Macronutrients as sources of food energy.

This background paper considers the extent to which the development of new recommendations for dietary energy requirements needs to account for the macronutrient (fat, carbohydrate, protein and alcohol) profiles of different diets. The issues are discussed from the dual perspectives of avoiding under-nutrition and obesity. It is shown that, in practice, human metabolic processes can adapt to a wide range of fuel supply by altering fuel selection. It is concluded that, at the metabolic level, only diets with the most extreme macronutrient composition would have any consequences by exceeding the natural ability to modify fuel selection. However, diets of different macronutrient composition and energy density can have profound implications for innate appetite regulation and hence overall energy consumption

Development and Pilot Study of Group-Based Dietary Self-Management Program for Community Dwellers with Hypertension

Background: In most countries worldwide, hypertension is considered as an important problem. Moreover, an increasing trend in the prevalence and incidence has been reported in most countries. This increasing trend requires an innovative approach to improve the lifestyle modification of hypertensive sufferers including their dietary behaviors. Objective: This developmental research aims to develop a program for improving the dietary behaviors of community dwellers with hypertension. Method: The process of this program development includes a literature review related to the self-management programs for hypertension, and dietary behavior outcomes, expert validation, and pilot testing. Result: The setting, strategies, duration, and outcome measurement from the literature review were taken into consideration to develop the new program. The newly developed group-based self-management program consists of: 1) the sharing and reflecting of individual current dietary behavior, 2) group educational session, 3) individual comparison of behavior and reflection of obstacles, 4) individual goal setting, and 5) follow up. In the educational session, the DASH eating plan is used as the reference as it is commonly used in studies about diet for hypertension

Eating for the Environment: The Potential of Dietary Guidelines to Achieve Better Human and Environmental Health Outcomes

Agriculture and food production contribute significantly to greenhouse gas emissions and environmental pollution. Shifting human dietary patterns has the potential to reduce such environmental harms while also promoting human health. Government policy, in the form of the United States Dietary Guidelines (USDG), recommends what Americans should eat and could play an important role in shifting the food system to one that is more sustainable. However, the USDG are an overlooked aspect of U.S. food policy. While many countries have moved to synthesize environmental goals with dietary guidance, the United States has taken the opposite approach. In 2015, despite recommendations from the expert panel appointed under the Federal Advisory Committee Act (the Dietary Guidelines Advisory Committee), which recommended including sustainability considerations in the 2015 USDG, the Secretaries of Health and Human Services and Agriculture rejected those recommendations reasoning that the sustainability perspective was beyond the scope of the USDG-enabling statute. This Article examines why that decision was wrong and how, based on international examples and sound science, the federal government should see the USDG as a powerful food system policy tool that can be used to promote human and environmental health in the 21st century

Recent advances in understanding and preventing peanut and tree nut hypersensitivity.

Peanut allergy, the most persistent and deadly of the food allergies, has become more prevalent worldwide in recent decades. Numerous explanations have been offered for the rise in peanut allergy, which has been more pronounced in Western, industrialized nations. In infants who are at increased risk of peanut allergy, new evidence indicates that early introduction of peanuts can help prevent allergy development. This counterintuitive finding directly contradicts the previously established practice of peanut avoidance for high-risk infants but is supported by clinical and basic science evidence. Here, we review the literature contributing to our evolving understanding of nut allergy, emphasizing the translation of this work to clinical practice

Final project report: EEC 2092/91 (ORGANIC) Revision

This report summarises the findings of the project that have been presented in a number of separate reports and publications. In the Chapters 2 to 5 the approach, results and conclusions of the project are summarised, following the structure of the different work packages. Chapter 2 summarises the work on ethical values of organic agriculture. Chapter 3 looks at the differences in the implementation of Regulation (EEC) 2092/91 across Europe and compares the European Regulation with international standards. Chapters 4 and 5 summarise the findings that relate to reducing the dependency on non-organic inputs in the case of feed and seed. The final Chapter 6 consolidates the recommendations of the whole project arising from the various different work packages in one place. Recommendations are aimed in particular at the second stage of the ongoing revision process of the European Regulation, the transfer of the detailed rules from the Annexes of the Regulation (EEC) 2092/91 that is expected to start after the completion of the project. Further recommendations for standard setting bodies, regulators and research recommendations are also presented. The overall objective of the project was to provide recommendations for the revision and further development of the Regulation (EEC) 2092/91 and other standards for organic agriculture, broken down into a number of specific objectives that resulted in 12 seperate reports. The basic ethical values and value differences of organic agriculture in Europe was identified through stakeholder consultation (D 2.1) and through literature as part of developing a procedure for balancing and integrating the basic values in developments of EU regulation (D 2.3). Organic standards from national and private organisations in Europe were compared with the EU regulation with help of database (www.organicrules.org) and differences were analysed to give recommendations on further harmonisation of the EU regulation (D 3.2). The knowledge on how to achieve 100 % organic rations in diets for livestock was expanded through a meta-analysis of literature and an overview of the current situation to characterise the availability of protein sources for 100% organic diets for pigs and poultry was produced (D 4.1 part 1 and 2). Criteria for use of organic inputs, evaluation criteria for Annex II C: Feed materials and Annex II D: Dietary supplements of Regulation (EEC) 2092/91 were developed (D. 4.2). A guide for operators was developed (D 4.3). The knowledge on how to reduce the use of non-organic seed and vegetative propagation materials was improved through reports on seed borne diseases in organic seed and propagation material (D 5.1), on the importance of quality characterising in organic seed and propagation material (D 5.2) and analysis of national derogation regimes (D 5.3). The project produced 12 reports, 7 scientific publications in peer-reviewed journals, and a project web-page at www.organic-revision.org where all reports and further documents are available. It organised 3 workshops with stakeholders and had ongoing communication with the Unit on Organic Farming in DG Agriculture responsible for the Organic Regulation. Members of the team produced in total more than 250 dissemination items