Regulating Sugars in Soft Drinks

sugarsIn a press release issued yesterday, HealthDay News reported that a leading consumer advocacy group, along with nutrition experts and health agencies from a number of U.S. cities, are calling for lowering the amount of sugars added to soft drinks.

The press release reads as follows:

Led by the nonprofit Center for Science in the Public Interest (CSPI), the group  sent a petition to the U.S. Food and Drug Administration asking the agency to determine safe levels of high-fructose corn syrup and other sugars in sodas and assorted soft drinks.

Currently, the average 20-ounce bottle of soda contains about 16 teaspoons of sugars made from high-fructose corn syrup, the CSPI said. The American Heart Association currently recommends that men consume no more than 9 teaspoons of added sugars daily, and women no more than 6 teaspoons’ worth.

Some 14 million Americans of all ages now get more than one-third of their calories from added sugars, the petition stated.

“The consumption of such high amounts of sugar and high-fructose corn syrup [in sodas] are causing serious health problems, obesity, diabetes, heart disease, among others,” said CSPI Executive Director Michael Jacobson.

There’s been a great deal of scientific evidence gathered over the past decade to support that link to health problems, he said, and “we’re contending that much of the evidence centers around beverages.” The CSPI believes most sugary sodas could be safely replaced by those made with low-calorie sweeteners.

The group said its petition has the support of public health departments in Baltimore; Boston; Los Angeles; Philadelphia; Seattle; Portland, Ore.; and other cities, as well as leading academics at Harvard and Yale universities and other institutions around the country.

According to Jacobson, the FDA is legally bound to examine the health effects of the amount of sugars being consumed and take corrective action.

The center is first asking the FDA to determine the safe level of sugar in drinks. Also, it wants the FDA to issue targets for the sugar content of other sugary foods and urge industry to voluntarily reduce sugar levels in those foods, Jacobson said.

“The third thing is to educate consumers to choose healthier foods and beverages,” he said.

The FDA classifies high-fructose corn syrup, sucrose and other sugars as “generally recognized as safe,” Jacobson said.

“What we’re asking the FDA to do is to modify those regulations and set some limits in beverages,” he said.

In the 1980s, the FDA twice committed to looking at limiting the level of sugars in foods if new scientific evidence found sugar levels were harmful to the public, or if sugar consumption rose, Jacobson said.

“We are reminding the FDA of that and saying you have an obligation to revisit this and protect the public’s health,” he said.

It will take years before any action is taken, but that gives industry time to adjust to using less sugar in drinks, Jacobson said.

Jacobson said economic issues shouldn’t be part of the FDA’s consideration. “There are winners and losers for any kind of a regulation. The sugar industry and the corn industry [which supplies ingredients for high-fructose corn syrup] would be losers, but the soft drink industry might be winners,” he said.

The makers of no-calorie sweeteners “would probably make out like bandits,” Jacobson said.

The CSPI hopes new sweeteners — such as rebiana, made from the stevia plant — will replace high-calorie sugar, making drinks healthier.

Although some people are concerned that these sweeteners may be harmful, Jacobson said they are still a better option than sugar.

“The FDA considers all these sweeteners perfectly safe,” Jacobson said. “We think the certain harm that’s coming from the 16 teaspoons of sugar in a 20-ounce bottle of soda greatly outweighs the speculative risk from artificial sweeteners,” he added.

“We have an obesity epidemic on our hands, with two-thirds of Americans obese or overweight, and that should take precedence over smaller concerns,” Jacobson said.

One industry representative took issue with the new petition.

“As we continue to debate the root causes of our nation’s obesity issue, we need to rely on science and facts, not look for quick fixes that draw focus away from developing real solutions to a complex problem,” said J. Patrick Mohan, the interim president of the Corn Refiners Association, which represents high-fructose corn syrup manufacturers.

And the American Beverage Association, which represents soft drink makers, said its industry is already making changes.

“Today about 45 percent of all non-alcoholic beverages purchased have zero calories and the overall average number of calories per beverage serving is down 23 percent since 1998,” the ABA said in a statement issued Wednesday. And according to the U.S. Centers for Disease Control and Prevention, “Americans are consuming 37 percent fewer calories from sugars in soft drinks and other sweetened beverages than in 2000,” the group added.

“Everyone has a role to play in reducing obesity levels — a fact completely ignored in this petition,” the ABA said. “This is why the beverage industry has worked to increase options and information for consumers.”

