Currently browsing posts about: CSPI(Center for Science in the Public Interest)

I signed a letter organized by the Center for Science in the Public Interest calling on the FDA to do more to research front-of-package labels.

This is in response to the FDA’s announcement of what it plans to test in developing a front-of-package labeling scheme.

We asked the FDA for specific additions to the research proposals, among them this one:

• Consider testing additional High In scheme designs with attention-grabbing features like these:

We noted that the FDA states three goals for the research:

1. Participants’ ability to correctly interpret the nutritional profile of the product
2. The speed at which participants make their decisions
3. Whether or not participants search for more information to answer the question (i.e., whether they click a link to view the Nutrition Facts label)

We argued that

Of the three outcomes, we believe that participants’ ability to correctly interpret the nutritional profile of the product is the most important [because it is the only one that is independently and objectively desirable. In contrast, the desirability of faster decision-making is dependent on whether the decision is correct, and it is unclear what would be the more desirable outcome with respect to searching for the Nutrition Facts label. Searching for the Nutrition Facts label could be positive (if the labeling scheme spurs consumers to learn more about the product’s nutrition information and ingredients) or negative (if the labeling scheme is not noticeable or confusing and thus participants need to seek more information).

Front-of-package labeling has been in the works for a long time.  It’s great the FDA is getting to it.

In a strange partnership, the Nutrition Coalition and the Center for Science in the Public Interest (CSPI) are jointly complaining about the way the USDA and HHS have “disclosed” conflicts of interest among members of the 2025-2030 Dietary Guidelines Advisory Committee.

Why strange?  Because the Nutrition Coalition has long urged relaxations on advice about dietary fat, whereas CSPI has long urged restrictions.

Why “disclosed” in quotes?  Because the agencies’ disclosure statement lists the combined conflicts for the entire group, not for individual members of the committee.

Here’s the committee, courtesy of a tweet from Christopher Gardner.

Dietary Guidelines Advisory Committee

2nd in person meeting of DGAC this week.
Committee members are a pleasure to work with – thoughtful, critical, informed group.

HHS/USDA staff supporting the effort are an incredible resource! Wow!

2-year process is off to a great start! pic.twitter.com/6Cx5npxJcH

— Christopher Gardner (@GardnerPhD) May 13, 2023

Here is a small part of what the disclosure list looks like.

Because these are all jumbled together, you have to look hard to pull out the genuine conflicts—-relationships of committee members with food companies with vested interests in the outcome of the guidelines.

The Nutrition Coalition points out that USDA and HHS are failing to:

• Comply with a National Academies of Science report calling for publicly posting financial and nonfinancial biases and conflicts of interest of committee members.
• Fully adopt the National Academies’ 11 recommendations.
• Recognize the significance of the first-ever systematic review of a DGAC’s financial ties. This review found 95% of the 2020 DGAC members had at least one tie with a food or pharmaceutical company and half had 30 such ties or more.

In its statement, CSPI says that it, the Coalition, and 13 other groups are calling on the federal government to disclose potential financial conflicts of interest, including sources of research funding, speakers’ fees, and other relationships.

Press coverage, the statement says, “has already uncovered one 2025 Dietary Guidelines Advisory Committee member with a conflict of interest that seems relevant to their role.”

Comment:  I agree that the credibility of the committee and the guidelines depends on transparency, but it’s hard to know how much of a problem this is.

I wanted to compare the disclosure list to the research questions set by the agencies for the committee, but I can no longer find them online.

This reminds me that’s it’s hard to know how much influence the committee will have, in any case, now that the agencies set the research questions and write the actual guidelines.

The advisory committee is just that, advisory.  The agencies do not have to take its advice.

I will be following this closely.  Stay tuned.

Additions, May 17 (thanks to Jerry Mande)

• The original list of Proposed Scientific Questions
• The list as posted on the current website: Step 3: Advisory Committee Reviews Scientific Evidence

Center for Science in the Public Interest is campaigning for mandatory front-of-package labeling—like these.

Here’s what you need to know about the campaign:

• Comment from CSPI responding, point-by-point, to industry arguments opposing mandatory front-of-package labeling
• Sign-on comment filed in support of CSPI’s front-of-package labeling petition
  • Signatories include American Heart Association, American Cancer Society Cancer Action Network, American Public Health Association, Consumer Federation of America, Consumer Reports, and more
• Comment filed in response to FDA’s proposal to conduct quantitative research on front-of-package labeling
• Factsheet summarizing the importance of mandatory front-of-package labeling in the U.S. (from January)
• Factsheet summarizing findings of a public opinion poll commissioned by CSPI in March (we found widespread support for mandatory front-of-package labeling)

Guess what!  The food industry opposes this kind of labeling.  A lot.

Why?  Because it might discourage purchase of ultra-processed junk foods.  That, after all, is its point.

