A toxic mix for kids

Ever since it was discovered that salt could prevent meat from spoiling, humans have worked to create new methods of preserving, packaging and even transforming food. 

As a result, the foods we consume today contain a dizzying array of additives — from the artificial dyes and flavorings used to make food look and taste a certain way to the preservatives used to keep food fresh longer. 

Look at the nutrition label on the side of any box of cereal or snack food in your pantry. Chances are, there will be at least a few ingredients you can’t pronounce. 

In fact, the number of additives in our food — and food packaging — has skyrocketed in the past two decades. There are currently 10,000 food additives approved by the U.S. Food and Drug Administration (FDA) — including many that haven’t been proven safe for consumption. 

According to a new policy statement by the American Academy of Pediatrics (AAP), Food Additives and Child Health, published in the August 2018 issue of Pediatrics, there’s strong scientific evidence that the chemicals approved by the FDA to preserve and enhance our food can harm children’s health.

A growing mountain of evidence has linked many of these chemicals to changes in children’s hormone systems, which can alter their normal development. Some additives may also raise a child’s risk of obesity and illness. 

“Pediatricians are especially concerned about significant gaps in data about the health effects of many of these chemicals on infants and children,” said Dr. Leonardo Trasande, the lead author of the AAP policy statement.

Lack of oversight 

The Government Accountability Office — the U.S. government’s audit institution and a part of the legislative branch — found back in 2010 that 64 percent of nearly 4,000 food additives hadn’t been tested for human safety.

The problem, according to the AAP, is the lack of regulation and oversight of additives under the Federal Food, Drug and Cosmetic Act. The AAP says substantial improvements to the food additives regulatory system are needed, including strengthening or replacing the “generally recognized as safe” (GRAS) determination process and retesting previously approved additives. However, the AAP warns that until politicians enact legislation to tighten regulations related to food additives, there’s not much the FDA can do. 

That’s why the AAP and other organizations are recommending parents take matters into their own hands. The policy statement offers a list of the chemicals that are of the greatest concern as well steps people can take to reduce their exposure. 

The APP statement focuses on six chemicals that should be avoided, including bisphenols, such as BPA; phthalates; PFCs; perchlorate; artificial food colors/dyes; and nitrates and nitrites. (See the sidebar, at right.)

Dr. Allison Golnik, a pediatrician at Fairview Children’s Clinic, said she’s thrilled that the AAP is taking a tough stance on food additives. 

“We are just at the tip of the iceberg in terms of learning about how food affects our bodies,” she said. “Parents want the best for their kids. As the science grows, parents will follow.” 

Raising awareness 

Golnik said that while she agrees with the AAP recommendations — and thinks it’s important to reduce children’s consumption of food additives — she’s also a parent and acknowledges how overwhelming the list of do’s and don’ts can be, especially considering the omnipresence of chemicals in the environment. 

Educating families on the dangers of food additives can be especially challenging when the average child’s well visit is 25 minutes. The advice she gives to the parents she sees is: “Take a deep breath, prioritize whole, healthy foods and avoid processed, packaged foods whenever possible.” 

Megan Baumler, a registered dietician and dietetics program director at St. Catherine University, incorporated the AAP policy statement into the curriculum of the lifelong nutrition class she teaches. 

“I want my students to be aware that there is real evidence to support the harm that food additives may be causing,” she said. “Children are a vulnerable population because their bodies are growing, and the harmful effects of additives may be irreversible. Awareness of the problem is key and learning how to avoid the additives is the application.” 

Baumler and Golnik both recommend reading food labels. 

“If I cannot pronounce it, then I’m concerned,” Golnik said. 

A sea change 

Baumler said there’s an undeniable movement toward eating more healthful foods. She points out that some companies in the food industry are responding to this movement with BPA-free packaging and reduced food dyes and additives in the U.S., following regulations already in place in many European countries. 

Case in point: Kraft now uses paprika, annatto and turmeric to color its mac and cheese instead of artificial dyes. General Mills has moved to offer more dye-free options as well, including “all-natural” Trix, which relies on veggie-based dyes, much to the delight of some consumers and much to the chagrin of others, who demanded the synthetically dyed cereal come back (and it has — alongside the dye-free version — as “Trix Classic”). Fast food chains such as Chipotle, Subway, Taco Bell and Panera followed suit in 2018 with efforts to remove certain dyes and artificial flavors.

New rules at school

School districts are making changes as well. Minneapolis and St. Paul districts have already taken steps to phase out — or have already phased out — additives that are of the greatest concern, including artificial flavors and preservatives. 

In Minneapolis, a district that serves 40,000 meals a day, high fructose corn syrup, trans fats, artificial colors and preservatives are all off the menu. Since 2012, the district has installed 67 salad bars too.

White Bear Lake Area Schools also began the process of evaluating ingredients of concern after attending a Good Food Learning Camp, hosted by the Minneapolis school district. At this two-day event, food leaders from across the country discussed menu concepts and the “clean label” movement. 

“Beginning in the 2017–18 school year, we began phasing out artificial food coloring,” said Bridget Lehn, nutrition services coordinator for White Bear Lake Area Schools. “All regular menus are now free of artificial food coloring except for two condiments that do not have a heavy meal contribution.”

Lehn said if the district doesn’t find acceptable substitutes for those two items, they will be eliminated in the 2019–20 school year.

While progress is being made on many different fronts, since there are still thousands of additives being used that haven’t yet been proven safe, Baumler recommends families take steps to reduce their exposure — and it all starts at home. 

“My kids get treats, but they also know that fruits, vegetables and variety are important,” she said. “Thankfully, they are fairly open to trying new things. I try to demonstrate good eating behaviors and an appreciation for healthy, whole foods.”

Tina Mortimer is an essayist and a contributing writer for many local publications. She lives in White Bear Lake with her husband and two children. Follow her work at tinamortimer.contently.com.