The fact that more than 20% of the United States adult population is obese presents a major public health concern. However, the failure to follow through and maintain weight loss on their own, after termination of counselling, makes the long-term success of weight loss programs difficult to achieve.
Health professionals often assume that patients will dutifully comply with recommendations simply because they are urged to do so. The magnitude of noncompliance has been well documented. Adherence to dietary programs is thought to be poorer than to medication regimens. [Glanz, K.: Dietitians' effectiveness and patient compliance with dietary regimens. JADA 84:444, 1984.] Dietary regimens are often restrictive, require changes in life-style and behaviours, interfere with family habits and customs, and are of long duration.
Weight control methods are considered a success if weight loss is maintained without expense to overall health. A goal of any successful weight reduction program is to promote permanent life-style changes. The physical and psychological consequences of repeated weight fluctuations may be more harmful than maintaining some degree of overweight. [Rock, C.L., & Coulston, A.M.: Weight control approaches: A review by the California Dietetic Association. JADA 86:44, 1988] The ultimate goal of all weight loss programs is to reduce nutritional risk factors associated with chronic diseases by increasing consumer awareness of healthy food choices.
In 1992 over 49 million people were dieting. The National Council Against Fraud estimates that quackery costs consumers between $25 billion and $50 billion a year – and nutrition fraud is the most common type. [Legislative Highlights, Journal of the American Dietetic Association. Page 648 - 650. May 1990]
Therefore to identify a quality weight loss program, and not to be misled by a “fad diet”, the following indicators must be considered:
A variety of foods. Weight control programs should be individualized to fit people’s life-styles and food preferences. Individualization diminishes feelings of deprivation, which lead to discouragement, bingeing, and rebound weight gain – all hallmarks of the yo-yo diet syndrome.
Enough calories to maintain good health. Consuming less than 1200 kcal a day may result in loss of muscle instead of fat and may compromise nutritional status as a result of deficient nutrient intakes.
Realistic weight loss goals. To lose body fat and not just water, a maximum weight loss of 2 pounds per week is advised.
Regular exercise. Especially as we age, exercise can be the key to weight loss and maintenance of a desirable weight.
Behaviour modification. Registered dietitians counsel people to keep lost weight off by helping them alter their eating behavior and responses to foods for the rest of their lives.
Unfortunately, a current trend toward the view that a single food is either a panacea or a poison is being gradually adopted by major health associations. This “good food/bad food” dichotomy ignores the consensus among nutritionists that all foods can be compatible with health when used in moderation as part of a balanced, varied diet.
Over the past decade people have become obsessed with the nutritional value of the food they eat. Time and again, nutrition ranks high among consumer concerns, along with food safety, convenience, quality, and value. In the United States sales in the “healthy foods” category accounted for $65 billion in 1985, but are expected to reach $98 billion by 1995.
Consumers are asking for specific information about which foods and, in particular, which brands of packaged foods to choose from when they eat or purchase foods. For example the broad guideline to avoid to much fat, saturated fat and cholesterol require specific behaviour implementations that include:
Eat more fresh fruits and vegetables, whole grain breads and cereals, potatoes, rice noodles, dried beans, peas, and lentils.
Choose low fat dairy products, including skim, 1%, and 2% milk, low-fat cheeses, and low-fat yogurt.
Choose lean meats, fish, chicken and turkey.
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The folklore and superstition of cultures throughout history have attributed healing or harmful properties to certain foods. This tendency has not disappeared with the advent of the sciences of nutrition and medicine. Food folklore continues today, although in many instances it is inconsistent with scientific evidence.
Nutrition fraud is a comprehensive term used by the US Food and Drug Administration (FDA) to describe the abuses that occur as a result of the misleading claims for traditional foods, dietary supplements, and dietary products and of the deceptive promotion of other food substances, processes, and devices.
Food faddism is a dietary practice based upon an exaggerated belief in the effects of food or nutrition on health and disease.
Food fads derive from three beliefs:
Until Einstein’s equation, E=mcï¿½, which may also be written Calories=mcï¿½ is invalidated the only way to reduce weight (m) is to reduce the amount of calories consumed (E). In other words, to lose weight it is necessary to eat less calories each day than you burn up, and the only way to gain weight is to eat each day more calories than you use. [Herbert, J., (Chief Hematology & Nutr. Lab. Bronx VA Medical Center) : Nutrition Cultism - Facts & Fictions. 1981.]
