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David Katz, M.D.

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Healthy Food Costs More--A Myth?

Posted: 03/09/11 08:10 AM ET

The conventional wisdom is that more nutritious foods cost more. Here in the proverbial nutshell (walnuts score a deservedly impressive 82 on the 100-point NuVal scale, so let's make it a walnut shell) is what's right, wrong, and downright ugly about this persistent bit of prevailing perception.

What's right is what made it conventional wisdom in the first place. In the modern food world, government subsidies are largely tied up with mass-production of crops used for purposes other than feeding people. Corn, for instance, is subsidized both for use in fattening feed animals which are in turn consumed by people, and for production of such derivatives as high-fructose corn syrup. Soybeans are subsidized, and put an astonishing variety of uses -- many having nothing to do with the nourishment of man, or beast.

Where the subsidies have not gone traditionally is to the most nutritious foods, such as vegetables and fruits intended for human consumption. It is perhaps ironic that the foods best suited to extend the 'shelf life' of human beings tend to have the shortest shelf life themselves. The converse, of course, is also true; some highly processed, glow-in-the-dark foods are all but immortal, while conspiring against the longevity of those consuming them.

The frailty and short shelf-life is among the factors that tend to make produce pricey, in the absence of subsidies. Spoilage happens, and cuts into profit margins; higher prices compensate. Produce is also subject to the vagaries of climate, and the price built into bumper crops must account for the years when an early frost or lack of rain wrought devastation.

Other high-cost, highly nutritious foods are subject to these and related considerations. By definition, wild salmon is ... wild, and thus much less reliable than, say, chickens. They must also be shipped long distances from where they are caught. Crops can fail, fish can be hard to find -- but marshmallows, chips, and cookies tend to be perfectly reliable. And thus, less costly.

But there is, as well, a downright ugly, hidden face to the cost of nutritious food. Namely, some food pretends to be nutritious, presumably so that a premium may be charged for it! This is truly ugly because the result is as follows: a health-conscious shopper is hoodwinked into thinking something is more nutritious when it is less, and spends more for the privilege of the deception. A classic addition of insult to injury, if you ask me.

How do I know this to be true? Well, having been devoted to the world of nutrition for 20 years or more, I have long had this perception. But my focus has certainly sharpened since the launch of the NuVal system. NuVal has now scored the overall nutritional quality of well over 90,000 foods. Along the way, we have seen innumerable examples of food products in almost every conceivable category that sport front-of-pack messages about better nutrition (e.g., lower fat, lower sodium, lower sugar, more vitamins, more whole grain, etc.) but that are actually less nutritious overall.

In one instance, we saw the nutrition score decline when a popular children's cereal came out in a "1/3 less sugar" version. It indeed had 1/3 less sugar, but it also had a lot more salt, a lot less fiber, less whole grain, more harmful fats and so on. A fancy multigrain bread will charge you a premium, but may have no more "whole" grain than white bread, and less than a humbly packaged, far less expensive whole wheat bread.

The average NuVal score for regular peanut butter is about 20. The average score for fat-reduced peanut butter, for which health conscious and "choosy" moms will pay a premium is a 7! A bit of healthful oil is taken out, while copious additions of sugar and salt are made. The front of the jar is mum on that topic.

But let's move on to what is merely wrong with the conventional wisdom about nutrition and cost.

Having long heard the two were linked, I did what researchers tend to do; I asked, where are the data? It turns out there are hardly any. So we set out to get some.

We devised a study, the results of which were just published in Public Health Nutrition, in which we sent a volunteer shopping in some typical U.S. supermarkets with criteria for more and less nutritious foods based on our Nutrition Detectives program. We asked the volunteer to buy equal numbers of products meeting, and failing, the criteria in diverse food categories. We then used NuVal to confirm that the seemingly more and less nutritious products truly were just that -- and we then compared the prices.

NuVal, which has itself been validated against actual health outcomes in over 100,000 people, confirmed that the Nutrition Detectives clues reliably distinguished more from less nutritious foods. And these two groups differed in price ... not at all. Sometimes the more nutritious foods were more expensive, sometimes less. Except in the produce aisle, price and nutrition do not correlate in the supermarket. The trouble is not really that more nutritious foods invariably cost more -- it's that most people have trouble identifying the truly more nutritious foods in the first place.

Cost is still a barrier, of course -- and some of the least nutritious foods do offer the most calories for the buck. We need to address this with policies -- such as linking food price directly to objectively measured nutritional quality, especially for those struggling financially, such as SNAP program participants. We have the means to do this, and should put it to the test.

We need to make an objective measure of nutritional quality available to all, so that the false perception of nutrition and cost is dispelled. Often you can trade up nutritionally at no increased cost.

