From the category archives:

Dietary Guidelines

Making the Mediterranean Diet Work For You

by Janet on March 24, 2013

4573787507_fa2d9f4f43_oI’m sure you heard all about the new research on the Mediterranean Diet that made headlines worldwide.  This large-scale study from Spain, published in the New England Journal of Medicine, got tons of attention because it was the first time we’ve had such strong evidence supporting the benefits of this style of eating.  Participants following the eating patterns common in Spain, and other coastal countries surrounding the Mediterranean Sea, had a significant reduction (about 30%) in the risk of stroke and other cardiovascular events.

No doubt the results were solid — and the researchers even suspended the study early (after five years) because it was so clear that those eating the Mediterranean Diet were benefiting in such significant ways that the control group wasn’t — there were still critics of the study.

Some experts claim the design was flawed because the control group did not follow a low-fat diet – and others thought the media over-hyped the results.  Despite the media brouhaha, and the study’s potential shortcomings, there are worse things than drawing attention to a diet rich in fruits and vegetables, whole grains, seafood and healthy fats like extra-virgin olive oil and nuts.  Plus, did I mention the wine?  Those following the Mediterranean Diet enjoyed a glass of red wine with meals.  Maybe we can’t conclude that the Mediterranean Diet is more beneficial than a low-fat diet, it’s certainly a better approach than the way many people eat in this country.   It’s also a style of eating that celebrates food, encouraging the pleasures of the table without a long list of restrictions.  I say that’s all good.

Maybe the Mediterranean Diet got a lot of praise in the press.  Perhaps the study’s results were over-hyped.  I’m OK with that. I would much rather have people eat like a Spaniard, Italian, Greek or Lebanese than eat like a Caveman.  It’s great that this style of eating got the type of attention that’s usually reserved for the latest fad diet.  All too often — the science-based, sensible approach doesn’t make news, or doesn’t sell books.  I hope this will help change that.  Two fantastic dietitian colleagues Meri Raffetto and Wendy Jo Peterson just wrote a book, the Mediterranean Diet Cookbook for Dummies, which can show you how easy and delicious it  can be to eat like you’re from the Mediterranean.9781118067789_cover.indd

We certainly enjoy Mediterranean-style meals at home. Here are some ways you can bring a bit of the Mediterranean to you every day.

Do not fear the fat. It’s still hard for some people to get over the idea that not all fats are bad. The Mediterranean diet is rich in healthy fats, such as extra-virgin olive oil, nuts and avocados.  Make your own vinaigrettes with olive oil instead of using bottled dressings.  It will be fresher and tastier – and you’ll even help enhance the absorption of some nutrients from the salad compared to using a low-fat dressing.  Another recent study found that the aroma of olive oil helped to enhance satiety, or feelings of fullness.  Saute your vegetables in olive oil, snack on nuts instead of chips or pretzels, and find new ways to enjoy avocados beyond guacamole.

Make vegetables a center-of-plate star. Forget the notion of starting your meal planning with a big slab of meat.  Find ways to have vegetables play a bigger role. As Americans, we often start our meal with a single salad drenched in a creamy dressing.  It’s much different in Lebanon, where we visit my in-laws every summer.  The Lebanese enjoy an array of vegetables during a meal, including salads made with some of the most nutritious greens you can eat –   tabbouleh with parsley, fattoush with chopped vegetables, sauteed chickory with caramelized onions, and fresh rocca salad with beets.  Meats are often served as kebabs, so you can enjoy a small portion after eating the vegetable-packed mezze.  Find ways you can shrink your meat portions — enjoy pastas that are studded with vegetables and just  a little meat, make a hearty stew with beans and small chunks of meat, and experiment with whole-grain entree salads topped with sliced roasted chicken.

Love your lemons. I always keep a big bag of fresh lemons in my fridge that I use to squeeze on vegetables or make salad dressings during the week. There’s nothing quite like a squirt of citrus to brighten up a dish.  On the weekends, I will often squeeze a bunch of lemons and make a batch of dressing with olive oil, grated fresh garlic and kosher salt. I keep this elixir in a bottle in the refrigerator and use it on everything – roasted cauliflower, arugula salad, sautéed broccoli and pasta dishes.

Face your fish-cooking fears. Dietary guidelines recommend 8 ounces of fish a week, but most Americans fall short of this goal.  For many people, it comes down to not knowing how to prepare fish and seafood at home.  It’s not a difficult task.  You’ll find lots ofHH_cover_asp1106_FNL.indd ways to gain seafood-cooking confidence in my new book, The Food Lover’s Healthy Habits Cookbook.  Eating seafood twice a week is one of the 12 healthy habits featured in the book. You’ll find fool-proof cooking techniques and tons of family-friendly fish recipes.

