• To review the history of the USDA Nutritional Guides throughout the last 100 years. • To consider connections between societal trends and nutrition. • To read and interpret the Dietary Guidelines for Americans 2010. 2 History of USDA Nutritional Guides Dietary Guidelines for Americans 2010 3 4 • Were performed in 1894, by W.O. Atwater with the United States Department of Agriculture (USDA) – analyzed the newly discovered Calorie and its implications regarding food consumption and health – recognized a connection between nutrition and overall health 5 – stressed the importance of an inexpensive and efficient diet which included more proteins and vegetables in place of carbohydrates – concluded Americans consumed too many sugars and fats, and did not exercise enough 6 • Was the first official food guide authored by Caroline Hunt of the USDA in 1916 • Categorized foods into five groups: – milk and meat – cereals – fruits and vegetables – fats and fatty foods – sugars and sugary foods 7 • The USDA created nutritionally dense and cost-effective plans for families which included: – options for multiple levels of income – outlines detailing which foods families should purchase each week for proper nutrition 8 • Was known as the National Nutrition Conference for Defense • Was held by President Franklin Roosevelt in 1941 • Defined specific caloric requirements 9 • Established first Recommended Dietary Allowances (RDAs) for nutrients, including: – protein – iron and calcium – vitamins A, C and D – B vitamins such as thiamin, riboflavin and niacin 10 • The USDA created the National Wartime Nutrition Guide leaflet which: – outlined a foundational diet of foods which provided all RDAs for a fraction of the Calories – helped people cope with the limited supplies of certain foods during the war 11 • Food groups were labeled The Basic Seven −lacked specific information regarding serving sizes −lacked guidance about the use of fats and sugars in diets 12 • Included: – leafy green and yellow vegetables – citrus, tomato, cabbage, salad greens – potatoes and sweet potatoes – milk and milk products – meat, poultry, fish, eggs, peas, beans and nuts – bread, flour and cereals – butter and fortified margarine 13 • Introduction of the Basic Four Food Guide began – was released in 1956 14 • Recommended a minimum number of foods from each of the four food groups per day – two servings of milk – two servings of meat – four servings of fruits and vegetables – four servings of grain products 15 • Replaced the Basic Four in 1979 • Added a fifth group to the Basic Four – fats, sweets and alcoholic beverages Nutrition Notice: This change was based on a growing body of research which related overconsumption of certain food components (fat, saturated fat, cholesterol, and sodium) and the risk of chronic diseases, such as heart disease and stroke. 16 • Stressed moderation of fat, cholesterol, sodium, sweets and alcoholic beverages • Placed fruits and vegetables on top of the page to stress their importance – Followed by bread and cereals; milk and cheese; meats, poultry, and beans; and lastly fats, sweets, and alcohol 17 • Was released in 1984 by the American Red Cross • Looked like a pie chart • Outlined a healthy diet • Provided diets for three different Calorie levels • Included goals for nutrient adequacy and moderation 18 • Debuted in 1992 • Turned the Food Wheel of the 1980s into a pyramid • Included daily servings based on three separate Calorie levels 19 • Encouraged consumers to build a healthy base – grains – fruits and vegetables – limited intake of fats and sugars 20 • • • • Was introduced in 2005 Showed vertical bands for food groups Added a band for oils Included physical activity as a component of a healthy lifestyle • Provided an interactive website to help consumers create personalized diet plans 21 • Was released in 2011 • Applied the Dietary Guidelines for Americans 2010 to the recommendations • Replaced the pyramid with a mealtime symbol to remind consumers to make healthy food choices 22 23 Assessment 1. Which of the following accurately describes W.O. Atwater’s findings? A. Atwater stressed the importance of an inexpensive and efficient diet which included replacing vegetables and proteins with carbohydrates. B. Atwater stressed the importance of an inexpensive and efficient diet which included more proteins and vegetables and less carbohydrates. C. Atwater’s findings confirmed that Americans had little need to change their diets. D. Atwater stressed the importance of Americans needing more affordable food. 24 Assessment 2. Who was the first author of an official food guide? A. W.O. Atwater B. Caroline Hunt C. Franklin Roosevelt D. American Red Cross 3. Which of the following accurately defines RDA? A. Recommended Dietary Allowances B. Regulated Daily Allowance C. Recommended Daily Allowances D. Regulated Dietary Allowance 25 Assessment 4. Which