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Amazon.com Review
In the U.S., we're bombarded with nutritional advice--the work, we assume, of reliable authorities with our best interests at heart. Far from it, says Marion Nestle, whose Food Politics absorbingly details how the food industry--through lobbying, advertising, and the co-opting of experts--influences our dietary choices to our detriment. Central to her argument is the American "paradox of plenty," the recognition that our food abundance (we've enough calories to meet every citizen's needs twice over) leads profit-fixated food producers to do everything possible to broaden their market portion, thus swaying us to eat more when we should do the opposite. The result is compromised health: epidemic obesity to start, and increased vulnerability to heart and lung disease, cancer, and stroke--reversible if the constantly suppressed "eat less, move more" message that most nutritionists shout could be heard.
Nestle, nutrition chair at New York University and editor of the 1988 Surgeon General Report, has served her time in the dietary trenches and is ideally suited to revealing how government nutritional advice is watered down when a message might threaten industry sales. (Her report on byzantine nutritional food-pyramid rewordings to avoid "eat less" recommendations is both predictable and astonishing.) She has other "war stories," too, that involve marketing to children in school (in the form of soft-drink "pouring rights" agreements, hallway advertising, and fast-food coupon giveaways), and diet-supplement dramas in which manufacturers and the government enter regulation frays, with the industry championing "free choice" even as that position counters consumer protection. Is there hope? "If we want to encourage people to eat better diets," says Nestle, "we need to target societal means to counter food industry lobbying and marketing practices as well as the education of individuals." It's a telling conclusion in an engrossing and masterfully panoramic exposé. --Arthur Boehm
From Library Journal
Nestle (chair, nutrition and food studies, NYU) offers an expos‚ of the tactics used by the food industry to protect its economic interests and influence public opinion. She shows how the industry promotes sales by resorting to lobbying, lawsuits, financial contributions, public relations, advertising, alliances, and philanthropy to influence Congress, federal agencies, and nutrition and health professionals. She also descibes the food industry's opposition to government regulation, its efforts to discredit nutritional recommendations while pushing soft drinks to children via alliances with schools, and its intimidation of critics who question its products or its claims. Nestle berates the food companies for going to great lengths to protect what she calls "techno-foods" by confusing the public regarding distinctions among foods, supplements, and drugs, thus making it difficult for federal regulators to guard the public. She urges readers to inform themselves, choose foods wisely, demand ethical behavior and scientific honesty, and promote better cooperation among industry and government. This provocative work will cause quite a stir in food industry circles. Highly recommended. Irwin Weintraub, Brooklyn Coll., NY
Copyright 2002 Cahners Business Information, Inc.
From The New England Journal of Medicine
As stated in the introduction, Food Politics is about how the food industry influences what we eat and therefore influences our health. It discusses the history of dietary advice and guidance in the 20th century; governmental and regulatory practices; the effect of marketing on nutritional recommendations, food access, and choice; and the promotion of dietary supplements. The book is hard-hitting, revealing, and bound to provoke controversy. I encourage my colleagues in nutrition, food, and health to read this book, not because I agree with all of Nestle's views, but because I believe she has captured issues that deserve debate and is forcing us to consider how others might view them. She challenges us to consider the political environment in which the science of food and nutrition exists. A strength of the book is its style: Nestle tells us a series of engaging and surprising stories and gives us a lively presentation of the politics, as she perceives them, of advice on diet and health during the past century. Nestle clearly states her biases in the preface and in the introduction to each section of the book. Readers should not skip these statements, because they help separate the facts from the author's perceptions and allow readers to judge whether the facts are in accord with her interpretations. Another strength of the book is the rich set of resources Nestle has brought to the task. She examined a vast array of government documents to find key items, but her sources go well beyond these official records. They are augmented by her personal experience in influencing nutrition policy, which is revealed as the story unfolds. The text is rich with quotations and with illustrations used in the promotion of food or dietary recommendations. She does not provide a separate reference list but, rather, cites her sources in footnotes. Because the quotations are not fully placed in context or characterized with names in the text, it is difficult to evaluate whether they are used appropriately. Nestle characterizes the culture of the food industry as one that promotes an "eat more" message. She interprets many actions taken by government, industry, and nutrition professionals as supporting this culture and feels that nutrition advice has failed to promote an "eat less" culture. Most readers will find themselves agreeing with her arguments in many of the cases presented, such as the promotion of soft drinks in schools, but will wonder why she minimizes successful examples of appropriate messages, whether "eat more" or "eat less." For example, the Dietary Guidelines Advisory committees of the 1990s should be applauded for developing an appropriate message advising consumers to eat more fruits, vegetables, and whole grains. The 2000 committee should be praised for recognizing that the message on alcohol in the 1995 guidelines was being misinterpreted to mean "consume more alcohol" and for changing the text to correct the problem. Likewise, the 2000 committee decided to define what is meant by low, moderate, and high fat and grappled with emerging data indicating that a low-fat diet is not the most appropriate recommendation for everyone. I thoroughly enjoyed reading Nestle's account of the effort by the National Cattlemen's Association to stop promotion of the Food Guide Pyramid. Ultimately, however, she misses the key lesson learned, since the organization probably did more harm than good to the image of meat in a healthful diet. This fascinating, well-told story is an interesting illustration of how an "eat more" message can backfire. The system undoubtedly deserves criticism, and Nestle is generous in providing it, but it will improve only when we learn what can work better. Throughout the book, Nestle reports connections among the food industry, lobbying groups, and government officials and descibes how the food industry sponsors professional societies and meetings, hires consultants, and creates advisory groups. The strong implication is guilt by association. Bringing these associations forward for discussion is important, and in her book Nestle descibes professional connections she herself has had with the food industry and how she has disclosed the connections or has mitigated their influence. It is extremely valuable that the author has raised this issue; however, she offers little help to the nutrition community in thinking through the relevant criteria for addressing potential conflicts of interest and the issue of disclosure. What have professional societies done that works well, and what might work better? When corporate funds are used to create a program for nutrition research and education, how do we evaluate the appropriateness and value of that program? What constitutes appropriate disclosure? As a community of scientists, we need to understand and reveal the types of bias we all bring to decision making. I hope this book will encourage that discussion. This book is thought-provoking, and I recommend it. I do not see all the issues in the same way as Nestle does but would welcome an open discussion of the important issues she raises among my colleagues. Barbara O. Schneeman, Ph.D.
Copyright © 2002 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
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