Fundamentally, though, we need a new societal perspective on the value of food. Throughout most of human history, calories were relatively scarce and hard to get. More calories per dollar was a logical metric for food value in such a world.

But that is no longer our world. Ours is a world of epidemic obesity, and more calories per dollar simply means the chance to gain more weight at no extra charge. Many people are willing to spend a fortune to lose the pounds they gained for free! Perhaps it's time to recognize that nutrition per dollar is the better measure of value.

Supersize me and my kids? No thanks. Supervitalize us? We'll take it -- and at no extra charge, please!

Dr. David L. Katz; www.davidkatzmd.com
www.turnthetidefoundation.org

 

Follow David Katz, M.D. on Twitter: www.twitter.com/DrDavidKatz

The conventional wisdom is that more nutritious foods cost more. Here in the proverbial nutshell (walnuts score a deservedly impressive 82 on the 100-point NuVal scale, so let's make it a walnut shel...
The conventional wisdom is that more nutritious foods cost more. Here in the proverbial nutshell (walnuts score a deservedly impressive 82 on the 100-point NuVal scale, so let's make it a walnut shel...
 
 
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05:26 PM on 03/14/2011
So many things in this article immediately rang true with me--the point that the foods with the shortest shelf lives contribute to the longest "shelf life"of humans was especially poignant. But why accept the high price of fresh vegetables as inevitable? Spoilage can be reduced by buying local produce, and prices can be reduced by buying in bulk.

As a mom who constantly has to look for the best way to maximize nutrition and minimize cost, I've connected with many other concerned people in my area in order to buy in bulk together and then split the produce. We get higher nutrition at a LOWER cost than we did when we each bought normal produce separately! And with all the online resources we have today to connect with like-minded people (SplitStuff.com, for example), do we really have any more excuses not to take responsibility for our nutrition and our money?

Annette
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09:28 PM on 03/11/2011
Here is why your results are wrong; you sent shoppers to "typical" supermarkets to compare prices.

Had you reviewed all of the studies done by sociologists you would understand that more nutritious foods cost more to lower income and poor people. They do not have access to such markets. Generally only convenience type stores and/or fast food establishments are willing to locate in poorer neighborhoods. Fresh vegetables and produce are hard to find, and are sold at a premium and are typically poorer quality. Provided that poorer people can get to an actual supermarket, the cost of transportation or time lost (3 hours typically to get to a supermarket and return) adds to the cost of items purchased. They are also precluded from buying in bulk as they must be able to carry their purchases by hand.

The higher cost of nutritious foods to low income populations is NOT a myth. Articles like this do a disservice to the pursuit of equitable access to health and the benefits of good nutrition by both ignoring the real problems and by declaring the problem non existent or solved..
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HUFFPOST BLOGGER
David Katz, M.D.
Director, Yale Prevention Research Center; Editor-
11:02 PM on 03/11/2011
You are really raising the issue of food 'deserts'- which is, quite simply, not what my article was about. This is, indeed, a very serious problem, but rather different from a direct cost comparison of more and less nutritious foods when and where both are available. Telling the truth about the one in no way does a disservice to the other. Food deserts are by no means a myth. They were not ignored; they simply weren't the topic. There is no declaration about nonexistent problems.

If anything, the fact that more nutritious foods need not cost more is an argument for more of them to be stocked by bodegas.
04:37 PM on 03/11/2011
I feel very guilty reading this while eating a bag of Famous Amos chocolate chip cookies from the vending machine at work. (At least I had a salad for lunch).
AveragePatriot
I am an Apathetic Agnostic
01:18 PM on 03/10/2011
That's a great perspective for those who actually watch what they eat, but unfortunately, droves of people still hit Mickey D's everyday....

I know I will use this information. Now how to we get this information to be utilized by the 90% of people that don't care? Well. I suppose there is that old 'Natural Selection' thing....
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w84it
01:55 PM on 03/10/2011
Good point. I live in an area of town that is far from poor. There's never a short line at Mickey D's, Taco Bell, Wendy's or Chickfil'a. But, the smoothie shop next door is empty...hmmmm.
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DrMandible
No one on the corner has a swagger like us.
04:16 PM on 03/15/2011
Natural selection only works if the specimen dies before breeding age. These diseases don't usually catch up with us until later in life. But if they were killing children, it wouldn't be a matter of natural selection so much as it would be the fault of a capitalism gone hay-wire. Young kids can't pick what they're going to eat, generally speaking.
12:50 PM on 03/10/2011
I definitely think it's a myth. People are always looking for excuses and others to blame for their laziness and its disgusting. take care of yourselves!

http://www.fourgreensteps.com/community/blogs/four-green-steps/meatless-monday-eating-lighter-living-better
03:49 PM on 03/11/2011
I so agree Steph that it is our duty to take responsibility for our own health instead of putting into our bodies whatever we like and expecting the doctor to make us well. This is what I do as my healthy and body deserves that its owner take care of it. Extremes aren't necessary. I gave up meat and dairy cold turkey, excuse the pun 8 years ago with the plant based diet and never looked back. Cheese is and was the hard one but one doesn't have to be a fanatic either if they eat good or organic cheese once in in a while as a treat.

