America’s new dietary guidelines include infants and children for the first time


Used by health care professionals and policy makers, the guidelines determine what Americans of all ages will eat over the next five years and provide a foundation for federal nutrition programs.

HHS Secretary Alex Azar said, “Science tells us that good nutrition leads to better health outcomes, and new dietary guidelines make Americans use the best available evidence to make healthy decisions for themselves and their families.” Statement.

“USDA and HHS have expanded this version of the dietary guidelines to provide new guidance for infants, children, and pregnant and lactating women, helping all Americans improve their health, regardless of their Whatever the age or standard of living. “

Alcohol and sugar intake

Despite this extended guidance, including early life stages, the advisory committee does not follow quantitative recommendations in two key areas – alcohol and sugar intake – addressed by scientific reports.

The guidelines, which build on previous versions of dietary recommendations, draw from the scientific report of the Dietary Guidelines Advisory Committee, which was released in July. However, suggestions in science-based reports can be vetoed when actual final recommendations take shape and are published.

The committee’s report suggests reducing current guidance from two drinks for men and one drink a day for women who drink one a day for both women and men.

For the first time, dietary guidelines include recommendations for infants and children.
However, the guidelines released did not include “changes in quantitative recommendations because according to the dietary guidelines, there was no prior adherence to evidence in the material reviewed by the committee to support specific changes.” “Like previous editions, limited intake of these two food components is encouraged.”

According to the new guidelines, adults may choose not to drink or drink two drinks a day or less in a day for men, and drink in moderation by limiting or drinking less for women. The guidelines state that pregnant women should not drink.

“According to a statement issued by the American Drink Association, the federal government’s decision to maintain current dietary guidelines around alcohol intake reflects current science and should be appreciated”.

There is no added sugar for infants, the US advisory panel recommends, as it advises early feeding

According to an industry trade group statement, “USDA and HHS rightly rejected the advisory committee’s suggestions to limit alcohol intake for men.” “New developments about human health should never be dismissed, but the debate should be driven by sound science, not an agenda.”

The American Institute for Cancer Research was pleased to see “recommendations for a diet rich in fruits, vegetables and whole grains, and low in sugar-sweetened foods and beverages,” Dr. AICR’s vice president of research, Dr. Nigel Brockton said, statement.

But “maintaining this flawed advice implies that two drinks per day are safe for men; this advice contradicts strong evidence that less than one drink per day is consumed by head and neck, esophagus and Increases the risk for many cancer types. Breast cancer, “he said.

Excess of glucose

The committee also recommended that no amount of extra sugar is good for the development of a child.

Parents and guardians should avoid excess sugar in a child’s diet, the committee recommended, as a strong link to childhood obesity and future chronic health conditions.

Instead, the recommended amount of added sugar remained at 10% of the daily calories in the guidelines, although the guidelines recommended no additional sugars for children under 2 years of age.

New guidelines suggest that from the age of 2, a child should consume less than 10% of calories per day of added sugars, while those younger than 2 years should avoid foods or beverages with added sugars.

Yet prior research has found that on average, babies consume one teaspoon of extra sugar a day, while babies consume about 6 teaspoons a day.
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Sugars are used to sweeten processed foods and beverages, and differ from natural sugars that are part of a glass of fruit or milk. However, while 100% fruit juice may appear to provide the same nutritional benefits as whole fruit, in fact according to the American Academy of Pediatrics this is not so.

According to the committee, “About 70 percent of sugar intake is from five food categories: sweetened beverages, sweets and sweet snacks, coffee and tea (candy and sugar), and snacks and cereals and bars.”

On a food label, added sugar may include “brown sugar, corn sweetener, corn syrup, dextrose, fructose, glucose, high fructose corn syrup, honey, lactose, malt syrup, maltose, molasses, raw sugar, and sucrose.” . For the American Centers for Disease Control and Prevention.

Recommendations for infants

The most comprehensive guideline is to “follow a healthy dietary pattern at every living standard.”

Feeding for the first 6 months of life, especially to infants. Continue to breastfeed infants at least through the first year of life, and if desired, for a longer period of time, “the new guidelines state that parents and guardians must be given life before human milk is unavailable. Infants should be fed an “iron-fortified” formula during the year.

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Breast milk contains healthy micronutrients that are important for a child’s development, which can for the most part be influenced by a woman’s diet and supplement use.

This first guideline also suggests introducing “nutrient-dense” foods to infants in the 6 months of life “with potentially allergenic foods”.

