{"id":17590,"date":"2019-08-16T00:55:38","date_gmt":"2019-08-16T00:55:38","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=17590"},"modified":"2019-08-17T05:15:22","modified_gmt":"2019-08-17T05:15:22","slug":"organic-food-health-benefits-have-been-hard-to-assess-but-that-could-change","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/organic-food-health-benefits-have-been-hard-to-assess-but-that-could-change\/","title":{"rendered":"Organic food health benefits have been hard to assess, but that could change"},"content":{"rendered":"<p><a href=\"https:\/\/theconversation.com\/profiles\/cynthia-curl-761987\">Cynthia Curl<\/a>, <em><a href=\"http:\/\/theconversation.com\/institutions\/boise-state-university-1983\">Boise State University<\/a><\/em><\/p>\n<p>\u201cOrganic\u201d is more than just a passing fad. Organic food sales totaled a record <a href=\"https:\/\/ota.com\/news\/press-releases\/20236\">US$45.2 billion in 2017<\/a>, making it one of the <a href=\"https:\/\/www.usda.gov\/media\/press-releases\/2016\/04\/04\/usda-reports-record-growth-us-organic-producers\">fastest-growing segments<\/a> of American agriculture. While a small number of studies have shown <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27992727\">associations<\/a> between organic food consumption and decreased incidence of disease, no studies to date have been designed to answer the question of whether organic food consumption causes an improvement in health.<\/p>\n<p>I\u2019m an environmental health scientist who has spent over 20 years studying pesticide exposures in human populations. Last month, my research group published a <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0160412019306853\">small study<\/a> that I believe suggests a path forward to answering the question of whether eating organic food actually improves health.<\/p>\n<h2>What we don\u2019t know<\/h2>\n<p>According to the USDA, the organic label does not imply anything about health. In 2015, Miles McEvoy, then chief of the National Organic Program for USDA, <a href=\"https:\/\/www.washingtonpost.com\/news\/wonk\/wp\/2015\/04\/30\/is-organic-food-safer-and-healthier-the-guy-in-charge-of-u-s-organics-wont-say\/?noredirect=on&amp;utm_term=.88d875a3c5c2\">refused to speculate<\/a> about any health benefits of organic food, saying the question wasn\u2019t \u201crelevant\u201d to the National Organic Program. Instead, the <a href=\"https:\/\/www.ams.usda.gov\/sites\/default\/files\/media\/What%20is%20Organic.pdf\">USDA\u2019s definition<\/a> of organic is intended to indicate production methods that \u201cfoster cycling of resources, promote ecological balance, and conserve biodiversity.\u201d<\/p>\n<p>While some organic consumers may base their purchasing decisions on factors like resource cycling and biodiversity, most report choosing organic because <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S019566631731437X?via%3Dihub\">they think it\u2019s healthier<\/a>.<\/p>\n<p>Sixteen years ago, I was part of the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1241395\/\">first study<\/a> to look at the potential for an organic diet to reduce pesticide exposure. This study focused on a group of pesticides called organophosphates, which have consistently been associated with <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0161813X13001514\">negative effects on children\u2019s brain development<\/a>. We found that children who ate conventional diets had nine times higher exposure to these pesticides than children who ate organic diets.<\/p>\n<p>Our study got a lot of attention. But while our results were novel, they didn\u2019t answer the big question. As I told <a href=\"https:\/\/www.nytimes.com\/2003\/03\/25\/science\/exposure-to-pesticides-is-lowered-when-young-children-go-organic.html\">The New York Times in 2003<\/a>, \u201cPeople want to know, what does this really mean in terms of the safety of my kid? But we don\u2019t know. Nobody does.\u201d Maybe not my most elegant quote, but it was true then, and it\u2019s still true now.<\/p>\n<h2>Studies only hint at potential health benefits<\/h2>\n<figure class=\"align-center \"><img src=\"https:\/\/images.theconversation.com\/files\/288075\/original\/file-20190814-136180-18w08o2.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/288075\/original\/file-20190814-136180-18w08o2.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=436&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/288075\/original\/file-20190814-136180-18w08o2.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=436&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/288075\/original\/file-20190814-136180-18w08o2.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=436&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/288075\/original\/file-20190814-136180-18w08o2.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=549&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/288075\/original\/file-20190814-136180-18w08o2.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=549&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/288075\/original\/file-20190814-136180-18w08o2.