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    raw blueberry pie with microwaveable filling and graham cracker crust

    This mostly-raw blueberry pie is a snap to make and very versatile--the filling microwaves in a few minutes, and you don't even have to bake the zippy gingered graham cracker crust--perfect for a hot Fourth of July and all summer long.

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  • SlowFoodFast sometimes addresses general public health topics related to nutrition, heart disease, blood pressure, and diabetes. Because this is a blog with a personal point of view, my health and food politics entries often include my opinions on the trends I see, and I try to be as blatant as possible about that. None of these articles should be construed as specific medical advice for an individual case. I do try to keep to findings from well-vetted research sources and large, well-controlled studies, and I try not to sensationalize the science (though if they actually come up with a real cure for Type I diabetes in the next couple of years, I'm gonna be dancing in the streets with a hat that would put Carmen Miranda to shame. Consider yourself warned).

FDA Regulation–Too Slow on Salt?

The Washington Post carried a story today that the FDA is finally getting a move on and planning how to regulate salt in processed foods–after numerous and repeated failures of laissez-faire voluntary self-regulation attempts. It’s been a long time coming; the FDA has been petitioned repeatedly by the American Heart Association, the Center for Science in the Public Interest, and many other organizations, both private and governmental, and has always maintained up to this administration that salt was a “generally recognized as safe” ingredient.

So I’m glad that the FDA is finally making some effort to regulate sodium in food and drop the “generally recognized as safe” status. I’m unfortunately not amazed at all that they’re trying to drag it out to a 10-year process. People’s taste for salt can be downshifted significantly in two or three weeks on average, so there’s really no excuse for such a gradual decrease except for the manufacturer’s cost of reformulation. They seem to be pacifying the processed food manufacturers–all the classic  prechewed food industry claims about reduced customer satisfaction appear to be overtaking discussion and usurping the issue of health risk.

But what really gets me is the last quote in the article:

“Historically, consumers have found low-sodium products haven’t been of the quality that’s expected,” said Todd Abraham, senior vice president of research and nutrition for Kraft Foods. “We’re all trying to maintain the delicious quality of the product but one that consumers recognize as healthier.”

Tell the truth: Those foods aren’t really all that delicious now. It’s like admitting that heavy salt is the predominant flavoring (the other being cardboard).

Getting Sensitive to Snacks

In the past two weeks since my daughter returned to school as a newly diagnosed diabetic, we’ve started finding out just how many times a week students are presented with treat foods as extra snacks, even outside of what they bring from home. Happens at least twice a week. Why? They’re not in kindergarten.

I know I kind of “got into this” in my post two days ago about making hamantaschen lower in carbs. But my lingering amazement at the automatic and frequent food handouts in class, between snack and lunch even, got a boost this morning when I read the New York Times article by Tara Parker-Pope on the big rise in kids’ snacking over the past 30 years.

Barry Popkin, a nutrition researcher at UNC-Chapel Hill, and one of his students have just published an analysis of American kids’ snacking over the past 3o years. They compiled data from four national diet and health surveys and found that kids are now snacking an average of 3 times a day, mostly on cookies, chips, candy, sodas etc., not vegetables or whole fruits. They’re taking in more than a quarter of their daily energy, about 600 calories, from these low-nutrition processed foods. That’s 168 more calories on average than 30 years ago, and kids 2-6 seemed to be in even worse shape.

The percentage of kids who snacked at least once a day in 1977 was about 75%, but now it’s up to about 98%. About half the kids today snack 4 times or more per day. Some snack 10 times a day. What on earth?

This article in the NY Times “The Well” section was quickly followed by another in which Parker-Pope reviews countering arguments about the real harm a single cookie a day may or may not be doing. Studies cited a bit more vaguely than the Popkin study may suggest a lack of consistent benefit to insisting that everyone cut out a cookie a day to lose weight.

Will cutting out a cookie a day help if you’re eating other extras instead or not exercising? Maybe not–in fact, probably not. But I have to wonder why this hedging, wishy-washy kind of article followed so quickly on the heels of the report on the bigger study with hard numbers.  Does Parker-Pope’s second piece negate what Popkin and his student Carmen Pierna have reported on snacking trends? Not legitimately.

My daughter actually needs to eat a snack between meals these days. But she’s an exception, not only for needing it at age 9 but for eating a specific and limited snack with some nutrition to it in a timely, coordinated way rather than grabbing up unlimited treat foods without regard to the regular meal plan.

