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David Katz, M.D.

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Organic Food, Health and the Burden of Proof

Posted: 07/10/10 12:00 PM ET

Paradoxically, my long-standing interest in organic food has encompassed both ardent support and concerned opposition.

My support for organic food -- and my own family's frequent selection of it -- has largely been based on potential benefits to the planet. These, I think are self evident, so I won't elaborate them here. My concern has been based on the misinterpretations of what organic means.

Organic does not mean "nutritious." Broccoli may be grown conventionally, but still has the nutritional profile of broccoli. Gummy bears -- and sugar, for that matter -- may be organic, which says something good about what they don't contain (pesticide residues). However, it says nothing good about what they do contain, or add to your diet.

Considerable mischief has come from supply-side misrepresentations of organic. Tapping into the burgeoning public interest in "going green," the food industry has draped products in labels touting organic ingredients even when such ingredients are a nominal part of the whole.

According to the USDA, any food sporting "organic" on its label must be "produced by farmers who emphasize the use of renewable resources and the conservation of soil and water to enhance environmental quality for future generations."

Further, "organic meat, poultry, eggs and dairy products come from animals that are given no antibiotics or growth hormones. Organic food is produced without using most conventional pesticides, fertilizers made with synthetic ingredients or sewage sludge [a comfort, to be sure], bioengineering or ionizing radiation."

There is, of course, the fine print. A label that says "organic" is noteworthy for not saying "100 percent organic." Ninety-five percent of the ingredients in such a product must be organic, but the rest can be ... whatever. In products "made with organic ingredients" up to 30 percent of the content need not be. We may get the truth on a food label, but rarely the whole truth.

The industry has done much to propagate the view that organic and nutritious are synonymous. The prevailing view, for example, seems to be that Whole Foods sells only nutritious foods, when, in fact, its commitment to selling "natural and organic" products guarantees no such thing. Standard offerings include, for instance, whipped cream and pepperoni pizza. In any other supermarket, shoppers would recognize these as dubious choices for health promotion -- but under the halo effect of "natural and organic," Whole Foods shoppers may feel they can't go wrong nutritionally. I beg to differ.

When developing the Overall Nutritional Quality Index that now powers the NuVal nutrition guidance system (www.nuval.com), an international team of leading nutrition and public health experts and I wrestled with this dilemma. While we unanimously supported organic food philosophically, we were forced to conclude in 2007 that there simply wasn't sufficient science to include organic in an evidence-based measure of nutritional quality. Work on updating the NuVal algorithm will begin with the release of the 2010 Dietary Guidelines for Americans, and we will once again need to address this issue.

Ironically, both sides of the organic/health debate have received a boost from recent research. A study just published in Pediatrics found higher levels of pesticide metabolites in the urine of children with attention deficit disorder. The association between organochlorine pesticides, which affect the nervous system, and ADD makes sense, and was clear in this new study despite a good attempt to control for other factors. Pesticides residues may or may not "cause" ADD, but they are at least implicated by association. Other research over recent years suggests that organic produce may be, on average, 20 percent more concentrated in vitamins and minerals than conventionally grown produce.

On the other hand, a systematic review of the literature on organic foods published May 12 in the American Journal of Clinical Nutrition concluded that "evidence is lacking for nutrition-related health effects."

This paper, however, bespeaks absence of evidence, not evidence of absence. Consider what it would take to PROVE that organic foods confer a health benefit.

Imagine a clinical trial in which 1,000 people are assigned to strictly organic foods, and another 1,000 to conventionally grown foods, for 10 years. Such a trial would be enormously costly, cumbersome and logistically demanding -- if feasible at all. Some chemical contaminants would almost certainly get into the diets of the 'organic' group despite the very best efforts to prevent it, and these would also contaminate the study- because they would narrow the intended difference between treatment groups.

Nonetheless, imagine there were three fewer cases of cancer, and/or of ADHD, and/or perhaps several other maladies, in the organic group. Just "three fewer cases" over 10 years would be too few to distinguish from a statistical fluke in a sample of a thousand people. And, realistically, there might be even less than three fewer cases of cancer, because many cancers develop over a period of more than 10 years; a 10 year study might just not be long enough.

But let's imagine there were, indeed, three fewer cases of cancer, three fewer cases of ADHD, three fewer neurological ailments, and so on, in the organic group over a 10 year period. While none of this would likely be statistically distinguishable from random variation, consider what it would mean to the public health. Three extra cases of cancer per ten years in 1,000 people caused by pesticide residues would mean 3,000 extra cancers every ten years per million people! In a population of 300 million, it means 300,000 extra cancers every decade!

