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12/167 DECISION Meeting 12 June 2012 Complaint 12/167 Complainant: G. Reynolds Advertisement: Fonterra Brands New Zealand Complaint: The Fonterra website, www.fonterra.com, included five statements about the health benefits of dairy as a superior source of calcium and other important nutrients. Complainant, G. Reynolds, said: On its website the advertiser makes the following nutritional claims: 1. "Dairy has the building blocks for life. Whether we are a toddler or over 50 - we all need it." [1] 2. "Dairy is an essential food group and a vital component of a balanced, nutritious diet." [2] 3. "Dairy contains a balance of high quality proteins, carbohydrates and fats that make it an essential part of a balanced diet." [3] 4. "No other source of calcium can be absorbed as well by the body, the other nutrients in dairy foods help the absorption." [4] 5. "It [milk] is the richest dietary source of calcium ..." [2] Use of the terms "need", "essential", and "vital" give claims 1-3 a character of absolute necessity. Needed and essential things are impossible to do without, and vital ones are essential to life. In each case the terms "need", "essential", and "vital" refer to dairy. It is dairy itself that is claimed to be necessary, not just the food group to which it belongs, or the building blocks, proteins, fats, and carbohydrates that it contains. There is nothing on the pages where these claims appear that would mitigate their absolute nature, nothing to suggest that they be taken other than at face value. 2 12/167 Claims 4-5 are also absolute. Although the term "richest" in claim 5 has a range of possible meanings, it appears here in the context of the nutrient content of foods, and so in this case implies that milk is a more highly concentrated source of calcium than other dietary sources. Claim 4 is about dairy, claim 5 is specifically about milk. Principle 2, guideline 2(a) of the Code for Advertising Food states that nutritional claims should be factual, not misleading, and able to be substantiated. But claims 1-3 are not factual. Ministry of Health nutrition guidelines [5, pp. 94-97; 6, pp. 145-149] note that all essential nutrients can be obtained from well planned vegan diets which contain no dairy products, and that such diets are appropriate at all stages of life including during pregnancy, lactation, infancy, and childhood. Therefore dairy is not needed at any age, and is not essential or vital to a balanced, nutritious diet as claimed. A complaint (complaint 11/546, appeal 11/066) about a similar claim of the necessity of dairy was upheld. Nor are claims 4-5 factual. Calcium from bok choi, broccoli, and kale is significantly more absorbable than calcium from dairy milk, cheese, or yoghurt [7, p. 545S]. Moreover, Chinese cabbage flower leaves and Chinese mustard greens have, both by weight and by volume, more total and absorbable calcium than milk [7, p. 545S], and so are richer dietary sources. Thus dairy is not the most absorbable source and milk is not the richest dietary source of calcium as claimed. References: [1] Fonterra Co-operative Group. "Dairy and Nutrition". Accessed 3 April 2012. http://www.fonterra.com/wps/wcm/connect/fonterracom/fonterra.com/Our+Products/D airy+and+Nutrition/ [2] Fonterra Co-operative Group. "Fonterra Brands Nutrition Policy". Accessed 3 April 2012. http://www.fonterra.com/wps/wcm/connect/fonterracom/fonterra.com/Our+Products/D airy+and+Nutrition/Fonterra+Brands+Nutrition+Policy/ [3] Fonterra Co-operative Group. "Life Stages". Accessed 3 April 2012. http://www.fonterra.com/wps/wcm/connect/fonterracom/fonterra.com/Our+Products/D airy+and+Nutrition/Life+Stages/ [4] Fonterra Co-operative Group. "The Goodness of Dairy". Accessed 3 April 2012. http://www.fonterra.com/wps/wcm/connect/fonterracom/fonterra.com/Our+Products/D airy+and+Nutrition/The+Goodness+of+Dairy/ [5] Ministry of Health (2008). "Food and Nutrition Guidelines for Healthy Infants and Toddlers (Aged 0-2): A background paper". 