Food quackery, which involves the exploitive, entrepreneurial aspects of food faddism, is the promotion for profit of special foods, products, processes, or appliances with false or misleading health or therapeutic claims. A food quack is one who pretends to have medical or nutritional knowledge and who promotes special foods, products, or appliances with false or misleading claims, usually for personal financial gain.
Nutrition fraud flourishes today because of the diversity of cultures, the historical tradition of concern for health and the use of natural remedies, and the introduction of advanced communication technologies.
Food faddism has its roots in Great Britain, where patent medicines were advertised and sold by everyone from hawkers to goldsmiths. In the colonies, legal protection of consumers against fraudulent claims was first recorded in Massachusetts Bayin 1630. Nicholas Knopp, was whipped and fined five pounds for selling a cure for scurvy that had “no worth nor value” and was “solde att a very deare rate”. [Young, J.H. The toadstool millionaires: a social history of patent medicines in America before federal regulation. 1961.]
One of the earliest nutrition faddists was Sylvester Graham, a “back to nature” reformer who was suspicious of any food altered from its “natural” condition, such as white flour. His legacy continues among those who question whether processed food of any type can provide adequate nutrition.
Although, it must be noted that processed foods should not necessarily be eliminated from a persons diet because of this belief, it is true that without fortification the more a food is processed and thus differs from its natural form the less nutrient dense it will be.
Some groups such as fruitarians actually go a step further, they don’t eat processed or cooked foods. The reason being that when a food is cooked it is not able to be digested and becomes toxic. There is no scientific evidence to back this argument to its fullest extent.
Popular interest in nutrition, coupled with concern about food shortages during World War I, was fostered by the increasing promotion of the health properties of foods in the early 20th century. Vitamins, by the very nature of their discovery, became associated with the prevention or cure of disease and were soon promoted as curative agents.
Today the travelling patent medical man has been largely replaced by the highly skilled and organized use of electronic means to promote fraudulent marketing – computers, customized mailing lists, national advertisements, and other mass media. The medium and the details have changed, but the message and the goals remain. It is difficult for consumers to evaluate the validity of the health claims perpetrated by quacks and faddists.
Purveyors of nutrition fraud capitalize on people’s desire to be healthy and on the lack of certainty in many areas of nutrition and health. No writer for a lay audience has any special insights into nutrition which are not known by a substantial part of the scientific community. Magic and sensational diets are nothing more than exaggerations of one facet of nutrition at the expense of another, often to the detriment of the willing victims.
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With increasing consumer awareness of nutrition, and the influence of nutrients on dietary related diseases, the need for accurate and standardization of nutrition labeling is apparent.
The eating habits of Americans have changed extensively since the turn of the century. Changes have occurred in the composition of foods because of improved production methods, new varieties, and advances in food processing.
The primary changes in the past 70 years have been an increase in the percentage contributed by fats, oils, sugars, and sweeteners and a decrease in the percentage contributed by grain products. Although no change has occurred in the amount of protein consumed, a greater proportion now comes from animal sources. Dietary fiber is considerably below the recommended level. In general, intakes of vitamins and minerals are adequate in the United States today.
From a general marketing standpoint, it is readily apparent that nutrition “sells” to today’s consumer, making nutrition an integral part of product development and promotion. Consumer feedback is a powerful mechanism for manufacturers in developing new products that provide the health and nutrition characteristics sought by the public. Food marketers guard a product’s front panel with fervour for the purpose of promotion and competition, they oppose any labeling proposals that threaten their control of this part of food packages.
Americans are increasingly aware of health risks associated with sodium, fat, and cholesterol and report eating less salt, red meat, butter, whole milk, and eggs.
Studies on the use of food labels reveal that consumers want comprehensive nutrition information. About half of consumers report that labels fail to provide all the information they desire and that more information should be provided on caloric, fat, and sodium content.
Laboratory analysis provides quantitative nutrient information for nutrition labeling of food products. Considerable improvement is needed to validate and standardize analytical methods for use in nutrition labeling. Particular problems exist in the measurement of dietary fiber and many vitamins, and in databases used for foods for which direct laboratory analysis is impractical.
If consumers are to make the dietary adjustments recommended by health experts, they must be able to make informed choices in food selection, preparation, and consumption. Although about half of packaged foods currently carry nutrition labeling, the lack of relevant and consistent information on all food products is a major deterrent to consumers who wish to make informed choices.
