USDA Guidelines Questioned

  • Professor Paul Marantz says even a small error in the federal food guidelines can have a big public health impact. (Photo courtesy of the USDA)

Some people say the government is partly to blame for America’s obesity problem – because of the federal dietary guidelines. Julie Grant reports on efforts to improve how the government offers nutritional advise to Americans.

Transcript

Some people say the government is partly to blame for America’s obesity problem – because of the federal dietary guidelines. Julie Grant reports on efforts to improve how the government offers nutritional advise to Americans.

You’ve probably seen those colorful food pyramids they put out, the ones that tell you how many servings to have of each kind of food each day. Those recommendations are used by schools, nursing homes, and the federal food stamp program to design menus.

Robert Post works with the U.S. Department of Agriculture, which puts out the food pyramid.

“IT’S THE CORNERSTONE FOR BUILDING HEALTHY EATING PATTERNS. CHOOSING THE RIGHT AMOUNTS OF FRUITS, VEGETABLES, GRAINS, MILK PRODUCTS, AS WELL AS PROTEIN SOURCES SUCH AS MEAT AND BEANS.”

Post says people need to know how to get all the nutrients they need, without over-indulging in foods they don’t need.
That’s why the guidelines also set specific limits on things like salt and fat.

But some researchers think the guidelines actually have the potential to cause harm.

Paul Marantz is professor of epidemiology and population health at the Albert Einstein College of Medicine.
He doesn’t think the guidelines should give specific recommendations about how much fat and salt people should eat.

“THOSE SEEM TO CARRY PRECISION THAT IMPLIES THAT WE HAVE A GREATER DEPTH OF KNOWLEDGE THAN WE ACTUALLY DO, SO PICKING THESE NUMBERS AND REQUIRING THAT PEOPLE HUE TO THESE GUIDELINES IS A PROBLEM.”

Marantz says even a little bit of error in the food guidelines can have a big public health effects.

He and his colleagues wanted to find out the potential impact of past dietary guidelines.

They looked at 1995, when the nutritionists were telling people to avoid fat.

“MOST OF US REMEMBER IN THE OLD FOOD PYRAMID THAT MADE IT QUITE CLEAR THAT THE MOST IMPORTANT THING TO AVOID WAS FAT AND ONE COULD EAT GRAINS AND PASTA AND BREAT AND THE LIKE WITHOUT CONCERN.”

Marantz says Americans did eat more pasta and bread – that added lots of calories, and lots of weight.

His research, which was published in the American Journal of Preventive Medicine, found what Marantz calls a ‘strong correlation’ between the dietary guidelines against fat and obesity in Americans:

“CORRELATION IS BY NO MEANS CAUSATION. WE CANNOT INFER FROM THIS THAT IT WAS BECAUSE OF DIETARY GUIDELINES THAT WE ARE EXPERIENCING THE EPIDEMIC OF OVERWEIGHT AND OBESITY. BUT THE CONNECTION IS STRONG.”

Marantz wants the government to give general advice for healthy eating, but not specific guidelines. He gives the example of sodium. Marantz says no one really knows how much salt is appropriate for each person. But there’s a push to put specific limits on sodium in the new guidelines.

Robert Post of the USDA says anything that gets into the 2010 recommendations will be based on what he calls the Gold Standard of scientific evidence. He says a committee of nutritional experts has been meeting for two years to create the new guidelines…

“WE CAN BE ASSURED THROUGH THIS VERY INTENSIVE REVIEW OF SCIENCE AND THE WEIGHT OF THE EVIDENCE IT PROVIDES THAT THE CURRENT ADVISE ON CARBOHYDRATES FOR EXAMPLE IS BASED ON THE LATEST RESEARCH.”

Post says any recommendations for fat and sodium will also be based on the preponderance of current science. The committee is expected to make its recommendations this summer, and new dietary guidelines should be published by the end of the year.

For The Environment Report, I’m Julie Grant.

