The bittersweet truth about sugar labeling regulations: They are achievable and overdue

American Journal of Public Health

Volumn 102, Issue 7, 2012, Pages

  Pomeranz, Jennifer L ^a  

^a Yale Rudd Center for Food Policy and Obesity   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CARBOHYDRATE DIET; FOOD AND DRUG ADMINISTRATION; FOOD PACKAGING; HEALTH CARE POLICY; HUMAN; LEGAL ASPECT; UNITED STATES;

DIETARY CARBOHYDRATES; FOOD LABELING; HUMANS; NUTRITION POLICY; UNITED STATES; UNITED STATES FOOD AND DRUG ADMINISTRATION;

EID: 84862881074     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2012.300732     Document Type: Article

References (63)

1. Herbst S. Food Lover's Companion.New York: Barron's Educational Series; 2001.
2. Kilman S, Tomson B. Modified beet gets new life. Wall Street Journal. Febru-ary 5, 2011.
3. Murano P. Understanding Food Sci-ence and Technology. Belmont, CA: Thompson Wadsworth; 2003.
4. Vacek-Aranda A. Sugar wars: dispute settlement under NAFTA and the WTO as seen through the lens of the HFCS case and its effects on US-Mexican relations. Tex. Hisp.J.L. &Pol'y. 2006;12(1):121-160.
5. Johnson RK, Appel LJ, Brands M, et al. Dietary sugars intake and cardio-vascular health: a scientific statement from the American Heart Association. Circulation. 2009;120(11):1011-1020.
6. Taubes G. Is sugar toxic? New York Times. April 17, 2011.
7. Havel PJ. Dietary fructose: implica-tions for dysregulation of energy homeo-stasis and lipid/carbohydrate metabolism. Nutr Rev. 2005;63(5):133-157.
8. US General Accounting Office. Sugar Program: Supporting Sugar Prices Has Increased Users' Costs While Benefiting Producers;June 2000. Available at: http:// www.gao.gov/newitems/rc00 126.pdf. Accessed August 30, 2011.
9. Brownell KD, Koplan JP. Front-of-package nutrition labeling-an abuse of trust by the food industry? N Engl J Med. 2011;364(25):2373-2375.
10. Institute of Medicine. Front-of-Pack-age Nutrition Rating Systems and Symbols: Promoting Healthier Choices. Washington, DC: National Academies Press; 2012
11. Grocery Manufacturers Association State-ment in Response to the Institute of Medi-cine's Committee on Examination of Front-of-Package Nutrition Rating Systems and Symbols Report; October 20, 2011. Available at: http://www. gmaonline.org/ news-events/newsroom/gma-statement-in-response-to-the-iom-front- of-package-nutrition-rating-syst Accessed January 25, 2012.
12. Facts Up Front. About the Icons. Grocery Manufacturers Association. Available at: http ://wwwfactsupfrontorg/about The Icons. html. Accessed January 26, 2012.
13. Institute of Medicine. Examination of Front-of-Package Nutrition Rating Systems and Symbols: Phase IReport. Washington, DC: National Academies Press; 2010.
14. Grocery Manufacturers Association. Food and Beverage Industry Launches Nu-trition Keys Front-of-Pack Nutrition Label-ing Initiative to Inform Consumers and Combat Obesity; January 24, 2011. Available at: http://www.gmaonline.org/ news-events/newsroom/food-and-beverage-industry-launches-nutrition-keys-front- of-pack-nutrition. Accessed August 30, 2011.
15. GMA and FMIAnnounce "Facts up Fron? as Themefor Front-of-Pack Labeling Pro-gram Consumer Education Campaign; September 22, 2011.Available at: http:// www.gmaonline.org/news-events/ newsroom/gma-and-fmi-announce-facts-up- front-as-theme-for-labeling-program-consumer. Accessed January 25, 2012.
16. European Parliament. Press Release. Food Labels: Clearer Information for Con-sumers: Parliament Adopts Proposal at Sec-ond Reading July 6, 2011. Available at http ://www.reading.acuk/foodlaw/news/ eu-1 1058.htm. Accessed August 30,2011.
17. Food Standards Agency. Front-of-pack traffic light signpost labelling. Tech-nical Guidance. 2007;2:1-16.
18. Welsh JA, Sharma AJ, Grellinger L, Vos MB. Consumption of added sugars is decreasing in the United States. Am J Clin Nutr. 2011;94(3):726-734.
19. Van Horn L, Johnson RK, Flickinger BD, Vafiadis DK, Yin-Piazza S. Transla-tion and implementation of added sugars consumption recommendations: a confer-ence report from the American Heart As-sociation Added Sugars Conference 2010. Circulation. 2010;122(23):2470-2490.
