How the sugar industry shaped key government research about your teeth
washingtonpost.com
washingtonpost.com
I’ve long suspected that a good diet + brushing the teeth very carefully a few times per week would be more effective than drinking soda and sweet and starchy foods + brushing after every meal, just based anecdotally on how my own teeth feel to my tongue depending on my diet and toothbrushing frequency.
http://www.cochrane.org/CD009857/ORAL_cleaning-between-the-t...
http://www.cochrane.org/CD008829/ORAL_flossing-to-reduce-gum...
http://www.cochrane.org/CD002281/ORAL_poweredelectric-toothb...
>There is some very low-quality evidence that using interdental brushes plus toothbrushing is more beneficial than toothbrushing alone for plaque and gingivitis at one month. There is also low-quality evidence that using interdental brushes reduces gingivitis (gum inflammation) by 52% when compared with flossing at one month. There was insufficient evidence to claim a benefit for either interdental brushing or flossing for plaque.
>There is some evidence from twelve studies that flossing in addition to toothbrushing reduces gingivitis compared to toothbrushing alone. There is weak, very unreliable evidence from 10 studies that flossing plus toothbrushing may be associated with a small reduction in plaque at 1 and 3 months. No studies reported the effectiveness of flossing plus toothbrushing for preventing dental caries.
>The evidence produced shows benefits in using a powered toothbrush when compared with a manual toothbrush. There was an 11% reduction in plaque at one to three months of use, and a 21% reduction in plaque when assessed after three months of use. For gingivitis, there was a 6% reduction at one to three months of use and an 11% reduction when assessed after three months of use.
From adding Brush Picks to my already solid regimen of brushing 2-3 times a day depending on how much I've eaten I've achieved something I never had before in my ~30 years of living: Real compliments about my teeth from my dentist. No but's, no side note, no complaints. Just an unexpected compliment followed by questions of how I achieved such a feat.
Images: http://www.guildent.com/Products/brush_picks.jpg http://cdn.luckyvitamin.com/site/images/item_descrip/74499/7...
For what it's worth, every dentist/hygienist I've ever had has told me that electric toothbrushes are better.
Both things are extremely common on supermarket aisles (even in the UK). But yet dentists suggest you avoid them. That's a rather interesting state of affairs.
Actually my dentist recommended Sensodyne (non-whitening) and a fluoride mouthwash without alcohol (the brand escapes me).
My dentist loved me. My dental visits consisted of me walking in, getting briefly looked at, the dental hygienist doing a quick go over my teeth, complementing me on how clean they are, and sending me on my way.
When I want back to eating sugar, my dental visits suddenly got a lot longer. The cleaning of plaque alone is now at least twice as long.
Dropping the low carb thing I can understand. I do low carb paleo on and off as my fiscal and lifestyle circumstances dictate... but I keep my sugar intake low regardless.
That said, you're right to have some skepticism about heavily marketed tooth pastes. For instance, I have four veneers and my dentist recommended against using any "whitening" toothpastes, because they're naturally abrasive against your teeth and can very slowly damage them over time. I just use Sensodyne and follow-up with a non-alcoholic flouride mouthwash, and I've had no dental issues since, even with a sugary diet. But I brush/rinse three times a day.
That seems like a false dilemma. Those two things are never at odds with one another. People don't eat sugar because it is part of their brushing regimen, they eat sugar because they like/are addicted to the stuff.
So if you're eating sugar for reasons that have nothing to do with promoting teeth health, then brushing more often to combat that damage makes a lot of sense.
Could you eat less bad stuff and brush less? Potentially, but if people wished to drop sugar from their diet the list of benefits to doing so is so long that brushing less is just a minor footnote at best.
This is doubly so if the meal is sugary. By not brushing afterward, you're just letting bacteria process all that sugar and produce plaque and acid.
The industry shapes the culture, but worse, the law and the market.
Very typical example is the corn lobby group, whose result on the market is to cause junk food to be much cheaper than nutritious food, thanks to perverse subsidization. In turn this makes much more difficult for a relatively large part of the population to eat correctly - practically difficult.
So for example, you love GMOs because they're cool and futuristic. So here, read that study on this new plant that is safe and abundant in vitamins and can save a million of children a year from blindness. Or maybe, you hate GMOs because they're unnatural and a product of humans messing up with what God has perfectly made - ok, here, have those 10 papers that have words "GMO", "rats" and "cancer" in them.
What we need is a system that doesn't incentivize people to lie and cheat as much as the current does.
As you say, it's not so simple.
Industry is just a part of a cycle of perversion of the goal of effective government.
Industry isn't forcing politicians to create or execute bad legislation. Industry isn't forcing voters to ignore the voting records of politicians who demonstrate poor integrity.
Ultimately, the driver of everything in a democratic republic is the voter.
In the US at least, government was designed to be ineffective and deadlock-prone. When there was a monoculture, individual legislators (say, Tip O'Neil) bucked the central tendency to ... do whatever it is we do now out of a sense of duty and pragmatism. And as the monoculture faded, so did that.
As the culture got noisier, you had to yell louder. Once you ( you public servant ) get used to living without dignity and a sense of gravitas, it just gets easier... eventually the system selects for the lack of those.
There's much more money in it now, and money makes people take less risk. So you get cookie cutter.
I didn't claim that voters got what the median wants. I claimed that the main driver in the complex cycle of perversion of the function of government is the bad choices of voters.
Without an informed citizenry that can make solid election choices, even the best government framework is doomed to fail because it will be populated with politicians who are unable or unwilling to do the jobs they were elected to do.
That's more like "assuming a linkage not in evidence", a much less crafted thing than a strawman. It's ordinary carelessness, not savage guile. I can see how they seem like the same, though.
Although in the sense of revealed preferences, I'm sort of loath to call it all "bad choices." We are inconsistent, hypocritical, vain and venal creatures. That's sort of who we are; I can ... function better if I accept that and celebrate the odd exception. That way the glass is half full. For every thing that doesn't work, there are thousands of cases where it does.
And let's not kid ourselves. It's all very difficult, what our public servants do.
Yes, it's very difficult to raise that much money to destroy your political opponents while balancing all of the donor favors against what you promised to your constituents while also trying to figure out a way that you can become rich from your time in public office.
I have no pity for most politicians. They tend to be power hungry control freaks who have no problem lying to (get into/remain in) office. The lack of discrimination in voter ability to at least filter out the obvious liars is a never ending source of frustration for me.
We could do so much better.
Society is an enormously complex thing with all kinds of hidden influences and imbalances, and I think that saying "it's all the voter" tends to shut down thinking about the real alternatives for fixing problems. I'm not saying that I know what those alternatives are, just that they are likely to exist because we live in a society with structure. Since they're likely to exist, I think we should be looking for them and trying to address them in order to treat this kind of problem.
There are plenty of real alternatives for fixing problems that involve the voter: Education, access to information, encouraging cultural changes, etc.
In part, I was countering the previous poster who was blaming the 'Industry' boogey man, for why sugar has done the damage it has - but not mentioning the culpability of a government so easily influenced by money and then voters so easily influenced by politicians who don't have their constituents' interests at heart.
As you say, it's complex. But, we could talk about fixes on HN all day, but until voters elect smart politicians with integrity who will implement fixes, it's all just academic.
But in a way , cheaper is always better. Nutritious food is also cheap, relatively, unless the "nutritiousness" of it is also a price differentiator. Frozen veggies are pretty easy to get, IMO - but it seems there usually has to be a largish supermarket to buy them in. And that implies a finance model, which implies a governance structure, which in the end means more dependence in suppliers being "standard". Junk food makers probably can spend more bandwidth on being "standard" and less on "quality".
If I had to describe Whole Foods model I would say that it intentionally "violates" this tendency.
I have never been to a Trader Joes, and I usually use a mix of WalMart and the dominant local chain - Publix when I lived in Florida. Whole Foods is kinda creepy to me to shop in. I can't say exactly why.
Namaste: http://www.huffingtonpost.com/kelly-maclean/surviving-whole-...
Well, to get things into perspective, one needs to consider a few things.
We start from the fact that there is a disproportionate amount of people living on food stamps, which will be effectively forced to buy junk food.
Then we factor in that junk food is harmful (not just unhealthy or less nutritious).
Finally, we correlate with a huge amount of people having disease which are linked to unhealthy lifestyles, primarily food-related (60% obese people is the very general guideline given).
I see a very strong thread here.
Food is not just calories, it's a complex mix of things - the way the industry is working, in a way, it's giving cheaper food by stripping that mix of things; this doesn't match the idea of "making food cheaper" in a generic way.
(Note that I'm strongly identifying junk food with processed food in the logic).
What confuses you?
(I even do this, and I prefer healthy foods when possible! But at your typical gas station, junk:healthy::10:1, which is not quite the same problem)
I believe junk food is like smoking. Everyone knows it's not a healthy choise, but they do it anyways. People are choosing to eat unhealthy food because they want to, it tastes good.
The further down the income ladder you go the more those factors come into play rather than the simplistic "it tastes good" conclusion.
Oh I believe it. I would just phrase it as: people take the easy way out when it comes to eating. They prefer something that is front of them, cheap and they don't need to cook.
You can't ignore personal responsibility. Plenty of poor folks eat health meals.
Nobody 'wants' that. What they want is good tasting food that is also nutritious. That costs more.
It's "cheaper and harmful" food.
There are a few interesting documentaries, most notably "A place at the table".
Any society that wants to remain sane and viable over the long term needs powerful feedback loops to counteract this effect.
Junk food is cheap because it is engineered to be cheap (particularly, to have a long shelf-life to avoid losses which drive up the price of what actually does get sold to the customer to subsidize the costs of what doesn't do to losses.) The effect of the corn lobby and the resulting subsidization isn't to make junk food cheaper than nutritious food so much as to encourage the use of corn products in junk food by making corn products cheap compared to other alternatives to corn products for making junk food.
From the first food pyramid evidence was already showing intake should be minimized, but the lobby fought back, and the pyramid was changed.
You will notice that the current food plate still carefully avoids saying anything at all about red meat: http://www.choosemyplate.gov/food-groups/protein-foods.html
Compare & contrast against the evidence-supported http://www.hsph.harvard.edu/nutritionsource/healthy-eating-p...
Dr. Peter Attia's "The Eating Academy" (http://eatingacademy.com/) is a great place to learn more about what we are finding out about how certain foods actually affect out bodies.
http://www.sciencedaily.com/releases/2014/12/141229152226.ht...
Of course, if you don't find that peer reviewed evidence accepted by leading experts in appropriate fields is the most reliable source of policy, then I'm curious what differentiates you from human-generated climate change deniers.