Monday, February 23, 2015

Big Brother is watching...what you eat!

This is the second in a series of articles about the food industry and its impact on society.

As part of my recent quest to eat healthier foods, I began consuming (with my eyes and ears) a few videos on healthful eating. Hungry for Change emphasizes how eating processed and refined foods deprives us of necessary nutrients while overfilling our bodies with more calories than we need for our mostly sedentary lifestyles. Meanwhile, it goes on, crash diet culture tells us that avoiding certain foods for a short time will allow us to lose weight, which usually doesn’t work. The panel of contributors advocates instead that we transition to a healthy lifestyle including mostly unprocessed whole foods, sufficient rest and exercise, and generally surrounding oneself with positivity.

Forks Over Knives explains how food is responsible for the poor health of many Americans, most of whom then seek cures via pharmaceutical drugs and surgeries. The doctors featured have found themselves shunned to the fringes of the medical community despite their patients’ ability to overcome serious illnesses by eating whole-food, plant-based diets.

I also watched a few TED Talks compiled as Netflix’s “Chew on This” series, feeling utterly informed and empowered by Jamie Oliver’s quest to improve nutrition in schools and surrounding communities, Dan Barber’s concerns about sustainable fish, Mark Bittman’s lamentation over current societal norms when it comes to food, and Graham Hill’s strategy of weekday vegetarianism.

One central theme of particular import to this blog is the notion of unhealthy eating as an overarching societal problem. On the one hand, hearing the numbers – how many Americans suffer from obesity, heart disease, diabetes, high blood pressure; how much meat we eat per year; how much of the rain forest has been destroyed because of how much meat we eat per year – gave me an overwhelming sense of guilt. But almost immediately, my skepticism kicked in and I felt indignant about avoiding some kind of trap. “That’s just what they want me to feel! Why should I stop eating meat and dairy in moderation because so many other people overindulge and need quadruple bypass surgery?” For my own reasons, I eventually settled on trying to eat healthier. Moreover, personal quests for healthy eating aside, I came to realize that the collective problem of lousy nutrition and our failing health is exactly what concerns me as a consumer protection attorney.

Numerous factors have conspired to result in our present state of eating as a society.  As I discussed previously, the food industry has relied on corn as its staple input due to its abundance and the low cost in using it to make a variety of products. One of the documentary food experts went so far as to say that “we’re not eating food anymore; we’re eating ‘food-like products.’” In his TED Talk, Mark Bittman discussed early-20th century cuisine, wherein dishes didn’t have “ingredients” because you were simply eating one food at a time. Contrast today’s supermarkets, shelves stocked with boxed foods containing any number of nutritional (not to mention chemical) components.

Because they’re produced on a massive scale with many synthesized ingredients, packaged creations are relatively inexpensive to produce. This makes them cheaper to buy than fresh and unadulterated fruits, vegetables, grains, meats, etc. Additionally, processed foods are heavily marketed to intended customers, and sold in portions and quantities that encourage mass consumption. In conversations it’s typical for people to talk about being “addicted to” certain foods, describing how many cases they have in their basement or the size of the drink they had at lunch.

Likely as a result, the last several decades have seen our food culture infiltrated by numerous “diet” or “light” products, marketed as healthful alternatives to original versions of processed foods. “Eat this and you’ll be healthier!” the products seem to say. But is that really true? To make a low-fat version of certain processed foods, the manufacturer simply swaps the fat content for more sugar, making the fare less filling and less nutritious. Other products are advertised as low-sugar, but contain artificial sweeteners. These chemically-constructed sugar substitutes have been shown to alter the way the brain processes sweetness and therefore reek havoc on one’s ability to feel satiated. (I’ve written about this before, here.) In addition, the branding of something as “diet” or “light” has the psychological effect of giving an eater license to consume as much of something as he or she wants. I grew up in a diet-soda, fat-free yogurt, light bread, sugar substitute (Equal was our brand) household. On one hand, my parents were both trying to watch their weight and therefore sending a good message about being healthy and taking care of oneself. On the other hand, I wish that I’d been taught to eat healthy portions of original/regular/full-fat versions of processed foods, alongside the wholesome fresh foods we kept in the fridge.

The proliferation of light and diet foods is part of a cultural motive wherein certain components of food have been demonized. Jerry Seinfeld has a bit about people’s bewilderment with grocery store ingredients panels: “There’s fat! In it! It’s going to be in me!” But where did we as a society get this idea that fat – and carbohydrates, and cholesterol, and sugar – is bad?

My experience as a pharmaceutical products liability attorney left me wondering about the role the Food and Drug Administration (FDA) plays in influencing the food industry. What I didn’t realize is that a more complicated array of government agencies and committees gathers and proliferates information about diet and nutrition. Just this week, the New York Times reported recent findings of the Dietary Guidelines Advisory Committee (DGAC). The committee has met every five years since 1985, issuing recommendations to the Department of Health and Human Services (HHS) and the Department of Agriculture (USDA). These agencies then issue dietary guidelines which are used as the basis for public school lunch programs and national food assistance programs.

Subcommittee topics at the recent meeting touched on current trends in food and nutrient intakes, dietary patterns and health outcomes, the impact of physical activity, and food sustainability. The committee’s recommendations included reduced consumption of added sugars, as well as limiting salt and saturated fats. Further, social media was sent ablaze by the DGAC’s suggestion that dietary cholesterol isn’t as harmful as once thought. This shunning of cholesterol – which began in the 1980s – is partly responsible for decreased consumption of red meat, eggs, and butter. In turn, people increased their intake of grains and other processed foods. Despite our collective avoidance of the fatty foods, problems like heart disease and obesity have only increased; hence the reconsideration. In a related sign of progress, the DGAC suggested deemphasizing individual nutrients in favor of an overall healthy pattern of eating.

Past committee activity has been clouded by the appointment of members with ties to key sectors of the food industry.  At least one legal expert has asserted that the USDA shouldn’t have any nutritional advisory influence at all, since its primary objective is to support and promote the national agriculture industry. While HHS is capable of developing appropriate dietary guidelines, he goes on to suggest that the Centers for Disease Control and Prevention (CDC) would be more capable at collaborating to formulate the recommendations.  In addition, stricter limitations are needed to prevent  conflicts of interest amongst committee members – even if they only stand to benefit indirectly.

Until these reforms are implemented, it seems that we’re cautioned to take the HHS/USDA findings with a grain of hypertension-inducing salt.