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Home Cooking Can Be Stress-Free and Part of a Sustainable Food System

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Monday, April 15, 2024

A version of this article originally appeared in The Deep Dish, our members-only newsletter. Become a member today and get the next issue directly in your inbox. In a popular 2013 Civil Eats essay, chef, writer, and instructor Kim O’Donnel explained her philosophy of cooking as the cornerstone of a sustainable food system. “The thing is, home cooking is serious business. It is a conscious decision to turn raw ingredients into a meal to nourish ourselves and the people we love,” she wrote. “The food system is more than crops and livestock; it’s what we humans do with them.” Kim O’Donnel. (Photo credit: Charity Burggraaf) More than a decade later, O’Donnel believes the connections between farms, our kitchens, and sharing food around a table are even more important. In the era of DoorDash, Instacart, and QR-code menus, when eating has become increasingly digital and passive, cooking can be a revolutionary act, she said, providing an avenue for active, sensory engagement with our own nourishment. But that doesn’t mean the kitchen needs to be a realm of lofty pursuits. In fact, O’Donnel kept coming back to the opposite idea in a recent interview. To get more people cooking, she said, we need to “lower our expectations.” Instead of mastering a technique, learn basic knife skills. Instead of obsessing over a certain diet, give yourself permission to change things up. We spoke to O’Donnel about these ideas, and she shared tips and tricks to turn cooking into a simple, rewarding, lifelong practice. How do you describe your approach to cooking? I am one of those people who can open up the refrigerator and figure out what we’re going to have for dinner. My husband always marvels at that. I actually get great satisfaction from scrounging and coming up with something that tastes really good. I think about what I have on hand and how I can incorporate something that might be new. And what time of year is it? I do a lot of preserving, and so I have enough crushed tomatoes in jars that I can have at least one quart a month. So, recently, I yanked one of those, and I had some beans that I had cooked a few days before. I did a sort of a riff on a minestrone, but no pasta. “I think of cooking as a practice in many ways, like any other practice that’s good for your body.” I don’t think about fancy. I think about something that’s simple but feels really good in the body. I think of cooking as a practice in many ways, like any other practice that’s good for your body. I’ve been practicing yoga for more than 20 years. And of course cooking is about the fuel for your body, but there’s also something spiritually and emotionally nurturing. One could even say that when you cook for yourself and for others, you are parenting yourself or parenting somebody. I cook the same way, but I think a lot of people find it intimidating and feel like they need to start with a recipe. Has that been your experience with students? Is it more challenging, or does it take more practice? Good question. I’m thinking right now about this guy named Edward Espe Brown. He is a monk, but he also wrote cookbooks. Many years ago, I interviewed him. He kept talking about this idea of letting your hands be hands. In the age of handheld devices . . . can you just be in your five physical senses? I know that may sound very woo-woo, but he was pointing to this performance anxiety that our culture has around cooking. There’s this whole notion of “think like a chef” or “mastering the art of . . .” There’s this yearning to make it more meaningful or to feel like, “Wow, that’s a really big win, making that dish.” But you’re putting a lot of pressure on yourself to recreate this thing on a weeknight when you might have worked. You might have had to pick up a kid. You might have had a really shitty day. Cookbooks are wonderful because they give us ideas and they inspire us. But are we being realistic? What if we stopped and thought, “Is there something wrong with having an omelet for dinner? An omelet that takes five minutes?” And, “Oh, I have some spinach, I might have spinach in it.” You don’t even have to have spinach in the refrigerator. You could have spinach in the freezer. We get into these routines, and I would say, “Can we get another kind of routine into our week?” That is one of the reasons I loved the whole idea of Meatless Monday—it’s about that incremental approach to the way you navigate your daily life. If someone says, “I’ve been really wanting to cook, but I don’t know where to start,” they often think that they have to go from zero to 200 overnight. Why not just try one night cooking at home, something simple, and you have leftovers for lunch? And then maybe a couple of weeks later, you’re doing two [nights]. “There’s no one-size-fits-all diet. Part of the values piece is that you make some decisions, and then you check in with yourself regularly.” You were one of the first Meatless Monday bloggers and have written multiple vegetarian cookbooks. Why vegetarianism? My own story is a family history of heart disease, and I’m considering the environmental impact of livestock production on the planet. But I think that we need to and can figure out the things that are important to us and also have permission to change it up as we need to. There’s no one-size-fits-all diet. When I go out and teach, people think, “I have to do this. I’m gonna be a vegan now.” You could. Maybe being vegan is great for you. Or maybe you’re gonna decide that you’re missing out on some nutrients. I feel like part of the values piece is that you make some decisions, and then you also should check in with yourself regularly. I’m not a vegetarian, and yet I cook without meat more than half the time, anywhere from 50 to 90 percent. It depends on the season. When there are all kinds of produce that I can get where I live or from my garden, then there’s much less of a chance that we’re eating meat. Part of the value system is connecting with the seasons wherever you live as much and as best as you can. If you love apples and live near a source of apples, then eat an apple every day for as long as you can. You’re going to get so many benefits, and that’s not even cooking—that’s just taking care of yourself. Is that what you mean when you say cooking is the cornerstone of a sustainable food system, or is there more to it? I do feel like the more we cook with a degree of regularity—whether it’s once a week or five times a week—we become more connected with the food system. When we are being cooked for . . . in a restaurant or at home, it is a very passive experience. It’s like the baby bird syndrome, right? We have our mouths wide open, just shoving it down as fast as we can. But when we cook for ourselves, we are active and using our five physical senses, and we are engaged in this process from start to finish. Then, I feel like there’s no way that we don’t become more attuned to how food is grown. What’s a good strawberry versus not so good, for example, and it tunes you in to where you’re living. You don’t have to be as sensory and passionate as I am. But there is something that happens. Even the simplest thing. You make a vinaigrette in a jelly jar and shake it up and you have your arugula from the clamshell. You’re still doing something. And when you cook something and you invite somebody to your house or maybe you’re taking some soups to somebody who’s not feeling well, there’s a ripple effect. What’s a dish you come back to that exemplifies that approach? There is a Paula Wolfert recipe in the book Unforgettable. It’s a bulgur dish with any greens; it could be spinach, chard, kale, collards. There’s a little bit of onion, olive oil, some smashed garlic, and some harissa. You massage it, a paper towel goes on top, and you put it on the stove for 30 minutes. It’s that dish that you can have with salmon or just feta, or you eat it cold the next day with a fried egg. I make that a lot. One of the other things that has become a go-to is just getting red cabbage or green cabbage and massaging it and squeezing some lime, salt, maybe oregano. It’s like magic. This interview was edited for length and clarity. The post Home Cooking Can Be Stress-Free and Part of a Sustainable Food System appeared first on Civil Eats.

