Tag Archives: guidelines

Guilty No More: Flossing Doesn’t Work

Mother Jones

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After years of judgment from dentists and abandoned New Year’s resolutions, we may now say without shame: “No, I don’t floss.”

Despite dentists and federal health agencies recommending flossing for decades, the Associated Press looked at research from the Department of Health and Human Services and the Department of Agriculture, and found little evidence that flossing actually helps keep your mouth clean.

Incredibly, reviewing studies that compared the effectiveness of using floss and brushing teeth to only brushing, the AP found most evidence was “weak” or “very low” that floss helps get rid of plaque.

The American Dental Association has already responded, saying it continues to recommend flossing once a day.

“Interdental cleaners such as floss are an essential part of taking care of your teeth and gums,” an ADA press release said. “Cleaning between teeth removes plaque that can lead to cavities or gum disease from the areas where a toothbrush can’t reach.”

The ADA provides a “seal of approval” to floss products that meet their safety and effectiveness standards, and charges manufacturers $14,500 for the initial evaluation, according to the AP. The ADA tells the AP it doesn’t profit from the evaluations, but the AP notes that companies are allowed to design their studies.

Many of the studies that best supported flossing, the AP found, didn’t test enough people, used outdated methods, or were too short to be conclusive. Notably, last year’s edition of the Dietary Guidelines for Americans removed flossing from its recommendations.

As one review of the literature on flossing put it: “The majority of available studies fail to demonstrate that flossing is generally effective in plaque removal.”

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Guilty No More: Flossing Doesn’t Work

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Will the New Dietary Guidelines Make School Food Healthier?

Mother Jones

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Who decides what kids eat at school? The answer is complicated, but one big piece of the puzzle is the US dietary guidelines, the nutritional recommendations released by the federal government every five years. Last week, the Obama administration dropped the long-awaited guidelines, urging Americans to cut down on sugar.

Many of us don’t pay much attention to the recommendations, but they guide the food served to millions of people through federal programs for women, children, the elderly, and other vulnerable populations. And overall, they’ve remained relatively consistent for decades: Americans should eat more vegetables, whole grains, and fruits, and less saturated fat, sodium, and added sugars. The suggestion to cut back on sugar this year sticks out because it is so specific: Americans are supposed to limit added sugar to no more than 10 percent of total daily calories. (In the past edition, Americans were simply encouraged to “reduce the intake” of added sugars.) For an American on a 2,000 calorie diet, 10 percent means no more than 12 teaspoons a day—a dramatic drop from the 30 teaspoons consumed by many Americans.

Here’s a comparison of how much added sugar the average American eats versus how much they should be eating, according to the most recent guidelines:

Dietary Guidelines for Americans, 2015-2020

The guidelines call for a pretty dramatic change—so can we expect school cafeterias to do a major sugar purge? Not necessarily—at least not anytime soon.

For starters, senior officials with the US Department of Agriculture don’t expect the new guidelines to affect school lunches—no surprise, since sugar doesn’t tend to be a big problem for lunch. But school breakfast is a different story—think sugary cereal, flavored yogurt, and pastries. Waffles and pancakes often come prepared with added sugar so schools don’t have to deal with messy maple syrup dispensers. The result is that school breakfasts often contain more than half of the recommended daily amount of sugar—and yet, currently, there are no sugar standards for school meals, says Margo Wootan, director of nutrition policy at the Center for Science in the Public Interest.

Snacks at schools can also be supersweet—foods compliant with the current federal standards include cereal bars, chocolate chip cookies, and frozen yogurt. There are sugar standards for school snacks, but they’re relatively weak—foods are supposed to be no more than 35 percent sugar by weight. (The typical sugary cereal bar is, by weight, about one-third sugar.)

But changing snacks and breakfasts so they align with the latest guidelines would likely take years—and such a change would be far from automatic. First, the USDA would need to issue rules requiring schools to comply with the dietary guidelines, and then schools would need to be given time to implement the changes. Timing is tricky, since, over the past five years schools have had to make dramatic changes to meals to comply with the Healthy Hunger-Free Kids Act—which was passed in 2010 but was not fully implemented until 2014. Many school nutrition directors weren’t great fans of those reforms—they resisted making meals healthier, claiming kids won’t eat more wholesome food.

