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Dr. Susan Albers

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A Law that May Radically Change the Way You Eat

Posted: 09/19/09 03:46 PM ET

As we speak, there is legislation being proposed that may completely change the way you eat out. If you've been to New York City or live there, you already know what I'm talking about. Walk into most NYC restaurants (except fine dining and smaller restaurants) and you will see calories posted front and center. It is called the Dietary Data Disclosure Law. It's already in effect in NYC and is making its way to California where it will be implemented by 2011. Other states are likely to follow. Labeling menus is now a federal bill sitting before congress.

How will this impact restaurants? It may just alter what your favorite eatery serves and how they label their menu. The Wall Street Journal reported on September 16th that the Macaroni Grill recently revamped their menu. They came up with healthier and lighter fares to keep their customers returning. Apparently, people were not thrilled when the true calorie content was revealed. One of the Macaroni Grill's desserts was recently deemed "The worst in America." The dessert contained as many calories as some people eat in a day. Now, they are turning over a new leaf. Expect to see many more healthy options that are tasty too.

Here is the issue. We all want to eat healthy. Yet, is calorie count a gauge of this? We have to keep in mind that calories are only one aspect of food composition that helps you gauge how healthy it is. Basically, you look at calories and say to yourself one of two things, "high or low." It's a little bit like weight. Weight alone is a very limited source of information. You have to know how tall someone is to put weight into context. For example, is 150lbs a healthy or unhealthy weight? Again, that depends on how tall you are and if you are a man or a woman. Also, you must know exactly what someone eats and if they are getting adequate nutrition to determine if they are healthy. We've all known thin people who have very unhealthy diets. So calorie content really doesn't signify "health" per say. It tells you the energy density of food and if it puts you at risk for eating a lot of calories or a little.

Some people love the idea and new law. In fact, a survey of New Yorkers found that the majority of people were in favor of the new menu information. In general, it may help people make much more informed choices. It is often difficult, almost impossible, to eyeball some dishes and know how healthy they truly are. On the TV show The Drs today the well informed doctors and several audience members admitted that they had wrongly assumed they were eating a healthy salad only to find that it was anything but healthy. This law holds restaurants accountable for being honest and making healthy dishes (at reasonable calorie counts!). Without urging, would restaurants do it? It's expense and complex to change a menus.

On the other hand, for people with eating disorders, posting calories can wreak havoc on their emotions and is very triggering of eating disordered behavior. The message their treatment professionals give them -- let go of calorie counting. Making choices only on calorie content is a recipe for danger. Calories can take over your life if you let them and suck the joy out of eating completely. Instead of using calories to gauge health, people with eating disorders focus on balance, variety and eating mindfully.

Basically, ignoring or obsessing about calories is a problem. The trick is to raise your awareness of what you are eating. Think content not calories. Does this food give me nutrition, balance and a reasonable amount of energy for what my body needs?

How else can we broach the issue of helping people make wise, informed decisions without taking the joy out of eating? Perhaps give people all the facts like putting the complete label like the kind you see on the back of a cereal box? The problem is that it takes time and education to decipher complex food labels. How about giving an overall health rating which is based on a number of different factors (such as calorie content, level of energy density, vitamins and minerals etc).


What are your suggestions?

Overall, we all want to eat healthier and be more mindful of what we put into our mouths. It's so much easier said than done, labels or no labels.

By the author of 50 Ways to Soothe Yourself Without Food and Eating Mindfully

 
 
 
 
 
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04:19 PM on 09/21/2009
I don't think its necessarily bad for people to see the amount of calories that they eat, but I agree that its not the only thing.

I started dating my Type 1 diabetic boyfriend over a year ago. Since I've met him, I've dropped 25lbs. All of my friends and family are shocked by the transformation (I now look slim and healthy, I was a little on the pudgy side before) and they're all asking me how I do it.

Well, I didn't look at calories, but if the calories are there, it makes me feel good to pick a food without a high calorie content. And I eat 3 very well-balanced meals a day because my boyfriend must. I try to have a carbohydrate, a protein, and a veggie or fruit at every meal.

Calorie counting, for me, only leads to stress, which leads me to convince myself that its ok to "cheat." Why should I be cheating at anything? When I want a piece of chocolate, I'll have a little piece of chocolate. But, I won't freak out that there's another 200 calorie addition to my day.

Knowing calories are as important as knowing what in your food, but its not the only thing. And if one believes that it is, it'll just cause heightened stress. (IMHO)
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02:53 PM on 09/21/2009
I'm much more concerned about WHAT is in my food than how many calories are in it. And I don't eat out nearly as much as I used to because I've grown so used to my own cooking with whole foods that what's in the restaurants often tastes fake. There are some restaurants that I go to where I can be pretty certain their food is minimally processed, but so many restaurants use prepackaged foods rather than cooking from scratch... Very few restaurants that I know of make their own soup from scratch, and forget about salad dressings...
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booker52
avid reader
11:18 AM on 09/21/2009
Since my spouse was diagnosed as a type 2 diabetic almost 20 yrs ago, we do read labels. You would be surprised at the junk that is put into our food.
01:18 AM on 09/21/2009
Actually no...not until I can be sure where my food comes from, you see restaurants especially out of seasion, use food that's imported from countries that use large amounts of pesticides, and herbicides. Many of which are banned in the United States.