Related Links

Great Lakes Fish Linked to Diabetes

  • DDT was banned in 1972, but traces of it are still all over the place - including in Great Lakes fish. (Photo courtesy of Tony Arnold)

Scientists have known for a long time
that a lot of wild-caught fish have
dangerous contaminants. People
who eat fish have to weigh the health
benefits against the risks of consuming
those pollutants. Now, some research
could make that balancing act even
trickier. Gabriel Spitzer has more on
the link between diabetes… and an
infamous old chemical many assumed
was long gone:

Transcript

Scientists have known for a long time
that a lot of wild-caught fish have
dangerous contaminants. People
who eat fish have to weigh the health
benefits against the risks of consuming
those pollutants. Now, some research
could make that balancing act even
trickier. Gabriel Spitzer has more on
the link between diabetes… and an
infamous old chemical many assumed
was long gone:

In the early morning hours, anglers gather on Navy Pier in downtown Chicago.

Ray Penn is practically within casting distance of the city’s skyscrapers.

He dips his line in the waters of Lake Michigan, hoping to pull out something tasty.

“I filet ‘em, and I fry ‘em, yeah. They got a little bit of bones in ‘em, but – oh yeah. Oh, yeah, baby! I felt that!”

It’s looking like a good morning for rock bass.

“See, there’s a bass on the end of this. This is a small bass, now this guy here, he’s edible.”

Penn says he eats fish a couple of times a week, without giving it a second thought.

Down the pier, Patrick Duhan has the same attitude.

“This is the Great Lakes! It’s such a big body of water. It’s almost like the ocean. They throw tons of crap in the ocean, and there’s just too much of it to screw up.”

But, scientists say, people have managed to screw up the Lakes a fair amount.

Epidemiologists have been studying a group of sport fishers, like these guys, and charter boat captains, who eat a lot of Great Lakes fish.

Mary Turyk of the University of Illinois at Chicago measured the contaminants in their blood, and tracked their health over the years.

“We found we had 36 cases of new diabetes. And what we found was that DDE, the metabolite of DDT, was related to diabetes incidence.”

DDT.

That’s the pesticide made famous by Rachel Carson’s book, “Silent Spring.”

The chemical was banned in 1972, but traces of it are still all over the place – including in fish.

And like mercury or PCBs, it concentrates as it moves up the food chain.

So you don’t have to eat much.

“The captains were eating, I think, on average, a meal a week. One meal a week? Yeah. That doesn’t seem outlandish or anything. No, it doesn’t. It doesn’t at all. In fact, recommendations from the FDA for eating fish, based on mercury levels, are two meals per week, for pregnant women.”

So just half that much fish was linked to about a 33% increase in diabetes cases.

Turyk says it’s not clear how DDE or DDT might contribute to diabetes.

It may have to do with effects on hormones or the immune system.

“We really need more basic science to determine mechanisms that might be responsible for this.”

Another unknown is just how dangerous might this be, and when does it start to outweigh the advantages of an otherwise healthy food?

Tamara Duperval is a family doctor at a West Side Chicago clinic.

She says she still tells people to eat more fish.

“In our population, it’s really a wonder and a challenge to try to present fish as an option, when primarily the staple of diet is either chicken or beef.”

That population is mostly low-income and minority.

She says about half are overweight or obese.

From a nutrition point of view, those are exactly the people you’d want to be eating a lean, healthy protein like fish.

So Duperval is concerned about sending mixed messages.

“I do think it is confusing. And, it’s in part, I think, how we communicate crisis in this country, especially when it comes to food safety. They miss the overall preventative message, that fish is good food, and it actually provides a lot of important nutrients that are lacking in their diets.”

Health authorities often issue advisories about certain fish that have a lot of pollution.

Duperval says understanding those warnings can help people avoid some of the hazards.

But the diabetes research shows we may still have a lot to learn about these chemicals, so what’s safe to eat is getting harder to know.

For The Environment Report, I’m Gabriel Spitzer.