What this tells us is that the health effects of pesticide residues and other common contaminants of conventionally produced food could be truly enormous at the population level, and still all but invisible to epidemiologic research.

Organic and nutritious do not, and never will, mean the same thing -- please be aware of that, and beware marketing messages to the contrary. But along with known benefits of organic food for the planet, we have more and more hints of potential health benefits as well. The case gets incrementally stronger with time that a food that is nutritious to begin with is better still if organic.

While we don't have, and are unlikely to get, definitive proof of the health benefits of eating organic, perhaps it's time for the burden of proof to go the other way: since organic food is better for the planet and is likely to be better for health, we should accept it as such ... unless someone can prove it isn't!

-fin

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

 

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Paradoxically, my long-standing interest in organic food has encompassed both ardent support and concerned opposition. My support for organic food -- and my own family's frequent selection of it -- h...
Paradoxically, my long-standing interest in organic food has encompassed both ardent support and concerned opposition. My support for organic food -- and my own family's frequent selection of it -- h...
 
 
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10:25 AM on 07/13/2010
Buy organic and wash it as if it were not.

The comment about the eggs? Buy eggs from local farmers who have not washed the eggs. Likely the chickens roamed the farm eating what chickens are supposed to eat. Those two factors make them worth the extra money. Yes, 'organic' eggs from the grocery are just labeled differenty, with the eggs being not much different. Anyway, who ever heard of a vegetarian chicken?!?!?
10:07 AM on 07/13/2010
Here's egg in your face:
In a surprising admission, a July 8 Time magazine story revealed that organic eggs are no healthier than factory eggs. In the past, Time has championed organic foods and green lifestyles. The egg story included a survey of egg prices in a random city - Athens, Georgia - and predictably, the survey discovered factory eggs were only $1.69 a dozen whereas organic eggs ranged from $3.99 to $5.38 a dozen. In other words, pay up for a belief.




Read more: http://www.newsbusters.org/#ixzz0tZT8RA3Q
04:29 PM on 07/12/2010
Purchasing organic food does not limit the importance of responsible, personbal dietary choices. Too much salt in organic chips does about the same thing to people as too much salt in conventional chips; ditto, saturated fat; ditto, calories.
What does matter is each person's daily ingestion of essential nutrients, and micro-nutrients like antioxidants, and our intake of chemicals/animals drugs/food additives that are not terribly good for us. If we happen to be pregnant, or less than two years old, these chemicals can trigger some serious disruption in the developmental process.
The nutrient density of many organic foods now exceed comparable conventional food largely because the nutrient content in conventional food has fallen as a result of what scientists call the "dilution effect."
The science is building most rapidly in support of the developmental benefits of lessened exposure to pesticides not allowed for use on organic farms, and grassed-based beef and milk, both of which contain elevated levels of heart-healthy CLAs and omega 3s. Katz should do a column on the highly skewed and unhealthy ratio of Omega 6 to Omega 3 intakes in the Western diet, and how this contributes to cardiovascular disease, among many other health problems. One of the cheapest sources of extra CLA and Omega 3 in the grocery store is organic milk, dairy products, and eggs. The same amount of Omega 3 via salmon costs far more than the added Omega 3 in organic vs. conventional milk.
11:39 AM on 07/12/2010
This post incorrectly states that "Ninety-five percent of the ingredients [in an organic product] must be organic, but the rest can be ... whatever." In fact, not just any ingredient can be used in the remaining five percent. The remaining contents can only be natural or synthetic ingredients not available in an organic form that are recommended by the National Organic Standards Board and allowed on the National List. Additionally, the product cannot use both organic and non-organic versions of any ingredient listed as organic. For instance, if a loaf of bread is made with organic wheat, all of the wheat in the bread must be organic.
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DavidMG
OWS Senior
10:40 AM on 07/12/2010
I think it is important to recognize that even if there were no nutritional advantages to organic food, they are sill much, much better in many other ways. For example, there is no question that they carry fewer/no questionable agricultural chemicals. Also, there is no question that agribusiness is an ecological disaster. Get this: Large farms produce less than a calorie of energy for each calorie invested. On the other hand, traditional/organic techniques produce more calories than invested. This is a wasteful use of energy. See Cornell’s David Pilmentel’s work: http://caliber.ucpress.net/doi/abs/10.1641/0006-3568(2005)055%5B0573%3AEEAECO%5D2.0.CO%3B2
The use of chemical in farming hurts farmers. Industrial farming techniques have proved to be cruel and impractical in many parts of the world. In India, tragically, hundreds, perhaps thousands of farmers have committed suicide because they cannot afford the special seeds, fertilizer and other energy inputs which are required for factory food growing.
As far as I am concerned, organic food is about both the selfish desire for good food and the selfless desire to fulfill the former without hurting farmers or the environment.
10:26 PM on 07/11/2010
To have enough food is good for health. Food is not only thing that good for health but also adequate sleep is good for health too.
10:00 PM on 07/11/2010
PS .. No matter where you live you can grow something organically in a pot, self-watering container and you can do it 365 days a year no matter where you live in the United States. It is done on a global scale so successfully, yet little reported by a Corporate Owned Media. You can do it indoors, in a pot, in a self-watering container in a 4 x 8 raised bed, on a small city lot, in a community garden or on your own acreage. It is rewarding both from an financial, educational and nutritional aspect. You can compost in your own home without a huge compost dirty system outside. Please don't look at Corporate Owned media for the "how to's" to how to do this. You won't find the simple info as to the DYI of it all. There is a ton of info on the Net. Google it. Decide where you are at and just do what you can with what you have. Yes, YOU can grow something Organic!!!
09:36 PM on 07/11/2010
I certainly sympathize with the confusion about organic food production. I am a local organic homesteader gardener affiliated with local and regional organic farming practices. It is in Big Agra's Corporate Owned and Government Appointed Key Positions to protect their profit margins as Corporate Entities. Facts are facts. The truth is the truth. With new technology practices and improved more efficient composting methods to "grow soil" to promote plants with healthy immune systems is the biggest competitor of Big Agra. It is the reverse that is the truth. Conventional farming practices require much more water because soil biodiversity is killed off and it's ability to RETAIN water while nutrient and micro-organism dense organic soil retains moisture and filters water. Let the history of Victory Gardens in American coupled with more efficient Soil Growing Technology via organic methods be your guiding light to a sustainable and food secure future. The Earth is the only planet in the solar system encompassed in a living skin called Soil that is responsible for filtering water and feeding humanity. Destroy those two factors via the over-application of "cides" and see how long you can live without clean water, clean air and biodiverse soil supporting not only humanity but a diverse population of wildlife and micro-organismis.

