by Marion Nestle

Search results: the corporation not me

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.
Mar 4 2015

Goodbye to artificial colors?

I was invited by CNN to comment on the announcement by Nestlé that it is removing artificial colors from its chocolates.

Here’s what I said:

(CNN) When food giant Nestle USA (to which I am, alas, not related) last month announced plans to remove all artificial flavors and colors from its chocolate candies, it understandably made headlines. According to the company, by the end of 2015, none of a group of 250 chocolate products including Butterfinger and Baby Ruth will contain artificial flavors or colors such as Red #40 or Yellow #5.

With the expectation that these chemicals will also disappear from the company’s other candies, it looks like the end of the use of artificial flavors and colors in anything but the cheapest food products. If that proves to be the case, it will be a welcome shift.

Nestle USA intends to advertise the reformulated products with a “No artificial flavors or colors” claim on package labels. If sales of the “no artificial” candies grow as expected, the company will surely extend the removal to all of its other colored and flavored food products. After all, Nestle’s international parent company — and the company’s competitors — will have to take notice and find ways to remove these chemicals from all their product lines.

Nestle USA has undeniable clout. It accounts for a quarter of the $100 billion in annual revenues of the more than century-old, privately held parent corporation, which itself is the largest food company in the world. This move surely will not only reverberate through the candy industry, but also affect every other major food company.

In substituting natural for artificial flavors and colors, Nestle USA is responding to what its customers are saying. The company’s own research indicates that Americans prefer their beloved candy brands to be free of artificial flavors and colors, while other surveys find majorities of respondents saying that artificial chemical additives negatively influence their buying decisions.

Nestle is also responding to decades of complaints from consumer advocates about the potential health risks of these chemicals, especially the dyes. Studies in experimental animals have linked high doses of food dyes to health problems, among them organ damage, cancer, birth defects, and allergic reactions. In humans, studies link food dyes to hyperactivity and other behavioral problems in young children.

The credibility of these studies and their implications for human health remain hotly debated. In the 1970s, for example, Ben Feingold, a physician in California, suggested that food additives caused children to become hyperactive. Much of the evidence for the “Feingold hypothesis” rested on anecdotal reports by parents, whereas double-blind, controlled clinical trials produced contradictory results.

On the basis of current evidence, some artificial food dyes have been banned, while others remain in use despite suggestions that they too might be harmful. But the makers and users of food dyes argue that the chemicals are safe at current levels of usage. As a result of all this, and in the absence of convincing evidence of their safety, the advocacy group Center for Science in the Public Interest has campaigned since the 1970s to remove food dyes and other chemicals from foods, and has continued to petition the Food and Drug Administration to ban them.

The opposing views complicate the regulatory status of food dyes. But after one clinical trial reported that dyes induce hyperactivity in half the children studied, the British government asked companies to stop using most food colors; the European Union requires a warning notice on many foods made with them.

In the United States, the FDA does not permit artificial food dyes to be used unless the manufacturers can meet safety requirements. But the amounts of these substances in the country’s food supply have greatly increased in recent years — soft drinks, breakfast cereals, frozen desserts and even salad dressings all contain artificial coloring agents. True, the FDA considers a dye to be safe if there is a reasonable certainty that no harm will result from its intended use. But that standard is vague enough to cause concern.

Given the unresolved scientific questions, it is reasonable to ask why artificial colors have to be in foods at all. From the standpoint of manufacturers, such additives are essential for covering up and hiding unattractive colors in processed foods. To the public, red candy seems to taste better than the drab variety. And while natural colors exist, they are less stable or more expensive to produce. But for Nestle to have taken the action that it has, the company must have found substitutes it can live with. And appealing to consumers’ preference for “natural” makes good business sense.

The truth is that whether artificial colors do or do not cause health problems in adults or children, they are there strictly for cosmetic purposes. For that reason alone, getting rid of them is a good idea.

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Feb 18 2015

And now a word from our sponsors: The Dietitians Association of Australia

Michele Simon’s latest investigative report deals with sponsorship by food corporations of the Australian Dietetics Association.


