Big Food: The Industrialization of What You Eat

What does it mean to be nourished? The word nutrition, related to “nourish,” comes from nutrire (Latin), meaning to feed, support, nurture, and also nurse. “Food,” from foda (Old English), is related to “fodder” and “feed,” and means nourishment or fuel. The purpose of food is to nourish. There is controversy about what constitutes good nutrition, but most successful strategies recommend increasing high-fiber foods like produce, legumes, and whole grains, while simultaneously decreasing ultraprocessed items like chips, commercially baked items, and “fast” food. 

The emergence of ultra processed items as a major component of the American diet derives from several developments. The supply, distribution, preparation, and eating patterns of food have changed markedly in the past century. The drive to decrease consumer costs while maximizing profits has markedly decreased the nutritional quality of the food supply. The majority of items eaten in the United States today — eaten in the home or out — are prepared, processed, or manufactured by individuals unknown to the purchaser. Food preparation has become largely an anonymous enterprise: the consumer does not know the cook, and the cook does not know the consumer. Before the 20th century, virtually everyone ate meals prepared at home by family members, and those meals were composed of fruits, vegetables, legumes, nuts and seeds, fish, eggs, meats, poultry, dairy (milk, cream, yogurt, butter, cheeses), and whole grains. 

Partially hydrogenated fats, developed for the soap and candle industries, entered the commercial baking enterprise in 1911. High-fructose corn syrup erupted as a major ingredient in the early 1970s. Maltodextrin, modified food starch, vegetable shortening, and synthetic coloring agents simply did not exist in food, if at all.

The evolution of ultraprocessing to create the majority of items in the standard American diet is also attributable to changes in advertising and merchandising. Re-appropriating words that once described traditional foodstuffs to describe new inventions is a common theme. Consider the word “wheat.” Whereas “wheat” once meant the entire grain, including bran, endosperm, and germ, revised usage refers only to the white endosperm. The original product is now “whole-grain wheat.” When words are appropriated to describe ultraprocessed versions of foods, traditional staples require new descriptors. Terms like “organic,” “pesticide-free,” “wild,” “free-range,” “whole,” “old-fashioned,” “pastured,” and “hormone-free,” are necessary only because their historic names have evolved to mean something entirely, industrially, different. 

Consider, too, non-dairy creamers, neither of whose first two ingredients, high fructose corn syrup and partially hydrogenated vegetable oil, requires refrigeration. Nevertheless, supermarkets display these items in coolers, adjacent to the dairy products whose use they are meant to replace. The low cost of raw materials for “coffee whiteners,” lowered further by government subsidies, makes them exceedingly profitable, particularly in comparison to milk and cream. Where the system incentivizes profits over nutrition, the public’s health suffers the consequences.

How does one know whether an item is nourishing? “Eat the rainbow, “Eat close to the garden,” and “Eat nothing your ancestors would not have recognized as food” are various ways of saying the same thing: Eat real food.  


The Trouble With Angel Food Cake

Have you ever worked with someone whose actions made you hear your mom’s voice inside your head saying things like “Everyone gets a turn,” or even “Let’s be nice”? When my friend Dee’s kids complained about the seemingly unjust behavior of certain teachers or neighbors, she would suggest they consider them “negative role models.” Just as it’s important to have good examples in your life, it’s also valuable to have examples of behaviors you would rather avoid.

Year in and year out, I post recipes that have a lot going for them. I am always on the lookout for good examples of nourishing recipes made from whole foodstuffs, with plenty of produce, legumes, nourishing fats, and high-quality protein. Today I am trying a different approach: I am dissecting a recipe that has nothing going for it. This angel food cake mix is a negative role model. Its best use is as an example of what not to eat. Continue reading


On Ordering Food for Hospitalized Patients

My mom was a very no-nonsense type of person. When her blood sugars began to rise slightly as she entered her 70s, she announced that she did not want take any diabetes medicine. From then on, she kept her blood sugars normal through a combination of common sense and careful carbohydrate consumption. Once, she was hospitalized for what she called a “minor procedure.” The procedure went fine, but not the food. The first meal they brought her consisted of breaded fish (frozen), mashed potatoes (instant), corn (canned), a dinner roll (frozen), and tea (2 sugar packets on tray). “If I ate that, my blood sugars would have gone through the roof!” she told me. She drank the tea (without sugar), and called my dad, who arrived in short order with a chopped salad, roasted peppers, and meat loaf. Continue reading


