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Bonnie Modugno, MS, RD

Nutrition Consultant, Author, Speaker

530 Wilshire Blvd Suite 310
Santa Monica, CA 90401
(ph) 310-395-4822 (fax) 310-917-2274
(email) bonnie@muchmorethanfood.com
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You are here: Home / Archives for McDonalds

HEALTH HALOS: What happens when people assume what healthy means?

October 29, 2012 by Bonnie

Health halos convince a naive public that certain food is healthy, other food isn’t.  The halo even gets extended to places:  grocery stores, restaurants, even someones own kitchen.  You hear things like “she cooks healthy food” or “they serve healthy food” despite the fact that most locations also serve or sell food that is not inherently healthy.  In addition it is certainly possible to eat a mix of healthy foods that is not healthy for you,  and therein lies the problem with health halos in the first place.

A recent article in Bloomberg Businessweek is an example of misguided use of health halos.  Mike Roberts is the CEO of a new restaurant concept, and is to be commended.   The Lyfe restaurant menu embraces the new world of local and sustainable food.   Bravo.   The problem is how this effort is contrasted with his former life as an executive at McDonald’s and the food served at McDonald’s.

FOOD OF THE FUTURE:  LOCAL AND SUSTAINABLE

Local and sustainable are primarily environmental issues with some health implications.  Less carbon footprint, food grown in a way that minimizes use of pesticides or other man made chemicals, food grown with no artificial fertilizers that can create dead zones in oceans are all good things for the planet.  Ultimately, having fewer endocrine disrupters in our environment and a more sustainable food supply is definitely better for us.

When the writer describes Lyfe’s menu as local and sustainable it is inferred that this must mean it is healthier.  It is also interesting that the writer would like to press the compare/contrast button with McDonald’s.  To his credit, the former McDonald’s executive deftly sidesteps the issue.

WHAT IS “HEALTHY”?

It would take a more nuanced conversation to determine whether food at Lyte Kitchen is “healthier”.  Just because something is low in calories doesn’t inherently make it “healthier”, just as frying a food doesn’t inherently make it bad for you.  Unfortunately, the health care community and the media have created a monster.  Sound bite nutrition–whether practiced in a medical setting or in journalism–has created a very distorted understanding of food, nutrition, and what it means to eat well.

First, Americans clearly have a peculiar notion of calories.   You would think Calories are toxic and to be avoided if possible.   Calories are energy.  It is easy to forget that we need enough.

Second, vegetables are not inherently “healthier” than dairy, fish, fruit or beef  in the same way that concrete is not inherently better than wood or steel.  You want the right mix of materials no matter what you are building.  The notion that a quinoa wrap is healthier than a hamburger is debatable.  

WHEN A COMPLETE PROTEIN IS NOT MUCH PROTEIN

Let’s look at that Quinoa wrap a bit closer.  Quinoa is the rare grain that is considered a complete protein, but most of the calories come from carbohydrate.  My guess is that Lyfe kitchen chefs put quinoa in a grain based wrap with lots of veggies.  Beautiful.  But most of the calories are going to be from carbohydrate.   I know many of my clients that would not feel satisfied, would have trouble managing their blood sugar or would feel the discomfort of bloating when they eat this way. So would I.   Different people have different nutrient needs and that leads to my last point.

Too often people talk about a healthy diet as if it is a definitive thing.  You can eat whole foods, close to the earth, and still not be eating a healthy diet for you.   The media is fixated on the concept of best.  Which is the best fruit?  What is the healthiest vegetable?  What is the healthiest diet?  Most people–even the professionals that should know better–talk about good food and bad food.   These are ridiculous conversations.  They are asking the wrong questions.   The goal is to figure out an approach to food that works for you.

REINFORCING STEREOTYPES

The writer is determined to differentiate the food at Lyte as “healthy” compared to McDonald’s food.  Yet, the article talks about all the ways fruits and vegetables have found themselves on the menu at McDonald’s.   The truth is that there is not one right way to eat.  Enough fruits and vegetables is a good thing, but let’s not assume too much.  I have seen many unhealthy clients eating only fruits and vegetables.

After years of being browbeaten with the message that fast food is bad, people assume that there is nothing healthy to eat at fast food restaurants.   This notion is perpetuated by too many in public health and the medical community.  It is a simplistic notion that is just plain wrong.  All you have to do is scan what is sold in supermarkets and the calorie counts at sit down restaurants to know that poor food choices can be made everywhere food is sold.   Even at Lyfe restaurant there are choices that one would consider indulgent, no matter how locally sourced and sustainably grown.    Despite what the pundits say, more than where you eat, what matters is what you eat when you get there.

