Last week I visited the new health food shop in the shopping centre near my flat. I was in search of coconut flakes to add to granola – why yes, I do make my own granola (what else did you expect?) – but, instead, bought nearly my own body weight in almond meal, and came away, amazed by the incredible range of foodstuffs and supplements on sale. I was struck by how little the diet advocated by the makers of these food products tallied with my own idea of healthy eating. While I try to eat a little of everything, and always in moderation, both the health shop and its products seem to view most forms of food with profound suspicion.
In a recent edition of Radio 4’s Food Programme, Sheila Dillon charts the rise of the ‘free from’ food industry. As she makes the point, for all that these lactose-, gluten-, sugar-, and wheat-free snacks, bars, and drinks advertise themselves as the ‘healthy’ alternative, they are as heavily processed as ready meals in supermarkets. I think that one way of accounting for this odd paradox – that people who wouldn’t normally go anywhere near a box of supermarket lasagne are willing to buy heavily processed kale chips or carob bars – is to consider how ideas around what we define as ‘healthy’ food have changed.
When I was preparing lectures on food and the 1960s counterculture my father recommended a story in Tom’s Wolfe’s New Journalism (1975). Written unbelievably beautifully by Robert Christgau, now best known as a music journalist, the essay charts the slow decline of a young woman in the thrall of a fad diet. Titled ‘Beth Ann and Macrobioticism’ the piece begins in Greenwich Village in 1965. Twenty-three year-old married couple Beth Ann and Charlie, were living as artists, and off money from Charlie’s father, in hippy New York. Discontented with the range of mind-expanding experiences offered to them by the collection of drugs and therapies they’d been taking, Charlie learned about the Zen macrobiotic diet from a friend.
Published in the United States in the mid-1960s, Zen Macrobiotics: The Art of Rejuvenation and Longevity by Georges Ohsawa, a Japanese philosopher and sometime medical doctor,
contends that all of the physical and spiritual diseases of modern man result from his consuming too much yin (basically, potassium…) or too much yang (sodium) – usually too much yin. … Most fruits (too yin) and all red meat (too yang) are shunned, as are chemicals (additives and drugs, almost all yin, as well as ‘unnatural’) and Western medicine. According to Ohsawa, the diet is not merely a sure means to perfect physical health. …it is also a path to spiritual health and enlightenment.
As Christgau makes the point, Ohsawa’s macrobiotic diet is ‘dangerously unsound’. It’s comprised of ten progressively restrictive stages, with the final including only water and brown rice. The American Medical Association denounced the diet on the grounds that those who followed Ohsawa’s directions religiously were at risk of scurvy, anaemia, malnutrition, and kidney failure.
Beth Ann and Charlie devoted themselves to macrobiotics with enthusiasm, quickly deciding on Diet no. 7, which consisted mainly of grain and tea. Unsurprisingly, they both lost weight quickly, and experienced a kind of hunger-induced euphoria:
They slept less than six hours a night. They…felt high on the diet, with spontaneous flashes that seemed purer and more enlightening than anything they had felt on drugs. … One joyous day, they threw out every useless palliative in the medicine cabinet and then transformed their empty refrigerator…into a piece of pop culture, with sea shells in the egg compartments and art supplies and various pieces of whimsy lining the shelves.
Shortly after this, both began to sicken. Beth Ann, in particular, displayed all the symptoms for scurvy. Despite a fellow macrobiotic enthusiast’s recommendation that she add raw vegetables to her diet, Beth Ann began to fast, for stretches of two weeks at a time. She wrote to Ohsawa, who told her to remain on the diet. Soon, she was bedridden, and moved in with her parents-in-law, who urged her to see a doctor. On the morning of her death – with a fever, and very weak – another letter arrived from Ohsawa, informing her that she had misunderstood the diet completely. But it was too late: she died a few hours later.
Beth Ann was not the only person taken in by Zen macrobiotics during the 1960s and 1970s. There were several cases of people who either died from, or were hospitalised for, malnutrition and salt poisoning as a result of a too-rigid adherence to the diet.
I don’t suggest for a moment that Cape Town’s health food hippies are in danger of starving themselves to death in an attempt to follow the teachings of a twentieth-century Japanese loon, but there are remarkable continuities between the 1960s enthusiasm for Zen macrobiotics and contemporary anxieties about food and nutrition.
On the extreme end of this scale of suspicion of food, are proponents of restricted-calorie diets who argue – with very little evidence – that those who eat less, will live significantly longer. Earlier this year, a Swiss woman starved herself to death after attempting to live only on sunshine. (Perhaps she thought she would photosynthesise?)
But on the other, more reasonable side, are the legions of women’s magazines which advise their readers what not to eat, rather than what they should be eating. These, and other publications, have variously branded sugar, saturated fat, and carbohydrates as the enemies of healthy diets, and, like Zen macrobiotics, advocate increasingly restricted diets. This advice is subject to change, though. For instance, a group of experts at the American Dietetic Association’s most recent Food and Nutrition Conference noted that there is no evidence to suggest that low-fat diets have any health benefits.