Related Links

Soymilk Goes to School

  • A large percentage of people is intolerant to lactose, found in cow's milk. The Child Nutrition Act is now taking this into consideration as it helps fund serving soymilk in schools. (Photo by Carlos Paes)

Soymilk could be on the menu in more schools next year. That’s because Congress voted to include the beverage in the latest version of the Child Nutrition Act. The Great Lakes Radio Consortium’s Chris Lehman
reports:

Transcript

Soymilk could be on the menu in more schools next year. That’s because Congress voted to include the beverage in the latest version of the Child Nutrition Act. The Great Lakes Radio Consortium’s Chris Lehman reports:


Soymilk is considered an alternative to cows’ milk for lactose-intolerant people. But until now, schools could only get Federal funding for soymilk if they served it to children who had a note from their doctor. Starting next school year, schools will be reimbursed for serving soymilk to anybody.


Earl Williams is President of the Illinois Soybean Association. He says the economic impact on soybean farmers will likely be small.


“It doesn’t take a very large acreage of soybeans to make a lot of soymilk. But I think it has the benefit for – it introduces soy into the diets of more people, which has some health benefits.”


The National Institute of health says more than 30 million Americans are lactose-intolerant. That includes up to 75 percent of African-Americans, and up to 90 percent of Asian-Americans.


For the Great Lakes Radio Consortium, I’m Chris Lehman.

Related Links

Transgenic Soybean to Reduce Trans-Fats?

Starting in 2006, the government will require nutrition labels on food to also list trans-fats. That’s pushing companies to look at changing how they grow some crops. The Great Lakes Radio Consortium’s Lester Graham reports:

Transcript

Starting in 2006, the government will require nutrition labels on food to also list trans-fats.
That’s pushing companies to look at changing how they grow some crops. The Great Lakes
Radio Consortium’s Lester Graham reports:


Products containing hydrogenated soybean oil are high in trans-fats. So, Monsanto is designing a
new lower-fat, healthier soybean. Using conventional plant breeding, Monsanto will first do two
thing. One: reduce trans-fats and two: increase healthy monounsaturated fats. Shannon
Troughton is a spokesperson for Monsanto. She says a final step requires genetically altering the
soybean.


“The third phase will take biotechnology techniques and make it completely free or as free as
possilbe of saturated fats.”


Except for a more nutritious rice given to the developing world for free, this is the first time a
grain has been genetically modified for reasons other than economic gain for farmers. Monsanto
indicates the new soy oil will be in products on the grocers’ shelves in about eight years if it’s
approved by government regulators.


For the Great Lakes Radio Consortium, this is Lester Graham.

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REACHING ASIAN IMMIGRANTS WITH FISH WARNINGS (Part I)

Some people, because of culture or because of necessity, rely on fishing as a way to supply an important part of their family’s diet. While fish is healthful food, experts warn that fish from lakes and rivers can be contaminated by pollutants. In the first of a two-part series on communicating the risks of eating contaminated fish to ethnic groups… the Great Lakes Radio Consortium’s Lester Graham reports… conveying that warning to some cultures is especially difficult:

Transcript

Some people, because of culture or because of necessity, rely on fishing as a
way to supply an important part of their family’s diet. While fish is healthful food,
experts warn that fish from lakes and rivers can be contaminated by pollutants.
In the first of a two-part series on communicating the risks of eating
contaminated fish to ethnic groups… the Great Lakes Radio
Consortium’s Lester Graham reports… conveying that warning to some
cultures is especially difficult:


As the United States pulled out of Southeast Asia during the Viet Nam war, many people who
had been allies from Laos, Cambodia, and South Viet Nam found their way to the U.S. Some of
these people have always relied on fish for a large part of their diet.


After settling in the United States, they naturally turned to public lakes and rivers and began
fishing. They ran into a couple of problems. First, U.S. conservations laws put limits on the size
and how many fish they could catch, something they were not used to. Second, health officials
and conservation officials began to warn them about contamination. They told them chemical
pollutants could harm development in children and fetuses.


