Sunday, May 19, 2013
Sunday, May 19, 2013

Food

POSTED: Friday, April 26, 2013, 6:30 AM
Filed Under: Food | Jonathan Purtle | Nutrition | Obesity
New York aims to be more like France.

I just got back from 10 days in France. Like John Travolta in Pulp Fiction, I was struck by all the little differences in Europe—how the toilets work, the way roads are designed, and the size of a meal. Wherever I went, the portion sizes seemed much smaller than what I was accustomed to in Philadelphia.

While visiting the École des Hautes Études En Santé (French School of Public Health) in the city of Rennes, I actually met a researcher who had empirically investigated my observation—he had walked around Philadelphia and gone to restaurants, not to eat, but to weigh the content of the food he was served. His efforts contributed to an interesting study, published a decade ago in the journal Psychological Science, which explored whether portion sizes are indeed larger in Philly than in Paris.

First, the researchers compared the weight of identical meals (e.g., pizza, chicken sandwich) at comparable restaurants in the two cities. On average, they found that portions were 25 percent larger in Philadelphia than in Paris. (Their data suggest that the Royale with Cheese in Paris was actually the same size as a Quarter Pounder in Philly, but a “medium” fries was 72 percent bigger).

To obtain a more macro-level perspective of the food ecologies of the two cities, the researchers also systematically reviewed the Zagat guides for Paris and Philadelphia with an eye toward mentions of portion size. They found that the reviews of Philadelphia restaurants were significantly more likely to mention portion size. And these comments were more likely to reference large portion sizes in Philadelphia than they were in Paris (88 percent vs 52 percent). While no Zagat reviews for Paris restaurants mentioned all-you-can eat buffets, 18 did for Philadelphia restaurants.

POSTED: Thursday, April 18, 2013, 6:30 AM

What interests you: Disease sleuthing? Global bioethics? Protecting the food supply? Protecting yourself when you travel?

A new ranking of the top 30 public health blogs places The Public's Health at No. 14. The complete list is below. Lots of interesting stuff.

And if you want to go beyond reading about public health, join us at 6 p.m. Friday for “Blogging and Beer: Public Health in Philadelphia.” Also with us will be our editor at the Inquirer, public health writer Don Sapatkin, and some of our regular contributors. There is no cover charge for what we hope will be a lively discussion at Rembrandt’s Restaurant in Fairmount, one of several health offerings at the Philadelphia Science Festival that we mentioned last week.


Best Public Health Blogs

1. The CDC Public Health Blogs are the primary blogs of the Centers for Disease Control and Prevention. The CDC blog serves the same purpose as the organization, to help keep people safe by educating them on potential risks and risk management not only to do with disease, but many other issues related to public health.
Highlight: Special Needs and Tornados, a Joplin Story

POSTED: Tuesday, April 9, 2013, 6:30 AM

In just a few weeks, the City of Brotherly Love will welcome the third annual Philadelphia Science Festival — a 10-day-long, citywide celebration of science that features lectures, debates, hands-on activities, special exhibits, and a host of other science-related programming coming to a museum, bar, or random space near you.

We here at The Public’s Health will be participating in two events this year. On Friday, April 19 at 6 p.m. we will be hosting a discussion called Blogging and Beer: Public Health in Philadelphia. Our editor at the Inquirer, Don Sapatkin, will be joining us, as will some of our regular contributors. We expect to have a lively conversation at  Rembrandt’s Restaurant in Fairmount. If you want to participate and enjoy good food and drink, please come! There is no cover charge.

On Thursday, April 25 at 7 p.m. I will also be participating in a wacky evening that is appropriately titled Sounds Made  Up: Tales  from the History of Science.   It brings historians and comedians together at The Chemical Heritage Foundation at the edge of Old City to dramatize, in the silliest way possible,  absurdities from the histories of science, medicine and public health. Last year’s rather risque event —  the video above is from the year before — saw discussions of a medieval women birthing a cat, zombies, the history of the banana, and a discussion of Alfred Kinsey’s toothbrush.

This year is sure to bring even more bizarre history to light.

POSTED: Tuesday, April 2, 2013, 6:30 AM
Filed Under: Food | Kids | Nan Feyler | Nutrition | Obesity
Even low-tech has an effect - although scoreboards are nothing compared to "advergames."

In the wake of the New York State Supreme Court striking down New York City’s ban on sodas larger than 16 ounces, a surprising op-ed appeared in the New York Times. The essay encouraged New York City, despite the ruling, not to give up trying to limit the aggressive marketing tactics of big food companies and the soda industry. The surprise, however, was not the sentiment – after all, many public health leaders applaud Mayor Bloomberg’s latest effort to address obesity by regulating sales of super-sized sodas.

