Archive for January, 2014

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By David Grotto, RDN, LDN

After 20 long years, the FDA is now proposing revisions to the Nutrition Facts label, commonly found on the pack of food and beverage containers.

Why? Many experts agree that the information contained within the label is outdated or not clearly understood by the consumer. This may explain why less than half of adults currently read the nutrition label, with any regularity. Though encouraging news from a recent USDA study, which found that label reading has increased by 34% over the past two years, improvements are still needed to get the rest of us on board.

What information from the nutrition fact panel isn’t resonating with consumers?
Calories. Experts and consumers agree. This info is probably the most important thing on the label and should be easily seen. Bolded and larger font size for “calories” is being proposed.
Calories from fat. Science supports that total calorie intake is far more important than where calories come from. Though it is important to know if a product contains healthy fats or bad trans fats, we no longer have to be “total fat-phobic”. News Flash! Olive oil derives 100% of its calories from fat. See how “Calories from fat” doesn’t help much?
Grams. As much as our elementary teachers have tried, we (as Americans) have not warmed to the metric system. Most consumers have no idea what 30 grams of something looks like. Instead, use teaspoons, tablespoons, cups, handfuls or a shot glass (okay – I understand how much that is – maybe the kids won’t).
Sugars. Is it total sugars in a product or added sugars that is a real or perceived concern? Many are pushing for either including a line that says “added sugars” or replace sugars with the term “added sugars”. Again, maybe an icon that shows teaspoons of sugar versus grams might be more useful?
Grams of whole grains. Again with the grams thingy! Us old-school RDs have always taught our patients to look to the first ingredient in determining what is most in a product. We also said to look for statements like 100% whole grain on the label. People understand percent’s.
Be Up Front. In this day of transparency, the consumer assumes that someone is trying to pull the wool over their eyes (aka “hiding something”) when nutrition information is relegated to the back of the package. I agree. Expect to be seeing more “Nutrition Keys”, which are highlights of the nutrition facts panel, appearing on the front of the label.
Serving size. Time to get real here too, people. Expect to see not only more realistic serving sizes but perhaps visuals/language that does a better job explaining what a serving size is. “A serving is a Fred Flintstone-sized bowl of cereal” (cue Fred). Well – maybe that’s my serving size – but you get the idea, right?
More importantly, what do you think needs to change? What say you? Take the short survey below!

Thank you to my intern Liana Akkawi for her assistance with this post!

Photo courtesy of US News & World Report

Photo courtesy of US News & World Report


Of course, any style of eating is actually considered a diet. But what I’m talking about here is a ‘diet’ in the traditional sense – a style of eating that includes an element of deprivation attached to it. Well, my friends…I’ve got good news for you! Not surprisingly, the best overall diets for health seem to focus on achieving a reasonable lifestyle that doesn’t require becoming a gym rat or only eating raw plants; gnawing mainly on roast beast that you had to wrestle into your grocery cart (in the most paleo-thetic way possible) or foregoing anything that tastes amazing AND hailed from a package or burger joint.

The U.S. News & World Report just announced the reigning champ of all diets. Drum roll please. After analyzing 32 popular diets, their panel of experts, including notables such as Robert Kushner, MD, David Katz, MD, Joanne Slavin, RD, PhD and Penny Kris-Etherton, RD, PhD, proclaimed the DASH Diet as No.1 in Best Overall Diets followed by the TLC diet and the Mediterranean diet in 3rd place.

The DASH, TLC (National Institutes of Health’s Therapeutic Lifestyle Changes diet endorsed by the American Heart Association) and Mediterranean diets are well-researched diets and all share the common benefit of reducing the risk of heart disease. This is good news as heart disease still plagues Americans as the No. 1 killer of both men and women. All three diets are similar as they all espouse monitoring calories, limiting (but not eliminating) sodium, sugar and animal protein and filling up the plate abundantly with vegetables, fruits and whole grains.

Also not surprisingly, Weight Watchers, which has always focused on monitoring calories and including all types of food, holds on to the top spot for Best Weight-Loss Diets. Notably absent from top rankings of “Best” categories for overall health, weight-loss, diabetes, heart health and any other category was:

• Paleo diet (last place)
• Dukan diet (tied for last place)
• Wheat Belly
• Low carb
• Any celebrity-written diet
• Juicing, acid-alkaline or detox program

Another thing the “Best” diets seem to have in common is that they were very much in side step with the 2010 Dietary Guidelines for Americans (MyPlate) albeit some slight tweaking. Though the “Best” overall diets didn’t make the top three ranking of “Best Weight-Loss Diets”, in my opinion, they certainly could easily be converted into a “Hannah Montana – best of both worlds” type diet by just adjusting the calorie level downward to suit your needs. The USDA has a Super Tracker that can help you figure out what that calorie level is and assign it to whatever type of diet you decide to follow. Might as well give heart disease a kick where it counts while dropping some poundage (if you need to) following the latest and bestest US News & World Report not-a-diet, diet! Good luck. Also, let me know if you’ve stumbled onto a dietary plan that you can stick to lifelong that was not mentioned here. Meanwhile, I wish you a healthy and delicious (non-diet) New Year!