The New Dietary Guidelines: Lessons Learned and Researchable Issues F. Xavier Pi-Sunyer, M.D. Columbia University. The most prevalent chronic disease we now face is obesity, and obesity leads to:. Diabetes Cardiovascular disease Cancer Arthritis Pulmonary disease.
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Nutrient Composition: what are the optimal proportions of dietary fat and carbohydrate to maintain BMI and to achieve long-term weight loss?
Guthrie, Morton, 2000
“ In conducting the research on which this report is based, the Committee was struck by the critical and likely predominant role of the environment in determining whether or not individuals consume excess calories, eat a healthful diet, and are physically active.“
“By environment we mean the constellation of cultural forces, societal norms, family influences, changes in meal patterns, and commercial advertising.”
Plenty of fruits and vegetables the control of individuals”
More whole grains
Low fat, low sodium foods
Less red meat
Regular physical activity
Moderate alcohol if at all
Safe storage and preparation of foodNutrition and Activity Guidelines
Protein the control of individuals”15%
8%–10% Saturated fatty acids
10% Polyunsaturated fatty acids
15% Monounsaturated fatty acids
Calories: 500–1000 kcal/d reductionCholesterol: <300 mg/dFiber: 20–30 g/dRecommended Nutrient Content of a Weight-Reducing Diet
Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults– The Evidence Report. Obes Res 1998;6 (suppl 2).