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Consistent with her previous report on corporate sponsorship of the American dietetic association (now The Academy of Nutrition and Dietetics), this one finds that the Dietitians Association of Australia (DAA):

  • Is sponsored by Meat and Livestock Australia, Nestlé, Unilever, Dairy Australia, and the Egg Nutrition Council
  • Is a partner in the “Nestlé Choose Wellness Roadshow”
  • Has important members who work for Kellogg and PepsiCo
  • Has a spokesperson who is paid by Coca-Cola to present his research denying a connection between sugars and obesity
  • Displays recipes from corporate sponsors with branded products despite policies against such things
  • Is believed to have stripped a dietitian of her earned credential for speaking out against such conflicts of interest [*but see additional comments below].

The DAA offers its corporate sponsors the following benefits:

  • Credible, independent, expert partner for nutrition communications
  • Unparalleled opportunity to inform the Australian public through members and the DAA profile
  • Access to members and interest groups for advice
  • Information and expert advice on all nutrition and health issues
  • Opportunities to sponsor DAA programs

This is a good deal for food and beverage corporate sponsors.

It’s not such a good deal for DAA members.  At best:

  • They appear in conflict of interest.
  • Their advice appears bought.
  • They lose credibility.

As Simon concludes:

The health of all Australians depends upon the independence of the nutrition profession and its leadership’s ability to operate free of conflicts of interest and be the nutrition leaders they claim to be, free from sponsorship money.

*Additions:

February 19:  Dr. Sara Grafenauer APD PhD of the DAA wrote me an e-mail detailing charges of error in this account.  She also wrote to Michele Simon.   Food company sponsorship of nutrition professional societies deserves far more critical attention than it usually gets and I am glad to see this debate.

February 20: Dr. Grafenauer writes again: “Thank you for considering our concerns however, with all due respect, the following statement is factually incorrect and should be removed:

  • Is believed to have stripped a dietitian of her earned credential for speaking out against such conflicts of interest.

DAA’s credential, Accredited Practising Dietitian (APD) is very important to the association and its members. It has rigorous processes around its maintenance and integrity and would never be used for purposes other than it is designed (for such as ‘gagging’ a member as is suggested here). There is no basis for this potentially defamatory statement and DAA will take whatever steps are necessary to defend the credential.”

Feb 2 2015

Food Politics 101: The School Nutrition Association vs. Fruits & Vegetables

The School Nutrition Association (SNA) is the organization that ostensibly represents the interests of school food service personnel.

I say ostensibly because the SNA has moved in a quite different direction.  It now fully represents the interests of its corporate food industry donors.

In the recent past, it supported federal efforts to improve the nutritional quality of school meals.  Now it fights all efforts to do so.

Recent events illustrate these points.

1.  Nancy Huehnergarth reports on the SNA meeting in Phoenix:

The annual conference, which this year ran from January 11 through 13, is “where school nutrition directors and industry representatives [came] together to build successful partnerships to better serve the nation’s children,” according to the SNA’s website. But a review of the conference agenda, speakers, educational sessions and sponsors paint a far different picture — one of an overwhelmingly industry-driven event heavy on the promotion of food and beverage offerings from major processed food corporations.

2.  The SNA has just issued a Position Paper on school meals.

It calls for more funding for school meals (good idea).

But then it insists on some very bad ideas:

  • Stop requiring fruits and vegetables to be served with every meal.
  • Don’t require so much whole grain.
  • Back off on lower sodium.
  • Allow any junk food to be part of the reimbursable meal.
  • Allow any junk food to be sold in competition with school meals.

In other words, return to the junk food school environment that flourished before the Institute of Medicine wrote two reports on improving the nutritional quality of school meals, Michelle Obama instituted Let’s Move!, Congress passed the Healthy, Hunger-Free Kids Act of 2010 authorizing USDA to set nutritional standards, USDA wrote those standards, and most schools in the United States went right ahead and implemented them.

The ostensible reason for the pushback?  Prevent waste.

3.  The Food Research and Action Center (FRAC) did an analysis of trends in student participation in school meals.

This  research firmly counters the idea that students are turning away from school meals in droves in order to avoid having to eat fruits and vegetables.  It cites the recession and the increased price of the lunches as the reasons for the decline in participation.