Automatic, constant, reason-free snacking–now not even limited to snack time!–is just not a necessity. It’s a habit that’s snowballed until it seems so normal people don’t even realize they’re doing it anymore or why it’s not a good idea.

All I can say is, it shouldn’t take having to be diabetic to notice the excess snack habit and steer clear. Is it time for the Great American Snack-Out?

Another Reason to Make Your Own Salad Dressings

My husband came home this weekend loaded down with leftovers from a brunch he’d helped set up. Among the cartons of pasta salad and regular salad and dubious mass-market hummus and two–two? really?–homemade onion pies was a jug of something reddish. It turned out to be more than a quart of prepared raspberry vinaigrette, the kind of thing a caterer would pick up at a bulk commodities store. More than we would ever use in a year, but let it pass. He meant well.

So we found space for most of the stuff in the fridge, threw out the hummus because we didn’t know if it had been dipped into or not, and then there was this jug of vinaigrette hanging out on the counter. I took a look at the ingredients. Canola oil (boring but expected), sugar (enhhh–not a fan of sweet salad dressings, personally), salt, distilled vinegar, raspberry extract was somewhere down in the lower middle, more for color than flavor no doubt, paprika extractives (so much easier than actual paprika?)…yada yada yada…some kind of starch and emulsifiers to keep the oil and vinegar more or less together…polyethylene glycol…

Bleagggh. PEG? As my college lab partner once remarked, in a toney City Line (Philadelphia) accent, “It smells so….bio-laahhhgical.” And it does.

Not to mention the “nutrition” counts–and here I mean the sodium count per serving, which alone, minus any actual salad fixings, comes to 240 mg. It’s not so hard to see why chain restaurant salads typically hover above 500 mg sodium and frequently up to 900 mg.

So a couple of suggestions:

1. Make your own salad dressings–it’s quick and they’ll be fresher. You don’t need exact recipes, do you? Try a few of these.

2. Don’t automatically add salt–get the majority of your dressing flavors from the real ingredients. The satisfaction of a salad dressing comes from a combination of tart and savory ingredients to startle and intrigue the palate and make the freshness of the salad itself more apparent, so start with that. Flavor your dressing with garlic or shallots, lemon juice or vinegar, mustard or sharp cheese, olive or walnut oil, maybe yogurt or buttermilk, herbs, etc., but flavor it, don’t salt it. Real ingredients are also less likely to suffer flavor fatigue–salt’s a moving target that most people stop being able to taste when they eat a lot of it habitually (see the Salt Rant).

2b. If you’re following a recent cookbook or food magazine recipe, there’s sure to be a routine, unthinkingly added teaspoon of salt called for in just about every recipe. That’s much more than you really need to enhance a salad or make the dressing piquant. But those recipes are based on restaurant think, where salt is the cheap substitute for the expensive ingredients that need to be stretched. You don’t have that problem–you’re not making vats of bleu cheese dressing on a shoestring budget, you’re making dinner.

So leave out the salt, mix everything else together, and taste.

3. Time is your friend. You can make a basic vinaigrette right at the table–a dollop of mustard, a few spoonfuls of red wine vinegar or lemon juice, a pinch of salt if you must, and a couple or so spoonfuls of olive oil whisked in. Maybe a few herbs or a clove of garlic to boost it, and cracked black peppercorns over the top. Or nasturtiums.

But if the dressing–a yogurt or buttermilk-based one, say– is mostly about herbs, garlic, onion, shallot, scallions, bleu cheese or the like, let the dressing sit awhile to develop. If you make a yogurt/buttermilk/herb and garlic ranch-style dressing a day ahead, it’ll be much stronger and also more integrated after a night in the fridge. Right before serving, taste a bit of lettuce in the dressing and see what you think. If you still feel like salt is genuinely missing after you taste it in action, add a pinch or two. Not more. You can always add more to your own serving at the table if you’re craving salt for its own sake, and you’ll have the advantage of being able to taste it because the crystals will be on the surface of the food, where your tastebuds can get to them easily.

4. Unless it’s just olive oil and red wine vinegar, don’t toss the dressing in before serving, let people dress their own. Not everybody likes or can tolerate every dressing, and everyone’s got their own right amount. If you have to dress the salad ahead for a banquet setup, do it lightly. Less is more.

Food as Barometer

The past week has seen a number of shock waves go through the food world.

