Looks to me like my KIND bar is ultra-processed.

photo credit | gourmetmetrics
photo credit | gourmetmetrics

A couple of weeks ago, the word ultra-processed made national headlines when a well done study concluded that ultra-processed food promotes weight gain while unprocessed food does not. This one I said to myself needs further investigation.

After reading the complete study, I linked to another site for clarification on what foods are ultra-processed and ended up at NOVA. There I learned about a Brazilian academic Carlos Monteiro and his novel food classification system NOVA. Links to both study and NOVA provided at the end of the post.

NOVA divides foods into four groups and characterizes ultra-processed foods as follows:

“The fourth NOVA group is ultra-processed food and drink products. These are industrial formulations typically with five or more and usually many ingredients. Such ingredients often include those also used in processed foods, such as sugar, oils, fats, salt, anti-oxidants, stabilizers, and preservatives. Ingredients only found in ultra-processed products include substances not commonly used in culinary preparations, and additives whose purpose is to imitate sensory qualities of group 1 foods or of culinary preparations of these foods, or to disguise undesirable sensory qualities of the final product. Group 1 foods are a small proportion of or are even absent from ultra-processed products.”

Then I went to my pantry hoping to find something vaguely resembling that verbose awkward prose. I didn’t find much until I remembered my KIND bars. I always keep at least one in my pocketbook for emergencies. I’m partial to the apricot almond, so I looked in my pocketbook and there was a KIND bar wrapped and ready to go. The ingredient list is printed on the wrapper: almonds, coconut, apricots, glucose syrup, honey, chicory root fiber, rice flour, soy lecithin, sugar, sea salt.

With the ingredient list in one hand and that prose description in the other, I rolled up my sleeves and got to work. Words in boldface refer back to NOVA. Ingredients are numbered in descending order.

#1 almonds, #2 coconut, #3 apricots are familiar foods. I can see the almond pieces and perhaps the coconut shreds in my KIND bar so we’ll call them intact. I don’t see any apricot pieces however. Maybe apricot purée?

#4 glucose syrup, #5 honey, and #9 sugar are sugar.

#6 chicory root fiber is the name manufacturers give to inulin for labeling purposes. Chicory root is an intact food. It looks like a short fat shaggy cream colored carrot with long brown hairs. Inulin is a white powder which is extracted and refined from the root and is considered an isolated non-digestible carbohydrates by the FDA. Manufacturers can count inulin as a fiber on the nutrition facts label. Inulin is not commonly used in culinary preparations, although you can order inulin as a supplement online or buy it off the supplement shelf in a health food store.

#7 rice flour is a stabilizer

#8 soy lecithin is an emulsifier (not referenced above but found in other descriptions of NOVA)

#10 sea salt is salt

So is my KIND bar ultra-processed? It certainly looks that way to my analytic eye. Of the 10 ingredients counted, 7 tract back to NOVA.

Does it matter? Now that’s the tricky question. And over the next couple of years, many smart, knowledgeable researchers are going to be working hard trying to figure out the answer to that question.

Pictured next to the KIND bar is an equivalent weight of dry unsulfured apricots and almonds which I also keep in my pantry. Just two ingredients. Clearly not ultra-processed. Taste is 100% subjective and my preference is the simpler version of fruit and nuts. But when I’m hungry enough to just need calories, the KIND bar is what I reach for.

Here’s a link to the study and a link to NOVA.

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Here’s the secret to a great ratatouille.

Photo Credit: Pexels

Every August I make ratatouille. Zucchini is still coming in. Tomatoes and peppers are bursting on the scene. Fresh garlic and fragrant basil are in season and abundant.

JULIA KNEW THE SECRET.

I made my first ratatouille to rave reviews using a Julia Child recipe. Her version was spot on because she knew the secret so I just did what she said and used a generous hand and the best olive oil I could afford.

Julia made her mark in the 1960s and 1970s so she missed a head on collision with the fat phobic era that gripped our nation starting mid 1980s.

DECADES OF FAT PHOBIA IMPACTED RECIPE DEVELOPMENT.