Josee Cung is with the Minnesota Department of Natural Resources. She says many of the
Southeast Asian immigrants were skeptical. They thought the government was conspiring to get
them to buy ocean fish from stores rather than take free fish from the lakes and rivers. Cung says
the immigrants had never heard of such a thing as contaminants you couldn’t see.


“PCB, mercury, they don’t understand that. So, that’s the big challenge. So, there are real
cultural, but there are also real educational barriers.”


As she distributed fish advisories suggesting that certain fish had higher levels of contamination,
Cung found the Southeast Asian immigrants were astonished. She says they are a practical
people. They feel if that can’t see something wrong with the fish, it must be okay to eat.


“‘But they’re fat! They’re shiny! They are big!’ You know, ‘But they are good to eat!’ So, that’s
the kind of thing. It’s more prevalent than relying on the advisory to change behavior.”


The State of Minnesota had pamphlets of the advisories printed up in the various languages of the
immigrants and handed them out at every opportunity.


Pat McCann is a research scientist with the Department of Health. She’s worked closely with
Josee Cung to try to explain the fish contaminants issue.


“But we found, with the Southeast Asian populations, the written translations aren’t that effective
because that group seems to communicate more verbally. So, in order to do outreach with those
groups, we try to do presentations and reach community groups in that way.”


And so Minnesota took a more hands-on approach. Josee Cung says instead of handing out
pamphlets alone, they started meeting with leaders in the various Southeast Asian communities in
Minnesota. For example, the Hmong, who helped retrieve downed U.S. pilots during the war are
a people of clans. Cung found if they could demonstrate to clan leaders ways to trim away the fat
of fish where contaminants such as PCBs concentrate and show which fish have lower levels of
contaminants, the word would spread throughout the community. Cung also found that it was
important not just to talk to the anglers who got the fishing license – usually men.


“And we go in homes doing cooking. And really check out their kitchen and say ‘Oh, this is how
you should do.’ And it’s most effective because it’s the women that prepare. He hasn’t got a
clue. He bring the fish home and leave it to the women. And the women decide how to cook it.”


Minnesota’s outreach program with Southeast Asian cultures is pretty advanced. Not every
government in the Great Lakes basin is as active. In recent years, the International Joint
Commission, the body that monitors the U.S. and Canadian boundary waters treaties and
agreements, has been admonishing the states and provinces to do more.


Alan Hayton is with the Ontario Ministry of Environment. He says the governments have taken
the message to heart, but finding the money to do the job is always a problem.


“We do have some communications with some groups such as in Ontario, such as the Chinese
community, which is well-organized and receptive to the information that’s in the guide. But, it’s
difficult. We don’t. We do the best job we can given the resources that we have.”


The International Joint Commission warns that it’s important that the states and provinces work
harder to reach cultures, such as those from Southeast Asia, that rely heavily on fish for protein.


For the Great Lakes Radio Consortium, this is Lester Graham.

NATIVE AMERICANS WEIGH CONTAMINATED FISH RISKS (Part II)

There’s a trend among some Native Americans. They’re trying to return to more traditional diets. Many believe various health problems among Indian populations are due, in part, to adopting a diet much heavier in sugars, starches, and fats than their ancestors’ diet. But they’re concerned that pollution has tainted many of the traditional foods, such as fish. The Great Lakes Radio Consortium’s Lester Graham reports in the second of a two-part series on communicating the risks of eating contaminated fish to ethnic groups:

Transcript

There’s a trend among some Native Americans. They’re trying to return to more traditional diets.
Many believe various health problems among Indian populations are due, in part, to adopting a
diet much heavier in sugars, starches, and fats than their ancestors’ diets. But they’re concerned
that pollution has tainted many of the traditional foods, such as fish. The Great Lakes Radio
Consortium’s Lester Graham reports in the second of a two-part series on communicating the
risks of eating contaminated fish to ethnic groups:


A high rate of Native Americans suffer from diabetes and obesity. It’s commonly believed that
the European diet of processed grains, processed sugar, and fatty foods has contributed to the
health problems. So, some tribal members are looking at a traditional diet of fish and game and
the kinds of agriculture practiced by their forbearers. The idea is that traditional foods might be
more healthy for Native Americans.