Gourmet magazine’s announced closing yesterday is the latest and the one with the best PR. Gourmet‘s editor, Ruth Reichl, has turned what was once the flagship publication of foodie-ism into something more like Vogue for food–high-gloss, decorator restaurant food (the focus of her previous career) with recipes that ranged from routine to fanciful, from decadent but enticing to over-the-top, impractical, even wasteful and ridiculous, particularly in the last couple of years. A few memorable examples of the latter–lamb cooked with a stewing sauce that included something like a cup of whole coffee beans in an ingredient list some 20 or so items long, a chicken liver paté with a ton of added butter to simulate foie gras when that dish was outlawed in Chicago, and a chocolate and sesame butter tart with so many elaborate steps and so much extra fat in each layer–with nearly obvious clashes of flavor–you could practically choke.

Reichl, whose memoirs I have nonetheless enjoyed a great deal, seems to have been in on the official food world’s migration to recipe titles–and restaurant menu listings–so long they owe more to Proust, or perhaps Balzac, than to James Beard. Then again, Proust called madeleines madeleines, not “little ridged pure butter genoise microcakes with microplaned lime rind, baked in the shape of elongated shallow clamshells”. Goodness knows what today’s foodie superstar chefs would come up with for a title.

And yet Gourmet, with its glossy ads for show kitchens and olive oils and edible vacations in exotic locales, has tried to broaden readers’ ideas and ideals on occasion, and that’s Reichl’s influence too. If the cover one month showed coveted seating at a prestigious Paris restaurant, the tablecloth and glassware sternly hushed in preparation for the pre-theater crowd, or the cliffside view of an Italian trattoria table with a glass bowl in the foreground brimming voluptuously with prawns, greens, oysters and a coral-hued or purplish octopus, other issues sent staff into the mountainous inner reaches of China to report on the poverty and generosity of villagers there.

It’s hard to imagine how Reichl and her staff pictured reconciling the ultra-affluent with the world-conscious, and perhaps their attempts failed to convince either luxe advertisers or Condé Nast this year in particular. But I can see how Gourmet‘s underlying spirit of foodie-ism has led to the explosion of adventurous, hands-on food blogs of a younger working generation as they discover both real food and the desire to learn to cook it.

But Gourmet isn’t the most important food barometer, particularly because it represents a shrinking target audience at the top of the food chain, as it were. Rumbles farther down the scale have been quieter but with any luck perhaps one hopeful sign will be more lasting and more influential.

Last Thursday, the L.A. Times reported that the federal WIC  (Women, Infants and Children) food supplement program will now allow participants to spend their vouchers on fresh produce and whole grains. The allowance isn’t really big– $6/month per eligible child, $8 per pregnant woman or mother of a child under 5, and $10 per nursing mother, or about $14/month on average for a typical family, but it’s a start.

More promising is that the changes would push stores that want to accept WIC vouchers to stock fresh produce and whole grains. That might put at least modest quantities of decent foods within reach in lots of inner city neighborhoods, and it means farmers’ markets can also start qualifying to accept vouchers.

In the Los Angeles area and Orange County, the WIC program is especially important–out of more than 12 million people, something like 316,000 low-income people are enrolled in WIC. More than 8 million people are enrolled nationwide at a cost of slightly under $7 billion per year, with vouchers of about $60 total per family per month. Less than $1000 per family per year even counting the administrative costs of the program. It makes the Food Stamp program seem generous by comparison.

The new shift toward allowing fruits, vegetables, and whole grains under WIC isn’t adding anything to the total Congress allots–the cost for these vouchers has been taken from some of the dairy and juice allowance. But local WIC officers are still grateful and think it’ll make a big difference to their clients, some of whose children have never tasted fresh broccoli.

It’s a far cry from the fuss over the blight on homegrown heirloom tomatoes in the northeastern states this summer.

Can Better Nutrition Curb Violence?

In the news section of the journal Science this week comes word of a new UK diet study that may have significance for the general population. Researchers have set up a large double-blind study at a prison in Scotland to test the possible effect of nutritional supplementation — vitamins, minerals, and essential fatty acids — on lowering the frequency of violence. Listen to Science news correspondent John Bohannon’s podcast.