Embrace beans. We simply don’t eat enough beans in this country.  I love legumes, and try to find lots of ways to incorporate them into meals – adding to whole-grain pilafs, salads, pastas and casseroles.  And of course, beans are a great base for better-for-you dips, including my favorite hummus. If you need to get to know beans a little better, check out Bean by Bean by Crescent Dragonwagon. It’s a tremendous cookbook and bean guide.

What are your favorite Mediterranean-style meals?

Image courtesy of Yanoosh on flickr

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Overcoming Your Fear of Fat

by Janet on July 5, 2012

olive oil pouring - Selfish VeganLong demonized, dietary fats have made a break from the past, and I couldn’t be happier about it. Even so, the concept of good fats is an oxymoron for some folks.  It’s just stuck in their heads that all fat is bad.  But we’re a long way away from the old food pyramid that dumped all fat and oils into the tip with a warning to “use sparingly.”  Now liquid oils and other good fats like nuts have earned a coveted spot on USDA’s MyPlate.  For most adults, we should aim for 5-7 teaspoons of oils each day (which includes nuts, olives and avocados).

The topic of good fats was the focus of my latest blog for WebMD’s Real Life Nutrition.  In the post, I talked about a new Purdue study that should make you think twice about buying a fat-free salad dressing.  Researchers at Purdue found that a fat-free or low-fat salad dressing reduced the absorption of fat-soluble carotenoids – beneficial compounds in the salad such as lutein, lycopene, beta-carotene and zeaxanthin. So by buying some type of bottled fat-free dressing instead of mixing up your own vinaigrette with a luscious-tasting extra-virgin olive oil, you’re not only missing out on the benefits of the oil, you’re getting less out of the salad you just tossed.  Plus, just think how much better it’s all going to taste with your own dressing.

The study’s lead author Mario Ferruzzi advised:  

If you want to utilize more from your fruits and vegetables, you have to pair them correctly with fat-based dressings.  If you have a salad with a fat-free dressing, there is a reduction in calories, but you lose some of the benefits of the vegetables.

This is just another reason why it’s best not to assume that fat-free or low-fat is always better.  Sometimes you’re not even saving calories, as this comparison chart illustrates, and the “low-fat” health halo could coax you into eating twice as much, as three recent studies from Cornell University have shown. You also need to look at the ingredients that were used in a product to replace the fat (maybe extra sugar or refined carbs, perhaps more additives).  Even messages about eating a low-fat diet can backfire, as this overview from Harvard  asserts:

One problem with a generic lower fat diet is that it prompts people to stop eating fats that are good for the heart along with those that are bad for it.

So that’s the big  issue.  We need to get over our fear of fat so we won’t miss out on the multiple benefits of “good fats.”  And we need to get past the idea that low-fat is always better.  Here are some suggestions from Cornell University’s Food and Brand Lab on how to avoid the low-fat trap:

  • Pay attention to the calorie count of foods, particularly low–fat foods. When researchers went to a grocery store and looked at the fat and calorie content of various packaged foods, they found that although the low–fat versions of these foods have 59% less fat than the regular versions, the drop in calorie content is only 15%, which is not large enough to justify our increased consumption.
  • Understand what claims like “low–fat” and  ”reduced fat”  really mean, and be sure you’re looking at serving sizes on the label.
  • Consider buying regular or full–fat versions of snack foods instead of the low–fat ones if you think you’ll still be tempted to overeat. This is especially important for overweight people who showed a strong tendency to overeat low–fat foods, regardless of serving size labels. Also, some research shows that the ingredients companies use to replace the fat can actually make you hungrier, causing you to overeat.

 Image courtesy of Selfish Vegan on flickr

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myplateIt’s official, MyPyramid is now MyPlate.  I was on hand today for the big unveiling of the nation’s new food icon by Agriculture Secretary Tom Vilsack, Surgeon General  Regina Benjamin and First Lady Michelle Obama.

IMG_0773For many of us, we knew a plate was coming. So it was no surprise that a plate-shaped symbol was pushing aside the oft-maligned pyramd.  The poor MyPyramid of 2005 just never caught on, and I’m afraid that USDA lost some luster as a nutrition education leader with that misstep.  Even though, it’s unfair to blame the multi-colored pyramid for America’s obesity problem — as you’ll hear some people claim.

