USDA Guideline Updates; Guiding Towards Change- by Jacquelyn G. Thompson

 

USDA Guideline Updates
Guiding Towards Change

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 By: Jacquelyn G. Thompson | Oct. 16, 2021| M.S. in Clinical Nutrition |

aka. "That Little Buff Chef"

 


The USDA guidelines are a changing and evolving set of regulations, based on the eating patterns of American’s as well as based on current dietary recommendations to address disease, chronic illness, or nutrient deficiencies affecting Americans, utilizing guidance on eating patterns and amounts as a way to help individuals meet basic health needs and address these concerns through helping them make informed dietary choices and be able to best self-monitor things like portion control.


The Lowdown on Label Laws 


These regulations are updated every 5 years to best reflect needs that help achieve basic health markers as well as to adapt to match nutritional information with realistic eating patterns. One of the biggest updates was that of changes being made to the nutrition facts label, which has not changed in more than 20 years (1). Some of these updates include changes to daily values (%DV), an emphasis on serving size and calories, and updated portion sizes of some foods themselves to match actual consumption, such as individual drink bottles counting as one serving or an increase in a standard serving of ice cream to closer match what a typical consumer would portion out for themselves as opposed to consuming more especially in the case of altered serving sizes or “health framing” which this update additionally aims to prevent (2)(3).


 These adjustments allow for more realistic information on portions to be provided to the consumer. Additionally key changes in the layout to the nutrition panel have also been made to address consumer needs such as larger font sizes making it easier to not only find information on calories and portion size, but also for those such as elderly or international consumers, or those with issues revolving around English language or literacy providing numerical information in a larger and easier to find format (3), as well as a more detailed display of carbohydrate breakdown including fiber, sugars, added sugars, and total carbohydrates. This update is meant to help consumers make informed decisions to meet one of the new recommendations of consuming less than 10% of total calories in the form of added sugar as obesity and diabetes are a growing concern for all groups and ages of American’s. But this is not the only focus of the dietary guidelines as education is also a key area of focus overall (1).

 

Food Choice, Caloric Density, and Culturally Focused

Some goal areas of emphasis are that of “making every bite count” a key line in the update used to put emphasis on informed food choices based on nutrient density over caloric density. There is also a focus on leafy greens, vegetables, fruits, using 85% of daily calories to meet nutrition needs while staying in calorie limits, allowing for the remaining 15% to account for other uses such as sauces, condiments, and flavor additives. Additionally, a focus on customizing these guidelines according to phase of life as well as personal preference, budget, and cultural traditions have also been included to reflect different areas of income and the ever-growing diversity found in “typical” American households. One group receiving more focus is that of fortified dairy alternatives and “Beans, Peas, and Lentils” formerly referred to as “Legumes” a change that was made to better reflect foods found in this group as well as portray more familiar language to the general public when considering guidelines and choices (1).

 

 

Big Moves for Moms and their Littles

And a Focus on Lifecycle and Sub-Populations 

Another key focus of the update is that of pregnant and lactating women, even including recommendations on how long to breast feed and approaches on when to introduce solid foods (1). This is huge as this helps mothers meet the nutrient needs for both themselves and their baby, an area that in the past fell short for many women due to a lack of support at home, age, physical location, access to healthcare, or other reasons that in the past have created a gap in information for young, new, underprivileged, international, or non-native speakers, and low-income mothers. There are additionally recommendations across the lifespan from birth, infants, toddlers, adults and aging adults, a reflection of findings to show that not only are all age groups effected but addressing health concerns begins at and prior to birth. This creates a shift to teaching healthy habits from a multigenerational approach with specificity targeting the needs of each different group, as well as puts future generations in a position of learning healthy habits throughout various life phases before chronic conditions are able to start.

 

 

 

A Shift Felt the WHO-le World Over

While these updates are a better reflection of the multicultural-ness of many American homes, there are still key differences that some of these individuals may recognize compared to their country of origin, or when comparing American guidelines to those around the world. For example, if you have ever traveled out of the country you may have noticed the nutrition label in some countries such as India may displays their units in terms of a single serving (in grams), as well as in terms of 100 total grams, seen in some European countries as well. Foods are also labeled as vegetarian friendly, but as we don’t have as high a population of one religious or dietary group specifically, this information still is voluntary in the U.S. although there has been a shift for a high vegetable-based diet, as well as a spotlight on dairy and protein alternatives in the new guidelines as well.

 

One of the big differences though is in alignment with what was arguably almost a recommendation in our guidelines as well, with an even further reduction in added sugars as most of European countries and WHO (the World Health Organization) have already moved in this direction.


While these updates are a step in the right direction there are still some calling for these changes to call for even more of a shift, calling for a reduction of added sugar to be 6% of total calories, which would fall in alignment with those falling in line with recommendations already made by the WHO which recommends less than 25G/person/day (3), as opposed to 10%.

Additionally, some have voiced a need for more emphasis on reducing alcoholic beverage consumption to 1 per day as overconsumption of alcohol has been found to be a contributing factor to disease states such as diabetes, obesity, and cancer, as well as having an influence on eating behavior such as lessening inhibition, lead to a higher chance of over consumption or making unhealthy food choices, as well as effecting the way in which food is metabolized in general as alcohol is a toxin and required by the body to be broken down prior to other macronutrients creating a higher likelihood of storing these calories instead.

Furthermore, while an increase in fresh fruits and vegetables are ideal, the dietary demands of following the MyPlate diet proposed in the guidelines may just be unrealistic for some, especially those utilizing SNAPs benefits which may not cover the cost of sticking to the guidelines called for stating that the monthly cost alone when analyzed for a family of 4 ranged in cost from $1,109 to $1,249 per month, with a family with adolescent boys costing higher (4). These recommendations though were not made, with the key reason being that this may further hinder or over restrict causing many to give up in other areas or in making healthy choices entirely.

 


References:

 1. Gov D. Dietary Guidelines for Americans 2020 -2025 Make Every Bite Count with the Dietary Guidelines.; 2020. https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf

 2.  Van der Horst K, Bucher T, Duncanson K, Murawski B, Labbe D. Consumer Understanding, Perception and Interpretation of Serving Size Information on Food Labels: A Scoping Review. Nutrients. 2019;11(9):2189. Published 2019 Sep 11. doi:10.3390/nu11092189

 3.  Beecher K, Alvarez Cooper I, Wang J, et al. Long-Term Overconsumption of Sugar Starting at Adolescence Produces Persistent Hyperactivity and Neurocognitive Deficits in Adulthood. Front Neurosci. 2021;15:670430. Published 2021 Jun 7. doi:10.3389/fnins.2021.670430

 4.  Mulik K, Haynes-Maslow L. The Affordability of MyPlate: An Analysis of SNAP Benefits and the Actual Cost of Eating According to the Dietary Guidelines. J Nutr Educ Behav. 2017;49(8):623-631.e1. doi:10.1016/j.jneb.2017.06.005

 

 

 

 

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