HOUSTON – Snack and soft drink makers that often are blamed for fueling the nation’s obesity rates also play a role in educating the dietitians who advise Americans on healthy eating.
Companies such as Frito-Lay, Kellogg and Coca-Cola essentially are teaching the teachers. They offer seminars, online classes and workshops that usually are free to dietitians as part of their behind-the-scenes efforts to burnish the image of their snacks and drinks.
The practice has raised ethical concerns among some who said it gives the food industry too much influence over dietitians, who can take the classes for education credits to maintain their licenses.
With two-thirds of Americans considered overweight or obese, the makers of processed foods have shouldered much of the blame for aggressively marketing sugary and salty products. Critics argue that companies use the classes, which are usually less expensive and more convenient than other courses dietitians can take, as a way to cast their products in a positive nutritional light. Not to mention that companies often collect the contact information of dietitians to mail them samples or coupons, in some cases to share with their patients.
“It’s not education. It’s PR,” said Andy Bellatti, a Las Vegas-based dietitian who helped found Dietitians for Professional Integrity, a group of about a dozen dietitians who are calling for an end to the practice.
Food and beverage companies, meanwhile, said their classes are intended to inject perspective into the public debate over nutrition.
Of course, the matter of corporate influence isn’t limited to dietitians. In 1997, the U.S. Food and Drug Administration issued guidance intended to address concerns regarding the role of drugmakers in continuing medical education for doctors. The guidance drew distinctions between ads and education, essentially stating that drug companies shouldn’t influence the latter.
Those barriers don’t exist between food companies and dietitians, however. The Academy of Nutrition and Dietetics, a professional group that’s based in Chicago and has more than 75,000 members, governs the path to becoming a registered dietitian and oversees the accreditation for continuing education providers.
Glenna McCollum, president of the Academy of Nutrition and Dietetics, said that dietitians know how to question any findings that might that might not seem sound.
“Some of the information provided may need to be challenged,” she said. “That’s part of the job.”
For registered dietitians, continuing education is a requirement. After earning a bachelor’s degree in nutrition, completing an internship program and taking an exam, they must earn 75 credits of continuing education every five years. An hour-long class typically translates to one credit.
Education providers, which must pay a $250 application fee and a $300 annual maintenance fee thereafter, have to abide by certain standards. Classes must be based on relevant subjects, for example, and conducted by qualified personnel. But materials for individual classes are not pre-screened.
A variety of organizations provide continuing education, including universities and professional groups. But the classes can be costly. Meanwhile, the classes offered by food companies usually are online and free.
Teaching dietitians isn’t a new practice to food makers. Companies have been doing it for quite some time. For instance, General Mills, which makes Cheerios, Lucky Charms, Yoplait yogurt, Pillsbury dough and Progresso soup, has been an education provider through its Bell Institute of Health and Nutrition for at least 15 years.
But the practice came under scrutiny after a report by public health lawyer Michele Simon last year that detailed the industry’s deep ties to the field. Shortly afterward, a small but vocal group formed Dietitians for Professional Integrity to call for changes.
However, the companies said their classes present simply nutritional information to dietitians.
Coca-Cola, which makes drinks including Dasani water and Minute Maid juice, offers about a dozen seminars each year.
Ben Sheidler, a spokesman for Coca-Cola, said the company’s course materials are based on independent, third-party research. He said Coca-Cola is acting responsibly by working to provide professionals with the facts surrounding its products.