by Marion Nestle

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Aug 14 2015

Let’s Ask Marion: Can Exercise Balance Out Soda Drinking?

This is the latest in a series of Q & A’s written by .   It appeared on Civil Eats, August 12, 2015.  And please note references added at the end.

Civil Eats: Your next book, Soda Politics: Taking on Big Soda (and Winning), documents the history of how this sugary beverage gave rise to some of our most powerful corporations and has lately become Public Enemy Number One in the war on obesity.

With sales on the decline, the New York Times recently reported that Coca-Cola is pouring millions of dollars into a ‘science-based’ campaign to convince the public that the secret to achieving and maintaining a healthy weight is not avoiding excess calories, but getting more exercise. What’s the science on more exercise versus fewer calories?

Marion Nestle: When it comes to studies about the health effects of sugary drinks, the science, alas, depends on who pays for it. Studies paid for by government or private health foundations show that if you want to prevent obesity, [a combination of] eating less and moving more works every time.

You can lose weight by eating less on its own. But you will have a much harder time doing that by increasing physical activity. This is because it takes lots of effort to compensate for excess calories. Eat two little Oreo cookies—100 calories—and you have to walk a mile to work them off. Drink a 20-ounce soda and you need to cover nearly three miles. This was the point of the New York City health department’s subway current poster campaign, which shows that you need to walk from Union Square in Manhattan to downtown Brooklyn to burn off 275 calories.

The soda industry would love you to believe that the principal cause of obesity is lack of physical activity, and they put tons of money into research to discourage other ideas. They much prefer you to believe that all of their products can be part of an active, healthy lifestyle that includes balanced diets, proper hydration, and regular physical activity. I call the idea the “physical activity diversion.” It deflects attention from what really counts in obesity prevention: not eating huge amounts of junk foods, snack foods, and sodas.

Mind you, I’m greatly in favor of physical activity for its many benefits: physiological, social, psychological, and health. But there is a good reason for the outraged reaction to Coca-Cola’s video seemingly suggesting that all you have to do to burn off the 140 “happy calories” in a 12-ounce soft drink is to laugh out loud for 75 seconds. This is so far from the reality of calorie balance that several countries actually banned the commercial [in 2013].

Soda companies promote the primacy of physical activity in other clever ways. The Coca-Cola Foundation says that about one-third of its philanthropic contributions go to organizations working to counter obesity, especially through promotion of physical activity.

Both Coca-Cola and PepsiCo invest heavily in sponsorship of international sports teams. They put fortunes into recruiting sports celebrities as spokespersons. These investments accomplish two purposes: they influence fans to buy the products and shift the focus to physical activity. Obesity, these imply, is about what you do, not what you eat or drink. Public health advocates complain about how frequently young people—especially those of color or in low-income families—are exposed to advertising by professional athletes. The sponsored programs and celebrities never suggest that drinking less soda might be a useful health-promotion strategy.

As a nutritionist and co-author of a book titled Why Calories Count, I thoroughly agree that balance, variety, and moderation are fundamental principles of healthful diets, and that weight gain is a result of calorie imbalance.

But soda companies distort these principles to distract from their marketing of sugary drinks and how overconsumption of these drinks overrides normal physiological controls of hunger and satiety. Independently funded research makes it abundantly clear that avoiding sodas is one of the best things you can do for your health.

Sponsorship of research or research investigators by Coca-Cola or the American Beverage Association is reason alone for skepticism.

References: I am grateful to Richard Cooper for forwarding his paper on the relative contributions to obesity of diet and exercise.  From his review of the literature, you must reduce calories to lose weight.

He also pointed me to rebuttals by  Blair and Hill, the investigators featured in the New York Times article cited above.

The rebuttal by Steven Blair and colleagues.

  • Funding: Drs. Blair, Archer, and Hand are funded via unrestricted research grants from The Coca-Cola Company for analyses of dietary trends and for an energy balance study.
  • Conflict of interest: None declared [Evidently, these investigators do not perceive funding by Coca-Cola as a conflict]

The rebuttal from James Hill and John Peters:

  • Conflict of interest: J.H. receives research grants from the American Beverage Association and serves on advisory boards for McDonalds, General Mills and McCormicks. J.P. receives research funding from the American Beverage Association.