With today’s unveiling, I think the agency gained new respect and its efforts were surely propelled by the presence of the esteemed FLOTUS – who was incredibly elegant and well-spoken (as always) today at the Washington, DC event.

She gave the new MyPlate a strong endorsement:

“This is a quick, simple reminder for all of us to be more mindful of the foods that we’re eating and as a mom, I can already tell how much this is going to help parents across the country.  When mom or dad comes home from a long day of work, we’re already asked to be chef, a referee, a cleaning crew.  So it’s tough to be a nutritionist, too.  But we do have time to take a look at our kids’ plates. As long as they’re half full of fruits and vegetables, and paired with lean proteins, whole grains and low-fat dairy, we’re golden.  That’s how easy it is.”

Simplicity seemed to be the prevailing message today.  The new MyPlate was frequently described as …

  • an easy-to-understand visual cue
  • uncomplicated
  • simple, actionable advice

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Yes, that’s what we need.  People are just so overwhelmed with complex, often conflicting messages.  No wonder they’re confused.

We need to make it easy, and we need to give people the confidence that it’s doable.  I  really like the plate symbol because that’s the point of consumption.   We make choices one meal at a time.  So let’s put the focus back on mealtime.   People eat food, not pyramids.  They literally need to know what to put on their plates.

myplate 006I also like the idea that USDA will be focusing on one message at a time — that’s another reason people get overwhelmed and do nothing.  First up is the message:  “Make Half Your Plate Fruits and Vegetables.”   That’s a tremendous call-to-action — it’s a simple message than people can understand, and again, it’s focused on the plate.   There’s a schedule on ChooseMyPlate.gov on how USDA will roll out additional messages so people can focus on changing one habit at a time.  I like that.

The major messages include:
  • Enjoy your food, but eat less.
  • Avoid oversized portions.
  • Make half your plate fruits and vegetables.
  • Switch to fat-free or low-fat milk.
  • Make at least half your grains whole grains.
  • Compare sodium in foods like soup, bread and frozen meals and choose foods with lower numbers.
  • Drink water instead of sugary drinks.

To change habits, people need concrete, actionable ideas (and it needs to be enjoyable, so glad that’s a message!).  I think this approach is going to get us closer to changing behaviors.   I also loved to hear that USDA is going to put greater emphasis on social media to help educate the public. Bravo.

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As registered dietitians and bloggers, we’re here to help.  Here’s what RDs had to say about the new MyPlate:

Bonnie Taub Dix: USA Today  
Gloria Tsang: HealthCastle  
Toby Amidor:  Food Network’s Healthy Eats
Elizabeth Ward: Expect the Best
Lisa Young: The Portion Teller
Regan Jones: Professional Palate
Liz Weiss, Janice Bissex:  Meal Makeover Moms’ Kitchen
Alysa Bajenaru: Inspired RD
Serena  Ball:  Teaspoon Communications
Shelley Rael: Eat Well, Live Well, Be Well
Marisa Moore:  Marisa Moore Nutrition
Rachel Begun: The Gluten-Free RD
Katie Hamm: Healthy and Happy Hour
Elana Natker: A Sprinkle of Sage
Judy Doherty:  Food and Health Communications
Leslie Schilling: Born to Eat
Chere Bork:  Taste Life, With Chere
Cathy Leman: NutriFit
Danielle Omar 
Aarti Batavia    
Marie Spano: Performance Nutrition 
Carol Plotkin: On Nutrition
Jessica Levinson: Nutritioulicious
Penny Wilson: Eating for Performance
Heather Mangieri: Nutrition Checkup
Georgia Kostas
Kati Mora: Around the Plate
Emma Stirling: The Scoop on Nutrition    
Nicole German: Nicole’s Nutrition  
Annette Maggi:  Nutrition Outlook   
Kelley Biondolillo:  The Better Bitty Bite   
Susan Weiner: Susan Weiner Nutrition  
Nour El-Zibdeh: Practical Nutrition  
Carol Ireton-Jones
International Food Information Council:  Food Insight

myplate 004Registered dietitian Kathleen Zelman, director of nutrition for WebMD, spoke at a media briefing following the MyPlate reveal –discussing the plans WebMD has to implement the MyPlate guidelines.  Acclaimed chef Marcus Samuelsson also addressed the crowd, representing the culinary community’s efforts to help.

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In the media briefing room, USDA set up various examples to bring MyPlate to life.