If you trust Corporations based on profit margins for your health and welfare and that of the planet, then you get what you deserve.
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Neutralino
Opposing pseudoscience 24/7
08:38 PM on 07/11/2010
One of the misunderstanding about organic farming is that it is done on small, family-owned farms that operate in a very different way from big corporate farms. Actually, Big Agra jumped on the organic bandwagon as soon as it was obvious that they could charge higher prices that way.

Sad but true:
www.businessweek.com/magazine/content/06_42/b4005001.htm
05:43 PM on 07/11/2010
An excellent summary of the myths of organic food is in this report by The Independent of London.

www.independent.co.uk/environment/green-living/the-great-organic-myths-why-organic-foods-are-an-indulgence-the-world-cant-afford-818585.html

Organic food is a luxury item that is harder on the environment than conventional food. It would be helpful if supporters of this kind of food stopped fooling themselves into thinking they are helping the environment. The opposite is true.
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organicconnect
01:52 PM on 07/11/2010
There is a group called the Organic Center now fostering the publishing of credible scientific information on the benefits and effects of organic foods: http://organicconnectmag.com/wp/2010/05/the-science-of-organics/
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Kremfresch
01:07 PM on 07/11/2010
CSA, CSA, CSA!!! Community Supported Agriculture!! My family joined a local organic farm in Pennington, NJ. For a cost of just under 15 dollars a week (for a "single" share during the growing season) we are getting buried under mountains of delicious, healthy, organically grown vegetables every week. Tomatoes have just started, and I am going to have to take up canning to deal with the quantities. I have learned all about Chard, and Collards, and even Dandelion greens, not to mention the fresh garlic, onions, squash, cukes, etc, etc...
The farm has a waiting list to join, and has expanded it's operation in the last two years to include a second farm. I usually come home from the farm and google half of the things I brought home to see what to do with them!
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DavidMG
OWS Senior
12:48 PM on 07/11/2010
See David Pilment's' fine work at Cornell comparing conventional a nd organic farming.

http://caliber.ucpress.net/doi/abs/10.1641/0006-3568(2005)055%5B0573%3AEEAECO%5D2.0.CO%3B2
02:36 PM on 07/11/2010
FYI, this link doesn't work unless you make sure to copy the part that failed to come into hypertext.
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DavidMG
OWS Senior
05:55 PM on 07/11/2010
This link worket for me. Thanks.http://caliber.ucpress.net/doi/abs/10.1641/0006-3568(2005)055%5B0573%3AEEAECO%5D2.0.CO%3B2

