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Preventive Nutrition

A Historic Perspective and Future Economic Outlook

  • Chapter
Preventive Nutrition

Part of the book series: Nutrition and Health ((NH))

Abstract

Key Points

  • Diet and physical inactivity rank first or second in actual causes of death and the only causes that are a daily factor for the entire US population.

  • The increasing US life expectancy, which was at an all-time high of 77.2 yr in 2001, signals that prevention of heart disease, cardiac arrest, stroke, and diabetes is a societal concern and that preventive nutrition action can help assure that aging does not predict a worsening state of economic well-being and health.

  • Mathematical models (which consider federal nutrition projects such as food labeling, food standards, and dietary guidelines) show economic benefit from dietary changes for a healthier diet. New nutrition label reference values and recommended nutrient fortification guidelines, developed by the Institute of Medicine and soon to be considered by regulatory agencies in the United States and Canada, are also likely to affect dietary change.

  • The food market has responded—with innovation, technology, and advertising and has enhanced interest in, and demand for, convenience, taste, and healthful foods. In the aggregate, food purchases reflect a pattern of excess. Choice relative to individual food products may not yield healthful eating patterns. Acompelling public health message that aims for improved dietary patterns and increased physical activity remains a challenge.

  • Research and education that helps to clarify the determinants of health and healthful dietary patterns and that supports translation of nutrition sciences into medical education and activities that facilitate transfer of successful nutrition health strategies into public health endeavors and community health strategies will influence long-term national health prospects.

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References

  1. US Department of Health and Human Services. The Surgeon General’s Report on Nutrition and Health. Washington, DC: US Government Printing Office, 1988.

    Google Scholar 

  2. Centers for Disease Control, National Center for Health Statistics: Updated Trend Tables, October 2003. Table 31: Leading Causes of Death and Number of Deaths, According to Sex, Race, and Hispanic Origin: United States, 1980 and 2001. Hyattsville, MD: NCHS, 2003. http://www.cdc.gov/nchs/data/hus/tables/2003/03hus031.pdf. Accessed 10/22/2003.

    Google Scholar 

  3. McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA 1993; 270(18): 2207–2212.

    Article  CAS  PubMed  Google Scholar 

  4. US Department of Health and Human Services. Healthy People 2010. 2nd ed. With Understanding and Improving Health and Objectives for Improving Health. 2 vols. Washington, DC: US Government Printing Office, November 2000.

    Google Scholar 

  5. American Heart Association. Heart Disease and Stroke Statistics: 2003 Update. Dallas, TX: American Heart Association, 2002. http://www.americanheart.org/downloadable/heart/10590179711482003HDSStatsBookREV7-03.pdf. Accessed 10/9/2003.

    Google Scholar 

  6. Centers for Disease Control, National Center for Health Statistics: Health, United States, 2003 with Chartbook on Trends in the Health of Americans; Trend Tables. Hyattsville, MD: National Center for Health Statistics, 2003. www.cdc.gov/nchs/products/pubs/pubd/hus/trendtables.htm. Accessed 10/22/2003.

    Google Scholar 

  7. American Cancer Society. Cancer Facts and Figures 2003. Atlanta, GA: American Cancer Society, Inc., 2003. http://www.cancer.org/downloads/STT/CAFF2003PWSecured.pdf. Accessed 10/24/2003.

    Google Scholar 

  8. American Diabetes Association. Basic Diabetes Information. Alexandria, VA: ADA, 2003. http://www.diabetes.org/info/diabetesinfo.jsp. Accessed 10/23/2003.

    Google Scholar 

  9. Centers for Disease Control, National Center on Birth Defects and Developmental Disabilities. Folic Acid Now. Atlanta, GA: National Center on Birth Defects and Developmental Disabilities, October 2003. http://www.cdc.gov/ncbddd/folicacid/prof.htm. Accessed 10/23/2003.

    Google Scholar 

  10. American Lung Association. Trends in COPD, 2003. Figure 2: Number of COPD Conditions in Adults, Aged 18 Years and Older, 1997–2001. New York, NY: American Lung Association, 2003. http://www.lungusa.org/data/copd/copd203.pdf. Accessed 10/23/2003.