4th Edition. Retrieved from http://www.health.govt.nz/publication/food-and-nutrition-guidelines-healthy-infantsand-toddlers-aged-0-2-background-paper [6] Ministry of Health (2010). "Food and Nutrition Guidelines for Healthy Children and Young People (Aged 2-18 Years): A background paper: Draft for Consultation". Retrieved from http://www.health.govt.nz/publication/food-and-nutrition-guidelineshealthy-children-and-young-people-background-paper 3 12/167 [7] Weaver, C.M., Proulx, W.R., Heaney, R. (1999). "Choices for achieving adequate dietary calcium with a vegetarian diet". American Journal of Clinical Nutrition, 70(suppl.), 543S-548S. Retrieved from http://www.ajcn.org/content/70/3/543S.full.pdf The Chairman ruled that the following provisions were relevant: Code for Advertising Food Principle 1 – All food advertisements should be prepared with a due sense of social responsibility to consumers and to society. However food advertisements containing nutrient, nutrition or health claims* should observe a high standard of social responsibility. *Note: The regulation of nutrition, health and related claims is currently under review. Please refer to the Food Standard Australia New Zealand (FSANZ) website www.foodstandards.govt.nz for details. The Food Standard Code is available on the FSANZ website. Principle 2 – Advertisements should not by implication, omission, ambiguity or exaggerated claim mislead or deceive or be likely to mislead or deceive consumers, abuse the trust of or exploit the lack of knowledge of consumers, exploit the superstitious or without justifiable play on fear. Principle 2 Guideline 2(a) – All nutrient, nutritional and health claims should be factual, not misleading, and able to be substantiated. Claims should comply with the Food Standards Code. The Advertiser, Fonterra Co-operative Group Limited, said: Below we respond to the complaint received by you from G. Reynolds on Tuesday 3 April 2012 and your subsequent letter asking us for a written response by 27 April 2012 (which date was later extended to 21 May 2012) Fonterra Co-operative Group Limited is responding on its own behalf and does not represent any other parties Statements 1 - 3 "Dairy has the building blocks for life. Whether we are a toddler or over 50 - we ail need it." Ml "Dairv is an essential food qroup and a vital component of a balanced, nutritious diet." [2] Complaint Use of the terms "need", "essential", and 'Vital" give claims 1-3 a character of absolute necessity. Needed and essential things are impossible to do without, and vita! ones are essential to life, in each case the terms "need", "essential", and "vital" refer to dairy. It is dairy itself that is claimed to be necessary, not just the food group to which it belongs, or the building blocks, proteins, fats, and carbohydrates that it contains. There is nothing on the pages where these claims appear that would mitigate their absolute nature, nothing to suggest that they be taken other than at face value. 4 "Dairy contains a balance of high quality proteins, carbohydrates and fats that make it an essential part of a balanced diet." [3] 12/167 Principle 2, guideline 2(a) of the Code for Advertising Food states that nutritional claims should be factual, not misleading, and able to be substantiated. 1 But claims 1-3 are not factual. Ministry of Health nutrition guidelines (5, pp. 94-97; 6, pp. 145-149) note that all essential nutrients can be obtained from well planned vegan diets which contain no dairy products, and that such diets are appropriate at all stages of life including during pregnancy, lactation, infancy, and childhood. Therefore dairy is not needed at any age, and is not essential or vital to a balanced, nutritious diet as claimed. A complaint {complaint 11/546, appeal 11/066) about a similar claim of the necessity of dairy was upheld. Statement [1] Fonterra Response Fonterra will change "it" to "them" to clarify that this is a reference to the "building blocks of life" (which dairy contains) It is true that dairy contains the building blocks of life - fat, carbohydrate and protein macronutrients. To take the example of protein, dairy protein is high biological value (quality) protein which contains the essential and non- essential amino acids (AA). AA are utilised to make DNA, present in every cell in the human body, Protein is also used for building and maintaining muscle fibres and by the body to make keratin used to grow hair, nails and skin. Protein is also used to make body enzymes, essential chemical reactants in everyday metabolism- Deficiency of protein causes illness, such as protein-energy malnutrition and can cause deformity during growth periods of life. This is weil established science, available to the average consumer in local library standard text books, and also scientifically substantiated in peer reviewed journal and research publications. We also refer the ASA to the following references: Stejins JM. Dairy Products and health: Focus on their constituents or on the matrix. Inter Diary Journal 2008;18:425-435; Jarvis JK„ McBean LD. 2000, Pp 4-5; Essentials in Human Nutrition. 