Hope you will read this . Pilmentel has been right aboutmany important issues from the start.d
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HarmNone
Infinite Diversity in Infinite Combinations
12:21 PM on 07/11/2010
I truly wish more people would buy organic, which would bring the cost down some. Regardless, the benefit of no pesticides or other unmentionable things in our food is more than enough reason for me to spend the extra. Our nation has been getting sicker and sicker over the years, The high percentage of people I know who are on several prescriptions for ailments is ridiculous and scary because I think that is mostly the result of unwise food choices (pizza instead of salad), chemicals in our food, and eating all that processed, pre-cooked food instead of cooking it themselves.
08:14 AM on 07/11/2010
I wish folks like Dr. Katz would stop repeating the error that organic food is better for the planet. The opposite is true.

Growing food without the use of artificial chemicals requires other, more harmful inputs. For example, organic producers use extensive tilling to control weeds. All that tilling requires lots of diesel fuel, meaning that organic farming has a higher carbon footprint.

It also means that organic fields are more vulnerable to erosion and run-off. Flushing all that organic fertilizer into streams and rivers produces high levels of pollution. Conventional no-till methods are much better for water quality.

Organic farming does a great job of producing very high quality food. I do organic farming myself. But it's simple common sense that all that extra time and energy translates into more pollution. As Dr. Katz points out, people make a lot of claims for organics despite a lack of evidence. This is a prime example. Organic does not equal sustainable or environmentally benign. Don't be fooled.
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10:33 AM on 07/11/2010
Please disregard the uninformed comments of this poster.
This person has no real idea of true organic farming methods and practices, and appears to be a shill for either monsanto or some other chemical entity.
Allow me to de-bunk.
"Growing food without the use of artificial chemicals requires other, more harmful inputs. For example, organic producers use extensive tilling to control weeds" yes, that's so much more dangerous than using roundup or other herbicides, and besides, a few people with hoes requires NO DIESEL or any other fossil fuel. Also, the use of mulches such as hay/straw is practiced by any good organic grower. This keeps down weed growth while maintaining moisture and soil nutrients.

"It also means that organic fields are more vulnerable to erosion and run-off. Flushing all that organic fertilizer into streams and rivers produces high levels of pollution. Conventional no-till methods are much better for water quality."

Already debunked the first part, the only conventional 'no till' methods (an oxymoron to begin with) use herbicides and other noxious chemicals are not better for water quality.

"But it's simple common sense that all that extra time and energy translates into more pollution."
On what planet does labor intensive chemical-free farming yield higher pollution. That statement is ridiculous on it's face.

"Organic does not equal sustainable or environmentally benign. Don't be fooled."

Yes, don't be fooled into thinking conventional chemical-dependent farming is sustainable or environmentally benign.
Poor reasoning, whatever!
02:27 PM on 07/11/2010
You obviously have no actual experience farming. In actual practice, it has been shown time and again that organic requires more inputs, labor and energy. This is a simple fact. Agricultural run-off is America's number one source of water pollution.

Organic is great. But simple common sense dictates that adding expensive steps to the process of farming will inevitably create more pollution. I get the feeling that organic has become something like a religion to some folks. This has been studied repeatedly and the results are predictable.
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Neutralino
Opposing pseudoscience 24/7
08:41 PM on 07/11/2010
There's no point in being insulting.

Whatevah happens to be right on this. It seems kind of odd that you get all defensive when someone offers a fact-based argument.

Check it out:
www.consumerfreedom.com/news_detail.cfm/h/2643-real-scientists-debunk-organic-myths
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DavidMG
OWS Senior
12:43 PM on 07/11/2010
You dont know what you are talking about. Organic farming means less air and water pollution protecting everyone particularly farmers. Mulch and good soil practice means less runoff and better water usage. According to David Pilmental's studies at Cornell it is also MORE energy efficient.See.http://caliber.ucpress.net/doi/abs/10.1641/0006-3568(2005)055%5B0573%3AEEAECO%5D2.0.CO%3B2
Small farms also mean better communities and quality of life.
02:32 PM on 07/11/2010
I certainly agree that small farms improve the quality of life. And I agree that organic farming produces higher quality food.

But it just isn't true that it takes less energy. All that tilling requires tractor fuel. It also causes erosion and run-off. These are simply facts.

When you look at studies, it is important to distinguish between research into things that are theoretically possible and research into actual practices. When you look at the actual practices of America's organic farm operations, they produce more pollution per pound of food.

The inability of organic boosters to grasp this simple fact is kind of weird.