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The Healthiness and Sustainability of Food-Based Dietary Guidelines

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (28 May 2021) | Viewed by 22746

Special Issue Editor


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Guest Editor
1. Stress Resilience and Human Nutrition Research Laboratory, Obesity and Metabolism Research Unit, USDA/ARS/Western Human Nutrition Research Center 2, Davis, CA, 95616, USA
2. Department of Nutrition, University of California, Davis, CA 95616, USA
Interests: Dietary Guidelines; Evidence for food-based dietary recommendations; Whole food diets; Prospective clinical study; Longitudinal study; Nutrition intervention; Health; Appplicability and acceptability of dietary recommendations; Flexibility and and sustainability of dietary guidelines
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are soliciting the submission of quality original research, review, and perspective papers addressing the healthiness, flexibility, and sustainability of food-based dietary guidelines and diet types (e.g., Mediterranean; Ketogenic; Vegan). There is a need for published research on and scientific evidence for the effects of food-based dietary recommendations on body and psychological health. Furthermore, evidence supporting whether and how food-based dietary guidelines and certain diet types increase resilience to cardio-metabolic and neuropsychiatric diseases is needed. Another key area of interest is whether food-based dietary guidelines can accommodate different and evolving circumstances and specific needs across various sub-groups (phenotypes) in the population. 

Dr. Kevin D. Laugero
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Dietary Guidelines
  • Food-based dietary recommendations
  • Whole food diets
  • Prospective clinical study
  • Longitudinal study
  • Nutrition intervention
  • Metabolic health
  • Psychological health
  • Applicability and acceptability of dietary recommendations
  • Flexibility and sustainability of dietary guidelines

Published Papers (5 papers)

