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    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).

You must read this. Take an hour if you have to.

Today’s New York Times has an excerpt from investigative reporter Michael Moss’s forthcoming book on the processed food industry’s push to engineer addictive foods. It’s a long article, more than 12 pages, but well worth the read.

The Extraordinary Science of Addictive Junk Food – NYTimes.com.

Superfoods and Magic Beans

“Top 10 (or 7, or 5, or whatever) Superfoods” lists seem to be popping up on the covers of all the in magazines this month. If I didn’t get a headache every time I tried it, I’d be rolling my eyes.

The classic bloated diet article with the even more classic bloated promise of magic beanhood is nothing new, I realize. But “superfoods”…

The premise of calling something a superfood is that if you eat this one special food, or at least shop your way down the list of 5, or 10, or whatever’s in the article, you’ll be so much healthier than someone who eats a regular food. Right?

Usually the items on these lists of so-called superfoods turn out to be expensive exotics like dried acai berries and pomegranate juice. Both of which just happen to have heavyhitter funding and marketing efforts behind branded packaged versions of them, and the companies that have started branding and marketing them have both recently come under FDA scrutiny for overinflated and unsubstantiated health claims.

Of course you don’t have to go branded to run into wide-eyed, breathless claims about supposed superfoods. More mundane choices like the sunflower seeds, green peas and garlic touted in this LA Times food section article are also now being highlighted as the new great green hope for America.

But not for the reasons that make the most sense–that these foods are relatively unprocessed vegetables, fruits, whole grains, nuts and seeds (occasionally someone remembers to add something from the beans and pulses category too). All of this vegetation has almost disappeared from the current mostly-processed, mostly restaurant diet of the American public. The general categories now touted as superfoods contain protein, fiber, vitamins and minerals. They’re wholesome and varied if you buy them fresh (or dried) and cook them yourself. Some of them are green (and they’re supposed to be!)

That’s in stark contrast to the now-standard and really dreary burger, ketchup, fries and soda that are all made out of the same three or four overused industrial ingredients (wheat, soy, corn and salt, with a little beef scrap or so thrown in for the burger, some leftover tomato paste for the ketchup, and much less potato than you’d think in the fries). I understand how something that’s actually recognizably plant-based would seem exotic and ultrahealthy in comparison. I do. Because frankly, you could take your soy-based green crayons and color a piece of all-natural bamboo-fiber cardboard and eat that and it would be healthier than the fast food special.

But does that mean vegetables, fruits, whole grains and nuts and seeds are suddenly superfoods?

What are superfoods supposed to be, exactly? Look at the captions for what’s so great about each featured food Continue reading

Food Mags Rethinking Salt

For years, lobbyists and nutrition pundits have insisted–hopefully or despairingly–that government public health campaigns to cut sodium in processed and restaurant foods wouldn’t really do much good, that the public wouldn’t pay attention, that they wouldn’t care enough or that they’d resent the guidelines advice so much that they’d never change their habits.

But the past year has brought the brining of America into the headlines and people are starting to pay attention. Especially with state-led nutrition labeling laws for restaurant chains, large diet/health studies, and citizen/government coalitions to pressure the food industry to reformulate down to sane salt levels.

Gourmet-leaning media have been especially slow to come around from the enthusiasm of exotically named and sourced salts and imitation of the aggressive restaurant-style use (and overuse) of salt as a texturizing chemical rather than for flavor. As late as January, I was still seeing frequent “famous chef” defense commentaries, on food shows and in publications from Salon.com to the New York Times, on the absolute necessity of salting food at every turn.

I hope it’s not just a one-issue fluke, but a quick scan of the July issues of Bon Appétit and Saveur shows that both have cut out the insidious, automatic “1 teaspoon of salt” they used to list in most of their recipes. Sunset magazine doesn’t seem to have caught on yet, but Good Housekeeping appears to be ditching the extra salt, so maybe we’re on the cusp of a better trend. And maybe next year I’ll have nothing to kvetch about.

It could happen.

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).

Salt reduction vs. hypertension meds–which would you choose?

One of the big complaints processed food companies, physicians in clinical practice, and the great gourmet media all have in common is that cutting back on salt would make food taste flat, and you as an individual wouldn’t necessarily get a big drop in your personal blood pressure from doing it. They argue that only “salt-sensitive” people have to worry about their intake, and anyway, a few points lower, they all say, isn’t really impressive enough to give up your 300-mg serving of sodium in a bowl of Kellogg’s raisin bran or 390 in a slice of La Brea sourdough. And don’t, for g-d’s sake, ask your favorite name brand celebrity chefs to stop salting early and often in each dish!

A big statistical modeling study in the New England Journal of Medicine this week knocks all this wishful thinking on the head, and does it very nicely. The study looked not at individual blood pressure drops but the health and cost benefit of dropping average salt intake by 3 grams a day over the entire U.S. population.