20. J Ames M. Pepsihopes Cowellcanput fizz into sales. Los Angeles Times. March 17, 2011.
21. Neuman W. US seeks new limits on food ads for children. The New York Times. April 28, 2011
22. Position of the American Dietetic Association. Use of nutritive and nonnu-tritive sweeteners. J Am Diet Assoc. 2004;104(2):255-275.
23. Ruxton CH, Gardner EJ, Mc Nulty HM. Is sugar consumption detrimental to health? A review of the evidence 1995-2006. Crit Rev Food Sci Nutr. 2010;50 (1):1-19.
24. Welsh JA, Sharma A, Abramson JL, Vaccarino V, Gillespie C, Vos MB. Caloric sweetener consumption and dyslipidemia among US adults.JAMA 2010;303 (15):1490-1497.
25. Welsh JA, Sharma A, Cunningham SA, Vos MB. Consumption of added sugars and indicators of cardiovascular disease risk among US adolescents. Circulation. 2011;123(3):249-257.
26. Steyn NP, Myburgh NG, Nel JH. Evidence to support a food-based dietary guideline on sugar consumption in South Africa. Bull World Health Organ. 2003; 81(8):599-608. (Pubitemid 37081849)
27. Heller KE, Burt BA, Eklund SA. Sugared soda consumption and dental caries in the United States. J Dent Res. 2001;80(10):1949-1953. (Pubitemid 33038067)
28. Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr. 2006;84(2):274-288. (Pubitemid 44699135)
29. Malik VS, Popkin BM, Bray GA, Despres JP, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes melli-tus, and cardiovascular disease risk. Circulation. 2010;121(11):1356-1364.
30. Hu FB, Malik VS. Sugar-sweetened beverages and risk of obesity and type 2 diabetes: epidemiologic evidence. Physiol Behav. 2010;100(1):47-54.
31. Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational anal-ysis. Lancet. 2001;357(9255):505-508. (Pubitemid 32173586)
32. Nguyen S, Lustig RH. Just a spoonful of sugar helps the blood pressure go up. Expert Rev Cardiovasc Ther. 2010;8 (11):1497-1499.
33. Lim JS, Mietus-Snyder M, Valente A, Schwarz JM, Lustig RH. The role of fructose in the pathogenesis of NAFLD and the metabolic syndrome. Nat Rev Gas-troenterol Hepatol . 2010;7(5):251-264.
34. Murphy SP, Johnson RK. The scien-tific basis ofrecent US guidance on sugars intake. Am J Clin Nutr. 2003;78(4): 827S-833S
35. US Department of Agriculture. Di-etary Guidelines for Americans 2010. Ap-pendix 7. Available at http://www.cnpp. usda.gov/Publications/Dietary Guidelines/ 2010/Policy Doc/Appendices.pdf. Accessed May 20, 2011.
36. Institute of Medicine. Dietary Refer-ence Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. Washington, DC: Na-tional Academies Press; 2002
37. Institute of Medicine. Dietary Refer-ence Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. Washington, DC: Na-tional Academies Press; 2005.
38. Sibbald B. Sugar industry sour on WHO report CMAJ. 2003;168(12):1585.
39. National Dairy Council. Sugars&Health Dairy Council Digest Archives. Available at: http://www.nationaldairycoun cil.org/ Research/Dairy Council Digest Archives/ Pages/dcd78-4Page5.aspx. Accessed May 20, 2011.
40. Pepsi Co. CFBAIPledge Exempt Food Yale Rudd Center; 2011. Available at: http:// www.yaleruddcenter.org/marketingpledges/ company.aspx?id=49&pledge- id=9. Accessed May 19, 2011.
41. Campbell's Soup Company. Com-mitment Concerning Advertising to Chil-dren (US). Available at: http://www. campbellsoupcompany.com/ governance-children- commitment. asp. Accessed May 20, 2011.
42. Nishida C, Uauy R, Kumanyika S, Shetty P. The joint WHO/FAO expert consultation on diet, nutrition and the prevention ofchronic diseases: process, product and policy implications. Public Health Nutr. 2004;7(1A):245-250. (Pubitemid 38294520)
43. European Food Safety Authority. Scientific opinion on dietary reference values for carbohydrates and dietary fibre. EFSA Journal. 2010;8(3):1462. Available at: http://www.efsa.europa.eu/ en/efsajournal/pub/1462.htm. Accessed May 18, 2011.
44. Food Standards Agency. Rationale and discussion of the 15 g high sugars criterion within the FSA signpostingscheme. Available at http://www.food.gov.uk/ multimedia/pdfs/paperexpert.pdf. Accessed September 11, 2011.
