ZOE Science & Nutrition - The great calorie deception: Are food labels misleading?
Episode Date: August 24, 2023Millions of us are counting calories every day. But do we know if those numbers truly reflect the energy we get from eating? It’s about time that we debunked the “one-size-fits-all” approach to ...calorie counting and unmasked the outdated methodologies that contribute to inaccuracies in food labeling. In today’s episode, Jonathan and Dr. Sarah Berry ask: How exactly do we measure calories, and is calorie counting actually effective? Download our FREE guide — Top 10 Tips to Live Healthier: https://zoe.com/freeguide Follow ZOE on Instagram: https://www.instagram.com/zoe Mentioned in today’s episode: The Wilbur Olin Atwater Papers from the United States Department of Agriculture Is there a nutrition topic you’d like us to explore? Email us at podcast@joinzoe.com, and we’ll do our best to cover it. Episode transcripts are available here.
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                                         Hello and welcome to Zoe Shorts, the bite-sized podcast where we discuss one topic around
                                         
                                         science and nutrition. I'm Jonathan Wolfe and today I'm joined by Dr. Sarah Berry.
                                         
                                         Today's subject is, are calories deceptive?
                                         
                                         Jonathan, we hear about calories or in fact the lack of calories all the time. They're
                                         
                                         the target of numerous diet plans and shops shelves are packed
                                         
                                         with low calorie alternatives of popular foods. But before we can think about cutting calories,
                                         
                                         we have to count them first. And this is exactly what 86 million people are already doing in the
                                         
                                         US through the use of calorie counting apps. 86 million people. That's a lot of people.
                                         
    
                                         And I imagine it's the same in the UK that people
                                         
                                         are using the information on food labels to attempt to accurately monitor their calorie intake.
                                         
                                         But Sarah, how accurate is this method? And can we trust the calorie numbers that are on these labels?
                                         
                                         So our understanding of calories and the limitations of calorie labeling is really changing now. And this area of study could help have big
                                         
                                         implications on what foods we decide to eat. It sounds like we better get started then.
                                         
                                         Okay, Sarah, so imagine I've walked into a convenience store, I've picked up a jar of
                                         
                                         peanut butter, and straight away I can see on the label the sugar, the fat, the salt and the calories. Now I can picture the first three of
                                         
                                         those like really easily but when it comes to the calories it's actually a lot harder to imagine
                                         
    
                                         really what that is. So if we just start with the basics, what actually are calories? So a calorie
                                         
                                         is a measure of energy and we use it as a way to quantify how much energy there is in a specific food or a meal.
                                         
                                         OK, so how much energy is there in just one calorie?
                                         
                                         So a calorie is the unit we use to measure the energy in our food that's equal to the amount of energy needed to raise the temperature of one litre of water by one degree Celsius.
                                         
                                         You've completely lost me there. I thought calories
                                         
                                         were about putting on weight. Why are we suddenly heating up water? Because this is what we do in
                                         
                                         science. We make things tricky. But it is the way that we, as scientists, measure the amount of
                                         
                                         calories in a certain food. So let's take the peanut butter that you've just grabbed off the
                                         
    
                                         shelf. Now to work out its calorie content, we'd put it into something called a bomb calorimeter.
                                         
                                         Okay, so that sounds kind of scary. How does this bomb work?
                                         
                                         So we take your peanut butter and we place it into a sealed container, which is called a bomb.
                                         
                                         And this is surrounded by some water, a known amount of water. The peanut butter is then burned
                                         
                                         to a total crisp. And the change in
                                         
                                         the water temperature around it is measured. If it changes by 50 degrees, then we can say that
                                         
                                         there's 50 calories in that quantity of peanut butter. So what you're saying is that this process
                                         
                                         gives us the calorie number that we then see on that jar of peanut butter that I bought in the
                                         
    
                                         store? Not quite. As you know, I always say it's a little bit more complex than that. So the BOM allows us
                                         
                                         to work out the net calorie content. So the net calorie content of the peanut butter, but we don't
                                         
