Le. Cleveland et al., METHOD FOR IDENTIFYING DIFFERENCES BETWEEN EXISTING FOOD-INTAKE PATTERNS AND PATTERNS THAT MEET NUTRITION RECOMMENDATIONS, Journal of the American Dietetic Association, 93(5), 1993, pp. 556-560
This article describes a mathematical model that takes an existing foo
d intake pattern and develops a new pattern that meets a specified set
of nutrition recommendations with the minimum change possible. The mo
del examines multiple recommendations simultaneously and considers foo
ds as they are currently eaten, so it can provide practitioners with n
ew insights about strategies for implementing recommendations. The mod
el shows serving units per day by food group in both existing and new
intake patterns and the recommendations responsible for changes. Recom
mendations of the National Research Council are used, and sodium-restr
icted (less-than-or-equal-to 2,400 mg) and sodium-unrestricted pattern
s are compared. Food intake data are from 915 nonpregnant, nonlactatin
g women 19 to 50 years old who participated in the US Department of Ag
riculture's 1985 Continuing Survey of Food Intake by Individuals. The
sodium-restricted pattern contains proportionately more dairy products
, fruit, and red meat and proportionately less grain products, fish, a
nd vegetables than the unrestricted-sodium pattern. Nutrition recommen
dations responsible for changes in the existing pattern include those
for saturated fatty acids (<10% kcal), carbohydrate (greater-than-or-e
qual-to 55% kcal), zinc (100% of Recommended Dietary Allowance [RDA]),
potassium (greater-than-or-equal-to 3,500 mg/day), and vitamin E (100
% RDA), in addition to sodium. Implications of the sodium recommendati
on for food selection and preparation, especially of food mixtures and
commercially prepared products, are discussed.