Many of these herbicides and pesticides have been shown to influence people hormonally, and can affect whether what we eat turns to fat or gets burned up as fuel.

I no longer eat fish at restaurants. This happned when the majority of fish consumed came from fish farms. These fish contain very low amounts of EFA's. Then there is also the problem of rendered beef. Which is fed to farmed fish. Recently it's been shown that fish can contract mad cow disease, from rendered beef.

This is just the tip of the iceberg. There are many hundreds of laws already on the books, but since they aren't enforced, it's likely that one law will make little difference.

As long as corporate food giants, do as they please, endangering the publics health then no amount of regulation will help. Until then I will avoid eating out, and will cook at home.
tazmodious
Left Hand of Darkness
02:22 AM on 09/20/2009
Posting calories and food content can be helpful, but most important is to help people understand what diet works for them. Some people are fine with starchy foods, some are better off being vegetarians, some require proteins from meats. People have different tolerances to different kinds of food. Everyone needs vitamins, minerals ang good nutrition.

Teaching people how to be aware and understand the effect of different foods on their bodies would go a lot further than forcing resturaunts to print reems of data.
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PhilipB
02:17 AM on 09/20/2009
I think about ingredients, recipes, classic techniques from the morning when I wake up, and then plan what I will cook. I go very early to different farmers markets and the I begin the recipe. I play sometimes with a single ingredient, say like leeks for example, and see how different recipes approach this, and then I get a sense of it and see what is intrinsically right to reveal the ingredients nature, alone or combined in a dish.
All very interesting to consider, and there is nothing like a practical approach, learning from others, and the having that moment when you can understand that ingredient and take it from there.
The point of all this cooking I have done and the testing and all, is that good wholesome food nourishes you. Snacks, processed foods, fast foods, produce covered in poison, meats injected with all kinds of things in global factory farms will kill you, make you gain weight and your appetite unsatisfied.
Good food takes time, but much prep work such as chopping vegetables can be done ahead of time and the carefully sealed until you are ready to to combine in the recipe. It does take planning. Having committed myself to being a good chef and learning as much as possible, I have found that a good meal, the act of "breaking bread" as it were, is intrinsic to the human condition, establishes bonds in families and friends,and is recognized in every culture.
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02:58 PM on 09/21/2009
Your comment that "good food takes time" is enough to turn a lot of people off of cooking. I cook with whole foods, but I don't spend hours working on them. I have learned how to make simple, quick dishes that require a minimum of time to prepare (most of my favorite dishes take 15 to 30 minutes to prepare -- about as much time as it would take to stop by the hamburger fast-food joint on the way home from work). In today's helter-skelter life, it's important to be able to feed yourself and your family well but quickly. And it is possible.
12:59 AM on 09/20/2009
A proposed tax on sugary beverages, as reported in the New York Times last week (“Tempest in a Soda Bottle,” Thursday, Sept. 17, 2009) is a great idea, both to help prevent health problems associated with a high-sugar diet and to help pay for them.

A tax on meat is at least as apropos. Heavy meat consumption is associated with increased risk of cardiovascular disease and some types of cancer; deforestation caused by industrialized meat production contributes significantly to global warming; nearly 20% of all greenhouse gases come from livestock production, according to a report by United Nations Food & Agriculture Organization; precious supplies of fresh water are wasted in meat production, as 1 kg of animal protein requires about 100 times more water than 1 kg of grain protein.

Switching to fish is no solution: many fish are now contaminated with mercury and/or PCBs, and scientists believe that over-fishing is an environmental time-bomb.

Tax sugary beverages? Certainly.

Tax meat (and fish)? Excellent idea, both because eating less meat is healthier for the individual, and because a radical reduction in meat production would be good for the health of the planet, and therefore, for the health of all of us who live here.

Sincerely,
Sheila Leavitt

http://www.bmj.com/cgi/content/abstract/308/6945/1667
http://www.nature.com/bjc/journal/v90/n1/full/6601441a.html
http://www.ncbi.nlm.nih.gov/pubmed/19297458
http://www.fao.org/ag/magazine/0612sp1.htm
tazmodious
Left Hand of Darkness
02:02 AM on 09/20/2009
Why not then tax potatoes, flour, pasta and other carbohydrates that also increase fat and cause a whole host of diseases?

I find that when I have a high carbohydrate diet from the aforementioned foods, I gain weight very quickly and get constipated as opposed to a diet of proteins (meat) and vegetables which causes me to lose weight and be regular.

