Search results: a life in food

Brian Wansink.  Slim by Design: Mindless Eating Solutions for Everyday Life.  William Morrow, 2014.

In his new book, Wansink, the author of Mindless Eating (Amazon’s #1 Best Seller in Eating Disorders, Self-Help) and guru of Cornell’s Food and Brand Lab, promotes the idea that small changes in the food environment will encourage healthier eating.

Wansink, of course, is the behavioral economist who conducts clever and revealing experiments proving this point: the bottomless soup bowl (people eat and eat and eat), the Super Bowl study (students eat more from larger containers), the organic aura hypothesis (people perceive foods with health claims as having fewer calories), the stale popcorn study (if it’s there, people will eat it).

His studies are fun and I especially like his work because it shows how much environmental factors influence food choice.  If so, we need policies to change the environment to make the healthy choice the easy choice.

Wansink, however, usually interprets his work as suggesting what you—as an individual—can do to counter the environmental forces: pay attention, use smaller plates, snack-proof your house.

He does that in this book too, but also has suggestions for actions that restaurants, supermarkets, and food makers can take to sell healthier foods and still make money.   If you are a fast-food restaurant, for example, you can:

Make it motivating

• Start a Healthy Habits loyalty card—five punches and the sixth healthy item is free.
• Give 5 percent off the healthier combo version: diet versus regular, baked versus fried.

He says:

Give away a sixth meal?  Give a 5 percent discount?  On a $5 meal that’s a 25-cent loss.  Think of it instead as a $4.75 gain, because diners could have easily otherwise gone somewhere else.  And it’s a $9.50 gain if they brought a friend.

Could this start a movement?

In an e-mail, Wansink writes:

My goal is for this book to ignite a Slim by Design Movement that transforms restaurants, grocery stores, workplaces, schools into healthier places that guide us to make smarter, healthier choices. The book tells people exactly what they can ask their favorite restaurant or grocery store to do, and the web site allows them to complete abbreviated scorecards and post them to Facebook and Twitter to show people there are simple, scalable, solutions that can make all of us Slim by Design.

Policy change, anyone?

Sandra M. Gilbert.  The Culinary Imagination: From Myth to Modernity.  WW Norton, 2014

I blurbed this one:

It is hard to imagine how Sandra Gilbert could have produced so broad an overview of contemporary food writing and thought, not only literary analysis but also history, memoir, and bibliography.  Anyone wanting an introduction to the meaning of food culture should start here.  After reading this “foodoir,” you may not want to live her life but you will certainly want to read everything that she did.

The role of specific nutrients in brain health isn’t something I think about much.  I’m of the opinion that a reasonably healthy diet takes care of health.  Stop worrying, be happy.

But I’m always interested in what the food industry is cooking up based on current research, and here’s a good sampling to ponder.

For this Special Edition, NutraIngredients-USA has a long hard think about cognitive health…

Cognition spans the lifetime, from development in the womb right through to old age. So, which ingredients have the best science? How are companies approaching this sector and what claims can they make? What’s all this about the gut-brain axis? And what’s happening with botanicals in this space?

• Gallery: The top ingredients for cognitive health: Memory, attention and focus, development, mood; there are numerous ways that a nutrient or ingredient can affect cognitive health. But which have the most science, how do they work, and how are they performing in the market. Check out our gallery of the top ingredients for cognitive health. .. Display
• Cognitive health claims range from sublime to ridiculous, experts say: When it comes to what’s an allowable claim in the realm of cognitive health, ignorance and confusion abound, experts say… Read
• ‘The eye and the brain are connected, so it’s no surprise lutein is important for brain health,’ says Kemin: Lutein and zeaxanthin are well-established in the realm of eye health, but ever emerging science shows the importance of the carotenoids in brain health. And that comes as no surprise to Kemin, with ‘eye health and brain health are coming together as one’… Read 
• Evidence of gut/brain connection piles up, but actual products are a ways off, researcher says: The gut is teeming with bacteria, good and bad, and these organisms and their cousins living elsewhere on and in the body outnumber the body’s own cells by an order of magnitude.  It is only recently that the notion has come to the fore that these microorganisms are doing something other than helping us digest food or aiding in keeping nefarious colonies at bay.  Now researchers are beginning to realize that there is a feedback loop at work between the brain and the gut, with one influencing the other… Read
• Botanical ingredients step up to battle cognitive decline: Botanical ingredients for cognitive health indications abound, and the scientific backing for these ingredients is abundant, too, if you are willing to look, experts said… Read
• NIU’s Cognitive Health Forum: ‘The key is to not have ingredients that stimulate other areas of the body that are not needed for performance’:  Cognitive health formulations must be driven by mechanisms of action, and with cognition being a lifelong issue with many aspects to consider the possibilities are impressive and continually developing, according to experts at the NutraIngredients-USA Cognitive Health Forum… Read
• Fish oil linked to structural changes in the brain: Human data:  Fish oil supplements may produce beneficial structural changes in the brain, according to a new study from Brown University and Rhode Island Hospital… Read

 

The Times’ obituary for Dr. Albert J. (“Mickey”) Stunkard, who died last week at the age of 92, describes his work on the genetics of obesity and quotes Dr. Walter Willett’s comment that genetics accounts for only a small part of the “legions of the obese.”