    Google Scholar 

  11. National Institute on Alcohol Abuse and Alcoholism. Alcoholism: Getting the Facts. Bethesda, Maryland: National Institute on Alcohol Abuse and Alcoholism, May 2002. http://www.niaaa.nih.gov/publications/booklet.htm. Accessed 10/23/2003.

    Google Scholar 

  12. U.S. Census Bureau. Population Clock: 2004 US Population. http://census.gov. Accessed 9/17/2004.

    Google Scholar 

  13. Hobbs F, Stoops N. US Census Bureau. Demographic Trends in the 20th Century, Census 2000 Special Reports, Series CENSR-4. Washington, DC: U.S. Government Printing Office, November 2002. http://www.census.gov/prod/2002pubs/censr-4.pdf. Accessed 10/6/2003.

    Google Scholar 

  14. Centers for Disease Control, National Center for Health Statistics: Chartbook on Trends in the Health of Americans, In Health, United States, 2003. Hyattsville, MD: NCHS. 2003. http://www.cdc.gov/nchs/data/hus/hus03cht.pdf. Accessed 10/6/2003.

    Google Scholar 

  15. US Census Bureau. Projections of the Total Resident Population by 5-year Age Groups and Sex with Special Age Categories: Middle Series, 2006 to 2010 through 2050 to 2070. January 2000. http://www.census.gov/population/projections/nation/summary/np-t3-c.txt and http://www.census.gov/population/projections/nation/summary/np-t3-f.txt. Accessed 10/6/2003.

    Google Scholar 

  16. US Department of Health and Human Services. Food and Drug Administration. Food Labeling; General provisions; nutrition labeling; label format; nutrient content claims; health claims; ingredient labeling; state and local requirements; and exemptions; Proposed Rules. Federal Register 1991; Vol. 56, No. 229, 60869–60973, November 27.

    Google Scholar 

  17. US Department of Health and Human Services. Food and Drug Administration. Food Labeling; General provisions; nutrition labeling; label format; nutrient content claims; health claims; ingredient labeling; state and local requirements; and exemptions; Final Rules. Federal Register 1993; Vol. 58, No. 3, 2935–2941, January 6.

    Google Scholar 

  18. US Department of Health and Human Services. Food and Drug Administration. Food Standards: Amendment of the standards of identity for enriched grain products to require addition of folic acid. Federal Register 1993; Vol. 58, No. 197, 5305–5312, October 14.

    Google Scholar 

  19. US Department of Health and Human Services. Food and Drug Administration. Food Labeling: Trans fatty acids in nutrition labeling; Consumer research to consider nutrient content and health claims and possible footnote and disclosure statements; Final rule and Proposed Rule. Federal Register 2003; Vol. 68, No. 133, 41487–41490; Tables 10, 11a, 11b, and 12; July 11.

    Google Scholar 

  20. Finkelstein EA, Fiebelkorn IC, Wang G. National Medical Spending Attributable to Overweight and Obesity: How Much, and Who’s Paying? Health Affairs Web Exclusives, January–June 2003; vol.1: 219–226. http://content.healthaffairs.org/cgi/conetnt/full/h/thaff.w3.219vl/DCI. Accessed 10/30/2003.

    Google Scholar 

  21. US Department of Health and Human Services. The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity, 2001. Rockville, MD: US Department of Health and Human Services, Public Health Service. Office of the Surgeon General, 2001. http://www.surgeongeneral. gov/topics/obesity/calltoaction/CalltoAction.pdf. Accessed 10/24/2003.

    Google Scholar 

  22. Frazâo E. High costs of poor eating patterns in the United States. In: Frazao, E, ed. America’s Eating Habits: Changes and Consequences. US Department of Agriculture, Economics Research Service, Food and Rural Economics Division. Agriculture Information Bulletin No. 750, 1999, pp. 5–32.

    Google Scholar 

  23. Institute of Medicine, Food and Nutrition Board. How Should the Recommended Dietary Allowances be Revised? National Academy Press, Washington, DC, 1994.

    Google Scholar 

  24. Institute of Medicine, Food and Nutrition Board. Use of Dietary References Intakes in Nutrition Labeling. National Academy Press, Washington, DC, 2003.