It’s not the first study of its kind–about 30 years of studies in both prisons and schools suggest that diet can affect antisocial behavior–but it’s the biggest and best-designed one to date. Because the study is double-blind, neither the researchers nor the prisoners participating know which ones are getting vitamin supplements and which are getting placebos.  The researchers are also conducting cognitive and behavioral tests and taking blood samples in the subjects both before and after the study so they can try to trace which of 12 essential vitamins, minerals, and essential fatty acids make some kind of a difference to behavior.

The researchers say that, at least anecdotally, incidents at the prison seem to have dropped from two per day to one per day in the few months since the study began, but it’s too soon to tell why or whether the new nutritional supplementation or the study as a whole has anything to do with it. Solid results from the study itself won’t be in until 2012.

If the study does show a real connection between malnutrition and violence in prisons, it may also have implications for school cafeteria food offerings and the fate of American civility under a massively processed diet (or am I reading in based on last week’s live and unscripted entertainments, all three or so, on national television?). It could also bolster current efforts to attract grocery stores to poor urban neighborhoods where fresh foods are scarce–such as the municipal zoning and tax incentives approved yesterday in New York City.

And that brings me to my reservation about this study–the researchers are studying improved nutrition, but they’re attempting to improve the prisoners’ nutrition with supplements–vitamin pills–and not with a better integrated diet.

The prison study is kind of bare-bones in that the outcome they’re looking to measure  is a drop in violent behavior. Certainly using vitamin supplements and placebo pills is a neat, controllable way to study nutritional supplementation–neater and more precise than testing whole-foods kinds of diets. I’m not saying it’s the wrong way to design this particular study, and if it’s a real improvement in nutrition over the usual prison diet, then it may actually work well enough. But it’s something that’s just begging for exploitation if it does work, because magic bullet-style remedies are so popular in the world of Big Food, government, and even the general public.

In poor neighborhoods, prisons, and other places where malnutrition is common, vitamin and other nutritional supplements may be the fastest, most efficient and inexpensive way to remedy the severe shortages of fresh unprocessed food. That’s what those pills were designed to do, back in the days when there wasn’t much junk food or fast food, and malnutrition walked with starvation, not obesity. And I would never begrudge anyone who needs them. But they shouldn’t become the end of the road.

I reject the idea that you can feed people any kind of processed slop, and as long as you dose it or them with vitamin pills, everything will be great. I know, I know, that’s partly because I like to cook actual food and think processed stuff tastes a lot more like the cardboard and styrofoam packaging it came in than the packaging itself.

I also know I’m out of step. The fact is that people have been eating this way for a generation or more. Vitamin pills have been around in both adult and children’s versions, heavily advertised on TV, since I was a kid. And they’re really cheap–cheaper than fresh food. And even so they’re very high-profit margin items.

In the larger context I would hope that for most people, the big take-home message from the study (if it proves a connection) doesn’t become, “Just add more processed vitamins to processed food–that’s eating twice as healthy!”

Outside of prison walls, I want to see vulnerable neighborhoods get grocery stores that sell fresh produce at affordable prices. Ironically, up to now, the only major grocery chain willing to take on America’s inner city neighborhoods (before the offer of zoning and tax incentives as far as I know) has been the UK’s Tesco, not an American chain.

Tesco has been trying to get its small-scale Fresh&Easy markets up to speed now for two years. In April, news tickers reported shortfalls for the Fresh&Easy stores, some of which were built, stocked, and then left shuttered–they’d expanded too quickly and US pundits at the time thought they hadn’t really tested their markets well enough ahead of opening.

But in fact since that time, most of the open ones have stayed open, and few have actually failed–maybe 15 percent. The new incentives should help attract American supermarkets, but so should the relative success of Tesco’s model in what everyone expects to be a high-fail zone. If they can hang on they might change the game and make inner city life more civilized and more livable. Who knows? Now Whole Foods is mulling it over.

You want fries with that?

You have no idea how much I’m looking forward to tomorrow at 8:35 a.m. That will be a good five minutes after the start of the parental summer relief program known best as Back to School. I’m counting down the minutes as we speak.

With the return to school, public debates over what children should eat and how parents should or shouldn’t step in have intensified. Obesity, the selling out of school cafeterias, new restrictions on sodas and junk food in said cafeterias, and the diet of choice at home are the topics of the day–all underlined with a sense of rising panic.

This year more than any other I can remember, reporters, bloggers, doctors, models, political figures, and just about everyone else has jumped on the bandwagon to report the ugly facts that were excused for years.

