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Ethical dilemmas in choosing a healthful diet: vote with your fork!

Published online by Cambridge University Press:  28 February 2007

Marion Nestle
Marion Nestle*
Affiliation:
Department of Nutrition and Food Studies, New York University, 35 W 4th Street, 10th Floor, New York, NY 10012–1172, USA
*
Corresponding Author: Professor Marion Nestle, fax +1 212 995 4194, email >[email protected]
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Abstract

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Dietary guidelines for health promotion and disease prevention in the USA recommend a consumption pattern based largely on grains, fruit and vegetables, with smaller amounts of meat and dairy foods, and even smaller amounts of foods high in fat and sugar. Such diets are demonstrably health promoting, but following them raises ethical issues related to the role of nutritionists in advising the public about healthful dietary choices, as well as to the role of the food industry in food production and marketing. In the USA a shift towards a more plant-based diet would affect the economic interests of producers of food commodities, food products and meals prepared outside the home; it would also affect the environment, food prices, trade with other countries (developing as well as industrialized) and relationships among the food industry, government agencies (domestic and international) and food and nutrition professionals. In a free-market economy any dietary choice has consequences for food producers. Thus, considerations of ethical dilemmas in choosing healthful diets suggest that food choices are political acts that offer opportunities for all parties concerned to examine the consequences of such choices and ‘vote with forks’.

Keywords

Dietary guidelinesFood choiceFood politicsFood industry
Type
Meeting Report
Information
Proceedings of the Nutrition Society , Volume 59 , Issue 4 , November 2000 , pp. 619 - 629
Copyright
Copyright © The Nutrition Society 2000

