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My POV on Health Canada’s proposed new nutrition labels

On June 12th, Health Canada released a proposed new Nutrition Facts table aimed to improve nutrition information on food labels. While I agree that nutrition labels can provide useful information to help Canadians find healthier choices, I’m not 100% sold on all of the proposed changes. Even after tuning in to Health Canada’s webinar on the proposed changes last week, I still have a number of questions and a long wish list. Here are just some of my comments which I’ll be sending to Health Canada during the consultation phase.

Realistic serving sizes – LIKE – If you’re a cereal lover, you’ll know that the current serving sizes are based on a weight of 30 grams. This means that a serving of cereal could be anywhere from 1/3 cup to 1 1/2 cups, depending on the density of the cereal. On the proposed new label, the serving size of all cereals will be 1 cup. With this type of standardized serving size, it will be easier for us to compare the nutritional profile of one cereal to another.
Wish list: Let’s change the serving sizes on Canada’s Food Guide so that they’ll finally match the serving sizes seen on nutrition labels. For consistency, we should also keep the serving of bread at 1 slice (which is currently a Food Guide serving) instead of upping it to the proposed 2 slices.

%DV (Daily Value) for carbohydrates and fibre removed – DISLIKE – Oh boy, I have so many question marks about the %DV on the proposed new labels, starting with carbs and fibre! The current nutrition labels include a %DV for carbohydrates and fibre. So why will these be removed in the proposed new label? When I asked Health Canada, they replied that carbohydrate is not a nutrient that Canadians need to limit. And that the %DV would only be listed for nutrients of public health concern for which our intakes are either insufficient or excessive. I have a few issues with this argument. First of all, no where on the proposed new food label does it say that the %DV is only given for nutrients that we’re missing out on or getting too much of. So how’s a consumer supposed to know? To me, including the %DV for some but not all of the nutrients is essentially withholding important information and does not provide the full picture to consumers. Secondly, there may be some folks who need to watch their carb intake, so providing a %DV for carbs would be helpful. Thirdly, we know that Canadians are only getting about 1/2 the fibre they need in a day and we know very well about the health benefits of fibre. So doesn’t that qualify fibre as a nutrient with an insufficient intake?? Health Canada’s rationale is that the definition of fibre has broadened and that consumers can still use the “source of fibre” claims to help guide them in their decision making. Lastly, the proposed new nutrition label would only provide a %DV for one macronutrient – fat – with the rationale that we need to be limiting our fat intake. OK, so here’s the super confusing part: If Health Canada wants us to limit our overall fat intake, why did they INCREASE the daily recommended dietary allowance of fat from 65 to 75 grams (from 30% of the calories in a day to 35% of calories in day)? If the proportion of fat is going UP in the diet, then which macronutrient is going down – carbs or protein or both??
Wish list: Full disclosure. Give consumers the full picture. Add a %DV for carbohydrates and protein too, and while you’re at it, re-assess the daily recommendations for protein. OR completely remove the %DV fat.

Changes to the %DV of nutrients – LIKE BUT CONFUSING! – I applaud Health Canada for lowering the daily recommended intake for sodium from 2400 mg to 2300 mg (some health professionals might argue that the recommendation should even be as low as 1500 mg) and for increasing the daily recommended dietary allowance for vitamin D from 200 mcg to 800 mcg. But here’s the confusing part. The 800 mcg amount of vitamin D is the recommended daily amount for a 70+ year old adult. The proposed new calcium %DV of 1300 mg on the other hand is based on the needs of a growing teenager, and the proposed new iron %DV at 18 mg is based on the needs of a woman in her child-bearing years.
Wish list: How about basing the %DV for these nutrients on the needs of an average adult who’s eating 2000 calories. That’s what it is now. Why are we making it more confusing for consumers?