By the time I went back to school to study nutrition in 1993, low fat was firmly entrenched. Manufacturers had already jumped on this bandwagon as noted in an article from 1993 in the The Washington Post. It took a little longer for recipe modification to take hold however.

In October 1998,  Eating Well a magazine dedicated to healthy eating published a recipe for ratatouille. Enough olive oil was removed to get the calories from fat down to 33%. In other words about half the amount of olive oil as Julia called for in her recipe.

The most austere recipe I pulled up searching for low fat ratatouille was from 2008. This recipe substituted cooking spray for olive oil and successfully reduced the calories from fat down to an austere level of 10%.

LOW FAT HITS VEGETABLES ESPECIALLY HARD.

That’s because vegetables by weight are mostly water and water has no calories. Vegetables have lots of positives like fiber, some protein, sometimes sugars, and a rich array of vitamins, minerals, pigments, phytonutrients. Just not many calories.

Fats like olive oil are calorie dense so when the oil gets added to eggplant, zucchini, peppers, and tomatoes — all of which have practically no calories — of course most of the calories will come from fat. A well crafted ratatouille clocks in between 60 TO 70% calories from fat.

WE NEED A BETTER SCORING SYSTEM.

Vegetables, some of the healthiest foods out there, got punished when salt and oil were added just because vegetables are so low in calories. With all due respect to our regulatory officials, there has just got to be a better way

So I decided to keep an eye out for a better scoring metric. I discovered some research done at Oxford a decade or so ago that counts both negatives and positives. Then I adapted this approach to my own recipe analysis.

Ratatouille tastes much better made with salt (40% sodium) and lots of olive oil (13% saturated fat). Sodium and saturated fat currently count negative.

Ratatouille is mostly eggplant, zucchini, peppers, and tomato by weight (over 90%). Vegetables, protein, and fiber currently count positive.

The negatives are about equal to the positives with a slight edge to positives and that sounds healthy to my simplistic mind.

AUGUST IS MY MONTH FOR CELEBRATION.

August is the optimal month for ratatouille. August is the month Julia was born. And August is the month I finally figured out how to score ratatouille healthy.

There are so many classic recipes for ratatouille available via the internet. You can find Julia’s recipe here. And Alice Water’s recipe here. And the recipe from The Kitchn here.

Or you message me via LinkedIn or Facebook and I’ll send you my recipe.

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Here’s why indulgence has a place at my table.

photo credit: gourmetmetrics
Omelette plated with greens and cannelloni | photo credit: gourmetmetrics

An omelette is my go to meal when I’m hungry, pressed for time, and feel like indulging myself.

Pictured above is a quick and dirty meal I put together a couple of weeks ago. Bitter greens and cannelloni beans mixed with calamari, restaurant leftovers from a meal the night before, filled up half the plate so all I did was make the omelette.

My meal was delicious. Greens and legumes fall into the healthy column, but I’m wondering about that omelette …

First cholesterol and now veganism.

Since the 1970s, we’ve been told to avoid foods high in cholesterol and egg consumption has taken a major hit. In 2015, cholesterol was removed as a nutrient of concern and the 2015 Dietary Guidelines say eggs are now okay with this disclaimer. Eggs like all animal based proteins should be consumed in moderation.

Vegans take that advice one step further.Eating an egg is as bad as smoking cigarettes.” That claim was made in a recent Netflix movie funded and produced by folks promoting veganism. What the Health got mixed reviews but vegan messaging tends to be aggressive and the message is clear — eating eggs is not okay.

Does anyone think eggs are healthy?

An Organic egg farmer in New Hampshire recently filed a citizens petition asking the FDA to allow them to label eggs healthy based on the revised guidance issue by the FDA. The petition points out that the fatty acids in an egg are predominantly unsaturated.

Eggs do have an impressive nutrient profile. Excellent protein with all essential amino acids, a favorable mixture of saturated and unsaturated fatty acids, and a very impressive list of micro- and phyto-nutrients.

So what is it — are eggs healthy or unhealthy?

Here’s the problem. Eggs are a mixed bag and making an omelette with butter or oil and salt adds more variables to the bag.

My omelette has strong positives. Complete protein plus all those other micro nutrient benefits.

And my omelette has strong negatives. Saturated fat, calorie density, and sodium.