References

Advertising Age (1999) 44th Annual: 100 leading national advertisers. Advertising Age 27 September issue, s1–s46.Google Scholar
American Dietetic Association (1996) Position of the American Dietetic Association: nutrition education for the public. Journal of the American Dietetic Association 96, 1183–1187.CrossRefGoogle Scholar
Associated Press (1998) Judge got contributions from Chiquita execs, special prosecutor Cincinnati Enquirer 10 July issue. http://enquirer.com/editions/1998/07/10Google Scholar
Barboza, D (1998) Farmers are in crisis as hog prices collapse. The New York Times 13 December issue, 29.Google Scholar
Bartlett, DL & Steele, JB (2000) How to become a top banana. Time 7 February issue, 42–56.Google Scholar
Cannon, G (1992) Food and Health: the Experts Agree. London: Consumers' Association.Google Scholar
Center for Public Integrity (1998). Safety Last: The Politics of E. coli and Other Food-borne Killers. Washington, DC: Center for Public Integrity.Google Scholar
Centers for Disease Control and Prevention (1999) Neighborhood safety and the prevalence of physical inactivity – selected states, 1996. Morbidity and Mortality Weekly Report 48, 143–146.Google Scholar
Cincinnati Enquirer (1998) An apology to Chiquita. Cincinnati Enquirer 28 June issue, A1.Google Scholar
Clancy, KL (1982) Ethical issues in food processing and marketing, or a nutritionist talks about 'moral fiber'. Agriculture, Change and Human Values. Proceedings of a Multidisciplinary Conference, October 18–21. Gainesville, FL: University of Florida.Google Scholar
Cotts, C (1999 a) Banana flackery. The Village Voice 5 January issue, 26.Google Scholar
Cotts, C (1999 b) Bananarama. The Village Voice 4 May issue, 32.Google Scholar
Deutsch, RM (1977) The New Nuts Among the Berries. How Nutrition Nonsense Captured America. Palo Alto, CA: Bull Publishing.Google Scholar
Dosal, PJ (1993) Doing Business with the Dictators: A Political History of United Fruit in Guatamala, 1899–1944. Wilmington, DE: Scholarly Resources, Inc.Google Scholar
Elitzak, H (1999) Desire for convenience drives marketing costs. FoodReview 22, 23–25.Google Scholar
Frantz, D (1999) Word of honor: for a reporter and a source, echoes of a broken promise. The New York Times 11 April issue, D3.Google Scholar
Gallagher, M & McWhirter, C (1998) Chiquita secrets revealed: hidden control crucial to overseas empire. Cincinnati Enquirer 3 May issue, C1–C18.Google Scholar
Gallo, AE (1998) The Food Marketing System in 1996 Agriculture Information Bulletin no. 743. Washington, DC: US Department of Agriculture.Google Scholar
Gallo, AE (1999) Fewer food products introduced in last 3 years. FoodReview 22, 27–29.Google Scholar
Geiger, CJ (1998) Health claims: history, current regulatory status and consumer research. Journal of the American Dietetic Association 98, 1312–1322.CrossRefGoogle ScholarPubMed
General Accounting Office (1995) Sugar Program: Impact on Sweetener Users and Producers. GAO/T-RCED-95–204. Washington, DC: US General Accounting Office.Google Scholar
General Accounting Office (1998) Food Safety: Federal Efforts to Ensure the Safety of Imported Foods are Inconsistent and Unreliable. GAO/RCED-98–103 Washington, DC: US General Accounting Office.Google Scholar
General Accounting Office (1999 a) Pork Industry: USDA's Reported Prices Have Not Reflected Actual Sales. GAO/RCED-00–26. Washington, DC: US General Accounting Office.Google Scholar
General Accounting Office (1999 b) Sugar Program: Changing the Method for Setting Import Quotas Could Reduce Costs to Users. GAO/RCED-99–209. Washington, DC: US General Accounting Office.Google Scholar
Goldburg, R & Triplett, T (1997) Murky Waters: Environmental Effects of Aquaculture in the United States. New York: Environmental Defense Fund.Google Scholar
Goodman, PS (1999) Poultry's price: the cost to the Bay. An unsavory byproduct: runoff and pollution. The Washington Post 1 August issue, A1.Google Scholar
Gussow, JD (1979) Can industry afford a healthy America? CNI Weekly Report 7 June issue, 4–7.Google Scholar
Gussow, JD (1995) Mediterranean diets: are they environmentally responsible? American Journal of Clinical Nutrition 61, Suppl., 1383s–1389s.CrossRefGoogle ScholarPubMed
Gussow, JD & Akabas, S (1993) Are we fixing up the food supply? Journal of the American Dietetic Association 93, 1300–1304.CrossRefGoogle ScholarPubMed
Gussow, JD & Clancy, K (1986) Dietary guidelines for sustainability. Journal of Nutrition Education 18, 1–5.CrossRefGoogle Scholar
Harnack, L, Stang, J & Story, M (1999) Soft drink consumption among US children and adolescents: nutritional consequences. Journal of the American Dietetic Association 99, 436–441.CrossRefGoogle ScholarPubMed