All the statistics are in–or pretty much so, and they boil down to this: We’re facing a tidal wave of blubber.

With it comes a tidal wave of early heart disease, diabetes, kidney disease, and more. How early? Physicians are seeing a rise in the diseases of middle age–something that, 20 years ago, had been successfully pushed back by an average of 10 years, from age 50 or so to age 60 and up for a first heart attack. We thought we were making progress. But for the past 10 to 15 years,  these diseases have started popping up in school children–Type II diabetes, kidney stones, high blood cholesterol and high blood pressure. No way should a 10-year-old be facing these threats.   No wonder parents and everyone else are panicked–the studies we have aren’t giving us a single, easy-to-deal-with  definitive  guide on how to stop the juggernaut. They mostly tell us that it keeps on rolling.

But the mystery of what to do really isn’t that mysterious. Take for example the responses to Frank Bruni’s recent article in the New York Times on feeding children. Some come from doctors on the front lines, others from nutritionists and fresh-food-in-schools activists, discussing different facets of the problem, but they come to a number of sensible recommendations you could probably have named yourself without much struggle.

The conclusions?

Sodas should be cut out altogether from children’s (and probably everyone’s) daily diet. Not just for calories (250ish for a 20-oz bottle–and why is it 20 0z these days? used to be 12 was the standard) but for sodium (about 100 mg per 12-oz can, whether full-cal or diet, 200+ for the 20-oz).

Fruit juices with a pretty picture on the box are nowhere near qualifying as actual fruit. Not even with added vitamin C.

And exercise time, including outdoor recess–something most schools have cut back in the past decades–makes a big difference that’s generally overlooked in the school lunch debates.

So far, no great surprises. But they do mention one more item, also no great surprise–fast food in the school cafeterias.  Nobody seems to have trouble zeroing in on french fries as the worst offender. Are they right or is this a replay of the cupcake wars? Is the french fry being unjustly accused, as the vendors claim?

Continue reading

Pack your own lunch

It’s almost time to head back to school, and my daughter’s finally old enough to pack her own lunch. Not that she wasn’t actually old enough last year. But now she wants to.

When I was nine, I’d been making my own school lunches for at least a year, if only to save my sandwiches from my mother’s clutches and keep her from adding butter to the jam–something that did, and still does, make me absolutely nauseous. Emergency grossout prevention is the mother of lunch-making independence.

As many of my friends with same-age kids do, I worry that I haven’t been pushing my daughter hard enough toward independence by having her fix her own lunch. Is it too late to impart the mysteries of the toaster oven? But all is not lost–the other morning she figured out how to cut up her own apples (she has braces and our orthodontist “charges extra for stupidity-related bracket repairs”). She doesn’t appear to have lost any fingers. So we’re good to go!

Which is fortunate because lately I’ve been seeing a slew of new books on how to pack your kid’s lunch–they range from “here are all the vegan-friendly brand-names that look just like everyone else’s school lunch, only cooler” to Alice Waters insisting that the first step is growing your own school garden (which I’m actually in favor of, but not if it means waiting 6-8 weeks for your lunch to germinate).

Few of these fabulously sophisticated new books even consider the things I took to school every day as a kid–peanut butter and jelly, apple, carrots and celery. Or peanut butter and jelly, orange, carrots and celery. My mother was dull. My sister and I had no cool foods like Ho-Hos or Cheetos to distract us, and we usually ate at least some of the vegetables and the apple. Actually, so did most of the other kids in our school. It was that or suffer the cafeteria kale. And almost no one was fat. I’d like to point that out.

Hip mamas today (mostly those still in their 30s) look horrified at my daughter’s lunches because out there in hipland PBJ on whole wheat is so…so ’70s. It doesn’t contain any of the seventy-two essential nutritional supplement buzzwords (like selenium and phytoestrogens and antioxidant) they’re convinced all healthy food has to have (well, it’s true you have to have those things on the label to compete in the ads). And it has fat. And sugar!

But you know what? A decent peanut butter and jelly sandwich on whole wheat is a lot better deal nutritionally than most of the prepackaged, often self-righteously labeled, crap the hip kids bring to school these days. Much of it is along the lines of Kraft Foods’ “Lunchables”–a processed meat and cheese cracker kind of thing packed with some ersatz juice and faky side items like jello and  candies (not even, as I check belatedly, a tiny tin of applesauce–and check out the Lunchables nutrition and ingredient stats!). But you know how popular these things are–because they’re a kit. Buy five boxes, throw one  in your kid’s backpack each day. They stack neatly in the pantry.

