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.  


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


An Oatmeal Hierarchy (with recipe)

Like many other messages of its kind, Americans and other consumers of the standard Western diet have internalized the idea that oatmeal is “good for you.” Not all oatmeals are alike, however, and it is no surprise at all that the ultra processed items industry has identified a number of objectionable ways to influence the manufacture of oat-containing edibles. Today’s post provides more information on various kinds of oatmeal and related items available to consumers, beginning with instant oatmeal, the most highly processed product, and ending with steel-cut oats, the least processed form of oatmeal.  Continue reading


Is it Really Food?

While talking with patients about how to improve the nutritional value of their meals, we used to talk about real food that had not been processed, refined, stripped, polished, fortified, enriched or otherwise modified. Fruits, vegetables, legumes, nuts, seeds, grains, fish, eggs, dairy products, and meats. And that’s about it.

Here are some guidelines: The first is not to eat anything you have to be told is food. If you have to be told it’s food, it isn’t. Like “processed American cheese food.” Talk about truth in advertising. Some products at the supermarket have names that have nothing whatsoever to do with food. Like Miracle Whip®. Or Cool Whip®. These are not foods either, and that’s why I’m not buying. Continue reading


Some Exciting New Developments

A lot has been happening lately in the field of research into the the health effects of ultra-processed items, and that’s what I want to talk about today. Last month, the results of a huge study, involving almost 10,000,000 (ten million!) individuals, were published in the BMJ [British Medical Journal], “one of the world’s most influential and respected general medical journals,” and they were…shall we say…most informative.  Continue reading


More Disturbing News About Ultraprocessed Products

Almost three-quarters of packaged consumables sold in the United States are ultraprocessed. The vast majority of ultraprocessed packaged products for sale in the supermarket are placed in the center aisles. They comprise most of the menus at chain restaurants including, but not limited to, drive-through and “fast-food” establishments. At this point, they may safely be said to have edged out consumption of nourishing food in the United States.  Continue reading


Disturbing News About Ultraprocessed Products

My friend Nancy recently asked about a jar of “light mayo” whose first and third ingredients were water and “modified food starch,” respectively. She bought it because, in contrast to the 100 kcal found in conventional mayonnaise, it listed calories per serving at 35 kcal. I would say that it is an expensive way to buy water and flour. Currently, approximately two-thirds of the calories in the standard American diet derive from ultraprocessed items. I would like to discuss the many recent articles connecting illness and ultraprocessed products. Note that I don’t call them “food.”  Continue reading