A version of this article originally appeared in The Deep Dish, our members-only newsletter. Become a member today and get the next issue directly in your inbox. “The thing is, home cooking is serious business. It is a conscious decision to turn raw ingredients into a meal to nourish ourselves and the people we love,” she wrote. […] The post Home Cooking Can Be Stress-Free and Part of a Sustainable Food System appeared first on Civil Eats.

A version of this article originally appeared in The Deep Dish, our members-only newsletter. Become a member today and get the next issue directly in your inbox.

In a popular 2013 Civil Eats essay, chef, writer, and instructor Kim O’Donnel explained her philosophy of cooking as the cornerstone of a sustainable food system.

“The thing is, home cooking is serious business. It is a conscious decision to turn raw ingredients into a meal to nourish ourselves and the people we love,” she wrote. “The food system is more than crops and livestock; it’s what we humans do with them.”

Kim O'Donnel. (Photo credit: Charity Burggraaf)

Kim O’Donnel. (Photo credit: Charity Burggraaf)

More than a decade later, O’Donnel believes the connections between farms, our kitchens, and sharing food around a table are even more important. In the era of DoorDash, Instacart, and QR-code menus, when eating has become increasingly digital and passive, cooking can be a revolutionary act, she said, providing an avenue for active, sensory engagement with our own nourishment.

But that doesn’t mean the kitchen needs to be a realm of lofty pursuits. In fact, O’Donnel kept coming back to the opposite idea in a recent interview. To get more people cooking, she said, we need to “lower our expectations.” Instead of mastering a technique, learn basic knife skills. Instead of obsessing over a certain diet, give yourself permission to change things up.

We spoke to O’Donnel about these ideas, and she shared tips and tricks to turn cooking into a simple, rewarding, lifelong practice.

How do you describe your approach to cooking?

I am one of those people who can open up the refrigerator and figure out what we’re going to have for dinner. My husband always marvels at that. I actually get great satisfaction from scrounging and coming up with something that tastes really good. I think about what I have on hand and how I can incorporate something that might be new. And what time of year is it? I do a lot of preserving, and so I have enough crushed tomatoes in jars that I can have at least one quart a month. So, recently, I yanked one of those, and I had some beans that I had cooked a few days before. I did a sort of a riff on a minestrone, but no pasta.

“I think of cooking as a practice in many ways, like any other practice that’s good for your body.”

I don’t think about fancy. I think about something that’s simple but feels really good in the body. I think of cooking as a practice in many ways, like any other practice that’s good for your body. I’ve been practicing yoga for more than 20 years. And of course cooking is about the fuel for your body, but there’s also something spiritually and emotionally nurturing. One could even say that when you cook for yourself and for others, you are parenting yourself or parenting somebody.

I cook the same way, but I think a lot of people find it intimidating and feel like they need to start with a recipe. Has that been your experience with students? Is it more challenging, or does it take more practice?

Good question. I’m thinking right now about this guy named Edward Espe Brown. He is a monk, but he also wrote cookbooks. Many years ago, I interviewed him. He kept talking about this idea of letting your hands be hands. In the age of handheld devices . . . can you just be in your five physical senses? I know that may sound very woo-woo, but he was pointing to this performance anxiety that our culture has around cooking.

There’s this whole notion of “think like a chef” or “mastering the art of . . .” There’s this yearning to make it more meaningful or to feel like, “Wow, that’s a really big win, making that dish.” But you’re putting a lot of pressure on yourself to recreate this thing on a weeknight when you might have worked. You might have had to pick up a kid. You might have had a really shitty day. Cookbooks are wonderful because they give us ideas and they inspire us. But are we being realistic?

What if we stopped and thought, “Is there something wrong with having an omelet for dinner? An omelet that takes five minutes?” And, “Oh, I have some spinach, I might have spinach in it.” You don’t even have to have spinach in the refrigerator. You could have spinach in the freezer.

We get into these routines, and I would say, “Can we get another kind of routine into our week?” That is one of the reasons I loved the whole idea of Meatless Monday—it’s about that incremental approach to the way you navigate your daily life. If someone says, “I’ve been really wanting to cook, but I don’t know where to start,” they often think that they have to go from zero to 200 overnight. Why not just try one night cooking at home, something simple, and you have leftovers for lunch? And then maybe a couple of weeks later, you’re doing two [nights].