The Committee on the Nutrition Components of Food Labeling, National Academy of Sciences, Washington D.C., recommends that nutrition labeling be made mandatory on most packaged foods. There is no longer a plausible excuse for packaged foods not to provide nutrient information.
Current dietary recommendations advise consumers to modify their intake of certain food constituents. In considering those dietary recommendations, the committee believed that more categories of food should be required to carry nutrition labeling. That nutrition labeling be provided at the point of purchase for produce, seafood, meats, and poultry. In addition restaurants should make information on the nutrient content of menu items available to consumers on request.
Growing public interest in nutrition has led manufacturers to characterize their products as nutritionally beneficial through widespread use of principal display descriptors; this practice has drawn considerable attention from regulatory bodies and groups concerned with health.
Despite the high popularity of terms such as “low-calorie”, “fat free”, “no cholesterol”, “fiber rich”, and “lite”, the potential for confusion, exaggeration, and deception has prompted proposals that these descriptors be prohibited. Although it may be truthful to label a food “no cholesterol”, that descriptor would mislead someone if the food also contains substantial amounts of total fat and saturated fatty acids.
Nutrition information on food labels is a mechanism to provide information and facilitate behavior modification. The government should allow the information to appear and regulate content, format, and placement. Although information campaigns to promote health are generally aimed at enhancing knowledge, changing attitudes, and improving skills, changes in consumer knowledge and attitudes do not directly result in adoption of health-promoting practices. Consumers need information to make long-term dietary changes, yet more than just information is necessary to achieve this goal.
Dietitians are the health professionals most involved in educating consumers about the use of food labels in selecting foods to meet dietary goals. Most diet-related health problems develop gradually, without immediate or dramatic symptoms. Risk factor reduction and disease prevention through dietary change require individuals to make long-term and often arduous changes in food habits.
For the food industry, health professionals, and consumer groups, it will be of interest in terms of their own objectives in promoting nutrition labeling changes that are in line with current dietary recommendations and in product development. [Earl, R., Porter, D.V., Wellman, N.S., Nutrition labeling: Issues and directions for the '90s. Institute of Medicine National Academy of Sciences. September 1990.]
The rules of labeling are set out by the Food and Drug Administration (FDA). The following are excerpts from comments presented to the Advisory Committee on the FDA’s Subcommittee on Food and Veterinary Medicine, on September 6, 1990, by Nancy S. Wellman, PhD, RD, President of The American Dietetic Association.
FDA needs independence from politics, particularly in regard to rulemaking. FDA autonomy is essential to its mission. It has been dismaying for dietitians to see rulemaking proposals stalled and/or overturned as has happened in the past for health claims, cholesterol, and various food safety issues such as food colors. Food labeling is an example where FDA suffers from the lack of overarching government-wide policy. FDA must be allowed to make decisions independent of current Administration bias.
Dietitians believe Americans want a stronger, yet reasonable FDA – an FDA in tune with the times, an FDA with the autonomy to fulfill its mandate. The FDA must take a more contemporary, broader role in not only safeguarding, but improving the nutritional status of Americans.
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What’s for breakfast – coffee? Most mornings, we barely glance at the kitchen. Fixing breakfast takes up precious time that’s in short supply. But there’s ample evidence that the simple act of eating breakfast — every day — is a big part of losing weight, lots of weight.
“People skip breakfast thinking they’re cutting calories, but by mid-morning and lunch, that person is starved,” says Milton Stokes, RD, MPH, chief dietitian for St. Barnabas Hospital in New York City. “Breakfast skippers replace calories during the day with mindless nibbling, bingeing at lunch and dinner. They set themselves up for failure.”
The Benefits of Breakfast
Eating breakfast is a daily habit for the “successful losers” who belong to The National Weight Control Registry. These people have maintained a 30-pound (or more) weight loss for at least a year, and some as long as six years.
“Most — 78% — reported eating breakfast every day, and almost 90% reported eating breakfast at least five days a week – which suggests that starting the day with breakfast is an important strategy to lose weight and keep it off,” says James O. Hill, PhD, the Registry’s co-founder and director of the Center for Human Nutrition at the University of Colorado Health Sciences Center.
Earlier this year, two studies in the Journal of the American Dietetic Association backed up this finding. Though they were funded by cereal companies, dietitians say they underscore the message – breakfast is important to weight loss.