Hays, CL (2000) Learning to think smaller at Coke. The New York Times 6 February issue, C1,C5.Google Scholar
Hellmich, N (1999) High-protein diets gaining support. USA Today Health 21 September issue. http://www.usatoday.com/Google Scholar
Holmberg, SD, Osterholm, MT, Senger, KA & Cohen, ML (1984) Drug-resistant Salmonella from animals fed antimicrobials. New England Journal of Medicine 311, 617–622.CrossRefGoogle ScholarPubMed
Jacobson, MF (1998) Liquid Candy: How Soft Drinks are Harming Americans' Health. Washington, DC: Center for Science in the Public Interest.Google Scholar
James, WPT (1988) Health Nutrition: Preventing Nutrition-Related Diseases in Europe. Copenhagen, Denmark: WHO Regional Office for Europe.Google ScholarPubMed
Johnson, D (1999) Pork producer settles suit as pollution rules tighten. The New York Times 16 August issue, A12.Google Scholar
Kahn, J (1999) U.S. wins round in trade war with Europe. The New York Times 23 December issue, C2.Google Scholar
Kennedy, E & Offutt, S (2000) Commentary: alternative nutrition outcomes using a fiscal food policy. British Medical Journal 320, 304–305.Google Scholar
Keys, A & Keys, M (1959) Eat Well and Stay Well. New York: Doubleday & Co.Google Scholar
Kilborn, PT (1999) Hurricane reveals flaws in farm law as animal waste threatens N. Carolina water. The New York Times 17 October issue, 32.Google Scholar
Koplan, JP & Dietz, WH (1999) Caloric imbalance and public health policy. Journal of the American Medical Association 282, 1579–1580.CrossRefGoogle ScholarPubMed
Kotz, K & Story, M (1994) Food advertisements during children's Saturday morning television programming: are they consistent with dietary recommendations? Journal of the American Dietetic Association 94, 1296–1300.CrossRefGoogle ScholarPubMed
Leonard, R (1998) Drugs as feed additives increase risk to health. Nutrition Week 7 August issue, 4–5.Google Scholar
Levy, SB (1998) Private arsenals and public peril. New England Journal of Medicine 338, 1375–1378.Google Scholar
Life Sciences Research Office (1995). Third Report on Nutrition Monitoring in the United States, vol. 2, Washington, DC; Government Printing Office.Google Scholar
Lin, B-H, Frazão, E & Guthrie, J (1999) Away-from-Home Foods Increasingly Important to Quality of American Diet. Agricultural Information Bulletin no. 749. Washington, DC: US Department of Agriculture.Google Scholar
McEachern, L (2000). The Angelica Home Kitchen. New York: Arcade Press.Google Scholar
MacGregor, GA & de Wardener, HE (1998) Salt, Diet & Health. Cambridge: Cambridge University Press.Google Scholar
McKinley, JC (1999) Sugar industry's pivotal role in Everglades effort. The New York Times 16 April issue, A19.Google Scholar
McNeal, JU (1999). The Kids Market: Myths and Realities. Ithaca, NY: Paramount Market Publishing.Google Scholar
Marshall, T (2000) Exploring a fiscal food policy: the case of diet and ischaemic heart disease. British Medical Journal 320, 301–304.CrossRefGoogle ScholarPubMed
Mead, PS, Slutsker, L, Dietz, V, McCaig, LF, Bresee, JS, Shapiro, C, Griffin, PM & Tauxe, RV (1999) Food-related illness and death in the United States. Emerging Infectious Diseases 5. http://www.cdc.gov/ncidod/eid/vol5no5/mead.htmCrossRefGoogle Scholar
Mokdad, AH, Serdula, MK, Dietz, WH, Bowman, BA, Marks, JS & Koplan, JP (1999) The spread of the obesity epidemic in the United States, 1991–1998. Journal of the American Medical Association 282, 1519–1522.CrossRefGoogle ScholarPubMed
National Agricultural Statistics Service (1999). Agricultural Statistics 1999, sect. VII, p 19. Washington, DC: Government Printing Office.Google Scholar
National Research Council (1989). Recommended Dietary Allowances, 10th ed. Washington, DC: National Academy Press.Google Scholar
Nestle, M (1993 a) Food lobbies, the food pyramid, and US nutrition policy. International Journal of Health Services 23, 483–496.CrossRefGoogle ScholarPubMed
Nestle, M (1993 b) Dietary advice for the 1990s: the political history of the food guide pyramid. Caduceus 9, 136–153.Google ScholarPubMed
Nestle, M (1997) Alcohol guidelines for chronic disease prevention: from prohibition to moderation. Nutrition Today 32, 86–92.CrossRefGoogle Scholar
Nestle, M (1998) In defense of the USDA Food Guide Pyramid. Nutrition Today 33, 189–197.CrossRefGoogle Scholar
Nestle, M & Jacobson, MF (2000) Halting the obesity epidemic: A public health policy approach. Public Health Reports 115, 12–24.CrossRefGoogle ScholarPubMed
O'Brien, P (1995) Dietary shifts and implications for US agriculture. American Journal of Clinical Nutrition 61, Suppl., 1390s–1396s.CrossRefGoogle ScholarPubMed
