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What You Need To Know About New Dietary Guidelines

What You Need To Know About New Dietary Guidelines

By Andrea Weigl, The News & Observer (Raleigh, N.C.) (TNS)

Now that the smoke, debate and confusion has cleared over the latest update to the federal dietary guidelines, here is what you need to know.

Big picture focus: This year’s update stresses “a healthy eating pattern” over the course of your life as opposed to focusing on individual nutrients or foods. “It’s not one food. It’s a whole eating pattern,” said Barry Popkin, a food science researcher at the University of North Carolina at Chapel Hill and author of The World is Fat.

Elisabetta Politi, nutrition director at the Duke Diet & Fitness Center, cheered the change: “I’d like to commend them for that.” The previous focus to limit certain foods or nutrients created confusion for many people trying to watch what they ate. “I see this every day with many clients,” Politi said. “They feel guilty about eating eggs and butter.” (It’s worth noting that the new guidelines do mention limiting three nutrients, which we’ll explain more below, but the overall focus has changed.)

So what does a healthy eating pattern include? The usual suspects: a variety of fruits and vegetables, grains (especially whole grains), fat-free or low-fat dairy, a variety of proteins (seafood, lean meats, eggs, beans and peas, nuts, seeds and soy products) and oils.

How can you do this? The key is to take small steps, not efforts at large-scale change, explained Nancy Fey-Yensan, a registered dietitian and dean of the college of health and human services at the University of North Carolina at Charlotte. She suggests keeping track of what you eat for a few days and then looking at what healthier substitutions you can make. “Mindfully identify places where you can swap out for things that you like,” Fey-Yensan said.

A few ideas: Bring home a new-to-you fruit or vegetable every week, whether that’s papaya or kohlrabi. Instead of white rice, make brown rice half the time. Instead of white bread, try some whole grain bread. Instead of whole milk, try 2 percent milk, then graduate later to 1 percent or skim. Expand your protein choices: Try a new fish or seafood, go meatless one night a week, make a big pot of beans or field peas once a month.

What does a healthy eating pattern limit? Sugar, salt and saturated fat. We should consume less than 10 percent of calories per day from added sugar. The same goes for saturated fat. Sodium should be limited to 2,300 milligrams a day.

What’s the math for sugar and saturated fat? Determining what is 10 percent of your daily calories depends upon how many calories you eat in a day. For women, that’s 1,600-2,000 calories. For men, it is 2,400-3,000. Therefore, 10 percent equals 160 to 300 calories. One 20-ounce bottle of Coca-Cola contains 240 calories from sugar. Three Oreo cookies contain about 54 calories from sugar. A McDonald’s Quarter Pounder with Cheese and a large fries contains 148 calories of saturated fat. A Subway 12-inch meatball sub has 126 calories from saturated fat. It’s easy to see how quickly it adds up.

Let’s break down the math for salt: A teaspoon of salt is equal to 2,300 milligrams. This is not only the salt you sprinkle on food; this number also reflects the salt already in the processed foods we eat. In one day, you would reach that limit by lunchtime by eating three slices of bacon, two fried eggs, a 1-ounce snack-size bag of Doritos, two slices of ham and one slice of American cheese on two slices of white bread and a 12-ounce Diet Coke.

What about coffee? The guidelines gave a boost to those who need their daily caffeine fix. The guidelines’ scientific report cited research that shows the amount of caffeine in three to five cups of coffee can reduce the risk of Type 2 diabetes and cardiovascular disease in adults and may even protect against Parkinson’s disease.

And eggs? The guidelines also seemed to clear eggs, with their high levels of dietary cholesterol, as a culprit for the artery-clogging plaques that cause heart disease. The guidelines removed the limit of 300 milligrams of dietary cholesterol a day. Experts caution that this is not a green light to eat a lot more of cholesterol-laden foods, including eggs, butter, bacon, sausages, red meat, cheese and pastries.

SOME HEALTHY MEAL RESOURCES

Right now, we’re reaching for three books:

Bon Appetit: The Food Lover’s Cleanse by Sarah Dickerman (William Morrow, 2015). Usually, I despise any cookbook with the word “cleanse” in the title. But this isn’t a cleanse book; it’s a collection of good-tasting, seasonal dishes that happen to be healthy from Seattle-based food writer Sara Dickerman.

