USDA replaces MyPyramid with MyPlate

First lady Michelle Obama unveiled the new USDA MyPlate on June 2, 2011.  The previous food guide, MyPyramid, was criticized for being too confusing.  The new, simply designed MyPlate graphic will replace MyPyramid, and is designed to reflect the new USDA 2010 Dietary Guidelines for Americans, which were released in January 2011.

Here is the new graphic with its basic messages to consumers:
MyPlate
“Balancing Calories:
  • Enjoy your food, but eat less.
  • Avoid oversized portions.
Foods to Increase:
  • Make half your plate fruits and vegetables.
  • Make at least half your grains whole grains.
  • Switch to fat-free or low-fat (1%) milk.

Foods to Reduce:

  • Compare sodium in foods like soup, bread, and frozen meals ― and choose the foods with lower numbers.
  • Drink water instead of sugary drinks.”

MyPlate is a slight improvement upon previous food pyramids:

1992 pyramid

The 1992 USDA Food Guide Pyramid

MyPyramid

The 2005 USDA MyPyramid

The USDA’s previous pyramids reflected the American diet exactly as it is – centered on animal products and processed foods rather than whole plant foods.  The 2010 dietary guidelines make some notable steps in a healthier direction:  the guidelines state that Americans consume too much sodium and too many calories from solid fats (saturated and trans fats), added sugars, and refined grains, and advised that Americans reduce their consumption of these items in favor of nutrient-dense foods.  The guidelines also called for Americans to increase their total vegetable and fruit intake, especially dark green, red, and orange vegetables. Vegetables make up the largest portion of MyPlate, slightly larger than the grains portion (unfortunately the recommendation to eat more green vegetables was not included in the MyPlate graphic or messages). They also advise drinking water in place of sugar-sweetened beverages.1  Certainly all of this is sound advice.
 
However, what MyPlate illustrates – filling half the plate with fruits and vegetables, and half with protein and grains – will not be sufficient to significantly improve the health of Americans. 
 
MyPlate is not the picture of a health-promoting diet
MyPlate still allows the vast majority of calories to be obtained from nutrient poor foods.  Half a plate full of meat and grains (only half of which are whole grains), plus a serving of dairy at each meal does not leave enough room in the diet for high nutrient foods like vegetables and beans.  Animal products and processed foods are still the major source of calories.
 
The “Protein” portion: Protein is a macronutrient, not a food group. Better instruction would be provided by guiding Americans toward specific foods or food groups.  This perpetuates the myth of the importance of protein. Plus most Americans see “protein” and think “meat” – not greens, nuts, seeds or beans, which are much more healthful sources of protein.  All “proteins” are certainly not created equal!  It is important to differentiate – to depict meat and other animal products as disease-promoting foods because they raise cancer risk, and greens, beans, nuts and seeds as health-promoting foods because they decrease cancer risk.  This plate further confuses people, because they do not realize that green vegetables are also high in protein.  For a diet to truly be consistent with the current science, nuts and seeds should be consumed every day because of their potent cardiovascular and longevity benefits.   The same goes for beans – high in fiber, phytochemicals, and resistant starch, beans are extremely protective against heart disease, diabetes, and colon cancer, and help with weight maintenance.  Nuts, seeds and beans, critical foods for excellent health, are not even present on this plate.  An opportunity exists here for the government to advise beans, seeds and nuts be the preferred source of protein in the diet here, which would radically improve this program.
 
Vegetables vs. Grains: The quantity of vegetables and grains are almost equal in MyPlate – the vegetable portion is just slightly larger.  Although whole grains are healthful, their nutrient density is not nearly as great as vegetables or beans.  Grains do not deserve such a prominent place on the plate, especially since only half of grains are recommended to be whole.  This allows for a dangerous amount of refined carbohydrate, which is known to promote obesity, diabetes, heart disease, and cancer.  As far as carbohydrate sources, beans should be emphasized over grains.
 
Dairy is still prominently placed: Dairy foods are not health-promoting, and do not deserve a place at every meal.  The inclusion of dairy in MyPlate perpetuates the misinformation that cows’ milk is essential to human health, and is the best and healthiest source of calcium. Plus dairy is high in protein, so realistically it should be included in the protein group. With a serving of meat (“protein”) and a serving of dairy at each meal, MyPlate allows for excessive protein intake, which in turn allows for elevated IGF-1 levels and therefore increased cancer risk.  The strong link between dairy products and prostate cancer and ovarian cancer should preclude it from earning such a prominent place in this plan.2-6
 
Eat less: Americans do need to eat fewer calories, but the “Eat less” advice is not sufficient.  This is the reason diets fail, because eating a smaller quantity of unhealthy foods that does not meet our micronutrient needs produces overwhelming hunger and addictive cravings, eventually leading back to overeating.  More effective advice would be to eat greater quantities of high-nutrient, low-calorie foods, (such as vegetables and beans) satisfying the body’s desire for micronutrients and volume and leaving less room in the diet for unhealthy foods.
 