Sugars grouped together in the ingredients list – LIKE – I agree that all sugars should be listed together. However, I wondered why “Added sugars” was not added to the proposed new nutrition label. Health Canada tells me that not many foods would have a different value for “Total sugars” and “Added sugars”, and that the ingredients list could help consumers determine how much added sugar is in the food.
Wish list: We break down saturated and trans fat under the “Total fat” category. We should do the same for “Total sugars” and “Added sugars”.

Cholesterol on the nutrition label – DISLIKE –
We know that dietary cholesterol doesn’t have as much impact on our blood cholesterol as we once thought. Do we need to label the cholesterol content of a food anymore?
Wish list: Nix the cholesterol. Use the space on the food label to put back “Added sugars”

Vegetable and fruit health claim – LIKE – Vegetables and fruit don’t need a Nutrition Facts table and can state the claim “A healthy diet rich in a variety of vegetables and fruit may reduce the risk of heart disease.” Yes, finally!
Wish list: Tell us if/how processed vegetables and fruit can carry this health claim on their packaging.

I encourage you to send your comments too by August 26, 2015. You can email or fax your comments. For more info, see Health Canada Consultation on Proposed Food Label Changes.

Tell Health Canada what you think about the proposed new food labels

Health Canada recently announced proposed new changes to the Nutrition Facts table and ingredients lists with the goal of improving nutrition information on food labels.

Some of the key proposed changes include:
– listing Calories in a bigger and bold font
– using consistent serving sizes on similar foods
– increasing the Daily Value for fat and calcium, and decreasing the Daily Value for sodium
– adding information about added sugars by including a % Daily Value for sugars as well as showing the amount of added sugars in the product
– removing vitamins A and C, but adding potassium and vitamin D to the label
– grouping nutrients that we should limit (fat, sodium and sugar) at the top half of the label
– grouping nutrients that we need to get enough of (fibre, vitamins, minerals) at the bottom half of the label.

The consultation period is now open, and all consumers and stakeholders are invited to provide input on the proposed changes. Please take the time to have your say and share your feedback in shaping this important nutrition labelling regulation.

Health Canada has developed fact sheets on: Nutrition Facts table and Ingredient List, Serving Sizes and Sugar Content as well as an Executive Summary of the proposed changes. Consumers can provide their feedback through a 10 question online survey.

For food and health professionals, there is also a series of five technical consultation documents which explain the rationale for the proposed changes: Format Requirements, Core Nutrients, Daily Values (%DV), Reference Amounts and Serving Sizes. You are also invited to provide feedback to each of these consultation documents.

All comments must be submitted to Health Canada by September 11, 2014.

Menu labelling – would you like 90 minutes of walking with that?

The conversations about menu labelling continue. Dr. David McKeown, Toronto’s Chief Medical Officer of Health supports mandatory menu labelling of calories and sodium, while some researchers wonder whether “physical activity equivalent” labelling is a more effective strategy.

McKeown urges the province to enact its own law, but if the province doesn’t do so by September, he plans to develop a Toronto-specific bylaw for chains with more than 15 restaurants. Critics say that calorie and sodium counts alone don’t allow consumers to make informed choices. A Diet Coke for example, has fewer calories than a glass of milk, while a bagel might have more sodium than a cookie.

Stephanie Jones, the Ontario VP of the Canadian Restaurant and Foodservices Association endorses British Columbia’s voluntary Informed Dining program, in which participating restaurants post nutrition information in a brochure or poster, rather than on the main menu.

And here’s another POV. Preliminary research shows that consumers may be more motivated to choose foods with fewer calories when restaurant menus show how much exercise is needed to burn off those calories. For example it would take 90 minutes of walking to burn off the calories in this hypothetical ham sandwich. It’s an interesting concept, indeed!

My Take on Junk Food Bans and Labelling

In August, New York City’s mayor Michael Bloomberg announced the ban of sugary beverages that are larger than 16 ounces at restaurants, mobile food carts, sports arenas and movie theatres. The ban would not apply to fruit juices, alcoholic beverages, diet sodas or dairy-based drinks such as milkshakes. Some have criticized Bloomberg as a state nanny.


