DEAR DR. BLONZ: I would appreciate your thoughts on the discussion about aluminum foil that occurred at a recent dinner event. There was acknowledgment of its many uses and the plus that it is recyclable. There was also mention of a connection between aluminum and the risk of cognitive decline, such as with Alzheimer's disease, and this was a source of underlying concern. My more specific question is whether it is best to use the shiny side or the dull side of the foil when placing it next to the food. The argument in need of clarification was whether the shiny side or the dull side best reflects the heat, and also which side is best for nonstick properties. -- S.R., San Francisco, California
DEAR S.R.: Beginning with your question, the shiny and dull sides of standard or thick aluminum foil are a result of the manufacturing process. They don't reflect any different functional purpose, including differing heat or anti-stick properties. (See an explanation of how aluminum foil is made at b.link/c3wdz7m.)
There are nonstick aluminum foils that use a proprietary food-safe anti-stick coating; check with the brand to see how they achieve their effect. Nonstick aluminum foils will indicate this property on their package label, and in such products, it is the dull side that has the property. If using one, verify it retains its recyclable properties. On a more practical note, rinse food debris off any foil or other recyclable materials before placing them in the recycling bin.
The issue regarding aluminum as a risk factor for disease is somewhat more nuanced, as its primary foundation lies in epidemiology. Epidemiology, often thought of as "population studies," is the science that investigates the connection between specific events, such as the occurrence of a disease, and particular behavior patterns, including elements of diet or exercise. Epidemiological research doesn't explain what's going on; it can reveal suspects and suggest relationships that require clinical studies designed to uncover cause-and-effect relationships, often involving the use of controls, such as a placebo.
Key in epidemiology is the need to understand what causes what. An example can be seen in reports that inner-city children with iron-deficiency anemia are more likely to have lead poisoning. The population study revealed the connection, but it did not identify the cause. Scientists conducted additional studies to uncover the underlying mechanism. In this case, it was discovered that low blood iron (anemia) causes the body to absorb more lead. Inner-city children are at a greater risk for substandard nutrition, coupled with increased exposure to lead that is present in lead-based paints, which may be peeling off the walls.
In some cases, epidemiology yields strange results. I recall a classic example during a graduate course in epidemiology that physicians who eat more meat and consume more alcohol have one-third the risk of dying in a plane crash. Anomalies with no logical relationship can emerge in large population studies, and this particular finding does not justify encouraging doctors to grab a burger and a beer before they board their flight.
Regarding aluminum, there is no evidence that the use of aluminum foil causes problems when consumed at normal levels found in food, as well as those levels added through normal cooking and storage. For a more focused consideration of this aspect, please visit b.link/aluminum.
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.