Should I be penalized because most carbohydrates are bad for me.
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PhilipB
02:54 AM on 09/20/2009
Hello Sheila Leavitt!
I understand where you are coming from, but I am unsettled about taxation as a punitive approach to healthy eating. Also, I am now exploring vegan recipes, but I would have to say I enjoy classic recipes from every culture, and as someone who really cooks every day, I would not want meat and fish taxed so I could not afford it.
I would certainly add that poison in our produce, and hormones and dangerous practices of the global meat industry must be checked. I can also understand the dangers of too much meat in a diet as you have shown.

I would suggest,however, that your approach is rather "police" like and authoritarian, diminishing your goals of a healthy populace and a healthy planet.

I would ask you to re-consider your approach so it could be seen as too impossible for the typical family, or treading on people's freedom of choice.
11:14 PM on 09/19/2009
I think the greatest benefit from the law is one you have already indicated: it puts pressure on food providers to provide lower calorie meal options. The fact is that a high proportion of the population is overweight and would benefit greatly from consuming lower calorie meals.

Let's wait and see how this turns out. The labelling may be fine-tuned at a later date.
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ewoman
11:02 PM on 09/19/2009
Calorie counts are GREAT ideas. Most people in this country have no clue as to portion size. Plus, I'm basically lazy. Instead of analyzing my food and guessing at the calories when eating out, I'd rather have someone else do it for me. =)

Finally, calorie counts at fast food joints is one way to make people wonder if that double-decker with fries and a soft drink truly is necessary, if calories matter to them. Learning about calories can be one step to learning about nutrition...last I heard, none of this is taught in schools...
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DrP
10:43 PM on 09/19/2009
I was hoping this would include a discussion of the reality that "calories in, calories, out" is a bogus belief. The type of calories is very important. Those 100-calorie packs of cookies and chips are ridiculous, because most of the oveweight/obese cannot metabolize the refined carbohydrates and those calories can't be used as energy and will be stored as fat.
I haven't counted calories in years. If I limit my carbohydrate intake to non-starchy vegetables and get plenty of fat in my diet, I find I eat very little and control my weight easily, as long as get plenty of exercise.
10:33 PM on 09/19/2009
Thank you for raising the concern that calorie labeling can be very triggering for those who have eating disorders or are vulnerable to developing eating disorders. Harvard University took away the calorie counts it displayed next to food choices because so many students had trouble with that information. They now provide it in the dining hall, but do not display the numbers next to the food.

Moderation and enjoyment are key. Let's get back to basics and common sense.
10:04 PM on 09/19/2009
Nutrition, balance and energy--all great ideas.
But surely food is to be enjoyed as well.
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WYHKTai-Tai
Wyoming, Hong Kong, Tai-Tai
09:55 PM on 09/19/2009
I think this is insane! Is it me? Am I some clueless 'elitist' out of touch with the common people?

Does the average person not have any idea that fast food burgers are fattening, unhealthy for you if you eat them every day, maybe even every week? That a green salad IS healthy...then drowned in Ranch dressing it is UN-healthy!?

When I go out to dinner the last thing I want to see on the menu is a calorie-counter index. I know that most of the time I need to watch my waist, and eat healthy, but I don't eat out a lot, so I want to enjoy my meal. I know that if I order the grilled fish, it may have more butter or whatever in it than my home-cooked fish, but still it is pretty healthy, I know if I order a burger & fries, I'm blowing it!

Does the average person really need this on their menus?
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10:57 PM on 09/19/2009
it's you.

1 in 3 adults now becomes diabetic, elitist! I am in favor full disclosure. i would like a list of every ingredient in each product thrown in a dish.

i like to know whether or not i'm consuming a bio-engineered, hormone disrupting, chock full of hydrogenated oil/high fructose corn syrup, saccharin, artificial dyes, otherwise chemically laden, disease-producing delight.

about your grilled fish--it's grill marks are carcinogens & its mercury content is too. Still think it's pretty healthy?

average persons have the right to know what they are eating. all persons do.
01:14 AM on 09/20/2009
I think people know fast food is generally unhealthy, but they don't know the scale of it. Seeing massive amounts of calories I think will really help people make better choices and force providers to make better food.
09:42 PM on 09/19/2009
I understand the message that calorie counting can be detrimental, but it's the ONLY way I've found to effectively lose weight. Vague concepts like "try to eat healthier" just aren't helpful to me. Counting a specific number of calories is much easier to me and I'm very happy about the movement to post calorie counts in restaurants.
09:42 PM on 09/19/2009
Yeah, basically calories is a terrible measure of content. There isn't any thing about soda that is good for you except maybe the stress relief. But the zero-calorie non-sugar diet variety is ten times worse than you due to the chemicals they add. Could this lead to the same chicanery?

The main issue is that the human body is not able to cope with wide varieties of different food stuffs. The different enzymes that digest different food directly compete with each other. The short of it is to keep your meals simple, eat lots of salad, and meat is good for you when eaten separate from starches.

Nutrition has a long ways to go in this country. But yeah, in the end it's about enjoying life. Better to be grateful for the food than overly picky, fussy, counting, or worrying. What I'd like to see is more organic-food restaurants and for the government to promote organic foods rather than trying to regulate them out of business.