Packaged processed foods vs. intact grains: Also, there is no mention of limiting processed foods in the advice to consumers – salty, oily packaged foods full of excess calories could easily be placed in the “grains” category, in place of healthful intact grains. 
 
A truly health-promoting food pyramid
Dr. Fuhrman's Food Pyramid 
I have designed my Nutritarian Food Pyramid such that the foods that are the richest in micronutrients per calorie and have the most documented protective effects should be eaten in the largest quantities.  Green vegetables, at the base of the pyramid, , followed by other non-starchy vegetables, beans and legumes, fruits, nuts and seeds, starchy vegetables, and whole grains. Ninety percent of the daily diet should be made up of these nutrient –dense unrefined plant foods, whose calories are accompanied by health-promoting phytochemicals.  Foods that do not contribute significant health benefits, such as refined grains, animal products, sweets, and oils should be eaten in significantly less quantity.   This model of a healthy diet aims not just to moderately improve the American diet, but to change the American diet radically, creating a diet that will dramatically reduce the risk of chronic diseases and save millions of needless medical tragedies and deaths. 
 
 References:
1. 2010 Dietary Guidelines for Americans: Executive Summary. . http://www.cnpp.usda.gov/Publications/DietaryGuidelines/2010/PolicyDoc/ExecSumm.pdf Accessed June 6, 2011.
2. Grant WB: An ecologic study of dietary links to prostate cancer. Altern Med Rev 1999;4:162-169.
3. Qin LQ, Xu JY, Wang PY, et al: Milk consumption is a risk factor for prostate cancer: meta-analysis of case-control studies. Nutr Cancer 2004;48:22-27.
4. Qin LQ, Xu JY, Wang PY, et al: Milk consumption is a risk factor for prostate cancer in Western countries: evidence from cohort studies. Asia Pac J Clin Nutr 2007;16:467-476.
5. Genkinger JM: Dairy Products and Ovarian Cancer: A Pooled Analysis of 12 Cohort Studies. Cancer Epidemiology Biomarkers & Prevention 2006;15:364-372.
6. Larsson SC, Orsini N, Wolk A: Milk, milk products and lactose intake and ovarian cancer risk: a meta-analysis of epidemiological studies. Int J Cancer 2006;118:431-441.
 
 

 

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Gorillas need greens, not processed food!

The leading cause of death for male gorillas in zoos is heart disease. Sadly, animals that live in close contact with (and fed by) humans end up with human chronic diseases.

Gorilla. Flickr: KjunstormGorillas are the largest of the primates, and they are one of the four species of great apes (great apes make up the Hominidae superfamily, which includes chimpanzees, bonobos, orangutans, and gorillas).  Following chimpanzees, gorillas are the closest living relatives to humans, differing in only about 3% of our genetic makeup.

Gorillas are herbivores that live in the forests of central Africa, where they can eat up to 50 pounds of vegetation each day, mostly leaves and fruit. Although most gorillas have a preference for fruit, they also eat large amounts of leaves, plus herbs and bamboo, and occasionally insects. In the wild, gorillas spend most of their day foraging and eating.1

In the wild, gorillas eat an extremely high fiber diet, and derive a significant proportion of caloric energy from the fermentation of fiber by bacteria in the colon, producing short-chain fatty acids. The approximate proportions of macronutrients in a wild gorilla’s diet is 2.5% of calories from fat, 24.3% from protein, 15.8% (non-fiber) carbohydrate, and up to 57.3% from short chain fatty acids derived from bacterial fermentation of fiber.2

In contrast, the standard diet for gorillas in captivity is usually not made up of natural leaves, herbs, and fruits – it is a diet of nutrient-fortified, high-sugar, high-starch processed food.

This unnatural diet has contributed to signs of heart disease and enlarged hearts for both of the male gorillas at the Cleveland Metropark Zoo. Researchers at the zoo and at Case Western University decided to change the gorillas’ diet, bringing it closer to what it would have been in the wild.

