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Severely Restricted Diets in the Absence of Medical Necessity: The Unintended Consequences

Published:April 14, 2014DOI:https://doi.org/10.1016/j.jand.2014.03.008
      Despite the best efforts of health-focused associations and government agencies to deliver complete nutrition information to the public, the message does not always get interpreted as intended. Discussions of how much energy, fat, or other nutrients should be in the diet can often get translated into an overly simplistic and counterproductive demarcation of which foods and nutrients are “good” and which are “bad.”
      Position of the Academy of Nutrition and Dietetics: Total diet approach to healthy eating.
      Although consumers' use of food labels is the frequent go-to suggestion as the basis for making healthful food choices, it is not necessarily a concept put into consistent practice, because “the density and design of nutritional information on food and beverage packaging plays a vital role in whether consumers pay attention.”

      Gray N. Label 'clutter' means consumers don't pay attention to nutrition information, say researchers. June 11, 2013. Food Navigator website. http://www.foodnavigator.com/Science-Nutrition/Label-clutter-means-consumers-don-t-pay-attention-to-nutrition-information-say-researchers. Accessed January 7, 2014.

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      References

      1. Position of the Academy of Nutrition and Dietetics: Total diet approach to healthy eating.
        J Acad Diet Nutr. 2013; 113: 307-317
      2. Gray N. Label 'clutter' means consumers don't pay attention to nutrition information, say researchers. June 11, 2013. Food Navigator website. http://www.foodnavigator.com/Science-Nutrition/Label-clutter-means-consumers-don-t-pay-attention-to-nutrition-information-say-researchers. Accessed January 7, 2014.

        • Hornick B.A.
        • Childs N.M.
        • Smith Edge M.
        • et al.
        Is it time to rethink nutrition communications? A 5-year retrospective of Americans' attitudes toward food, nutrition, and health.
        J Acad Nutr Diet. 2013; 113: 14-23
      3. Position of the American Dietetic Association: Food and nutrition misinformation.
        J Am Diet Assoc. 2002; 102: 260-266
      4. Watson E. Be careful which nutritional bogeyman you go after, says NHANES analysis. August 14, 2013. Food Navigator website. http://foodnavigator-usa.com/content/view/print/809968. Accessed August 15, 2013.

      5. White MC. Why we're wasting billions on gluten-free food. March 13, 2013. Time website. http://business.time.com/2013/03/13/why-were-wasting-billions-on-gluten-free-food. Accessed December 4, 2013.

      6. Gluten-free diets: Vital or vogue? [editorial].
        Lancet. 2012; 380: 704
      7. Chang K. Gluten-free, whether you need it or not. February 4, 2013. New York Times website. http://well.blogs.nytimes.com/2013/02/04/gluten-free-whether-you-need-it-or-not/?_r=1. Accessed December 13, 2013.

        • Zelman K.
        The great fat debate: A closer look at the controversy—Questioning the validity of age-old dietary guidance.
        J Am Diet Assoc. 2011; 111: 655-658
        • Nelsen Jr., D.A.
        Gluten sensitivity: Fad and fact.
        J Ark Med Soc. 2012; 109: 60-61
      8. Getting out the gluten. Harvard Medical Center website. http://www.health.harvard.edu/newsletters/Harvard_Health_Letter/2009/June/getting-out-the-gluten. Accessed December 21, 2013.

        • Tanpowpong P.
        • Broder-Fingert S.
        • Katz A.J.
        Predictors of gluten avoidance and implementation of a gluten-free diet in children and adolescents without confirmed celiac disease.
        J Pediatr. 2012; 161: 471-475
      9. Gluten-free diet fad: Are celiac rates actually rising? July 31, 2012. CBS website. http://www.cbsnews.com/8301-504763_162-57483789-10391704/gluten-free-diet-fat-are-celiac-disease-rates-actually-rising. Accessed December 12, 2012.

        • Di Sabatino A.
        • Corazza G.R.
        Nonceliac gluten sensitivity: Sense or sensibility?.
        Ann Intern Med. 2012; 156: 309-312
        • Gaesser G.A.
        • Angadi S.S.
        Gluten-free diet: Imprudent dietary advice for the general population?.
        J Acad Nutr Diet. 2012; 112: 1330-1333
      10. Parker-Pope T. Celiac disease becoming more common. July 2, 2009. New York Times website. http://well.blogs.nytimes.com/2009/07/02/celiac-disease-becoming-more-common/. Accessed January 13, 2014.

      11. Watson E. Gluten-free myth busting: There is no biomarker for gluten sensitivity, says researcher. October 22, 2012. Food Navigator website. http://www.foodnavigator-usa.com/R-D/Gluten-free-myth-busting-There-is-no-biomarker-for-gluten-sensitivity-says-researcher. Accessed January 13, 2014.

      12. Stewart H, Dong D, Carlson A. Why are Americans drinking less fluid milk? A look at generational differences in intake frequency. US Department of Agriculture Economic Research Service website. http://www.ers.usda.gov/media/1118789/err149.pdf. Accessed January 9, 2014.