“There’s no one-size-fits-all diet. Part of the values piece is that you make some decisions, and then you check in with yourself regularly.”

You were one of the first Meatless Monday bloggers and have written multiple vegetarian cookbooks. Why vegetarianism?

My own story is a family history of heart disease, and I’m considering the environmental impact of livestock production on the planet. But I think that we need to and can figure out the things that are important to us and also have permission to change it up as we need to. There’s no one-size-fits-all diet.

When I go out and teach, people think, “I have to do this. I’m gonna be a vegan now.” You could. Maybe being vegan is great for you. Or maybe you’re gonna decide that you’re missing out on some nutrients. I feel like part of the values piece is that you make some decisions, and then you also should check in with yourself regularly.

I’m not a vegetarian, and yet I cook without meat more than half the time, anywhere from 50 to 90 percent. It depends on the season. When there are all kinds of produce that I can get where I live or from my garden, then there’s much less of a chance that we’re eating meat. Part of the value system is connecting with the seasons wherever you live as much and as best as you can. If you love apples and live near a source of apples, then eat an apple every day for as long as you can. You’re going to get so many benefits, and that’s not even cooking—that’s just taking care of yourself.

Is that what you mean when you say cooking is the cornerstone of a sustainable food system, or is there more to it?

I do feel like the more we cook with a degree of regularity—whether it’s once a week or five times a week—we become more connected with the food system. When we are being cooked for . . . in a restaurant or at home, it is a very passive experience. It’s like the baby bird syndrome, right? We have our mouths wide open, just shoving it down as fast as we can. But when we cook for ourselves, we are active and using our five physical senses, and we are engaged in this process from start to finish. Then, I feel like there’s no way that we don’t become more attuned to how food is grown. What’s a good strawberry versus not so good, for example, and it tunes you in to where you’re living.

You don’t have to be as sensory and passionate as I am. But there is something that happens. Even the simplest thing. You make a vinaigrette in a jelly jar and shake it up and you have your arugula from the clamshell. You’re still doing something. And when you cook something and you invite somebody to your house or maybe you’re taking some soups to somebody who’s not feeling well, there’s a ripple effect.

What’s a dish you come back to that exemplifies that approach?

There is a Paula Wolfert recipe in the book Unforgettable. It’s a bulgur dish with any greens; it could be spinach, chard, kale, collards. There’s a little bit of onion, olive oil, some smashed garlic, and some harissa. You massage it, a paper towel goes on top, and you put it on the stove for 30 minutes. It’s that dish that you can have with salmon or just feta, or you eat it cold the next day with a fried egg. I make that a lot.

One of the other things that has become a go-to is just getting red cabbage or green cabbage and massaging it and squeezing some lime, salt, maybe oregano. It’s like magic.

This interview was edited for length and clarity.

The post Home Cooking Can Be Stress-Free and Part of a Sustainable Food System appeared first on Civil Eats.

Read the full story here.
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What Is ARFID? Doctors Explain Why the Eating Disorder’s Rates Are Rising

Avoidant/restrictive food intake disorder, or ARFID, can cause malnutrition and weight loss in children and adults even when body image is not a factor

