, clear stipulations outlining our commitment to the ethical use of funds, and a commitment to non-influence of the funding sources over the scientific aspects of funded projects and TOS as a whole.

Translation: We will take money from any company, regardless of the effects of its products on public health.

The TOS rationale is that disclosure takes care of the problem and that funding won’t influence the science.  Unfortunately for this view, research demonstrates that disclosure does not eliminate the influence of funding, and the influence of funding is considerable—though often unrecognized, as is apparent in this case.

TOS has a disclosure policy, and discloses its officers’ conflicts of interest.  These are considerable.

In 2013, Dr. Yoni Freedhoff resigned his TOS membership over the society’s sponsorship policies.  In his comment on the current TOS statement, Freedhoff points out that “sugar-sweetened beverage taxes decrease sugar-sweetened beverage consumption and increase healthier beverage consumption while providing the greatest potential health benefits to low income consumers.”

TOS members who care about creating a healthier food environment should consider joining Dr. Freedhoff.  lf not, they should insist that TOS leadership take vigorous pro-public health stances on matters affecting their patients’ health.

Additional comments, October 31, 2018

Yesterday I received a message from Liz Szabo, a reporter for Kaiser Health News, who is writing a piece on TOS’s relationships with food companies.  She questioned Steve Heymsfield, the group’s current president, who responded at length with a message that included this paragraph:

Marion Nestle, on the other hand, is professor “emeritus” and our understanding is that she no longer reports directly to a dean at New York University. That created a hurdle for us when trying to manage Dr. Nestle’se false and misleading blog related to this matter on her website. Even after learning her comments were misleading from Dr. Popkin, and unlike Popkin who has a high ethical standard, she failed to take down that post.

This surprised me, because nobody from TOS or anywhere else had written me to correct the post, Dr. Popkin’s corrections were to something he—not I—had written, and my ongoing relationship with NYU is readily evident from the information posted under About on this site.

I pointed this out to Dr. Heymsfield, who replied with annotations to my post.  Most of these deal with opinion and interpretation rather than fact.  The one thing I got “completely false” is my interpretation that TOS lacks standards for deciding which donors are acceptable.  Dr. Heymsfield says it does.  I am happy to hear that and stand corrected on that point.