Writing in Politico, Helena Bottemiller Evich points to the politics:

Student rejection of fruits, vegetables and whole-grain products and declining participation has been a key part of the political debate over the push to relax some of the new standards. The move has sparked a battle that is expected to intensify this year as Congress looks to reauthorize the law governing school nutrition programs.

4.  Tom Stenzel, president and CEO of United Fresh Produce Association issued a response to SNA.

While we agree with many recommendations in the School Nutrition Association’s (SNA) 2015 Position Paper, we are deeply disappointed that SNA has chosen to continue its ill-advised fight against serving kids more fruits and vegetables in schools. The requirement that kids receive one-half cup of fruits or vegetables in school meals is being successfully met by tens of thousands of schools across the country. This is a modest step for the health of our children, especially in these critical learning years. When health classes teach students to make Half Their Plate consist of fruits and vegetables, it would be unconscionable for the school cafeteria to undercut that message by not serving at least one-half cup in school meals.

With friends like the SNA, school food advocates don’t need enemies.

Chalk this one up to food industry divide-and-conquer strategies.  Food companies pay SNA’s bills.  They get what they pay for.

The SNA ought to be the strongest advocate for healthier school meals.  It’s a tragedy that this organization has become the leading defender of junk food.

Oct 20 2014

Food professionals’ relationships with food companies: a Q and A

In the past few weeks, I’ve been sent several questions asking my opinion of food professionals’ relationships with food companies.   I thought I would deal with them at one time (all are edited for succinctness and clarity):

Q.  I am a food science student looking into career options in the food industry. I love food science and truly believe that processing food is a good idea that can positively impact the planet and its people.  I want to do something worthwhile,, but I still need to eat.  Can’t the food industry be changed from the inside? Can’t you advise good companies, people, or places where I could start my search? 

A.  I have met social entrepreneurs who strongly believe that businesses can be ethical, do good, and still make heaps of money.  Maybe so.  If you are going to try that route, I think it essential that the company be family or cooperatively owned, and not publicly traded.  You might take a look at food companies incorporated as Benefit Corporations. These are now authorized in about half the states to consider the interests of all stakeholders, not just shareholders, when making decisions.  They are different from B corporations certifying companies that meet certain sustainability criteria.

Many companies work hard to reduce their environmental impact.  But the real question is what they are doing about health impact.  Are they going overboard on health claims?  Are they marketing to children?  These are questions I’d want to ask.  In your shoes, I’d start by looking at companies making products that you like, feel good about, and would be proud to be associated with.   And then take a closer look at how the companies operate.   Working for food companies is always a good learning experience, but if you really want to change the world, you might be better off with a nonprofit agency.

Q.  I’m a graduate student in nutrition and I would like to know what recommendations you may have for students to navigate conflicts of interest with food companies when beginning a career.  I intend to pursue an academic career but am concerned that my credibility as a scientist could be compromised by my participation in industry-funded publications and research. 

A.  It’s great that you are asking such questions. From the standpoint of ethics, that’s an important first step.  You should most definitely publish your research, no matter how it is funded.  Be sure to disclose potential sources of funding bias and conflicts of interest.  While you are doing your research, you can take special care to control for potential biases—conscious and unconscious—in your study design, conduct, and interpretation to ensure that they are not influenced by the funder.  In searching for jobs, you might consider those in academia, government, and NGOs that are less likely to require you to compromise principles.  Finding such jobs may not be easy, but you will be OK if you are always ethically transparent and as straightforward about biases as it is possible to be.

Q.  Do you believe that relationships between the food industry and nutrition professional organizations like the Academy of Nutrition and Dietetics (AND) and the Association for Nutritional Science (ASN) are problematic? Why?

A.  Sponsorship by food product makers puts nutrition professionals in conflict of interest.   Nutritionists ought to be advising clients and the public about what to eat to stay healthy and prevent chronic disease.  This necessarily means promoting consumption of some foods but discouraging consumption of others.  Nutritionists cannot speak truth to clients and protect corporate sponsorship at the same time.  If nothing else, food industry sponsorship gives the appearance of conflict of interest and makes AND and ASN appear as arms of food company marketers.  But it also affects—or appears to affect–AND ’s and ASN’s positions on key issues in nutrition and health.  Overall, financial relationships between these organizations and their food industry sponsors undermines the credibility of their positions on food issues.

