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

  • Marion Nestle (a1)
Abstract

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’.

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Corresponding author
Corresponding Author: Professor Marion Nestle, fax +1 212 995 4194, email >marion.nestle@nyu.edu
References
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Advertising Age (1999) 44th Annual: 100 leading national advertisers. Advertising Age 27 September issue, s1s46.
American Dietetic Association (1996) Position of the American Dietetic Association: nutrition education for the public. Journal of the American Dietetic Association 96, 11831187.
Associated Press (1998) Judge got contributions from Chiquita execs, special prosecutor Cincinnati Enquirer 10 July issue. http://enquirer.com/editions/1998/07/10
Barboza, D (1998) Farmers are in crisis as hog prices collapse. The New York Times 13 December issue, 29.
Bartlett, DL & Steele, JB (2000) How to become a top banana. Time 7 February issue, 4256.
Cannon, G (1992) Food and Health: the Experts Agree. London: Consumers' Association.
Center for Public Integrity (1998). Safety Last: The Politics of E. coli and Other Food-borne Killers. Washington, DC: Center for Public Integrity.
Centers for Disease Control and Prevention (1999) Neighborhood safety and the prevalence of physical inactivity – selected states, 1996. Morbidity and Mortality Weekly Report 48, 143146.
Cincinnati Enquirer (1998) An apology to Chiquita. Cincinnati Enquirer 28 June issue, A1.
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.
Cotts, C (1999 a) Banana flackery. The Village Voice 5 January issue, 26.
Cotts, C (1999 b) Bananarama. The Village Voice 4 May issue, 32.
Deutsch, RM (1977) The New Nuts Among the Berries. How Nutrition Nonsense Captured America. Palo Alto, CA: Bull Publishing.
Dosal, PJ (1993) Doing Business with the Dictators: A Political History of United Fruit in Guatamala, 1899–1944. Wilmington, DE: Scholarly Resources, Inc.
Elitzak, H (1999) Desire for convenience drives marketing costs. FoodReview 22, 2325.
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.
Gallagher, M & McWhirter, C (1998) Chiquita secrets revealed: hidden control crucial to overseas empire. Cincinnati Enquirer 3 May issue, C1C18.
Gallo, AE (1998) The Food Marketing System in 1996 Agriculture Information Bulletin no. 743. Washington, DC: US Department of Agriculture.
Gallo, AE (1999) Fewer food products introduced in last 3 years. FoodReview 22, 2729.
Geiger, CJ (1998) Health claims: history, current regulatory status and consumer research. Journal of the American Dietetic Association 98, 13121322.
General Accounting Office (1995) Sugar Program: Impact on Sweetener Users and Producers. GAO/T-RCED-95–204. Washington, DC: US General Accounting Office.
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.
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.
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.
Goldburg, R & Triplett, T (1997) Murky Waters: Environmental Effects of Aquaculture in the United States. New York: Environmental Defense Fund.
Goodman, PS (1999) Poultry's price: the cost to the Bay. An unsavory byproduct: runoff and pollution. The Washington Post 1 August issue, A1.
Gussow, JD (1979) Can industry afford a healthy America? CNI Weekly Report 7 June issue, 47.
Gussow, JD (1995) Mediterranean diets: are they environmentally responsible? American Journal of Clinical Nutrition 61, Suppl., 1383s1389s.
Gussow, JD & Akabas, S (1993) Are we fixing up the food supply? Journal of the American Dietetic Association 93, 13001304.
Gussow, JD & Clancy, K (1986) Dietary guidelines for sustainability. Journal of Nutrition Education 18, 15.
Harnack, L, Stang, J & Story, M (1999) Soft drink consumption among US children and adolescents: nutritional consequences. Journal of the American Dietetic Association 99, 436441.
Hays, CL (2000) Learning to think smaller at Coke. The New York Times 6 February issue, C1,C5.
Hellmich, N (1999) High-protein diets gaining support. USA Today Health 21 September issue. http://www.usatoday.com/
Holmberg, SD, Osterholm, MT, Senger, KA & Cohen, ML (1984) Drug-resistant Salmonella from animals fed antimicrobials. New England Journal of Medicine 311, 617622.
Jacobson, MF (1998) Liquid Candy: How Soft Drinks are Harming Americans' Health. Washington, DC: Center for Science in the Public Interest.
James, WPT (1988) Health Nutrition: Preventing Nutrition-Related Diseases in Europe. Copenhagen, Denmark: WHO Regional Office for Europe.
Johnson, D (1999) Pork producer settles suit as pollution rules tighten. The New York Times 16 August issue, A12.
Kahn, J (1999) U.S. wins round in trade war with Europe. The New York Times 23 December issue, C2.
Kennedy, E & Offutt, S (2000) Commentary: alternative nutrition outcomes using a fiscal food policy. British Medical Journal 320, 304305.
Keys, A & Keys, M (1959) Eat Well and Stay Well. New York: Doubleday & Co.
