Where Food Labels Fall Short

WP_20140401_002-001I was just minding my own business Friday, working through my many goals for the day.

A few conference calls and some data-geek excel work in the morning when I look up at the clock and realize I didn’t have much time left before having to get my son from school.

Better get that workout in and take a quick shower.

As I was getting changed, the phone rang. I glance at the caller I.D.

The school.

My heart does a little leap. It’s after lunch.

I don’t like calls from the school around lunch time.

Most of you probably wouldn’t be spooked by this. But if you have a kid with a food allergy, this isn’t what you want to see.

It is Mandy, the school nurse and she immediately says Brett is fine. She thinks. But she explained he had started coughing and wheezing, to the point where it was definitely not normal. His teacher brought him down to see her immediately.

He’s allergic to nuts, could this be a reaction?

Most parents would think, so what? He’s coughing, right? Maybe it’s seasonal allergies, or dust in the air or from the heaters. Wheezing? Ok, he does that every once in a while but not often. We talk about what he had for lunch: basically all foods we eat every day at home, hummus, homemade tortilla, apple, and a few chips. I packed the lunch.

Were the chips a new bag?

Could any of it have been contaminated with nuts?

Not that we know of, but honestly, who knows?

Those Kettle Brand chips. The website says there are no nuts in the facility. But there’s no allergen information on the package.

The Pita Crisps say Contains Wheat. But there isn’t any more information about production on the label. On the website, it says under the FAQ’s there are no nuts in the facility.

hmm? guess I need to call...

hmm? guess I need to call…there are no nuts in the facility, under the FAQ’s.

I have been using King Arthur Flour and contacted them a few years back and they said their facility was free of peanuts. But their package and website? I can’t find any information.

He’s eaten these foods hundreds of times.

I spend sometimes hours of each week reading food nutrition labels to ensure I only purchase safe foods, with no possibility of cross-contamination to nuts.

Sometimes the foods are labelled. Sometimes they aren’t.

When the information is not clearly on the label, I check the company website, or send an email to customer service and hope the person at the receiving end of my inquiry has accurate information about the possibly of cross-contamination of the allergen in question.

And you hope the second after you call the company, they don’t move production facilities.

Or have some guy in the warehouse decide to move the product to a new facility with nuts flying around everywhere.

You have to trust what they tell you is the truth.

so it contains wheat but what else is in the facility? need to call.

so it contains wheat but what else is in the facility? need to call or check website

That day I highly doubted he ate any nuts.

Brett usually sneezes when he smells nuts, he doesn’t cough. Then again, one of the most annoying aspects of a nut allergy is that you can’t predict the same results from one reaction to another–they always change.

But when it’s not in writing, on the back of the box or bag, I start to second guess myself:

When was the last time I checked the

love that there is no sugar, but no allergen or facility info at all. Requires research.

love that there is no sugar, but no allergen or facility info at all. Requires research.

website?

Where is that email I received, I know I sent it awhile back…

What if something changed and I didn’t know about it?

What if I poisoned my son?

But if you are wrong and you do nothing, not administering an epi-pen can be a life-threatening decision.

We ultimately decided I’d bring in his inhaler, ASAP.

I hang up the phone, drop my workout gear, grab his inhaler, and drive straight to the school.

By the time I arrive about 10 minutes later, he was calm.

Oh, hey mom!

In the time it took for me to drive to the school, Mandy said she and Brett talked through what would happen if he wasn’t feeling better in the next minute or two. How she would use the epi-pen, and how he would have to sit calmly for 10 seconds with the needle in his leg.

She said he was calm, and understood what he needed to do.

And it was kind of like an emergency dry run.

So maybe some good came of the situation?

We were pretty sure at that point he was ok, so he left and went back to the class a few minutes later.

While we sat staring at each other for a moment, in relief.

This whole food allergy thing, it’s frustrating.

Sometimes you have to make judgement calls. It’s not a black and white situation.

As I think about Friday’s events in hindsight, I wonder how to minimize confusion for the next time this happens.

And the answer lies right there on the Food Labels.

Wouldn’t it have been great if I could have said to Mandy, there is absolutely ZERO chance there was cross-contamination in the food he was eating? If he indeed was in a room with no nuts and other kids who weren’t eating nuts, we would know this was indeed Asthma and an inhaler would do the trick.

