
Nutrition: Healthy Eating
By Michelle Meadows
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NYC Bans Trans Fats
Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: William
C. Shiel Jr., MD, FACP, FACR
On December 5, 2006, the New York City Board of Health
took an unprecedented
step and voted to ban foods containing trans fats at all city restaurants. By
July 2007, most frying oils containing artificial trans fats will be banned from
restaurant use, but restaurants have another year, until July 2008, to remove
all trans fat offerings.
Trans fats, also known as trans fatty acids, are generated by the chemical
process of hydrogenation of vegetable oils. Hydrogenation solidifies liquid oils
and increases the shelf life and the flavor stability of oils and foods that
contain them. To make vegetable oils suitable for deep frying, the oils are
hydrogenated, so trans fats are commonly found in deep-fried foods such as
French fries and doughnuts. Other sources of trans fats are vegetable
shortenings, some margarines, crackers, cookies, snack foods, and other foods.
Since trans fats increase a product’s shelf life, many pre-prepared foods and
mixes (for example, some pancake mixes and pizza dough) contain trans fats.
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Introduction
Most Americans consume too many calories and not enough nutrients, according
to the latest revision to the Dietary Guidelines for Americans. In January 2005,
two federal agencies--the Department of Health and Human Services and the
Department of Agriculture (USDA)--released the guidelines to help adults and
children ages 2 and up live healthier lives.
Currently, the typical American diet is low in fruits, vegetables, and whole
grains, and high in saturated fat, salt, and sugar. As a result, more Americans
than ever are overweight, obese, and at increased risk for chronic diseases such
as heart disease, high blood pressure, diabetes, and certain cancers.
Of course old habits are hard to break, and the notion of change can seem
overwhelming. But it can be done with planning and a gradual approach, says Dee
Sandquist, a spokeswoman for the American Dietetic Association (ADA) and manager
of nutrition and diabetes at the Southwest Washington Medical Center in
Vancouver, Wash.
"Some people can improve eating habits on their own, while others need a
registered dietitian to guide them through the process," Sandquist says. You may
need a dietitian if you are trying to lose weight or if you have a health
condition such as osteoporosis, high blood pressure, high cholesterol, or
diabetes.
Sandquist says that many people she counsels have been used to eating a
certain way and never thought about what they were actually putting into their
bodies. "Someone may tell me they drink six cans of regular soda every day," she
says. "When they find out there are about nine teaspoons of sugar in one can, it
puts things in perspective. Then I work with the person to cut back to three
cans a day, then to two and so on, and to start replacing some of the soda with
healthier options."
Others are eating a lot of food between mid-day and bedtime because they skip
breakfast, Sandquist says. Another common scenario is when someone has grown up
thinking that meat should be the focus of every meal. "We may start by having
the person try eating two-thirds of the meat they would normally eat, and then
decreasing the portion little by little," Sandquist says. Cutting portion size
limits calories. So does eating lean cuts of meat and using lower-fat methods of
preparation such as broiling.
Sandquist says that when people strive for more balance in their diets, they
tend to enjoy mixing up their food choices. "A lot of times, they've been eating
the same things over and over. So when they start trying new foods, they find
out what they've been missing."
Barbara Schneeman, Ph.D., director of the Food and Drug Administration's
Office of Nutritional Products, Labeling, and Dietary Supplements, encourages
consumers to make smart food choices from every food group. "The Nutrition Facts
label is an important tool that gives guidance for making these choices," she
says. The label shows how high or low a food is in various nutrients.
Experts say that once you start using the label to compare products, you'll
find there is flexibility in creating a balanced diet and enjoying a variety of
foods in moderation. For example, you could eat a favorite food that's higher in
fat for breakfast and have lower-fat foods for lunch and dinner. You could have
a full-fat dip on a low-fat cracker. "What matters is how all the food works
together," Sandquist says.
Older people are most likely to improve their eating habits, but nutrition is
important for people of all ages, says Walter Willet, M.D., chairman of the
nutrition department at the Harvard School of Public Health. "We know that when
people have health problems or their friends become ill, these are strong
motivators of change," says Willet. "The more serious the health condition, the
more serious the change. We'd rather people made changes early and prevent
health problems in the first place."
So what if you're feeling trapped by a diet full of fast-food burgers and
cookies? You can work your way out slowly but surely. Here are tips to move your
eating habits in the right direction.
Next: Look at What You Eat Now »