So nice to read, on this blog sensible people without those attacking the non- meat eaters.
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DrMandible
No one on the corner has a swagger like us.
04:18 PM on 03/15/2011
The article actually concluded that it's not a myth because of the economic realities that we live in. The subsidies allow people to buy calories in bulk while sacrificing nutrition. Also, personal choice isn't really the answer since most people get hooked on this addictive food when they're children.
10:53 AM on 03/10/2011
The "cost" of not eating well is far greater..and lasts longer. Poor choices impact your health and wallet.
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iamjones
12:38 AM on 03/10/2011
a good rule to go by: could shakespeare, geronimo and plato have eaten this? if not, i probably shouldn't either... fruits, veggies, grains, proteins = great! frakenberry cereal, fruit roll ups, pop tarts, soup from cans, etc are not real food but rather empty calories or chock full of HFCS, sodium and cholesterol
05:38 AM on 03/10/2011
It's a very good rule to go by, too.

Another one I have is that even people living in tiny spaces with no yards should grow at least some of their own food. It's surprisingly easy (at least surprising to a lot of people), cheap, and satisfying. With a few sprouting containers and a few larger containers one can grow enough greens and sprouts to keep themselves in salads year round. The reason I think people should grow at least some of their own food is that it keeps them in touch with where real food comes from. The food packing and processing industry has obfuscated the question of exactly what food is for several generations now.
03:51 PM on 03/11/2011
I love my sprouts container though one could easily make their own, I bought one just for this purpose and use the sprouts in salads or green smoothies.

Good post!
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Nicole Dixson
12:32 AM on 03/10/2011
I sure would like to know the stats of all you people who don't eat HFCS, processed foods, carbs, etc. Height/weight, cholesterol level, glucose level and blood pressure. Don't get me wrong, I like healthy foods but I like my fair share amount of junk too. Just couldn't imagine living without foods I like.
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babybelle
PureBread Mutt LOL
09:37 AM on 03/10/2011
OK here's my stats.
5'2', 105 pounds, 63 YO
Normal cholesterol, glucose and BP.
Oh, but I do eat carbs,,, the good kind.
No junk, but on holidays I won't deny myself a few treats. :)
I don't go overboard though.
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Nicole Dixson
09:43 AM on 03/10/2011
Nice stats. I am the same height, but 4 pounds heavier than you and 39 years old. I eat relatively well, but not one to deny myself. Sweets are a weakness for me and I for sure consume HFCS. The stuff is in everyone-bread, yogurt, things you wouldn't think it was in.
04:00 PM on 03/11/2011
Nicole, I"m 5'4" and weight 105-107, don't recall my clucose or cholesterol level off the top of my head but there excellent, to quote my doctor, and BP is 112/60. Haven't had a cold since the late 80s and two flus since 1980 and don't get flu shots. No allergies, no sinus problems nothing but healthy. I never ate much meat, my weakness was cheese and fruit which I mainly survived on and then 8 years ago started plant based diet after investigating veggie, vegan, raw food among other plans and then came along the China Study and Eat to Live by Joel Fuhrman which a friend of mine convinced me to do with her and never looked back. I couldn't be happier or healthier though I know I have good genes but they can't be taken for granted. I have a lot of discipline but I like how I feel and my weight is a delight. My grocery bill is lower, I do eat organic, and meal planning and cooking is so much simpler.
11:55 PM on 03/09/2011
Corona beer (with lime, no glass) and a pizza, what can be healthier than that?
10:15 AM on 03/10/2011
I can't argue with you about your taste, but some pizza boxes have more nutrition than some pizzas.
09:36 PM on 03/09/2011
I look at food as needed healthy fuel and less as tasty entertainment. Sure, I prefer the food taste good however that is secondary. "In your mouth for a moment, on your hips forever" captures the transient pleasure of food! Two-thirds of Americans are overweight.........sad commentary about restraint!
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JustMeinNJ
09:18 PM on 03/09/2011
I became a vegetarian (by accident really). It's a lot less expensive when you don't buy meat at all!
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DrMandible
No one on the corner has a swagger like us.
04:20 PM on 03/15/2011
So true! My meals cost about 50-80% the cost that they once did. And that's including the upgrade to all organic fruits, veggies, and dairy.
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Bobolini
Crusty, But Delicious!
08:02 PM on 03/09/2011
When I went away to college I moved to a small town (this is way back when) and they didn't have any of the healthy foods I grew up with. I ended up buying raw materials and cooked when taking a break from studying. Everything I bought was fairly unprocessed and in bulk and I ate like a ravenous gofer in a cabbage patch. And it was a very, very cheap way to eat.