 

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Jul 29 2015

Court asks for life in prison in peanut butter Salmonella case

Federal court officers are recommending what attorneys are calling an “unprecedented” sentence of life in prison for a Stewart Parnell, the former owner of the Peanut Corporation of America.  He was convicted last fall of selling bulk peanut butter from his plant in Georgia to food processors—even after the peanut butter tested positive for Salmonella.

The CDC associated the tainted peanuts with the deaths of 9 people and illnesses among more than 700.

The government’s sentencing recommendations say:

The Government submits that the U.S. Probation Office correctly calculated the Sentencing Guidelines adjusted offense level for Stewart Parnell to be 47 with criminal history category I, which results in a life sentence Guidelines range; for Michael Parnell, to be adjusted offense level 37 with criminal history category I, which results in a 210 to 262 months Guidelines range; and for Wilkerson to be adjusted offense level 30 with a criminal history of I, which results in a 97 to 121 months Guidelines range.

Does the punishment fit the crime?  Bill Marler’s discusses of the legal issues related to this conviction as opposed to the results of similar cases.  Marler is usually unsympathetic to owners of companies producing foods that kill people, but in this instance he says:

I find it a bit hard to parse out why some have been targeted – OK, perhaps the Parnell prosecution is a bit easier because it was so clearly intentional – and some have not, or at least not yet.  Honestly, what are the differences in prosecuting the Jensens, DeCosters and ConAgra and leaving the others – so far – unmolested…Is it the number of sick, the number of dead? Is it the economic consequences? What really are the criteria, or, should it simply be left to the discretion of the prosecutor as to who or what feels the sting of the criminal justice system?

Jul 28 2015

Trans-Pacific Partnership’s food issues: rice, sugar, Malaysian palm-oil, trans fats

The Trans-Pacific Partnership (TPP) negotiations are taking place this week in Maui, as usual, in deep secret.

Doug Palmer of Pro Politico describes the major food issues: dairy, origin names, pork, rice, and sugar.  The issues come down to market share.  Every country wants to protect its own products but have free access to markets in other countries.

Although not a food, tobacco best explains why the TPP makes people nervous.  US tobacco companies want the TPP to open new markets.  But one of the TPP provisions is said to allow corporations sue governments that pass rules that might hurt the corporation’s business.  Philip Morris sued Australia over its “plain packaging” law and is now suing Great Britain.

The US position is supposedly that a country’s measures  to protect the health of humans, animals, or plants should not be in violation of the TPP, and that challenges to tobacco-control measures should be cleared with TPP partners.   Malaysia, for example, has proposed to exempt tobacco-control measures from challenges under TPP.

Malaysia?

The State Department has just taken Malaysia off its list of the worst countries for human trafficking (see the July 2015 Trafficking in Persons Report).

What a coincidence.  This allows Malaysia to participate in TPP negotiations.

But what bad timing.  The Wall Street Journal has just published a harrowing story about the de facto slavery of palm-oil workers on Malaysian plantations (the New York Times just did one on “sea slaves” forced to fish for pet food or animal feed).

As Rainforest Action Network said of the Malaysia story in a press release:

July 27, 2015 (SAN FRANCISCO) – The Obama administration has removed Malaysia from the list of worst offenders for human trafficking and forced labor today, one day after The Wall Street Journal published an extensive report on human trafficking and forced labor on Malaysian palm oil plantations that directly supply major U.S. companies. Malaysia is one of 12 nations in the contentious Trans-Pacific Partnership trade deal, and inclusion of a country with the lowest ranking in the State Department’s Trafficking in Persons Report would be problematic for the administration.

And then, there’s the trans-fat connection:  The US demand for replacement of partially hydrogenated vegetable oils has pushed Malaysia and other palm-oil countries to produce more palm oil, faster.

