TY - JOUR
T1 - Dietary Diversity
T2 - Implications for Obesity Prevention in Adult Populations: A Science Advisory From the American Heart Association
AU - American Heart Association Behavioral Change for Improving Health Factors Committee of the Council on Lifestyle and Cardiometabolic Health and Council on Epidemiology and Prevention; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardio
AU - de Oliveira Otto, Marcia C.
AU - Anderson, Cheryl A.M.
AU - Dearborn, Jennifer L.
AU - Ferranti, Erin P.
AU - Mozaffarian, Dariush
AU - Rao, Goutham
AU - Wylie-Rosett, Judith
AU - Lichtenstein, Alice H.
PY - 2018/9/11
Y1 - 2018/9/11
N2 - "Eat a variety of foods," or dietary diversity, is a widely accepted recommendation to promote a healthy, nutritionally adequate diet and to reduce the risk of major chronic diseases. However, recent evidence from observational studies suggests that greater dietary diversity is associated with suboptimal eating patterns, that is, higher intakes of processed foods, refined grains, and sugar-sweetened beverages and lower intakes of minimally processed foods, such as fish, fruits, and vegetables, and may be associated with weight gain and obesity in adult populations. This American Heart Association science advisory summarizes definitions for dietary diversity and reviews current evidence on its relationship with obesity outcomes, eating behavior, and food-based diet quality measures. Current data do not support greater dietary diversity as an effective strategy to promote healthy eating patterns and healthy body weight. Given the current state of the science on dietary diversity and the insufficient data to inform recommendations on specific aspects of dietary diversity that may be beneficial or detrimental to healthy weight, it is appropriate to promote a healthy eating pattern that emphasizes adequate intake of plant foods, protein sources, low-fat dairy products, vegetable oils, and nuts and limits consumption of sweets, sugar-sweetened beverages, and red meats.
AB - "Eat a variety of foods," or dietary diversity, is a widely accepted recommendation to promote a healthy, nutritionally adequate diet and to reduce the risk of major chronic diseases. However, recent evidence from observational studies suggests that greater dietary diversity is associated with suboptimal eating patterns, that is, higher intakes of processed foods, refined grains, and sugar-sweetened beverages and lower intakes of minimally processed foods, such as fish, fruits, and vegetables, and may be associated with weight gain and obesity in adult populations. This American Heart Association science advisory summarizes definitions for dietary diversity and reviews current evidence on its relationship with obesity outcomes, eating behavior, and food-based diet quality measures. Current data do not support greater dietary diversity as an effective strategy to promote healthy eating patterns and healthy body weight. Given the current state of the science on dietary diversity and the insufficient data to inform recommendations on specific aspects of dietary diversity that may be beneficial or detrimental to healthy weight, it is appropriate to promote a healthy eating pattern that emphasizes adequate intake of plant foods, protein sources, low-fat dairy products, vegetable oils, and nuts and limits consumption of sweets, sugar-sweetened beverages, and red meats.
KW - AHA Scientific Statements
KW - diet
KW - eating behavior
KW - healthy diet
KW - obesity
KW - prevention and control
UR - http://www.scopus.com/inward/record.url?scp=85055607038&partnerID=8YFLogxK
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U2 - 10.1161/CIR.0000000000000595
DO - 10.1161/CIR.0000000000000595
M3 - Review article
C2 - 30354383
AN - SCOPUS:85055607038
SN - 0009-7322
VL - 138
SP - e160-e168
JO - Circulation
JF - Circulation
IS - 11
ER -