The New Mediterranean Diet Cookbook by Nancy Harmon Jenkins (Bantam, 2009). This update of Jenkins’ classic 1994 cookbook is worth your time and money.

Mediterranean Harvest: Vegetarian Recipes from the World’s Healthiest Cuisine by Martha Rose Shulman (Rodale, 2007). Shulman wrote the Recipes for Health column in The New York Times. Her recipes are dependable and delicious.

©2016 The News & Observer (Raleigh, N.C.). Distributed by Tribune Content Agency, LLC.

Photo: Organic vegetables are shown at a Whole Foods Market  in LaJolla , California  May 13, 2008 as the company is set to release second quarter earnings today. REUTERS/Mike Blake  

 

Will The New Dietary Guidelines Change Absolutely Everything?

Will The New Dietary Guidelines Change Absolutely Everything?

Well, no, actually.

When any new study or report is released in the field of nutrition, you can safely bet that it will be heralded with a deluge of gushing headlines, breathlessly announcing a sea change in the way we should consume bread, eggs, chocolate, coffee, red wine, salt, and who knows what else. Everything bad is good again, and vice versa. So the cycle goes.

Health science is, to paraphrase Medical Daily, a predominantly unsexy enterprise. Cause-and-effect is the bedrock of narrative and digestible journalism, but clinical research operates in the gray zone of correlations, trends, and suggestions that vary in their power to persuade and nab attention, but never quite achieve the status of a “sure thing.”

The orthodoxy of food science is not as prone to flip-flopping as the click-hungry web news cycle (guilty as charged) might make it seem. Fad diets that promote the absolute rejection or embrace of any one type of food, as we’ve discussed before, are perennially in disfavor. But the basics of eating a balanced, healthy diet are — surprise — fairly steadfast.

The Scientific Report from the Dietary Guidelines Advisory Committee (DGAC) is produced every five years to aggregate and distill new research and evidence in nutritional science, and to inform and guide the adoption and revision of new nutritional policies — the Dietary Guidelines for America — that affect laws, initiatives, and standards in health care, food production, and education.  The 2015 report was submitted this week to the U.S. Department of Health and Human Services and U.S. Department of Agriculture, and will form the basis of the new guidelines that those agencies will release later this year.

It is heartening to note that the new recommendations do not rewrite the rules of eating healthy. And as to the state of healthy eating, the report affirms the grim facts we already knew: Half the American population suffers from preventable chronic conditions caused by poor dieting. Two-thirds of all adults and one-third of all children in the U.S. are either overweight or obese. This country’s eating habits are, in the delicate language of the report, “suboptimal.”

So if this is what it takes, if we need to hear it again and again — as it seems we desperately do — then yes, please! Bring on the “new” guidelines. We are not eating enough whole grains, fruit, and vegetables. We are eating too much in the way of processed grains, added sugars, sodium, and whole-fat dairy items. It doesn’t grab headlines, but it should.

The status of some of the more dubious food items are spelled out below:

Cholesterol: The big story kicked off by the release of these guidelines was the DGAC’s rollback on cholesterol. The currently-in-effect 2010 Dietary Guidelines set the upper limit for cholesterol consumption at 300 mg/day (or a little less than one-and-a-half eggs). But reports have shown for some time now that there is no compelling link between dietary cholesterol (what you consume) and blood cholesterol (what wrecks your arteries). Do we need to say it? This is not a license to eat “all of the eggs,” but a guide for making sensible, better informed decisions.

Seafood: The new guidelines straighten out a few things about seafood; namely, they make explicit that the benefits of eating seafood outweigh the potential risks of mercury and organic pollutants. In fact, the guidelines suggest the recommended amount of seafood consumption to be increased to 8 oz per week, because it provides a cocktail of necessary nutrients.

Caffeine: Coffee, perennially see-sawing as one of those is-it-or-isn’t-it-a-vice daily pleasures, gets a clean bill in the new guidelines. Current intakes of caffeine on average (three to five cups per day) do not exceed what is currently considered safe in any age group, at least for adults. Children, adolescents, and women who are pregnant should proceed with more caution.

Alcohol: As we’ve suspected (and hoped), moderate amounts of alcohol can be an acceptable part of a healthy dietary pattern. Which does not exactly mean “bottoms up,” as some outlets have suggested. But whatever gets the message out there.

The new guidelines, in all their glory, are here [pdf]. Dig in.

Photo: Josh Russell via Flickr