Here at home, the Ontario Medical Association called for graphic warning labels to be placed on certain foods. This aggressive action is needed, they say, to tackle obesity which has become a “full-scale public health crisis”.

Personally, I am all for increased education and awareness about healthy choices and portion sizes. I like the idea of helping consumers understand that consumption of sugary beverages should be limited. And so, I see Bloomberg as a nutrition champion, not a nanny. But I’m not sold on the junk food tax. Denmark has just repealed its contentious fat tax just over a year after its implementation. Foods containing more than 2.3 percent saturated fat, such as butter and margarine, were subject to the tax. The tax impacted the economy and drove Danes into cross-border shopping into Germany and Sweden.

A big concern that I have with a junk food tax is that it villanizes food. It creates an environment of punishment rather than compassion when trying to help people deal with food and weight. It further stigmatizes those who are overweight or obese, blaming them for their food choices. We know however that obesity is a complex issue influenced by so many other controllable and non-controllable factors such as exercise and genetics.

Plus, a junk food tax isn’t as simple as it looks. How would we define “junk food”? Would it be based on calories or fat or both? Would healthy choices such as olive oil or nuts be labelled as “junk”? Surely not. And what about the idea of moderation? Should we not also consider how often the food is consumed, and how the food might fit into an overall healthy, balanced diet? Dr. Ayra Sharma, Professor of Medicine & Chair in Obesity Research and Management at the University of Alberta sums it all up nicely, “What matters is the context in which the foods are served and how much of it is consumed.”

Health Canada approves new health claim for barley and cholesterol

There’s good new for barley! Health Canada has just approved the following heart health claim: “Barley fibre helps reduce cholesterol, which is a risk factor for heart disease.” To qualify for this claim, the food must contain at least 1 gram of beta-glucan from barley grain products per reference amount and per serving of stated size. Research shows that 3 grams of barley beta-glucan per day is effective in lowering blood cholesterol levels. About 44% of Canadians have high blood cholesterol which is a risk factor for heart disease.

Image source: Wikia.com

Nutrition Facts Education Campaign

According to research, food labels are the most trusted source of nutrition information. The % Daily Value (%DV) found on the Nutrition Facts table is a quick and easy tool to help consumers understand if there is a little or a lot of a nutrient. I served as a spokesperson for this educational campaign which was a partnership between Health Canada and Food Consumer Products of Canada. We held a bloggers’ event in March, and I was featured in a number of radio interviews.

Here’s a picture of a “cereal box” (aka old shoe box) that my kids gave me for Mother’s Day when they were four and five years old. It was filled with different types of cereal. They called it “Mama-O’s” and even drew a Nutrition Facts on the back of the box!

Keep your Eyes on Psyllium

Health Canada has recently permitted a new health claim linking the consumption of psyllium fibre to a reduction of blood cholesterol. A sample claim is: “Psyllium fibre helps lower cholesterol, a risk factor for heart disease. 1 cup (30 g) of Brand X cereal with psyllium supplies 50% of the daily amount of fibre shown to help lower cholesterol.” The “daily amount” is 7 g of psyllium fibre. To make this claim, the food must contain at least 1.75 g of psyllium soluble fibre per serving size as well as meet other specific nutrient criteria.

According to Health Canada, increased psyllium intake could be beneficial for adults who have normal or high blood cholesterol levels. Psyllium is a grain similar to wheat and oats, and is a concentrated source of soluble fibre.

Only a few breakfast cereals currently contain psyllium fibre, but you can bet we’ll be seeing more psyllium-containing products hit the grocery shelves soon. For more information, read http://www.hc-sc.gc.ca/fn-an/label-etiquet/claims-reclam/assess-evalu/psyllium-cholesterol-eng.php

2011 Nutrition Recap

Looking back on the year, here are just a few of my favourite nutrition news and trends from home and abroad.

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