Stunkard was writing about the lifestyle and environmental determinants of weight gain, long before most of us had a clue.

I learned this in 2000 when Michael Jacobson and I were writing a paper on public health policy approaches to obesity prevention.[i]   We were arguing that policies aimed at preventing weight gain focused almost entirely on personal behavior but needed to focus on fixing the environment of food choice.

A peer reviewer scolded us for missing Stunkard’s work.

At last, we discovered Stunkard’s groundbreaking work.  In the published paper, we wrote:

The most notable exception [to the focus on personal responsibility] was the report of a 1977 conference organized by the National Institutes of Health (NIH) to review research and develop recommendations for obesity prevention and management.

In one paper, A.J. Stunkard thoroughly reviewed social and environmental influences on obesity.[ii]  As a result, the conference report included an extraordinarily broad list of proposals for federal, community, and private actions to foster dietary improvements and more active lifestyles.

These ranged from coordinated health education and model school programs to changes in regulations for grades of meat, advertising, taxes, and insurance premiums. Some of the proposals cut right to the core of the matter: “Propose that any national health insurance program…recognize obesity as a disease and include within its benefits coverage for the treatment of it.” “Make nutrition counseling reimbursable under Medicare.” And “Fund demonstration projects at the worksite.”[iii]

He was far ahead of his time and will be greatly missed.

References

[i] Nestle M, Jacobson MF.  Halting the obesity epidemic: A public health policy approach.  Public Health Reports 2000;115:12-24.

[ii] Stunkard AJ. Obesity and the social environment: current status, future

prospects. In: Bray GA, editor. Obesity in America. Washington:

Department of Health, Education, and Welfare (US); 1979. NIH Pub.

No.: 79-359.

[iii] Stunkard A. The social environment and the control of obesity. In:

Stunkard AJ, editor. Obesity. Philadelphia: WB Saunders; 1980. p. 438-

This question came in from Lourdes, a reader:

Would you please comment on these cases and the decisions regarding the issue [evaporated cane juice, apparently].

• http://www.law360.com/articles/481315/lifeway-accused-of-masking-smoothies-sugar-content?article_related_content=1.
• http://www.law360.com/articles/524647/cane-juice-labeling-suit-tossed-pending-fda-decision.
• http://www.law360.com/articles/474011/late-july-faces-false-ad-suit-over-evaporated-cane-juice-?article_related_content=1. 

Happy to.

Evaporated cane juice is the food industry’s latest attempt to convince you that crystallizing sugar by this particular method will make you think it is:

• Natural and healthy.
• Better for you than table sugar.
• Much better for you than high fructose corn syrup (HFCS).

Maybe, but it’s still sugar.

Pushed by food companies to let “evaporated cane juice” be used on food labels, the FDA in 2009 issued one of those non-binding guidance documents it loves to do.

Over the past few years the term “evaporated cane juice” has started to appear as an ingredient on food labels, most commonly to declare the presence of sweeteners derived from sugar cane syrup. However, FDA’s current policy is that sweeteners derived from sugar cane syrup should not be declared as “evaporated cane juice” because that term falsely suggests that the sweeteners are juice…. FDA considers such representations to be false and misleading…because they fail to reveal the basic nature of the food and its characterizing properties (i.e., that the ingredients are sugars or syrups) as required by 21 CFR 102.5.

The FDA opened the matter up to public comment last month.  In the meantime, evaporated cane juice is in the courts, where more and more food regulation seems to be taking place days except that judges are balking.

It’s a perfect Catch 22: The courts won’t rule until the FDA issues regulations.  The FDA won’t issue regulations while the matter is in the courts.

The bottom line?  As NPR puts it, “Sugar by any other name tastes just as sweet — and has just as many calories.”

To repeat: Evaporated cane juice is sugar.  Cane sugar is sugar.  All forms of sugar have calories, even when Kale flavored (thanks to Jill Richardson for sending this along).

The New York Times Room for Debate blog asked me to comment on What other unhealthy products should CVS stop selling?

Here’s my response: Next, Cut the Soda and Junk Food.

Good for CVS! Cigarettes are in a class by themselves. The evidence that links cigarette smoking to lung cancer and other serious health problems is overwhelming, unambiguous and incontrovertible. So is the evidence that the mere presence of cigarettes is sufficient to create demand, especially among young people.

As Food Navigator-USA puts it, “No, wheat does not make people fat and sick.”

