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Views and opinions: An unexpected proposal for developing dietary guidelines

The USDA and the U.S. Department of Health and Human Services (HHS) are in the process of developing the 2020-25 Dietary Guidelines (http://tinyurl.com/lgosfad), once known as the Food Pyramid and now known as MyPlate.

A few weeks ago we wrote a column on the appointment of the 2020 Dietary Guidelines Advisory Committee (https://tinyurl.com/y3xelnnt), and in that column we acknowledged the controversy over changing recommendations about the role of sugar, meat, milk, and overall dietary fat intake play in human health. To the extent that people take the guidelines seriously, these recommendations ultimately have an impact on what farmers grow.

A couple of days later we ran across a New York Times editorial, “We Need Better Answers on Nutrition,” (https://tinyurl.com/yxlvta5y) that proposes a more systematic way forward in our understanding of human nutritional needs and thus in the development of dietary guidelines that promote human health and reduce food-related illnesses like diabetes, stroke, and heart disease.

The editorial was written by Dr. Joon Yun, a radiologist and American hedge fund manager; Dr. David Kessler, commissioner of the Food and Drug Administration under Presidents George H.W. Bush and Bill Clinton; and Dan Glickman, secretary of agriculture under Clinton.

(We know many farmers will roll their eyes at the mention of Glickman because he was secretary of agriculture during the adoption of the failed 1996 farm bill, but on this issue we shouldn’t hold that against him.)

In that editorial, Yun, Kessler, and Glickman propose the establishment of a National Institute on Nutrition within the National Institutes of Health. In making their case for the proposal, they note “many of the most fundamental questions about foods and health – especially their impact on the economy and the military – remain unanswered.”

At present U.S. federal agencies spend about $1.5 billion a year on nutritional research. In a dig at those of us who have a deep affection for sweets of almost any kind, they report that we spend about $40 billion per year on candy – and that doesn’t count baked goods.

In their editorial, Yun, Kessler, and Glickman tell us that “in 2016, the direct and indirect costs of chronic diseases as a result of obesity were $1.72 trillion – almost 10 percent of the nation’s gross domestic product.” In addition, obesity is the major reason people are disqualified from serving in the military.

They provide 15 examples of the areas of research that would fall under aegis of the new institute. Their list includes:

•“How to leverage food and nutrition policy and public-private partnerships in a ‘food is medicine’ effort to reduce health care costs”

•“Health and metabolic effects of major food groups for which effects remain unclear or controversial, such as cheese, yogurt, whole-fat milk, unprocessed red meat, coconut oil, fermented foods, organic foods, and more”

•“Optimal diets to prevent and treat Type 2 diabetes and pre-diabetes”

•“Effects of foods on brain and mental health, from the developing brain in infants and children to protecting against memory loss, dementia, and depression later in life”

•“Coordinated new science for translation into national dietary guidelines and policies, such as the Dietary Guidelines for Americans”

The systematic examination of the determinants of a healthy diet will undoubtedly affect the types of food we eat and thus the products that farmers grow. We believe that farmers and consumers, alike, have much to gain from the establishment of a National Institute of Nutrition.

Those interested in participating in the development of the Dietary Guidelines can sign up to the USDA listserv at http://tinyurl.com/y5febory

 

The views and opinions expressed in this column are those of the authors and not necessarily those of Farm World. Daryll E. Ray is the Blasingame Chair of Excellence in Agricultural Policy at the Institute of Agriculture, University of Tennessee, and is the Director of UT’s Agricultural Policy Analysis Center. Harwood D. Schaffer is a Research Assistant Professor at APAC. They can be contact at dray@utk.edu and hdschaffer@utk.edu

3/27/2019