Since late 2009, the two gorillas have been eating endive, dandelion greens, romaine lettuce, green beans, alfalfa, apples, and bananas. Each of them eats about ten pounds of vegetables each day. The gorillas also spend more time eating (50-60% of their day rather than 25%), which is similar to wild foraging behavior.  After one year on their new diet, each gorilla has lost about 65 pounds, their health is improving and the researchers are noting and documenting their decrease in heart disease risks.3

My question is: why were they feeding processed foods to gorillas instead of their natural food diet in the first place?

Heart disease and heart attacks are just as unnatural for a gorilla as they are for humans.   I guess it is pretty low for the zookeepers to be feeding a gorilla a processed food diet for convenience that will expedite its death. How could they not know that gorillas should eat a natural diet?   But how did our society develop the universal eating cult that permits and encourages the feeding of disease-causing fast food, processed food and junk food to human kids, damaging their future health potential? I guess maintaining our food addictions to processed foods are a more powerful drive than our desire to have our children be healthy.   Maybe humans should not be in charge of feeding humans or animals? Maybe we should hire the gorillas to raise our children? Did you ever watch the Planet of the Apes? Okay, so maybe that wasn’t such a good idea. 

 

References:

1. The Dian Fossey Gorilla Fund International: Learning About Gorillas. http://gorillafund.org/Page.aspx?pid=769

Wikipedia: Gorilla http://en.wikipedia.org/wiki/Gorilla

Doran-Sheehy D, Mongo P, Lodwick J, Conklin-Brittain NL. Male and female western gorilla diet: preferred foods, use of fallback resources, and implications for ape versus old world monkey foraging strategies. Am J Phys Anthropol. 2009 Dec;140(4):727-38.

2. Popovich DG, Jenkins DJ, Kendall CW, et al. The western lowland gorilla diet has implications for the health of humans and other hominoids. J Nutr. 1997 Oct;127(10):2000-5.

3. Case Western Reserve University (2011, February 21). Gorillas go green: Apes shed pounds while doubling calories on leafy diet, researcher finds. ScienceDaily. Retrieved March 14, 2011, from http://www.sciencedaily.com­ /releases/2011/02/110217091130.htm

Is nutritarianism the next dietary trend?

According to an article on livemint.com, a news website associated with The Wall Street Journal, the term ‘nutritarian’ is catching on.

Originally coined by Dr. Fuhrman, a nutritarian is someone who bases their food choices on micronutrient content per calorie of foods, striving to consume a broad array of micronutrients in their diet.

The article reports that “nutritarian” is poised to become a ubiquitous dietary definition on par with vegetarian, vegan, raw foodist, flexitarian, locavore… There is one major difference, though: the exclusion of cooked foods, meat, foods grown far from home, or even all animal products does not define a health-promoting diet. Nutritarian diets, however, always include an abundance of fresh, colorful fruits and vegetables accompanied by additional whole plant foods.  A nutritarian diet is health-promoting by definition.

The article’s advice for going nutritarian? “Eat the rainbow.” Excellent advice, since phytochemicals, antioxidants in particular, are pigments that give fruits and vegetables their vibrant colors. 

Read the full article on livemint.com.

 

Dr. Fuhrman's thoughts on Emily's 'Jamie Oliver's Food Revolution' post

Wow, all those comments on the Jamie Oliver post are great.  That’s what makes this so much fun, I appreciate everyone posting.  Clearly there are some positive aspects to Jamie Oliver’s Food Revolution: and certainly he is bringing attention to the deplorable school food situation in this country.

He also genuinely wants to improve health of our country’s children, and he aims to teach people how to cook for themselves.  Jamie Oliver’s passion for healthy eating is admirable, but his recommendations on healthy eating are not scientifically sound.  ‘Made from scratch’ does not mean ‘health-promoting' and the missed opportunity for significant change is enormous.

The science of nutrition unfortunately is not common knowledge.  In order to make meaningful dietary changes, people need to be educated.  They need to be given accurate information, not a diluted version designed to keep them in their comfort zone to avoid making them uncomfortable. When people are given the accurate information, they can make an educated decision, and many will be inspired to make significant dietary changes, excited about the prospect of excellent health.  Others will never be convinced or at least not until their lives are in immediate danger.  Unfortunately moderate dietary changes do not remove food addictions, prevent overeating and do little to nothing to lower rates of heart disease and cancer.   We are not talking about veganism here, but there is both an opportunity and a responsibility when you have a public voice advocating a healthful diet to really advocate something that is healthy.  Large changes do not have to happen overnight, but with the right information, people will know what their eventual goals are and overall many more people could be positively affected. .