The op-ed, it turns out, was written by a former food industry insider, Kraft Foods executive Michael Mudd. Mudd had left the industry when he could no longer accept, as he called it, “a business model that put profits over public health.” Mudd argues that it is big food processors and soft drink companies who are the most culpable for the growth in obesity. “Over the years, relentless efforts were made to increase the number of eating occasions people indulged in and the amount of food they consumed at each. Even as awareness grew of the health consequences of obesity, the industry continued to emphasize cheap and often unhealthful ingredients that maximized taste, shelf life and profits,” he wrote.

Selling food and beverages to kids is big business. According to a recent Federal Trade Commission report, the food and beverage industry, including fast food restaurants, spent 1.79 billion dollars in 2009 to sell products mostly low in nutrition and high in calories, sugars, salt and fats to America’s children. Seventy-two percent of this was spent on fast food restaurants, carbonated beverages and breakfast cereals.

The industry considers huge marketing budgets as money well-spent to capture a new generation of lifetime consumers starting with the “pester power” of toddlers through the purchasing power of adolescents. Children and teens are considered a particularly lucrative market because not only do they do their own purchasing, they represent the consumers of the future, and they influence billions of dollars of purchasing among their parents. Studies show what every parent - and advertiser – knows: by the time they reach two, kids are asking for products they’ve seen on TV, and parents usually buy them.

POSTED: Friday, March 15, 2013, 6:30 AM
Filed Under: Ethics | Food | Michael Yudell | Obesity
New York City Mayor Michael Bloomberg looks at a 64oz cup, as Lucky's Cafe owner Greg Anagnostopoulos, left, stands behind him, during a news conference at the cafe in New York, Tuesday, March 12, 2013. New Yorkers were still free to gulp from huge sugary drinks Tuesday, after a judge struck down the city's pioneering ban on supersized sodas just hours before it was supposed to take effect, handing a defeat to health-conscious Bloomberg. (AP Photo/Seth Wenig)

I am of two minds on the court decision Monday striking down the New York City Board of Health’s ban on the sale of sugary drinks over 16 ounces one day before it was to kick in. I applaud both the judge’s ruling and the mayor’s  resolve.

The ban was declared “arbitrary and capricious” by New York State Supreme Court Judge Milton Tingling, whose ruling called attention to the ban’s loopholes, which “effectively defeat the stated purpose of the Rule.” Judge Tingling was referring to the fact that the ban limited sales at some locations (restaurants, movie theaters, and food trucks) and not others (corner convenience stores and supermarkets), that some sugary drinks were included and not others, and that there were no limitations on refills of smaller cups. The judge also ruled that the city Board of Health exceeded its powers in passing the ban. That power, Tingling argued, should lie with New York’s City Council.

Mayor Bloomberg has promised to appeal, calling the ruling  “totally wrong.”

On the one hand, I applaud the court. The ban was public health at its worst — a potentially disaffecting policy that lacked compelling evidence of  benefits that might justify it.

Yes, there is absolutely no nutritional reason for consumers to drink such an obscene amount of soda in one sitting. And, yes, there is strong evidence that soda consumption is playing a significant role in the obesity epidemic.

POSTED: Tuesday, March 5, 2013, 6:30 AM
Filed Under: Food | Michael Yudell | Nutrition | Obesity
(Associated Press)

By Michael Yudell

Results of an important study out of Spain published last week in the prestigious New England Journal of Medicine suggests that a “Mediterranean Diet” supplemented by additional extra-virgin olive oil or nuts significantly lowered the risk of having a heart attack, stroke, or dying from heart disease.

But despite the media brouhaha—headlines like “Tasty Diet Curbs Heart Disease, Study Finds” and “Mediterranean Diet Study Rocks the Medical World”— the study's implications for you and me are still unclear.

Don’t get me wrong. This is a valuable study, the largest of its kind to date. And it confirms earlier research showing that the Mediterranean Diet — a high intake of olive oil, nuts, vegetables, and cereals; moderate consumption of fish and chicken; low consumption of dairy, red and processed meats, and sweets; and drinking wine in moderation with meals — can be effective in moderating cardiovascular risks.

POSTED: Wednesday, February 27, 2013, 6:30 AM
Filed Under: Food | Funding | Nutrition | Poverty
"This is me breaking the cycle of hunger with my daughter. I don’t want my daughter to go through what I went through." (Photo and Voice by Whitney H.) Photo gallery at Witnesses to Hunger

On Friday if Congress and the president do not act, what is known as the budget sequestration-- automatic cuts to a wide range of government programs– will kick in.