2nd edition. Mann J., Truswell SA. 2002. Pp 394-395; Handbook of Dairy Foods and Nutrition. 2nd edition. Miller GD., Jarvis JK., McBean LD. 2000. Pp 14-15; Understanding Nutrition. 7th edition. Whitney EN., Rolfes SR.. 1996. Pp 214-215; Food and Nutrition Guidelines for Healthy Adult New Zealanders (2003). Put simply, Fonterra acknowledges that other food groups contain the building blocks of life. But this does not invalidate Fonterra's claim with regard to dairy which also contains the building blocks of life. Statement [2] Fonterra Response In this instance, Fonterra has changed this statement to read "Dairy is an important food group" rather than an essential food group. However, it does not agree with the complainant's argument. With regard to the word ''essential", the complainant has chosen to highlight the most extreme meaning of the word "essential" (i.e. "vitally important; absolutely necessary"). "Essential"'" also means "basic; fundamental" (see Collins English Dictionary, 3rd Ed., Harper Collins Publishers, 1992). 5 12/167 Similarly, with regard to the word "vital", the complainant has chosen to highlight only one meaning of the word "vital" (i.e. "essential to maintain life"). Vital also means "of great importance" (see Collins English Dictionary, 3M Ed., Harper Collins Publishers, 1992). It is this context in which the word is used and, we think, would be understood by the reasonable or average consumer. While Fonterra acknowledges current dietetic principles that dairy is not included in all dietary practices, for example, lactose free diets, dairy allergy diets or vegan vegetarian (non-animal food, non-ovo) diets, Fonterra remains of the view that it is a fact that dairy is a basic or fundamental food group and that dairy (or, more specifically the nutrients within dairy) is of great importance as a core food group (which does not mean that other food groups cannot be described in the same way). This view is supported by the New Zealand Ministry of Health which recognises the role that milk and milk products have in a healthy, balanced diet in the nutritional guidelines set out in appendix 1 to this letter. This view is also supported by the fact that if dairy is not included in a diet there does need to be care taken to ensure alternative sources of nutrients are available that would otherwise be obtained from dairy. For example, vitamin B12 which is generally found in animal foods, must be actively replaced in dairy free diets, particularly when Vitamin B12 requirements are increased, such as during pregnancy. Refer: New Zealand Food and Nutrition Guidelines ",.(those) who avoid milk and milk products need to maintain adequate intakes by eating non-dairy sources of calcium, such as calcium-fortified soy milk, canned fish (with bones), nuts, green leafy vegetables, dried fruit, tofu, and wholegrain breads and cereals. Food sources of calcium are preferable to supplements. However, a calcium supplement may be needed if calcium intake from food is inadequate." For these reasons, Fonterra does not believe that statement [2] breaches the Code. It is true and not an exaggeration to say that dairy is a basic or fundamental food group and that dairy is of great importance as a core food group i.e. that it is "essential" and / or "vital". Fonterra has not said that other food groups are not essential or vital. Statement [3]: Fonterra .Response In this instance, Fonterra will change this statement to read "Dairy contains a balance of high quality proteins, carbohydrates and fats that make it an important part of a balanced diet." However, for the reasons given above in relation to statement (2] it does not believe that statement [3] breaches the Code. It is true that dairy contains a balance of high quality proteins, carbohydrates and fats. There are multiple references that can be sourced to support this basic fact including: Ministry of Health: Food and Nutrition Guidelines for Healthy Adult New Zealanders (2003): Ministry of Health: Food and Nutrition Guidelines for Healthy Adolescents (1998); Ministry of Health: Food and Nutrition Guidelines For Healthy Children and Young People (Draft MoH Guidelines); University of Otago and Ministry of Health, 2011. A focus on nutrition: Key findings of the 2008/09 New Zealand Adult 6 12/167 Nutrition Survey. Wellington. Ministry of Health; Huth PJ et al. Role of Dairy Foods in the Dietary Guidelines Nutr Today. 