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=549&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><figcaption><span class=\"caption\">Health-conscious people want to buy organic for its health benefits, but it\u2019s not yet clear whether such benefits exist.<\/span><br \/>\n<span class=\"attribution\"><a class=\"source\" href=\"https:\/\/www.shutterstock.com\/image-photo\/young-woman-on-market-180927503?src=CG7n4oj-TUAzWHtCSMDBZQ-3-82\">Goran Bogicevic\/Shutterstock.com<\/a><\/span><\/figcaption><\/figure>\n<p>Since 2003, several researchers have looked at whether a short-term switch from a conventional to an organic diet affects pesticide exposure. These studies have lasted one to two weeks and have repeatedly shown that \u201cgoing organic\u201d can quickly lead to <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1367841\/\">dramatic reductions<\/a> in exposure to several different classes of pesticides.<\/p>\n<p>Still, scientists can\u2019t directly translate these lower exposures to meaningful conclusions about health. The dose makes the poison, and organic diet intervention studies to date have not looked at health outcomes. The same is true for the other purported benefits of organic food. Organic milk has <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3857247\/\">higher levels of healthy omega fatty acids<\/a> and organic crops have <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4141693\/\">higher antioxidant activity<\/a> than conventional crops. But are these differences substantial enough to meaningfully impact health? We don\u2019t know. Nobody does.<\/p>\n<p>Some epidemiologic research has been directed at this question. Epidemiology is the study of the causes of health and disease in human populations, as opposed to in specific people. Most epidemiologic studies are observational, meaning that researchers look at a group of people with a certain characteristic or behavior, and compare their health to that of a group without that characteristic or behavior. In the case of organic food, that means comparing the health of people who choose to eat organic to those who do not.<\/p>\n<p>Several observational studies have shown that people who eat organic food are healthier than those who eat conventional diets. <a href=\"https:\/\/www.nytimes.com\/2018\/10\/23\/well\/eat\/can-eating-organic-food-lower-your-cancer-risk.html\">A recent French study<\/a> followed 70,000 adults for five years and found that those who frequently ate organic developed 25% fewer cancers than those who never ate organic. Other observational studies have shown organic food consumption to be associated with lower risk of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30513866\">diabetes<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28770334\">metabolic syndrome<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4160835\/\">pre-eclampsia<\/a> and <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4786987\/\">genital birth defects<\/a>.<\/p>\n<p>The problem with drawing firm conclusions from these studies is something epidemiologists call \u201cuncontrolled confounding.\u201d This is the idea that there may be differences between groups that researchers cannot account for. In this case, people who eat organic food are <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3800052\/\">more highly educated, less likely to be overweight or obese, and eat overall healthier diets than conventional consumers<\/a>. While good observational studies take into account things like education and diet quality, there remains the possibility that some other uncaptured difference between the two groups \u2013 beyond the decision to consume organic food \u2013 may be responsible for any health differences observed.<\/p>\n<h2>What next?<\/h2>\n<figure class=\"align-center \"><img src=\"https:\/\/images.theconversation.com\/files\/288072\/original\/file-20190814-136230-14ih186.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/288072\/original\/file-20190814-136230-14ih186.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=499&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/288072\/original\/file-20190814-136230-14ih186.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=499&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/288072\/original\/file-20190814-136230-14ih186.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=499&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/288072\/original\/file-20190814-136230-14ih186.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=627&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/288072\/original\/file-20190814-136230-14ih186.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=627&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/288072\/original\/file-20190814-136230-14ih186.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=627&amp;fit=crop&amp;dpr=3 2262w\" alt=\"\" \/><figcaption><span class=\"caption\">Often, new medical and health knowledge comes from carefully designed clinical trials, but no such trial has been conducted for organic food.