Very few of these children ever bring a substantial serving of fresh vegetables or actual fruit–not even apples. Those require washing, peeling–maybe even cutting up. And sometimes the apples turn a little brown on the cut sides. Organic fair-trade labeling aside, any remotely fruit-like substances in the hip-kids’ lunch bags arrive in a rectangular cardboard box with a plastic overwrap, a plastic straw attached, and a sanitized-for-your-protection seal. No wonder they stare.

Anatomy of a PBJ:

Straight-up peanuts-only butter (no salt, no sugars, no mono- and diglycerides, no emulsifiers or BHT or “natural flavoring” or any of the rest of it) has about 16 grams of fat per 2 T (1 oz) serving. True. Absolutely true. But it’s not the same as the heart-stopping blubber you find on a piece of meat, so stop shrieking. Most of the oil in natural peanut butter is polyunsaturated (the “good fat” kind of fat). And it separates (because of the lack of fakery and emulsifiers) so you can pour off a good bit of it if you want to when you first open the jar.

Furthermore, the same peanuts-only peanut butter contains 8 g protein, 3 g fiber, almost no sodium, and about 210 mg potassium. And a little iron. It’s a pretty good deal for a kid’s lunch item at about 200 calories.

Two slices of whole wheat bread without too much sodium or garbage ingredients gives you another 200 calories–we’re up to 400, but only 3 g. saturated fat, another 3-7 g fiber, another 4-6 g protein, and with a little care preferably less than 400 mg sodium (all from the bread). Add a spoonful of all-fruit jam with 8 g sugar, at about 35 calories, and you have something that will get your kid through school without tears or big sugar highs and lows.

It doesn’t have big vitamin- and calcium-fortified labeling. It doesn’t have a label. It’s not supposed to do it all on its own. Your kid will eat about half, maybe the whole thing if he or she is growing fast or running around a lot that week. But he or she will get the vitamins and calcium from the other things in the lunchbox–some crunchy raw vegetables and an apple or orange and a thermos or carton of plain unsweetened milk. That’s it and that’s enough.

Do your kid a huge favor and leave out all the chips, chocolate, go-gurt (real milk-and-cultures yogurt is ok, not the fake tapioca- and gelatin-stretched stuff), cookies, jello, sorta-applesauce, and fluorescent boxes of juice. School is hard enough without sugar crashes or cavities, and they don’t need any of it to have a good day.

Oh yeah. And for crying out loud, please skip the sushi. Your kid does NOT need to be that hip in the school cafeteria. Or that sick, if the sushi doesn’t stay cold enough.

(Why yes, I live in Southern California. What gave it away?)

How to Eat Vegetables and Lose Weight and Save the Planet (Without Really Trying)

One of my favorite stops at the New York Times online is Mark Bittman’s “The Minimalist” column, a series of 5-minute videos in which he demonstrates simple but pretty good cooking with clear and manageable directions and an easy close-up view of the pots and pans in action.

I’d say he takes a no-nonsense approach to cooking, but that would be misleading. He takes a full-nonsense, marble rye approach to the patter while doing some very basic common sense things like cutting up, mixing, and sauteing. And he features vegetables prominently.

Bittman,  recently seen schmoozing around Spain in a top-down convertible,on PBS yet, with Gwyneth Paltrow and Michael Stipe and occasionally Mario Batali and trying to look interested in the food (which somehow got upstaged, can’t imagine how), is the author of several big yellow cookbooks, notably How to Cook Everything in both meat-eater and vegetarian editions.

This year he’s come out with a new, slimmer volume called Food Matters: A Guide to Conscious Eating* (and the asterisk leads to: *With More than 75 Recipes).

Unfortunately, we have to disregard the fact that Bittman’s title manages to evoke both Phil McGraw’s Self Matters and David Reuben, M.D.’s 1970s classic romp, Everything You Always Wanted to Know About Sex* … *But Were Afraid to Ask (or, more happily, Woody Allen’s movie send-up of same). This is a Serious Book. And like many Serious Books today (and anything at all with a “go green” theme), it’s a hybrid vehicle.

