Recommendations under “Foods and Nutrients to Increase”
1. Increase vegetable and fruit intake.
2. Eat a variety of vegetables, especially dark-green
and red and orange vegetables and beans and peas.
3. Consume at least half of all grains as whole
grains. Increase whole-grain intake by replacing
refined grains with whole grains.
4. Increase intake of fat-free or low-fat milk and
milk products, such as milk, yogurt, cheese, or
fortified soy beverages.
5. Choose a variety of protein foods, which include
seafood, lean meat and poultry, eggs, beans and
peas, soy products, and unsalted nuts and seeds.
Increase the amount and variety of seafood
consumed by choosing seafood in place of some
meat and poultry.
6. Replace protein foods that are higher in solid
fats with choices that are lower in solid fats and
calories and/or are sources of oils.
7. Use oils to replace solid fats where possible.
8. Choose foods that provide more potassium,
dietary fiber, calcium, and vitamin D, which are
nutrients of concern in American diets. These
foods include vegetables, fruits, whole grains,
and milk and milk products.
1. Cardiovascular disease – 81.1
million Americans have cardiovascular disease. Major risk factors: high levels
of blood cholesterol, type 2 diabetes, hypertension, metabolic syndrome,
overweight, physical inactivity.
2. Diabetes
– nearly 24 million people are diagnosed with type 2 diabetes. About 78 million
people in the U.S have pre-diabetes, means that blood glucose levels are higher
than normal, but not high enough to be called diabetes.
3. Hypertension
–74.5 million Americans have hypertension. Major risk factor for heart disease,
stroke, congestive heart failure, and kidney disease.
4. Cancer
– about 41 % of the U.S population will be diagnosed with cancer during
lifetime. Dietary factors are associated with risk of some types of cancer:
breast, colon, kidney, larynx, mouth, and esophagus.
5. Osteoporosis – bone disease that
is characterized by a decrease in bone mass and density which can lead to an
increased risk of fracture.
Top ten 10 sources of calories for
“overall” consumers (age 2+), based on NHANES 2005-6 data
Rank 1 to 10: grain-based
desserts, yeast breads, chicken and chicken mixed dishes, soda/energy/sports
drinks, pizza, alcoholic beverages, pasta and pasta dishes,
tortillas/burritos/tacos, beef and beef mixed dishes, and dairy desserts.
a. For items we eat less of than
we should, the calories from solid fats and added sugars seems to be the
hardest to attain the limits, with 280% of usual intake. The easiest item to
attain recommended limits is saturated fat, with 110% of usual intake.
b. For items we eat more of than
we should, calcium seems the easiest to attain the recommended goal, with 75%
of usual intake. The hardest to attain the goal seems to be the whole grains,
with only 15% of the usual intake.
Compare the usual U.S. diet against the “Mediterranean” diet
compared with average consumption in the U.S, these patterns feature increased amounts of vegetables, fruits, beans and peas, whole grains, fat-free milk, and decreased amounts of solid fats, added sugars, and sodium. The Mediterranean patterns do
not specify amounts of whole grains; however, intake of refined cereal grains
is typical for these patterns.