Bettina Siegel’s Lunch Tray blog had an item recently about a new report on the effects of food dyes on children’s behavior (her blog is behind a Substack paywall, but well worth the subscription).

This report makes it time to talk about food dyes again.  For starters, they have only one purpose: to sell ultra-processed (junk) foods.  Research shows that brightly colored candy, snacks, and sodas are perceived as tasting better than the grey alternatives.  The food industry needs cosmetic food dyes.  We don’t, especially if they are harmful.

The 311-page peer-reviewed report, from the California Environmental Protection Agency’s Office of Environmental Health Hazards Assessment (OEHHA), is a meta-analysis of animal studies and 27 human clinical trials dealing with the neurobehavioral effects of seven synthetic food dyes on children.

Its conclusion:

The scientific literature indicates that synthetic food dyes can impact neurobehavior in some children… current ADIs [FDA’s Acceptable Daily Intakes] may not provide adequate protection from neurobehavioral impacts in children. For some of the dyes… updated safe levels of exposure would be much lower.

The idea that synthetic food dyes are associated with adverse neurobehavioral outcomes in children, but that children vary in their sensitivity to these dyes, is hardly new information.

In the mid-1970s, the physician Ben Feingold associated food dyes with hyperactivity in children and developed the Feingold Diet to improve kids’ behavior.

Much of the evidence for the “Feingold hypothesis” rested on anecdotal reports by parents,

Scientists’ attempts to study the effects of food dyes gave mixed results.  For example, as I wrote in a blog post on March 31, 2011, consider two studies published by Science magazine in 1980:

• Researchers gave pills containing a mix of food additives to 40 children, 20 diagnosed as hyperactive and 20 not.  The children diagnosed with hyperactivity reacted to the food additive challenge but the other children did not (Science 1980;207:1485-87).  But this study used pills rather than foods, mixed additives, and used questionable methods for evaluating hyperactive behavior.
• Researchers attempted to correct for such problems by using two drinks that looked and tasted the same—one contained seven food colors while the other did not.   The study was designed carefully such that neither the kids, parents, or observers knew what the kids were drinking.  The result:  Twenty of the 22 kids showed no reaction to the dyes.  One child reacted to the dyes every time (Science 1980;207:1487-89).

The interpretation?  Some kids may react to food dyes.

This gave the FDA an excuse to do nothing.  But then,

• In 2007, a study in England associating food dyes with hyperactivity revived the issue.
• In 2008, the Center for Science in the Public Interest (CSPI) petitioned the FDA to bad food dyes associated with behavioral problems in children.
• In 2009, CSPI updated its Diet, ADHD & Behavior: A Quarter-Century Review
• In 2010, CSPI published Food Dyes: A Rainbow of Risks.
• In 2016, CSPI published Seeing Red: Time for Action on Food Dyes.

Today, the FDA says this about color additives in food:

FDA on color additives in food (2007):

So how safe are they? “Color additives are very safe when used properly…There is no such thing as absolute safety of any substance. In the case of a new color additive, FDA determines if there is ‘a reasonable certainty of no harm’ under the color additive’s proposed conditions of use.”

FDA on whether color additives are safe to eat (2018):

Yes, color additives are safe when they are used in accordance with with FDA regulations…our regulations specify:

• the types of foods in which it can be used,
• any maximum amounts allowed to be used, and
• how the color additive should be identified on the food label.

FDA on whether color additives affect the behavior of children (2018)

The FDA has reviewed and will continue to examine the effects of color additives on children’s behavior. The totality of scientific evidence indicates that most children have no adverse effects when consuming foods containing color additives, but some evidence suggests that certain children may be sensitive to them…Parents who wish to limit the amount of color additives in their children’s diet may check the food ingredient list on labels. Parents should also discuss any concerns with their family physician.

Well good luck with that.  The FDA can and should do better.

The bottom line: Food dyes have no health benefits.  Kids don’t need to be eating ultra-processed foods anyway.  They will not be harmed by avoiding food dyes.

CSPI has produced a lengthy and comprehensive comment on the new report. 

Given all of this, it’s surely time for the FDA to take some action.

Here’s something useful to do while waiting out the Coronavirus crisis: help preserve school nutrition standards.Dea

The Center for Science in the Public Interest has organized a call for action.

The USDA recently proposed changes that would weaken school nutrition. The latest proposal would allow students to choose pizza, French fries, and cookies regularly in place of a healthier school lunch. It would allow more French fries in place of carrots in school lunch, more fried hash browns in breakfast, and less fruit in some school breakfasts. These changes are on top of the 2018 school meal rollbacks that locked in unsafe levels of sodium and reduced whole grains.

Deadline for comments extended until April 22.