Here’s why I use the word indulgent.

Swinging back and forth from one extreme to the other is not helpful. We need a better approach. Some kind of hybrid system that scores the omelette as a whole.

Towards this end, an approach developed in the UK and recently implemented in France has potential. The metric is weight based and positives are balanced against negatives to come up with a single score. I’ve adapted this approach for recipe analysis. When I ran the numbers, my omelette got more negatives than positives.

Actually got a lot more negatives than positives and that’s why I use the word indulgent.

Some final thoughts on healthy.

• Nutrition research is constant and ongoing. Saturated fat and sodium score negative because current guidelines from both the US and EU recommend moderation. Both nutrients however remain controversial in some research circles. Especially the complex issue of saturated fats.

• Ingredient quality and degree of processing aren’t scored. Pastured local eggs, California certified olive oil, and home cooking add value for me but are not part of the scoring metric. And because I value home cooked from whole minimally processed foods, delicious indulgent is okay at my table as long as I source my own ingredients and make it myself.

• Putting my omelette, or any other meat based protein, on the same plate as greens and legumes makes the whole plate healthier.

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Reducing a radiantly complex plate of food down to a couple of nutrients is insane.

Photo Credit: gourmetmetrics
Salade Composée | photo credit: gourmetmetrics

That’s not to say that nutrients aren’t important. Because they are. They’re very important. But nutrients are only one of many parts to a complex story.

Take my beautiful salade composé pictured above. There is so much more going on than a string of numbers can communicate.

NUTRIENTS

Let’s look at the nutrition facts first: 660 calories, 48g fat, 8g satfat, 660mg sodium, 30g carbohydrate, 8g fiber, 6g sugar, 26g protein.

INGREDIENTS

Here is the list of ingredients: arugula, chickpeas, tuna, cucumber, tomato, egg, farro, red cabbage, parsley. All artfully arranged or “composed” on plate and generously dressing with a classic vinaigrette.

Those chickpeas were home cooked with salt from a heirloom variety. But I had many other options. Canned, drained, or rinsed. And how old were the chickpeas because age really does make a difference when you’re cooking chickpeas from scratch.

The tuna pictured above is Tonnino, a branded product imported from Italy. Again, there are many options to choose from. Is it domestic or imported. Line caught or net caught. Skipjack or yellowfin or albacore or one of the lesser known species. Jared or canned or fresh.

As for the vegetables, one thing for sure is they were imported from some warmer part of the country because here in the northeast planting doesn’t get started until May. Probably not USDA organic either because my Italian green grocer believes “organic” is a scam and tells me his customers don’t want to pay extra for the label.

Eggs are from pastured hens that are free to roam, weather permitting. The farro is grown here but I’ve used farro imported from Italy and it’s very tasty. Finally my classic vinaigrette is made with a certified branded dated olive oil from California and a distinctive sherry vinegar imported from Spain and salt.

Ingredients always generate so many questions and it’s hard to believe your choice of ingredients doesn’t impact the healthiness of the plate independent of those nutrition facts noted above.

SO WHAT EXACTLY MAKES A PLATE HEALTHY?

That’s a good question and the answer all depends on who is looking at the plate.

If you’re the FDA, you’ll gauge “healthiness” on milligrams of sodium, the ratio of saturated fatty acids to unsaturated fatty acids, and the respective percentage contributions of certain essential nutrients to established reference values per day. I understand how to run those stats and am happy to explain the calculation in detail.

If you’re the USDA, you’ll gauge “healthiness” on cups of vegetables, ounces of protein, grams of saturated fatty acids and milligrams of sodium with bonus points for whole grains and fish. Again, I know how to run those stats and can explain in detail.

I’m just not sure, however, that explaining in detail is helpful. I’ve tried in the past and most folks go glassy eyed.

And I’m also not sure my explanations answer the question of whether of not the plate is healthy. The folks who believe low fat is healthy won’t like the fact that 65% calories come from fat and 11% calories come from saturated fat. Vegans won’t think the plate is healthy because of the tuna and egg. Carnivores won’t think it’s healthy because there’s no meat.  Keto enthusiasts will reject the plate because of the grain. The organic crowd will reject the plate because my vegetables are conventional. So you see, it all depends.

