Multiple lines of evidence point to consumer food choices as major contributors to diet-related disease, and poor health and fitness. In a peer-reviewed journal article published today, authors Chuck Benbrook and Robin Mesnage cite studies indicating that “Some 90% of the estimated USD 4.3 trillion in annual health care costs in the US is triggered or made worse by poor food quality and diet-related disease.” Benbrook is the founder and former executive director of the Heartland Health Research Alliance (HHRA). The authors recommend novel metrics on both the nutrient density of food, and how to more accurately and usefully characterize the degree of food processing and its impacts on public health. The article is open access in the journal Foods and entitled “Enhanced Labeling to Promote Consumption of Nutrient Dense Foods and Healthier Diets.” The core nutrient density metric is a ratio: the percent of daily nutrient needs satisfied by a serving of food relative to the percent of a 2000 calorie daily diet taken up by the serving of food. This single metric is unmatched in comprehensively reflecting the nutritional quality of food. A graphic option to convey the metric on packaging is presented in Figure 3 in the new paper: A novel graphic is presented in Figure 5 to which integrates both the nutrient density and food processing metrics and graphics in a single graphic, shown below. The impacts of ultra-processed food (UPF) on public health outcomes is among the hottest topics in nutrition, medical, and public health journals, and media coverage on food quality and health outcomes. At the request of the journal, the authors developed a video abstract that explains the paper’s goals, methods, and key findings and recommendations. The authors conclude their paper with these observations: Transparent and accurate food product-specific ingredient and nutrient composition data should determine the content of nutrition health labeling. Efforts to soften the message should be resisted in light of the overwhelming need for new food labels that help bring about substantial improvements in food nutritional quality and dietary choices. Benbrook and Mesnage’s paper builds on public comments HHRA submitted in response to the US Food and Drug Administration (FDA) proposed rule in 2023 to update the definition of the term “healthy” on food labels. The proposed role would require foods labeled “healthy” to contain minimum amounts of foods recommended by USDA’s Dietary Guidelines, and to limit saturated fat, sodium, added sugar and other less healthy nutrients. Entitled “Food Labeling: Nutrient Content Claims; Definition of Term `Healthy’”, the comments recommended new  nutrition/health messaging on the front of food packaging. Co-authors of comments included the chair of HHRA’s Policy Advisory committee Dr. Kathleen Merrigan, HHRA science advisors, and other experts working on how changes in farming systems and technology can increase the nutritional quality of food: Dr. Hannah Flower, Dr. Donald R. Davis, Dr. David Montgomery and Anne Biklé. In the comments, the authors introduced “NuCal” as a name for their new system. Resources HHRA February 2023 comments to the FDA. Benbrook and Mesnage (2024). Enhanced Labeling to Promote Consumption of Nutrient Dense Foods and Healthier Diets, Foods. https://doi.org/10.3390/foods13213377 Video Abstract: “Enhanced Labeling to Promote Consumption of Nutrient Dense Foods and Healthier Diets”

Dr. Yolton is a developmental psychologist and epidemiologist serving as Professor of Pediatrics at Cincinnati Children’s Hospital Medical Center. Her interests include exposures and experiences that may alter a child’s developmental trajectory from infancy through adolescence. She collaborates on research projects on typical child development as well as those focused on the impact of exposures to environmental toxicants, opiates and stress during early development.

  Paul Hartnett has served as HHRA’s CFO since our founding . With the departure of Russell King, Paul has now joined the board and Executive Director. We thank Russell for his service and wish him the best in his future endeavors.

July 19, 2024 – In June of this year, the Heartland Study achieved a major milestone, enrolling its 1,000th mother-infant pair. Enrollment is now at 50% of goal. The objective of the Study is to help fill major gaps in our understanding of the impacts of herbicides on maternal and infant health. Currently in Phase 1, the Study is focused on evaluating associations between herbicide concentrations in body fluids and tissue samples from pregnant women and infants, and pregnancy/childbirth outcomes. Phase 2 is designed to evaluate potential associations between herbicide biomarkers and early childhood neurological development. Much appreciation for the mothers enrolled, and the entire Heartland Study Team including scientists, support staff and clinicians for this tremendous achievement, and for our funders to making this work possible. Read more about the study including peer-reviewed studies published in Chemosphere and Agrichemicals at our publications  page. The investment required to conduct this study exceeds $1 million each year. You can support this important work by making a donation here.

Last year was a year of progress for the HHRA and the Heartland Study. Read about it here!  

