International approaches to developing healthy eating patterns for national dietary guidelines

Davis, Karelyn; Esslinger, Krista; Munene, Lisa-Anne Elvidge; St‐Pierre, Sylvie

doi:10.1093/nutrit/nuy058

Cited by 12 publications

(11 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the Dietary Guidelines for Americans 2020–2025, they are referred to as “Limit Foods and Drinks Higher in Added Sugars, Saturated Fat, and Sodium, and Limit Alcoholic Drinks” [ 9 ], and in Australia as discretionary foods not included in the five major food groups (dairy, fruit, grains, meat and beans, and vegetables) and as food and drinks with higher fat/sugar/alcohol and a lower overall nutrient density [ 10 ]. The USA, Australia, and Denmark have estimated the maximum energy intake from EDNP food and drinks that would be possible to consume when complying with nutrition recommendations and dietary guidelines to ensure optimal nutrition [ 3 , 9 , 10 , 11 ]. In the USA, the Dietary Guidelines Advisory Committee has estimated an amount of energy that can be used for EDNP food and drinks called discretionary energy that is 6–18 E% of the total energy requirement [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Defining Energy-Dense, Nutrient-Poor Food and Drinks and Estimating the Amount of Discretionary Energy

et al. 2022

View full text Add to dashboard Cite

Overconsumption of energy provided by energy-dense, nutrient-poor (EDNP) food and drinks increases the risk of unhealthy weight gain and of obesity-related health outcomes. The aim of this study was to develop a nutrient profiling model for classifying EDNP food and drinks and to estimate the amount of discretionary energy for EDNP food and drinks in a recommended diet. A stepwise approach was used first to develop a nutrient profiling model for classifying EDNP food and drinks and then to estimate the amount of discretionary energy in a recommended diet using diet modeling. The nutrition profiling model comprised 24 macro- and micronutrients and energy density. The model classified 67% of 1482 foods and 73% of 161 drinks correctly as EDNP food and drinks compared with an expert-adjusted model. Sweets, chocolate, cake, cookies and biscuits, sweet and salty snacks, sugar-sweetened and artificially sweetened drinks, and alcoholic drinks were classified as EDNP food and drinks. The estimated amount of discretionary energy for EDNP food and drinks was 4–6% of the energy requirements for 4–75-year-old Danes. It seems prudent to have special attention on EDNP food and drinks in dietary guidelines and future public health initiatives to avoid overconsumption of energy.

show abstract

Section: Introductionmentioning

confidence: 99%

Defining Energy-Dense, Nutrient-Poor Food and Drinks and Estimating the Amount of Discretionary Energy

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Clinical trial interventions altering dietary patterns seemed to be more effective at lowering blood pressure than single nutrient supplementation ( 3 ). Also, they are extremely helpful in preventing nutrition-related diseases, such as cancer, cardiovascular diseases, and osteoporosis ( 4 , 5 ), and are used to assess how official dietary guidelines at the nutrient and food level are met by populations and subgroups ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns in Adults Following the Christian Orthodox Fasting Regime in Greece

et al. 2022

View full text Add to dashboard Cite

ObjectiveThe aim of the study was to identify and describe the dietary patterns seen in a carefully selected sample that follows the Christian Orthodox Church (COC) fasting regime in Greece.MethodsA number of 361 individuals from Northern Greece participated in this cross-sectional study. A number of 176 subjects have been fasting according to the COC recommendations since childhood and 185 non-fasters acted as the control group. Dietary data from a validated food frequency questionnaire were used to derive dietary patterns by principal component analysis (PCA).ResultsThree distinct dietary patterns were identified in the fasting population, the “COC Fasting,” the “Western,” and the “Traditional” dietary pattern, whereas in the non-fasting population, two dietary patterns were found the “Western” and the “Traditional.” The dietary patterns in the fasting population were associated with healthier lifestyle choices, such as abstaining from alcohol and smoke and reduced red and processed meats consumption.ConclusionFindings from the study revealed that people who adhere to the COC fasting recommendations since childhood tend to follow this dietary pattern throughout the year. By gaining insights into the energy and nutrient intake of this unique dietary pattern, public health stakeholders could promote healthier eating behaviors to prevent non-communicable chronic diseases, such as obesity and metabolic syndrome.

show abstract

“…To test this hypothesis, dietary modelling can be a useful way to assess the theoretical nutritional impact of increasing dairy consumption at a population level. Dietary modelling, also referred to as food pattern modelling, is a statistical technique that has been increasingly applied to inform development of dietary guidelines in parts of the world, including the United States, Australia, United Kingdom, and Ireland [4][5][6][7]. The 2020 Dietary Guidelines for Americans Advisory Committee defined it as a method to understand how changes to the amounts or types of foods and beverages in a dietary pattern might impact meeting nutrient needs [6].…”

Section: Introductionmentioning

confidence: 99%

The Nutritional Impact of Milk Beverages in Reducing Nutrient Inadequacy among Children Aged One to Five Years in the Philippines: A Dietary Modelling Study

et al. 2020

View full text Add to dashboard Cite

Around half of Filipino children are not consuming any dairy products on a given day, which has shown to be associated with increased risk of inadequate nutrient intakes. The current study applies dietary modelling to assess the nutritional impact of meeting dairy recommendations in reducing nutrient inadequacy in children aged one to five years in the Philippines. Dietary intake data of Filipino children aged one to five years (n = 3864) were analyzed from the 8th National Nutrition Survey 2013. Children who did not meet national dairy recommendations were identified. Two scenarios were applied, based on two types of commonly consumed milk products by the survey participants. In scenario one, one serving of powdered milk was added to the diet of these children. In scenario two, one serving of a young children milk (YCM) or preschool children milk (PCM) was added to the diet of children aged one to two years and three to five years, respectively. Mean nutrient intakes and percentages of children with inadequate intakes were estimated before and after applying modelling scenarios. Scenario one demonstrated improvement in calcium, phosphorus, sodium, vitamin A and riboflavin intakes, while in scenario two, further improvement of intakes of a wider range of nutrients including iron, selenium, zinc, magnesium, potassium, vitamins C, D, E, thiamin, niacin, vitamins B6, and B12 was observed. In both scenarios, if all children would meet their dairy recommendations, theoretical reductions in population nutrient inadequacy would be observed for all micronutrients, for example, only 20% of children aged one to two years would be inadequate in vitamin A instead of the current 60%, iron inadequacy would see a 5% reduction, and approximately 10% reduction for calcium and 20% reduction for folate. The present study is the first to apply dietary modelling to assess the theoretical impact of meeting dairy recommendations on nutrient inadequacy in children in the Philippines. Dairy consumption should be encouraged as part of the strategy to reduce nutrient inadequacies. Calcium, iron, vitamins D, E, and folate are of concern in the Philippines as the level of inadequacies are extremely high in early years, YCM and PCM can help increase the intake of these nutrients.

show abstract

International approaches to developing healthy eating patterns for national dietary guidelines

Cited by 12 publications

References 44 publications

Defining Energy-Dense, Nutrient-Poor Food and Drinks and Estimating the Amount of Discretionary Energy

Defining Energy-Dense, Nutrient-Poor Food and Drinks and Estimating the Amount of Discretionary Energy

Dietary Patterns in Adults Following the Christian Orthodox Fasting Regime in Greece

The Nutritional Impact of Milk Beverages in Reducing Nutrient Inadequacy among Children Aged One to Five Years in the Philippines: A Dietary Modelling Study

Contact Info

Product

Resources

About