Q.  What sort of changes do you think the Academy needs to make in order to make food industry relationships more beneficial to its members and the public overall?

A.  Nutrition and food professional organizations need to establish a firewall between corporate sponsorship and content or opinion.  This requires setting up rigorous guidelines for what food companies can and cannot expect from their donations.  They should not, for example, be permitted to sponsor content sessions at meetings, not least because opinions expressed at sponsored sessions rarely appear objective.  The organizations should have complete control over how and where corporate donations and company logos are used.

Q.  How can relationships between health professionals and the food industry be beneficial for public health overall?

A.  The role of health professionals is to give the best advice possible about diet and health.  The role of food companies is to provide profits to shareholders.  These goals are not the same and are only rarely compatible.  In my experience, people who want to work for food companies to change corporate culture from within do so from good motives, but soon discover that corporate imperatives take precedence over health goals. If health professional organizations want their advice to be taken seriously, they must establish and adhere to rules and guidelines designed expressly to protect their integrity.

Q.  I read your post on the revolving door,  It seems to me that your underlying premise is the notion that any company that makes food is indicted as part of the big evil food conspiracy. Surely, you can’t really believe that. 

A.  Of course I don’t. But food companies are not social service agencies.   Their job—their legal responsibility—is to continuously expand sales and distribute ever-increasing profits to shareholders.   If they can do this and promote health at the same time, more power to them.  But people would be healthier eating food, not food products.  In our present system, products are far more profitable and the focus on them is rarely works in the interest of public health.

Food and nutrition professionals need to make a living.  Unfortunately, jobs in industry pay better–and sometimes a lot better–than jobs in government or NGOs.  That’s the real dilemma that underlies all of these questions.

Sep 8 2014

Trade issues: eye-glazing, but worth the trouble. Today: The Trans-Pacific Partnership (TPP)

Sunday’s New York Times discussed how foreign governments are dropping millions on Washington DC think tanks to fund reports explicitly designed to influence government agencies to set policies favorable to the donor country’s interests.  One such interest is food trade with Asia.

The line between scholarly research and lobbying can sometimes be hard to discern.

Last year, Japan began an effort to persuade American officials to accelerate negotiations over a free-trade agreement known as the Trans-Pacific Partnership (TPP), one of Japan’s top priorities. The country already had lobbyists on retainer, from the Washington firm of Akin Gump, but decided to embark on a broader campaign.

Akin Gump lobbyists approached several influential members of Congress and their staffs…seeking help in establishing a congressional caucus devoted to the partnership, lobbying records show. After those discussions, in October 2013, the lawmakers established just such a group, the Friends of the Trans-Pacific Partnership.

To bolster the new group’s credibility, Japanese officials sought validation from outside the halls of Congress. Within weeks, they received it from the Center for Strategic and International Studies, to which Japan has been a longtime donor. The center will not say how much money the government has given — or for what exactly — but an examination of its relationship with a state-funded entity called the Japan External Trade Organization provides a glimpse.

In the past four years, the organization has given the center at least $1.1 million for “research and consulting” to promote trade and direct investment between Japan and the United States. The center also houses visiting scholars from within the Japanese government…one Japanese diplomat…said the country expected favorable treatment in return for donations to think tanks.  “If we put actual money in, we want to have a good result for that money — as it is an investment,” he said.

Ah yes, the Trans-Pacific Partnership (TPP).  Let’s start with the context: The US has trade agreements with 20 countries.

These, says the US, provide many benefits:

Trade is critical to America’s prosperity – fueling economic growth, supporting good jobs at home, raising living standards and helping Americans provide for their families with affordable goods and services.

Obviously, Japan must think the TPP will do all that and more for Japan.

But trade negotiations run into trouble when one partner has higher food safety standards—Sanitary and Phytosanitary (SPS) Measures—than another.

This is an issue in current negotiations over the TPP.

Like other trade agreements, the negotiations are conducted in secret.

