Freeland-Graves Jeanne, Nitzke Susan
The University of Texas at Austin, USA.
J Am Diet Assoc. 2002 Jan;102(1):100-8. doi: 10.1016/s0002-8223(02)90030-1.
It is the position of the American Dietetic Association that all foods can fit into a healthful eating style. The ADA strives to communicate healthful eating messages to the public that emphasize the total diet, or overall pattern of food eaten, rather than any one food or meal. If consumed in moderation with appropriate portion size and combined with regular physical activity, all foods can fit into a healthful diet. Public policies that support the total diet approach include Reference Dietary Intakes, Food Guide Pyramid, Dietary Guidelines for Americans, Nutrition Labeling and Healthy People 2010. The value of a food should be determined within the context of the total diet because classifying foods as "good" or "bad" may foster unhealthy eating behaviors. Eating practices are influenced by taste and food preferences, concerns about nutrition and weight control, physiology, lifestyle, environment, and food product safety. To increase the effectiveness of nutrition education in promoting sensible food choices, dietetics professionals plan communications and educational programs that utilize theories and models related to human behavior. Communication campaigns/programs should implement an active, behaviorally focused approach within the larger context of food choices. Nutrition confusion can be reduced by emphasizing moderation, appropriate portion size, balance and adequacy of the total diet over time, the importance of obtaining nutrients from foods, and physical activity.
美国饮食协会的立场是,所有食物都能纳入健康的饮食方式。美国饮食协会努力向公众传达健康饮食信息,强调的是总体饮食,即所摄入食物的整体模式,而非某一种食物或某一顿饭。如果适量食用、控制好份量,并结合规律的体育活动,所有食物都能纳入健康饮食。支持总体饮食方法的公共政策包括《膳食营养素参考摄入量》《食物指南金字塔》《美国膳食指南》《营养标签》以及《2010年健康人群计划》。食物的价值应在总体饮食的背景下确定,因为将食物分类为“好”或“坏”可能会助长不健康的饮食行为。饮食行为受到口味和食物偏好、对营养和体重控制的关注、生理状况、生活方式、环境以及食品安全性等因素的影响。为提高营养教育在促进合理食物选择方面的有效性,饮食专业人员制定利用与人类行为相关理论和模型的沟通及教育计划。宣传活动/项目应在食物选择的大背景下采用积极的、以行为为重点的方法。通过强调适度、合适的份量、随着时间推移总体饮食的平衡与充足、从食物中获取营养的重要性以及体育活动,可以减少营养方面的困惑。