The researchers found that if everyone drops their salt intake back down, the benefits start to look like the ones from quitting smoking, cutting cholesterol and saturated fat, and losing weight to get to a normal BMI.

That’s because even when individual blood pressures drop by only a few points, they’re not going up (as they are today), and when a small average drop happens in a very large group, the big bell curve of disease shifts toward lower risk of consequences and later starts for developing heart disease and high blood pressure. After the first national cholesterol lowering guidelines were issued in the late 1960s, the nation’s heart disease and stroke risk dropped by about a third, and at least until obesity and blood pressure started to cause a back-reaction, the average age for a first heart attack went from 50 to 60 in men. That’s a huge kind of benefit.

The combined drop in heart disease and stroke deaths from cutting salt would be something like 200-400,000 people per year, a lot more than can be saved by simply putting everyone on blood pressure medications–the study made that comparison directly.

Altogether, a solid recommendation for dropping sodium levels in processed and restaurant foods, which make up about 80% of today’s sodium intake. And for not imitating processed food and chain restaurant thinking in your professional or home cooking, as Francis Lam seems to in his Salon.com commentary on the new NYC Department of Health initiative. And if there was any doubt that the Culinary Institute of America has been training Continue reading

Smart Choices Labeling Program Falls Apart

The FDA’s recent and surprisingly bold scrutiny of the Smart Choices food labeling program, coupled with wide public indignation over the program’s obviously inappropriate awards of healthy food status to processed foods without much actual merit, has left the industry-led nutrition rating effort in shreds.  In a recent followup to his initial article in the New York Times, William Neumann reports that the Smart Choices program has been suspended only about two months after going live, and participants like PepsiCo have pulled out altogether.  Kellogg’s, on the other hand, is “phasing out” its green checkmarked cereal boxes and announced that global marketing officer Celeste Clark  is staying on in good standing after what has amounted to a PR fiasco over Froot Loops. Makes you think they were the ones with the highest investment in the program to begin with, or that perhaps they were the company least likely to admit how transparently flimsy the program’s nutrition criteria had become to the rest of the country.

It’s the first time in quite a while that the FDA has taken on a big household-name food industry target in public without a lot of hemming and hawing and backpedaling and dealmaking. It gives me hope that at least some of the federal government is shifting gears to start serving the public again.

The great surprise for me is how little real effort it took to shut down the food industry’s program. Three or four years ago it might well have prevailed, and the processed food industry might have been able to keep inserting its priorities into the debates over nutrition without any effective logical check. But at a time when the nation’s gotten sick of being lied to so brazenly for so long about so many things–many of them more serious–corporate food tampering and misrepresentation of food quality are becoming hair-trigger topics. Not least because food is the easiest  for ordinary people to judge and to protest safely in the streets.

We can’t organize effectively enough to protect ourselves against the invasive, petty and obscene wastefulness of the Patriot Act as it has actually been applied. We can’t organize effectively enough to demand and get a proper, timely accounting of Guantanamo and the government’s use of torture there and abroad.

But we can talk food and nutrition and sustainability and corporate manipulation until the cows come home.

How else to explain the cult status of Michael Pollan? The rise of Fast Food Nation and Food, Inc.? The fights over school cafeteria vending machines and chain restaurant nutritional stats? The Smart Choices checkmark for Froot Loops, which people buy specifically for the artificial colors and know perfectly well is not really food, touched the match to a very big pile of sawdust.

And now the FDA is also on its way to strengthened oversight powers from Congress, including mandatory food recalls, not just recommendations for recall, to go after contamination of the food supply, and with any luck some extra funding to cover the actual field investigations needed.

It’s long overdue, but somehow it seems to me the FDA is being tasked with something the USDA should have been doing all these years and hasn’t. The USDA has more tools and resources at its disposal for doing food safety checks at the agricultural and manufacturing levels but because part of its mission is to boost agriculture, it has often dismissed these checks as unnecessary and even obstructed them, as in the case of routine meat testing for BSE and other infections.

The FDA is still supposed to protect the nation against food and nutritional claims fraud, though some of its targets appear to be of diminishing significance in comparison with preventing widespread salmonella and E. coli in the food supply. Smart Choices is obviously a big and publicly important target, but on the other hand, it seems to have been exposed and skewered satisfactorily already by public reporting of the Froot Loops fiasco. The FDA can ride the crest and put the final, perhaps critical, touch on it, but the agency’s gotten a huge boost this time around from public opinion.

Maybe that’s saved the FDA and the public some time and taxpayer dollars that won’t have to be spent going to court over it. Maybe it’s given them the nerve to work on the public’s behalf more daringly, knowing that the public actually does give a damn about its own well-being? Maybe things are really going to be different enough that they’ll go after the big offenders even when the public isn’t way ahead of them? We can only hope.