Between the asterisks on the cover sits a Granny Smith apple photoshopped with a map of the world and a red label, “Lose Weight, Heal the Planet.” The back blurb reads, “…the same lifestyle choice could help you lose weight, reduce your risk of many long-term or chronic diseases, save you real money, and help stop global warming…”

Food Matters is Bittman’s argument for getting the lard out and the greens in, for the sake of health, looks, and planet (quick, look holistic and place your hands reverently over your heart, if you can find it). The first half of the book is a set of essays reporting on the state of Big Food in the U.S., the state of obesity, the state of greenhouse gases and the global cost of raising a serving of beef as opposed to a serving of broccoli or tomatoes or whole grains.

Following Michael Pollan’s now-famous dictum “Eat food. Not too much. Mostly plants,” and citing him heavily, Bittman sets out to encourage readers to replace at least some of the earth-taxing meat and dairy in their daily eating with…plants. Which makes sense, of course.

The second half is a primer, with recipes, on how to eat more vegetation. Given that his pitch is geared at least partly to a male audience (he also writes a food column for Men’s Health, and the tone here is similar), you’d think his advice on the quickest route to getting vegetables into one’s diet would involve the least fuss: just wash and nosh. But no.

Bittman used to edit Cook’s magazine and the cookbooks he writes today do tend to feature recipes. It’s a common downfall, but what can you do? Continue reading

“But it’s organic! But it’s vegetarian!”

Vegetarian and organic foods are gaining popularity in supermarkets around the country–it’s been happening for at least a decade. Vegetarian- and organic-seeking customers assume they’re getting something closer to fresh if it’s labeled vegetarian or organic, and most of them also assume that vegetarian automatically means healthy. So, apparently, do nutrition researchers when they’re not really thinking hard enough.

The American Dietetic Association recently announced–again, updating from 1997–that vegetarian and vegan diets can be healthful at all stages of life from infancy onward and posted suggestions for getting started. Keyword here is “can”.

The idea of easing into a less-meat diet in stages by cooking familiar foods and familiar ingredients as far as possible is understandable. The Vegetarian Nutrition practice group of the ADA is trying to reach people they think are likely to panic at the suggestion of not eating meat. Unfortunately, the suggestions that top the list are mostly for processed meat substitutes, jarred pasta sauces, canned beans, boxed rice mixes and the like, rather than a dietary framework for eating fresh whole-ingredient vegetarian foods.

In the health section of the LA Times online, where I first read about the ADA’s statement last week,  many reader comments objected to this approach primarily because the major brands of veggie hot dogs and hamburgers tend to have long, improbable ingredient lists and very high salt. After a casual tour of the sauces-soups-and-rice-mixes section at my local Whole Foods, it’s an objection I second even more strongly.

For several years now I’ve had reservations about the processed food industry’s tendency to throw salt at anything and everything. Vegetarian and organic food is supposed to be better. Fresher, better-tasting, realer, more nutritious, healthier, more responsible for the planet, the animal world, and the customer. In a word, BETTER.

Nice intentions aside, most of the vegetarian and organic products companies these days seem to be trying as hard as they can to keep up with or even surpass the meat-eating Joneses–the big-brand pantry staples from Stouffer’s, Swanson’s, Kraft Foods, Campbell’s, and so on.  They’re still claiming the health and planet virtues of vegetarian and organic, but they’re actually processing the hell out of their foods, adding all kinds of laundry-list mystery ingredients, and salting them out of all reason. And health-and-planet-conscious consumers are flocking to them without bothering to look hard at the nutrition labels. How have we come to such a pass? Continue reading

Misunderstanding Salt Research: Bon Appetit’s Shameful “Health Wise” Column

I started this blog last spring more or less just to test out blogging lightheartedly about food. However, I have just read Bon Appetit‘s appalling “Health Wise” column from the May issue, “The Saline Solution” by John Hastings.

I do actually love to cook and eat well, and that’s my main purpose for this blog, but seeing this kind of blithely irresponsible “health” advice on salt makes my blood boil (not appetizing). Worse, it starts dragging me back to my work roots and up on my soapbox (also not appetizing, though kind of fun), because I trained as a biochemist and worked for several years as a science journalist. I worked for the National Heart, Lung, and Blood Institute at NIH at the time some of the bigger studies Hastings refers to were first being published. It was my job to know about them and write about them in plain (and preferably short) English for Congress and the public. To do it I talked to national experts, interviewed the leaders of the National High Blood Pressure Education Program, and combed through a century’s worth of research on salt and high blood pressure.