Where does this idea – that food is the source of ill-health, rather than the fuel which helps to keep sickness at bay – originate? There is a millennia-old tradition in Western and other cultures of associating deprivation with moral or spiritual superiority and purity.

But, more specifically, I think that this suspicion of food can be located during the eighteenth century. Indeed, contemporary mainstream macrobiotic diets are based on the writing of an Enlightenment German physician Christoph Wilhelm Hufeland (1762-1836), who is credited with coining the term ‘macrobiotics’. In The Art of Prolonging Human Life (1797), Hufeland argued that each person possesses a ‘life force’ which needs to be nurtured and protected through rest, exercise, and a carefully-calibrated diet.
Hufeland’s writing was part of a wider, Enlightenment questioning of what constituted a morally and physically healthy person. In his influential text The English Malady (1733), the Scottish physician George Cheyne (1671-1743) argued that corpulence and over-eating undermined both the health of the body as well as the mind. Roy Porter explains:
Cheyne’s books were extremely popular and many later medical thinkers echoed his calls to temperance, with added intensity. Moderation would overcome that classic Georgian disorder, the gout, proclaimed Dr William Cadogan. If the turn towards regulating the flesh was decidedly health-oriented, however, it also became part and parcel of a wider movement, expressive of preferred cultural ideals and personal identities.
The emergence of an ethical vegetarianism – vegetarianism by choice, rather than necessity – during this period was one of the best examples of this attempt to regulate excessive behaviour through moderate eating:
Joseph Ritson, for example, held that because dead meat itself was corrupt, it would stir violent passions, whereas greens, milk, seeds and water would temper the appetite and produce a better disciplined individual.
I think that there’s a continuum between this association of a restricted diet with being a better person, and contemporary notions of healthy eating. The Zen macrobiotic craze in the 1960s was an extreme example of this desire only to eat that which is ‘pure’ in order to be good – as is the relatively recent phenomenon of orthorexia:
Orthorexics commonly have rigid rules around eating. Refusing to touch sugar, salt, caffeine, alcohol, wheat, gluten, yeast, soya, corn and dairy foods is just the start of their diet restrictions. Any foods that have come into contact with pesticides, herbicides or contain artificial additives are also out.
To be clear, orthorexia does not refer to those people who are genuinely allergic to some kinds of food. Rather, it describes an obsession with eating healthily. Although this obsessiveness can be socially limiting, it’s also admired to some extent. Sticking rigidly to a needlessly restrictive, ‘free-from’ diet is seen, frequently, as a sign of self-control, and an even greater willingness to take full responsibility for maintaining one’s own health.
The emergence of orthorexia and even the growing popularity of free-from foods, are indicative of a wider belief that we should care more about what we don’t eat, rather than what we do – and that there’s a connection between eating ‘healthily’ (whatever we may mean by that), and being a good and virtuous person. In a time when it is ever-easier to eat cheap junk food, and when rates of obesity are soaring all over the world, surely, it makes better sense to emphasise the pleasures of good food – and not to suggest that the unhealthy or overweight are morally suspect?
Further Reading
Robert Christgau, ‘Beth Ann and Macrobioticism,’ in The New Journalism, ed. Tom Wolfe and EW Johnson (London: Picador, 1975), pp. 363-372.
Karlyn Crowley, ‘Gender on a Plate: The Calibration of Identity in American Macrobiotics,’ Gastronomica: The Journal of Food and Culture, vol. 2, no. 3 (Summer 2002), pp. 37- 48.
Roy Porter, Flesh in the Age of Reason: How the Enlightenment Transformed the Way We See Our Bodies and Souls (London: Penguin, 2003).
Victoria Rezash, ‘Can a Macrobiotic Diet Cure Cancer?’ Clinical Journal of Oncology Nursing, vol. 12, no. 5 (Oct. 2008), pp. 807-808.

Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.
Sep 7
Human Beans
A few weeks ago, my friend Nafisa sent me a photograph of a banner outside a cafe in Linden in Johannesburg’s northern suburbs. In a particularly good demonstration of why punctuation helps to avoid horrific confusion, it advertises that it ‘now serves TIM NOAKES’—with ‘breakfasts and lunches’ in smaller script below.
In Linden, Johannesburg. Courtesy of Nafisa Essop Sheik.
Personally, I would prefer neither to eat Tim Noakes nor his high-fat, low-carbohydrate diet. This sign is interesting, though, because it still refers to a Noakes, rather than Banting, diet. In the past couple of months, restaurants all over South Africa have added Banting friendly meals to their menus, and I think it’s worth taking a closer look at Banting, his diet, and context. William Banting (1796-1878) was a prominent undertaker and funeral director whose family had long been responsible for organising the Royal Family’s funerals. He and what became known as ‘Bantingism’ rose to prominence in 1863 with the publication of A Letter on Corpulence, Addressed to the Public. In it, he described how he shrunk from obesity to a ‘normal’ weight as a result of a miraculous diet. The aptly named Michelle Mouton explains:
The diet was so efficacious that Banting lost forty-six pounds in a year, and reported feeling healthier than ever before. So what did he eat?
