Technology Review: The Environmental Working Group’s Food Scores The following summary is extracted directly from the Environmental Working Group website, which can be visited at http://www.ewg.org/foodscores. The Environmental Working Group (EWG) has scored > 80 000 foods, 5 000 ingredients, and 1 500 brands. The scores are based on: Ingredient concerns Nutrition concerns Processing concerns For total scores, nutrition concerns are most heavily weighted, followed by ingredient concerns, then processing concerns weighed relatively lightly. Each concern is also scored separately. The nutrition scoring algorithm is a modified version of a nutrition profiling system, known as Ofcom, developed by Oxford University and the United Kingdom’s Food Standard Agency, which is the United Kingdom’s counterpart of the United States Food and Drug Administration (FDA). Ofcom uses six nutrients and the fruit, vegetable, or nut content (% by weight) in 100 grams (g) of food to create a single score. Negative factors such as calories, saturated fat, sugar, and sodium are counterbalanced by positive factors such as protein, fiber, and the content of minimally processed fruit, vegetables, and nuts. Each negative factor contributes 0-10 points and each positive factor contributes 0-5 points. The positive sum is subtracted from the negative sum. The total score varies between -15 for the most healthful food to +40 for the least healthful. The EWG made adjustments to the Ofcom for trans fats, added vs. natural sugars, low calorie sweeteners, added fibers with limited data on health benefits, and omega-3 fatty acids. The Ofcom has been used in the United Kingdom since 2007 to set a bar for limiting the advertising of unhealthful foods to children. The ingredient concerns include: Concerns about food additives listed in the FDA’s priority-based assessment of food additives (PAFA) database. Food additives are added for a variety of reasons including preservatives, emulsifiers, dough conditioners, coloring, and sweeteners. Contaminants, including: o Mercury in seafood o Bisphenol A in canned goods o Arsenic in rice o Pesticide residue levels on fresh and frozen fruits and vegetables o Persistent organic pollutants (POPs) in fatty meats, dairy, and seafood Concerns about how the food was produced: o Antibiotics fed to conventionally raised meat and dairy animals o Hormone and non-hormone growth promoters administered to conventionally raised animals for meat and recombinant bovine growth hormone (rBGH) injections in dairy animals Whether a processed food is certified organic or conventional is also taken into account, but the adjustments are made at the end of the scoring process and do not affect the ingredient concern score specifically. It is important to note that the substance score for ingredients and contaminants reflects the concern for these compounds on their own and not necessarily for concern about their presence in food. For instance, arsenic scores a 10 because it is a known human carcinogen and causes other health effects, including cardiovascular damage. However, its score as a food contaminant ranges from 2.5 to 5, depending on the amount of arsenic in the food. The substance score is adjusted by food weighting factors to account for the level of concern for the substance in food. Consideration is given to the concentrations measured in food and the evidence linking ingestion of the substance in food to human health effects or environmental concerns. If the ingredient or contaminant in food is of lesser concern, the substance score is reduced more, while more pressing concerns are reduced less. Remember, the lower a score, the better. The EWG’s substance scoring system assigns a level of concern for each identified health effect based on the authority of the data source and the severity of the health effect. The substance score for each additive is then adjusted by its Acceptable Daily Intake (ADI) value. These are a government agency’s estimates of the amount that could be ingested daily over the long-term without appreciable risks; this is expressed on a bodyweight basis. If there is no ADI value, the EWG calculates surrogate ADI by using the noobservable-adverse-effect level (NOAEL) from available data. If the health effect linked to an additive is reported in a high-dose animal study, the EWG reduces how much that study affects the additive’s substance score. Ingredient concerns for food additives range from 0-9. Methyl mercury contamination has a substance score of 10, because there is clear evidence of negative impact on health with consumption. Bisphenol A (BPA) has a substance score of 8.8 secondary to clear evidence of endocrine disruption in animals at low doses and the potential for serious adverse effect. A single food weighting factor of 0.75 for BPA is assigned to all canned food unless they are able to confirm that it is BPA free. Secondary to a strong body of evidence demonstrating a relationship to cancer, developmental toxicity, neurotoxicity, cardiovascular disease, skin lesions, abnormal glucose metabolism, and diabetes in people and animals, arsenic has a substance score of 10. The arsenic score is applied to rice and rice-based products. A score of 10 for pesticides accounts for human health and environmental impacts. It is based on: 1. The EWG’s dirty dozen, which uses a pesticide food weighting score of 0.3 2. The EWG’s clean fifteen, which carries a food weighting score of 0.2 3. Certified organic food, which carries the lowest score and has a “no concern identified” label above the ingredient concern dial Persistent organic pollutants (POPs) include dioxins, furans, and other common contaminants