Improving America's diet and health : from recommendations to action / a report of the Committee on Dietary Guidelines Implementation, Food and Nutrition Board, Institute of Medicine ; Paul R. Thomas, editor.

Format:

Book

Author/Creator:

Institute of Medicine (U.S.). Committee on Dietary Guidelines Implementation.

Contributor:

Thomas, Paul R., 1953-

Language:

English

Subjects (All):

Diet--Standards--United States.

Diet.

Nutrition policy--United States.

Nutrition policy.

Health.

Physical Description:

xvi, 239 p.

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1991.

Language Note:

English

Summary:

Written and organized to be accessible to a wide range of readers, Improving America's Diet and Health explores how Americans can be persuaded to adopt healthier eating habits. Moving well beyond the "pamphlet and public service announcement" approach to dietary change, this volume investigates current eating patterns in this country, consumers' beliefs and attitudes about food and nutrition, the theory and practice of promoting healthy behaviors, and needs for further research. The core of the volume consists of strategies and actions targeted to sectors of society--government, the private sector, the health professions, the education community--that have special responsibilities for encouraging and enabling consumers to eat better. These recommendations form the basis for three principal strategies necessary to further the implementation of dietary recommendations in the United States.

Contents:

Improving America's Diet and Health

Copyright

Preface

FORMATION OF COMMITTEE AND COMMITTEE PROCEDURES

SCOPE AND LIMITATIONS OF REPORT

ACKNOWLEDGMENTS

REFERENCE

Contents

1 Summary

PLACING DIETARY RECOMMENDATIONS IN PERSPECTIVE

ISSUES IN IMPLEMENTING DIETARY RECOMMENDATIONS

THE TASKS AND THE PARTICIPANTS IN IMPLEMENTATION

Public Sector

Private Sector

Health-Care Professionals

Education of the Public

PRINCIPAL IMPLEMENTATION STRATEGIES

DIRECTIONS FOR RESEARCH

LESSONS LEARNED AND PROCESS FOR FUTURE

REFERENCES

2 Introduction

FROM GUIDANCE TO IMPLEMENTATION

IMPLEMENTATION AND THE POOR

BARRIERS AND INCENTIVES TO DIETARY CHANGE

THE TASK OF IMPLEMENTATION: GOALS, TACTICS, AND POLICIES

THE TASK AND THE IMPLEMENTORS

BENEFITS AND COSTS OF DIETARY CHANGE

NOTES

3 Determinants of Food Choice and Prospects for Modifying Food Attitudes and Behavior

DETERMINANTS OF FOOD CHOICE

CHANGES IN FOOD SELECTION

Changes from 1909 to 1987

Economic and Demographic Influences on Change

CHANGES IN CONSUMER ATTITUDES AND KNOWLEDGE

THEORIES OF ATTITUDE AND BEHAVIOR CHANGE

Communication/Persuasion Model

Attitude Change Theories

Links Between Attitudes and Behaviors

Social Learning Model

Implications of Theoretical Perspectives for Changing Diet for Health

COMMUNICATION THROUGH THE MEDIA

REVIEW OF EVIDENCE ON CHANGING DIET TO BENEFIT HEALTH

Small-Group Classroom Studies

Programs That Activate Social Support Systems

School-Based Programs for Adolescents

Health Communication at Points of Purchase

Studies Conducted at Work Sites

Regional and National Mass Media Campaigns

Comprehensive, Integrated Community-Based Multifactor Risk-Reduction Programs

Effective Educational Methods.

Components and Amount of Nutrition Education Needed in Community-Based Programs

SUMMARY

4 Interpretation and Application of the Recommendations in the Diet and Health Report

INTERPRETATION OF THE DIET AND HEALTH RECOMMENDATIONS

MEETING THE RECOMMENDATIONS

Food Selection

Food Preparation

Eating Outside the Home

ACHIEVING SPECIFIC DIET AND HEALTH RECOMMENDATIONS

5 Public Sector Strategies and Actions for Implementation

GOVERNMENTS AS IMPLEMENTORS

PRINCIPLES THAT SERVE AS A BASIS FOR IMPLEMENTATION

Provide Information and Education

Ensure Freedom of Choice

Foster Long-Term Commitment and Incremental Approaches

Facilitate Access to Health-Promoting Foods

Present Healthful Eating in a Context of Total Health Promotion

Involve All Interested Parties

Ensure Palatability of Healthful Diets

Encourage Convenience

Encourage the Incorporation of Health-Promoting Foods in Food Programs

Implement the Recommendations with Minimal Disruption of Food Preferences

STRATEGIES AND ACTIONS FOR THE PUBLIC SECTOR

6 Private Sector. Strategies and Actions for Implementation

INCENTIVES AND BARRIERS TO IMPLEMENTATION BY THE PRIVATE SECTOR IN GENERAL

Incentives

Competitive Advantage

Consumer Confidence

Enhanced Image and Credibility

Cost Reduction and Improved Programs Through Cooperative Efforts

Barriers

Restrictive, Confusing, or Nonexistent Government Standards

Inadequate Federal Guidance on Health Claims

Lack of Guidance on Implementation

Cost of Product Development and Research

Consumer Concerns about Food Safety

STRATEGIES AND ACTIONS FOR THE PRIVATE SECTOR

STRATEGIES AND ACTIONS APPLIED TO SPECIFIC SEGMENTS OF THE PRIVATE SECTOR

Fruits and Vegetables (Produce)

Grains and Legumes

Dairy

Meat

Poultry.

Fish and Seafood

Eggs

Food Manufacturers and Processors

Food Retailers

Food-Service Establishments

Work Sites

NOTE

7 Health-Care Professionals: Strategies and Actions for Implementation

MULTIPLE ROLES

CURRENT STATUS AND FUTURE NEEDS OF SOME HEALTH-CARE PRACTITIONERS

Nutritionists

Physicians

Nurses

Health Educators

Other Health-Care Professionals

STRATEGIES AND ACTIONS FOR HEALTH-CARE PROFESSIONALS

8 Education of the Public: Strategies and Actions for Implementation

STRATEGIES AND ACTIONS FOR EDUCATION OF THE PUBLIC

9 Directions for Research

APPENDIX A Dietary Recommendations

RECOMMENDATIONS FROM THE DIET AND HEALTH REPORT

RECOMMENDATIONS OF THE SURGEON GENERAL OF THE UNITED STATES

Issues for Most People

Other Issues for Some People

DIETARY GUIDELINES FOR AMERICANS

APPENDIX B Summary of Committee's Major Recommendations

RECOMMENDATIONS TO THE PUBLIC SECTOR

RECOMMENDATIONS TO THE PRIVATE SECTOR

RECOMMENDATIONS TO HEALTH-CARE PROFESSIONALS

RECOMMENDATIONS FOR EDUCATION OF THE PUBLIC

Acronyms

Index.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

ISBN:

9786610212866

9781280212864

1280212861

9780309574426

0309574420

9780585021058

0585021058

OCLC:

814278826