of the following is true about The Hassle Free Guide to a Better Diet? A. Recommends a minimum number of foods from each of the four food groups per day B. Was released by American Red Cross and provided diets for three different calorie levels C. Stressed moderation of fat, cholesterol, sodium, sweets and alcoholic beverages D. Debuted in 1992 26 Assessment 5. Which of the following is NOT included in MyPyramid? A. Vertical bands to represent food groups B. Physical activity as a component of a healthy lifestyle C. A mealtime symbol to remind consumers to make healthy food choices D. An interactive website to create personalized diet plans 27 28 • Present healthy lifestyle recommendations for Americans ages two and older • Are reviewed, updated and published by the USDA every five years 29 • Provide the foundation of nutrition programs and advice in the United States including: – educational programs – federal nutrition assistance programs – dietary advice given by health professionals 30 • Are based on research and current social trends in American society • Include a large report on findings regarding American nutrition and health trends • Contain an executive summary with recommendations for a healthier lifestyle 31 • Is the seventh edition of the USDA dietary guidelines • Focuses on combating the obesity epidemic in the United States 32 • Is broken into five detailed chapters and one executive summary with key recommendations – key recommendations are the most important messages within the guidelines in terms of implications for improving public health 33 • Is a condensed version of the Dietary Guidelines • Includes the key recommendations found within each chapter – 23 key recommendations for the general public – six key recommendations for specific populations 34 • Include: – Balancing Calories to Manage Weight – Foods and Food Components to Reduce – Foods and Nutrients to Increase – Building Healthy Eating Patterns – Helping Americans Make Healthy Choices 35 • Key recommendations include: – eat healthy and be physically active – select a wide variety of nutrient dense foods – incorporate moderate to vigorous exercise into your daily life 36 • Key recommendations include: – control Calorie intake – use the website to help determine daily Calorie needs – do not exceed daily Calorie allotment Nutrition Notice: One pound is equal to 3,500 Calories. If a can of regular soda contains 150 Calories, a person who consumes an extra can of soda per day for 23 consecutive days would gain one pound. 37 • Key recommendations include: – increase physical activity – incorporate 150 minutes of cardiovascular exercise per week – incorporate 60 minutes of weight-bearing exercise per week – decrease sedentary (non-moving) behaviors 38 • Key recommendations include: – Calorie balance for each life stage – know the amount of Calories needed at each stage of life and do not exceed Nutrition Notice: In the early 1970s, only four percent of children ages six to eleven years were obese. Now, 20 percent of children age six to eleven are obese. 39 • Key recommendations include: – sodium • less than 2,300 milligrams per day for teens and adults – about one teaspoon of salt • less than 1,500 milligrams per day in specific populations – adults 51 and older – persons with hypertension, diabetes or chronic kidney disease 40 • Key recommendations include: – saturated fatty acids • limit to ten percent of Calories – one tablespoon of butter has seven grams of saturated fats • replace with monounsaturated or polyunsaturated fats 41 • Key recommendations include: – cholesterol • limit to less than 300 milligrams daily – one large egg has 186 milligrams of cholesterol, all in the yolk 42 • Key recommendations include: – trans fatty acids • keep consumption to a minimum • are found in stick margarine, fast foods, commercial baked goods, processed foods and fried foods Nutrition Notice: Trans fatty acids do not exist in nature. When an oil goes through the manmade process of partial hydrogenation, a solid fat is produced. The terms trans fatty acid and hydrogenated oil are synonymous. 43 • Key recommendations include: – added sugars • eat in moderation • replace sugary beverages with water – water vs. sodas or sports drinks • eat foods which are naturally sweet – fruits vs. candy 44 • Key recommendations include: – refined grains • eat in moderation • replace with whole grains – wheat bread vs. white bread 45 • Key recommendations include: – fruits and vegetables • increase amount and variety consumed • eat more dark-green, red and orange vegetables and beans and peas 46 • Key recommendations include: – whole grains • replace refined grains with whole grains when possible – whole grain pasta vs. regular pasta – oatmeal vs. cream of wheat 47 • Key recommendations include: – fat-free or low-fat milk and milk products – calcium fortified soy beverages 48 • Key