This spells public health disaster.

The first to feel the massive cuts to public health programs will be mothers and young children. The youngest are like canaries in a coal mine – the most sensitive to any change in the political winds, and thus the best human indicators of how well our policies are working. Cuts are scheduled to hit Head Start, childcare subsidies, special education, and mental health services, to name just a few.

One area that will be particularly painful relates to families’ most basic needs: good nutrition. The Special Supplemental Nutrition Program for Women, Infants & Children (WIC) provides supplemental foods, health care referrals, and nutrition education for pregnant and lactating moms and their children under five. WIC serves 53% of all infants and 25% of all pregnant women in the United States – more than 9 million mothers and young children each month.

If sequestration is allowed to go forward on March 1, WIC will be slashed by 5.1%. Sound small? It is the equivalent of dropping 600,000 mothers and young children from the program.


POSTED: Wednesday, November 21, 2012, 6:30 AM
Filed Under: Food | Kids | Nutrition | Obesity
Vetri Foundation for Children

Tia McDonald is director of culinary operations for the Vetri Foundation for Children, a non-profit founded by chef Marc Vetri and restaurateur Jeff Benjamin that works to help kids experience the connection between healthy eating and healthy living. Chef Tia, a graduate of the Culinary Institute of America, has served as campus executive chef at the University of Pennsylvania, senior executive chef at the 2008 Olympics in Bejing, and as a development chef, formulating recipes with a nutritional focus. Follow her on Twitter @cheftiamcd


By Tia McDonald

The introduction of more nutritious foods to the federal lunch program this school year has brought news reports of kids going hungry rather than eating the added vegetables and whole grains, their spoofs and protests of the Healthy, Hunger-Free Kids Act of 2010 immortalized on YouTube. What appears to be missing in the biggest overhaul to the school lunch program is creativity, flavor, and the vision to entice kids to eat food that is not only tasty, but healthy and educational. So here’s a revolutionary thought: bring more chefs to  school for lunch. The lunchroom can be a classroom.

When I think back on my journey in the culinary world, the original classroom was my mom’s kitchen. I was drawn in by the scents and enticed by the clamor of pots and pans. Some of my earliest memories are of my mom cooking our Christmas ham. I watched as she pulled it out of the oven to make sure it wasn’t dry, and as she whipped together a combination of rich, sweet flavors that created a succulent finishing glaze to be married with the beast.

My mother never excluded me from the kitchen. She never feared that I would destroy the meal or burn myself. She saw my interest and nurtured it. “Smell the ham,” she would say, insisting that I get my face close to the meat, becoming one with the smells that surrounded me. “What does it need? What would you baste the meat with?” My 4-year-old palate had no clue what she was talking about. But when the family sat down to the feast, enjoying the orange, clove, and whole grain mustard glaze my mother created, it all clicked.

POSTED: Tuesday, September 18, 2012, 6:30 AM

By Michael Yudell

A recent study by Stanford University scientists claiming that “the published literature lacks strong evidence that organic foods are significantly more nutritious than conventional foods” has left in its wake a bizarre flurry of bad reporting about the value of organics. Don’t be fooled by such claims. Organic food may be no more nutritious than conventional food, but that offers little insight into the overall value of organics or its impact on the public’s health.

The study weighs in on whether organically farmed products are safer or healthier than their conventionally farmed cousins.

This is an important question for several reasons. First, organic products tend to be more expensive, sometimes significantly so, compared to non-organic products; if people are paying more, they deserve to know why. Second, if organic products turn out to be more nutritious, this would be an important argument supporting the value (health and economic) of organic farming. And third, if organic products turn out to be safer, by exposing consumers and the environment to fewer pesticides, then eating them might decrease the health risks and environmental impact associated with exposure to the chemicals.

POSTED: Friday, September 14, 2012, 11:09 AM
Filed Under: Food | Michael Yudell | Nutrition | Obesity
Associated Press

By Michael Yudell

My colleague in blogging (and at Drexel University), Rob Field, who normally writes about health policy and can put even the Affordable Care Act into understandable language, takes on a different topic today: Overweight physicians.

It's a provocative piece. Take a look.


Read more about The Public's Health.

About this blog
What is public health - and why does it matter? Through prevention, education, and intervention, public health practitioners - epidemiologists, health policy experts, municipal workers, environmental health scientists - work to keep us healthy. It’s not always easy. Michael Yudell, Jonathan Purtle, and other contributors tell you why.

Michael Yudell Associate Professor, Drexel University School of Public Health
Jonathan Purtle Doctoral candidate in public health. Works at Drexel's Center for Nonviolence and Social Justice
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