What’s more, any changes to school food standards are sure to get significant pushback from the sugar lobby, which has already spent nearly $3 million on the upcoming elections—far more than other agricultural industries. The Sugar Association, the industry’s main trade group, released a statement last week calling the guidelines “agenda focused, not science focused.” And school food is big business for Big Sugar, says Wootan. “The cereal makers won’t want to reformulate for schools, and snack food companies—they’re not going to want to change.”

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Will the New Dietary Guidelines Make School Food Healthier?

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Here’s What the Government Thinks You Should Be Eating in 2015

Mother Jones

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Earlier this week, I wrote about some of the nutrition controversies surrounding the release of new United States Dietary Guidelines in 2015. The Guidelines, which inform public health initiatives, food labels, and what health-conscious parents decide to make for dinner, are revised every five years, with help from a scientific committee.

Today, that committee released its initial scientific report, an extensive 572-page tome on all the current thinking about healthy diets.

So what are we eating—and what should we be eating—in 2015?

Perhaps the biggest change this year could breathe some life into your breakfast habits: The cholesterol in egg yolks is no longer as much of a health concern. The US Dietary Guidelines used to recommend that you eat no more than 300 milligrams of dietary cholesterol a day, or under two large eggs. But this year, the committee has scrapped that advice as new research suggests that the cholesterol you consume in our diets has little to do with your blood cholesterol. Saturated fats and trans fats, on the other hand, could boost blood your blood cholesterol levels, as could unlucky genes.
The committee found that Americans lack vitamin D, calcium, potassium, and fiber in their diets. We also eat too few whole grains. On the other hand, we eat far too much sodium and saturated fat. Two-thirds of people over age 50, those most at risk for cardiovascular disease, still eat more than the upper limit, or 10 percent of their daily calories from saturated fat.
Gardeners, rejoice: The committee applauds vegetables in its latest report, describing them as “excellent sources of many shortfall nutrients and nutrients of public health concern.” Unfortunately, our veggie intake has declined in recent years, especially for kids. Only 10 percent of toddlers eats the recommended 1 cup of vegetables a day.
Added sugars, which make up 13.4 percent of our calorie intake every day, contribute to obesity, cavities, high blood pressure, and potentially cardiovascular disease. If you are in tip top shape, the committee suggests keeping your added sugar consumption under 10 percent of your daily energy intake, or roughly 12 teaspoons (including fruit juice concentrates and syrups). But for most people, the report adds, the ideal amount of added sugars is between 4.5 to 9.4 teaspoons a day, depending on your BMI.
Most adults are fine to keep drinking alcohol in moderation—one cup a day for women, and up to two for men. “However,” writes the the committee, “it is not recommended that anyone begin drinking or drink more frequently on the basis of potential health benefits.”
Be it máte, espresso, or chai, your caffeine habit is fine in moderation, up to 400 mg a day (3-5 cups of coffee). But before you start handing out the Rockstars: The committee found evidence that high levels of caffeine, such as those found in energy drinks, are harmful to kids and pregnant women. (Plus: See above for the danger of the added sugars found in many of these energy drinks).
Seafood is a pretty healthy thing to eat from a dietary standpoint, and concerns about mercury don’t outweigh the health benefits of eating fish, according to the committee. And yet, the collapse of fisheries due to overfishing “has raised concern about the ability to produce a safe and affordable supply.” The report suggests that both farm-raised and wild caught seafood will be needed to feed us in the future.
The committee found that a diet “higher in plant-based foods…and lower in calories and animal-based foods is more health promoting and is associated with less environmental impact than is the current US diet.” A group of 49 environmental and animal-welfare groups sent a letter to the US Departments of Agriculture and Health and Human Services to urge them to embrace this sustainability-oriented message in their Dietary Guidelines, which are set to be released later in 2015.

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Here’s What the Government Thinks You Should Be Eating in 2015

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Is The Government About To Warn America Against Meat?

Mother Jones

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Every five years, the United States Departments of Agriculture (USDA) and Health and Human Services (HHS) get together to revise their recommendations about what Americans should eat. These guidelines influence doctors’ health advice, food labels, the ever evolving food pyramid-turned-plate, and what goes into school lunches. For instance, in 2010, a time when more than half of adults were overweight or obese, the agencies recommended things like drinking water instead of sugary beverages, filling half your plate with fruits and veggies, cutting sodium, and just eating less in general.