The Wall Street Journal explains:

Palm oil has been repeatedly named on the U.S. Department of Labor’s list of industries that involve forced and child labor, most recently in 2014. Activists have blamed palm-oil plantations in Indonesia and Malaysia for large-scale deforestation and human-rights abuses. Oil palm growers respond that the palm tree, a high-yield crop, is a useful tool for socioeconomic development.

palm oil

The TPP is hard to understand, not least because negotiations are secret.  In giving the President the go-ahead to sign the agreement, Congress made two stipulations:

  • Congress must be notified 90 days in advance of signing.
  • The terms of the agreement must be disclosed to the public 60 days prior to signing.

At least that.  TPP deserves very close scrutiny.

Jun 11 2015

Soda Politics: Taking on Big Soda (and Winning)

Cover for Soda Politics

Published: October 5, 2015

Order from Oxford University Press.  Order from Amazon.

View the Table of Contents

Use and enjoy the list of media resources—links to videos, audios, songs, movies, infographics, commercials—keyed to illustrate the text.

This book:

  • Answers the question, how did what is essentially flavored sugar-water come to mean so much and to have such devastating health and food policy consequences?
  • Is the first to focus on the history, politics, nutrition, and health of soda, integrating public health science with historical and cultural research
  • Helps readers understand how we created this food system, what its problems are, and what we can do to fix these problems
  • Is illustrated with 70 figures and 50 tables
  • Comes with a Foreword by Mark Bittman, food journalist and columnist for The New York Times
  • Comes with an Afterword by Dr. Neal Baer, pediatrician and television writer and producer

Here are the book’s blurbs:

  • “The soda industry is a powerful economic operator. Economic power readily translates into political power. Soda Politics is exactly the kind of carefully-researched investigative reporting needed to open the eyes of the public and parliamentarians to the health hazards of what is, as the author rightly notes, essentially liquid candy in a bottle.” –Dr. Margaret Chan, Director-General, World Health Organization
  • “No book in history has so completely laid bare the soda scourge that touches every corner of the world. Marion Nestle shows how this happened, its impact on human health and well-being, who the players are, and, most importantly, what might be done. This is the right book at the right time.” –Dr. Kelly Brownell, Dean, Sanford School of Public Policy, Duke University
  • “Marion Nestle is one of the greatest muckrakers of our time, and what she does is vitally important-for our health, our environment, and for future generations. Here, she wages war against the soda titans with such piercing clarity and so many irrefutable truths that all other arguments crumble.” –Alice Waters, Founder and Proprietor of Chez Panisse
  • “Comprehensive and well-written, this book will help frame a thoughtful public policy debate about nutrition and the societal impacts and costs of obesity.” –Ann M. Veneman, Former US Secretary of Agriculture and Former Executive Director of UNICEF
  • “What happens when the food industry’s most insightful critic turns her sights on soda? This razor-sharp, fun to read, plan-of-battle for one of the greatest public health fights of our time. Big soda may have all the money, but those who would enter this fray, as we all should, now have their champion.” –Michael Moss, Author of Salt Sugar Fat: How the Food Giants Hooked Us
  • “For decades, soda companies have amassed fortunes off drinks that are making us sick. It took someone like Marion Nestle to cut through the spin and uncover the high cost of cheap sodas.” –Robert Kenner, Director/Producer, Food Inc. and Merchants of Doubt
  • “Long recognized as an important and informed voice in our national and international discussions on nutrition and health, Marion Nestle has written another book that will keep us talking. With an impressive combination of scholarship and advocacy, Dr Nestle takes an unflinching look at the soda industry, its products and the impact on health. Soda Politics deserves the attention of the public and policy makers, and should make us all think more carefully about choices we can make to improve health and well-being.”–Margaret Hamburg, M.D., Former Commissioner, U.S. Food and Drug Administration 

REVIEWS

Here’s the first review from the August 2015 Library Journal:

