Dietary guidelines
In 1957 the American Heart Association proposed that modification of dietary fat intake would
reduce the incidence of coronary heart disease (CHD), which had become the leading cause of
disability and death in the United States and other industrialized countries. Since then the AHA has
issued seven policy statements on diet and CHD as reliable new information has become
available. In each of these statements emphasis was placed on consumption of total fat, saturated
and certain unsaturated fatty acids, dietary cholesterol, and sodium because of their significant
contribution to risk of CHD. Later, excessive alcohol intake was considered because of its
association with hypertension, stroke, and other diseases. Such knowledge has encouraged other
health organizations and the federal government to make similar recommendations.
Dietary guidelines for americans
• Eat a variety of foods.
The AHA strongly endorses consumption of a variety of foods and believes that all
dietary recommendations should enable individuals to adopt eating patterns consistent
with their own lifestyles and that will supply the calories, protein, essential fatty acids,
carbohydrates, vitamins, minerals, and fiber needed for good health. This pattern can
be achieved by eating foods from all the food groups, including fruits and vegetables;
nonfat and low-fat dairy products; whole-grain breads, cereals, pasta, starchy
vegetables, and beans; and lean meat, skinless poultry, and fish. The AHA recommends
that healthy individuals obtain an adequate nutrient intake from foods eaten in variety,
balance, and moderation. Vitamin and mineral supplements are not a substitute for a
balanced and nutritious diet designed to emphasize intake of fruits, vegetables, and
whole-grain foods. Excessive intake of calories, sugar, and salt should be avoided.
• Balance food intake with physical activity and maintain or reduce weight.
Loss of excess weight and long-term maintenance of a healthy weight can improve
blood lipid levels and blood pressure and reduce risk for heart disease, the most
common form of diabetes, stroke, and certain cancers. In many individuals with
increased abdominal or visceral fat, even modest weight reduction may result in
improvement in many metabolic CHD risk factors, particularly those associated with
insulin resistance, including low HDL level, elevated triglyceride level, and small
dense LDL. Successful long-term maintenance of a healthy body weight can be
promoted by regular physical activity in conjunction with a diet that is limited in
calories, particularly those derived from fat, and relatively rich in complex
carbohydrates and fiber.