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MyPyramid_4c

Sounds like the food pyramid is crumbling — or at least taking a back seat to a new symbol that will help Americans eat right.  On June 2,  the U.S. Department of Agriculture will unveil a new food icon that will replace the current MyPyramid.

If everything goes as planned, I’ll be there at the Washington, DC event and will be live blogging.  I’m also organizing a blog carnival, so you’ll be hearing more about all of this very soon.

You can tune in to view the press conference yourself on June 2 at www.usda.gov/live.   Plus, The press materials and other information will be available at www.cnpp.usda.gov.  Here’s a link to a WebMD article on the new icon.

USDA made an announcement today that Secretary Tom Vilsack will unveil the new food icon at 10:30 a.m. ET on June 2 which will “serve as a reminder to help consumers make healthier food choices.”  There’s been a lot of speculation on what this new tool will be.  I have a pretty good idea, but I’ll wait until June 2 to talk about it.

Today’s press release stated, “The 2010 White House Child Obesity Task Force called for simple, actionable advice to equip consumers with information to help them make healthy food choices. As a result, USDA will be introducing the new food icon to replace the MyPyramid image as the government’s primary food group symbol. It will be an easy-to-understand visual cue to help consumers adopt healthy eating habits consistent with the 2010 Dietary Guidelines for Americans.”

Hmmm, Wonder if Michelle Obama will be at the event.  Sounds like there’s some coordination with the White House. That’s a good thing.

So this new symbol will replace the pyramid, but it sounds like there will still be a role for MyPyramid:  ”MyPyramid will remain available to interested health professionals and nutrition educators in a special section of the new website.”  Ok, that’s fine.  The current visual never seemed to get much traction among consumers.   Sounds like it’s not fully going away, but will still be a tool for health professionals and nutrition educators.

What I’m most excited about is that this new food icon will be part of a bigger program to  help educate the public.  The June 2 event will unveil a “comprehensive nutrition communication initiative that provides consumers with easy-to-understand recommendations, a new website with expanded information, and other tools and resources.”  I’m really interested in what that will include.

So stay tuned.  I’ll be reporting back with more information on what’s unveiled at the press conference and what it means for you.  As always, let me know if you have questions.

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Helping America Eat Right

by Janet on March 9, 2011

NNM times squareWhat will it take to change the way America eats?

It will take an army of registered dietitians.  And we’re up to the task, thank you very much.

Well, it’s National Registered Dietitian Day, so we’re feeling pretty good about all that we do.  Still, we have our work cut out for us.

We just wrapped up an #RDChat on Twitter and several themes were revealed.  To truly help people adopt healthier habits, it’s important to…I'm Blogging National Nutrition Month

  • Focus on positive nutrition — adding delicious, nutritious foods instead of taking an “avoidance” approach
  • Get people comfortable in the kitchen — a lack of culinary skills is a primary barrier to healthier eating
  • Take small steps — people can get overwhelmed by drastic measures
  • Keep pleasure part of the picture — if you don’t enjoy what you eat, habits won’t stick

Stephen R. Covey, author of the iconic book The 7 Habits of Highly Effective People, defines a habit as the intersection between knowledge, skills and desire.  I think people know what they need to do to eat healthier –  so the knowledge is there.  Now we need to focus on the “how” and to inspire them to make those changes.  People need new skills and motivation to make it happen.

In honor of National Nutrition Month, several RDs participated in a blog carnival. Hope you’ll check out the great advice from these nutrition professionals.