Maybe someday researchers will figure out how to reflect all the radiant complexity in my salad with a single healthy symbol. But for now it makes more sense to my simplistic mind to source my ingredients carefully, go with my gut, check the nutrition facts, and retain at all times a healthy dose of common sense.

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Rethinking healthy starts with rethinking nutrients.

 

Green Salad with Shrimp | photo credit: gourmetmetrics
Green Salad with Shrimp | photo credit: gourmetmetrics

This year looks to be pivotal for rethinking healthy. At the highest governmental level, the FDA has committed to release new guidelines for label claims. As the FDA commissioner put it earlier this year:

“Healthy” is one claim that we believe is ripe for change … Traditionally, we’ve focused primarily on the nutrients contained in food in considering what is healthy. But people eat foods, not nutrients. This is why we’re asking the important question of whether a modernized definition of “healthy” should go beyond nutrients to better reflect dietary patterns and food groups …

Emphatically my answer is yes.

An FDA mandate for nutrient claims only covers consumer packaged goods. And maybe even restaurant menu labels at some point in the future. But what the FDA decides makes a packaged food healthy permeates the general food ecosystem. When FDA defined healthy in the early 1990s as low fat and low sodium, low fat reigned supreme for a decade.

Nutrients are important. No argument here on that point. As a dietitian and culinary nutritionist, I spent a couple years learning just how important they are. But so is food. And taste. And culture. And tradition. Not to mention enjoyment. So I applaud the decision to acknowledge that food is as much a part of a healthy pattern as nutrients. Defining healthy as the sum of the nutrient parts is called a reductionist perspective.

The problem with a reductionist perspective.

Reducing a food to the sum of its nutrient parts tends to skewer the meaning in a negative direction. Especially when, as was the case in the 1990s, healthy was defined in terms of 4 nutrients to avoid:  sodium, cholesterol, total fat, saturated fat.

Now feast your eyes on my shrimp and greens salad pictured above. Note the variety of vegetables on the plate: a generous handful of arugula, a dark green vegetable, some radicchio, a couple of small tomatoes, and some sliced scallions. The greens make up the bed for those lovely freshly steamed wild caught North Carolina shrimp.

Remember that under the original concept of healthy, food did not count. Well, those pristine steamed shrimp are salty. All shrimp are salty. Shrimp live in the sea and the sea is salty. When healthy was measured by counting milligrams of sodium per 100 grams, shrimp are automatically knocked out.

Remember too under the original concept, palatability did not count. Salads taste better when they are served well dressing, but a couple of tablespoons of fine olive oil and sherry vinegar added too much fat and saturated fat.

In other words, the only way to make this plate healthy under the original concept was to remove the shrimp, hold the vinaigrette, and serve the greens naked.

This reductionist view of healthy did a lot of damage. Is it any wonder so many folks rejected such a austere approach and labeling a food healthy became the kiss of death?

What a difference a couple of decades makes.

A lot has changed since 1994. That’s the year the Nutrition Labeling and Education Act became law and the draconian nutrient content claim for healthy was cast in regulatory cement.

In 2016, The FDA released a preliminary working document indicating their thinking on revising the nutrient criteria for labeling food healthy.

Use of the Term “Healthy” in the Labeling of Human Food Products: Guidance for Industry.

And with the release of the most current Dietary Guidelines in 2015, a healthy pattern took precedence over unhealthy nutrients.

Previous editions of the Dietary Guidelines focused primarily on individual dietary components such as food groups and nutrients. … The 2015-2020 Dietary Guidelines provides five overarching Guidelines that encourage healthy eating patterns, recognize that individuals will need to make shifts in their food and beverage choices to achieve a healthy pattern, and acknowledge that all segments of our society have a role to play in supporting healthy choices.

So what do these changes mean for my shrimp and greens salad?

Bottom line is that my simple little salad of greens, tomato, shrimp, and vinaigrette just got a whole lot healthier.

Thanks to revised thinking from the FDA, the ratio of saturated to unsaturated fats is now more important than just the grams of saturated fatty acids. Olive oil, although it does contain a significant franction of saturated fatty acids has a stellar ratio of almost 6 to 1.