2008;43(6):226-234 Fonterra's view is that this means that dairy is a basic or fundamental part of a balanced diet. It is not the only part of a balanced diet and a balanced diet can be achieved without dairy - but this does not make it untrue to say that dairy is a basic or fundamental part of a balanced diet. Statements 4 and 5 "No other source of calcium can be absorbed as welt by the body, the other nutrients in dairy foods help the absorption" [4] "It [milk] is the richest dietary source of calcium ..." [5] Complaint Principle 2, guideline 2(a) of the Code for Advertising Food states that | nutritional claims should be factual, not misleading, and able to be i substantiated. Nor are claims 4-5 factual. Calcium from bok choi, broccoli, and kale is ! significantly more absorbable than calcium from dairy milk, cheese, or yoghurt [7, p. 545S). Moreover, Chinese cabbage flower leaves and Chinese mustard greens have, both by weight and by volume, more total and ] absorbable calcium than milk [7, p. 545SJ, and so are richer dietary sources. Thus dairy is not the most absorbable source and milk is not the richest I dietary source of calcium as claimed. Statement [4]: Fonterra Response This is technically correct, the casein-whey protein complex plus phosphates in milk and milk products assist in calcium absorption. Refer: Essentials in Human Nutrition. 2nd edition. Mann J., Truswell SA. 2002. pp 394-395 "Milk is an excellent source of readily absorbable calcium and phosphorous and milk and milk products provide over 75% of the calcium In the human diet in Western countries... Lactose enhances the absorption of calcium and phosphorous from the intestine" Statement [5]: Fonterra Response To be absolutely technically correct, Fonterra will amend this statement to read: "milk is the richest natural food source of bio-avaliable calcium” There are other dietary sources of calcium (the example often cited is green leafy vegetables such as spinach) however, due to naturally present 'binding' factors in the vegetable such as oxalate, that bind the calcium mineral ions, the calcium is not as bio-available for absorption completely by the human body. Calcium supplements or fortified foods can also contain higher absolute levels of calcium than dairy foods, but these would not be 'natural food sources'. Refer, Gueguen L et al. The Bioavaiiability of Dietary Calcium. J Am Col Nutt. 2000; 19(2): 199S-136S; Ministry of Health: Food and Nutrition Guidelines for Healthy Adult New Zealanders (2003) We look forward to receiving your response. If you require further information in relation to this complaint please contact me. 7 Guideline Ministry of Health: Food and Nutrition Guidelines For Healthy Children and Young People (Draft MoH Guidelines) Ministry of Health: Food and Nutrition Guidelines for Healthy Adolescents (1998) 12/167 Guidance Milk and milk products are particularly important for children and young people to ensure optimal bone health. Reduced or low-fat milk and milk products are the best choices because these foods include less saturated fat, and often more protein and calcium than high-fat alternatives. As part of a varied diet, it is recommended that: preschoolers and children aged 2 to 12 years consume at least two servings of milk (includes calcium fortified milk alternatives) and milk products (cheese and yoghurt) each day young people aged 13 to 18 years consume at least three servings of milk (includes calcium fortified milk alternatives) and milk products {cheese and yoghurt) each day. Life as a teenager can be fast, furious and fun - and so can your food. Include from the four groups to get the nutrients you need to stay healthy, active and alert... Milks and milk products Includes milk, cheese, yoghurt and ice cream. Valuable sources of calcium and protein. Choose low fat milk for extra calcium. You need high-calcium foods to build strong bones during teenage years. Try milk, cheese and yoghurt as snacks. Keep active - regular exercise keeps Bones strong in later life. Choose at least three servings each day, preferably low fat. Absence of milk products may influence peak bone mass acquisition in adolescents because of inadequate intakes of dietary vitamin D, calcium and phosphorus (Parsons et al 1997). Ministry of Health: Food and Nutrition Guidelines for Healthy Adolescents (1998) Ministry of Health: Food and Nutrition Guidelines for Healthy Pregnant and Breastfeeding Women (2008) Milk is a valuable component of the diet, as an important source of calcium, protein and essential nutrients. Milk and milk products: Eat at least 2 servings per day (choose low fat or reduced fat options). Achieving the RDI for calcium without some liquid milk and milk products is difficult. Pregnant and breastfeeding women should eat at least three servings of calcium-rich foods such as milk, cheese and yoghurt every day to ensure an adequate intake of calcium. This is especially important during breastfeeding. Deliberation The Complaints Board carefully read all correspondence in relation to the complaint, and viewed a copy of the advertisement. It noted that, in the Complainant’s view, the claims made in the advertisement were misleading and unable to be substantiated. 