We can all be healthy, promise the new U.S. diet guidelines. Or can we?
Your father's dinner plate featured a meat or fish entree. Vegetables were side items: something starchy, and something green -- both, like the white dinner rolls, slathered with butter. Maybe there was a salad for starters. Almost certainly there was a dessert.
"Help me ... help you. Help me, help you."
That famous line from the film Jerry Maguire may be the best advice a doctor could give his or her patient.
"Some patients have the attitude, 'I'm putting myself in the hands of a professional,'" says Stephen Permut, MD, chairman of family and community medicine at Temple University School of Medicine in Philadelphia. "They want you to make all their decisions for them."
Permut prefers to have patients get involved in their own care and engage the doctor...
If this is what your dinner plate looks like, the U.S. health and agriculture departments now say, forget about it. The plate should be alive with colorful vegetables such as purple eggplant, dark green kale, and bright orange winter squash - all without butter. If there's any meat at all on the plate, it will be no more than three lean ounces of beef, chicken, or much-preferred fish.
That's not all. You'll need five servings of vegetables, four servings of fruit, three cups of low-fat dairy foods, and 6 ounces of whole grains every single day. Cut back on salt. Eat only healthy oils and no bad fats. Stay away from sweets and sugar-added beverages. Drink very little or no alcohol. Exercise for at least 30 minutes every day. Or better still, exercise for 60 to 90 minutes daily.
We all need to eat better. But this is just not a reasonable target, says nutritionist Annette Dickinson, PhD, president of the Council for Responsible Nutrition, a trade association of dietary supplement manufacturers.
"I think there is a risk of these guidelines setting people up for failure," Dickinson tells WebMD. "We know that people already aren't doing what the last guidelines said. Yet these are more stringent. It is good to have a goal to shoot for. But this is just not a real-life solution."
Don't Let It Scare You
Arguably, few have done more to change the American diet than Mark Bittman, author of the weekly New York Times cooking column "The Minimalist." Bittman's best-selling 1998 How to Cook Everything toned down the buttery rich recipes of James Beard and Julia Childs. His claim to fame - soon to be demonstrated in a new PBS series in which famous U.S. chefs will challenge him to make simpler versions of their signature dishes - is that modern times call for lower-fat, simpler recipes.