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Chapter 2 Nutrition Guidelines: Tools for a Healthful Diet

Linking Nutrients, Foods, and Health

Continuum of nutritional status

Overnutrition

Chronic consumption of more than is necessary for good health

Linked to leading causes of deaths in the United States

Linking Nutrients, Foods, and Health

Planning How You Will Eat

Adequacy

The foods you choose to eat provide all the essential nutrients, fiber, and energy in amounts sufficient to support growth and maintain health

Balance

When the amount of energy you eat equals the amount of energy you expend in daily activities and exercise

Linking Nutrients, Foods, and Health

Planning How You Will Eat

Calorie Control

Choosing a diet that balances the calories you eat with the amount of calories your body uses

Nutrient Density

Amount of vitamins and minerals relative to the calories the food provides

Linking Nutrients, Foods, and Health

Planning How You Will Eat

Moderation

Not too much or too little

Variety

Include a lot of different foods in your diet

Dietary Guidelines

Intended to help improve overall health

Simple, easy-to-understand statements about food choices

Used to

Develop educational materials

Aid policy makers in designing and carrying out nutrition-related programs

Dietary Guidelines for Americans

Cornerstone of federal nutrition policy and education

Key Recommendations for the Dietary Guidelines for Americans

23 key recommendations for general population

6 key recommendations for specific population groups

Dietary Guidelines for Americans

Overarching Concepts

Maintain calorie balance over time to achieve and sustain a healthy weight

Focus on consuming nutrient-dense foods and beverages

Dietary Guidelines for Americans

Balancing Calories to Manage Weight

Obesogenic environment

Foods and Food Components to Reduce

Sodium, solid fats, added sugars, and refined grains

Foods and Nutrients to Increase

Vegetables, fruits, whole grains, milk and milk products, and some unsaturated oils

Dietary Guidelines for Americans

Recommendations for specific population groups

Women capable of becoming pregnant

Women who are pregnant or breastfeeding

Individuals age 50 years or older

Dietary Guidelines for Americans

Building Healthy Eating Patterns

Access to established eating plans

USDA Food Patterns

DASH Eating Plan

Focus on preventing foodborne illness

Clean

Separate

Cook

Chill

Dietary Guidelines for Americans

Ways to Incorporate the Dietary Guidelines into Your Daily Life

Choose more fruits, vegetables, and whole grains

Eat fewer high-fat toppings and fried foods

Exercise regularly

Consume sugar, salt, and alcohol in moderation

Drink water more often than soft drinks

Use caution if drinking alcohol

Dietary Guidelines

History

First dietary recommendations issued by USDA in 1894

“Basic Four” popular from the 1950s through 1970s

Dietary Guidelines for Americans developed in 1980

Food Guide Pyramid introduced in 1990s

Dietary Guidelines

MyPlate

Introduced in 2011

USDA’s icon and primary food group symbol

Dietary Guidelines

MyPlate

Conveys key messages

Enjoy food but eat less

Avoid oversized portions

Make half your plate fruits and vegetables

Drink water instead of sugary drinks

Switch to fat-free or low-fat milk

Compare sodium in foods

Make at least half your grains whole grains

Dietary Guidelines

Eating Well with Canada’s Food Guide

Health Canada responsible for helping Canadians maintain and improve health

“Rainbow” places foods into four groups: Vegetables and Fruit, Grain Products, Milk and Alternates, and Meat and Alternates

Dietary Guidelines in Diet Planning

Use to

Determine the amount of calories you should consume each day

Familiarize yourself with the types of food in each group, the number of recommended servings, and appropriate serving sizes

Plan your meals and snacks using the suggested serving sizes

Dietary Guidelines

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Portion Distortion

Perception that large portion sizes are appropriate

Contributes to positive energy balance, leading to weight gain over time and ultimately may result in obesity

Exchange Lists

Using the exchange lists in diet planning

Help people with diabetes plan meals

Used in many weight control programs

Foods grouped by macronutrient content

Starches

Fruits

Milks

Other carbohydrates

Vegetables

Meats and meat substitutes

Fats

Recommendations for Nutrient Intake: The DRIs

Understanding dietary standards

Dietary Reference Intakes (DRIs)

Recommendations for nutrient intake

Tell us how much of each nutrient we should have in our diets

The Dietary Reference Intakes

Estimated Average Requirement (EAR)

Intake value that meets the estimated nutrient needs of 50 percent of individuals in specific life-stage and gender groups

Recommended Dietary Allowance (RDA)

Amount that meets the needs of most people (97-98%) in a life-stage and gender group

The Dietary Reference Intakes

Adequate Intake (AI)

Nutrient intake that appears to sustain a defined nutritional state or some other indicator of health in a specific population or subgroup

Tolerable Upper Intake Level (Uls)

Maximum levels of daily nutrient intakes that are unlikely to pose health risks to almost all of the individuals in the group for whom they are designed

The Dietary Reference Intakes

Estimated Energy Requirement (EER)

Intake predicted to maintain energy balance in a healthy adult of a defined age, gender, weight, height, and level of physical activity consistent with good health

Acceptable Macronutrient Distribution Ranges (AMDRs)

Range of intakes for a particular energy source associated with reduced chronic disease while providing adequate intakes of essential nutrients

Food Labels

Ingredients and Other Basic Information

Statement of identify/name of the food

New weight of the food contained inside of the package

Name and address of the manufacturer, packer, or distributor

List of ingredients in descending order by weight

Nutrition information

FDA currently in process of changing Facts label

Reflects latest scientific information, including link between diet and chronic diseases

Replaces out-of-date serving sizes

Highlights key parts of label through new design

Food Labels

Claims That Can Be Made for Foods and Dietary Supplements

Nutrient Content Claims

Regulated by the NLEA and FDA

Have made an effort to use meaningful terms

Have reduced the number of potentially misleading label statements

Claims That Can Be Made for Foods and Dietary Supplements

Health claims

Link one or more dietary components to reduced risk of disease

Must be supported by scientific evidence

Approved by FDA

Structure/function claims

Describe potential effects on body structures or functions, such as bone health, muscle strength, and digestion