February's report from the Dietary Guidelines Advisory Committee called for an emphasis on plant-based diets and less red or processed meat. Protests from the meat industry followed, and the comment period was extended until Friday.
Friday marked the final day for public comment on the scientific report that goes to 2 US Cabinet Secretaries who have the final say on the nation’s nutrition policy for the next 5 years. And, to no one’s surprise, the final days before the deadline were eventful, with interests weighing in on the report’s call for Americans to eat less red meat.
On Thursday, Friends of the Earth and the Center for Biological Diversity presented petitions with 150,000 signatures supporting February recommendations from the 2015 Dietary Guidelines Advisory Committee (DGAC), whose members for the first time called for favoring plant-based diets with less red and processed meat. The meat industry has protested the recommendation and, in fact, the public comment period was pushed back to allow more time for input.
“Americans in every corner of the country are moving toward diets that are better for themselves and better for wildlife and out planet, especially by eating less meat,” said Stephanie Feldstein, population and sustainability director at the Center for Biological Diversity. “The choice is clear: in this era of climate change, drought, and diet-related health crises, the government should be leading us with dietary guidelines that are healthy and sustainable for us all.”
Under the process spelled out by Congress, comments on the DGAC report are forwarded to the Secretaries of Health and Human Services (HHS) and Agriculture; after a public hearing, the secretaries will jointly issue the 2015 Dietary Guidelines for Americans. The guidelines, updated every 5 years, serve as official nutrition policy that inform what goes into meals for persons on public assistance, military meals, and the National School Lunch Program.
That last program was overhauled significantly in response to the 2010 guidelines, which informed the Healthy, Hunger-Free Kids Act. The legislation cut back on the levels of salt and fat in school meals, required that children be served fruits and vegetables, and put limits on a la carte items sold in school cafeterias.
As reported previously in Evidence-Based Diabetes Management, a publication of The American Journal of Managed Care, food service officials in suburban areas especially have protested the stricter nutrition standards, with complaints that cafeterias are losing money because students refuse to eat the healthier fare.
Nationwide, participation rates are off by 9% in elementary schools; however, rates are uneven, with higher drop-off reported in wealthier areas where children have more options to bring food from home. Drop-off rates among high school students is reportedly even higher in some areas, depending on whether local policies allow students to leave campus for lunch.
So it was not a coincidence that Thursday was also the hearing date on the status of school nutrition standards before the Senate Committee on Agriculture, Nutrition, and Forestry. Senator Pat Roberts, R-Kansas, said it was important to allow “some flexibility” in the school lunch standards, which are up for reauthorization and along with several other federal nutrition programs.
School nutrition standards were revised after an Institute of Medicine report linked unhealthy school meals to rising rates of childhood obesity. Around that time, federal requirements began forcing schools to eliminate sugary drinks like sodas and the most unhealthy snacks from vending machines, which were money-makers for many schools. A recent study from California found that these policy changes produced noticeable effects on childhood obesity rates, although the effects were more pronounced in wealthier neighborhoods.
However, some who testified Thursday said it takes time for stricter nutrition standards to take hold among youth. Richard Goff, executive director for the Office of Child Nutrition in West Virginia’s Department of Education, said his state initially faced many of the same resistance to healthier eating standards when it overhauled its offerings back in 2011-2012. But he said the number of complaints feel over time, and some students now ask for the healthy options like “brown bread.”
Nutritionists and others who have discussed the school lunch standards say the challenge is the availability of unhealthy foods that compete with the school meals. Forcing cafeterias to give every child a fruit or vegetable, when older students can leave campus for fast food or unhealthy options sold at gas stations, sets the school lunch program up for failure, they say.
The DGAC report commented on this challenge in its discussion of dietary patterns, and said that getting Americans to change their food choices will take a comprehensive effort that addresses all the places where unhealthy food is available. The report’s emphasis on patterns and sustainability, promised at the outset, still provoked a strong reaction from some members of the food industry when it was released in February.
Around the Web
150,000 Americans Call for Less Meat, More Plants in Guidelines
Congress Wrestles With School Lunches
School Lunch Changes for 2015 May Be Just the Start of Rollback
Intensive Blood Pressure Regimen Lowers CVD Risk for People With Diabetes
November 19th 2024Reducing systolic blood pressure to less than 120 mmHg lowered the risk of major cardiovascular events for most people with type 2 diabetes in the Blood Pressure Control Target in Diabetes trial.
Read More
Exploring Pharmaceutical Innovations, Trust, and Access With CVS Health's CMO
July 11th 2024On this episode of Managed Care Cast, we're talking with the chief medical officer of CVS Health about recent pharmaceutical innovations, patient-provider relationships, and strategies to reduce drug costs.
Listen
Contributor: The Diabetes Vendor Resource Guide—A Useful Directory for Employers
November 13th 2024Employees living with diabetes often face unique challenges, such as managing blood sugar levels, balancing medication, and preventing complications, all while maintaining their professional responsibilities. This condition can lead to increased absenteeism, reduced productivity, and rising health care costs.
Read More
How Can Employers Leverage the DPP to Improve Diabetes Rates?
February 15th 2022On this episode of Managed Care Cast, Jill Hutt, vice president of member services at the Greater Philadelphia Business Coalition on Health, explains the Coalition’s efforts to reduce diabetes rates through the Diabetes Prevention Program (DPP).
Listen