But frankly, I still want to see the USDA fulfill its responsibilities to protect the public and the food supply, and not abandon or subvert them in service to big agriculture and processed food firms. The FDA shouldn’t have to pick up after them.

The Case Against Bologna

(Beside the fact that I’ve never actually liked it, not even as a kid. Too flabby and bland.)

It would be so nice if once in a while, just occasionally–every other Thursday would probably be enough–the processed food industry judged nutritional value the way the CDC or NIH public health guidelines do. (The USDA and its Food Pyramid scheme, all versions, are too compromised toward the food industry for me to include.)

Take a small health column in today’s Washington PostJennifer LaRue Huget comments on Oscar Meyer’s claim that a classic peanut butter and jelly sandwich has nothing on a classic bologna sandwich for health. Their contention is that the bologna sandwich is healthier because it has only 4 grams of sugar, and somewhat less total fat than a sandwich’s worth of peanut butter, about 2 tablespoons.

Huget proceeds to tear that argument down with a simple look at the nutrition label stats for both and a smidgen of common sense–why would bologna have sugar in it anyway? The bologna has less total fat but somewhat more saturated fat and cholesterol, and it has only 3 grams of protein for peanut butter’s 8. And what about the salt–800 mg for a sandwich with a single slice of bologna, compared with a PBJ at 490 mg–which is still high by my standards, but I guess it’s salted peanut butter, and quite a bit of the salt is probably in the bread itself (incidentally, did Oscar Meyer include bread in its sodium count for the bologna sandwich? did it use the same kind of bread in the PBJ comparison? Hmmm….)

Well anyway, Huget doesn’t need to work too hard to make her case. Still, there are issues she doesn’t even scratch. Obviously Oscar Meyer is trying to play up its few nutritional points and hide its glaring weaknesses–most of the processed food players have been doing this aggressively for years now. We’re mostly inured to it, and frankly we expect bologna to be high-salt and kind of fatty. No big surprises there.

So let’s get back to the main strangeness of this comparison and ask the key questions: How could peanut butter possibly have more protein than bologna? Isn’t bologna meat? What’s going on?

I headed for the USDA Nutrient Database to find out. As much as I distrust the USDA’s dietary advice and its Food Pyramid, the nutrient database is pretty vast and pretty consistent, and its holdings aren’t branded.

The protein in bologna and most other processed sandwich meats–not just Oscar Meyer brand but others as well–is considerably lower than in the same amount of plain unprocessed cooked meat. We’re talking 3 grams of protein in a 28-gram (1-oz) slice.

Oscar Meyer’s bologna is made in descending order of “mechanically separated” chicken and pork bits and then a variety of corn derivatives, both syrup and starch, plus gelatin and other fillers.

Normally you look at the top two ingredients and think “Meat! That’s the main ingredient! It’s chock-full of protein!” Actual chicken and pork–the solid meat, not the skin or fat of the chicken, and not bacon–contain about 25 grams of protein per 100 grams of meat, according to the USDA nutrient database, or about 7 grams of protein per 28 grams of meat. Not 3 grams per 28. By the time you get to bologna, you’ve got less than half the protein of actual meat.

You have two possibilities here for how that happens:

1. The company’s definition of “chicken” and “pork” includes a hefty proportion of skin and solid fat most people trim away and throw out rather than eat when they buy actual chicken or pork. Fat doesn’t have protein in it but it does weigh something. Should it be allowed to qualify as “meat”?

2. The percentages of the chicken and pork bits in the bologna are just enough higher than those of each of the filler ingredients to qualify as leading ingredients on the label, but the actual proportion of chicken-plus-pork to the total filler is something under half.

So bologna leaves a lot to be desired even compared to an old standard like PBJ, especially today when you can get peanuts-only peanut butter without fillers, and fruit-only fruit spreads without added sugars or corn syrup. And you can look on the nutrition label to find out what’s in it and what it’s worth nutritionally.

But what disturbs me, even more than the clear and present need for Huget’s column to point out Oscar Meyer’s casual sophistry in this over-informed day and age, are some of the comments her column generated. The Washington Post has a pretty liberal comment policy on just about every opinion article.

I expected some type of Food Police accusations to crop up. I’m not sure they didn’t, eventually, but when I read the piece this morning, what struck me was just how many of the commenters waxed nostalgic about how much they loved bologna. How, even with all its and Oscar Meyer’s obvious flaws, they still craved bologna when they saw the word in print. Even when they’d actually read the whole article. Brought them right back to the good old days of the elementary school cafeteria. Worse, it brought them a specific craving for bologna with mayonnaise on white bread. That plus Velveeta to cap things off.  I ask you, is there any hope?

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

Smart Choices Checkmarks–Corrupt Before They Ever Hit the Cereal Box?