But it’s become clear that some of those foods, particularly fish, are contaminated by pollutants.
PCBs and methyl mercury have been found in certain fish. Studies show those chemicals can
cause permanent health problems. Tribes have issued advisories, but some tribal leaders are
reluctant to discourage people from eating fish, even if it’s contaminated.


John Pursell works for the Minnesota Chippewa tribe. The tribe has issued advisories about
mercury in fish. But, Pursell says there’s a balance that has to be considered.


“We have to be careful that we aren’t advising people, tribal members, if we say ‘Don’t eat fish
of a certain size or from certain lakes,’ that we’re relatively certain that what they’re going to
replace that protein source with is not going to be more detrimental to their health. And that’s the
big concern.”


Pursell says, for example, his tribe is very concerned about dioxins. The tribe believes that
dioxins are responsible for a higher rate of cancer and other problems. And dioxins might be
present in the foods people in the tribe would eat instead of fish.


“But, we also know from the draft documents that the federal government has issued on dioxins,
that dioxins exist in fairly large quantities in such fatty foods as hamburger and cheeses. And of
course, these are foods that are found routinely in reservation commodity outlets.”


So, if it’s a matter of trading one kind of contamination for another, the logic goes, might as well
eat the healthier food, fish.


But the different tribes have different concerns and no one likes the idea of consuming
contaminated foods of any kind. So, there’s a lot of confusion about the best route to take to
dealing with the health problems among Native Americans.


Kory Groetchs is an environmental biologist with the Great Lakes Indian Fish and Wildlife
Commission. He says as interest in traditional foods builds, his agency is being asked for
answers.


“They have questions about industrial pollution and their impacts on traditional foods and, you
know, the balance between risks of consuming that food and the benefits of consuming it.”


Groetsch says the Commission is looking for funding to study ways to reduce the risk of
consuming contaminants. For example, one study tried to determine what size and where to catch
walleye with lower levels of mercury. He says more studies like that need to be conducted so
Native Americans can avoid the contaminants that might be present in traditional foods.


“And then definitely point out the situations where there is not concern so people can clear their
minds of these, if they have concerns, and they seem to, about industrial pollution such as methyl
mercury in fish, clear their mind of that and go back to a more traditional diet and eat in a more
natural, traditional way.”


Even those who are responsible for bringing the advisories on contaminants in fish to the
members of the tribe are hesitant. Maria Mabee is with the Seneca Nation in New York. She’s
an environmental activist and concerned about the effects of contaminants on health. At the same
time, she says there’s a limit to what she’ll recommend.


“You know, I can’t tell people to stop using fish for ceremonies. I just can’t do it. I won’t do it.
(laughs) I just, you know, I tell them about the risks, you know. I tell them what I know and I tell
them to make the best decisions for themselves.”


The tribes stress that the health benefits of fish should not be ignored. For many tribes, fish is a
staple. The question to answer they say is, if you don’t eat fish because of the risk of
contamination from pollution, will the food you eat instead be any more safe?


For the Great Lakes Radio Consortium, this is Lester Graham.

Herbal Remedies Moving Mainstream

There are thousands of herbal products on the market today.
They generate over 4 billion dollars in sales a year. And many doctors
are taking more notice. Some physicians see a need for more credible
research on herbs and minerals. And they want other doctors to
communicate more with patients that are considering using these
products. Now one doctor has designed some guidelines on herbal
treatments. He hopes this will initiate more discussion and research
about these dietary supplements. The Great Lakes Radio Consortium’s
Todd Witter has more.