Nestle (nutrition, New York Univ.) once again exposes the dark side of the food business. As in her 2007 Food Politics: How the Food Industry Influences Nutrition and Health, the author examines the soft drink industry, demonstrating how products that are basically flavored water with added sugar contribute to obesity, type-2 diabetes, and metabolic syndrome. She discusses the composition and production of soda, the adverse effects of excess sugar consumption, and product marketing. The companies’ targeting of children, low-income, and minority communities; lobbying of Congress to prevent legislation that would impact profits; funding of research to produce results that obscure the facts about soda; and donations to health organizations and charities in order to be portrayed as socially responsible corporations make it difficult for citizens to act. Nestle reveals what can be done and how to do it, providing relevant data, analyzing that information, and illustrating its difficulties. She then advocates for smaller portions, taxing sugary drinks, and excluding soda from the Supplemental Nutrition Assistance Program (SNAP) and provides examples of successful campaigns, a list of groups advocating for healthy beverage choices, and extensive notes. VERDICT An outstanding manual for health educators, activists, and anyone seeking information about the soda industry and its impact on health.—  Barbara Bibel, formerly Oakland P.L.

David Katz in Nature 526: 34–35 

For me, the single most stunning and appalling revelation comes in the section about environmental impact and industry responses to it. It is that between 340 and 620 litres of water are used for every litre of soft drink produced, about 20% of that related to packaging. Despite such disturbing revelations,Soda Politics is not discouraging…Throughout the book, Nestle provides tactics for practical, local advocacy, such as working with school wellness committees and engaging local policymakers. And since 2002, the proportion of US citizens who say that they avoid soft drinks has risen by 20%, reaching nearly two-thirds of the population…For public health to prevail over soda politics as usual, we have miles to go. This book is the richly drawn map of how to get there, from here.

From Science Magazine, October 16, 2015:285

The standard operating practices of companies like Coca-Cola and PepsiCo demand the same level of scrutiny as cigarette companies, and for many of the same reasons, argues Marion Nestle in the introduction of her new book, Soda Politics. What follows is a thorough and unflinching look at the soft-drink industry’s role in promoting the consumption of sugary drinks despite growing evidence that they are detrimental to our health. The book begins with a basic primer of the range of health problems that have been linked to soda consumption, from tooth decay to obesity and diabetes, hitting its stride with an eviscerating assessment of the industry’s marketing and advocacy practices.

From US Food Policy, November 11, 2015

For those readers who share Nestle’s critical perspective on the food industry, it is obvious that this book would be informative. But here is the greater surprise: this solid book is by far the best source on this topic for any reader, with any perspective on economics or politics.  If I worked for a trade association, or an industry front group, or an esteemed professional association that relies on soda industry funding, or the House Agriculture Committee, or a sugar manufacturer, or a high-powered corporate law firm, I might store this book in my desk drawer rather than my book shelf … yet I would read it word for word.

From The Independent, November 12, 2015

In Soda Politics (OUP, £19.90), Dr Marion Nestle does us all a great service by spelling out clearly and authoritatively the dreadful price we are paying for guzzling gallons of sugared water – Coke and Pepsi by any other name. Big Soda, as Dr Nestle calls the billion-dollar corporate giants behind this poison, know exactly how bad their products are for us but are so powerful no one takes them on. Rise up and rebel, Nestlé urges.

From the L.A. Review of Books, November 19, 2015

Nestle writes like an investigator hunting every possible scrap of damning material for a prosecutorial brief, which will no doubt make her book an excellent resource for activists and reformers seeking remedies in Washington, in the courts, and, perhaps, in the aisles of the local supermarket.

From the New York Times Book Review, November 21, 2015

Big Soda knows what it’s doing.

Fortunately, so does Marion Nestle. The nutrition professor, advocate and investigator best known for “Food Politics” profiles the soft drink industry in her expansive, superbly researched new book, “Soda Politics: Taking On Big Soda (and Winning).” It isn’t so much a narrative as a well-organized barrage of facts, some eye-popping (the world’s soda companies produce nearly two trillion 12-ounce servings annually), others banally incriminating. They come off the page like jabs in a sustained pummeling lasting more than 400 pages. Even if Nestle is only half right, it’s still a total knockout.