                                         actually absorb all of those calories when we eat it. Wow, I didn't realize. So what you're saying
                                         
                                         is that we know that this peanut butter contains 50 calories, you know, if you burnt it all and turned it into heat. But when I eat it, and my body extracts some of that energy for me to use,
                                         
                                         I might only absorb like 40 of these calories. Exactly. A man called Wilbur Atwater recognized
                                         
                                         the significance of this. And at the end of the 19th century, he ran thousands of tests with
                                         
                                         hundreds of foods. And this involved measuring the energy
                                         
                                         content of the food using this bomb calorimeter, and then also feeding these foods to people,
                                         
    
                                         collecting their poo and then putting their poo through the bomb calorimeter to see how much of
                                         
                                         the energy wasn't actually used. He spent 20 years doing this, Jonathan. So please don't ever moan
                                         
                                         about, you know, any of your work again,
                                         
                                         because imagine 20 years of dealing with people's poo. I have to say that that is dedication. So
                                         
                                         what did he find? So this allowed him to calculate the available calories. And we can do this
                                         
                                         estimating them from the amount of protein, fat and carbohydrate that there are in any food.
                                         
                                         So what he deduced is that there's nine calories for every gram of fat. Okay, there's four calories
                                         
                                         for every gram of carbohydrate, and four calories for every gram of protein. Okay. And so if we put
                                         
    
                                         that into context, that means that for every gram of fat, there's about
                                         
                                         double the amount of calories than there are for, for example, carbohydrate and protein,
                                         
                                         which is why I think people often think, oh my gosh, fat is, you know, fattening.
                                         
                                         Now, these are known as the Atwater factors, this nine, this four and this four.
                                         
                                         And this is what the food industry uses to work out what calorie number to put on the
                                         
                                         food label.
                                         
                                         Okay.
                                         
                                         So actually, it all sounds quite straightforward.
                                         
    
                                         We just look at the number of grams of fat,
                                         
                                         of carbohydrate and protein in any food.
                                         
                                         We multiply it by your factors,
                                         
                                         the nine and the four and the four and boom,
                                         
                                         we have the calories for every food.
                                         
                                         It's straightforward and we know what to eat.
                                         
                                         Yeah, but Jonathan, you know,
                                         
                                         there's always a but with me and always a but in science so i can't keep it that simple this way counting calories was created over 120 years ago and recently our understanding of the actual caloric availability
                                         
    
                                         so how much we really do absorb of certain foods has changed but but our labelling method has not changed. We also now know, for
                                         
                                         example, that protein takes energy for us to digest it. So the protein at water factor of four
                                         
                                         is about 30% out. So it's about a 30% overestimation. Wow. So actually what you're saying
                                         
                                         is our food labels are basically lying to us. Well, let's look at fats
                                         
                                         and let's look at my favorite food, Jonathan, that I always use as an example to illustrate
                                         
                                         the complexity of nutrition. And that, of course, is the humble nut. Well, we looked at the research
                                         
                                         and Sarah, don't you actually have a recent paper on exactly this? Yes, I've got a number of papers
                                         
                                         looking at energy availability from nuts and how they affect our health.
                                         
    
                                         And there was actually an earlier paper in 2012 that found that the at-water factors overestimated the calorie content of nuts by 30%.
                                         
                                         So about 30% of the calories from nuts were actually coming out in the poo.
                                         
                                         And we've seen similar results in my own
                                         
                                         studies, looking at why this is happening. And what's clear is that these at-water factors don't
                                         
                                         really account for the complexity of different foods. And I think what's really interesting is
                                         
                                         that the caloric availability can be different, even when we're comparing exactly the same food.
                                         
                                         Okay, so how can that happen, Sarah?
                                         
                                         So, Jonathan, imagine if you go into the store and grab a pack of whole almonds,
                                         
    
                                         which I know that you love to munch on as a snack, and also grab a bag of ground almonds.
                                         
                                         Now, the back of pack of labeling are going to be identical, aren't they, for these two bags?
                                         
                                         Because you just explained this, right?
                                         