Stella was eight years old when she stopped eating solid foods. She went from being a “foodie” to strictly consuming liquids, says Briana, Stella’s mother. That diet soon became problematic for Stella, too: later, she removed chunks from her soup and struggled to drink smoothies that contained small seeds. She grew so afraid of swallowing that she’d spit out her saliva. “She said she had a fear of choking,” Briana says. (The last names of Stella and Briana have been withheld for privacy.)In less than a month, Stella became so tired and malnourished that her parents took her to the hospital. Doctors put her on a feeding tube, and they were concerned that the rapid weight loss for her age might cause heart issues. Within 24 hours of being hospitalized, a psychologist diagnosed Stella with avoidant/restrictive food intake disorder, or ARFID, a serious eating disorder that’s become steadily more prevalent globally in recent years. Health care providers and psychologists are now trying to untangle ARFID’s causes, signs and disconcerting rise.Clinicians emphasize that ARFID is much more than a dislike of certain foods. It’s developmentally normal for many kids to go through a picky eating phase between ages two and six. But ARFID presents as a food avoidance so persistent and pervasive that it can cause adults to drop below the minimum health body mass index, or BMI (a hotly debated measurement that links a person’s weight to their height), or to lose so much weight that they experience symptoms of malnutrition, such as vitamin deficiencies, irregular menstrual cycles, low testosterone, hair loss, muscle loss and a constant feeling of being cold. In kids, drastic weight loss from ARFID can cause children to fall off standard U.S. growth charts for healthy development. Developmental issues linked to the loss in weight and calories often spur doctors to recommend supplemental nutritional intake.On supporting science journalismIf you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.“We’re not just trying to treat kids who don’t like broccoli. It’s the kid who is malnourished as a result of their food choices,” says James Lock, a psychiatry professor and director of the Child and Adolescent Eating Disorder Program at the Stanford University School of Medicine.An Increasingly Recognized DisorderARFID was formally recognized as a feeding and eating disorder in the Diagnostic and Statistical Manual of Mental Disorders in 2013. That enabled clinicians to put a name to a condition that had been around but had gone undetected for some time.“Probably there were people who had this syndrome, but they didn’t really talk about it because there’s a stigma around it,” says Jennifer Thomas, co-director of the Eating Disorders Clinical and Research Program at Massachusetts General Hospital, who has treated people with ARFID.Wider recognition of the condition is partly driving the recent increase in cases. Real-world data on ARFID cases are lacking, but some studies have reported a global prevalence ranging from 0.35 to 3 percent across all age groups. Certain countries and regions report much higher numbers: a recent study in the Netherlands, for example, found that among 2,862 children aged 10, 6.4 percent had ARFID. The eating disorder clinic that provided specialized care to Stella after she was hospitalized says it treated more than 1,000 people in the U.S. with ARFID in 2024—a 144 percent jump from 2023.“I think that’s one of the things that has made ARFID a challenging eating disorder [to diagnose]—because it is a lot of different things.” —Jessie Menzel, clinical psychologistAnd the National Alliance for Eating Disorders has found that ARFID now accounts for up to 15 percent of all new eating disorder cases. People can experience ARFID at any age, although recently diagnosed cases have mostly been in children and teens. The average age of diagnosis is 11 years old, and 20 to 30 percent of cases are in boys—a higher percentage than other eating disorders, according to the alliance.Signs and SymptomsUnlike other eating disorders such as anorexia nervosa and bulimia, ARFID doesn’t appear to be associated with body image. The problem—and seeming cause—is the food itself and the emotional and physiological response toward it.People with ARFID generally fall into one or several of three categories. According to one study of adults with ARFID, 80 percent of respondents said they were uninterested in eating, 55 percent said they stay away from many foods because of sensory issues, and 31 percent said they avoid food because they are afraid of adverse consequences such as choking or vomiting. About two thirds of the participants were in more than one of these categories.“I think that’s one of the things that has made ARFID a challenging eating disorder [to diagnose]—because it is a lot of different things,” says Jessie Menzel, a clinical psychologist who treats the condition and other eating disorders.There are some common signs that signal ARFID, however. In addition to significant weight loss and signs of malnutrition, ARFID’s physical symptoms include gastrointestinal issues, low body temperature and the growth of a type of soft, fine body hair called lanugo that is typically not present after infancy. Behavioral changes include a lack of appetite, difficulty paying attention, food texture avoidance, extreme selective eating and a fear of vomiting or choking.Although ARFID is classified as an eating disorder, it has a lot of overlap with mental health conditions. A 2022 metastudy found that among people diagnosed with ARFID, up to 72 percent had an anxiety disorder. Studies also suggest the uptick in ARFID cases may be tied to the overall increase in mental health conditions diagnosed in kids. ARFID is particularly pronounced in those who have an anxiety disorder, Thomas says. Her team’s studies have found that about 30 to 40 percent of individuals with ARFID have a co-occurring anxiety disorder in their lifetime. “There are key similarities between ARFID and anxiety disorders,” although they are clinically distinct conditions, Thomas says. “Patients [with ARFID] themselves often describe feeling intense anxiety around food.”Because ARFID and anxiety can be so closely intertwined, it can be difficult to identify one from the other. “Often families will tell us it’s hard to get an [ARFID] diagnosis,” says Doreen Marshall, chief executive officer of the National Eating Disorders Association.ARFID is typically flagged when a child veers from growth curves—charts recommended by the American Academy of Pediatrics to assess a child’s weight and height for their age. “If your lack of interest [in food] has led to your being a couple of standard deviations off your growth curve and you’re not going to hit puberty or grow, that’s a problem,” Lock says.Pinpointing signs of ARFID is trickier when a child has nutritional deficits but is of average or higher body weight. Such discrepancies make it “important that pediatricians listen to parents,” Marshall says. Health care providers should ask parents to describe what they see their child eating or avoiding, she says.ARFID in the BrainScientists don’t fully understand what causes ARFID, although they believe that it’s driven by a combination of genetic, environmental and neurobiological factors. Thomas is currently investigating the latter.In a study published in JAMA Network Open in February, Thomas and her team presented 110 participants with photographs of food, household objects and blurred images and observed their brain activity using functional magnetic resonance imaging (fMRI). The results revealed that the three different ARFID categories correspond to activation of different brain regions. When shown food images, those who fell into the fear-related ARFID category (participants who had a fear of choking, for example) showed hyperactivation of the amygdala, the brain’s fear center. Participants with ARFID who were uninterested in food had lower activation of the hypothalamus, the brain’s appetite-regulation region. People diagnosed with the sensory form of ARFID showed hyperactivation of the brain’s sensory areas, such as the somatosensory cortex or the supplementary motor cortex.“What we found is that there might be different neural circuitry associated with each of the three ARFID presentations,” Thomas says. Results from fMRI have known limitations involving reliability and reproducibility, however. Thomas says that these initial findings need to be replicated to understand if the differences in brain activity are a cause or link to ARFID types; her team is currently collecting data from adults with ARFID for a second study. In a separate 2023 study, her team found that people who lack interest in food experienced a loss of pleasure in a lot of things—a condition known as anhedonia—and that depression partly contributed. “Folks who have that lack-of-interest [version of] ARFID don’t look forward to things in general, not just food,” she says.Understanding the neurological activity involved in ARFID may help clinicians develop more targeted treatments. For now, practitioners rely largely on a treatment known as cognitive-behavioral therapy (CBT), which has shown some success. A 2020 study co-authored by Thomas found that, post-CBT, 70 percent of those treated no longer met the criteria for ARFID. Another study published by Thomas and her colleagues in 2021 in the Journal of Behavioral and Cognitive Therapy found similar results.“With true ARFID, we don’t see a lot of spontaneous remission,” Thomas says. “Recovering from ARFID takes hard work, either at home, making a concerted effort to try new foods, or with a supportive treatment provider.”Most treatments for younger kids rely on parents to manage their child’s eating habits. After a month at the hospital, doctors sent Stella home, and her parents were advised not to cater to Stella’s limited palate. At home, the whole family, including Stella, ate the same meals. When they ate at restaurants, Stella didn’t have to eat a big meal, but she did have to take a few bites of something solid. Within a few months, Stella’s regular eating habits returned, and her ARFID disappeared.Treatments based on controlling eating habits can only go so far, however. They are less effective for people with the types of ARFID that are associated with higher sensitivity to or a lack of interest in food. “I think that’s where it’s so important to understand what’s happening physiologically or neurobiologically,” Menzel says. “That’s going to guide us toward more effective treatments.”If you or someone you know is struggling with an eating disorder, you can contact the National Association of Anorexia Nervosa and Associated Disorders helpline by calling (888) 375-7767. For crisis situations, you can text “NEDA” to 741741 to connect to a trained volunteer at Crisis Text Line.

