KIND and Healthy Update

 In Preventive Medicine Column

KIND and Healthy Food Label Update By The FDA

Just over a year ago, KIND, a company I have long admired, with products my family has long enjoyed, received a reprimand of sorts from the FDA. The company was informed in a warning letter that their use of the word “healthy” on some of their product packaging was in violation of regulations, and thus inappropriate.

What a difference a year makes. The use of “healthy” on the wrappers of the KIND bars in question might still, technically, be in violation of the strict requirements of regulations on the books at FDA. But FDA has now reversed its decision about KIND, and rescinded the warning. FDA has concluded that use of “healthy” by KIND is permitted and appropriate after all, and that it’s own, outdated regulations are what’s inappropriate. They are quite right, and I applaud them. Saying mea culpa is hard enough for any of us, let alone a federal agency.

By way of reminder, the concern about the bars was their fat content. FDA regulations evolve at the speed of government, and so those currently on the books originated decades ago. Our thinking about dietary fat has certainly moved on since then, although the FDA regulations don’t necessarily reflect enlightened thinking even from those days. Even at the peak of our preoccupation with dietary fat, most experts understood that almonds, walnuts, and avocado were not the problem. The regulations with which FDA is currently encumbered would preclude calling those foods, or a filet of wild salmon, “healthy” because of their content of total fat, saturated fat, or both.

That, then, was the basis for the rebuke to KIND. The bars exceeded specific threshold values for total or saturated fat. That fat, however, was coming almost entirely from wholesome, whole food sources, notably almonds.

The problem with such a stipulation is self-evident, but becomes even more so when the Dietary Guidelines for Americans are brought into the mix. The 2015 Dietary Guidelines for Americans, the far better 2015 Dietary Guidelines Advisory Committee Report, and for that matter the corresponding efforts back in 2010, all explicitly recommend routine intake of nuts and seeds in support of health, as well they should based on expansive evidence. So we had clearly maneuvered ourselves into a paradox of public health nutrition: eat nuts to be healthy, but don’t call a product healthy (“healthful,” actually, but let’s agree to leave Strunk and White out of it) if it is made mostly of those very nuts, and thus delivers the fat they contain. The public is confused enough about good nutrition without that sort of help!

This obviously made no sense, and KIND might have decided to argue with the FDA. But, characteristically, they did a far kinder, and more constructive thing: they conferred, and collaborated.

FDA, for its part, was no less committed to dialogue. One might think a large federal agency would simply say, “the rules are the rules,” but they did nothing of the sort. They listened, they reacted, they met with us, and they clearly reflected. The entire process was a great credit to both parties, and to their shared commitment to get it right for the sake of the shopping public, and public health.

In my view, they did just that. Of course, the reversal with regard to KIND labels is just the first step in what will likely prove to be a long process. The ultimate remedy for this predicament is a comprehensive update of those obviously antiquated FDA regulations. I am confident the agency is committed to just that, but it’s a process that will inevitably take time, maybe even years. We will have to content ourselves for the moment in knowing that the game is afoot.

As a side note, it will not be enough for those updates to allow for “healthy” in the case of almonds, and walnuts, and flaxseeds. They must also close loopholes that allow for the application of “healthy” to low-fat junk foods. Believe it or not, those FDA regulations about what constitutes “healthy” do not address added sugar, and they certainly should.

While waiting on the world to change, you can take matters into your own hands by cultivating your own food label literacy. In the free, proven program my lab developed, we emphasize a short list of ingredients, and entries that belong. KIND talks about ingredients you can “see and pronounce,” and I would add, recognize as actual food. Those criteria line up well, and are a good place to start.

There is more to be done, but the FDA response to KIND’s petition is progress, and full of promise for more. The discourse was kind all around, and the result of that dialogue- genuinely healthy.

-fin Dr. David L. Katz;www.davidkatzmd.com; author, Disease Proof; founder, True Health Initiative

N.B. Dr. Katz served as Senior Nutrition Advisor to KIND during the year of interactions with FDA.

Dr. David L. Katz
DAVID L. KATZ MD, MPH, FACPM, FACP, FACLM, is the founding director (1998) of Yale University's Yale-Griffin Prevention Research Center, and current President of the American College of Lifestyle Medicine. He earned his BA degree from Dartmouth College (1984); his MD from the Albert Einstein College of Medicine (1988); and his MPH from the Yale University School of Public Health (1993). He completed sequential residency training in Internal Medicine, and Preventive Medicine/Public Health. He is a two-time diplomate of the American Board of Internal Medicine, and a board-certified specialist in Preventive Medicine/Public Health. He has received two Honorary Doctorates. Dr. Katz has published roughly 200 scientific articles and textbook chapters, and 15 books to date, including multiple editions of leading textbooks in both Preventive Medicine, and nutrition. Recognized globally for expertise in nutrition, weight management and the prevention of chronic disease, he has a social media following of well over half a million. In 2015, Dr. Katz established the True Health Initiative to help convert what we know about lifestyle as medicine into what we do about it, in the service of adding years to lives and life to years around the globe.
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