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  • With Mayo Clinic nutritionists

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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  • Nutrition-wise blog

  • July 27, 2011

    What can be done to improve America's health?

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

5 comments posted

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Although America provides some of the world's best health care and spent over $2.5 trillion for health in 2009, it still ranks below many countries in life expectancy, infant mortality and other key health indicators. For this reason, the U.S. Surgeon General and multiple federal agencies came together to create the National Prevention and Health Promotion Strategy, which was released in June of this year. The strategy calls on leaders in state and local communities, businesses, nonprofit groups and individuals to commit to healthy initiatives.

It's no surprise that healthy eating is one of the priority initiatives. We know that eating healthy can reduce risk of the most common, deadly medical problems including heart disease, high blood pressure, diabetes, osteoporosis and several types of cancer — many related to obesity. Eating healthy requires more than providing people with information — it needs to be supported by an infrastructure that makes healthy foods available, affordable and safe.

In keeping with the current economic atmosphere, the strategy includes no new funding and very few mandates. Here are examples of how it's supposed to work.

The federal government will:

  • Ensure that foods in federal programs (like school lunches) meet the standards set in the 2010 Dietary Guidelines for Americans.
  • Improve agricultural and food safety policies to align with the dietary guidelines.
  • Develop voluntary guidelines for foods marketed to children (for example in TV commercials), monitor and report on industry activities.

State and local governments will:

  • Use grants and zoning to attract full-service grocery stores and farmers markets to underserved areas, aka "food deserts."
  • Discourage businesses that serve unhealthy foods around schools.

Schools, businesses and employers will:

  • Make healthy options and appropriate portion sizes the norm.
  • Reduce sodium, saturated fats and added sugars in the foods served.
  • Eliminate high-calorie, low-nutrition drinks and provide greater access to water.

Health care systems, insurers and health care providers will:

  • Assess dietary patterns (quality and quantity of food eaten) and provide appropriate care for obesity.

Communities and individuals will:

  • Lead and expand programs such as community gardens that bring healthy, locally grown foods to schools and businesses.
  • Eat less by avoiding oversized portions.
  • Exercise more.

What changes are you seeing happen that support healthy eating — in your community? In your health system? At work or in your schools? In your local and state governments? What are you doing?

To your health,

Jennifer

5 comments posted

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  • September 1, 2011 2:13 p.m.

    Easy watch that documentary "Food Matters". It has significantly changed the way I eat and my overall health. Plus is a good learning source where among other things you can learn that vitamin C does NOT cause kidney stones...

    - Ana

  • August 30, 2011 11:35 a.m.

    i agreee with anne ppl get thier foodstamp card loaded and they go and blow them on any kinds of food weather it is healthy or non healthy but yea they are a huge seller so thats not going to come to an end but if enough ppl stand up and belive in it it might .. but then you have to think about the moma/dads that have the younger kids that can eat these kinds of foods for their snacks!

    - Hannah

  • August 15, 2011 7:08 p.m.

    Like many other people coming to this page, I am still looking for ways to lose weight. Right before I came to this website, I read a list of prescription drugs and herbal remedies. I have tried almost everything on the list and nothing has worked. Has anyone tried the Ensure diet? I guess it is based on the concept that consuming more protein through the Ensure drink will decrease appetite. It sounds like a good theory in concept, but I’d be interested in hearing from anybody if it actually works.

    - Jim

  • August 3, 2011 8:14 p.m.

    Simple solution.....Take FOOD out of the FOOD AND DRUG ADMINISTRATION and give it to the Department of Agriculture. The FDA is sooo in bed with Big Pharma tht FOOD doesn't even take a back seat.....it rides in the trunk!

    - Don

  • August 3, 2011 7:14 p.m.

    The federal foo share program, formally food stamaps, is all electronic. Participants get their cards "loaded" and an use them to buy food - any food or drink (non-alcohalic). I think the should model the program after WIC that covers only whole foods, dairy, and fruit juices. Define junk foods, electronically eliminate them from being covered and then tax junk like booze and cigarettes and put the tax towards health care... I know it wouldn't go through because junk food is such huge business. I went to buy my favoritr Kashi puffs and my local grocery store no longer carries them - only the sweetened ones. Argh...

    - anne

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