Regan Jones,  The Professional Palate:  National Nutrition Month — Time for Show, Not Tell
Maryann Tomovich Jacobsen, Raise Healthy Eaters: The Wizard of Oz Guide to Making Healthy Habits Stick
Julie Upton, Katherine Brooking, Appetite for Health: Color Your Diet Healthy
Tracy Owens, Triangle Nutrition Therapy:  National Nutrition Month
Karman Meyer, Nutrition Adventures:  Color Your Plate
Rebecca Subbiah, Chow & Chatter:  Add Color to Your Plate!
Sarah-Jane Bedwell, Nashville’s Nutrition Expert: Color Yourself Healthier
Lyn Turton, Caledonia Nutrition: National Nutrition Month – Eat With Color
Janet Helm, Nutrition Unplugged:  It’s National Nutrition Month – Eat Right With Color
Emma Stirling, The Scoop on Nutrition:  Hop on the Hemp Wagon for National Nutrition Month
Chere Bork, Taste Life:  Five Ways to Eat the New USDA Science Guidelines
Bonnie Tandy LeBlang, Bite of the Best: National Nutrition Month – Registered Dietitian Day
Janel Ovrut, Eat Well With Janel:  National Nutrition Month – Top Foods You’re Not Eating
Jessie Claire, Good and Good For You:  Nutrition is all About Food
Rima Kleiner: Celebrating Food
Rachel Begun, The Gluten Free RD:  National Nutrition Month – Eat Right With Color!
Liz Weiss, Janice Bissex, Meal Makeover Moms’ Kitchen: Celebrate National Nutrition Month by Eating a Rainbow
Victoria Shanta Retelny, Living Well Communications:  Celebrate March by Eating Right
Elana Natker, A Sprinkle of Sage: What’s Your Nutrition Resolution?
Carolyn O’Neil, Dish on Dieting: Baby You Can Drive My Car…To the Healthiest Menus
Elizabeth Rahavi, IFIC’s Food Insight:  Eat Right With a Colorful Plate
Jill Castle, Just the Right Byte: What Will It Take to Get America’s Kids to Eat Right?
Sheila Viswanathan, The Lazy Dietitian: Happy Registered Dietitian Day
Brittany Glasset, Nutrition in a Nutshell: National Nutrition Month – Make a Rainbow on Your Plate
Diana Wind, Garden Cuizine: Nutrition Education and Art Activity for National Nutrition Month

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 vegetable plate

Marjeliion flickr.com

At last.  The much-anticipated 2010 Dietary Guidelines for Americans have been released.  They’re a bit late (as you tell by the 2010 moniker) but they’re here.  And now the real work begins — translating this policy into practice. 

In reality, the nutrition advice is not all that different from the last version 5  years ago.  Obesity is a bigger deal in 2010, and that was reflected by the first-ever emphasis on eating less.  Surprisingly, we’ve not had such a straightforward mandate. Now, 4 of the 23  key recommendations are related to balancing calories to manage weight.

“Discretionary calories,” a term from the 2005 guidelines that was never fully understood has morphed into “solid fats and added sugars,” which is probably another equally confusing concept.  This twosome (dubbed SoFAS)  is the biggest source of nonessential calories in the American diet — or foods that offer very little nutritionally besides calories.

Solid fats (major sources of saturated and trans fats) supply 19% of our total calories, with grain-based desserts as the biggest contributor — from butter, shortening and hydrogenated stick margarine.  Heavily-marbled meats are also major suppliers of solid fats.  Added sugars currently supply 16% of our total calories, and no surprise, the biggest contributors are soda, energy drinks and sports drinks.

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USDAgov on flickr.com

Keep in mind, what was announced today was the policy document from USDA and HHS.  This is intended to provide the scientific rationale to drive federal nutrition policy, including food and menu labeling, improving school foods and public health promotion.  What will be really meaningful is the consumer education initiative, which will be launched in the spring (an update of MyPyramid, which could be a pyramid or something new entirely).  Even so, I was glad to see that the committee spent time trying to boil down the 95-page report into some consumer take-home messages:

Balancing Calories

  • Enjoy your food, but eat less
  • Avoid oversized portions

Foods to Increase

  • Make half your plate fruits and vegetables
  • Switch to fat-free or low-fat (1%) milk

Foods to Reduce

  • Compare sodium in foods like soup, bread and frozen meals — and choose the foods with lower numbers
  • Drink water instead of sugary drinks

How great to see “enjoyment” even be part of the equation.   Sometimes that’s overlooked.  But I think that’s so important to emphasize.  You can still eat healthy and enjoy the food you eat.  Nutritious can be delicious.  How great would it be if the press conference today featured actual food — instead of the stark stage where Secretaries Vilsack and Sibelius gave their speeches to unveil the new guidelines. 

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USDAgov on flickr.com

After all, we eat food, not nutrients.  Probably the greatest advice of all was the call to action to make half your plate fruits and vegetables.  That’s a strong, actionable message.  That’s what we need.  We need to translate the science into small action steps that can truly change the way America eats. 

So bottom line, the new guidelines say we need to eat more vegetables, fruits, whole grains, lowfat dairy and seafood.  We need to consume  more calcium, vitamin D, potassium and dietary fiber – nutrients of concern in American diets. And the same time, we must reduce salt, solid fats, added sugar and refined grains.  That’s a tall order. 

This can all be overwhelming.  Even Secretary Vilsack admitted he hadn’t read the guidelines until he got the job with the USDA.  Hello, I wish you would have kept that to yourself.  How do we expect the public to take notice if you didn’t view them worthy until you were paid to help revise them?

