Why the FDA's food serving-reform plan takes the wrong approach to American health
This post first appeared on Doctor and Mama.
The FDA has recently announced that it plans to overhaul nutrition labeling on packaged food in two ways. The first is to bring key nutrition information, such as calorie content, to the front of the package. The second is to redefine serving sizes.
Many packaged foods obviously contain multiple servings, such as a bag of chips or a box of cereal. Most people intuitively know this, but may not know that a serving of chips may be only 15 chips, or that a bowl of cereal should only be 3/4 cup. Others are less obvious, such as a can of soup, which often contains two or more servings. Few of us look carefully at the recommended serving size (often given in portions of cups or ounces) before digging in. This is crucial, though, because the nutrition information some people may look at, such as calories, fat content, and possibly sodium content, is all listed per the recommended serving size. To make matters worse, serving sizes are not even standardized by different governmental bodies, according to Mark Andon, V.P. of nutrition at ConAgra foods, in a New York Times blog post:
“… there are different types of servings. The F.D.A. serving amounts differ from the U.S.D.A.’s My Pyramid food guideline, and both of those can differ substantially from the portion consumers serve themselves. And serving size confusion goes beyond packaged food. For example, the F.D.A. considers a serving of a raw apple to be 140 grams. However, the U.S.D.A. says we should eat 2 cups of fruit a day and a “small” apple (2.5 inch diameter) equals 1 cup. But consumers are unlikely to find such small apples at the grocery store; they will see big, beautiful shiny apples that are easily 3 inches or more in diameter and weigh closer to ½ pound each.”
The problem is that in this country, our serving sizes have increased dramatically over the past few decades. This is known as “portion distortion” and has been linked, somewhat obviously, to the growing obesity epidemic. (Remember “Supersize Me”? Documentarian Morgan Spurlock famously conducted an experiment on himself in this 2003 film. In the documentary, he ate three times a day at McDonald’s, gained almost 25 pounds, and as a consequence developed medical complications including liver abnormalities, heart palpitations, headaches and depression.)
While most of us have not increased our portion sizes nearly as dramatically or as quickly, few people can recognize a serving size when asked. Restaurant portions are often double the recommended serving size. A study in the Journal of the American Dietetic Association in 2003 showed that commercially available foods commonly had portions that were two to eight times the standard servings. An easy way to approximate a balanced meal of appropriate portions is to look at a Healthy Choice frozen meal. To many, that would not be enough for dinner, but that is what is currently considered the appropriate amount for the average adult. If you visit other countries, you’ll notice that even commonplace items like cans of soda are much smaller than what are routinely sold here.
The FDA’s goal in updating serving sizes is to bring them in line with how Americans actually eat. By being more realistic, the hope is that knowing how many calories you’d consume when you buy a packaged food product would stop you from doing so.
Does this make sense? It sounds like Supersizing. Educating people, perhaps with graphics, about what the intended serving size is on the front of a package might be helpful in combating obesity, which is what this initiative is all about. But adjusting portion sizes to match the American reality seems self-defeating. It’s analogous to the inflation of clothing sizes, which is at the point that you can be a size 0 and actually exist. If we keep eating more, will the FDA need to continually readjust serving sizes?

The facts: Beloved by raw food enthusiasts, agave syrup has become one of the easiest alternative sweeteners to find in grocery stores. It’s derived from the Mexican succulent plant agave, of which there are several varieties. It has to be processed to become sweet, and depending on that process, it can be comparable in composition to the dreaded high fructose corn syrup. True, agave has a low glycemic index — meaning it releases glucose into the blood stream at a slower rate than refined sugar — so it can help keep blood sugar levels stable. Eating agave as a “healthy” alternative to sugar, however, is pointless; the two have the same number of calories, no nutritional value whatsoever, and, even though it doesn’t spike blood sugar, the primary sugar in agave, fructose, has been linked to cancer and cholesterol problems when consumed in large quantities.
The facts: Brown rice syrup is what happens when cooked brown rice meets barley malt enzymes. The sweetness comes from starchy complex carbohydrates, which take a couple of hours to digest. As a result, the glucose is released gradually into the bloodstream, providing a steady supply of energy rather than the rush — and crash — of cane sugar. Plus, the syrup maintains some of the nutrients in brown rice, like protein, so it’s not a total nutritional bust like most sweeteners are.
The facts: Stevia’s not technically a sugar; it’s extracted from a sweet herb of the same name. Therefore it has no calories and doesn’t raise blood sugar. Though the FDA labeled it a “dangerous food additive” in 1991 after an “anonymous industry complaint” (read: shadowy figures in lab coats), stevia is now back on the market as a “dietary supplement.” In the rest of the world, particularly Japan, widespread use of stevia has been going on for decades.
The facts: Date sugar is so low-tech it’s kind of funny — it’s just dehydrated dates that have been ground into a powder. That means it’s completely unprocessed and retains all the nutrients in dates. It’s high in fiber and protein, and has lots of vitamins and minerals like iron and potassium. Plus, it qualifies as a raw food. It still contains sucrose, fructose and glucose, so it’s not a good alternative for diabetics or people looking to control their blood sugar.
Interview With My Bully: When I confronted my bully about racism
Iran’s Greens aim to rise again
The prettiest boy in the world
Should I donate a kidney to my friend?
America’s billionaire-run democracy
The bishops go off the deep end
No, Newt, don’t quit to make room for Santorum
Whose Wisconsin recall is it?
Can Greece thwart a complete meltdown?
Ruth Bader Ginsburg’s alternative abortion history 