Dr. David Katz, director of Yale University’s Prevention Research Center, said he joined the CSPI effort and is “proud to have signed the petition.”

“The evidence that an excess of added dietary sugars, in any of its many guises, is a major contributor to the prevailing public health ills of our time is now essentially incontrovertible,” he said. “It stands to reason that lowering those levels will help in efforts to reduce the levels of obesity, diabetes and other chronic disease.”

Soda and other sugary drinks are the single biggest source of calories in the U.S. diet, with Americans, on average, consuming between 18 and 23 teaspoons — about 300 to 400 calories — of added sugars each day, according to the petition.

Many teens and young adults consume even more sugar than the average. Some get at least 25 percent of their calories from added sugars, according to the 2007-2008 U.S. National Health and Nutrition Examination Survey.

The CSPI petition notes that cities around the country have taken note of the problem and have acted. In New York City, Mayor Michael Bloomberg is capping restaurant soda serving sizes at 16 ounces — a move that has met with considerable resistance from some who believe it tramples individuals’ rights.

Note: A judge blocked the enforcing of the NYC law, that was to go into effect earlier this week, just a day before it was to become law.

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FDA Warns Against using a Supplement Called WOW

The FDA says that taking an over the counter supplement can be a health risk.

FDAThe following warning comes from the Food and Drug Administration (FDA) about a product distributed and sold under the name ‘WOW’, which  is really just another product in disguise, one that can cause serious harm.

Earlier in 2012, FDA twice warned the public about taking Reumofan Plus—marketed as a “natural” dietary supplement for the treatment of many conditions. It contains undeclared active ingredients found in prescription drugs that should only be used under the supervision of a health care professional.

Brad Pace, regulatory counsel at FDA’s Health Fraud and Consumer Outreach Branch, says some distributors have deliberately put a new label and a new name, WOW, on bottles of Reumofan Plus to deceptively sell remaining supplies. Pace says WOW has been distributed to online retailers and other distributors, as well as directly to consumers.

FDA is concerned that other distributors will also put different labels on Reumofan Plus and sell it under other names.

The agency offers this advice to consumers:

  • Immediately consult a health care professional if you are now taking Reumofan Plus or WOW.
  • Do not use any products with “Riger Naturals S.A.” printed on the bottom of the bottle. Reumofan Plus is manufactured in Mexico by Riger Naturals.
  • Report any health problems related to these products to FDA’s MedWatch Safety Information and Adverse Event Reporting Program.

Serious Health Risks

Since June, FDA has received dozens of reports from consumers who used Reumofan Plus of serious, and sometimes fatal, outcomes. The reports include liver injury, severe bleeding, corticosteroid withdrawal syndrome, adrenal suppression and stroke.

FDA laboratory analysis confirmed that WOW contains the same undeclared prescription drug ingredients that are in Reumofan Plus:

  • dexamethasone—a corticosteroid used to treat inflammatory conditions such as asthma and rheumatoid arthritis, that can increase the risk of infection, and cause increased blood sugar levels, changes in blood pressure, damage to bones, psychiatric problems. When taken for a prolonged period at high doses, it can cause adrenal suppression.
  • diclofenac sodium—a non-steroidal anti-inflammatory drug (NSAID) that may cause increased risk of cardiovascular events, such as heart attack, as well as serious gastrointestinal problems.
  • methocarbamol—a muscle relaxant that can cause sedation, dizziness and low blood pressure, and impair mental or physical abilities to perform tasks such as driving a motor vehicle or operating machinery.

In addition to causing injury on their own, the hidden drugs found in these products could interact with other medications, resulting in serious health consequences.

Medical Advice Needed

Because one of the hidden ingredients—dexamethasone—is a corticosteroid, people taking these supplements must work with their health care professional to safely stop taking the drug. A person who abruptly stops taking corticosteroids after long-term use or after taking high doses runs the risk of suffering from a withdrawal syndrome and life-threatening adrenal suppression.

The withdrawal syndrome may include nausea, low blood pressure, low blood sugar levels, fever, muscle and joint pain, dizziness and fainting. Adrenal suppression of cortisol production can be life-threatening because, among its many important roles in the body, cortisol is needed to maintain normal blood pressure and supply glucose to vital tissues, such as the brain and red blood cells, in response to stressors such as trauma, surgery, and infection.

FDA notes that there may be other harmful hidden ingredients in these products. Ingredients may vary from lot to lot, and products found to have hidden drug ingredients are generally not manufactured in a way that would ensure their quality and safety.