Here is what you can do to help:

• Submit a comment to the docket here.  If your organization needs  model (here is one).
• Get your social networks to generate individual comments. You can use CSPI’s online alert for this
• Sign a group letter by Friday, March 20. (download the letter here.)
• Spread the word through social media. CSPI provides some model Tweets:
  • @SecretarySonny @USDA announced plans to allow kids to choose pizza, French fries, and cookies regularly in place of a healthier school lunch—jeopardizing progress on school nutrition and could decrease meal participation, school revenue, and exacerbate stigma. http://bit.ly/protectschoolmeals
  • @USDA’s own data shows nutritional quality of school meals significantly increased, participation highest when meals are healthiest, and food waste has not increased. Yet @SecretarySonny announced plans to make school meals less healthy. http://bit.ly/protectschoolmeals
  • Hold the fries please: under @SecretarySonny @USDA’s plans, kids could get an additional eight cups of French fries over the week. Schools could serve potatoes every day for breakfast in place of fruit and more potatoes at lunch in place of carrots, cucumbers, and other veggies. http://bit.ly/protectschoolmeals
  • Breakfast in the classroom just got less healthy. Under @SecretarySonny @USDA’s plans, kids would have decreased access to whole fruit and could get more juice instead. Kids already drink plenty of juice and do not consume enough whole fruit. http://bit.ly/protectschoolmeals
  • Cakes, cookies, and donuts for little kids? Join us in stopping @SecretarySonny @USDA to allow grain-based desserts into child care and afterschool programs. http://bit.ly/protectschoolmeals
• CSPI also provides a model Facebook post:
  • The Trump Administration announced plans to roll back school nutrition. They’d allow students to choose pizza, French fries, and cookies regularly in place of a healthier school lunch. They would also allow more French fries in place of carrots in school lunch, more fried hash browns in breakfast, and less fruit in some school breakfasts. Tell the Trump administration: stop harming kids’ health. Please join us and our public health partners in urging the administration not to weaken nutrition for school children. http://bit.ly/protectschoolmeals

On May 4, the FDA gave food companies a gift when it announced a 1.5-year extension of compliance dates for the Nutrition Facts label.

We are taking this action because, after careful consideration, we have determined that additional time would help ensure that all manufacturers covered by the final rules have guidance from FDA to address, for example, certain technical questions we received after publication of the final rules, and that they have sufficient time to complete and print updated Nutrition Facts labels for their products before they are expected to be in compliance with the final rules.

On its website, the FDA now says:

The FDA extended the compliance dates for the Nutrition Facts and Supplement Facts label final rule and the Serving Size final rule, from July 26, 2018 to January 1, 2020, for manufacturers with $10 million or more in annual food sales. Manufacturers with less than $10 million in annual food sales would receive an extra year to comply – until January 1, 2021.

CSPI, understandably, is miffed:

The reality is that the labels are already on more than 29,000 products on grocery shelves, and more appear weekly.  So today’s announcement should be a call to action for companies to provide consumers the information they want now, rather than waiting for the legal deadline.

I’m going to be at the National Press Club in Washington DC tonight for the gala event celebrating the retirement of Michael Jacobson from 45 years as president of the Center for Science in the Public Interest.

I first met him in 1978 when he and his director of nutrition, Bonnie Liebman (dressed as Bonnie Broccoli), came to a conference I was keynoting on nutrition and health at the University of California San Francisco.  He’s been an inspiration to me ever since, not least for having been at it so long.

I love these photos of Bonnie and Mike in the 1970s and more recently (Source: Dan Charles in The Salt).

An inspiration indeed!  Congratulations to Mike and best wishes for a busy retirement.

The Center for Science in the Public Interest sent out a press release yesterday to announce a lawsuit filed on behalf of the nonprofit Praxis Project.

The complaint says Coca-Cola and its trade association, the American Beverage Association (ABA), mislead the public when they trash the science linking sugary drinks to obesity, type 2 diabetes, and the like.

It cites the August 2015 account in the New York Times of Coca-Cola’s funding of the Global Energy Balance Network, which aimed to shift attention from poor diets as a cause of obesity to lack of physical exercise.  Coca-Cola spent $120 million on research from 2010 to 2015 that could cast doubt on evidence linking health risks to sugary drinks.

It also cites quotations from officials of Coca-Cola and the ABA and researchers they fund “making false and deceptive statements about sugar-sweetened drinks.”  For example:

• Coca-Cola’s senior vice president, Katie Bayne, claims that “[t]here is no scientific evidence that connects sugary beverages to obesity.
• “Simply put, it is wrong to say beverages cause disease,” the ABA stated in another release.
• One of the scientists funded by Coca-Cola, Dr. Steven Blair, stated that “there is really virtually no compelling evidence” that sugar drinks are linked to the obesity epidemic.

The complaint also charges that Coca-Cola paid dietitians to promote sugary drinks; it quotes one dietitian who suggested that an eight-ounce soda could be a healthy snack, like “packs of almonds.”

It will be interesting to see how this lawsuit fares.  Stay tuned.