                                         When you burn it all up, they just work out the number
                                         
                                         of calories that's going to be the same and they apply this magic formula that you were describing.
                                         
                                         Is that right? Yeah, absolutely. So the carbohydrate, the protein and the fat contents are exactly the
                                         
                                         same for these ground and for these whole almonds. But critically, the calories that we absorb are
                                         
                                         not the same despite what it's saying
                                         
    
                                         on the backpack labeling. And this is because the process of grinding the nuts breaks the cell walls,
                                         
                                         which leads to release of lipids and other macronutrients and micronutrients like vitamin E,
                                         
                                         meaning that you can absorb a lot more of the energy, which therefore changes the amount of
                                         
                                         calories you're actually absorbing from
                                         
                                         the ground versus the whole nuts. So I guess if we step back for a moment,
                                         
                                         it's not really that surprising, is it? I think, you know, if we compare to 120 years ago,
                                         
                                         people thought of our bodies as being very simple, right? Like a steam engine,
                                         
                                         that was the most complicated thing that they'd really built. And today we know
                                         
    
                                         that our bodies are unimaginably complicated. So's probably not that surprising right that our body can't just treat it as if it was being burnt up
                                         
                                         and I guess this is a brilliant example is it where the label should be really different between
                                         
                                         that ground nut and that whole nut because actually what we care about is not what happens
                                         
                                         if you burn it in a furnace we actually care about what happens when we try and break it down and
                                         
                                         turn it into energy that we can use.
                                         
                                         Yeah, and I think this is a great example of just how rapidly our understanding of food and nutrition is evolving.
                                         
                                         When I think back to when I first started my academic career 25 years ago, we were still very focused on nutrients, on fat, protein, you know, fibre, carbohydrate, rather than necessarily thinking about foods.
                                         
                                         And I started my research on nuts and food structure and energy content based on food
                                         
    
                                         structure, you know, probably about 20 years ago. And this was all very novel at the time,
                                         
                                         thinking about actually, food isn't just a case of four nutrients, it's got thousands of chemicals,
                                         
                                         and the structure of the food modulates how we process those chemicals, how we absorb the energy and the health impacts it has on our body.
                                         
                                         It's amazing.
                                         
                                         One of the consequences of this, though, is it feels like our current food labels are looking less and less trustworthy because you're just telling me we can't really trust the calories.
                                         
                                         And you're also telling me you know what thinking about things in terms of like protein and fat is this massive simplification that is you know represents how the science was 25 years ago
                                         
                                         it sounds like what is needed is like more in-depth tests on individual foods to get more
                                         
                                         accurate results for each of us yeah that would be ideal but the reality is that's really challenging
                                         
    
                                         to do considering we
                                         
                                         have millions of different foods out there. But if we think about these groundnuts and these
                                         
                                         whole nuts, you know, it would be great if we could communicate to people that there is this
                                         
                                         huge difference in the energy that you absorb based on whether they're ground and they're whole.
                                         
                                         And we've done lots of work on this ourselves, where we actually look at how chewing, for example, impacts the energy content.
                                         
                                         And so I do these studies which are called mastication studies, which are basically studies where we get people to chew foods like nuts and then spit them out at the point at which they're about to swallow.
                                         
                                         And we can see how much energy is available at the point of swallowing from these foods.
                                         
                                         Now, these are even less glamorous, I think, than the poo studies that Wilbur Atwater had to do.
                                         
    
                                         And what's really interesting is the point at which you're about to swallow, let's say a whole nut,
                                         
                                         you're only breaking enough of the cell wall structure to release about 10% of the energy.
                                         
                                         Oh, that's amazing. So even after all that chewing, you've hardly broken out any of the energy from the nut yeah and so if we put this into kind of physical context we know
                                         
                                         that the cell of an almond is tiny okay it's about 50 micrometers which is smaller than a grain of
                                         
                                         sand it's absolutely minuscule now from our chew and spit studies we know that you actually swallow particles at the size of about 0.5 to 1 millimetre.
                                         