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Research

11 pages, 560 KiB  
Article
Nutrient Profiles of Dishes Consumed by the Adequate and High-Salt Groups in the 2014–2018 National Health and Nutrition Survey, Japan
by Hidemi Takimoto, Emiko Okada, Jun Takebayashi, Yuki Tada, Takahiro Yoshizaki, Yuri Yokoyama and Yoshiko Ishimi
Nutrients 2021, 13(8), 2591; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13082591 - 28 Jul 2021
Cited by 3 | Viewed by 2299
Abstract
Dish-based nutrient profile analyses are essential for setting goals to achieve a balanced diet. In 2014, the Japanese government proposed the “Healthy Meal” criteria, which requires a salt content of 3 g/650 kcal per meal. To examine the current intake status of a [...] Read more.
Dish-based nutrient profile analyses are essential for setting goals to achieve a balanced diet. In 2014, the Japanese government proposed the “Healthy Meal” criteria, which requires a salt content of 3 g/650 kcal per meal. To examine the current intake status of a nationally representative sample, we conducted a series of secondary analyses of the 2014–2018 National Health and Nutrition Survey data. Participants (aged 18–74 years) were grouped as “high-salt” consumers if their salt intake was 3 g/650 kcal or higher and “adequate” consumers if they consumed less than 3 g/650 kcal. A total of 13,615 participants were identified as “adequate” consumers and 22,300 as “high-salt” consumers. The median salt intake in the “high-salt” group was 11.3 g/day, while that in the “adequate” group was 7.5 g/day. Almost all dishes consumed by the “adequate” group had significantly high energy and fat content but low salt content, compared with those consumed by the “high-salt” group. For example, the median energy, fat, and salt contents in the main dishes consumed by the “adequate” group were 173 kcal, 10.4 g, and 0.9 g/dish, respectively, while those in the main dishes consumed by the “high-salt” group were 159 kcal, 8.9 g, and 1.1 g/dish, respectively. Examples of balanced dishes that are low in both salt and fat content can be proposed to help improve the Japanese consumers’ dietary behavior. Full article
(This article belongs to the Special Issue The Healthiness and Sustainability of Food-Based Dietary Guidelines)
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14 pages, 949 KiB  
Article
Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil
by Juliana C. Reis-Canaan, Marcelo M. Canaan, Patrícia D. Costa, Tamires P. Rodrigues-Juliatte, Michel C. A. Pereira, Paula M. Castelo, Vanessa Pardi, Ramiro M. Murata and Luciano J. Pereira
Nutrients 2021, 13(7), 2260; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13072260 - 30 Jun 2021
Cited by 3 | Viewed by 2703
Abstract
Chronotype (CT) has been associated with predisposition to chronic noncommunicable diseases (CNCDs), such as diabetes mellitus and obesity. However, the effects of CT on individuals assisted by public health systems (PHSs) in middle-up economies are still poorly explored. The objective of this study [...] Read more.
Chronotype (CT) has been associated with predisposition to chronic noncommunicable diseases (CNCDs), such as diabetes mellitus and obesity. However, the effects of CT on individuals assisted by public health systems (PHSs) in middle-up economies are still poorly explored. The objective of this study was to evaluate the relationship between CT and clinical, sociobehavioral and nutritional aspects in adults assisted by a PHS in Brazil. This is a population-based cross-sectional study. The sample consisted of 380 individuals, selected through probabilistic sampling by clusters, in all health units in a city of approximately 100 thousand inhabitants. Data collection was performed during home visits, by means of general and nutritional interviews, anthropometric measurements and the Morningness–Eveningness Questionnaire (MEQ). Statistical analysis comprised chi-square test and principal component analysis (CPA) followed by Fisher’s discriminant analysis to determine aspects associated with each CT (morning, evening or intermediate). With the aim of explaining the variation in the CT scores, the consumption of micronutrients (corrected to the total energy intake) and other individual and sociodemographic variables were used as explanatory factors in the adjustment of a linear regression model. The morning group was characterized by older men, with less than eight years of schooling, with low body mass index (BMI) and with low intake of omega-6, omega-3, sodium, zinc, thiamine, pyridoxine and niacin. The evening group, on the other hand, was composed of younger individuals, with a high consumption of these same nutrients, with high BMI and a higher frequency of heart diseases (p < 0.05). It was concluded that most morning CT individuals were elderly thin males with lower consumption of omega-6 and -3, sodium, zinc, thiamine, pyridoxine and niacin, whereas evening individuals were younger, had higher BMI and had higher consumption of the studied micronutrients. The identification of circadian and behavioral risk groups can help to provide preventive and multidisciplinary health promotion measures. Full article
(This article belongs to the Special Issue The Healthiness and Sustainability of Food-Based Dietary Guidelines)
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13 pages, 286 KiB  
Article
Healthcare Cost Savings Associated with Increased Whole Grain Consumption among Australian Adults
by Mohammad M. H. Abdullah, Jaimee Hughes and Sara Grafenauer
Nutrients 2021, 13(6), 1855; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13061855 - 29 May 2021
Cited by 15 | Viewed by 6957
Abstract
Many dietary guidelines emphasise “mostly” whole grain food choices as part of an overall healthy eating pattern based on evidence for enhancing nutritional status and reducing chronic disease. Still, countries including Australia fall short of their consumption targets. Furthermore, healthcare cost savings associated [...] Read more.