Being a little different takes imagination and flexibility. While my fellow students ate hamburger gravy over rice at the cafeteria, I ate eggplant parmigiana, soy nut loaf, home baked bread and lots of fresh fruits a vegetables from local farms. I spent less, had a better life and always had a line of people at my door hoping for a taste.
05:09 AM on 03/10/2011
This has been my experience also. In my experience preparing one's own food has two advantages. First, you have control over the ingredients. Second, if you shop well it's much cheaper. As far as I'm concerned the main factor in expense isn't healthy vs unhealthy, but prepared at home vs eating out. Home prepared meals are much easier to make healthy, since the preparer has control over the ingredients, and are almost always much cheaper.

This is actually an interesting discussion. I think I'll start tracking my food costs over the next few weeks. When I've done it in the past I've seldom topped $1.00 per meal even with relatively extravagant ingredients.
04:05 PM on 03/11/2011
Larry, yes, this is an interesting discussion and you are lending a lot of good info. I too prepare my own meals, do lots of soups in pots so I can freeze and can absolutely do with steamed broccoli and brown rice. I could lower my grocery a bit more and sometimes I do. I like to know what is in the food I eat and I can treat myself once in a while with no guilt though never, ever with junk foods. I seldom eat out.

fanned and faved for an enjoyable read. Thanks!
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Mr Bobo
Warriors, come out and PLAY-AY!!
05:34 PM on 03/09/2011
Our family saves a lot of money by purchasing organic fruits and vegetables from a weekly CSA (community supported agriculture) drop combined with shopping internet sales for grass-fed beef, free-range organic chicken and the occasional quarter or half hog. We also purchase bulk rice, flour and other staples from a monthly co-op drop.

Having a freezer is the key!
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silverhair01
05:09 PM on 03/09/2011
let me restate that. for a single meal, it's cheaper to buy junk food. but if you are cooking vegetables and lean meats for multiple meals...it's cheaper to eat at home. The problem comes when you eat out as anything healthy at a restaurant is marked up considerably. $12-$15 for a salad? whatever...I can get a ton of lettuce for that cost
04:09 PM on 03/11/2011
silverhair, I know. I often sit there thinking about all the lettuce and salad goodies I could buy with $12-$15 salads when I have lunch out with my friends. Frey Vineyards makes the best organic wines I've found which are a real treat for weekends.
06:04 PM on 03/11/2011
Not only that, a packet of leaf lettuce seeds contains about a thousand seeds, costs about $1.50 here, is very easy to grow in most parts of the country, and can store for up to five years. When I'm gardening seriously (which I am at the moment), I can eat large salads all season for a few cents each.
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silverhair01
05:02 PM on 03/09/2011
Umm...I just spent $1.65 on ONE green bell pepper last night. Healthy food is more expensive...
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Callah
just another Northern Californian
09:11 PM on 03/09/2011
I went to buy one a few days back and they were $1.50 something at Safeway in Northern California?
I have never seen prices up so fast as they have over the past four months, not just the gas prices up to $4.19 a gal but food prices have been rising a little bit at a time for the past two years.
I buy the same things I have for 25 years..I can generally tell you up to the penny what my cart will cost at the checkout for most of my life, but lately, over the past 18 months or so, everything has been changing, Things I paid $1.79 for last year are now $2.39. like bread products, veggies, sundries, what have you.
I have been calculating my shopping cart since I was 16 years old....I have been keeping receipts and comparing them for the past 8 months or so, (maybe 7 1/2 months) and can see some of the small inching up of prices, covered by clever gimmicks like but two or three and get each for a reduced price, (which is higher than it was five months ago for a single non-sale item). Nice huh...
04:12 PM on 03/11/2011
Well, gas prices in Marin are $4.91. I'm thinking about a three wheel adult bike! I'm also thinking about a bread machine as $6 for a good loaf of bakery bread is absurd.
09:12 PM on 03/09/2011
Bell peppers are out of season. Peppers are a heat-loving plant, a summer fruit. Think about how far you are from a summer place. Had you purchased a cool season vegetable, you might have stayed "on budget".