From The Economist, November 28, 2015

Drinks companies must also reckon with a small army of health advocates, among which Ms Nestle is a major-general.

From Matthew Donnelly, Gulp, November 30, 2015

This is a food advocates’ book which forensically analyses the tactics of the ‘Soda’ industry.

From Jane Lear at TakePart, December 2, 2015

Nestle is foremost an educator and an activist, and Soda Politics is worth its price alone for the chapters on advocacy, from recruiting public health leaders and working from within to protecting public water resources…In other words, we can change things, one Big Gulp at a time.

From The Lancet–Diabetes/Endocrinology , February 4, 2016: “comprehensive…cogent and fair-minded.”

Caffrey M.  Is soda the new tobacco? An expert and new CDC data say yes.  American Journal of Medical Care 2016;22(4):139-141.

Sabnavis M.  Bitter fizz.  Financial Express (India), March 20, 2016: A book that exposes that there’s more ill in a cola bottle than mere sugar—environment costs, high water use and pure politics.

Das Gupta U.  The bitter fight over sugary drinks.  Business standard (India), March 22, 2016.

Angier N. The Bear’s Best Friend.  New York Review of Books, May 12, 2016: 56-58.

Janer Z.  Profit Before People: The Case Against the Soft Drink Industry.  The Wire, April 24, 2016.

Hearne SA.  Behind the curtain.  Health Affairs, May 2016:936.

Mosaffarian D.  The politics and science of soda and our health.  The Lancet 2016;387 (May 28):2190-2191.

Wineberg D.  The San Francisco Review of Books.  October 20, 2018.

 

MEDIA ON SODA POLITICS

2017

May 26  Soda Politics: como baixar o consumo de refrigerante, Do Campo à Mesa (in Portuguese)

2016

April 14  Opinion piece in Reforma.com (in Spanish).

April 14 Article in La Jornada about my lecture in Mexico City (in Spanish)

March 24 BYU radio Matt Townsend show

March 2 ABC-FM interview with Margaret Throsby, Classic FM

March 1 Lecture to Sydney Ideas, U. Sydney

March 1 ABC News radio and print interview with David Taylor

Feb 29  Interview (online) with ABC Sydney

Feb 27  “At Lunch With” column in the Sydney Morning Herald: “the powerful foodie”

Feb 24  Podcast of lecture on Soda Politics at the University of Melbourne

Feb 19 Radio interview with Mark Colvin, ABC News (Sydney)

Feb 19 Podcast interview with Colvinius, ABC News (Sydney)

Feb 18  BTR Media podcast (my interview on Soda Politics is at 13.01)

Feb 7  Wisconsin Public Radio interview

Feb 1  Interview (online) with Chris Radicz of the American Society for Nutrition

Jan 29  Interview with BreakThroughRadio’s Rebecca Chodorkoff

Jan 20 Interview with Suzi Phillips, U. Auckland

2015

Dec 16  Podcast with Steve Mirsky of Scientific American

Dec 16  Food Tank’s favorite books of 2015

Dec 9 Edible Manhattan and Brooklyn, Favorite Books.

Dec 9 Civil Eats’ 20 Best Food and Farm Books of 2015

Dec 5 KCRW radio, Evan Kleiman’s Good Food

Dec 1  KALW hour-long radio San Francisco interview

Nov 23 Soda Politics podcast, New America NYC

Nov 11  Interview with Reserve Editorial Team, In the Kitchen

Nov 6  Audio recording of Q and A talk at San Francisco’s Commonwealth Club, with Dr. Alice Huan-mei Chen

Nov 3 Good Food World book description

Nov 1  Interview in Nutrition Action Healthletter, November 2015:1-5

Oct 28  The Seattle Times

Oct 27  The Salt on Soda Politics

Oct 27 Texas Public Radio on Soda Politics

Oct 20  Video of presentation to New York Times Food for Tomorrow Conference on soda taxes

Oct 19  Article in Veille Action pour de Saines Habitudes de Vie (in French)

Oct 19  Interview with Lingyi Hou for NYU’s Washington Square News

Oct 15 KUT News radio, interview with Tom Philpott 

Oct 9 Interview Q & A with Nancy Huehnergarth on Huffington Post

Oct 8  Interview Q & A with Andy Bellatti on Civil Eats

Oct 7  MP3 interview with Carl Lenoe on Super Human Radio

Oct 6  CSPAN video recording of book event at NYU

Oct 6  Radio interview with Dr. Mercola, with transcript.