FAT BIAS:  The most destructive stereotype of all

There is great harm from all the good food/bad food conversation.  All you have to do is read the comments at the bottom of this article to see the evidence.   The good food/bad food conversation quickly deteriorates into a fat bias slam fest.  Too many very opinionated people want to believe that thin people eat healthy food and if you are overweight it is because you spend all your days eating all the wrong food.  The ignorance is astounding.  Too many people have not received the memo that it is possible to be healthy at every size (HAES).

In the end, this article is all about food and the direction we all need to move.   Every entity that connects with food, farming and the public will need to come to terms with the destructive ways of how we conventionally produce our food.  Every player will need to step up and change what they can.    Have you figured out a healthy approach to food for yourself?

Filed Under: Blog Tagged With: calories, dead zones, endocrine disrupters, fat bias, fried food, fruits, HAES, health halo, healthy, local food, Lyfe restaurant, McDonalds, Mike Roberts, quinoa, soil ecology, sustainable, vegetables

Why I celebrate McDonald’s New Happy Meal

October 18, 2011 by

McDonald’s announced it’s newest Happy Meal version yesterday. Media swarmed at the news and Michelle Obama added her words of encouragement.

The newest Happy Meal version includes 1/4 cup of apples and a smaller 100 calorie (1.1 oz) portion of French fries along with a choice of entree and beverage. McDonald’s estimates calorie savings up to 20% for any one Happy Meal. Most weight loss experts celebrate that kind of change. But not everyone has nice things to say.

A CRESCENDO OF CRITICS

There is a rising crescendo of voices that want to denigrate every food option that doesn’t meet their idea of acceptible or healthy. Andy Bellitti complains that there aren’t adequate nutrients in the Happy Meal. Mark Bittman tweets, “It is McD’s ‘job’ to make money, mostly by selling junk.” Yoni Freedhoff retweets Andy Bellitti’s assumptions and tells everyone, “we need to cook.” Marion Nestle says “I’m not impressed.”

The collective angst directed at McDonald’s no matter what they do is curious to me. I am a dietitian, seeing private patients for 25 years in Santa Monica. I taught at Santa Monica College for 15 years, 12 at UCLA Extension. I am no slouch when it comes to addressing nutrition science or working with real patients as they navigate food in their real world.

At the same time, I have consulted with McDonald’s Operators of Southern California (MOASC) for almost 20 years.(1) I see the food that they buy. I observe their crew cooking the same. This food is purchased from the same vendors supplying our neighborhood supermarkets.

I am left to wonder about all the angst and condemnation directed to fast food in general, and McDonald’s specifically.

DATA DISTORTION

Public health authorities tagged fast food as the culprit in the escalating incidence of obesity–especially for children– decades ago. We keep getting fatter despite it all. Has all their noise been ineffective? Could it be that the considerable amount of time and energy denigrating fast food is misdirected?

Part of the problem may be rooted in data distortion. Recently I was scouring the Report of the Dietary Advisory Committee on the Dietary Guidelines for Americans. I came across this statement:

“There is not enough evidence at this time to similarly evaluate eating out at other types of restaurants and risk of weight gain, overweight, and obesity.”

Does this mean that fast food has been the primary focus just because there was no other data to address eating at sit down restaurants?

I wonder what we will find out. Most sit down restaurants offer hamburgers topping 1000, 1200, 1500 calories and more. French fries are often served in only one size–a lot. For years one restaurant offered French fries in only one serving size, a one pound basket. Now they offer “endless fries”.

The largest hamburger at McDonald’s yields 770 calories, the smallest at 210 calories. McDonald’s offers small, medium and large fries–ranging from 2.5 oz. (230 cal) to 5.4 ounces (500 cal) per serving.

OBESITY IS A FOOD PROBLEM, NOT A FAST FOOD PROBLEM

In all the criticism about fast food, it is easy to miss the bigger picture. Our entire food supply is incredibly abundant and adulterated. The increasing incidence of obesity and disease is overwhelming to anyone who understands the trends.

Is the answer to continue to denigrate every effort by McDonald’s as not good enough? I don’t think so.

WHAT CAN WE DO TO MAKE A DIFFERENCE?

The 2010 Dietary Guidelines Scientific Advisory Committee, many researchers and clinicians agree. The obesity problem is too big for any of us to solve on our own. I hear the call for all sectors of society to step up:

individuals, families, physicians and allied health professionals, public health advocates, policy makers, scientists and small and large businesses, including farmers, agricultural producers, food scientists , food manufacturers and food retailers of all kinds.