The worry over an epi-pen would never have come to question.

I’m sure some other food allergy parents might say, well, you should just err on the side of caution and administer it anyway. But here’s the thing: if you administer it, you need to get an ambulance and bring him to the hospital to be monitored. If we know food allergy is not in question 100%, that sounds traumatizing to everyone: for Brett, for me, for Mandy, for the other teachers and students. And it’s also not necessary.

So let’s talk about the food label.

perfect! why can't they all be like this?

perfect! why can’t they all be like this?

Did you know it’s not mandatory to put “made in a facility with xxxxx (top allergens)” on the label? It’s voluntary.

And it’s not mandatory to include “made on the same equipment as xxx (allergen)” either . It’s voluntary.

But when foods have been tested for allergens, they found a definite cross contamination risk in foods that do not list the allergen in the ingredients, but are produced alongside or on the same lines as the allergen in question.

Why is this wording not mandatory?

I’m guessing you all heard about Michelle Obama unveiling proposed changes to packaged food labels. It has been in the news everywhere over the last few weeks.

I actually love what she is doing.

I really appreciate that calories are going to be emphasized.

That serving sizes are going to be right-sized.

And that sugar/added sugar is being highlighted, because I do look at that.

I also think adding a line listing the amount of Vitamin D will be helpful because where I live, everyone needs to maximize Vitamin D.

But what disappointed me when I read about the proposed changes?

WP_20140401_001

excellent!

There was no mention of fixing the allergen labeling.

I wonder, after reading last fall about Malia Obama’s peanut allergy, who gets this fun job at the White House of having to read labels, check websites, and determine what is safe for Malia.

Knowing first-hand how tough this is, you just wonder why they didn’t take this opportunity to make changes.

What is their protocol?

Certain brands, usually the more expensive, all natural brands, include these warning labels. And I’m so thankful to them (yes you, Mary’s Gone Crackers, Enjoy Life, Lucy’s, Dr. Kracker). But most of what you see in the grocery store is not clearly labelled. It may tell part of the story, but not typically the full one.  So it involves a call from a parent or the allergic-person to learn the full story of the products production cycle.

And when you have to rely on a person at the end of the customer service phone for life and death information, it’s not very reassuring.

And as I mentioned earlier, what if their current practices change tomorrow?

Why is clear allergen labeling not a priority?

As I was reading about the proposed new nutrition labels, an article in the Atlantic states, according to FDA’s Health and Diet Surveys,

The number of people who “often” read the nutrition label the first time they buy food increased from 44 percent in 2002 to 54 percent in 2008.

And that’s awesome–I’m glad more people are getting smart about reading the nutrition labels, but who knows if those reading it will actually change their behavior because of it. If someone picks up a box of twinkies do you really think they care how much sugar is in it? As much as you hope so, I think these changes will just be preaching to the choir, great for people like me who are used to reading them and who are already health conscious.

And perhaps those who hear about the proposed changes to the label in the media recently will be curious to take a look.

But when chain restaurants started putting calorie counts on their menus, it sounds like not too many people really paid attention to them. If you walk into McDonald’s in the first place, do you care about calorie counts and nutrition? At least for that particular meal, probably not. At other chain restaurants, effectiveness will vary because people have varying degrees of concern over the foods they eat, or how much they will listen to advice.

But here’s the thing. If you are highly-allergic to something,

100% of the people will be reading the label; their life depends on it.

So how about making it mandatory to add clear allergen information on the labels?

So there isn’t so much uncertainty.

This will help ease the anxiety of 100% of food allergic folks, and food allergy parents.

And school nurses and teachers and caregivers and friends and relatives.

When a person with a food allergy coughs, we don’t have to worry about traumatizing kids and parents and teachers with unnecessary talk of needles and ambulances. or life or death decisions.

Because we know for a fact, by looking at the label, there is no worry of cross-contamination.

We will know, a cough is just a cough.

A few puffs of an inhaler will do the trick.

Let’s have a Nutrition label that keeps all of us safe.

From added sugar.

From too many calories.

From unrealistic portion sizes.

It’s all important.

But how about keeping us safe from allergens too.

By enforcing companies to put it all in writing on the label.

What do you think of the Food Nutrition Label. Does it suit your needs? Is there anything you feel is missing? Would love to hear your thoughts. 