    Google Scholar 

  25. White House Conference. White House Conference on Food, Nutrition and Health, Final Report. Washington, DC: US Government Printing Office, 1970.

    Google Scholar 

  26. US Department of Agriculture. Economic Research Service: The Food Assistance Landscape, September 2003. Food Assistance and Nutrition Research Report No. 28-3. September 2003. http://www.ers.usda.gov/publications/fanrr28-3/fanrr28-3.pdf. Accessed 10/16/2003.

    Google Scholar 

  27. US Department of Agriculture. Economic Research Service. Do Healthy School Lunches Cost More? Food and Nutrition Research Report No. 34-6. July 2003. http://www.ers.usda.gov/publications/fanrr34/fanrr34-6/fanrr34-6.pdf. Accessed 9/8/2003.

    Google Scholar 

  28. US Department of Agriculture. Economic Research Service. Food and Alcoholic Beverages: Total Expenditures. June 2003. http://www.ers.usda.gov/Briefing/CPIFoodAndExpenditures/Data/table1.htm. Accessed 10/29/2003.

    Google Scholar 

  29. Gallo AE. Food Advertising in the United States. In: America’s Eating Habits, Changes and Consequences. US Department of Agriculture, Economics Research Service, Food and Rural Economics Division. Agriculture Information Bulletin No. 750, 1999, pp. 173–180.

    Google Scholar 

  30. Elitzak H. Food Marketing Costs at a Glance. Food Review, September–December 2001; 24(3):47,48.

    Google Scholar 

  31. US Department of Agriculture. Economic Research Service. Food Consumption (per capita) Data System. http://www.ers.usda.gov/data/foodconsumption/. Accessed 8/13/2003.

    Google Scholar 

  32. US Department of Agriculture. Nutrient Content of the US Food Supply, 1909–1994. Home Economics Research Report No. 53, October, 1997. http://www.foodcount.com/nutrition/pdf/ nutrientcontent.pdf. Accessed 10/24/2003.

    Google Scholar 

  33. Putnam J, Kantor LS, Allshouse J. Per Capita Food Supply Trends: Progress toward Dietary Guidelines. Food Review, 2000; 23(3):2–14. http://www.ers.usda.gov/publications/foodreview/ septdec00/FRsept00a.pdf. Accessed 10/24/2003.

    Google Scholar 

  34. The Food Institute. New Product Introductions, 1997–2001. In: Food Industry Review 2002. The Food Institute, Elmwood Park, NJ, 2002.

    Google Scholar 

  35. Sloan AE. Top 10 trends to watch and work on: 2003. Food Technol 2003; 57(4):30–49.

    Google Scholar 

  36. Sloan AE. Healthier, heartier, and more-sophisticated products exhibited. Food Technol 2003; 57(9):64–69.

    Google Scholar 

  37. Nutrition and Your Health: Dietary Guidelines for Americans. 5th ed. Home and Garden Bulletin No. 232. Washington, DC: US Department of Agriculture and US Department of Health and Human Services, 2000.

    Google Scholar 

  38. National Cholesterol Education Program. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Final Report. Circulation December 17–24 2002; 106:3143–3421.

    Google Scholar 

  39. Leibtag E. The Outlook for Food Prices in 2003. Economic Research Service, US Department of Agriculture. Agriculture Outlook Forum. February 21, 2003. http://www.usda.gov/oce/waob/ oc2003/speeches/leibtag.doc. Accessed 10/23/2003.

    Google Scholar 

  40. Lin B, Guthrie J, Frazâo E. Nutrient Contribution of Food Away From Home. In: America’s Eating Habits, Changes and Consequences. Food and Rural Economics Division. Economics Research Service. U.S. Department of Agriculture. Agriculture Information Bulletin No. 750. 1999; 213–242.

    Google Scholar 

  41. Food Marketing Institute. Trends in the United States 2002. Washington, DC: Food Marketing Institute, 2002.

    Google Scholar 

  42. Discovery Health Pulse. Top-Line Poll Results. Penn, Schoen & Berland Associates, Washington, DC, 1999.

    Google Scholar 

  43. Food Marketing Institute. Trends in the United States 2003. Washington, DC: Food Marketing Institute, 2003.

    Google Scholar 

  44. Food Marketing Institute. Shopping for Health—2002 report. Washington, DC: Food Marketing Institute, 2002.

    Google Scholar 

  45. National High Blood Pressure Education Program. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. National Institutes of Health. National Heart, Lung and Blood Institute. NIH Publication No. 03-5233. Washington, DC: US Department of Health and Human Services, May 2003.