And thanks to the Dietary Guidelines, the pattern and the whole plate are now important. Food counts and you get bonus points for more fish like shrimp and more dark green vegetables like arugula.

We’re not there yet, but my sense is we may actually be moving in the right direction.

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Will 2018 be the year I can finally eat healthy?

 

Chicken Tagine | photo credit: gourmetmetrics
Chicken Tagine | photo credit: gourmetmetrics

Healthy eating has been in a state of transformation now for the last couple of years. It’s hard to date exactly when the sea change started but we’ve gradually been moving away from low fat, restrictions, and deprivations.

During the 1990s healthy really was synonymous with low fat, restrictions, and deprivations. That was decade when restaurants stopped using the word because they quickly determined that labeling a new menu item heart healthy or low fat was the kiss of death.

Home cooks and creative chefs have probably never paid all that much attention to nutrition guidelines and, just between you and me, I never cooked low fat at home even though I did my nutrition studies during the 1990s. But mainstream Americans embraced carbohydrates and sugar and cut out the fat.

I knew things were happening in the academic community when I started seeing studies like these here and here and here.

And if I were asked to provide pivotal dates, I would cite the publication of the 2015-2020 Dietary Guidelines because of the implicit acknowledgement that the sum may be greater than its individual parts.

Previous editions of the Dietary Guidelines focused primarily on individual dietary components such as food groups and nutrients. However, people do not eat food groups and nutrients in isolation but rather in combination, and the totality of the diet forms an overall eating pattern.

Or perhaps the FDA decision to exercise enforcement discretion as the agency reviews labeling criteria for manufacturers who want to label their products healthy.

But when I see a statement like the one below from a restaurant consulting group suggesting deprivation and restriction need no longer be a necessary component of healthy eating, I begin to think 2018 may actually be the year when the pieces fall into place. Healthy Dining is a San Diego based restaurant consulting group. Here’s that quote from the CEO from a recent blog:

There’s a new trend in healthy eating and restaurant dining, and it is leaving behind restriction and deprivation in favor of savoring great meals at restaurants that support a healthy lifestyle.

So you may be wondering what all this has to do with my lovingly prepared and very tasty chicken tagine pictured above?

Well let me explain. Even by current liberalized criteria, my tagine is not technically healthy.  Despite using quality ingredients and significant amount of vegetables to compliment the chicken thighs, my cooking uses more olive olive than is currently recommended.

Since the 1990s when those draconian criteria were cast in regulatory concrete, many of my zealous colleagues have dutifully taken classic recipes like the one I used for the tagine and made adjustments to the proportions to restrict fat, saturated fat, and sodium.

Relief is in sight however. To their credit, the FDA has acknowledged the need to revise that criteria. And I say congratulations. Maybe a little late, but better late than never …

What will the new criteria look like?

Hopefully a better way to asses the food and nutrition values of a dish like the one pictured above. We need a scoring system that awards points for making half the plate vegetables plus positives like fiber and protein. Then we need that same scoring system to balance those positives against sodium and saturated fats.

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Do we need a food based nutrition label?

Pumpkin Pie with Oil Based Crust | photo credit: gourmetmetrics
Pumpkin Pie with Oil Based Crust | photo credit: gourmetmetrics

 

Since the first release of the Nutrition Facts Label, healthy has been a nutrient based construct. Recently, the FDA agreed to review and revise the regulatory criteria for healthy and the new regulatory requirements could be released as soon as this year.

When I posed a question to a group of dietitians asking them if healthy should be food based or nutrient based, to my surprise, my colleagues all favored food based. When I asked for examples however of a food based scoring system, no one volunteered.

So I decided to investigate and went out looking for scoring options. I found three. Then using one of my favorite recipes, I ran three sets of numbers. Here’s are the results using my home baked pumpkin pie pictured above.

NUTRIENTS

If you’ve ever tried to make sense out of a Nutrition Facts Label, you already know the label is not easy. Deconstruction is based on the belief that the best way to understand something is to break it into parts. This view of healthy assumes individual nutrients are what counts and the parts are more important than the whole. Deconstruction has dominated the healthy labeling conversation for the last 30 years.