Watchdog rules Red Tractor exaggerated its environmental standards

The Advertising Standards Authority agrees with River Action that the food safety body’s 2023 advert misled the publicThe UK’s advertising watchdog has upheld a complaint that Britain’s biggest farm assurance scheme misled the public in a TV ad about its environmental standards.The Red Tractor scheme, used by leading supermarkets including Tesco, Asda and Morrisons to assure customers their food meets high standards for welfare, environment, traceability and safety, is the biggest and perhaps best known assurance system in Britain. Continue reading...

The UK’s advertising watchdog has upheld a complaint that Britain’s biggest farm assurance scheme misled the public in a TV ad about its environmental standards.The Red Tractor scheme, used by leading supermarkets including Tesco, Asda and Morrisons to assure customers their food meets high standards for welfare, environment, traceability and safety, is the biggest and perhaps best known assurance system in Britain.About 45,000 of the UK’s farms are members of the scheme, and the advert promised that food carrying the logo had been “farmed with care”.But the Advertising Standards Authority (ASA) upheld a complaint from the clean water campaign group River Action that the scheme’s environmental standards were exaggerated in the advert, last aired in 2023.In its judgment, the ASA said the ad must not be shown again in its current form. It said in future Red Tractor should make clear exactly what standards it is referring to when it uses the phrases “farmed with care” and “all our standards are met”.River Action said it made the complaint because it was concerned environmental standards relating to pollution were not being met on Red Tractor farms, including the claim “When the Red Tractor’s there, your food’s farmed with care … from field to store all our standards are met.”The ASA considered evidence from an Environment Agency report into Red Tractor farms, which found that 62% of the most critical pollution incidents occurred on Red Tractor farms between 2014 and 2019.Charles Watson, chair and founder of River Action, said large food retailers such as Tesco and Asda should lay out credible plans as to how they would move away from what he termed a “busted flush” of a certification scheme and instead support farmers whose working practices were genuinely sustainable.“Red Tractor farms are polluting the UK’s rivers, and consumers trying to make environmentally responsible choices have been misled,” said Watson.“This ASA ruling confirms what we’ve long argued: Red Tractor’s claims aren’t just misleading – they provide cover for farms breaking the law.”Red Tractor said its standards did not cover all environmental legislation. Therefore, data on compliance with environmental regulation should not be confused with farms’ compliance with Red Tractor’s requirements.Jim Moseley, CEO of Red Tractor, said: “We believe the ASA’s final decision is fundamentally flawed and misinterprets the content of our advert.“If the advert was clearly misleading, it wouldn’t have taken so long to reach this conclusion. Accordingly, the ASA’s actions are minimal. They’ve confirmed that we can continue to use ‘farmed with care’ but simply need to provide more information on the specific standards being referred to.“The advert … made no environmental claim, and we completely disagree with the assumption that it would have been misinterpreted by consumers.”

Can you really be addicted to food? Researchers uncover convincing similarities to drug addiction

Hundreds of studies have confirmed that certain foods affect the brain similarly to other addictive substances