Pepper, SC (1960) Ethics. New York: Appleton-Century-Crofts.Google Scholar
Pérez-López, JF (1991). The Economics of Cuban Sugar. Pittsburgh, PA: University of Pittsburgh Press.Google Scholar
Popkin, BM (1998) The nutrition transition and its health implications in lower-income countries. Public Health Nutrition 1, 5–21.CrossRefGoogle ScholarPubMed
President's Council on Physical Fitness and Sports (1996). Physical Activity and Health: A Report of the Surgeon General. Washington, DC: US Department of Health and Human Services.Google Scholar
Putnam, JJ & Allshouse, JE (1999) Food Consumption, Prices, and Expenditures, 1970–97 Statistical Bulletin no. 965. Washington, DC: US Department of Agriculture.Google Scholar
Ralston, K (1999) How government policies and regulations can affect dietary choices. In America's Eating Habits: Changes & Consequences. Agricultural Information Bulletin no. 750, pp. 331–370 [Frazão, E, editor]. Washington, DC: US Department of Agriculture.Google Scholar
Sedgewick, SW (1999) Yes! We have nice bananas. The Washington Post 3 February issue, F1, F2.Google Scholar
Sanger, DE (1998) U.S.-Europe trade war looms over bananas. The New York Times 22 December issue, A1, C5.Google Scholar
Silverglade, B & Jacobson, MF (editors) (1999). Functional Foods – Public Health Boon or 21st Century Quackery? Washington, DC: Center for Science in the Public Interest.Google Scholar
Silverstein, K (1999) Meat factories Sierra January and February issue, 28–35, 110–112.Google Scholar
Smith, G (editor) (1997). Children's Food: Marketing and Innovation. London: Blackie Academic & Professional.CrossRefGoogle Scholar
Smith-Warner, SA, Spiegelman, D, Yaun, S-S, van den Brandt, PA, Folsom, AR, Goldbohm, RA, Graham, S, Holmberg, L, Howe, GR, Marshall, JR, Miller, AB, Potter, JD, Speizer, FE, Willett, WC, Wolk, A & Hunter, DJ (1998) Alcohol and breast cancer in women: a pooled analysis of cohort studies. Journal of the American Medical Association 279, 535–540.CrossRefGoogle ScholarPubMed
Stein, N (1998) Banana peel. Columbia Journalism Review September October issue, 46–51.Google Scholar
Taubes, G (1998) The (political) science of salt. Science 281, 898–907.CrossRefGoogle ScholarPubMed
Tippett, KS & Cleveland, LE (1999) How current diets stack up: comparison with dietary guidelines. In America's Eating Habits: Changes & Consequences. Agricultural Information Bulletin no. 750, pp. 51–70 [Frazão, E, editor]. Washington, DC: US Department of Agriculture.Google Scholar
Troiano, RP, Flegal, KM, Kuczmarski, RJ, Campbell, SM & Johnson, CL (1995) Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. Archives of Pediatric and Adolescent Medicine 149, 1085–1091.CrossRefGoogle ScholarPubMed
US Department of Agriculture (1992) The Food Guide Pyramid Home and Garden Bulletin no. 252. Washington, DC: Government Printing Office.Google Scholar
US Department of Agriculture (1996) Food Marketing Review, 1994–95 Agricultural Economic Report no. 743. Washington, DC: US Department of Agriculture.Google Scholar
US Department of Agriculture (1997) Data tables: Results from USDA's 1994–96 continuing survey of food intakes by individuals and 1994–96 diet and health knowledge survey. http://www.barc.usda.gov/bhnrc/foodsurvey/home.htm Accessed 23 February 1999.Google Scholar
US Department of Agriculture and US Department of Health and Human Services (2000) Dietary Guidelines for Americans, 5th ed. Home and Garden Bulletin no. 232. Washington, DC: Government Printing Office.Google Scholar
US Department of Health and Human Services (1988) The Surgeon General's Report on Nutrition and Health. DHHS (PHS) Publication no. 88–50210. Washington, DC: Government Printing Office.Google Scholar
US Department of Health and Human Services (2000). Healthy People 2010: Understanding and Improving Health. Conference ed. Washington, DC: Government Printing Office.Google Scholar
Weinstein, MM (1998) The banana war between the United States and Europe is more than a trivial trade spat. The New York Times 24 December issue, C2.Google Scholar
Wilkinson, A (1989) Big Sugar: Seasons in the Cane Fields of Florida. New York: Knopf.Google Scholar
Wolf, AM & Colditz, GA (1998) Current estimates of the economic cost of obesity in the United States. Obesity Research 6, 97–106.CrossRefGoogle ScholarPubMed
Young, CE & Kantor, LS (1999) Moving Toward the Food Guide Pyramid: Implications for US Agriculture. Agricultural Economic Report no. 779. Washington, DC: US Department of Agriculture.Google Scholar
Young, LR & Nestle, M (1995) Portion sizes in dietary assessment: issues and policy implications. Nutrition Reviews 53, 149–158.CrossRefGoogle ScholarPubMed