Many of the comments on this post call Jamie’s show a “step in the right direction” – but does the show actually represent Jamie’s recommendations as only the first step?  Similar to the U.S. government’s recommendation to eat five servings of fruits and vegetables per day, Jamie’s recommendations are simply not enough to prevent or reverse disease or to result in significant weight loss.  This information misleads people into thinking that the first step is actually the whole journey.  So many people think they already eat healthy diets when they don’t – and it is in part because half measures and baby steps are portrayed as the real thing.

It is not enough to simply switch from very harmful foods to freshly prepared and somewhat less harmful foods.  Moderate changes most often don’t even bring moderate benefits, they bring no benefits.  Complacency in moderate changes will not prevent heart attacks and cancers and people will continue to suffer and die needlessly.  If people do not want to eat healthfully, that is their right, but let’s make it clear, Jamie is well-intentioned, but he is not teaching anything close to a health-supporting diet.  

 

 

Dr. Fuhrman in world premiere of 'Fat, Sick, & Nearly Dead'

World Premiere of FAT, SICK & NEARLY DEAD

At Sonoma International Film Festival

movie poster

Newswire: April 9, 2010 – Sonoma, California – Us & Us Media is excited to announce the world premiere of FAT, SICK & NEARLY DEAD at the 2010 Sonoma International Film Festival. Part road trip, part wellness manifesto, this feature length documentary is the uplifting story of two men whose chance meeting and struggle to overcome the same rare disease saves one life, and changes another for good. Across two continents and 9,000 miles, what emerges is nothing short of a miracle – an inspiring tale of healing and human connection.

100 pounds overweight, loaded up on steroids and suffering from a debilitating autoimmune disease, Joe Cross is at the end of his rope and the end of his hope. In the mirror he saw a 310lb man whose gut was bigger than a beach ball and a path laid out before him that wouldn’t end well-- with one foot already in the grave, the other wasn’t far behind. FAT, SICK & NEARLY DEAD is an inspiring film that chronicles Joe’s personal mission to regain his health.

With doctors and conventional medicines unable to help long-term, Joe turns to the only option left, the body’s ability to heal itself. He trades in the junk food and hits the road with juicer and generator in tow, vowing only to drink fresh fruit and vegetable juice for the next 60 days. Across 3,000 miles Joe has one goal in mind: To get off his pills and achieve a balanced lifestyle.  

Dr. Fuhrman oversees Joe’s medical care along the way and is featured throughout the film providing him with guidance, support, and encouragement.

While talking to more than 500 Americans about food, health and longevity, it’s at a truck stop in Arizona where Joe meets a truck driver who suffers from the same rare condition. Phil Staples is morbidly obese weighing in at 429 lbs; a cheeseburger away from a heart-attack. As Joe is recovering his health, Phil begins his own epic journey to get well. 

Read other dramatic success stories at DrFuhrman.com/success.

Screening Times:

Friday, April 16, 2010 – 12:30 pm

Vintage House

264 1st St. East, Sonoma, CA

 

Saturday, April 17, 2010 – 6:00pm

House of Docs at the Woman's Club

574 1st St. East, Sonoma, CA

 

Details on the festival screenings can be found at SonomaFilmFest.org

There will be a presentation of the film for all attendees, with a special guest appearance by Joe Cross, at Dr. Fuhrman’s Health Getaway 2010.

 

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The Truth About Healthcare Reform

 An article by Christina Pirello, an advocate of natural foods nutrition and professor of culinary arts at Drexel University, on Huffington Post states the uncomfortable truth about healthcare reform that the mainstream media consistently fails to report:

“Healthcare reform is irrelevant until Americans improve their lifestyles.”

Money

The fact is, our healthcare costs are out of control because the diet and lifestyle that has become the societal norm in this country causes disease.  As Ms. Pirello mentioned in her article:

“We are willing to tolerate this revolutionized food because it's cheap. But it comes at a high price to our health. We spend less on food today than any other people at any other time in recorded history. And the less we spend on food, the more we spend on health care.”1

 Here are some numbers:

- Overweight and obesity rates are at an all time high – 73% of Americans are either overweight (38.8%) or obese(34.2%).2 In 1980, 15% of adults were obese – over the past 30 years,that number has more than doubled.3

- According to the CDC, U.S. obesity-related health costs totaled $117 billion in 2000, and if current trends continue, that figure is projected to reach $344 billion per year by 2018.3,4

- Coronary heart disease costs are estimated at $177 billion for 2010, costs for stroke at $74 billion, costs for hypertension at $77 billion. 5

- Health insurance premiums have gone up 131% in the last 10 years.6

- Over 50% of insured Americans take prescription drugs for a chronic condition – the majority of these drugs are for blood pressure or cholesterol.7

These costly diseases are caused by poor lifestyle choices, and they are also preventable by positive lifestyle choices.