People often joke that their favorite snack is “like crack” or call themselves “chocoholics” in jest. But can someone really be addicted to food in the same way they could be hooked on substances such as alcohol or nicotine? As an addiction psychiatrist and researcher with experience in treating eating disorders and obesity, I have been following the research in this field for the past few decades. I have written a textbook on food addiction, obesity and overeating disorders, and, more recently, a self-help book for people who have intense cravings and obsessions for some foods. While there is still some debate among psychologists and scientists, a consensus is emerging that food addiction is a real phenomenon. Hundreds of studies have confirmed that certain foods – often those that are high in sugar and ultraprocessed – affect the brains and behavior of certain people similarly to other addictive substances such as nicotine. Still, many questions remain about which foods are addictive, which people are most susceptible to this addiction and why. There are also questions as to how this condition compares to other substance addictions and whether the same treatments could work for patients struggling with any kind of addiction. How does addiction work? The neurobiological mechanisms of addiction have been mapped out through decades of laboratory-based research using neuroimaging and cognitive neuroscience approaches. Studies show that preexisting genetic and environmental factors set the stage for developing an addiction. Regularly consuming an addictive substance then causes a rewiring of several important brain systems, leading the person to crave more and more of it. This rewiring takes place in three key brain networks that correspond to key functional domains, often referred to as the reward system, the stress response system and the system in charge of executive control. First, using an addictive substance causes the release of a chemical messenger called dopamine in the reward network, which makes the user feel good. Dopamine release also facilitates a neurobiological process called conditioning, which is basically a neural learning process that gives rise to habit formation. As a result of the conditioning process, sensory cues associated with the substance start to have increasing influence over decision-making and behavior, often leading to a craving. For instance, because of conditioning, the sight of a needle can drive a person to set aside their commitment to quit using an injectable drug and return to it. Second, continued use of an addictive substance over time affects the brain’s emotional or stress response network. The user’s body and mind build up a tolerance, meaning they need increasing amounts of the substance to feel its effect. The neurochemicals involved in this process are different than those mediating habit formation and include a chemical messenger called noradrenaline and internally produced opioids such as endorphins. If they quit using the substance, they experience symptoms of withdrawal, which can range from irritability and nausea to paranoia and seizures. At that point, negative reinforcement kicks in. This is the process by which a person keeps going back to a substance because they’ve learned that using the substance doesn’t just feel good, but it also relieves negative emotions. During withdrawal from a substance, people feel profound emotional discomfort, including sadness and irritability. Negative reinforcement is why someone who is trying to quit smoking, for instance, will be at highest risk of relapse in the week just after stopping and during times of stress, because in the past they’d normally turn to cigarettes for relief. Third, overuse of most addictive substances progressively damages the brain’s executive control network, the prefrontal cortex, and other key parts of the brain involved in impulse control and self-regulation. Over time, the damage to these areas makes it more and more difficult for the user to control their behavior around these substances. This is why it is so hard for long-term users of many addictive substances to quit. Scientists have learned more about what’s happening in a person’s brain when they become addicted to a substance. What evidence is there that food is addictive? Many studies over the past 25 years have shown that high-sugar and other highly pleasurable foods – often foods that are ultraprocessed – act on these brain networks in ways that are similar to other addictive substances. The resulting changes in the brain fuel further craving for and overuse of the substance – in this case, highly rewarding food. Clinical studies have demonstrated that people with an addictive relationship to food demonstrate the hallmark signs of a substance use disorder. Studies also indicate that for some people, cravings for highly palatable foods go well beyond just a normal hankering for a snack and are, in fact, signs of addictive behavior. One study found that cues associated with highly pleasurable foods activate the reward centers in the brain, and the degree of activation predicts weight gain. In other words, the more power the food cue has to capture a person’s attention, the more likely they are to succumb to cravings for it. Multiple studies have also found that suddenly ending a diet that’s high in sugar can cause withdrawal, similar to when people quit opioids or nicotine. Excessive exposure to high-sugar foods has also been found to reduce cognitive function and cause damage to the prefrontal cortex and hippocampus, the parts of the brain that mediate executive control and memory. In another study, when obese people were exposed to food and told to resist their craving for it by ignoring it or thinking about something else, their prefrontal cortexes were more active compared with nonobese individuals. This indicates that it was more difficult for the obese group to fight their cravings. Researchers are still working out the best methods to help patients with food addictions develop a healthy relationship with food. Viktar Sarkisian/iStock via Getty Images Plus Finding safe treatments for patients struggling with food Addiction recovery is often centered on the idea that the fastest way to get well is to abstain from the problem substance. But unlike nicotine or narcotics, food is something that all people need to survive, so quitting cold turkey isn’t an option. In addition, eating disorders such as bulimia nervosa and binge-eating disorder often occur alongside addictive eating. Most psychologists and psychiatrists believe these illnesses have their root cause in excessive dietary restriction. For this reason, many eating disorder treatment professionals balk at the idea of labeling some foods as addictive. They are concerned that encouraging abstinence from particular foods could trigger binge eating and extreme dieting to compensate. A way forward But others argue that, with care, integrating food addiction approaches into eating disorders treatment is feasible and could be lifesaving for some. The emerging consensus around this link is moving researchers and those who treat eating disorders to consider food addiction in their treatment models. One such approach might look like the one described to me by addiction psychiatrist and eating disorders specialist Dr. Kim Dennis. In line with traditional eating disorder treatment, nutritionists at her residential clinic strongly discourage their patients from restricting calories. At the same time, in line with traditional addiction treatment, they help their patients to consider significantly reducing or completely abstaining from particular foods to which they have developed an addictive relationship. Additional clinical studies are already being carried out. But going forward, more studies are needed to help clinicians find the most effective treatments for people with an addictive relationship with food. Efforts are underway by groups of psychologists, psychiatrists, neuroscientists and mental health providers to get “ultraprocessed food use disorder,” also known as food addiction, into future editions of diagnostic manuals such as the Diagnostic and Statistical Manual of Mental Disorders and the World Health Organization’s International Classification of Diseases. Beyond acknowledging what those treating food addiction are already seeing in the field, this would help researchers get funding for additional studies of treating food addiction. With more information about what treatments will work best for whom, those who have these problems will no longer have to suffer in silence, and providers will be better equipped to help them.   Claire Wilcox, Adjunct Faculty in Psychiatry, University of New Mexico This article is republished from The Conversation under a Creative Commons license. Read the original article. The post Can you really be addicted to food? Researchers uncover convincing similarities to drug addiction appeared first on Salon.com.

