Eat This Podcast
Talking about anything around food

Pellagra Caused by a dietary deficiency, but what causes the dietary deficiency?

23 June 2025 Filed under: Tags: , ,

“There was no treatment for pellagra, aside from an improved diet, and … we can’t improve the peasants’ diet. That’s not our job. We’re doctors.”

A joke postcard of two mean moving a giant ear of corn on a horse-drawn wagon

Portrait of a white man in uniform. He has wavy hair and wears spectacles.
Dr Joseph Goldberger
Pellagra — a terrible disease characterised by the four Ds: dermatitis, diarrhoea, dementia and death — was first noticed in northern Spain in 1735 and in Italy soon afterwards. Physicians had no idea what to do about it. They established that it was a new disease, and quickly worked out that it was something to do with maize and that it seemed to afflict only very poor people. In Italy, sharecroppers grew and ate maize at the expense of any vegetables. And in the southern US, workers in mill towns subsisted on ground maize imported from the midwest because all the local land was down to cotton.

The struggle to understand the causes of pellagra and how to cure and prevent it played out first in Italy and then in the United States, where 1906 saw a large outbreak in Alabama. Competing explanations were driven by large egos and expediency rather than evidence. That was true even after Dr Joseph Goldberger of the US Public Health Service proved that the disease was not contagious and that the deficiency could be quickly reversed with a proper daily diet or a tablespoon of dried yeast.

Notes

  1. Pellagra and Pellagrous Insanity During the Long Nineteenth Century, by David Gentilcore and Egidio Priani is available under open access
  2. Dana Landress recently published Famished for Freedom: Pellagra and Medical Clemency at the Mississippi State Penitentiary in the Journal of the History of Medicine and Allied Sciences.
  3. I consulted loads of other publications; let me know if you want a source for anything.
  4. Photograph of Joseph Goldberger from the Library of Congress.
  5. Here is the transcript.

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Quinoa in the Po Valley Serendipity at work during play

9 June 2025 Filed under: Tags: ,

I didn’t realise, when I booked a brief holiday in the Po Delta, that I would be staying at the heart of the Italian quinoa supply chain

A wide view of the flat landscape of the Agrilocanda val Campotto. A line of trees stretches towards and barn and the horizon, with massed blue-grey clouds in the sky.

A man, balding with a beard, in a green T-shirt, sits on a bench in front of brickwork and a windowsill with flower box. Trees are reflected in the glass of the window. He is looking straight at the camera.
Alessandro Biavati, chef.
Quite by chance, I booked a brief cycling holiday at an agriturismo based on a farm that is home to Quin Italia, an enterprise that aims to be the first supply chain for certified organic quinoa grown in Italy. The food at the agriturismo was excellent, as it usually is, but there were only two items on the menu that featured quinoa: a beer and a plate of deep fried croquettes that owed more to chickpeas than to quinoa. That was just one of the points I raised with Alessandro Biavati, chef and part-owner of Agrilocanda val Campotto.

Notes

  1. Both the agriturismo and Quin Italia offer a lot more information on their websites.
  2. Just in case anyone in Italy wants to support cycling, here’s the website for FIAB.
  3. There’s a transcript, of course, with thanks to supporters of the podcast.

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Eat This Gets Advice Diet is what you put in your mouth to nourish yourself

26 May 2025 Filed under: Tags: ,

Tara Schmidt, lead dietitian for the Mayo Clinic Diet, shares her thoughts on diet, diets and dietary advice

An image of a whole lots of different foods representing the many food groups important for a healthy diet

Tara Schmidt, a woman with shoulder length brown hair and blue eyes is smiling at the camera. She is wearing a dark blazer and white top. The background is blurred.Many countries have strict rules about who is allowed to give advice on diet and nutrition, but that doesn’t stop even qualified people from selling all kinds of snake oil. In this episode, I chatted with Tara Schmidt, a registered dietitian and lead dietitian for the Mayo Clinic Diet. We talked about fad diets, and how they are inevitably unsustainable. About weight-loss drugs and whether they are being oversold. About the frustration she feels faced with bad advice, and how the Mayo Clinic’s caution may make it slow, but also makes it sure. About her dismay faced with questions about singular foods and singular nutrients. I learned a lot.

Notes

  1. Tara Schmidt hosts the podcast On Nutrition from the Mayo Clinic Press.
  2. I was fascinated to discover how many official dietary guidelines exist, though I should have pursued my question further. I’m interested in why people don’t meet them, not whether they could if they wanted to.
  3. Here is the transcript, with thanks to all supporters.
  4. Here is my episode on Fad diets. There may be some others in the section of related links below, although the thingie that does that has been playing up. You can always search for “diets”.

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Puglia “A land and its unique ingredients”

12 May 2025 Filed under: Tags: ,

In the past few decades Puglia has improved its food, wine and olive oil almost beyond recognition

Early 16th century map of the port of Bari in Puglia and its surroundings. A curved line with fanciful castles where the towns are. A large compass rose points north.

A woman with dark hair tied under a scarf holds a book and a small Italian greyhound. She is smiling at the camera and there is a blue sky and sea in the background.
Flavia Giordano and Carla the Italian greyhound

Puglia is massive. I mean that quite literally, not as youthspeak, though that too. Its northernmost point is actually north of my home in Rome, though admittedly not by very much, which is strange when you consider that for most people, Puglia is only the high heel itself. That’s true for me and for several past episodes here.

A new book that explores the whole province, and more particularly its food and ingredients, flashed through my feeds a few weeks ago. After just a quick look at the contents it seemed obvious that my next move ought to be to hop on a train to Polignano a Mare to talk to the author, Flavia Giordano. So that’s exactly what I did. It was a long day, and entirely worthwhile.

Notes

  1. Flavia Giordano’s book is Puglia: A cooking journey through a land and its unique ingredients, and the simplest way to get hold of a copy is to join Flavia for a tour or a class, easily booked from her website. Of course, you should also follow her on Instagram.
  2. Here is the transcript.
  3. The banner image is from an early 16th century Turkish Book on Navigation and shows the town of Bari and part of the surroundings, from the Walters Art Museum, Baltimore. Cover artwork, Puglia’s colourful carrots, by me.

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The Paradox of Plenty More and cheaper is not better

28 April 2025 Filed under: Tags: , ,

For much of the world, food has never been as abundant or as inexpensive as it is now, but at what cost?

Portrait of a man with a trim beard and wearing glasses. He is smiling at the cameraFor much of the world, food has never been as abundant or as inexpensive as it is now, but at what cost? The Food and Agriculture Organization estimates that the cost of diet-related ill health is somewhere around $7 trillion, which is far more than the “profits” of food and agriculture. Those profits, like the cheaper, more plentiful food they stem from, take no account of the external costs of climate change, pollution, biodiversity loss and, ultimately, human health.

Professor Tim Benton has spent his career working at the interface between agricultural and food politics and environment.

“If we don’t get to grips with these challenges,” he told me “then ultimately the only thing to happen is some big calamity at some point in the future, where the planet bites back and says, I’ve had enough.”

Notes

  1. Tim Benton’s paper with Rob Bailey — The paradox of productivity: agricultural productivity promotes food system inefficiency — is a very readable summary.
  2. Here is the transcript.
  3. This is not the first time the podcast has looked at prices and externalities – search for prices – and it will not be the last.

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