Using a simplified format Facts Up Front , here’s what deconstruction looks like:

6898FFC3-380D-4D8A-87E3-6DA30037892D

 

The “get less” numbers for a modest piece of my pumpkin pie are 3.5 grams saturated fat, 65 milligrams sodium, 22 grams sugars.

What do those numbers and percentages mean? As one astute observer shared with me “I have zero idea what the … label on the boxes means and generally ignore them … “

Making a decision based on a string of unconnected numbers with no context or big picture is hard, even for someone like me who understands nutrition. At best the process is confusing. At worst no one pays attention.

FOOD GROUPS

Food groups have been part of the healthy eating conversation since the USDA released farmer’s bulletin No. 149 in 1916. More recently, the USDA developed a scoring system to determine how compliant or non-compliant Americans are when it comes to following government guidelines.

The Healthy Eating Index (HEI) scores sample days, market baskets, or menu offerings at a fast food restaurant and, since it scores both food groups and nutrients, it’s a hybrid system. Unfortunately, the HEI is not helpful for my purposes.

Besides being kludgy and very complex, the system is not intended for scoring a single item like a pumpkin pie. And I’m still left making a decision based on grams of saturated fat and added sugars, along with 1/8 cup pumpkin and 1 ounce-equivalent whole wheat flour. No big picture. No synthesis. Still just a string of unrelated numbers.

HYBRID

I need a algorithm that gives me a single score based on both food groups and nutrients. Wishful thinking perhaps, but consider what just happened in France last year.

In October 2017, the French government officially sanctioned Nutri-Score, a hybrid system for front of package labeling. Originally developed out of the in the UK, Nutri-Score is now been adopted in France on a voluntary basis.

Nutri-Score is different from Facts Up Front and here’s how.

First, Nutri-Score is weight based using 100 grams instead of serving size. Second, food groups are included in the score. Third, positives are balanced against negatives to produce a single color coded grade. Now that’s what I call a simple, straightforward, and very cool scoring system.
76CA7999-F737-4E01-8AAF-7D25AC17882FSo I said to myself, maybe I can make a little algorithm modeled after the Nutri-Score. I gave it my best shot. And I succeeded. My home crafted quite delicious pumpkin pie did okay.

Using this algorithm, my pumpkin pie scored a “C plus” or “B minus” depending on ingredient amounts entered. Translating that grade into a scale of 1 to 10, that’s a food score of 6 or 7.

And I’m thrilled. I’ve put together a scoring system that works on a recipe basis. Here’s how it works. Identify negatives, nutrients like sodium, sugar, and saturated fat. Then identify positives, food groups like vegetables, fruits, legumes, nuts plus nutrients like protein and fiber. Then balance negatives against positives to get a single food score.

METRICS

My ingredients are always carefully sourced and minimally processed. For the crust, I use whole wheat pastry flour and a grassfed whole milk yogurt / olive oil combination in place of butter. As for the pumpkin purée, I use a canned product with no fillers or flavor enhancers. Food score for my pie was helped by having a healthier fatty acid balance, a moderate amount of added sugars, protein from eggs and milk, and more fiber from the whole grain.

Guaranteed, it tastes just a good as it looks and if you’d like me to send you a copy of my recipe, please message me via LinkedIn or Facebook.

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Looks like the French are up to mischief again …

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Something happened in France at the end of last year.

The French government officially endorsed Nutri-Score on October 31, 2017 and that beautifully designed 5 color graphic pictured above because the official voluntary front of the package scoring system in France.

Why voluntary? Because France as a member of the European common market is not allowed to mandate a food label. However, several large French food manufacturers have already agreed to start using Nutri Score and a couple of enterprising young French entrepreneurs have already launched an app that reads barcodes and scores products.

Americans are used to French influence. Think French restaurants. Or Bordeaux wine and Brie cheese. Or Jacques Pépin. And most Americans are familiar with French food. We suspect the French eat perhaps a little more butter and cheese than most of us think is healthy. And we may also suspect the French have a more casual approach to food that allows for enjoyment without guilt. But I’m sure you’ll agree with me when I say that consumer package labeling is not the usual place one looks to for French inspiration.