                                         OK, so they're quite large little particles that you're swallowing.
                                         
                                         And so because of that, you've actually got within that clump of one millimetre almond particle,
                                         
                                         you've got loads and loads of intact cells which are encasing all of the energy, all of the fat, for example, from the cells.
                                         
    
                                         Now, some of this is broken down in your gut, but not all of it is.
                                         
                                         So you've got about 10% released from chewing.
                                         
                                         You've got about another 60% released because of the enzymes and everything else that's going on in your gut.
                                         
                                         And that's where you then get about 30% coming out the other end.
                                         
                                         Got it. So even with all those microbes helping you out, something like a nut,
                                         
                                         you can't get all of it out if it was a whole nut.
                                         
                                         Yeah, exactly.
                                         
                                         So how is that different from if I eat the ground nuts that you told me that on the back of the pack
                                         
    
                                         the labeling is exactly the same?
                                         
                                         Yeah, so if you were to take a groundnut that's been commercially ground, so not the kind of grinding that we might do in our kitchen where, you know, we blend something, but that's commercially ground to a really small particle size, then you get nearly all about 95 to 100% of the energy released.
                                         
                                         So that's why you'll absorb all of the energy from the ground nut. people improve their health with cutting-edge science. In return, all I ask is that you help
                                         
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                                         So there's this huge difference then between eating a real nut and eating some sort of
                                         
                                         processed food where the
                                         
    
                                         nut has been like ground in a factory. Yeah, exactly. Because you're fracturing
                                         
                                         all of these cells, all of the energy and fat is bursting out and therefore it's available
                                         
                                         in your gut for your body to absorb all of that. So let's say we solve for that, Sarah,
                                         
                                         could we then like, if we were able, I understand it'd be expensive, but if we did have a label for each of these different foods where that was
                                         
                                         measured carefully, would that then give everybody an accurate view of the calories that they will
                                         
                                         take out of a food? So no, because it doesn't reflect how unique we are as individuals. Yes,
                                         
                                         it will give us a good average. But as you know, Jonathan, from all of our Zeru
                                         
                                         Predict research, there is no such thing as Mr. or Mrs. Average. How big is this personalization?
                                         
    
                                         How real is that? So again, I can use nuts as an example. Again, this is from studies that we've
                                         
                                         done. So if you take a handful of nuts, studies have shown that one person might absorb 62 calories from the handful of nuts.
                                         
                                         Another person might absorb 168 calories from exactly the same handful of nuts.
                                         
                                         62 against 168. That's crazy. That's like more than double.
                                         
                                         And this is from just taking a bag of whole almond nuts this research has come from.
                                         
                                         Now, if you eat nuts every day for a week, this actually equates to a difference in absorbed
                                         
                                         energy between people of 434 versus 1176 calories. So this is a difference, Jonathan, over a week
                                         
                                         between individuals who are having whole almonds of 730 calories.
                                         
    
                                         Wow. So that's an enormous difference. And it's still said exactly the
                                         
                                         same thing on the label for the two people. Yeah. So imagine them both standing in the store,
                                         
                                         you know, what calories they think they are getting from the nuts that they're about to buy
                                         
                                         can be vastly different, but the label won't tell them that. So this is two things that are
                                         
                                         happening. One thing is the inaccuracy of the label itself because of the complexity of the food.
                                         
                                         The other is the inaccuracy because of label itself because of the complexity of the food. The other is the
                                         
                                         inaccuracy because of the complexity of us as individuals. That's really interesting. And Sarah,
                                         
                                         I know we've seen in our own Zoe Predict study that there are really big differences between how
                                         
    
                                         different people respond to the foods they eat. And I think there's lots of factors, right, that
                                         
                                         you and Tim and others have explained may sit behind that from who we are, you know, our age and our
                                         
                                         sex, what lifestyle we lead, sleep and exercise, you know, the foods that we've eaten.
                                         
                                         Yeah, exactly. And I think it's important we don't forget the microbiome in this as well,
                                         
                                         Jonathan, because we know that the unique makeup of our microbes impacts firstly, how our gut digests our food but we also know that the microbes eat some of this
                                         