But you don’t have to be a scientist to find this stuff out. Descriptions of the studies AND their updates AND the reasoning behind the basic public health guidelines calling for Americans to watch their salt AND how to do it without eating a restricted diet of cardboard and baby cereal are all easily available from the NHLBI web site or the American Heart Association.

Hastings, a former editor of Prevention and health column contributor to O, the Oprah Magazine, is someone you’d expect to be reasonably accurate in reporting health research findings. But here he gets the science on salt and high blood pressure just about as backwards and upside down as he possibly can.

Worse yet, he does it in a strangely breezy, cheerleading tone that’s really hard to believe.

Hastings’ argument goes something like this:

…here’s a little secret: salt isn’t a problem. If that sounds crazy, it’s because the public health message about salt causing high blood pressure has been very, very effective, and it’s backed by reams of scientific research…Upon this, nearly everyone agrees. The controversy arises when you ask experts about the connection between salt intake and high blood pressure…All of this is fantastic news for those of us who are already cooking with high-quality meats and farmers’-market produce…

Did you follow all that? Probably you felt like you did for the few seconds you were reading it, but look again and you start to pick out the self-contradictions–“If it sounds crazy” that salt isn’t a problem, “it’s because the public health message that salt causes high blood pressure… is backed by reams of scientific research.”

Well, yes it is. The way Hastings phrases it, you’re supposed to think that was a bad thing, that health research in general and carefully designed tests of the effects of diet on cardiovascular health in particular are part of some kind of unnamed conspiracy against the public’s right to eat every bit of salt it can get.  Personally, I’d rather that broad public health messages were backed by reams of scientific research rather than by some diet guru or brand-name chef’s nutritional fantasy that will help sell his next book or tv program, or–more realistically–by corporate marketing and pressure campaigns from big pharma and big agro. Of course, it’s less profitable if people simply eat less salt–and less processed food–and never develop hypertension in the first place than if they eat salt like it’s going out of style and call it gourmet, and then have to make up for their diet by taking hypertension pills…hmm. Food, Inc., anyone?

“Upon this nearly everyone agrees”, but somehow there’s still a great controversy over it? Really? No. Not really.

The vast majority of salt researchers look at the bulk of the study results and conclude–repeatedly, for decades now–that salt is, in fact, a direct and modifiable risk factor for hypertension (high blood pressure). Which is both a disease in its own right and a leading risk factor for heart disease, stroke, and chronic kidney disease. Combine that with the fact that the average current salt intake is about twice what the consensus guidelines recommend and that more than half the adult population in the U.S. is crossing the line into overweight and obesity–and…well, yes.

Salt IS actually a health problem for most people. Gee.

The Bon Appetit article is a jumble of self-contradictions and serious misinterpretations of the findings from two older salt research studies, one of which has since been revised,  plus a cherry-picking recent review that comes to a different conclusion about salt than most of the other reviews of the same data on diet and health. That one comes from the lab of Mickey Alderman, an otherwise eminent researcher who just happens to be a long-time, much-trumpeted advisor and consultant for the Salt Institute.

Hastings  doesn’t indicate that he interviewed the man or even recognized his name on the journal article, but he should have. Anytime somebody in the media wants to come up with the magical–and really, really popular–conclusion that lots of salt, any day, any time, anywhere, please add more, is perfectly harmless and even good for you, they go to Mickey Alderman because they can paint him as a lone hero against the Food Police (the typical name they give the National Institutes of Health and the American Heart Association in such cases). Because what Alderman will say–with precision, but with disregard for the bigger public health picture–is that high salt intake isn’t directly proven to cause death from cardiovascular disease.

And it isn’t. It can’t be proven directly in a well-controlled diet study large enough to reach statistical significance, because that would require thousands of participants to follow a carefully prepared diet throughout their entire lifetimes, with no deviations for dates, wedding receptions, pizza parties, etc., and it would take 50-75 years to collect the majority of the data. You’d literally have to wait until most of the participants died before you could make a public health recommendation about salt. And the cost of doing that study “right” would run into the billions. It would bankrupt the federal science budget. And maybe a few other budgets as well.

That’s why the NHLBI and the AHA have sponsored studies that look at signs of developing cardiovascular illness–heart attacks, stroke, phlebitis, high blood pressure, kidney disease–rather than death. When you look at these ailments, you find that dietary salt actually matters quite a bit–contrary to what Hastings thought he understood from the studies he mentions.

Continue reading