I totally applaud the new Dietary Guidelines for Americans.  Now we need to offer solutions to help the public make them real.  That comes down to helping people know what to pack for lunch and put on the plate at dinner.  We need to better arm the public with specific solutions to make these guidelines a reality.

Keeping it real and making it enjoyable is a good place to start.

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Are Farmers The New Celebrity Chefs?

by Janet on May 27, 2010

Will-straightFarmers are now just as celebrated as superstar chefs.

And why not?

The farm is where good food begins.

Mitchell Davis recently wrote about the “era of the celebrity farmer” for the James Beard Foundation:  Move Over Celebrity Chef, Your Farmer is Ready for His Close-Up.

Now that the pages of People are peppered with sexy chefs and millions of viewers tune in weekly to see which chef is stronger than “Iron” or who will be crowned “Top,” the celebrity spotlight is saturated with men and women in whites.  Ever hungry for the next big thing, starmakers are casting their nets further afield — into the field, in fact, to draw in the overall-clad men and women who grow and harvest the food we eat.”

We’re seeing the trend with USDA’s new program “Know Your Farmer, Know Your Food,” an initiative to help more Americans understand where their food comes from and how it gets to their plate. The program hopes to connect people with their local farmers.

American farmers feed our nation and the world, but they are all local to somewhere. Get to know your local farmer, and get tolocal food pic know your food. USDA wants to foster the viability and growth of small and mid-size farms and ranches, and we want to create new opportunities for farmers and ranchers by promoting locally produced foods. We also want to build the infrastructure necessary to support a local food system, and we’ll need local partners to do that. Local and regional food systems mean fresh food, vibrant communities, a strong connection between cities and the countryside, and support for this and the next generation of farmers and ranchers.

Farmers have also become the latest stars of ad campaigns. One of the newest is for Lay’s that features the actual farmers that grow the potatoes used to make the chips.

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The farmer is definitely the hero at farmers’ markets, and many supermarkets (including Whole Foods) often tout farmers when promoting their local produce.niman beef
But you’ll also see a farmer’s presence on restaurant menus with the growing popularity of farm or estate-branded ingredients, artisan foods, heirloom vegetables and farm-to-table themed menus. There’s a tremendous interest today in food origins and traceability, which is being driven by food safety, quality and sustainability concerns.

Photo credit: Jimmy Fisbein for Time

Photo credit: Jimmy Fisbein for Time

All of these trends start with the farmer.  And the biggest rock star farmer these days is Will Allen, the founder of the Milwaukee-based nonprofit Growing Power, which has become a model for urban farming.

Allen was just recognized as a hero in Time magazine’s The 100 Most Influential People in the World issue:

A new movement is sprouting up in America’s low-income neighborhoods.  Some urban residents, sick of fast food and the scarcity of grocery stores, have decided to grow food for themselves.  One of the movement’s (literally) towering icons is Will Allen, 62, of Milwaukee’s Growing Power, Inc.  His main 2-acre Community Food Center is no larger than a small supermarket.  But it houses 20,000 plants and vegetables, thousands of fish, plus chickens, goats, ducks, rabbits and bees.  People come from around the world to marvel — and to learn.

The culinary world is also saluting the work of Will Allen.  The June issue of Bon Appetit features a great profile of this Milwaukee farmer:

“Kids are the key to improving the food system,”  Will told Bon Appetit.  “Children inherently know what good food looks like, tastes like — even if they don’t have access to it.   So kids can learn at our farms, and then share their experiences back at home.”

I agree, what a hero!  And I’d tune in to watch a show called Top Farmer or Iron Farmer. Why not?

Today’s farmers — they truly are outstanding in their field.

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Changing the Way America Eats

by Janet on November 9, 2009

Dietary guidelines 2010Every five years the government assigns a group of experts to scour the latest scientific evidence to help form the Dietary Guidelines for Americans. These experts convened in Washington , DC last week and the meeting was made public via a webinar.  This was the fourth meeting of the Dietary Guidelines Advisory Committee.  I wrote about the previous meetings in posts titled Debating Our Diets and What Should Americans Eat.

The recommendations are expected to be finalized in late spring or early summer.  Then they’ll be translated into an updated food pyramid and will guide policymakers, nutrition educators, school lunch professionals and health providers.  So they’re a big deal.MyPyramid_4c

It’s hard to say where the committee will end up, but here are some of the major points that I took away from the two-day meeting.