William Neumann of the New York Times takes a hard look at “Smart Choices”, the new food industry-sponsored common nutrition labeling program, which makes its debut in supermarket packaged food aisles. The coveted green checkmark comes with a hefty license fee–toward the $100,000 mark per item–for food companies that want to qualify, but apparently qualifying is a little easier than you might expect. The new program, headed by a nutritionist with impressive enough credentials,  has awarded healthy choice status to heavily sugared cereals like Froot Loops because, as she explains, they’re a better breakfast choice than, say, doughnuts. For sure.

How could any reputable nutritionist blurt something like that out to a New York Times reporter? Does she really use doughnuts as a benchmark for comparison when the question is “what should I feed my kid for breakfast?”

More to the point, how could items like Froot Loops end up qualifying as a smart choice? Apparently, the FDA is wondering the same thing.

Take a look at the Smart Choices program nutrition criteria. Under the program, a given processed food product qualifies as a “smart choice” if:

1. Its nutrition stats fall within consensus-defined limits for carbs, added sugars, fats, cholesterol, and sodium. But the criteria are not particularly consistent about whether these nutrition stats count for a single serving or a meal, or perhaps multiple servings throughout the day, and the upper limits shift between categories of foods. And some of the criteria have been muted, dropped, or subordinated according to the preferences of food industry members over the protests of the nutrition scientists.

2. It contains at least one positive nutrient from an industry-accepted list of vitamins, minerals, fiber, and protein. The positive nutrient can be an additive, and it can be added to an otherwise nutritionally useless food product.

3. Alternatively to the positive nutrient criterion, the product can contain or represent some aspect of the category “food groups to encourage”: fruits, vegetables, whole grains and low fat or non-fat milk. How much of any of these ingredients must be present, what their original source is, and whether the final food product retains any reasonable or comparable amount of the nutrition found in an unprocessed fruit, vegetable, grain, or dairy item which it claims to include are all a bit vague. Processed cheese is technically considered dairy, for example, even though it may contain mostly vegetable oils, starches, and emulsifiers, not milk.

Not all food categories seem to require both nutrient-of-concern limits and positive characteristics.

Finally, the instructions to companies wishing to qualify a given food product state: “Qualifying your products for the Smart Choices Program is quick and simple. Product review is typically completed in 24 – 48 hours.”

Pretty much says it all. And doesn’t really support the “science-based, consistent, reliable” claims the program presents to consumers and the media.

For further mirth and bemusement, check out Marion Nestle’s account of her discussions with Neumann and with the Kellogg’s VP for global nutrition on her blog.

Stuffed: A Food Industry Insider Attempts Moderation

It’s taken me over a week to read and figure out what I wanted to say about Stuffed: An Insider’s Look at Who’s [Really] Making America Fat. As usual, I’m about 6 or 7 months late to be the very first reviewer—I waited until my library acquired it. But having read it, I’m astonished that none of the bloggers, pro- or con-, have picked up on the fascination of reading a food politics book for its entertainment value as it unfolds and reveals its eccentricities. Because this is one strange concoction.

Hank Cardello, who spent most of his career as a marketing exec for General Mills, Coca Cola and other giants of the branded food world, is not the kind of player you’d expect to enter the current obesity debate, certainly not as a champion for health. His current organization is “a consulting firm that helps businesses take the lead on solving social issues.” Does that mean he’s pro-processed? Anti-processed? Well, not exactly.

Stuffed is neither a counterattack from the food industry nor the next go-green manifesto. It’s Cardello’s attempt to mediate between restaurant chains, supermarkets, Big Food manufacturers, Big Agro, the government, public schools, and pretty much every other player in food politics. It does pack some original insights about the interlock between food industry, government, and consumer behavior and a few genuine surprises among his recommendations—some reasonable, some so strange it’s worth reading just to find out how Big Food envisions its future.

Cardello spends the first part of his book dissecting the ways processed food companies, supermarkets and restaurants make decisions about the food they sell, and how they market it to consumers. Although some of it’s been done before–-usually with more indignation–-Cardello takes full advantage of his inside experience to shed light on the large web of influences surrounding profit, the bottom line, and manipulation of consumer perception and demand.

Why is a muffin or bagel twice as big as it was 30 years ago? How did Swanson’s TV dinners steer American expectations toward convenience over quality? Who decides what goes on the supermarket shelves? How did Pizza Hut get the cafeteria concession at your child’s school? How come the price of fruits and vegetables rose by 40% in a decade while the price of sodas and snacks fell?

His answers reveal the fundamental gridlock of businesses that have grown so successful that they can’t change easily without shutting down. Without exactly letting anyone off the hook for clinging to damaging business practices, Cardello contends that not only basic business constraints but government and consumer expectations are making it difficult to shift the system enough to improve the overall health of processed food. Continue reading