    Google Scholar 

  46. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA 2002; 288(14):1723–1727.

    Article  PubMed  Google Scholar 

  47. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in obesity among US children and adolescents, 1999–2000. JAMA 2002; 288(14):1728–1732.

    Article  PubMed  Google Scholar 

  48. Centers for Disease Control, National Center for Health Statistics: Cholesterol Status among Adults in the US. Washington, DC: US Department of Health and Human Services, July 2003. http://www. cdc.gov/nchs/data/nhanes/databriefs/adultcholesterol.pdf. Accessed 9/8/2003.

    Google Scholar 

  49. Ford ES, Mokdad AH, Giles WH, Mensah GA. Serum total cholesterol concentrations and awareness, treatment, and control of hypercholesterolemia among US adults. Findings from the National Health and Nutrition Examination Survey, 1999 to 2000. Circulation 2003; 107(17):2185–2189.

    Article  PubMed  Google Scholar 

  50. Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988–2000. JAMA 2003; 290(2):199–206.

    Article  PubMed  Google Scholar 

  51. Kottke TE, Stroebel RJ, Hoffman RS. JNC-7—It’s more than blood pressure. JAMA 2003; 289(19):2573,2574.

    Article  Google Scholar 

  52. Collins FS, Green ED, Guttmacher AE, Guyer MS. A vision for the future of genomics research. Nature 2003; 422:835–847.

    Article  CAS  PubMed  Google Scholar 

  53. Osborn HT, Akoh CC. Structured Lipids—Novel fats with medical, nutraceutical, and food applications. Comp Rev Food Science Food Safety 2002;3:93–103.

    Google Scholar 

  54. MacLeod SM, McCullough HN. Social science education as a component of medical training. Soc Science Med 1994; 39(9):1367–1373.

    Article  CAS  Google Scholar 

  55. Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. National Academy Press, Washington, DC, 2002.

    Google Scholar 

  56. Institute of Medicine, Food and Nutrition Board: Evolution of Evidence for Selected Nutrient and Disease Relationships. National Academy Press, Washington, DC, 2002.

    Google Scholar 

  57. Dietary Guidelines Advisory Committee. Report of the Dietary Guidelines advisory Committee on the Dieatary Guidelines, 2005. Washington, DC: US Department of Agriculture and US Department of Health and Human Services. http://www.health.gov/dietaryguidelines/dga2005/report/. Accessed 9/17/2004.

    Google Scholar 

  58. Pearson TA, Stone EJ, Grundy SM, McBride PE, Van Horn L, Tobin BW for the NAA Collaborative Group. Translation of nutritional sciences into medical education: the Nutrition Academic Award Program. Am J Clin Nutr 2001; 74:164–170.

    CAS  PubMed  Google Scholar 

  59. Sebrell H. Trends and needs in nutrition. JAMA 1953; 152:42–44.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Ernst Nutrition Consulting, White Stone, VA

    Nancy D. Ernst PhD

  2. Robert Wood Johnson Foundation, Princeton, NJ

    J. Michael McGinnis MD, MPP

Authors
  1. Nancy D. Ernst PhD
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  2. J. Michael McGinnis MD, MPP
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Editor information

Editors and Affiliations

  1. GlaxoSmithKline, Parsippany, NJ

    Adrianne Bendich PhD, FACN

  2. College of Physicians and Surgeons, Columbia University, New York, NY

    Richard J. Deckelbaum MD, FRCP(C)

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© 2005 Humana Press Inc.

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Ernst, N.D., McGinnis, J.M. (2005). Preventive Nutrition. In: Bendich, A., Deckelbaum, R.J. (eds) Preventive Nutrition. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-59259-880-9_1

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  • DOI: https://doi.org/10.1007/978-1-59259-880-9_1

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-445-6

  • Online ISBN: 978-1-59259-880-9

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