Besides, why look to France when we have our own version of a front of the package label.  Ever notice those little boxes with numbers and percentages on the front of packaged foods as you’re walking down a supermarket aisle? Sometimes there is just one box. Usually there are four boxes. Sometimes up to six boxes. Here’s what our Facts Up Front label looks like

009BAB94-088A-4C8B-8502-C23BB31FFD60

The first box always lists calories per serving. The next three boxes provide information on nutrients to limit in the diet: saturated fat, sodium, and sugars. Subsequent boxes if they appear are used for nutrients to encourage.

The two systems reflect two very different approaches to the same problem. One isn’t necessarily easier or better than the other. A shopper who wants to choose healthier packaged items can succeed with either system. But because the approaches are so different, I decided to compare the two, detail those differences, and share my discoveries with you.

  1. The French system is color coded. Facts Up Front is not. So let’s say right up front that the color range makes the label more intuitive. Dark green indicates a healthier choice. A lighter shade of green and oranges in the middle. At the end, a deep reddish orange to indicate not so healthy choices.
  2. The French system is weight based. Facts Up Front is portion sized based. Our American system works well for comparing two brand of potato chips or whether or a portion of potato chips with a portion of an energy bar. The French system is based on a consistent weight and helps consumers compare calorie density and percentage weight. For example potato chips usually are 500 or more calories per 100 grams whereas most granola bars are closer to 400 calories per 100 grams.
  3. The French system sums up multiple nutrient numbers and presents the consumer with a single color coded score. Our American system puts 4 or more discrete values on the front of the package and it’s up to us put a picture together.
  4. The French system scores food groups. Our American system scores only nutrients. The combined weight of fruits, vegetables, legumes, or nuts is summed as a percentage of the total weight. The higher the percentage, the more points a product earns. Our American system focuses exclusively on nutrients, more specifically the nutrients to limit or avoid. There is a place for nutrients to encourage like fiber or protein or potassium, no mechanism for scoring a food group.

So there you have my run down of the differences. The best labeling strategy of course is that strategy that works for you and most folks tend to like the strategy they are used to. So most Americans will feel more comfortable with out American portion sized system and most French people will feel more comfortable with the French weight based system.

As for me I’m intrigued with the concept of including food groups in the scoring algorithm. Especially if those foods are intact whole foods. Fascinating idea and one worthy of more thought …

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Ratatouille, Julia Child, and Eating Healthy.

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Julia Child was born August 15, 1912 and would be turning 105 years old if she were alive today. She brought French cooking into the homes of millions, changed the way Americans think about food, encouraged us to enjoy our meals, and inspired us to cook more often.

During the1990s fat hysteria, she was reputed to have used unpleasant words like “nutrition terrorist” or “food nazi” when referring my fellow dieticians.  I love her attitude. I love her spunk. And I totally agree with her description of my more zealous colleagues.

I made my first ratatouille following each of her meticulously laid out steps. Julia warned that a really good ratatouille is not one of the quicker dishes to make because each vegetable was to be cooked separately.

Every August I make a couple of ratatouille and I say thank Julia. Not for the recipe. I just don’t have the patience to follow her meticulously written recipe so I’ve developed my own sloppy method.

I says thanks Julia for celebrating fat and supporting my belief that fats are part of healthy eating despite those dark restrictive years back in the 1990s when for the best of intentions even a ratatouille was labeled unhealthy for having too much fat.

You need vegetables – zucchini, eggplant, tomatoes, and peppers combined to make about a kilo (2 pounds). And you need good olive oil – about 60 grams (4 tablespoons) and some garlic, parsley, basil, or any other fresh herbs you have on hand. Cook it all up, salt to taste, you’re good to go.  At my table we get about 3 – 4 servings per batch.

Use fresh, local, just harvested vegetables for the best taste and flavor. Most of the calories do come from fat, somewhere in the vicinity of 68%. Excellent fiber, not much complex carbohydrate because vegetables are mostly water, and some simple natural sugars from those vine ripened tomatoes. And don’t worry about too much fat.

First olive oil is mostly healthy unsaturated fatty acids. And second because Julia says so. It’s the best way to honor the memory of Julia Child on her birthday. Just enjoy your ratatouille.