45. European Food Standards Agency. Scientific opinion on establishing food-based dietary guidelines. EFSA Journal. 2010;8(3):1460. Available at: http:// www.efsa.europa. eu/en/efsajournal/doc/ 1460.pdf. Accessed May 18, 2011.
46. European Food Standards Agency. Scientific opinion of the panel on dietetic products, nutrition and allergies on a re-quest from European Commission on the review of labelling reference intake values for selected nutritional elements. The EFSA Journal. 2009;1008:1-14. Available at http://www.efsa.europa.eu/ en/efsajournal/doc/1008.pdf. Accessed April 25, 2012.
47. Center for Science in the Public Interest Petition to the FDA to Require Better Sugar Labeling on Foods; 1999. Available at www.cspinetorg/reports/sugar/ sugarpet1.pdf. Accessed May 20, 2011.
48. US Food and Drug Administration. Guidancefor Industry: Nutrition Labeling Manual. Available at: http://www.fda.gov/Food/Guidance Compliance Regulatory Information/Guidance Documents/ Food Labeling Nutrition/ucm063113. htm. Accessed May 24, 2011.
49. US Food and Drug Administration, Threshold Working Group. Approaches to Establish Thresholds for Major Food Al-lergens andfor Gluten in Food; March 2006. Available at: http://www.fda.gov/ downloads/Food/Labeling Nutrition/Food Allergens Labeling/Guidance Compliance Regulatory Information/UCM1 92048.pdf Accessed May 10,2011.
50. Guidance on Inspections of Firms Producing Food Products Susceptible to Contamination With Allergenic Ingredients; 2001. Avail-able at: http://www.fda.gov/ICECI/ Inspections/Inspection Guides/ucm074944. htm. Accessed May 15, 2011.
51. Final Guidancefor Industry: Listing of Ingredients in Tobacco Products; November 2009. Available at: http:// www.fdagov/Tobacco Products/Guidance Compliance Regulatory Information/ ucm191982.htm Accessed May 19, 2011.
52. Krueger D. Detection of added sugar to fruit juices using carbon and hydrogen stable isotope ratio analysis. In: Nagy S, Wade RL, eds. Methods to Detect Adulter-ation of Fruit Juice Beverages. Auburndale, FL: Agscience, Inc.; 1995.
53. Fruit Juice Authenticity Analysis. Available at: http://kfl.com/sas.html. Accessed May 19, 2011.
54. Krueger HW, Reesman RH. Carbon isotope analysis in food technology. Mass Spectrom Rev. 1982;1(3):205-236.
55. Jahren AH, Saudek C, Yeung EH, Kao WH, Kraft RA, Caballero B. An iso-topic method for quantifying sweeteners derived from corn and sugar cane. Am JClin Nutr. 2006;84(6):1380-1384 (Pubitemid 44912821)
56. US Department of Agriculture. Super Tracker. Food-A-Pedia. Available at: https://www.choosemyplate.gov/Super Tracker/default.aspx. Accessed January 25, 2012.
57. US Department of Agriculture. USDA Launches New Online Nutrition Super Tracker in Time for Those Healthy New Year Resolutions; December 22, 2011. Available at: http://www.usda. gov/wps/portal/usda/usdahome? contentid=2011/12/0518.xml. Accessed January 25, 2012.
58. Harris JL, Thompson JM, Schwartz MB, Brownell KD. Nutrition-related claims on children's cereals: what do they mean to parents and do they influence willingness to buy? Public Health Nutr 2011;Aug 2:1-6. [Epub ahead ofprint].
59. Golan E, Kuchler F, Mtchell L, Greene C, Jessup A Economics of Food Labeling Economic Research Service, U.S. Department of Agriculture. Washington, DC: US Department of Agriculture; Janu-ary 2001. Agricultural Economic Report No. 793.
60. Database for the Added Sugars Content of Selected Foods; February 2006. Available at: http://www.ars.usda.gov/SP2User Files/ Place/12 354500/Data/Add-Sug/ addsug01.pdf. Accessed May 15, 2011.
61. Pomeranz JL. Advanced policy op-tions to regulate sugar-sweetened bever-ages to support public health. J Public Health Policy. 2012;33(1):75-88.
62. Gosnell BA, Levine AS. Reward systems and food intake: role of opioids. Int J Obes (Lond). 2009;33(suppl 2):S54-S58.
63. Davy BM, Jahren AH, Hedrick VE, Comber DL. Association of delta( 1)(3)C in fingerstick blood with added-sugar and sugar-sweetened beverage intake.J Am Diet Assoc. 2011;111(6):874-878.