A group of researchers analyzed data from a government-funded study that followed more than 2,000 young girls from ages 9 to 19. They found that regular cereal eaters had fewer weight problems than infrequent cereal eaters. Those who ate cereal occasionally had a 13% higher risk of being overweight compared to the regular cereal eaters.
Another research group analyzed government data on 4,200 adults. They found that regular breakfast eaters were more likely to exercise regularly. And women who ate breakfast regularly tended to eat fewer calories overall during the day. Those men and women who ate breakfast cereal had lower overall fat intake — compared to those who ate other breakfast foods.
It makes sense: Eating early in the day keeps us from “starvation eating” later on. But it also jump-starts your metabolism, says Elisabetta Politi, RD, MPH, nutrition manager for the Duke Diet & Fitness Center at Duke University Medical School. “When you don’t eat breakfast, you’re actually fasting for 15 to 20 hours, so you’re not producing the enzymes needed to metabolize fat to lose weight.”
Among the people she counsels, breakfast eaters are usually those who have lost a significant amount of weight. They also exercise. “They say that before having breakfast regularly, they would eat most of their calories after 5 p.m.,” Politi tells WebMD. “Now, they try to distribute calories throughout the day. It makes sense that the body wants to be fueled.”
Reade more – www.webmd.com
“Nothing will benefit human health and increase chances for survival of life on Earth as much as the evolution to a vegetarian diet.”
- Albert Einstein
This site covers the nutritional and dietary guidelines presented by the mainstream to the general population. So when vegetarian diets have a direct effect on a persons state of health, it has been noted. For example in the Vitamins chapter there is mention of the fact that a strict vegetarian may need to supplement B12.
Although it is becoming more popular, either for moral or health reasons, a vegetarian diet still seems to have a strange stigma attached to it.
Hundreds of millions of people are vegetarian (eg. Hindus for religious reasons); more health professionals are discouraging the consumption of animal fats and red meats, that have been shown to increase the chance of obesity, cancer and other diseases; and the environmentalists who know that much of the limited resources, on Planet Earth, are wasted by converting them to meat.
It takes 2,500 gallons of water, 12 pounds of grain, 35 pounds of topsoil and the energy equivalent of one gallon of gasoline to produce one pound of feedlot beef.
70% of US grain production is fed to live stock.
5 million acres of rain forest are felled every year in South and Central America alone to create cattle pasture.
Roughly 20% of all currently threatened and endangered species in the US are harmed by livestock grazing
Animal agriculture is a chief contributor to water pollution. America’s farm animals produce 10 times the waste produced by the human population.
There are sound reasons for health, ethically, and ecologically to be vegetarian. There is nothing strange about being vegetarian.
Vegetarian, the belief in and practice of eating exclusively vegetable foods and abstaining from any form of animal food.
To what extent this definition applies, in reality varies, what it refers to is a strict vegetarian or a vegan. Lacto-vegetarians include milk and other dairy products in their diet. Lacto-ovovegetarians eat milk, dairy products and eggs. Those who eat fish are not vegetarian.
A vegan, excludes animal flesh (meat, poultry, fish and seafood), animal products (eggs, dairy and honey), and the wearing and use of animal products (eg. leather, silk, wool, lanolin, gelatin). The vegan diet consists totally of vegetables, vegetable oils, and seeds.
vegan ‘ve-gen also ‘ve-jen or -,jan\ n [by contr. fr. vegetarian] (1944) : a strict vegetarian who consumes no animal food or dairy products; also : one who abstains from using animal products (as leather) _ veganism ‘ve-ge-,ni-zem, ‘va-ge-, ‘ve-je-\ n .
Partial vegetarians exclude some groups of animal foods but not others. A diet that excludes red meat but includes fish is often adopted for health not moral reasons.
Zen macrobiotic diets. This is a Japanese way of eating based on the ‘Yin Yang’ theory. It aims to keep the balance between Yin and Yang (positive and negative) aspects of life for optimal spiritual, mental and physical welfare. Foods are divided into Yin and Yang, and a spiritual goal is aimed for by working through ten levels of diet. These gradually eliminate all animal produce, fruit and vegetables towards the final goal which is only cereal (brown rice). Fluids are also severely restricted. Many nutritional deficiencies may develop and death can result. Infants and children subject to these restrictions are particularly at risk [Thomas et al., 1988]
This is extreme, not all macrobiotic diets are so extreme and are often equivalent to a balanced vegan diet. It is important to eat as much variety of food as possible and not limit it to one group of foods.