      13. Poti JM, Slining MM, Popkin BM. Where are kids getting their empty calories? Stores, schools, and fast-food restaurants each played an important role in empty calorie intake among US children during 2009-2010 [published online ahead of print November 4, 2013]. J Acad Nutr Diet. http://dx.doi.org/10.1016/j.jand.2013.08.012.

      14. Cheng M. Rickets are making a comeback in the UK, doctors say. November 8, 2013. NBC News website. http://www.nbcnews.com/health/rickets-making-comeback-uk-doctors-say-8C11561862. Accessed December 13, 2013.

        • Carroccio A.
        • Montalto G.
        • Cavera G.
        • et al.
        Lactose intolerance and self-reported milk intolerance: Relationship with lactose maldigestion and nutrient intake.
        J Am Coll Nutr. 1998; 17: 631-636
        • Stein K.
        High protein, low-carbohydrate diets: Do they work?.
        J Am Diet Assoc. 2000; 100: 760-761
        • Levine M.J.
        • Jones J.M.
        • Lineback D.R.
        Low-carbohydrate diets: Assessing the science and knowledge gaps, summary of an ILSI North America workshop.
        J Am Diet Assoc. 2006; 106: 2086-2094
        • Griffin J.
        Health and fitness series-3. Popular dietary fads: How should health professionals respond?.
        J Fam Health Care. 2003; 13 (65-66, 68)
      15. National Center for Health Care Statistics. Calorie consumption on the rise in the United States, particularly among women. February 5, 2004. Centers for Disease Control and Prevention website. http://www.cdc.gov/nchs/pressroom/04news/calorie.htm. Accessed February 10, 2014.

      16. Scott-Thomas C. Company claims consumers duped by trans fat labeling loophole. May 20, 2009. Food Navigator website. http://www.foodnavigator-usa.com/Suppliers2/Company-claims-consumers-duped-by-trans-fat-labeling-loophole. Accessed January 9, 2014.

      17. Academy of Nutrition and Dietetics applauds FDA's move to reduce trans fats in processed foods. November 17, 2013. Academy of Nutrition and Dietetics website. http://www.eatright.org/Media/content.aspx?id=6442478985#.Us7DkvRDvbM. Accessed January 9, 2014.

      18. Tavernese S. F.D.A. ruling would all but eliminate trans fats. November 7, 2013. New York Times website. http://www.nytimes.com/2013/11/08/health/fda-trans-fats.html?pagewanted=all. Accessed January 9, 2014.

      19. Howard P. New York's anti-resolution resolution: Ban the trans fat. January 13, 2007. Washington Post website. http://washingtonpost.com/wp-dyn/content/article/200/01/12/AR2007011201675_pf.html. Accessed December 12, 2013.

      20. Pierson D. Trans fats backlash pushes U.S. butter consumption to a 40-year-high. January 7, 2014. LA Times website. latimes.com/business/la-fi-butter-20140108,0,7405320.story. Accessed January 9, 2014.

      21. Know your fats. American Heart Association website. http://www.heart.org/HEARTORG/Conditions/Cholesterol/PreventionTreatmentofHighCholesterol/Know-Your-Fats_UCM_305628_Article.jsp. Accessed January 9, 2014.

      22. Academy of Nutrition and Dietetics Position Paper: Dietary fatty acids for healthy adults.
        J Acad Nutr Diet. 2014; 114: 136-153
      23. Getz L. Orthorexia: When eating healthy becomes an unhealthy obsession. Today's Dietitian website. http://todaysdietitian.com/newarchives/060109p40.shtml. Accessed December 21, 2013.

      24. Nutrition and You: Trends 2011. Academy of Nutrition and Dietetics website. http://www.eatright.org/nutritiontrends/#.UvpmxPldXbM. Accessed February 11, 2014.

      25. Collyns D. Quinoa brings riches to the Andes. January 14, 2013. The Guardian website. http://www.theguardian.com/world/2013/jan/14/quinoa-andes-bolivia-peru-crop. Accessed January 8, 2014.

      26. Modern wheat a “perfect, chronic poison,” doctor says. September 3, 2012. CBS News website. http://www.cbsnews.com/news/modern-wheat-a-perfect-chronic-poison-doctor-says/. Accessed January 17, 2014.

        • Miller G.D.
        • Cohen N.L.
        • Fulgoni V.L.
        From nutrition scientist to nutrition communicator: Why you should take the leap.
        Am J Clin Nutr. 2006; 83: 1272-1275

      Linked Article

      • Erratum
        Journal of the Academy of Nutrition and DieteticsVol. 114Issue 9
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          The article “Severely Restricted Diets in the Absence of Medical Necessity: The Unintended Consequences,” in the July 2014 issue of the Journal of the Academy of Nutrition and Dietetics (pp 986-994), erroneously implied on page 990 that soy milk is not fortified with vitamin D. Since 2009, the US Food and Drug Administration has allowed manufacturers to fortify soy milk with vitamin D. Mary Anne Burkman, MPH, RDN, has confirmed that her quote should have stated, “If soy milk is not fortified with vitamin D, it may affect bone health and strength.” The Journal regrets this unintended error.
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