  • Obesity is public health enemy number one. No surprise, the group spent a lot of time talking about the country’s obesity epidemic.  They reviewed the latest evidence and basically concluded that…it’s the calories, stupid.  It’s not about manipulating carbs, fats or protein.  The  impact of the glycemic index and glycemic load was also dismissed.  It all comes down to total calories and dietary patterns.
  • Spend your calories wisely. The concept of nutrient density or eating more nutrient-rich foods was widely embraced.  That means eating foods that are rich in nutrients yet contain the lowest calories as possible.  It’s about considering  “nutrients per calorie” or getting the biggest nutritional bang for your calorie buck.  To illustrate this concept, the committee reviewed a dietary model or a theoretical calculation that showed if someone followed the guidelines but ate foods at the higher end of fat and sugar, they would consume 2,400 calories.  If someone chose the same types of foods but selected more  nutrient-rich options that were lower in fat and sugar (such as fat free milk instead of whole, or broth-based soups instead of creamy) they would consume 2,000 calories.  This is a “gap” of 400 calories between the “typical” and the “ideal.”  It’s where we need to move people to help them lower total calories but maximize nutrient intake.
  • Nutrients of concern. Even with our widening waistlines, we’re still falling short of several essential nutrients.  It’s like we’re overfed, but undernourished.  The importance of eating nutrient-rich foods was underscored by research presented on the nutritional inadequacies in the American diet.  The “nutrients of concern” for children and adults are calcium, vitamin D, magnesium, potassium and dietary fiber.  For specific population groups, including seniors and women of childbearing age, the shortfall nutrients include vitamin B-12, folate, choline, iron and phosphorus.
  • Praise for a plant-based diet.  The committee spent a lot of time discussing the merits of a more plant-based diet.  In fact, the group received a flood of public comments (most of the 750 comments submitted) about vegetarian/vegan eating.  While I don’t think we’ll see the Dietary Guidelines actually recommend a meat-free diet, I do expect there will be a greater emphasis on plant-based foods.  The committee said it’s important that Americans shift to a diet with fewer animal-based foods to a diet more focused on plant foods.  One committee member hoped Americans would begin eating meat 2-3 times per week instead of 2-3 times per day.  Expect to see the flexitarian approach gain even wider recognition.
  • Variety of vegetables. There was a lot of talk about realigning vegetable subgroups.  Currently there are 5 subgroups:  dark green, orange, starchy (potatoes) legumes (beans) and other. The committee discussed ways to better categorize vegetables, including defining “other” and adding a red/orange group that includes tomatoes (since tomatoes are a big contributor to overall vegetable intake).  They also talked about ways to reinforce the importance of eating a wide variety of vegetables, including the concept of choosing the deeper, darker ones most often — such as kale instead of iceberg lettuce.
  • Cut the salt. All eyes are on sodium as the next dietary evil.  In fact, sodium may be the new “trans fat.”  We now consume an average of 3,400 mg of sodium per day, yet we should keep our intake to less than 2,300 mg per day.  There’s been a lot of speculation about lowering daily sodium recommendations, but the group said it’s going to be tough for Americans to eat less sodium because of the current food supply.  That’s why they discussed the goal of incrementally reducing sodium from 2,300 mg to 1,500 mg in a stepwise fashion. They also talked about linking sodium to calories instead of the same blanket recommendations for everyone.  That means people with higher calorie needs would have a slightly higher upper limit of sodium compared to those with lower calorie needs.  This concept of anchoring specific nutrient intake levels to calories was a frequent theme (including fiber recommendations).

Two more meetings are planned before the release of the scientific report in late spring or early summer 2010.  I’ll keep you posted.  Sure, it’s easy to be cynical about the government guidelines and question if the average joe consumer is even aware of them.  But at least there is a systematic, evidence-based process of evaluating scientific research.  The guidelines are not simply a point of view — they’re based on peer-reviewed research.  So I can certainly support that.

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Debating Our Diets

by Janet on May 5, 2009

As promised, wanted to give you an update on some of the discussions last week from the 2010 Dietary Guidelines Advisory Committee.  This panel is dg20101is charged with developing the revised guidelines that will be issued next year by the U.S. Department of Agriculture (USDA) and Department of Health and Human Services (HHS).  I appreciated all of the comments from my earlier post, and I understand some of the cynicism.  But I will remain optimistic.  The group has emphasized many times that they’re using an evidence-based system to draft the report, so the strongest science should win out.  Let’s hope.