If you are vegetarian or want to become one, start off by giving up one kind of animal food, the one that offends you most. Once you are used to supplementing this food with another of vegetable origin, tackle the next. Progressively reaching the level of vegetarianisim you desire, slowly over a period of time. This progressive vegetarian is one who changes their eating habits / lifestyle at a positive rate, by doing so you allow your body to adjust to the eating of new types of foods or foods that may have given you troubles before (beans). It also gives you time to learn more about nutrition and increase your pool of knowledge on the subject. Thus it is not a fad diet that you will give up the next day but a progressive change towards a healthy lifestyle.
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This is “A diet plan used by the Birmingham Alabama Hospital in their Cardiac Unit for patients who need to lose weight fast before having heart surgery. Up to 40 lbs a month could be lost using this plan!” This quote, published in a popular magazine, has been passed on with the diet for your informational purposes only — Please ask your doctor if it is safe based on your special needs before trying it.
“Do not vary or substitute any of the foods. Salt and pepper may be used but no other seasonings – use this diet 3 days at a time. In 3 days you will lose 10 lbs. After 3 days, you can eat your usual foods but don’t over eat! After 4 days of normal eating, repeat the 3-day plan.”
Black coffee or tea,
½ grapefruit or 4 oz of grapefruit juice
1 slice toast
1 Tbsp peanut butter
½ cup tuna or 1 slice cheese
1 slice toast
black coffee or tea
2 slices any type meat (3 oz)
1 cup string beans
1 small apple
1 cup vanilla Ice Cream
Black coffee or tea
1 slice toast
1 cup cottage cheese or ½ cup tuna
5 saltine crackers
black coffee or tea
1 or 2 hot dogs (no bun)
1 cup broccoli or cabbage
½ cup carrots or turnips
1 cup vanilla ice cream
Black coffee or tea
5 saltine crackers
1 slice cheddar cheese
1 small apple
1 boiled egg
1 slice toast
black coffee or tea
1 cup tuna
1 cup beets or carrots
1 cup cauliflower or greens
1 cup cantaloupe
½ cup vanilla ice cream
Testimonial: I lost an initial 10 pounds using this diet, then, by just moderating portions within a reasonably balanced diet over the following 15 weeks, continued to lose a pound a week for a total loss of 25lbs.
This above diet may be a little hard to follow for some people. I have included a link to another diet plan by a former body builder that works well for people looking to lose weigh more gradually and helps keep the weight off.
The guide is called “Burn the Fat, Feed the Muscle” and you can get more information by Clicking Here.
Diet Plan from – http://www.moreforyourhealth.com/free-diet-plan.html
Marilyn Stephenson, a registered dietitian and director of the Office of Nutrition and Food Sciences in the FDA Centre for Food Safety and Applied Nutrition explains just exactly what a balanced diet is: [A How-To Guide to a Balanced Diet, FDA Consumer, Pg 23, October 1986]
Eating a balanced diet means eating a wide variety of foods. A traditional way of getting a balanced diet has been to eat a certain number of portions from certain food groups, as defined by the US Department of Agriculture.
The five basic groups are vegetables; fruit; bread and cereal; dairy; and meat, poultry, fish, and legumes (dry beans, lentils and peas).
It’s recommended that you have four servings from the fruit and vegetable group, and should include one good source of vitamin C each day, such as citrus fruit, and a good source of vitamin A, usually deep-yellow or dark-green vegetables. From the bread and cereals group, it is recommended that you get six basic servings including some whole-grain bread or cereals. The recommended servings from the milk and cheese group vary with age, the highest recommendations for teens and nursing mothers (four servings). Two basic servings from the meat, poultry, fish and bean group are recommended.
Then there’s the sixth group: fats, sweets, and alcohol. It’s a group you want to avoid getting too many servings from. Foods in this group have plenty of calories and not a fair balance of other nutrients.
Eggs, as a protein source, are included in the same group as meat, poultry, fish and beans. One egg is considered a serving in that group. So if you eat two eggs for breakfast you have obtained your recommendations from the protein group and should have no more egg, meat, poultry or fish that day.
Read more at www.diet-and-health.net