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Healthcare Today Legal and Political Issues

The Politics Behind an Overweight America: Talking with Dr. Marion Nestle


Medically Reviewed On: August 21, 2001

by Erica Heilman

There are many theories about how to thin down a fattening America. Dr. Marion Nestle, Chair of the Department of Nutrition and Food Studies at New York University, has some pretty dull advice for us on this count: Eat less, and eat well. Though it sounds simple, and even smug, Nestle acknowledges just how hard it can be to follow this advice. "Everybody knows you're supposed to 'eat your veggies,' and what could be less interesting?" says Dr. Nestle. "But it's actually very hard to do."

In her recently published book, Food Politics: How the Food Industry Influences Nutrition and Health, Nestle contends that the influence of the food industry in popular media, nutritional research, and policy-making, is making it increasingly difficult for Americans to make good choices about food.

Below, she talks about the relationship between food industry tactics, and the ever-expanding American waistband.

In the news, we read that carbohydrates are "good" one day, then "bad" the next. Is good nutrition really this confusing?
No, it's really very simple. Eat less, move more, eat more fruits and vegetables and don't smoke. If you do those things, you've taken care of 95% of what you need to do.

What's confusing is when you start looking at individual nutrients-proteins, fats, carbohydrates, vitamins, minerals, fiber, antioxidants-There are about 50 to 100 different components in the diet that have some effect on health. When you single them out and study them individually, you're going to get one result or another. And it's very easy for people to find studies to support their point of view about good nutrition.

When you look at dietary patterns, the advice never changes and hasn't changed in 50 years. And that's to eat a diet that's balanced in calories where a substantial proportion of those calories come from fruit and vegetables.

Then why does the news focus so much on single-nutrient studies?
It's more fun! It's a lot more fun to read about a single nutrient. We like simple solutions to complicated problems. It's much easier to think, "If I just eat a low-fat diet or don't eat any carbohydrates, my weight problems will be solved," than to think "I really need to build some activity into my life. I need to try to eat less often and smaller portions." That kind of consciousness about diet is uncomfortable for practically everybody.

When did portions start growing, and what role does larger portions play in the fattening of America?
In about the mid-80s, companies began introducing larger portions than had been seen before. That's when muffins went from one or two ounces to six or eight ounces, and bagels went from two ounces to six ounces.

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