Newsom signs first-in-nation law to ban ultraprocessed food in school lunches 

California health officials will now decide which ingredients, additives, dyes, and other forms of processing don’t belong in school meals and K-12 cafeterias.

In summary California health officials will now decide which ingredients, additives, dyes, and other forms of processing don’t belong in school meals and K-12 cafeterias. California is the first state in the country to ban ultraprocessed foods from school meals, aiming to transform how children eat on campus by 2035.  In the cafeteria of Belvedere Middle School in the Los Angeles neighborhood of Boyle Heights, Gov. Gavin Newsom signed a measure that requires K-12 schools to phase out foods with potentially harmful ultraprocessed ingredients over the next 10 years. The requirements go above and beyond existing state and federal school nutrition standards for things like fat and calorie content in school meals. California public schools serve nearly 1 billion meals to kids each year. “Our first priority is to protect kids in California schools, but we also came to realize that there is huge market power here,” said Assemblymember Jesse Gabriel, an Encino Democrat. “This bill could have impacts far beyond the classroom and far beyond the borders of our state.” The legislation builds on recent laws passed in California to eliminate synthetic food dyes from school meals and certain additives from all food sold in the state when they are associated with cancer, reproductive harm and behavioral problems in children. Dozens of other states have since replicated those laws.  The bipartisan measure also comes at a time when U.S. Health and Human Services Secretary Robert F. Kennedy, Jr.’s “Make America Healthy Again” movement has shone a spotlight on issues including chronic disease, childhood obesity and poor diet.  The term “ultra-processed food” appears more than three dozen times in the MAHA report on children’s health released in May. A subsequent MAHA strategy report tasks the federal government with defining ultraprocessed food. California’s new law beats them to the punch, outlining the first statutory definition of what makes a food ultraprocessed. It identifies ingredients that characterize ultraprocessed foods, including artificial flavors and colors, thickeners and emulsifiers, non-nutritive sweeteners, and high levels of saturated fat, sodium or sugar. Often fast food, candy and premade meals include these ingredients. Researchers say ultraprocessed foods tend to be high in calories and low in nutritional value. Studies have linked consumption of ultraprocessed foods with obesity. Today, one in five children is obese.  Ultraprocessed foods are also linked to increased cancer risk, cardiovascular disease and diabetes. Studies have found sweetened beverages and processed meats to be particularly harmful, said Tasha Stoiber, a senior scientist at the Environmental Work Group, which sponsored the legislation. Kids are particularly susceptible to the effects of ultraprocessed foods, she said. “Ultraprocessed foods are also marketed heavily to kids with bright colors, artificial flavors, hyperpalatability,” Stoiber said. “The hallmarks of ultraprocessed foods are a way to sell and market more product.” Gabriel said lawmakers and parents have become “much more aware of how what we feed our kids impacts their physical health, emotional health and overall well-being.” That has helped generate strong bipartisan support for the law, which all but one Republican in the state Legislature supported.  A coalition of business interests representing farmers, grocers, and food and beverage manufacturers opposed it. They argued the definition of ultraprocessed food was still too broad and ran the risk of stigmatizing harmless processed foods like canned fruits and vegetables that include preservatives. Vegetarian meat substitutes also generally contain things like processed soy protein and binders that may run afoul of the definition. Gabriel contends that the law bans not foods but rather harmful ingredients. The California Department of Public Health now must identify ultraprocessed ingredients that may be associated with poor health outcomes. Schools will no longer allow those ingredients in meals, and vendors could replace them with healthier options, Gabriel said. Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.

Immune-informed brain aging research offers new treatment possibilities, speakers say

Speakers at MIT’s Aging Brain Initiative symposium described how immune system factors during aging contribute to Alzheimer’s, Parkinson’s and other conditions. The field is leveraging that knowledge to develop new therapies.