<\/span><br \/>\n<span class=\"attribution\"><a class=\"source\" href=\"https:\/\/www.shutterstock.com\/image-photo\/africanamerican-female-scientist-student-tech-lab-732207964?src=wVoA-V67uOaRUye4VxolBw-1-44\">Anyaivanova\/Shutterstock.com<\/a><\/span><\/figcaption><\/figure>\n<p>When clinical researchers want to figure out whether a drug works, they don\u2019t do observational studies. They conduct randomized trials, where they randomly assign some people to take the drug and others to receive placebos or standard care. By randomly assigning people to groups, there\u2019s less potential for uncontrolled confounding.<\/p>\n<p>My research group\u2019s recently published <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0160412019306853\">study<\/a> shows how we could feasibly use randomized trial methods to investigate the potential for organic food consumption to affect health.<\/p>\n<p>We recruited a small group of pregnant women during their first trimesters. We randomly assigned them to receive weekly deliveries of either organic or conventional produce throughout their second and third trimesters. We then collected a series of urine samples to assess pesticide exposure. We found that those women who received organic produce had significantly lower exposure to certain pesticides (specifically, pyrethroid insecticides) than those who received conventional produce.<\/p>\n<p>On the surface, this seems like old news but this study was different in three important ways. First, to our knowledge, it was the longest organic diet intervention to date \u2013 by far. It was also the first to occur in pregnant women. Fetal development is potentially <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4937840\/\">the most sensitive period<\/a> for exposures to neurotoxic agents like pesticides. Finally, in previous organic diet intervention studies, researchers typically changed participants\u2019 entire diets \u2013 swapping a fully conventional diet for a fully organic one. In our study, we asked participants to supplement their existing diets with either organic or conventional produce. This is more consistent with the actual dietary habits of most people who eat organic food \u2013 occasionally, but not always.<\/p>\n<p>Even with just a partial dietary change, we observed a significant difference in pesticide exposure between the two groups. We believe that this study shows that a long-term organic diet intervention can be executed in a way that is effective, realistic and feasible.<\/p>\n<p>The next step is to do this same study but in a larger population. We would then want to assess whether there were any resulting differences in the health of the children as they grew older, by measuring neurological outcomes like IQ, memory and incidence of attention-deficit disorders. By randomly assigning women to the organic and conventional groups, we could be sure any differences observed in their children\u2019s health really were due to diet, rather than other factors common among people who consume organic food.<\/p>\n<p>The public is sufficiently interested in this question, the organic market is large enough, and the observational studies suggestive enough to justify such a study. Right now, we don\u2019t know if an organic diet improves health, but based on our recent research, I believe we can find out.<\/p>\n<p>[ <em><a href=\"https:\/\/theconversation.com\/us\/newsletters?utm_source=TCUS&amp;utm_medium=inline-link&amp;utm_campaign=newsletter-text&amp;utm_content=signupinsight\">Sign up for The Conversation\u2019s newsletter to get insight each day<\/a><\/em> ]<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/120959\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: http:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/cynthia-curl-761987\">Cynthia Curl<\/a>, Assistant Professor, <em><a href=\"http:\/\/theconversation.com\/institutions\/boise-state-university-1983\">Boise State University<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"http:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/organic-food-health-benefits-have-been-hard-to-assess-but-that-could-change-120959\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cynthia Curl, Boise State University \u201cOrganic\u201d is more than just a passing fad. Organic food sales totaled a record US$45.2 billion in 2017, making it one of the fastest-growing segments of American agriculture. While a small number of studies have shown associations between organic food consumption and decreased incidence of disease, no studies to date [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":17591,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[42],"tags":[3895,656],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/17590"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=17590"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/17590\/revisions"}],"predecessor-version":[{"id":17594,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/17590\/revisions\/17594"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/17591"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=17590"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=17590"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=17590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}