recommendations include: – lean protein • choose a variety of protein sources • replace some meat and poultry with fish or shellfish • replace some solid fat protein sources with oil containing protein sources, such as certain fish or nuts 49 • Key recommendations include: – oils • replace solid fats with oils as often as possible 50 • Key recommendations include: – eat foods which meet nutrient needs at each stage of life – keep within daily Calorie needs 51 • Key recommendations include: – track daily food and beverage consumption • aids in avoiding over consumption of daily Calories – continually assess and make necessary changes for health and weight management 52 • Key recommendations include: – keep foods safe to eat – avoid foodborne illness by properly storing and preparing foods 53 54 Assessment 1. Which of the following are Dietary Guidelines based on? A. Research and past health trends analysis B. Research and current social trends in American society C. Research and predictions of future trends in American society D. Research and predictions of commodity prices that influence affordable food 2. How many calories are in a pound? A. 5,000 calories B. 2,000 calories C. 3,500 calories D. 3,000 calories 55 Assessment 3. Which of the following is NOT a chapter of the Dietary Guidelines for Americans 2010? A. Balancing Calories to Manage Weight B. Maintaining an Active Lifestyle C. Building Healthy Eating Habits D. Helping Americans Make Healthy Choices 4. How many minutes of cardiovascular exercises are recommended per week? A. 150 minutes B. 60 minutes C. 180 minutes D. 95 minutes 56 Assessment 5. Judy suffers from hypertension, how many milligrams of sodium should she stay below? A. 2,300 milligrams B. 1,300 milligrams C. 1,500 milligrams D. 2,500 milligrams 57 58 1. Which USDA scientist performed some of the earliest food investigation? A. Albert Einstein B. Ben Franklin C. W.O. Atwater D. Percy Julian 2. What was the title of the first American nutrition conference? A. National Nutrition Conference for Defense B. National Nutrition Conference of the United States C. Nutrition for a Nation at War with Malnutrition D. Nutrition for a Healthy American Society 59 3. What are trans fats? A. Solid fats made from animal products B. Liquid fats made from plant products C. Solid fats from liquid fats D. Solid fats made from plant products 4. Which of the following is NOT true when stating the difference between MyPyramid and MyPlate? A. MyPyramid has fewer food groups than MyPlate B. MyPlate does not have an interactive website C. MyPyramid is a triangle and MyPlate is a circle D. MyPlate does not include information about oils 60 5. Which historical event was happening when the National Wartime Nutrition Guide was released? A. The Civil War B. World War I C. World War II D. The Korean War 6. What was the name of the food groups on the National Wartime Nutrition Guide? A. The Basic Five B. The Basic Six C. The Basic Seven D. The Basic Eight 61 7. Which food guide introduced Calorie levels as an important component of a healthy diet? A. The Food Wheel B. The Food Guide Pyramid C. MyPyramid D. MyPlate 8. What is the primary focus of the Dietary Guidelines 2010? A. To end hunger and malnutrition B. To encourage Americans to grow their own food C. To combat obesity and chronic illness D. To encourage Americans to eat more locally grown foods and support the local economy 62 9. What is the healthy limit of cholesterol according to the Dietary Guidelines 2010? A. 150 milligrams B. 300 milligrams C. 450 milligrams D. 600 milligrams 10. Which of the following is NOT a way in which Americans can reduce added sugars in their diets? A. Replace sugary beverages with water B. Eat foods which are naturally sweet C. Consume more sodas D. Eat fewer sweets 63 • Food & Nutrition Information Center. (2002, September). Historical food guides background and development. Retrieved from http://www.nal.usda.gov/fnic/history/ • U.S. Department of Agriculture. , & U.S. Department of Health and Human Services (2010, December). Dietary guidelines for americans, 2010. 7th edition. Retrieved from http://www.cnpp.usda.gov/Publications/DietaryGuidelines/2010/Polic yDoc/InsideFrontCover.pdf • Basic 4 Food Guide (1956 - 1979). Food For Fitness. Retrieved from http://www.nal.usda.gov/fnic/history/basic4.htm • Basic 4 Food Guide (1956 - 1979). A Guide to Good Eating. Retrieved from http://www.nal.usda.gov/fnic/history/basic4.htm • Basic 7 Food Guide (1943 - 1955). A Guide to Good Eating. Retrieved from http://www.nal.usda.gov/fnic/history/basic7.htm 64 Production Coordinators Amanda Jordan Brand Manager Christina Gallant Collaborator Candice “Nikki” Howell, P.A.-C. Mayo Clinic Transplant Center Graphic Designer Melody Rowell Technical Writer Jessica Odom V.P. of Brand Management Clayton Franklin © MMXIV CEV Multimedia, Ltd. Executive Producer Gordon W. Davis, Ph.D. 65