Oct 5  Interview with Roberto Ferdman in the Washington Post

Oct 5 Caselli_Mechael L.  “Soda Politics” & science: 5 issues.  Food Insight, IFIC.

Oct 5 Foodline radio interview

Oct 4  Interview with Johnny Adamic of the Daily Beast

Oct 2  Interview with Jamie Ducharme of Boston Magazine online

Sept 28  Interview podcast with Dr. Mercola.  Condensed version.  Full version.

Sept 25  Interview with Julia Belluz, Vox

Sept 21  Interview  with Katy Kieffer, Heritage Radio

Sept 10  Interview Q and A with Natural Path

Jun 4 2015

Trans-Pacific Partnership: Why WikiLeaks is offering $100K for a copy

WikiLeaks is offering $100,000 for a leaked copy of the Trans-Pacific Partnership (TPP) agreement, says the Washington Post.   It especially wants to see the agricultural chapters, as do we all.

For the WikiLeaks video (and pitch) that explains why it wants those TPP chapters, click here.

It’s worth trying to understand the TPP.  Since my earlier post on it, I’ve been collecting items to help clarify the various stakeholder positions on this agreement.

For the TTP  

The Obama administration, for reasons incomprehensible to Paul Krugman, among others, is very much for it.  It claims across-the-board benefits for U.S. agriculture.  For example:

Vegetables: U.S. exports of fresh and processed vegetables to the TPP countries face tariffs as high as 90 percent. Under the agreement, tariffs across the TPP region will be cut, offering new market access opportunities to U.S. producers and exporters of fresh and processed vegetables. In 2014 the United States exported almost $5 billion in fresh and processed vegetables to the TPP region.

The USDA’s has produced fact sheets on what TPP can do for individual states.   I checked the one for New York.  The expected benefits to the state are expressed generically, not specifically to New York State:

Fresh and Processed Vegetables: U.S. exports of fresh and processed vegetables to the TPP countries face tariffs as high as 90 percent. Under the agreement, tariffs across the TPP region will be cut, offering new market access opportunities to U.S. producers and exporters of fresh and processed vegetables. In 2014 the United States exported almost $5 billion in fresh and processed vegetables to the TPP region.

Dubious about the TTP

  • Start with Robert Reich’s 2-minute video: “The Worst Trade Deal You’ve Never Heard Of.”  He calls it a Trojan horse.  It allows corporations to sue governments for passing regulations that might affect corporate profits, among other bad things.
  • Paul Krugman votes “thumbs down” on the TPP.  He argues that trade agreements aren’t all that economically beneficial  and seem to be mostly about intellectual property rights–patents and the like.  He asks: “Why, exactly, should the Obama administration spend any political capital – alienating labor, disillusioning progressive activists – over such a deal?”  His slides illustrate these points.
  • Senator Elizabeth Warren tells Rachel Maddow that corporate lobbyists and executives—not the American Public—are involved in the TPP negotiations.
  • Joseph Stiglitz makes the same point.
  • Henry Greenberg and Stephanie Shiau write in the Journal of Public Health: “As it stands the TPPA poses serious risks to global public health, particularly chronic, non-communicable diseases. At greatest risk are national tobacco regulations, regulations governing the emergence of generic drugs and controls over food imports by transnational corporations.”
  • Eric Crosbie, MA, Mariaelena Gonzalez, PhD, and Stanton A. Glantz write in the American Journal of Public Health about how trade agreements prioritize investment and intellectual property rights over health.

WikiLeaks may be on the right track here.

May 28 2015

What’s up with the Trade Promotion Authority act?

What’s going on with the Trade Promotion Authority act (TPA) has lots of people worried.   The bill, known as “fast track,” allows President Obama to make trade agreements that Congress can approve or reject, but cannot change.