Multiple lines of evidence point to consumer food choices as major contributors to diet-related disease, and poor health and fitness. In a peer-reviewed journal article published today, authors Chuck Benbrook and Robin Mesnage cite studies indicating that “Some 90% of the estimated USD 4.3 trillion in annual health care costs in the US is triggered or made worse by poor food quality and diet-related disease.” Benbrook is the founder and former executive director of the Heartland Health Research Alliance (HHRA). The authors recommend novel metrics on both the nutrient density of food, and how to more accurately and usefully characterize the degree of food processing and its impacts on public health. The article is open access in the journal Foods and entitled “Enhanced Labeling to Promote Consumption of Nutrient Dense Foods and Healthier Diets.” The core nutrient density metric is a ratio: the percent of daily nutrient needs satisfied by a serving of food relative to the percent of a 2000 calorie daily diet taken up by the serving of food. This single metric is unmatched in comprehensively reflecting the nutritional quality of food. A graphic option to convey the metric on packaging is presented in Figure 3 in the new paper: A novel graphic is presented in Figure 5 to which integrates both the nutrient density and food processing metrics and graphics in a single graphic, shown below. The impacts of ultra-processed food (UPF) on public health outcomes is among the hottest topics in nutrition, medical, and public health journals, and media coverage on food quality and health outcomes. At the request of the journal, the authors developed a video abstract that explains the paper’s goals, methods, and key findings and recommendations. The authors conclude their paper with these observations: Transparent and accurate food product-specific ingredient and nutrient composition data should determine the content of nutrition health labeling. Efforts to soften the message should be resisted in light of the overwhelming need for new food labels that help bring about substantial improvements in food nutritional quality and dietary choices. Benbrook and Mesnage’s paper builds on public comments HHRA submitted in response to the US Food and Drug Administration (FDA) proposed rule in 2023 to update the definition of the term “healthy” on food labels. The proposed role would require foods labeled “healthy” to contain minimum amounts of foods recommended by USDA’s Dietary Guidelines, and to limit saturated fat, sodium, added sugar and other less healthy nutrients. Entitled “Food Labeling: Nutrient Content Claims; Definition of Term `Healthy’”, the comments recommended new  nutrition/health messaging on the front of food packaging. Co-authors of comments included the chair of HHRA’s Policy Advisory committee Dr. Kathleen Merrigan, HHRA science advisors, and other experts working on how changes in farming systems and technology can increase the nutritional quality of food: Dr. Hannah Flower, Dr. Donald R. Davis, Dr. David Montgomery and Anne Biklé. In the comments, the authors introduced “NuCal” as a name for their new system. Resources HHRA February 2023 comments to the FDA. Benbrook and Mesnage (2024). Enhanced Labeling to Promote Consumption of Nutrient Dense Foods and Healthier Diets, Foods. https://doi.org/10.3390/foods13213377 Video Abstract: “Enhanced Labeling to Promote Consumption of Nutrient Dense Foods and Healthier Diets”

Dr. Yolton is a developmental psychologist and epidemiologist serving as Professor of Pediatrics at Cincinnati Children’s Hospital Medical Center. Her interests include exposures and experiences that may alter a child’s developmental trajectory from infancy through adolescence. She collaborates on research projects on typical child development as well as those focused on the impact of exposures to environmental toxicants, opiates and stress during early development.

  Paul Hartnett has served as HHRA’s CFO since our founding . With the departure of Russell King, Paul has now joined the board and Executive Director. We thank Russell for his service and wish him the best in his future endeavors.

July 19, 2024 – In June of this year, the Heartland Study achieved a major milestone, enrolling its 1,000th mother-infant pair. Enrollment is now at 50% of goal. The objective of the Study is to help fill major gaps in our understanding of the impacts of herbicides on maternal and infant health. Currently in Phase 1, the Study is focused on evaluating associations between herbicide concentrations in body fluids and tissue samples from pregnant women and infants, and pregnancy/childbirth outcomes. Phase 2 is designed to evaluate potential associations between herbicide biomarkers and early childhood neurological development. Much appreciation for the mothers enrolled, and the entire Heartland Study Team including scientists, support staff and clinicians for this tremendous achievement, and for our funders to making this work possible. Read more about the study including peer-reviewed studies published in Chemosphere and Agrichemicals at our publications  page. The investment required to conduct this study exceeds $1 million each year. You can support this important work by making a donation here.