The problem is not the fact that there are so many uninsured Americans – the problem is that there are so many unhealthy Americans. Do we need a better health care system? Of course. But not as desperately as we need better health. Better health through improved lifestyle choices is also fiscally responsible. Vegetables are cheaper than statin drugs. A gym membership is cheaper than bypass surgery.

Health care costs are the symptom, poor lifestyle choices are the cause. If we want to improve the situation, we need to address the cause. The only way to reduce these costs is to reduce the prevalence of these devastating (but preventable) diseases.

No matter how many confusing messages the American public gets about nutrition, there are some very simple truths. Fruits and vegetables are healthy, processed foods and fast food are not. If you follow a nutritarian diet, it will cost less to keep you healthy. 

Ms. Pirello suggests a healthcare system in which individuals are rewarded for having healthy habits – sounds like a great idea to me. She also mentions Whole Foods Market’s new Health Starts Here program, for which I provide nutritional guidance.

“They are about to implement a program that encourages their employees to get and stay healthy. Beginning with a simple blood test and survey, each employee who chooses to participate will receive a diet plan. Each benchmark they hit (lower cholesterol and blood pressure, healthier BMI, etc., will result in a greater discount on their groceries purchased at Whole Foods Market. Imagine a health care plan that does the same thing.”1

No matter what the outcome of healthcare reform in Washington D.C., if enough of us develop and practice healthy habits, it will be to the benefit of our healthcare system.

 

References:

1. http://www.huffingtonpost.com/christina-pirello/healthcare-reform-is-irre_b_440589.html

2. Ogden CL et al. Prevalence of High Body Mass Index in US Children and Adolescents, 2007-2008. JAMA. 2010;303(3)

Flegal KM et al. Prevalence and Trends in Obesity Among US Adults, 1999-2008. JAMA. 2010;303(3)

3. http://www.cdc.gov/nchs/data/hestat/overweight/overweight_adult.htm

http://www.cdc.gov/nccdphp/publications/AAG/pdf/obesity.pdf

4. http://www.americashealthrankings.org/2009/obesity/ECO.aspx#2018

5. http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.109.192667

6. http://money.blogs.time.com/2009/09/30/a-dozen-disturbing-health-care-statistics/

7. http://www.cbsnews.com/stories/2008/05/14/health/main4094632.shtml?source=related_story

Board Certified by Coca-Cola!

Normal Rockwell's Doctor Office painting of boy leaning over looking at his certificate with his pants pulled down. The certificate has Coca-Cola as the certifying body.

The American Academy of Family Physicians, which I am a member, is accepting money from Coca-Cola.  Wow.

The AAFP today announced a corporate partnership with The Coca-Cola Co., in which the beverage giant will provide a grant for the Academy to develop consumer education content related to beverages and sweeteners for the AAFP's award-winning consumer health and wellness Web site, FamilyDoctor.org.


According to the Kansas City Business Journal, Coca-Cola is providing a grant of an unspecified amount to the AAFP for the project.

Now it comes full circle.  The drug industry manipulates and controls the drug information given to doctors and now soda companies fund the nutrition information.  Good work guys!  Even if the AAFP changes their mind due to public outcry it won’t be enough for me.  They need to clearly state publicly that drinking soda has been a significant contributor to the epidemic of overweight, heart disease and cancer in this country and is disease and death promoting.  It is designed to be addicting and serving it to children is child abuse.  What if the AAFP accepted funding from Phillip Morris and promoted smoking in moderation?   I can’t resign my membership, I would lose board certification credentials.  I could send them a letter, but what else should we do?

Read more about it on AAFP’s very own website: http://www.aafp.org/online/en/home/publications/news/news-now/inside-aafp/20091006cons-alli-coke.html

P.S. Just in case you didn’t know, the American Dietetic Association, the organization that certifies nutritionists and dietitians, also accepts money from Coca-Cola, as well as PepsiCo, Kellogg’s, General Mills, Mars and the National Dairy Council. Take a look at the corporate sponsor’s page on the ADA website and see for yourself!

 

UPDATE (10/30/09): Based on reader response we would like to ask that you let the AAFP and the ADA know what you think about this. Please feel free to post the letters you wrote to them here in the comments so others can use your writings too.

AAFP - http://www.aafp.org/online/en/home/aboutus/theaafp/contact.html

ADA - http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/home_4682_ENU_HTML.htm