Sunday 3 September 2023

'Ultra-Processed People' by Chris van Tulleken

Over the past two years I've got into cooking using a bunch of cookbooks, which has massive changed my relationship to food and had a huge impact on my wellbeing. I now get so much joy from cooking and eating as multisensory experiences: the intermingling of sounds, smells, and textures. 

For Phase Two of my food journey, I've decided to learn more about food and the food industry, and this book, which has had a lot of buzz and marketing around it, seemed like a good place to start. The book builds on various other work van Tulleken has done exploring Ultra-Processed Food (UPF), including a podcast (which I listened to beforehand) and various TV documentaries.

The term UPF comes from a food classification system proposed in 2010, which divides food into four groups:

1) Unprocessed or minimally processed food (such as raw kitchen ingredients)

2) Processed culinary ingredients (such as butter, honey, oils, vinegar, etc)

3) Processed food (such as tinned vegetables or fruit, cured meats, etc)

4) Ultra-Processed Food

The full definition of UPF is quite long, but the key points are that UBF is designed to be convenient and highly profitable, and is made using chemical ingredients that would not be encountered in a domestic kitchen. There is acknowledgement in the book that the definition can get a bit woolly around the edges, and there is disagreement over its usefulness. I'm personally quite happy with this breakdown, particularly with the emphasis on profitability over nutrition as the food's raison d'etre: the food is designed to encourage overconsumption. 

I had previously found complaints about "processed foods" quite tedious, and was pleased that van Tulleken took time to explain that most foods require some form of processing to be edible. There is a good discussion about how cooking is part of being human: over the course of our evolution, humans have used fire to externalised part of our digestive system. We cook food to make it is easier for us to digest; or, we cook food to partially digest it before it reaches our mouths.

(I was reminded of the various vegetarian/vegan memes which argue that since we find raw meat disgusting, this is evidence that humans shouldn't eat meat. It's certainly evidence that we shouldn't eat raw meat.)

We have complex sensory apparatus to help us detect both when something is safe to eat, and the nutrients it may contain. The chapters which explore the various ways UPF tricks our bodies into wanting more of it ('Once you pop you can't stop!') are the most eye-opening. Tastes and textures prime our digestive and metabolic systems into expecting certain nutrients: if something tastes umami or meaty, our bodies prepare to digest food rich in protein; creamy textures prime us to digest fat; sweetness signals an incoming sugar boost.

UPF tricks our bodies by dissociating these sensory inputs from the promised nutrients, leaving our digestive system unsatisfied, our metabolic system confused, and us craving more food. So we reach for another crisp, and still feel hungry after a UPF meal with 1000 calories. Fibre, very important in signalling fullness, is also largely stripped from UPF during its manufacture. When your diet is largely UPF, it is very difficult to regulate your eating behaviour. The book opens with a warning that UPF now makes up 60% of the average diet in the UK.

In addition to making me think more about ingredients and UPF deceptions, I was particularly affected by descriptions of the microbiome: the microorganisms that live in our guts symbiotically with us. We provide them with nutrients; they help our digestion. Our body is the vehicle that transports them through space. I have often felt disconnected from my body due to my less than stellar coordination; I feel like my consciousness is a pilot awkwardly controlling a vehicle, rather than being one with it. Now I feel like I have a duty to keep my microbiome passengers safe (and in turn they won't make me ill). UPF additives harm the microbiome in various ways.

The book is written in a very chatty and light style that is easy to understand and read. There were times when I personally got frustrated that the book didn't go as in depth as I'd wanted, but I was pleased it did expand on the science presented in the podcast, and there are copious references for further reading.

The writing is occasionally stylistically conflicted. The author has clearly done a lot of reading about the topic, and often writes with authority; but at other times, he presents himself as an everyman going on a journey of discovery about the topic, interviewing various experts, in the style of the documentary TV and podcasts that preceded the book. This means that parts of the book feel like an urgent and in-depth investigation into a mounting crisis, whereas other parts feel more like light-hearted gonzo journalism (à la Jon Ronson). The transitions between these parts are often jarring.

As much as it is easy to read, there are also parts where it felt like van Tulleken struggled to balance the need to simplify for a lay audience with the desire to go more in depth with the science. This peaks with a particularly overly convoluted section explaining how our bodies utilise chemical energy from food via ATP; it is simultaneously extremely simplistic yet crammed with detail and similes which make it irritating when you know more about the topic (even if you're rusty like me), and largely incomprehensible if you don't. What's most irritating is that I don't think this sequence adds anything particularly useful to the book: it just shouldn't be there.

There are plenty of other things that could have been removed to make the book better. Mainly, footnotes. There are a lot of footnotes throughout, the contents of which should either have been incorporated into the body of the text or removed because they add little of value. Most of the footnotes felt like notes on a draft; combined with the stylistic shifts mentioned above, this made the book feel unfinished, in need of some more polishing and tidying.

Early chapters also have a tendency to imply that those working in the food industry are cackling cartoon villains. I know, because I've done it, how easy it is to imagine those you disagree with as simplistic villains (and, to be honest, there are a lot of people in the world who do talk like cartoon villains), but this tendency is often unhelpful since it does not help us to understand the incentives that drive their behaviour. I was pleased, however, that as the book approaches its end it does touch on a more nuanced and systemic critique of the food industry. 

To stop eating UPF, van Tulleken does not advise just quitting and going cold turkey. Instead, he recommends eating along but consciously thinking about the UPF as you eat it. How it is tricking your body, how it messes with your body, and as you do this you will develop a disgust response and learn to not want it. Shaming people to change their diet does not work - a subject covered extensively in the 'Addicted to Food' podcast and repeated in this book. Turning UPF into a taboo will give it the allure of the forbidden; you have to learn to not want it, and for many people on lower incomes, food that isn't UPF simply isn't affordable enough to eat regularly. Alleviating poverty is the path to improving people's diets and health. 

Despite my occasional irritations with the writing in this book, I did thoroughly enjoy it and found it revelatory. The information in this book is extremely important and I highly recommend it. It was a good choice to start with for Phase Two of my food journey. 

Next up, I have a couple of books about meat eating and the meat industry.