By Thomas Green, PhD, chair, HHRA Board of Directors Consumer Reports (CR) published a cover story today on pesticides on fruits and vegetables in the US food supply. CR concluded that “20% of the 59 fruit and vegetables tested posed a high risk from pesticides.” Blueberries, green beans, watermelons, bell peppers, potatoes, kale, and mustard greens were among the 12 highest-risk foods. What’s going on here? The United States Department of Agriculture (USDA) annually publishes a report with results from pesticide residue sampling completed two years prior. In January, the USDA’s report assured consumers that 99% of more than 10,000 samples of foods collected in 2022 had pesticides at or below EPA-set legal limits. To add to the confusion, the EWG (formerly Environmental Working Group) follows up each USDA report with its “Shopper’s Guide to Pesticides in Produce” and its widely promoted Dirty Dozen and Clean 15 lists. This year, EWG “determined that 75 percent of all conventional fresh produce sampled had residues of potentially harmful pesticides.” Blueberries, green beans, bell peppers, potatoes, kale, and mustard greens made the EWG’s Dirty Dozen, but not watermelon. Grapes and peaches also made the Dirty Dozen but didn’t make CR’s list of 12 highest risk foods. Three very different perspectives, yet all three organizations use the same data source! Residue data are generated by the USDA, which collects and tests domestic and imported food samples from our food distribution system in multiple states each year. Why the discrepancy in findings? Here’s the story The USDA uses “residue tolerances” established by the US Environmental Protection Agency (EPA). Residues under the tolerance level are regarded as safe. Foods with pesticide residues over the tolerance render the food adulterated. Food declared as such is supposed to be removed from the marketplace but fresh produce rarely is. The EPA tracks total dietary exposures to a given pesticide based on all tolerances that have been approved and by law must determine that there is a “reasonable certainty of no harm” from total exposures. As reported by the USDA this year, of the 10,665 samples collected in 2022, 325 had pesticide residues exceeding the tolerance or present in the absence of a tolerance, or about 3% in total. A third of the samples with over-tolerance, presumptively unsafe residues were US-grown; two-thirds were imported foods. In 2022, 27% of samples tested had no detectable residues. The EWG uses pesticide residue detections, so regardless of the tolerance level set for a pesticide, each residue detected is counted. A food makes the Dirty Dozen list if it is among the foods with the highest number of pesticide residues. Residues of some pesticides known to pose health hazard are weighted more heavily. The EWG typically lumps US and foreign-grown food in their report. In the report released today, CR analyzed USDA data on 59 foods in more than 26,000 samples tested by the USDA over seven years (2016-2022). CR used EPA-set toxicity thresholds for most pesticides but added the full 10-fold safety factor called for in federal law to several more high-risk pesticides than the EPA does. CR scientists consider the EPA’s tolerances to be too high for some pesticides, so they developed these lower limits for “pesticides that can harm the body’s neurological system” or are suspected of interfering with human hormones. The analytical work supporting the CR report was completed by a team led by the HHRA’s founder and first executive director Chuck Benbrook, and grounded in analyses conducted using the Dietary Risk Index (DRI) system currently housed on the HHRA’s website. The DRI is also included in the Pesticide Risk Tool, developed by a team I led and housed at the IPM Institute. I co-founded the IPM Institute in 1998 where our Sustainable Food Group continues to work with food companies and supply chains to reduce pesticide risks among other initiatives. So which report wins the day? All three have value, and all three point to opportunities for improvement. Without the USDA’s highly regarded pesticide residue testing program, efforts to reduce the frequency of high-risk residues would be like shooting in the dark. Of the three analyses, the USDA’s report represents the least conservative approach to estimating risk. Yet the level of tolerance violations reported by the USDA represents hundreds of millions of presumptively unsafe servings of food in the US every year! The EWG and CR take a more conservative approach to estimating and avoiding risk. Both organizations recognize that not all potential risks have been identified or accounted for in EPA risk estimates. For example, we all ingest multiple pesticide residues daily via food and drink, but their combined risk is not taken into account by the EPA. CR’s approach is more science-based and more closely aligned with the EPA’s dietary risk assessment. CR’s methodology is driven by measured residue levels, EPA-set exposure thresholds based mostly on animal studies, and standard food serving sizes. Not all pesticide residues pose equal risk, in fact they vary by over 10,000-fold! What’s the bottom line? All three organizations recommend that everyone should eat lots of fresh fruits and vegetables. The benefits to health outweigh the risks of pesticide exposure. The EWG recommends consumers buy organic versions of its Dirty Dozen. CR recommends limiting consumption of foods they have identified as highest risk to ½ serving per day or less, and buying organic when available and affordable. A common question is, “Can I remove pesticide residues by washing?” Before testing, food samples used in these reports are at a minimum lightly washed. Additional washing may help but will not achieve anywhere near our potential to reduce risk. It’s important to highlight that US-grown conventional food samples have generated fewer tolerance violations year after year compared to imported food, and that organic foods have also consistently generated far fewer violations than conventionally grown samples. In addition, the overall pesticide risk reduction achieved for birds, bees, and people since passage of the Food Quality Protection Act in 1996 has been astounding and readily […]