found in some meat, seafood, and dairy products. The substance concern for POPs is a 10 due to the links between dioxins and furans with cancer, immunotoxicity, reproductive toxicity, and other illnesses. The POP score for farmed salmon, trout, catfish, herring, and bluefish is 0.2, because POPs are of lesser concern than mercury. For dairy and meat, the substance score is based on fat percentage. If fat is > 50%, the POP food weighting score is 0.2. If the fat percentage is between 15 and 49, the POP score is 0.1. There is no concern if the fat percentage is < 15. The conventional production of meat, dairy, and eggs often uses antibiotics and growth promoters like hormones. Different animal products carry various production concerns. For example, hormones are not a concern in chicken and pork because the USDA does not allow their use in these animals. Growth promoters, like Ractopamine are not fed to poultry, but may be given to other animals. The highest score, a score of 10, is assigned to beef, because sub-therapeutic antibiotic use is rampant and both hormone implants and beta-agonists are commonly used as hormones and other growth promoters in the cattle industry. Pork also carries a score of 10 secondary to antibiotic and beta-agonist use. Turkey carries a score of 10 because of antibiotics and the possibilities of beta agonists and arsenic based treatments being used as hormones and other growth promoters. Processing concerns are calculated based on: 1. The processing steps typically used to manufacture the ingredients 2. The origin of ingredients (artificial vs natural) 3. The sum of processes likely used to manufacture the product The scores are weighted by the extent the production is likely to alter a food’s nature or nutritional content. The scores are then combined to determine the overall processing score. The score of individual ingredients can range from 0.2-5. All synthetic chemicals are assigned a maximum processing score of 5. For all ingredients other than synthetic industrial chemicals and flavors, a score is based on the process used to prepare an ingredient, as well as the source of the ingredient. Specialized baseline scores are assigned to: Non artificial sweeteners – carry a score of 3 Chemically extracted vitamins and minerals – carry a score of 3 Spices – carry a score of 0.7 Herbs – carry a score of 0.5 Ingredient scores are combined based on the listed order of ingredients (from highest concentration by weight to lowest concentration by weight) on the nutrition facts label. The combined ingredient scores are added to the product level score to obtain an overall processing score. If multiple ingredients in one food product are processed in the same manner, the ingredients are grouped and the processing method is only accounted for once to avoid inflation of the combined ingredient score. An average of ingredient scores is used for dairy other than from cows, fruits and vegetables (powders, concentrates, purees and sauces, freeze-dried, and whole), and juice concentrated. The highest scoring ingredient is used for dairy from cows, flavors (both artificial and natural), grains, herbs and spices, juice, juice concentrate used as an added sugar, meat, seafood, vitamins, and minerals. Processed weight categories range from 0 for a food being washed to 10 for extremely heated, chemically synthesized, hydrolyzed, hydrogenated, chemically extracted, bleached, added preservatives, and other chemical reactions. Examples of the score: 1. Think Thin® Portion Control Snack, Dark Chocolate a. Overall score of 6.0 b. Nutrition concern score of 5.0 c. Ingredient concern score of 4.0 d. Moderate processing score e. Concerns include: i. Not certified organic ii. Contains food additives of lower concern iii. Ingredients may contribute a small amount of trans fat iv. Added sugar v. Rice-based, may contain arsenic vi. Ingredients derived from animals possibly given antibiotics and growth promoters vii. Moderate processing concerns f. Pluses of the food i. High in protein per gram 2. SunButter® Sunflower Spread (creamy) a. Overall score of 5.0 b. Nutrition concern score of 4.0 c. Ingredient concern score of 1.0 d. Low processing score e. Concerns include: i. Not certified organic ii. Ingredients may contribute a small amount of trans fat iii. Added sugar f. Pluses of the food i. High in protein per gram ii. High in natural fiber per gram iii. Low processing 3. Cracker Barrel, Sharp White Cheddar Cuts a. Overall score of 7.0 b. Nutrition score of 5.0 c. Ingredient score of 5.0 d. Low processing score e. Concerns include i. Not certified organic ii. Antibiotics likely used in the production of dairy ingredients iii. Hormones may have been used in the production of dairy ingredients iv. Likely contaminated with dioxin and other POPs v. Saturated fat f. Pluses of the food i. Does not contain artificial/industrial ingredients ii. Excellent source of naturally occurring calcium iii. High in protein per gram iv. No processing concerns The system allows an individual to look up a product, search by company, search by category, and find better alternatives. An individualized experience can be created by: Viewing top findings for a given product Using a dynamic function in the nutrition facts label to personalize a product’s percentage of daily values based on age, gender, and life stage Limiting search results by category with a drop-down menu Limiting search results by certifications such as organic or gluten free Changing the layout of the search results page by clicking the icons next to views Changing the number of items that show up on a search page Contributed by Elaine Hinzey, RDN, LD/N Review date: 9/7/15