Bread lover that I am, I consider recent research to be giving us good news.

Food Navigator is referring to a review of research on whole wheat and health just published in the Journal of Cereal Science of all places.  The authors conclude that unless you have celiac disease or wheat allergies, eating whole-wheat foods is good for you.

In fact, foods containing whole-wheat, which have been prepared in customary ways (such as baked or extruded), and eaten in recommended amounts, have been associated with significant reductions in risks for type 2 diabetes, heart disease, and a more favourable long term weight management. Nevertheless, individuals that have a genetic predisposition for developing celiac disease, or who are sensitive or allergic to wheat proteins, will benefit from avoiding wheat and other cereals that contain proteins related to gluten, including primitive wheat species (einkorn, emmer, spelt) and varieties, rye and barley…Based on the available evidence, we conclude that whole-wheat consumption cannot be linked to increased prevalence of obesity in the general population.

The authors find little evidence in support of popular myths:

• Proliferation of wheat products parallels obesity and is causally related.  No, it does not.
• Wheat starch differs from starches in other foods in especially undesirable ways.  No, it does not.
• Whole wheat bread has a higher glycemic index than sugar.  No, it does not.
• Wheat contains opioids that make people addictive. No, they do not.

In the meantime, the FDA has been working on updating its 2006 guidance to industry about how to label statements about whole grains. The agency has been conducting research on how consumers judge:

• Food products, including nutritional attributes, overall healthiness, and health benefits.
• Labeling statements in terms of their credibility, helpfulness, and other attributes.
• Terms and statements such as “Made with Whole Grain”, “Multi-Grain”, and “100% Whole Wheat.”
• Whole grain statements beyond the scope of the statements themselves (i.e., halo effects).
• How whole grain statements influence consumer use of the Nutrition Facts.

Can’t wait to see the results.  They ought to be out soon.

I was in Washington DC last week when the FDA announced  that it was taking significant steps to address antibiotic resistance, a problem caused by overuse in raising animals for food.

The FDA called on makers of animal antibiotics to:

• Voluntarily stop labeling medical important antibiotics as usable for promoting animal growth or feed efficiency (in essence, banning antibiotics from these uses).
• Voluntarily notify the FDA of their intent to sign on to these strategies within the next three months.
• Voluntarily put the new guidance into effect within 3 years.
• Agree to a proposed rule to require a veterinarian’s prescription to use antibiotics that are presently sold over the counter (the proposal is open for public comment for 90 days at www.regulations.gov.   Docket FDA-2010-N-0155).

Voluntary is, of course, a red flag and the Washington Post quoted critics saying that the new guidance falls far short of what really is needed—a flat-out ban on use of antibiotics as growth promoters.

• Consumers Union is concerned about the long delay caused by the 3-year window.
• CSPI is worried about all the loopholes.
• NRDC thinks the FDA is pretending to do more than it’s really doing and “kicks the can significantly down the road.”
• Mother Jones points out that the meat industry can still “claim it’s using antibiotics ‘preventively,’ continuing to reap the benefits of growth promotion and continue to generate resistant bacteria.”
• Civil Eats reminds us that the Pew Commission on Industrial Farm Animal Production (on which I served) recommended a ban on nontherapeutic use of all antibiotics.

Yes, the loopholes are real, but I view the FDA’s guidance as a major big deal.  The agency is explicitly taking on the antibiotic problem.  It is sending a clear signal to industrial farm animal  producers that sooner or later they will have to:

• Stop using antibiotics as growth promoters.
• Stop using antibiotics indiscriminately, even for disease treatment.

I think the FDA is dead serious about the antibiotic problem.  If the FDA seems to be doing this in some convoluted fashion, I’m guessing it’s because it has to.  The FDA must not have been able to find any other politically viable way to get at the antibiotics problem.

I see this as a first step on the road to banning antibiotics for any use in animals other than the occasional treatment of specific illnesses.

As the New York Times puts it,

This is the agency’s first serious attempt in decades to curb what experts have long regarded as the systematic overuse of antibiotics in healthy farm animals, with the drugs typically added directly into their feed and water. The waning effectiveness of antibiotics — wonder drugs of the 20th century — has become a looming threat to public health. At least two million Americans fall sick every year and about 23,000 die from antibiotic-resistant infections.

Still not convinced antibiotics are worth banning for promoting growth?

The best explanation is the Washington Post’s handy guide to the antibiotic-perplexed.  Here, for example, is its timeline of development of microbial resistance to antibiotics.  The bottom line: the more widespread the use of antibiotics, the greater the onset and prevalence of resistance.  And it takes practically no time for bacteria to develop resistance to antibiotic drugs.

Resources from FDA

• Consumer Update: Phasing Out Animal Antibiotics
• FAQ on today’s action
• Final Non-Binding Guidance for Industry 213
• Veterinary Feed Directive
• Final Non-Binding Guidance for Industry 209