Over the past two years there has been a steady drip of stories about the secretive negotiations regarding the Trans Pacific Partnership (TPP). Members of Congress and congressional staffers have been stymied in their efforts to perform some measure of oversight while major corporations have reportedly been given unfettered access and influence over the deal. The public has been kept almost completely in the dark regarding negotiations that affect everything from food prices to our ability to innovate on the Internet…Historically, international trade negotiations have happened through the World Trade Organization…Trade negotiators have had trouble closing major deals over the past decade, in part because the public, and sometimes their elected officials, have stood up to decry these secret negotiations, demanding oversight opportunities and setting up websites to post leaked drafts of the agreements.

According to PoliticoPro, negotiations on TPP with Japan and 10 other countries in the Asia-Pacific region are close to conclusion, but pork producers, other farm groups, and Republicans are insisting that Japan eliminate all agricultural tariffs and completely open its market to U.S. agricultural exports.

Japan says it can offer improved market access but cannot eliminate all tariffs because of pressures from its own farm groups.

At the end of July, some House members demanded that Japan—and Canada—be dropped from the TPP if they do not agree to eliminating tariffs.

Trade negotiations work in predictable ways.  for example, despite the North American Free Trade Agreement (NAFTA—and also see this link— which allows unfettered imports from Mexico, the US is imposing tariffs on Mexican sugar to prevent flooding the US market with cheap supplies that undermine sales of US sugar (NAFTA allows this).

The moral: In trade agreements, each country looks to maximize its own interests.  Hence: Japan’s lobbying via Washington think tanks.

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Jul 21 2014

This week’s reading: The GMO Deception

Sheldon Krimsky and Jeremy Gruber, eds.  The GMO Deception: What You Need to Know about the Food, Corporations, and government Agencies Putting Our Families and Our Environment at Risk.  Skyhorse Publishing, 2014.

I did a blurb for this one:

GMO Deception brings together essays by specialists in a wide range of fields united in skepticism about the benefits of GMOs for reasons grounded in in biology, social science, politics, and ethics.  If you do not understand why there is so much opposition to GMOs, nationally and internationally, this book is the place to start.

Apr 11 2014

The secret life of food stamps: good for business

The writer Krissy Clark, in a collaboration between Marketplace and SLATE, has produced a remarkable series of articles (with audio and video) on business interests in SNAP, the Supplemental Nutrition Assistance Program formerly known as food stamps.

Here are brief excerpts:

The secret life of a food stamp, April 1

At a private dinner Walmart held for market analysts last fall in Bentonville, Ark., a company vice president estimated Walmart takes in 18 percent of all food stamp spending in the U.S….Meaning, Walmart took in more than $13 billion in revenue, or about 4 percent of Walmart’s total sales in the U.S.

So Walmart is likely the biggest single corporate beneficiary of SNAP, but it’s not just Walmart. A growing number of stores have baked food stamp funding into their business models since the Great Recession. The tally of stores authorized to accept food stamps has more than doubled since the year 2000, from big-box stores like Target and Costco to 7-Elevens and dollar stores. It’s a paradox that the more people are struggling to get by, the more valuable food stamps become for business.

Save money, live better, April 2

Although there are no federal numbers on where employed SNAP participants work, the state of Ohio…does keep a list of the top 50 companies with the most workers and their family members on food stamps. Ohio’s list includes lots of fast food chains and discount and big-box stores: McDonald’s, Target, Kroger supermarket, Dollar General. At the very top is Walmart, which had an average of more than 14,500 workers and family members on food stamps last year. If you take into account the average size of a family on food stamps, as many as 7,000 individual Walmart employees were on food stamps last year—nearly 15 percent of the company’s workforce across Ohio.

That means the same company that brings in the most food stamp dollars in revenue—an estimated $13 billion last year—also likely has the most employees using food stamps.

 Hungry for savings, April 3  

Like many anti-hunger advocates who receive donations from corporate retailers known for low wages, Elchert is in a tricky spot when it comes to addressing the paradoxes of the food stamp economy. His group gets financial support from Walmart and other food retailers. “When we’re talking a lot with corporations,” he says, “it’s one of those situations where, well, let’s talk about this in some way where we’re not offending them.”

I’ve talked about this issue in previous posts.  Here are some additional resources on the issue: