Teachers won't be the only ones issuing grades
from now on. The Food and Drug Administration plans to start grading
health claims on product labels.
The ranking system will assign letter grades -- ranging from "A"
to "D" -- on each claim a company makes, indicating the quality and
strength of the scientific evidence that supports the claim.
"We want to see more of a focus on getting that information out
to consumers and we want to see more of a focus on food producers
competing based on the health consequences of their products," says
FDA Commissioner Dr. Mark McClellan.
The measure is intended to encourage the manufacturers of foods,
beverages and dietary supplements to present only health claims that
are firmly backed by sound science. An FDA spokesperson said the new
grades are intended to inform consumers about the products they buy.
But consumers won't see the changes right away. "The new
regulations take effect in September, but it'll likely be months
after that before consumers see any change in their food labels,"
reports ABCNEWS correspondent Lisa Stark.
Health Claim Report Card
Under the new plan, an "A" grade will be assigned to claims
supported by many well-designed studies. For instance, if a food
high in fiber boasts the ability to one's reduce risk of colon
cancer, the claim will be given an "A" since the link between fiber
and gastrointestinal cancers has been well established by scientific
research.
Health claims with "good" but not entirely "conclusive"
supporting evidence will be assigned a "B" designation. Label
statements made with little or no conclusive evidence to back them
up will fall into "C" and "D" categories.
This new proposal does not censor the health claims; rather, it
retains claims while noting their strength. The measure might have
been prompted by the 1999 court decision, Pearson v. Shalala , which
requires the FDA to permit all truthful and non-misleading health
information on herbal supplement labels, says Dr. Alice
Lichtenstein, director and senior scientist at the Cardiovascular
Nutrition Laboratory at Tufts University in Medford, Mass.
"The system is an excellent approach," says Dr. David Katz,
director of Yale University's Prevention Research Center in New
Haven, Conn.
Katz says the program will be particularly helpful because
consumers are becoming increasingly responsible for reaching their
own health-care decisions, which may often be based on
direct-to-consumer advertising. This initiative would provide
consumers with information in a recognizable way so that they are
informed about what it is they are buying.
A changing and flexible grading system can also mirror the
advances made in science as new health claims are studied and
explored, adds Lichtenstein. Consumers could therefore be kept up to
speed on the latest scientific evidence and what they are buying.
Noralyn Wilson, a registered dietitian and spokeswoman for the
American Dietetic Association, believes consumers will be
well-protected by this particular measure, particularly people who
consume dietary supplements. "The FDA is just trying to get its arms
around it [the dietary supplement industry]," she says.
Consumer Concern
Currently, only health claims proven conclusively through science
are printed on product labels. Some experts say that this new
measure is a step in the wrong direction.
"Today's FDA action lowers the standard for making health claims
and it means that health claims on food packages will be less
reliable. The agency is presenting a marketing advantage to the food
companies at the expense of consumer welfare," says Bruce
Silverglade of the Washington-based Center for Science in the Public
Interest.
"I think the grading system is going to make American shoppers
even more confused about nutrition," says Jeffrey Hampl, a
registered dietitian at Arizona State University in Mesa. "Shoppers
won't be paying close attention to the A, B, C or D. They'll see the
health claim and base their decision to buy on that."
Other experts assert that a passing out letter grades may not be
so easily applied to health promises as it is to students, and
believe that only claims for which there is sound scientific proof
should be allowed on labels.
"No more fables on labels, please," says Dr. Keith-Thomas Ayoob,
associate professor of nutrition at Albert Einstein College of
Medicine in New York. He contends that because claims receiving "C"
and "D" statements are not sufficiently backed by scientific
research, they simply have no place on a product label.
Although expert opinions are mixed, all agree that consumers
deserve to be informed. "[We] need to focus resources in answering
these uncertainties," says Lichtenstein, "and potentially modify the
system on the basis of what is learned."
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