8 12/167 The Chairman directed the Complaints Board to consider each of the statements that Complainant took issue with, and the changes the Advertiser had made to the website to address the Complainant’s issues. The Complaints Board first considered statement 1 which read “[d]airy has the building blocks for life. We all need them.” The Complaints Board was of the view that changing the ‘it’ to ‘them’ made enough of a difference to clarify the reference to the ‘building blocks of life’ rather than to dairy specifically. The Complaints Board considered that the changes the Advertiser made in this statement were sufficient to maintain the high standard of social responsibility required by Principle 1. The Complaints Board also considered that the statement was no longer likely to mislead consumers and it did not reach the threshold to breach Principle 2 or Guideline 2(a). The Complaints Board held the issue of statement 1 to be settled. The Complaints Board noted the second statement which said “Dairy is an essential food group and a vital component of a balanced, nutritious diet.” In considering the changes made to the second statement, the Complaints Board did not consider the changes sufficient to bring the advertisement under the threshold for Principles 1 and 2 and Guideline 2(a). The Complaints Board was of the view that although changing the word ‘essential’ to ‘important’ met the requirements of the Code for Advertising Food, the continued use of the word ‘vital’ was still potentially misleading to consumers. As such, they upheld the complaint about this statement on the grounds that use of the word ‘vital’ was not able to be fully substantiated and as such could be misleading to the consumer. Turning to the third statement which said “Dairy contains a balance of high quality proteins, carbohydrates and fats that make it an essential part of a balanced diet” the Complaints Board considered whether replacing the word ‘essential’ to ‘important’ was sufficient to alleviate a possible breach of the Code for Advertising Food . The Complaints Board was of the view that using ‘important’ conveyed the intended message to the consumer, and could be readily substantiated. As with the first statement, the Complaints Board held that the statement was no longer likely to mislead consumers and it did not reach the threshold for a breach of Principle 2 or Guideline 2(a). The Complaints Board held the issue of statement 3 to be settled. The Complaints Board then turned to statement four which said “No other source of calcium can be absorbed as well by the body, the other nutrients in dairy foods help the absorption.” The Complaints Board noted the response of the Advertiser to the issues raised about this statement, and the evidence supplied by the Complaint and the Advertiser. In the Complaints Board view, the absolute statement that “No other source of calcium can be absorbed as well by the body…” had not been adequately substantiated by the Advertiser, and therefore the Complaints Board agreed that it was likely to mislead the consumer. Consequently, the Complaints Board upheld the complaint about this statement, holding that the threshold for misleading content had been attained, which led to a breach of Principle 2. Finally, the Complaints Board considered the fifth statement about which the Complainant raised an issue. This said “It [milk] is the richest dietary source of calcium ...”. The Complaints Board noted the Advertiser’s response where it said “To be absolutely technically correct, Fonterra will amend this statement to read: "milk is the richest natural food source of bio-available calcium” 9 12/167 The Complaints Board ruled the amended statement was not likely to mislead consumers and did not reach the threshold for a breach of Principle 2 or Guideline 2(a). The Complaints Board held the issue of statement 5 to also be settled. In summary, the Complaints Board ruled the Complaint was Upheld (in part) regarding statements 2 and 4, and Settled (in part) regarding statements 1, 3 and 5. Decision: Complaint Upheld (in part), Settled (in part)