Noakes-ites will note that Banting included some carbohydrates in his diet, and seemed to shun pork (if not bacon) and salmon, possibly on the grounds that they were too fatty. His injunction against sugar is mildly ridiculous considering the amount of fortified alcohol he drank. No wonder he enjoyed the diet so much—it gave him licence to remain in a permanent state of gentle tipsiness.
Much of Bantingism’s popularity was linked to the fact that it emerged during a period when diets, perceptions of physical and moral beauty, and ideas about health were undergoing rapid change. The wild success of his pamphlet in Britain, the United States, and elsewhere caused intense debate within a medical profession which was increasingly linking weight—Banting’s corpulence—to health. Urban living and industrialised food production reduced the price of food and altered eating patterns. For the middle classes, for instance, meals were now eaten three times a day, with dinner moving to the evening. At the same time, thinness was increasingly associated both with physical beauty and moral behaviour. This diet seemed to offer an easy way to achieve both ideals. Self-denial would result in a more moral, thinner person. Mouton writes:
The diet also offered the new middle classes a way of navigating new food choices, in much the same way that their embrace of evangelical Christianity assisted them in finding a place for themselves within Britain’s class system. As Joyce L. Huff observes, Banting chose to write his pamphlet as a tract. Similar to other confessions of earnest Christians who had come to the light of God’s grace, Banting’s Letter traces the journey of a humble man—a sinner in a fat body—to the light and clarity of a high protein diet. He had achieved full mastery of both his body and his soul.
William Banting (from here), presumably after his diet.
Enthusiasm for the diet petered out fairly quickly, but Banting’s writing has been resuscitated more recently by pro-protein evangelicals like Robert Atkins, Gary Taubes, and Noakes. Thinking about Banting’s diet in historical context draws attention to a few exceptionally important points:
Firstly, anxieties about diet occur in the midst of major social change. I don’t think that it’s any accident that Noakes has found an audience among South Africa’s middle classes: whose numbers are growing, but who are also feeling the impact of global recession. Diets—particularly strict diets—offer a sense of being in control and of group belonging in times of radical uncertainty.
Secondly, as a closer look at Banting’s day-to-day eating demonstrates, his diet and that advocated by Noakes are fairly different. In fact, I wonder if Banting lost weight simply because he was eating less food more generally, than as a result of his switch to greater quantities of protein. Noakes cites Banting and other eighteenth- and nineteenth-century high protein dieters to lend his writing greater validity. This is knowledge, he implies, that has been around for some time. All he’s done is to bring it to wider public knowledge. Yet it’s clear that what we define as high protein has changed over time. Noakes’s diet is a diet of the early twenty-first century.
Thirdly, as the short lived initial enthusiasm for Bantingism suggests, this diet is no more successful than other diets at causing weight loss. Put another way, while eating a high protein diet will cause initial, dramatic weight loss—partly through dehydration—those who follow diets which encourage greater exercise and generally lower calorie intake lose the same amount of weight over a longer period of time. This has been demonstrated by study after study. More worryingly, we have no idea what the longterm health implications of high protein diets may be.
Connected to this, Noakes argues that it is largely industry—Big Food—which has been behind efforts to discredit high fat diets. Although Banting was ridiculed by some doctors during the 1860s, this was at a time when medical professionals jostled with quacks for recognition, and did not occupy the same position of authority that they have since the mid-twentieth century. Doctors could not band together to suppress this kind of information. Moreover, food companies were in their infancy. Clearly, people chose to relinquish the diet for a range of other reasons.
Finally, this—as Banting’s contemporaries pointed out—is a diet for the wealthy, and for a planet with unlimited resources. It is out of reach for the vast majority of people who are obese, most of whom are poor. We know that intensive livestock farming has a devastating impact on the environment. Addressing poverty and rethinking agriculture offer the best means of improving the health of the world’s population and of mitigating climate change. Not eating more animal protein.
Further Reading
Sander L. Gilman, Fat: A Cultural History of Obesity (Cambridge: Polity, 2008).
Joyce L. Huff, ‘A “Horror of Corpulence”: Interrogating Bantingism and Mid-Nineteenth-Century Fat Phobia,’ in Bodies out of Bounds: Fatness and Transgression, eds. Jana Evans Braziel and Kathleen LeBresco (Berkeley: University of California Press, 2001), pp. 39-59.
Michelle Mouton, ‘“Doing Banting”: High-Protein Diets in the Victorian Period and Now,’ Studies in Popular Culture, vol. 24, no. 1 (Oct. 2001), pp. 17-32.