“After focusing on berths — 24 months, we generally recommend and are pleased with the key message of ‘counting every bite’,” pediatrician Dr. Said Steven Abrams, who is chairman of the American Pediatrics Committee on Nutrition. E-mail.

“Recommendations align well with the AAP policy supporting exclusive breastfeeding for up to 6 months with the introduction of peanut-containing foods from 4 to 6 months in infants at high risk of peanut allergy.”

Potential areas of nutritional concerns in the development of the baby revolve around iron, zinc, and vitamin D. Because breast milk does not contain sufficient amounts of vitamin D until the mother is supplemented at high levels, guidelines will soon be supplemented by vitamins Recommend providing infants with D. Birth.

The introduction of fish and fish with peanuts, eggs, cow’s milk products, tree nuts, wheat, soy, and other complementary foods can reduce the risk of a child developing food allergies.

Lisa Gable, CEO of the non-profit organization Food Allergy Research and Education, said in a statement, “Fareb is thrilled to include more comprehensive dietary guidance around the early introduction of eggs and peanuts for infants and children.”

And for those 12 months through old adulthood, follow a healthy dietary pattern throughout life to meet nutritional needs.

Broad recommendations

The guidance states that the “healthy dietary pattern” consists of dense forms of nutrients in all food groups and food and beverages in recommended amounts and within the calorie limit. These foods include protein, oil, dairy, vegetables, grains, and fruits.

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This pattern includes dark green, red and orange vegetables, beans, peas, lentils and other starches, whole fruits and whole grains, as well as vegetable oils, lean meats, poultry, eggs, nuts, fat-free or low-fat milk. There are yogurt and cheese.

And finally, the final guideline is to “limit foods and beverages to more sugars, saturated fats and sodium, and limit alcoholic beverages, to every standard of living.”

A child at the age of 2 should consume less than 10% of calories per day of saturated fat. Consumption of sodium should be less than 2,300 milligrams per day, and also for children under 14 years of age.

“Less sodium intake strategies include cooking at home more often. Using nutrition facts labels to choose products with low sodium, low sodium, or foods with no salt, etc. and salt Taste foods with herbs and spices instead. Personal and cultural food, according to new guidelines.

The limit on sodium, however, has not shifted from the 2015 report.

The American Institute for Cancer Research has also suggested that the recommendations do not represent research about the health benefits of reducing sugary processed meats altogether and incorporating sugars in excess of 10% of calories recommended by the new guidelines .

What is missing

The guidelines do not touch on the subject of red meat – a major supplier of saturated fat in the American diet and a major player in the argument on food sustainability and environmental impact. And the new guidance does not say much about processed foods.
A short history of American cuisine (whatever it is)

Instead, the guidelines suggest replacing processed or high-fat meats such as hot dogs, sausages, and bacon to meet protein recommendations. They also suggest that the majority of a person’s meat and poultry should be fresh, frozen or canned, and in leaner forms, like chicken breast or ground turkey, rather than processed meat such as ham or other deli meat.

Overall, the guidelines are similar to those of the old-fashioned and released in 2015, said nutrition researcher Marion Nestle, who has written several books on food politics and marketing, including 2015’s “Soda Politics: Taking on Big Soda (and Winning)”. “

“They have also hidden or reduced the importance of the main food sources of sugar, saturated fat and salt,” Nestle said.

And if you want to limit your intake of salt and saturated fat, then clearly the staple food is? Sandwich.

Nestle said, “Ultraprocessed ‘is a new way of talking about foods that should not be eaten regularly or in large quantities.

But the term does not appear in the guidelines.

Those issues have not been addressed, critics say, because the independence of the 2020 Dietary Guidelines Advisory Committee was lifted by the federal government.

“For the first time in the 40-year history of dietary guidelines, agencies – USDA and HHS have set the scientific agenda,” Nestle said.

Nestle was on the advisory committee in 1995, at a time when the committee set the agenda, researched and wrote guidelines. This changed in 2005, when it was decided that the committee would write the scientific report, while the agencies would write the guidelines.

Nestlé said that this time, the agencies have also set the scientific agenda, which makes it a “purely political process”.

The agencies appointed the committee, but ignored their strict recommendations.

Going forward, Nestlé believes that we do not need a more repetitive and conservative set of guidelines like the one released on Tuesday. “We need to see what the world looks like in 2021 and change based on that.”

Scott Gottlieb, former Commissioner of FDA from 2017 to 2019, Tweeted, “These guidelines are intended as a public health tool. Thus, we need to restructure how they place public health agencies in charge of the FDA, ASH (American Society of Hematology).” While the USDA may have one. Role, decisions must be made solely within the context of a public health. “

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