Many dietary guidelines emphasise “mostly” whole grain food choices as part of an overall healthy eating pattern based on evidence for enhancing nutritional status and reducing chronic disease. Still, countries including Australia fall short of their consumption targets. Furthermore, healthcare cost savings associated with increasing the consumption of whole grains in alignment with the Daily Target Intake (DTI) recommendation of 48 g are unknown. The aim of this study was to assess the potential savings in costs of healthcare and lost productivity associated with a reduction in the incidence of Type 2 Diabetes Mellitus (T2DM) and cardiovascular disease (CVD) through meeting the 48 g DTI recommendation for whole grains among the Australian adult population (>20 years). A three-step cost-of-illness analysis was conducted using input parameters from: 1) estimates of proportions of consumers (5%, 15%, 50%, and 100%) who would increase their current intake of whole grains to meet the recommended DTI in Australia; 2) relative reductions in risk of T2DM and CVD associated with specific whole grain consumption, as reported in meta-analysis studies; and 3) data on costs of healthcare and productivity loss based on monetary figures by national healthcare authorities. A very pessimistic (5% of the population) through to universal (100% of the population) adoption of the recommended DTI was shown to potentially yield AUD 37.5 (95% CI 22.3–49.3) to AUD 750.7 (95% CI 445.7–985.2) million, and AUD 35.9 (95% CI 8.3–60.7) to AUD 717.4 (95% CI 165.5–1214.1) million in savings on annual healthcare and lost productivity costs for T2DM and CVD, respectively. Given such economic benefits of the recommended consumption of whole grains, in exchange for refined grains, there is a real opportunity to facilitate relevant socioeconomic cost-savings for Australia and reductions in disease. These results are suggestive of a much greater opportunity to communicate the need for dietary change at all levels, but particularly through food-based dietary guidelines and front-of-pack labelling initiatives. Full article
(This article belongs to the Special Issue The Healthiness and Sustainability of Food-Based Dietary Guidelines)
12 pages, 3377 KiB  
Article
Assessing the Impact of Salt Reduction Initiatives on the Chronic Disease Burden of Singapore
by Ken Wei Tan, Sharon Esi Duoduwa Quaye, Joel Ruihan Koo, Jue Tao Lim, Alex R. Cook and Borame L. Dickens
Nutrients 2021, 13(4), 1171; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13041171 - 01 Apr 2021
Cited by 8 | Viewed by 4466
Abstract
Globally, many countries are facing an increasing burden of chronic disease due to ageing populations, of which cardiovascular disease forms a large proportion. Excess dietary sodium contributes to cardiovascular disease risk and requires intervention at a population level. This study aimed to quantify [...] Read more.
Globally, many countries are facing an increasing burden of chronic disease due to ageing populations, of which cardiovascular disease forms a large proportion. Excess dietary sodium contributes to cardiovascular disease risk and requires intervention at a population level. This study aimed to quantify the impact of several salt reduction initiatives on population health over a 30-year horizon using GeoDEMOS, a population model from Singapore. Four interventions were modelled in four demographic groups in 2020 for a total of 16 intervention scenarios. The effect of 0.5, 2.0, and 4.0 g/day reductions in daily salt consumption, along with adherence to the World Health Organization guidelines of a maximum of 5.0 g of salt each day, was modelled in the entire population, including the overweight and obese, the elderly, and diabetics. In each scenario, the number of averted incident cases of acute myocardial infarction and stroke, along with the disability-adjusted life years up to 2050, was monitored. We found 4.0 g/day reductions in salt consumption were the most effective when implemented across the entire population, resulting in 24,000 averted incident cases of cardiovascular disease and 215,000 disability-adjusted life years over 30 years. This is a large figure when compared with the 29,200 projected annual incident cases of cardiovascular disease in 2050. When targeted at specific high-risk demographic groups, the largest effects were observed in the overweight and obese, with the same intervention yielding 10,500 averted incident cases of cardiovascular disease and 91,500 disability-adjusted life years. Quantifying the benefits of salt reduction initiatives revealed a significant impact when administered across the entire population or the overweight and obese. Health promotion efforts directed toward sustainably reducing salt consumption will help to lower the chronic disease burden on the healthcare system in years to come. Full article
(This article belongs to the Special Issue The Healthiness and Sustainability of Food-Based Dietary Guidelines)
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13 pages, 716 KiB  
Article
Associations of Dietary Patterns with Incident Depression: The Maastricht Study
by Vincenza Gianfredi, Annemarie Koster, Anna Odone, Andrea Amerio, Carlo Signorelli, Nicolaas C. Schaper, Hans Bosma, Sebastian Köhler, Pieter C. Dagnelie, Coen D.A. Stehouwer, Miranda T. Schram, Martien C.J.M. van Dongen and Simone J.P.M. Eussen
Nutrients 2021, 13(3), 1034; https://doi.org/10.3390/nu13031034 - 23 Mar 2021
Cited by 27 | Viewed by 5588
Abstract
Our aim was to assess the association between a priori defined dietary patterns and incident depressive symptoms. We used data from The Maastricht Study, a population-based cohort study (n = 2646, mean (SD) age 59.9 (8.0) years, 49.5% women; 15,188 person-years of [...] Read more.
Our aim was to assess the association between a priori defined dietary patterns and incident depressive symptoms. We used data from The Maastricht Study, a population-based cohort study (n = 2646, mean (SD) age 59.9 (8.0) years, 49.5% women; 15,188 person-years of follow-up). Level of adherence to the Dutch Healthy Diet (DHD), Mediterranean Diet, and Dietary Approaches To Stop Hypertension (DASH) were derived from a validated Food Frequency Questionnaire. Depressive symptoms were assessed at baseline and annually over seven-year-follow-up (using the 9-item Patient Health Questionnaire). We used Cox proportional hazards regression analyses to assess the association between dietary patterns and depressive symptoms. One standard deviation (SD) higher adherence in the DHD and DASH was associated with a lower hazard ratio (HR) of depressive symptoms with HRs (95%CI) of 0.78 (0.69–0.89) and 0.87 (0.77–0.98), respectively, after adjustment for sociodemographic and cardiovascular risk factors. After further adjustment for lifestyle factors, the HR per one SD higher DHD was 0.83 (0.73–0.96), whereas adherence to Mediterranean and DASH diets was not associated with incident depressive symptoms. Higher adherence to the DHD lowered risk of incident depressive symptoms. Adherence to healthy diet could be an effective non-pharmacological preventive measure to reduce the incidence of depression. Full article
(This article belongs to the Special Issue The Healthiness and Sustainability of Food-Based Dietary Guidelines)
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