 

 

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Are we just a nation of disabled eaters?

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I sure would like to think we’re not. But I listen to my colleagues talk about their own food fears and those their clients struggles with. Good foods. Bad foods. Cheat days. Calorie paranoia. And I’m very grateful that I already knew how to eat, and how to cook, before I studied nutrition.

If not, I too might be struggling, terrified of eating the wrong food, and burdened with food fears. I loved food before I became dietitian and I love food today. The difference is that today I know enough to break the rules and have confidence in my decisions. Let me share how I make a salad and how I adjust the rules to fit how I eat.

Salads are for summer. So I start with lots of healthy greens, vegetables, and legumes. Then I add a protein. And I finish with enough delicious vinaigrette dressing to make my zealous colleagues cringe and keep the folks at my table coming back for more. Fat. Salt. Acid. Works every time.

INGREDIENTS FOR 2

GOOD EXTRA VIRGIN COLD PRESSED OLIVE OIL – 60 grams or 4 1/2 tablespoons

SHERRY VINEGAR – 20 grams or 4 teaspoons

DIJON MUSTARD – to taste up to 1 teaspoon

SALT – 1.2 grams flake salt or 1/2 teaspoon (1/4 teaspoon table or most sea salt)

CANNELLONI CANNED OR HOME COOKED BEANS – 100 grams cannelloni beans or 2/3 cup

TOMATOES –  100 grams cherry tomatoes or a handful

CUCUMBER – 80 grams or 1 small

MIXED GREENS – 200 grams greens or 4 cups chopped – mesclun, endive, radicchio, red leaf, green leaf, romaine

HAAS AVOCADO – 100 grams or 1/2 whole

GRILLED CHICKEN BREAST – 170 grams or 6 ounces – other protein options are tonino, hard cooked eggs, feta cheese, salmon.

METHOD

Make dressing first by mixing olive oil, vinegar, mustard, salt together in the bottom of a 2 liter salad bowl. Wash and dry greens. Wash and prep other vegetables. Cut up and add chicken pieces. Add legumes, tomatoes, greens, chicken, and avocado.  Mix just before serving.

Proportions are important. My ratio of dressing to everything else is about 9 to 1. In other words, 1 ounce dressing (2 tablespoons) to 9 ounces everything else that goes into the salad. These are weight based measures. Please don’t be concerned if you’ve never used a scale. Here’s your chance to develop your eye and manage your own taste preferences. You might find you like more dressing or less dressing than I do. Practice makes perfect and the more salads you make the better you’ll get at using your eye and tasting as you go.


NUTRITION

Nutrition Facts per serving: 560 calories, 41g fat, 19g carbohydrate, 32g protein, 470mg sodium.

And yes 41 grams of fat per serving is lots of fat and, trust me, some of my zealous colleagues are not happy because well over 50% calories in the salad come from fat. But here’s how I look at that percentages. What matters is best measured over the course of a day or even better over the course of a week. Olive oil and avocado are calorie dense; greens and vegetables are calorie un-dense. So of course most of the calories are going to come from fat.

Now let’s dig down a level and check out the ratio of unsaturated to saturated fatty acids. Most fatty acids are unsaturated from the olive oil and avocado. Those unsaturated fatty acids are what my more flexible colleagues refer to as “healthy” fats.

As for protein, my tule of thumb is about 25 grams per meal. So a serving of salad is a bit over. Note too that protein comes from mixed sources – chicken and plant.

Notice too, there’s not a lot of carbs and no refined carbohydrate. Just intact carbohydrates from the vegetables, some sugars from tomatoes, and 7 grams dietary fiber per serving. Now 7 grams may not sound like a lot, but think about that fiber like this. One serving puts 25% of the Daily Value on the plate.

Last word goes to potassium. The new label format will mandate potassium be listed as a line item. Note the sodium is 470mg per serving. Now compare that number with 1200mg potassium per serving. In other words, more than twice as much potassium as sodium. That’s a really good ratio.

Food Composition per 100 grams is only for NERDS like me: 10g fat, 4g carbohydrate, 9g protein, 77g water.

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