Understanding how interactions between the central nervous system and the immune system contribute to problems of aging, including Alzheimer’s disease, Parkinson’s disease, arthritis, and more, can generate new leads for therapeutic development, speakers said at MIT’s symposium “The Neuro-Immune Axis and the Aging Brain” on Sept 18.“The past decade has brought rapid progress in our understanding of how adaptive and innate immune systems impact the pathogenesis of neurodegenerative disorders,” said Picower Professor Li-Huei Tsai, director of The Picower Institute for Learning and Memory and MIT’s Aging Brain Initiative (ABI), in her introduction to the event, which more than 450 people registered to attend. “Together, today’s speakers will trace how the neuro-immune axis shapes brain health and disease … Their work converges on the promise of immunology-informed therapies to slow or prevent neurodegeneration and age-related cognitive decline.”For instance, keynote speaker Michal Schwartz of the Weizmann Institute in Israel described her decades of pioneering work to understand the neuro-immune “ecosystem.” Immune cells, she said, help the brain heal, and support many of its functions, including its “plasticity,” the ability it has to adapt to and incorporate new information. But Schwartz’s lab also found that an immune signaling cascade can arise with aging that undermines cognitive function. She has leveraged that insight to investigate and develop corrective immunotherapies that improve the brain’s immune response to Alzheimer’s both by rejuvenating the brain’s microglia immune cells and bringing in the help of peripheral immune cells called macrophages. Schwartz has brought the potential therapy to market as the chief science officer of ImmunoBrain, a company testing it in a clinical trial.In her presentation, Tsai noted recent work from her lab and that of computer science professor and fellow ABI member Manolis Kellis showing that many of the genes associated with Alzheimer’s disease are most strongly expressed in microglia, giving it an expression profile more similar to autoimmune disorders than to many psychiatric ones (where expression of disease-associated genes typically is highest in neurons). The study showed that microglia become “exhausted” over the course of disease progression, losing their cellular identity and becoming harmfully inflammatory.“Genetic risk, epigenomic instability, and microglia exhaustion really play a central role in Alzheimer’s disease,” Tsai said, adding that her lab is now also looking into how immune T cells, recruited by microglia, may also contribute to Alzheimer’s disease progression.The body and the brainThe neuro-immune “axis” connects not only the nervous and immune systems, but also extends between the whole body and the brain, with numerous implications for aging. Several speakers focused on the key conduit: the vagus nerve, which runs from the brain to the body’s major organs.For instance, Sara Prescott, an investigator in the Picower Institute and an MIT assistant professor of biology, presented evidence her lab is amassing that the brain’s communication via vagus nerve terminals in the body’s airways is crucial for managing the body’s defense of respiratory tissues. Given that we inhale about 20,000 times a day, our airways are exposed to many environmental challenges, Prescott noted, and her lab and others are finding that the nervous system interacts directly with immune pathways to mount physiological responses. But vagal reflexes decline in aging, she noted, increasing susceptibility to infection, and so her lab is now working in mouse models to study airway-to-brain neurons throughout the lifespan to better understand how they change with aging.In his talk, Caltech Professor Sarkis Mazmanian focused on work in his lab linking the gut microbiome to Parkinson’s disease (PD), for instance by promoting alpha-synuclein protein pathology and motor problems in mouse models. His lab hypothesizes that the microbiome can nucleate alpha-synuclein in the gut via a bacterial amyloid protein that may subsequently promote pathology in the brain, potentially via the vagus nerve. Based on its studies, the lab has developed two interventions. One is giving alpha-synuclein overexpressing mice a high-fiber diet to increase short-chain fatty acids in their gut, which actually modulates the activity of microglia in the brain. The high-fiber diet helps relieve motor dysfunction, corrects microglia activity, and reduces protein pathology, he showed. Another is a drug to disrupt the bacterial amyloid in the gut. It prevents alpha synuclein formation in the mouse brain and ameliorates PD-like symptoms. These results are pending publication.Meanwhile, Kevin Tracey, professor at Hofstra University and Northwell Health, took listeners on a journey up and down the vagus nerve to the spleen, describing how impulses in the nerve regulate immune system emissions of signaling molecules, or “cytokines.” Too great a surge can become harmful, for instance causing the autoimmune disorder rheumatoid arthritis. Tracey described how a newly U.S. Food and Drug Administration-approved pill-sized neck implant to stimulate the vagus nerve helps patients with severe forms of the disease without suppressing their immune system.The brain’s borderOther speakers discussed opportunities for understanding neuro-immune interactions in aging and disease at the “borders” where the brain’s and body’s immune system meet. These areas include the meninges that surround the brain, the choroid plexus (proximate to the ventricles, or open spaces, within the brain), and the interface between brain cells and the circulatory system.For instance, taking a cue from studies showing that circadian disruptions are a risk factor for Alzheimer’s disease, Harvard Medical School Professor Beth Stevens of Boston Children’s Hospital described new research in her lab that examined how brain immune cells may function differently around the day-night cycle. The project, led by newly minted PhD Helena Barr, found that “border-associated macrophages” — long-lived immune cells residing in the brain’s borders — exhibited circadian rhythms in gene expression and function. Stevens described how these cells are tuned by the circadian clock to “eat” more during the rest phase, a process that may help remove material draining from the brain, including Alzheimer’s disease-associated peptides such as amyloid-beta. So, Stevens hypothesizes, circadian disruptions, for example due to aging or night-shift work, may contribute to disease onset by disrupting the delicate balance in immune-mediated “clean-up” of the brain and its borders.Following Stevens at the podium, Washington University Professor Marco Colonna traced how various kinds of macrophages, including border macrophages and microglia, develop from the embryonic stage. He described the different gene-expression programs that guide their differentiation into one type or another. One gene he highlighted, for instance, is necessary for border macrophages along the brain’s vasculature to help regulate the waste-clearing cerebrospinal fluid (CSF) flow that Stevens also discussed. Knocking out the gene also impairs blood flow. Importantly, his lab has found that versions of the gene may be somewhat protective against Alzheimer’s, and that regulating expression of the gene could be a therapeutic strategy.Colonna’s WashU colleague Jonathan Kipnis (a former student of Schwartz) also discussed macrophages that are associated with the particular border between brain tissue and the plumbing alongside the vasculature that carries CSF. The macrophages, his lab showed in 2022, actively govern the flow of CSF. He showed that removing the macrophages let Alzheimer’s proteins accumulate in mice. His lab is continuing to investigate ways in which these specific border macrophages may play roles in disease. He’s also looking in separate studies of how the skull’s brain marrow contributes to the population of immune cells in the brain and may play a role in neurodegeneration.For all the talk of distant organs and the brain’s borders, neurons themselves were never far from the discussion. Harvard Medical School Professor Isaac Chiu gave them their direct due in a talk focusing on how they participate in their own immune defense, for instance by directly sensing pathogens and giving off inflammation signals upon cell death. He discussed a key molecule in that latter process, which is expressed among neurons all over the brain.Whether they were looking within the brain, at its border, or throughout the body, speakers showed that age-related nervous system diseases are not only better understood but also possibly better treated by accounting not only for the nerve cells, but their immune system partners. 

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