The Senate passed the TPA.  It now goes to the House.

USDA Secretary Tom Vilsack issued a congratulatory statement:

Today the Senate helped move America closer to securing responsible agreements that open markets for America’s farmers, ranchers and agribusiness and create jobs and improve wages across the country…Our farmers and ranchers face exorbitant tariffs and others barriers in important foreign markets, and if we do not act to maintain and gain market share in these places, our competitors will.

On the other hand, 2009 labor, environmental, family farm, consumer, faith, Internet freedom and other organizations oppose the TPA.  They say “Fast Track is rigged to give special rights to corporations at the expense of workers and consumers.”

TPP rally Maryland

In an article in the American Journal of Public Health last year, tobacco researchers explained the problem:

International trade agreements relocate decisions about tobacco control policy to venues where there is little opportunity for public scrutiny, participation, and debate…“Fast-track authority,” in which Congress cedes ongoing oversight authority to the President, further distances the public from the debate.

As I explained in previous posts on the Trans Pacific Partnership (TPP) and the Transatlantic Trade and Investment Partnership (T-TIP), trade agreements:

  • Are conducted in secrecy
  • View safety regulations and matters such as country-of-origin labeling (see yesterday’s post) as trade barriers
  • Allow multinational corporations to sue governments for passing laws that might affect corporate profits

I’ll be trying to keep up with what’s going on with trade agreements.  Stay tuned.

May 19 2015

The 2015 Dietary Guidelines: the saga continues

I am indebted to Pro Politico Morning Agriculture for this tidbit:

HOUSE AG COMMITTEE PRIES INTO DGAC COMMENT REVIEW: The chairman and ranking member of the House Agriculture Committee have requested that the USDA and HHS supply an accounting of how they intend to review the more than 29,000 public comments on the 2015 Dietary Guidelines Advisory Committee’s report, as well as an accounting of the staff maneuvering that’s been required to review those thousands of comments in a timely manner.

In a letter sent by Reps. Michael Conaway and Collin Peterson, the committee has also requested more information on whether the departments will be able to deliver the final Dietary Guidelines for Americans document by the end of the year, as originally intended.

“Have you reconsidered that goal given the overwhelming number of comments that now need to be reviewed,” the letter states. “If not, do you intend to incorporate the review of the 29,000+ comments received into this work product, and how do you intend to complete that process?” You can read the full letter, which the lawmakers expect a response to by June 10, here: http://1.usa.gov/1EJcrSM

OK.  Let’s review the process here.

  • Congress, in its infinite wisdom, wants the Dietary  Guidelines reviewed and redone every five years.
  • We’ve had Dietary Guidelines every five years since 1980.  Their basic messages have not changed much.
  • The 2015 Dietary Guidelines Advisory Committee (DGAC) reviewed the research and issued a lengthy report.
  • The report was released for public comment.  More than 29,000 comments came in.
  • Now the agencies—USDA and HHS—must deal with the comments are write the actual Dietary Guidelines.

Until 2005, the DGACs wrote the actual guidelines with minimal editing from the agencies.  That was certainly how it worked in 1995 when I was on that committee.

We did the research and wrote guidelines based on that research.  The agencies published them pretty much as we wrote them.

That changed in 2005 under the Bush II administration.

By now, nutrition advice has become so politicized that the public—from individual consumers to corporations—has a say in them.

Which method helps the public eat healthier diets?

You decide.

I withholding judgment until I see how the agencies extract guidelines from the 650-page DGAC report and its 29,000 comments.

I’m guessing that after all this fuss, the guidelines will still basically say:

  • Healthy diets are based largely on foods from plant sources (eat your veggies)
  • Don’t eat too much sugar, salt, or saturated fat (avoid junk food)
  • Don’t gain excess weight if you can avoid it (balance calories)

Good advice.  Too bad that following it does not increase profits for the food industry.