My Flawed Sugar Compromise

On my son’s first day of 3rd grade last month, I stayed to watch in the morning with the other parents, as the kids met their new teacher and over breakfast, he gave us an overview of what the kids would be learning throughout the year.

I was standing next to my friend Eve, whose daughter is in the class.

Our eyes met for a brief moment, as we watched our children dive into their school breakfast. Both of us, without even having to speak, knew what each was thinking: how many grams of sugar do you think are in this one, little, breakfast?  I calculated in my head about 70 grams, if my son was to eat all of it.

There was the chocolate milk one could choose.

There was the flavored yogurt.

The graham crackers (that were actually cookies).

And the cereal.

Thankfully my son chose the white milk, and didn’t eat all his breakfast because he’s a very slow eater, but that’s another story…

Eve spent a full year avoiding sugar, along with her family, blogged about it, and wrote a book about it that will be published soon. I have an interest in sugar because over the past 5 years, I have become an evangelist about my own diet. Constantly monitoring what I eat, weeding out the bad, and adding foods I think will benefit my health. Also, I continually assess whether my current diet works well alongside my fitness goals. I wrote a post earlier this year called My Food Evolution, about how my current philosophy towards food originated.

I read a ton of labels.

Avoid added sugar and sodium.

And if I can make something myself, I will. The less processed, the better.

My son has a food allergy, as many of you know, I just wrote a long post about it. It’s really difficult for him to eat out, we always bring our own food to ensure his safety, and I know that gets a little boring for him. But at school, the cafeteria is nut-free and finally offers him a chance to eat something other than what I give him. He feels included. And can eat safely. He often will try a new food at school, let me know about it, and I can try to recreate my own version at home. Because of the positives, I didn’t get too hung up on the fact that the foods he ate at school might not be the same quality as what we have at home, because it was only 5 meals a week.  It seemed like a good compromise.

Until Recently.

I am ashamed to admit since making this decision as a parent, allowing him to have school lunch, rather than make it at home, I never really re-evaluated the fact that since kindergarten, he’s been eating breakfast there too. No longer 5 meals a week, now 10.

And I never really looked at the menu consistently. I recall glancing once or twice thinking: fruit, cereal, milk…sounds healthy enough, right?

But until I saw that breakfast at school in person, the realities of this decision, or non-decision, became more clear. My child is not one of those kids who sits nicely at his desk and raises his hand to be called. He’s the one who is hanging off his chair. He’s the one blurting out answers to every question. He’s the one swaying back and forth into everyone’s space. And last year, he complained often about how tough it was to stay focused in math, right after breakfast.

He is a powerful little force, on the move…

It didn’t once occur to me that the food he ate prior to his lessons might be an issue.

When I learned about this sit-still-during-math problem, we started to do “jump around” time in the mornings, before school, and we have kept it going this year. Some days when it’s nice out we take a few laps up and down our steep driveway. Sometimes we will run down to the river and back. If the weather is bad, we throw all the couch pillows on the floor and do a few rounds of “pillow hopping”. We do a few squats. Stretches. Waking up the arms and legs. Sometimes we only have 10 minutes, but it appears to help.

I read a book earlier this year by John Ratey called: Spark, about exercise and the effects on the brain, because of my own interest in exercise and fitness. I know the fact that I incorporate formal exercise and lots of movement into my own day, I feel so much better. I’m less anxious. I’m more calm. After a session, I’m centered on the task at hand, no questions asked; where I’m jumpy and always feel the need to stretch or move around if I wait until later in the day. But my takeaway, aha moment, after reading the book, centered around what I need to do with my son.  The book described a fitness experiment in a school in Naperville, Illinois, clearly proving, in the form of measured grade improvements, how much better kids are able to focus and learn when they participate in “fitness” time first thing in the morning.

I hadn’t thought much about school food or his fidgety tendencies for a week or so, he came home happy everyday and said he loved school. And I was elated to finally have a few moments to myself to breathe, to enjoy some late summer hikes, and to have some moments to myself to figure out my personal goals.

But about a week after school started, Brett came home and mentioned he didn’t really like school lunch anymore. The Sunbutter at school tastes different, and he didn’t like it as much. My guess is that the school serves the sweetened kind, whereas he is used to the unsweetened version we have at home. And lately, he has been choosing sandwiches more often than the hot lunch. I told him I’d be happy to make his lunch on days he would opt for a sandwich.

