Chapter 2 Nutrition Tools Standards and Guidelines Dietary Reference Intakes (DRI) – Four categories of recommendations for healthy people • Recommended Dietary Allowances (RDA) • Adequate Intakes (AI) • Tolerable Upper Intake Levels (UL) • Estimated Average Requirements (EAR) DRI • DRI Recommendations for: – Vitamins – Minerals – Carbohydrates – Fats – Protein – Water – Fiber – Energy DRI • Specific recommendations for: – Infants – Children – Men – Women – Pregnant women – Lactating women – Specific age ranges DRI • DRI Characteristics – Based on scientific research – Includes a margin of safety – Optimal intakes: disease prevention DRI • Recommended Dietary Allowances (RDA) & Adequate Intakes (AI) – Individual nutrient recommendations – Meets the needs of at least 97% of people – RDA Based on solid evidence – AI Based on less solid evidence – Pages A and B DRI • Upper Limit (UL) – Maximum amount of a nutrient that appears safe for most healthy people – Based on total intake from foods, supplements & fortified foods – Exceeding the UL toxicity – intake above the UL, risk of toxicity – Different people have different ULs – Not all nutrients have a UL set – Page C Setting Energy Needs • Estimated Energy Requirements (EER) – # of calories need per day to maintain weight • based on age, sex and being “active” – Page A and Appendix H 1000 1,400 1,800 2,200 Calories 2,600 3,000 1000 1,400 1,800 2,200 Calories 2,600 3,000 DRI • Acceptable Macronutrient Distribution Range (AMDR) – % of calories recommended per nutrient • 45 – 65% calories from carbohydrate • 10 – 35% calories from protein • 20 – 35% calories from fat Dietary Guidelines • USDA and HHS publish – Tells us how to be healthy and risk of disease – For aged 2 and over – Revised every 5 years – Basis for federal nutrition policies and programs Dietary Guidelines for Americans History 1980 – 2010 2010 2000 1980 1990 1985 1995 2005 Dietary Guidelines, 2010 at a Glance Executive Summary Chapter 1. Introduction Chapter 2. Balancing Calories to Manage Weight Chapter 3. Foods and Food Components to Reduce Chapter 4. Foods and Nutrients to Increase Chapter 5. Building Healthy Eating Patterns Chapter 6. Helping Americans Make Healthy Choices Appendices Dietary Guidelines – 3 Goals • Balance calories with physical activity to manage weight – Eat less – Limit portion sizes – Move more Dietary Guidelines – 3 Goals • Eat more nutrient dense foods – Fruits & vegetables (all colors) • ½ your plate – Whole grains (at least ½) • ¼ your plate – Plant foods – Fat-free and low-fat dairy products & seafood – Provides needed nutrients Nutrient Dense and Non-Nutrient Dense Forms of Sample Foods Dietary Guidelines – 3 Goals • Eat less: – Salt – Saturated fats, trans fats & cholesterol (meat) – Added sugars & refined grains • Sugary drinks – Currently 35% of diet. 5-15% max from SoFAS Comparison of Consumption to Recommendations http://health.gov/dietaryguidelines USDA Food Guide • Food group plan – Designed to meet the Dietary Guidelines for Americans – Foods grouped together based on nutrient content – See page 40 1 medium piece of fruit = 1 tennis ball ½ cup fruit = a mouse ½ cup of vegetables = ~ 1 ice cream scoop or mouse ½ cup rice fits in a cupcake wrapper 3 ounces meat fits in palm of hand 3 oz chicken = deck of cards 1 tablespoons peanut butter = ½ ping pong ball 1 ½ ounces cheese = 6 stacked dice (1/4 oz per die) or one domino p43 Portion Sizes • To control calories, you must control portion sizes Click to Play ABC Video Clip: “Restaurant Nutrition” USDA Food Guide • Discretionary Calorie Allowance – Calories left after eating enough nutrient dense foods ChooseMyPlate Click here Click here Click here Exchange Systems • Groups foods into categories based on: – Calories – Grams of fat, carbohydrate and protein – Tells specific foods in each category – Tells exact portion size – Used originally for diabetics Exchange Systems • Three primary groups: – Carbohydrate – Meat and Meat Substitutes – Fat • Appendix D Exchange Systems • Categories vary – Corn, potatoes and peas are in the starch group – Cheese is counted as a meat Exchange Systems • Serving sizes vary – Rice and pasta are 1/3 cup How to Read Food Labels -Video Food Labels • Food Labels Must Include – Common name of the product – Contact info for the manufacturer, packer, or distributor – The net contents in terms of weight, measure, or count – Nutrition Facts panel – Ingredients: what’s listed first is what is contained the most – Calories per gram The name and address of the manufacturer, packer, or distributor The serving size and number of servings per container Calorie information and quantities of nutrients per serving, in grams (g) and milligrams (mg) The common or usual product name Approved nutrient claims if the product meets specified criteria The net contents in weight, measure, or count Approved health claims stated in terms of the total diet Quantities of nutrients as “% Daily Values” based on a 2,000-calorie energy intake Daily Values reminder for selected nutrients for a 2,000- and a 2,500calorie diet Calorie per gram reminder The ingredients in descending order of predominance by weight Fig. 2-11, p. 50 Nutrition Facts Panel • Serving size – Common measures for comparison – Represents a single serving – Not realistic! • Servings per container Nutrition Facts Panel • Nutrient amounts and percentages of daily values – Calories – Calories from fat – Total fat • Saturated fat • Trans fat – Cholesterol – Sodium Nutrition Facts Panel – Total carbohydrate • Dietary Fiber • Sugar – Protein Nutrition Facts Panel • Vitamins and Minerals – Vitamin A – Vitamin C – Calcium – Iron Nutrition Facts Panel • Daily Values -Nutrient standards used on food labels -Based on a 2,000 calorie diet -Allows comparison between foods -Not updated for new DRI recommendations Nutrition Facts Panel • Two Types of Daily Values -Optimal intakes for nutrients -Maximum intakes for cholesterol, total fat, saturated fat, and sodium Table 2-6 p55 Food Labels Food Labels Controversy 2 Phytochemicals • Phytochemical – Non-nutrient in plants – Gives plants color – Helps prevent disease Phytochemicals Phytochemicals Phytochemicals • Sources of Phytochemicals -Fruits -Vegetables -Whole grains -Beans -Nuts Phytochemicals • Phytochemical Supplements? – Hard to isolate an individual compound – Synergistic effects – Effectiveness unknown – Safety unknown – Not just the phytochemicals that prevent disease; what else in those foods? -Can’t add something to a supplement if you don’t know about it