Kilborn, PT (1999) Hurricane reveals flaws in farm law as animal waste threatens N. Carolina water. The New York Times 17 October issue, 32.
Koplan, JP & Dietz, WH (1999) Caloric imbalance and public health policy. Journal of the American Medical Association 282, 15791580.
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, 12961300.
Leonard, R (1998) Drugs as feed additives increase risk to health. Nutrition Week 7 August issue, 45.
Levy, SB (1998) Private arsenals and public peril. New England Journal of Medicine 338, 13751378.
Life Sciences Research Office (1995). Third Report on Nutrition Monitoring in the United States, vol. 2, Washington, DC; Government Printing Office.
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.
McEachern, L (2000). The Angelica Home Kitchen. New York: Arcade Press.
MacGregor, GA & de Wardener, HE (1998) Salt, Diet & Health. Cambridge: Cambridge University Press.
McKinley, JC (1999) Sugar industry's pivotal role in Everglades effort. The New York Times 16 April issue, A19.
McNeal, JU (1999). The Kids Market: Myths and Realities. Ithaca, NY: Paramount Market Publishing.
Marshall, T (2000) Exploring a fiscal food policy: the case of diet and ischaemic heart disease. British Medical Journal 320, 301304.
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.htm
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, 15191522.
National Agricultural Statistics Service (1999). Agricultural Statistics 1999, sect. VII, p 19. Washington, DC: Government Printing Office.
National Research Council (1989). Recommended Dietary Allowances, 10th ed. Washington, DC: National Academy Press.
Nestle, M (1993 a) Food lobbies, the food pyramid, and US nutrition policy. International Journal of Health Services 23, 483496.
Nestle, M (1993 b) Dietary advice for the 1990s: the political history of the food guide pyramid. Caduceus 9, 136153.
Nestle, M (1997) Alcohol guidelines for chronic disease prevention: from prohibition to moderation. Nutrition Today 32, 8692.
Nestle, M (1998) In defense of the USDA Food Guide Pyramid. Nutrition Today 33, 189197.
Nestle, M & Jacobson, MF (2000) Halting the obesity epidemic: A public health policy approach. Public Health Reports 115, 1224.
O'Brien, P (1995) Dietary shifts and implications for US agriculture. American Journal of Clinical Nutrition 61, Suppl., 1390s1396s.
Pepper, SC (1960) Ethics. New York: Appleton-Century-Crofts.
Pérez-López, JF (1991). The Economics of Cuban Sugar. Pittsburgh, PA: University of Pittsburgh Press.
Popkin, BM (1998) The nutrition transition and its health implications in lower-income countries. Public Health Nutrition 1, 521.
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.
Putnam, JJ & Allshouse, JE (1999) Food Consumption, Prices, and Expenditures, 1970–97 Statistical Bulletin no. 965. Washington, DC: US Department of Agriculture.
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. 331370 [Frazão, E, editor]. Washington, DC: US Department of Agriculture.
Sedgewick, SW (1999) Yes! We have nice bananas. The Washington Post 3 February issue, F1, F2.
Sanger, DE (1998) U.S.-Europe trade war looms over bananas. The New York Times 22 December issue, A1, C5.
Silverglade, B & Jacobson, MF (editors) (1999). Functional Foods – Public Health Boon or 21st Century Quackery? Washington, DC: Center for Science in the Public Interest.
Silverstein, K (1999) Meat factories Sierra January and February issue, 2835, 110–112.
Smith, G (editor) (1997). Children's Food: Marketing and Innovation. London: Blackie Academic & Professional.
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, 535540.
Stein, N (1998) Banana peel. Columbia Journalism Review September October issue, 4651.
Taubes, G (1998) The (political) science of salt. Science 281, 898907.
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. 5170 [Frazão, E, editor]. Washington, DC: US Department of Agriculture.
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, 10851091.
US Department of Agriculture (1992) The Food Guide Pyramid Home and Garden Bulletin no. 252. Washington, DC: Government Printing Office.
US Department of Agriculture (1996) Food Marketing Review, 1994–95 Agricultural Economic Report no. 743. Washington, DC: US Department of Agriculture.
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.
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.
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.
US Department of Health and Human Services (2000). Healthy People 2010: Understanding and Improving Health. Conference ed. Washington, DC: Government Printing Office.
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.
Wilkinson, A (1989) Big Sugar: Seasons in the Cane Fields of Florida. New York: Knopf.
Wolf, AM & Colditz, GA (1998) Current estimates of the economic cost of obesity in the United States. Obesity Research 6, 97106.
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.
Young, LR & Nestle, M (1995) Portion sizes in dietary assessment: issues and policy implications. Nutrition Reviews 53, 149158.
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