                                         food that's reaching the large intestine so it can actually also affect the amount of calories
                                         
                                         that we're absorbing. So we touched a bit Jonathan on the fact that calories on the backpack labeling
                                         
                                         a deceptive because they don't show us how much energy we're getting out of the food and how our responses are so different between different
                                         
    
                                         people. But there's a third factor as well, that these calories also don't really tell us anything
                                         
                                         about how healthy this food is for us. And when I'm talking about how healthy the food is, I don't
                                         
                                         mean the difference just between something that's a junk food and something that clearly isn't a junk food.
                                         
                                         Okay, Sarah, so what do you mean?
                                         
                                         Okay, so let's take almonds again as an example. So my own studies show that if we feed people whole nuts versus feeding them ground nuts, in the eight hours after you eat these nuts, you have about a 75% lower increase in circulating blood
                                         
                                         fat following the whole nuts versus following the ground nuts. And presumably that's very
                                         
                                         important for someone if they have to watch the levels of their blood fats. Yeah, exactly. And
                                         
                                         another great example that I often use is oats. And again, from our own research, we see that there's about a 50%
                                         
    
                                         lower increase in blood sugar after eating very large oats versus very finely ground oats.
                                         
                                         And this is really interesting because as opposed to with nuts, where we know that whole nuts are
                                         
                                         not digested to the same level as ground nuts, we know that oats are fully digested, but whether
                                         
                                         they're large or whether they're fine, but the rate of digestion is different.. We know that oats are fully digested, but whether they're large or whether
                                         
                                         they're fine, but the rate of digestion is different. And we know that that also impacts
                                         
                                         our health. So what you're seeing, I think, very simply put, is by changing the structure,
                                         
                                         like with the whole almonds or with the oats, although back-of-pack labelling is the same,
                                         
                                         you're essentially changing it from a very slow food to what i call a fast food which we know is rapidly metabolized and isn't quite so healthy for us
                                         
    
                                         got it so it's not just about calories you're saying it's like actually the impact on our
                                         
                                         health is different even though today those labels are saying it's exactly the same thing
                                         
                                         yeah so taking those oats you're still absorbing all of the calories so yes the back-of-pack
                                         
                                         labeling on the calorie content would is correct in terms of whether they're whole or they're finely ground. But actually how your body
                                         
                                         metabolizes and digests them actually has quite divergent effects on our health.
                                         
                                         Amazing. So Sarah, we managed to learn a lot more about calories than before. And you got
                                         
                                         to talk about nuts, which I know will have made you very happy.
                                         
                                         Thank you.
                                         
    
                                         So what's the verdict on calories on food labels? Should we be counting them or is it a waste of
                                         
                                         time?
                                         
                                         So I think that it's very clear that we don't absorb all the calories that are available in
                                         
                                         food and that calorie calculations that are used for back-of-pack labelling are not accurate for all
                                         
                                         foods. And it depends on the type of foods. It's clear that the structure of food affects the
                                         
                                         amount of calories that are available, but also that it's going to be hugely different between
                                         
                                         different people. And I think something else that's really important to bear in mind is people
                                         
                                         are using calorie counting as a way of losing weight. We know now that it's actually a really ineffective way of maintaining
                                         
    
                                         weight loss once people have lost weight. And I would urge people to listen to a future podcast
                                         
                                         that's coming up or might have been released about weight loss and calories, and also to
                                         
                                         think about the healthiness of a food rather than focusing
                                         
                                         on the energy content of a food. Amazing. Well, I think food labels are on the way out after this
                                         
                                         conversation. Thank you so much, Sarah. Pleasure. So if after Sarah's amazing explanation, you're
                                         
                                         ready to abandon calories and would like to try Zoe's personalized nutrition program to understand
                                         
                                         how the foods you eat can actually improve your health then you can learn more and get 10 off by going to join zoe.com slash podcast
                                         
                                         i'm jonathan wolf and i'm sarah berry join us next week for another zoe podcast
                                         
