Nurse's Notes

2002 View

FOOD ADDITIVES—THE GOOD, THE BAD AND THE INDIFFERENT

Recently I was asked a question about food additives that prompted me to think more deeply about this subject. Food additives (not to be confused with contaminants like E-Coli) sometimes receive bad press because of isolated incidents such as allergic reactions. We have all read about or know folks who don’t tolerate MSG. Some additives, specifically certain dyes, were found to be potentially cancer-causing, and are no longer allowed in the US. However, many of our every day foods continue to be “color enhanced” because we are used to seeing them that way, although this adds nothing to the nutritive value of the item. A good example is yellow cheddar cheese. Cheddar is naturally a white cheese, but Americans seem to like it yellow.

All food additives are regulated by the U.S. Food and Drug Administration (FDA) and are primarily used for one of four reasons: to preserve, to enhance flavor or appearance, to add nutritive value, or to prevent caking or separation, as in paprika or salad dressings. In this country the specific names of nearly all additives, including food colorings, must be listed on the product—the one exception being artificial flavorings, which are usually trade secrets but must meet FDA safety standards.

Preservation of food has always been an issue. For thousands of years food has been salted or stored in brine or alcohol without too much concern for the nutritive value. Newer additives prolong the usable life of many common foods, which allows us a variety of choices no matter the season or where we live. Surprisingly, some of them may have unexpected beneficial effects. For example, the introduction of antioxidants as a spoilage retardant, such as butyrated hydroxy toluene (BHT), is thought to be partially responsible for the remarkable decline in stomach cancer rates in the US population.

Modern additive history is interesting. I grew up in the so-called “goiter belt” of the upper Midwest—an area where there is no natural iodine in the soil or water, and I remember many older folks with tumor-like growths under their chins. Researchers also discovered that severe iodine deficiency resulted in a 10 to 15% reduction in IQ and an increase in mental retardation.

Consequently, starting in 1924 at Michigan State University, a concentrated effort was made to introduce iodized salt—the first modern “food additive”. Many of us feel that “all we really need to know we learned in kindergarten” and that’s where I learned that, living in Michigan, we needed to use iodized salt to prevent goiter and other problems caused by the lack of iodine in our diets. To this day, even living in California, I use iodized salt.

Another “good” food additive is Vitamin D enriched milk. Vitamin D is necessary for calcium absorption and incorporating calcium into the bones and lately there has been increasing recognition that it is also important in other body systems, such as blood production, insulin secretion and cancer cell differentiation. Vitamin D additives would not be needed where the body receives adequate sunlight (like here in our desert)—but guess what? We tend to avoid the sun, wearing sunscreen, long sleeves, hats and staying inside, so. . . the addition of Vitamin D to our milk is not so dumb after all. Vitamin D has been added to milk since the 1940’s.

The addition of “enrichment” to white flour, which is used for such things as bread and pastas, is also a universal “good” additive. Many folks have the idea that there is something magical about the properties of “whole wheat”—however, if you read the labels on a sack of whole wheat flour and a sack of enriched white flour (did you even know there were nutritional labels on flour?), you will find that enriched white flour actually has more of various nutrients than whole wheat flour. Enrichment of white flour was mandated by the government right after WWII.

Some food additives enhance our health, some preserve our food, some add nothing, and some can be harmful to a small number of people. Each of us needs to learn to read labels and avoid that which our body cannot tolerate. However, by and large, additives to foods produced and processed in the United States are safe for almost everybody.

 


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