I hung the lunch menu on the cabinet so he could check it out and decide each morning.

And every day since, he has opted for home lunch; I don’t bother asking anymore…

On Monday, as we were driving home from school, Brett mentioned he had a breakfast cereal that he didn’t like; it was too sweet. It made his stomach hurt. I asked him what it was called.

Trix.

Hmm, I remember Trix is one of those sugary cereals I used to see commercials for when I was a kid. Why in the world would that be a choice at school?

The first thing we did when we came home that afternoon was look up Trix on the web, I wanted to see what the nutrition label looked like. Once I did, yup….lots of sugar (13 g). I asked Brett what other choices he had, that he could remember. He named 4 or 5 different brands. I looked them up and we decided, for breakfast at school, your best bets are Kix (3 g), or Rice Krispies (4 g).

But as we discussed it further, we thought, this is silly, let’s just bring in our own cereal (Erewhon Brown Rice (0g) mixed with Enjoy Life Flax (2 g)) So he has done this for the last few days and is perfectly happy.

With so much media play on the need to lower obesity rates in children.  And so much documentation about how sugars make kids unable to sit still, to focus, along with the fact they do not get enough active movement during the day, you just have to wonder, why do they even let these  sugary options through the door?

Whether this breakfast change will make a difference in his focus, or his need to move around so much, who knows. But at least we can be confident now that the foods he eats each day are not contributing to the problem.

I still am mad at myself for being so complacent for the last few years. Maybe it’s because I am so “on it” with the foods stocked in my kitchen, for both health and allergy reasons, it felt good to take a deep breath, and delegate, just for a few meals each week.

But if someone swapped out my plain yogurt with a super-fake-sugary one. Or gave me graham cracker cookies instead of my typical seedy low-sugar brand, I certainly would not let it happen.

I’d feel like a blob all day.

And so do our kids.

My son knew this stuff didn’t taste good. His stomach felt odd. He could tell he needed something different and we worked together to make better choices.

I hope you all don’t think I’m some scrooge, never allowing my kid treats, making him eat Brown Rice & Flax cereal. Believe me, when sugar is necessary, I’m all for it. I have this one espresso brownie recipe I’m embarrassed to say I make more often than I should. It calls for 3 1/2 cups of sugar! And we have chocolate in the house. And I make cookies. Maple syrup and honey are everyday staples.

I like sugar for dessert, but not hidden in basic meals.

Brett and I had a specific conversation about the terms: Appropriate and Not appropriate yesterday.  He wanted to wear a pig mask he made at school during recess. I had to explain, it wasn’t that the mask was in itself bad, it was just clearly not appropriate to wear at that time. These same terms came up again later in the afternoon when he wanted to bounce on the cool adjustable chair at his dentist appointment. By the horrified look on the hygienist’s face when she saw that chair wobble, we clearly know bouncing is ok outside, but at the dentist, we can file under: Not Appropriate.

He understood quickly. Not appropriate is when the timing is wrong.

And the terms apply perfectly in the case for sugar.

Too much of it during the school day? Not appropriate.

After school? Appropriate.

On the weekends after lunch or dinner? Depends on what we are doing, but mostly: Appropriate.

For adults at work? Judging by how many of us eat poorly and want to fall asleep at our desks in the afternoon after a big lunch, then need a 3 pm coffee pick-me-up? I’m going going to say sugar isn’t really all that appropriate here for adults.

Sugar before bedtime? For kids; Not appropriate.

And for me? I have started getting insomnia on nights I have a late dessert. File under: Not appropriate.

Timing makes all the difference.

I used to have a few minutes to myself in the mornings. To write. To think.

To drink coffee and think about the day ahead.

I didn’t have to make Brett’s lunch for the last few years; but now I do.

Apparently, I’ll now be making him two breakfasts each day too, one for home, one for school.

And that’s ok.

I’m proud of him for speaking up. He has proven he has a strong instinct regarding his own health; an instinct as good or better than my own.

He reminded me we should never become complacent with our own nutritional needs.

If something isn’t working, we can stop, think, ask questions and reevaluate to make positive changes.

And that sometimes a compromise is just not worth it.

 How do you approach sugar, for you, or your family?

Are there foods you notice help or adversely affect your moods or focus? How about exercise and movement? Would love to hear your thoughts!