But I agree with many of you that people are confused.  In fact, that’s being discussed at the meetings.  Patricia Crawford from the University of California, Berkeley, told the committee that the public understands the recommendations for fruits and vegetables, but that’s about it.  She said they can’t translate what they’re supposed to do with the information given.  What’s needed, she said, is a “national set of benchmarks and standards.”

Who knows what will be in the final report, but here are a few highlights from the discussions:

  • Eat whole foods.  Rather than focusing on individual nutrients, the committee talked about the need to emphasize whole foods.  After all, people eat foods, not nutrients.  Research suggests many Americans are confused by the Dietary Guidelines, which they find too complicated and too focused on nutrients, rather than specific foods. 
  • Positive nutrition.  Instead of focusing on what NOT to eat, a more pyramideffective approach may be to advise Americans on what to eat more of — such as fruits, vegetables, beans and whole grains.  So it’s about foods to encourage, rather than discourage.
  • Figuring out  fat.  The committee debated the merits of eliminating a limit on total fat and instead focusing on reducing just the unhealthy type — saturated fat, trans fat and cholesterol.
  • Cut the salt.  Sodium was heavily discussed and there’s some indication that it may be the next trans fat.  Most Americans have trouble keeping sodium under the current recommended daily limit of 2,300 mg and now there’s talk of potentially lowering it to 1,500 mg per day — or at least the “rationale” for doing so was presented. There was some discussion of the benefits of increasing potassium to offset our high-sodium diets.
  • New view of food groups.  We grew up  with the “Basic Four” and now MyPyramid identifies five food groups.  What’s the best way to categorize foods?  Besides the individual groups, there was a lot of talk about identifying the best or most nutrient-rich choices within each food category.
  • It’s the calories, stupid.  The committee talked about bringing the attention back to calories.  Popular weight loss plans all achieve about the same weight loss results — so it’s about eating less, not following a particular diet.  Cutting calories was the main ingredient for successful weight loss.
  • Economics of eating.  A huge part of the discussion involved eating well on a budget.  Adam Drewnowski suggested that we  look at obesity as an economic issue first — food costs affect diet quality and appear to significantly increase the risk of obesity and type 2 diabetes.   Andrea Carlson showed how it’s possible for a family of four to meet the Dietary Guidelines for $137 per week by using  USDA’s thrifty food plan.
  • Nutritional gatekeepers.  Brian Wansink encouraged the group to target the nutritional gatekeepers — women who make 72% of the food decisions for their families, whether they eat at home or at a restaurant.

I’ll report back after the 4th committee meeting in the fall.  In the meantime, I welcome your comments.

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What Should Americans Eat?

by Janet on April 28, 2009

Some of the country’s top experts have been assembled to help figure this out.  During the next two days, a panel of scientists, nutritionists, epidemiologists and physicians will be meeting in Washington, DC to review the best scientific evidence to help craft the new 2010 Dietary Guidelines for Americans.  This is the third meeting of the 13-member committee and I’ll be reporting back on some of the discussions during this public hearing.

photo credit: bigstockphoto.com

photo credit: bigstockphoto.com

In the meantime, here’s what Adam Drewnowksi, an epidemiologist at the University of Washington, told the Washington Post.  He’s one of the experts that will be addressing the panel this week.

  • “My hope is that they will at least take the economics of nutrition into account, really think through about real foods for real people.  Dietary choices are economic decisions, like everything else…. I’d like to see a focus on affordable, nutrient-rich foods by category.  They do exist; not everything nutritious is expensive.  For instance, with vegetables the focus has been on fresh salad greens.  But there are cheaper vegetables that provide a whole range of nutrients:  cabbage, carrots, potatoes….We need to advise people what those foods are, where you can get them and how to cook them.  It’s a diet for a new Depression.  Foods we’ve always know are good and nutritious — and inexpensive. ” 
  • “Unless we aid the public in identifying foods that are nutrient-rich and affordable — and are enjoyable in the mainstream of the American diet — none of this will work….When we want to change the population’s diet for the better, everybody says stop eating oils, sugar, and go with leafy greens.  That’s dramatic.  Instead, nudge your diet toward foods that are more rich in nutrients of interest.”  
  • “You have to know something about nutrition — and you have to know how to cook.  It takes a bit of time, but not an inordinate amount.  In addition to time, though, it takes some education, cooking skills, culinary culture and infrastructure: pots, pans, a stove.  For a lot of people, those things are slipping out of reach…. Eating well is a matter of knowledge, money and timeSome people are zero for three.”
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