Source: This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.

 

 

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Removing Sugary Sodas is a Good Beginning, But…

sugaryWhile many schools have removed sugary sodas from the school vending machines and other points of purchase,  sugary fruit beverages and Gatorade-like drinks are still available in most schools.

According to the findings in a new study by the Robert Wood Johnson Foundation high-calorie drinks are the main source of dietary sugar among children. Making these drinks available at school can significantly increase students’ daily calorie intake.

The lead author of the study, Yvonne Terry-McElrath, a researcher from the University of Michigan and co-investigator with Bridging the Gap, a research program of the Robert Wood Johnson Foundation, said in a foundation news release, “Our study shows that, although schools are making progress in removing sugary drinks, far too many students still are surrounded by a variety of unhealthy beverages at school. We also know that the problem gets worse as students get older.”

The researchers surveyed more than 1,400 middle schools and more than 1,500 high schools to track beverages sold by these schools outside of meal programs over four academic years beginning in 2006. Specifically, they looked at places where students could buy high-calorie sodas, such as vending machines, a la carte lines in the cafeteria, school stores and snack bars.

The study, published Aug. 6 in the Archives of Pediatrics and Adolescent Medicine, found one in four public high school students could buy high-calorie soda during the 2010 school year. Four years earlier, sugary sodas were available to more than 50 percent of these students, the researchers said.

While this decrease in schools is encouraging, the investigators found many middle and high school students still have access to other sugary beverages, such as fruit drinks and sports drinks. In the 2010 school year, 63 percent of middle school students and 88 percent of high school students could buy some type of high-calorie drink at school.

The study also showed that while students’ access to higher-fat milk declined, in 2010 it remained available to 36 percent of middle school students and 48 percent of high school students.

C. Tracy Orleans, senior scientist at the Robert Wood Johnson Foundation, said the progress being made to remove sugary sodas from schools is encouraging. “But while this study does have good news, it also shows that we’re not yet where we want to be,” Orleans said in the news release. “It’s critically important for the USDA [U.S. Department of Agriculture] to set strong standards for competitive foods and beverages to help ensure that all students across all grades have healthy choices at school.”

 

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Sunlamps and Tanning Beds

 tanningThe following information from the Food and Drug Administration (FDA)  cautions about the use of sunlamps and tanning beds; a practice a number of people, especially teens, choose to do despite warnings about the increased risk of skin cancer.

 

Sunlamps and Tanning Beds

Sunlamps and tanning beds give off UV rays just like the sun. Tanning beds can be as dangerous as tanning outdoors. They may be more dangerous than the sun because they can be used at any time . They can also be more dangerous because people can expose their entire bodies at each session, which would be difficult to do outdoors.

The FDA and the National Cancer Institute recommend avoiding tanning beds.

• All tanning beds put you at higher risk of skin cancer.

• NCI reports that women who use tanning beds more than once a month are 55 percent more likely to develop melanoma, the deadliest form of skin cancer.

The FDA has standards for sunlamp products. All sunlamp products must have:

• a warning label

• an accurate timer

• an emergency stop control

• an exposure schedule

• protective goggles

Some people do things that make tanning beds even more dangerous, like:

• Not wearing goggles or wearing goggles that are loose or cracked.

• Staying in the bed for the maximum time that is listed on the label.

• Staying in the bed longer than recommended for your skin type. Check the label for exposure times.

• Using medicines or cosmetics that make you more sensitive to UV rays. Check with your doctor, nurse or pharmacist.

What are “sunless” tanning products?

• Sunless tanning products are cosmetics that make the skin look tanned.

• Most of these products do not have sunscreen, so you still need to use sunscreen.

• If you go to a spray-on sunless tanning booth, ask for protection to keep from breathing in the spray. Keep it out of your mouth, eyes, and lips.

• FDA has not approved any tanning pills. These pills can have bad side effects such as nausea, cramping, diarrhea, severe itching, and welts. Tanning pills also may cause yellow patches inside your eyes and affect your eyesight.

• Some lotions and pills claim to make you tan faster. There is no proof that these work. “Tanning accelerators” are not approved by the FDA.

Source: FDA Office of Women’s Health http://www.fda.gov/womens

 

 

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Lock Up Your Medications!

Dear Parents,

In the following video, the Food and Drug Administration strongly encourages parents and all caregivers to lock up medications to keep young children as well as teens safe.

Please watch this video and, if you do not already keep your medications under lock and key, please…start today.

All the best,

Jean

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