It’s 2015, so time for some new advice. The guidelines draw on input from the Dietary Guidelines for Americans Committee (DGAC), which will publish a report sometime this winter. So what are the hottest items under debate this year? Here’s a run-down of what to look for in the upcoming Dietary Guidelines for Americans report:

The meat vs. plants showdown: It probably comes as no surprise that Americans eat a diet lacking in fruits and vegetables and full of too many solid fats. In fact, vegetable consumption was on the decline between 2001 and 2010 even as each of us now eat 202.3 pounds of meat a year; a bit less red meat than a few years ago but more poultry than ever before. In the past, the government has warned against overdoing it with red meat and urged people to chow down on lean meats like chicken and fish instead. But this year, for the first time, the committee might caution against overconsumption of all kinds of meat—and not just for health reasons, but also because of meat’s environmental footprint. Livestock operations now produce 15 percent of the world’s carbon emissions. Eating fewer animal-based foods “is more health promoting and is associated with a lesser environmental impact,” the committee suggested in its draft report.

Which of course has ruffled the meat industry. Removing lean meat from healthy diet recommendations is “stunning,” read a recent statement by the North American Meat Institute. “The committee’s focus on sustainability is questionable because it is not within the committee’s expertise.”

Cholesterol is back: Your body makes its own cholesterol but you also get some when you eat animal fats, including eggs. Previous guidelines warned that too much of the waxy substance in the blood leads to higher risk of heart disease, and recommended that adults consume no more than 300 milligrams of cholesterol a day. But this year’s guidelines might downplay dietary cholesterol’s risk, marking the comeback of the daily omelet. The DGAC’s December meeting notes stated that “cholesterol is not considered a nutrient of concern for overconsumption.”

“We now know that cholesterol in the diet makes very little difference in terms of bad cholesterol in the blood,” University of Pennsylvania’s molecular biologist Dan Rader told Forbes. People get high cholesterol in the blood because of their genes or because the body’s mechanisms for cleaning out blood cholesterol aren’t working properly, he explains.

We’ve been cautioned against cholesterol in our diets for the last fifty years, ever since the American Heart Association warned about it in 1961, reports the Washington Post. But in late 2013, a task force including the AHA found “insufficient evidence” in studies it reviewed to warn most people against eating foods high in the substance, such as eggs, shellfish, and red meat.

Put down the soda: I repeat: Put down the soda. Americans consume way too much added sugar, 22 to 30 teaspoons a day by some estimates, or nearly four times the healthy limits proposed by the AHA. And sugar-sweetened drinks account for nearly half of these added sugars. As Mother Jones has reported over the years, these jolts of added sugar have been linked with obesity, diabetes, metabolic disease, and a whole host of other ailments.

The World Health Organization turned heads last year when it reduced its recommendation about healthy added sugar intake from roughly 12 teaspoons to around 6 teaspoons a day (aka less than one can of Coke). The Dietary Guidelines might not go that far, but this year the committee will likely propose limits on added sugar for the first time: No more than 10 percent of your daily energy should come from added sugar, the committee suggests, which comes out to about 12 teaspoons a day for an adult with an average BMI.

Not sure how we feel about salt: “Sodium is ubiquitous in the food supply,” noted the Committee in its December meeting notes. The 2010 Guidelines recommended that adults consume less than 2,300 milligrams of sodium a day, a far cry from the 3,400 mg we inhale on average. The Guidelines also suggested that certain at-risk groups like people over age 51 and diabetics should eat less than 1,500 mg a day.

But while a 2013 report by the Institute of Medicine stated that reducing sodium intake is important for heart health, it also pointed to recent research suggesting that “sodium intakes that are low may increase health risks—particularly in certain groups”—like people with diabetes or kidney disease. The report asserted that there’s no evidence of benefits in reducing sodium intake to 1,500 mg for these subgroups or for the general population. While the Committee seems to want to warn people off sodium-laden diets for the 2015 guidelines, given these mixed findings about levels it seems unlikely that it will set a new defined limit.

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Is The Government About To Warn America Against Meat?

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