EVERY FOOD VENUE NEEDS TO STEP UP, BUT SO DOES GOVERNMENT

We need to address the issues of abundance and adulteration of the food supply at every point of purchase: supermarkets, convenience stores, food marts at gas stations and snacks offered in pharmacies and drug stores. We need to look at every sector of catering and restaurant industry, from quick service restaurants to fine dining. Every entertainment venue, food cart, food truck and vending machine deserves the same scrutiny.

But mostly we need the government to step up, specifically the USDA, the FDA, and the EPA. As long as problematic ingredients, additives, animal feed and husbandry practices, and farming practices are deemed safe and/or legal, the rest of the sectors are left to go it alone.

As for everyone wanting to believe that eliminating fast food is the answer, I would remind you that research colleagues in science labs tell us even the lab rats are getting bigger. What are they feeding the mice?

(1) The opinions expressed here are my own. This blog is not supported nor sponsored by any commercial interest.

Filed Under: Blog Tagged With: Andy Bellatti, animal feed, animal husbandry, calories, children, EPA, farming, fast food, FDA, food, food additives, food science, French fries, Happy Meal, Marion Nestle, Mark Bittman, McDonalds, Michelle Obama, obesity, restaurants, USDA, weight loss, Yoni Freedhoff

Is Access Just As Significant As Portions?

October 18, 2011 by

We begin our second week of vacation in France. For five days we sampled the glories of Paris. From climbing the Eiffel tower to traipsing through the catacombs, we traversed the city on foot, on bike, by tram, train and taxi. We rented a car to take us to Bayeau and the American cemetery overlooking Omaha Beach.

Through all of our navigation, I noticed how food seemed a necessary and often delightful backdrop. But it wasn’t front and center. This is different than at home.

FOOD IS NOT AS ACCESSIBLE

In France food is very present, but access is limited. Shops open later, close earlier. Brasseries are ubiquitous, on every corner. But the invitation is to sit down, not grab and go. I wonder how much taking time to eat decreases impulsive food consumption.

Fast food exists, but the Quick Burger, McDonald’s, and Starbucks are a rare exception, not one of dozens of choices available on both sides of the street like at home. People eat there, but they seem to sit down and eat there. Take away doesn’t seem to be the norm. You don’t see people walking around with the ubiquitous grande caramel machiato I see at home.

FOOD IS $$$, ESPECIALLY EATING OUT

Food is expensive. We ate out only two meals of 15. I purposely rented an apartment with a kitchen so we could cook our own meals and not break the bank.

We stay away from the pricey starred restaurants and chose a local Lebanese brasserie for one meal. Still, the check totaled over 80 Euros–that is close to $120 in American dollars. We enjoyed a second meal out en route from Normandy in Caen. Insalata di Tonno Crudo and Pizza–Delicious and another 45 Euros.

LIMITED FOOD STORAGE IN OUR APARTMENT

Our refrigerator is the size of one we use in my office–maybe 15% of what I can store in my refrigerator at home. The freezer probably holds only 5%–mostly ice.

Storage is limited in our tiny flat. There really isn’t an empty shelf. We rearrange the coffee maker and toaster to make room for a few basic staples. We shop daily for our food. We eat well, but there is just not as much food around. Interesting how we find ourselves eating less. (Note: we are also moving through our entire day–certainly ongoing physical activity has an impact as well.)

ACCESS AT HOME

I wonder how much my 42″ built in refrigerator contributes to over eating. What about my cherished walk in food pantry? How about the second refrigerator/freezer and food storage closet in the garage? My husband is in the food distribution business–we buy in bulk because we can. It is very cost effective. But if there is constant abundance, is there also constant temptation to overeat?

Today I purchase more food at our local farmer’s markets, often two and three times a week. Inherently I bring less food home each time. But I am still buying for days at a time. Frank comes home with food in bulk. Do these food purchasing habits create an environment of abundance that is difficult to resist?

BIG BOX STORES: ARE WE REALLY GETTING A GOOD DEAL?

What about people who purchase mostly highly processed and adulterated food? Supermarkets and big box stores alike offer large family packs supposedly at lower prices. America has swallowed the bait.

USDA data tells us shopping a food warehouses accounts for 18% of food purchases today. It was negligible in the 1970′s before child obesity tripled.

When there is more of everything at our disposal all day long all the time, are we seduced to eat more?

Filed Under: Uncategorized Tagged With: activity, appetite, big box stores, calories, Costco, farmer’s markets, fast food, food access, McDonalds, overeating, Paris, restaurants, Starbucks, Walmart, weight

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