Michael Pollan Knows What He’s Talking About

From time to time, when my journey into the mysteries of disease prevention was just beginning, I would discover someone whose work really spoke to me, who helped to clarify the things I was beginning to see, and who became a sort of personal mentor to me as I continued on the path. One of these people was Michael Pollan, who was catapulted to fame with his insightful and riveting books, especially The Omnivore’s Dilemma and In Defense of Food. He shared that Carlos Monteiro, a professor of nutrition at the University of São Paulo, was the first to label and define ultra-processed items. He said that whereas processed food could be made at home, ultra-processed items contained ingredients no normal person has at home, and required equipment you would find only in a factory. Touché.  Continue reading


A Recipe for Ultraprocessed Cupcakes

Today I want to spend a few minutes talking about why I feel so strongly about avoiding ultraprocessed items. I am going to share a story about an event that happened some years back, when someone I worked with decided one morning to pick up some cupcakes on her way into work. It was a very nice gesture, and I am sure that she had the best intentions. But this is an example of the fact that we must take personal responsibility for what we put into our mouths, because nothing will change if we do not. The only way Big Ultra Processed will stop selling these things is if we stop buying them. Call them items, things, or products, but you will see in a moment why they cannot be called food. Continue reading


Ultraprocessing Hits the Popular Press

I am thrilled to report that the discussion about ultraprocessed items has finally reached the popular press in a big way. This past week Jancee Dunn, a wellness columnist for the New York Times, wrote a week-long series about different aspects of ultra processing, beginning with her love of sprinkle-covered sheet cake. Then Reuters covered California governor Gavin Newsom’s recent executive order focusing on reducing consumption of packaged snacks and sugar-containing beverages, and investigating the effects of synthetic food dyes. This order cited a 2025 Dietary Guidelines Advisory Committee report showing that 73% of American adults aged 20 or older are overweight and/or obese, and 38% of children and youth aged 12-19 are pre-diabetic.  Continue reading


A Menace to Satiety

A member of my family texted me a few weeks ago: “Thinking of you as I’m watching CNN report on the effects of ultra processed foods… Followed by an ad on controlling diabetes numbers. (Did they consult you?)”. She knows how long I’ve been thinking about this.

So I decided to write about ultra processed “items” this week. The media has got to stop calling them food.

An old friend once came to visit, and she told me that she’d been discussing my dietary recommendations with her clever boyfriend. He spent some time mulling them over, and then said: “Processed food is a menace to satiety.” Ha. Indeed it is. Continue reading


Stripped Carbohydrates: A Primer

Generally speaking, and with the exception of milk and honey, the carbohydrate in nature virtually always comes with fiber attached. Whether from orchards, meadows, gardens, or forests, and whether as roots, leaves, stems, or fruits, intact—or whole—carbohydrates belong to four major categories (fruits, vegetables, beans, and grains), all of which are rich in fiber as well as phytonutrients, the source of their often vibrant colors. Continue reading


Nourishing Yourself With Joy

Joy has been in the news lately, and that’s what I want to talk about today. 

Eating is meant to be a source of joy, as satisfying as the sunrise. Like listening to music. Talking with friends, or sitting together on a bench at the park. The wind at your back. Trading backrubs. Dancing. Stretching. A hot shower. A book that transports you to the other side of the universe. Walking along the shore. 

Eating is deeply satisfying. It speaks to your soul. Eating is sour, sweet, bitter, spicy, umami. Crunchy, soft, toothy, smooth, sticky. Beautiful, colorful, warm, cool, icy, bubbly. Expressive, imaginative. Fun, chaotic, quiet, or peaceful. Continue reading


Food for Thought

I once saw a post that said “Eat organic food, or, as your grandparents called it, food.” Only a century ago, nourishing food did not require prefixes like real, whole-grain, pastured, free-range, wild, or grass-fed. That’s what food was. What is happening to the food supply? As you have probably surmised by now, I spend lots of time thinking about the differences between real food and manufactured calories.

One strategy I use is to avoid products invented in the 20th century, like cottonseed oil, or high-fructose corn syrup. Also, I stay away from products that tell me when to use them, like breakfast cereals, lunch meats, and TV dinners. No one needs to tell you when to eat a banana, or scrambled eggs, or oatmeal, or guacamole, or chicken noodle soup. Continue reading