Health Watch
By Peggy Biltz and Lori Hoolihan
Taking the ‘Choice’ out of Food Choices?
Limiting access to foods,
taxing high-fat foods, establishing a minimum purchase age for certain
foods or stocking some snack foods out of customers’ reach are all
methods being put in place to help mitigate the overweight problem in this
country. Likewise, many schools and departments of education across the
country are establishing nutritional standards defining
“allowable” snack foods available for sale to schoolchildren.
There is much debate within the nutrition and health
communities as to whether regulating healthy choices through such means is
an effective — and desirable — way to improve eating habits. To
what extent can we expect the consumer to make appropriate and healthy
choices on his or her own? Will the enactment of policies preventing access
to foods that consumers want and enjoy create a backlash?
On one hand, many public health professionals consider
the efforts of individuals insufficient and believe that regulations are
needed to help fight obesity. This camp considers the chronic disease
impact of “unhealthy” foods a health care cost burden to
society and believes that certain foods should be controlled for
society’s greater good. Limiting availability and access to foods is
considered a necessary action in an environment prompting individuals to
make unhealthy choices.
On the other hand, most health professionals agree
that policy is by no means the sole solution to obesity and other health
problems. Because overweight and obesity are multifaceted problems that can
be attributed to more than one specific food, using policy and regulation
to dictate food choices to improve health may not bring about the desired
result. Research with children has found that restricting access to a snack
food resulted in heightened requests for and attempts to obtain and consume
the restricted food, actually encouraging the behavior that the restriction
was meant to reduce.
Another concern about using legal, economic or
regulatory systems to control consumer food choices is the lack of freedom
of choice, which Americans have come to expect and demand. How would we
react to being informed that a favorite food is only available at a certain
time or place, and at a higher price?
Things bode well for dairy under both of these
philosophies. Many of the policies enacted in schools and other settings
involve replacing sodas and other sweetened beverages with healthy drinks
— milk an obvious candidate. Even flavored milks, with their higher
sugar content than regular milk, are a preferable choice due to their high
nutrient density. Lowfat cheese, yogurt and drinkable yogurts are other
healthful snack options.
Nutrition education represents a long-term critical
component to making healthy dietary choices. At some point, every child,
adolescent and adult will be exposed to a variety of food choices. Without
the knowledge of specific foods and their inherent nutrients, and health
consequences of over- or under-consumption of these nutrients, consumers
will be hard-pressed to make appropriate purchasing and consumption
decisions.
The food industry has a role to play in providing
nutritional information about products to support consumers in their
efforts to manage their weight and overall health. Opportunities abound for
developing and marketing food products to meet specific needs. At the same
time, nutrition education is critical in arming the consumer with
information so that he or she can independently make informed choices.
Severely restricting access to food cannot be a substitute to arming people
with the skills they need to make healthy food choices on their own,
outside of controlled environments.
In the long run, both education and policy approaches
that increase knowledge about and access to healthy food choices are
complementary and essential efforts to improve our nation’s health.
Peggy Biltz is chief executive officer of the Dairy
Council of California. Lori Hoolihan, Ph.D., R.D., is the council’s
nutrition research specialist.
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