Apr 7 2015

Sponsored research inevitably favors the sponsor’s vested interests

I am increasingly concerned about the proliferation of research studies sponsored and funded by food, beverage, or supplement companies with a vested interested in the outcome.  These almost invariably come to conclusions in favor of the sponsor’s food product.

You must understand that I am not searching for sponsored studies in any systematic way.  They just appear in the tables of contents of journals I typically read and are easily identified by their titles.

My plan is to post a list of sponsored research studies every time I accumulate 5 examples.  My first post in this series appeared March 16.

Recent examples

1.  Purified palmitoleic acid for the reduction of high-sensitivity C-reactive protein and serum lipids: A double-blinded, randomized, placebo controlled study, by Adam M. Bernstein, MD, ScD, Michael F. Roizen, MD, Luis Martinez, MD, MPH.  Journal of Clinical Lipidology 2014;8:612–617.

  • Conclusion: Purified palmitoleic acid may be useful in the treatment of hypertriglyceridemia with the beneficial added effects of decreasing LDL and hs-CRP and raising HDL.
  • Sponsor: Tersus Pharmaceuticals (maker of Provinal palmitoleic acid).  Dr. Roizen is chair of the Scientific Advisory Board of Tersus Pharmaceuticals and chair of the Cleveland Clinic Wellness Institute.

2.  Whey Protein Supplementation Preserves Postprandial Myofibrillar Protein Synthesis during Short-Term Energy Restriction in Overweight and Obese Adults, by Amy J Hector, George R Marcotte, Tyler A Churchward-Venne, Caoileann H Murphy, Leigh Breen,Mark von Allmen, Steven K Baker, and Stuart M Phillips.  J Nutrition 2015;145:246–52.

  • Conclusion: We conclude that whey protein supplementation attenuated the decline in postprandial rates of MPS [Myofibrillar Protein Synthesis] after weight loss, which may be of importance in the preservation of lean mass during longer-term weight loss interventions.
  • Sponsor: The Dairy Research Institute through the Whey Protein Research Consortium.

3.  Natural cocoa consumption: Potential to reduce atherogenic factors? By Brian K. McFarlin, Adam S. Venable, Andrea L. Henning, Eric A. Prado, Jill N. Best Sampson, Jakob L. Vingren, David W. Hill.  J Nutritional Biochemistry 2015: in press.

  • Conclusion: Collectively, these findings indicate that acute natural cocoa consumption was associated with decreased obesity-related disease risk.
  • Sponsor: The Hershey Company

4.  The effect of a high-egg diet on cardiovascular risk factors in people with type 2 diabetes: the Diabetes and Egg (DIABEGG) study—a 3-mo randomized controlled trial, by Nicholas R Fuller, Ian D Caterson, Amanda Sainsbury, Gareth Denyer, Mackenzie Fong, James Gerofi, Katherine Baqleh, Kathryn H Williams, Namson S Lau, and Tania P Markovic.  Am J Clin Nutr 2015; 101:705-713.

  • Conclusion: High egg consumption did not have an adverse effect on the lipid profile of people with T2D [type 2 diabetes] in the context of increased MUFA [monounsaturated fatty acid] and PUFA [polyunsaturated fatty acid] consumption. This study suggests that a high-egg diet can be included safely as part of the dietary management of T2D, and it may provide greater satiety.
  • Sponsor: Australian Egg Corporation

5.  Dietary Flaxseed Independently Lowers Circulating Cholesterol and Lowers It beyond the Effects of Cholesterol-Lowering Medications Alone in Patients with Peripheral Artery Disease.  Andrea L Edel, Delfin Rodriguez-Leyva, Thane G Maddaford, Stephanie PB Caligiuri, J Alejandro Austria, Wendy Weighell, Randolph Guzman, Michel Aliani, and Grant N Pierce.  J. Nutr. 2015; 145:749-757.

  • Conclusion: Milled flaxseed lowers total and LDL cholesterol in patients with PAD [peripheral artery disease] and has additional LDL-cholesterol–lowering capabilities when used in conjunction with CLMs [cholesterol-lowering medications].
  • Sponsor: Flax2015, the Canola Council of Canada, and others.