1. Overview of Key Changes and Relevance for WIC population

2. Presentation Objectives Summarize information from the 2015-2020 Dietary Guidelines relevant to young children and women Eve Essery Stoody, PhD Lead Nutritionist Nutrition Guidance USDA Center for Nutrition Policy and Promotion Highlight dietary intakes of young children and women compared to recommendations in the 2015- 2020 Dietary Guidelines TusaRebecca E. Schap, PhD MPH RD Lead Nutritionist Nutrition and Economic Analysis USDA Center for Nutrition Policy and Promotion

3. 2015-2020 Dietary Guidelines for Americans: Contents Executive Summary Introduction Chapter 1: Key Elements of Healthy Eating Patterns Chapter 2: Shifts Needed to Align with Healthy Eating Patterns Chapter 3: Everyone Has a Role in Supporting Healthy Eating Patterns Appendices DietaryGuidelines.gov

4. 2015-2020 Dietary Guidelines for Americans

5. The Science Behind Healthy Eating Patterns Systematic reviews of scientific research –To examine relationships between the overall eating pattern, including its constituent foods, beverages, and nutrients, and health outcomes. Food pattern modeling –To assess how well various combinations and amounts of foods from all food groups would result in healthy eating patterns to help meet nutrient needs and accommodate limits. Analyses of current intakes –To identify areas of potential public health concern and ensure recommended eating patterns are realistic and attainable. Findings were integrated so that amounts recommended reflect eating patterns associated with positive health outcomes and that support nutrient adequacy. For additional information on the science behind healthy eating patterns, see the Scientific Report of the 2015 Dietary Guidelines Advisory Committee

6. 2015 Healthy U.S.-Style Eating Pattern Compared to 2010 USDA Food Pattern: 1,400 kcal level 20152010 Total Vegetables ------------------------- 1.5 c-eq/d1.5 c-eq/d Dark Green ------------------------------ 1 c-eq/wk1 c-eq/wk Red and Orange ----------------------- 3 c-eq/wk3 c-eq/wk Legumes --------------------------------- 0.5 c-eq/wk0.5 c-eq/wk Starchy ----------------------------------- 3.5 c-eq/wk3.5 c-eq/wk Other -------------------------------------- 2.5 c-eq/wk2.5 c-eq/wk Fruits --------------------------------------- 1.5 c-eq/d1.5 c-eq/d Grains --------------------------------------- 5 oz-eq/d5 oz-eq/d Whole Grains --------------------------- ≥ 2.5 oz-eq/d2.5 oz-eq/d Refined Grains ------------------------- ≤ 2.5 oz-eq/d2.5 oz-eq/d Dairy ----------------------------------------- 2.5 c-eq/d2.5 oz-eq/d Protein Foods ------------------------------ 4 oz-eq/d4 oz-eq/d Seafood ---------------------------------- 6 oz-eq/wk6 oz-eq/d Meats, poultry, eggs ------------------------- 19 oz-eq/wk19 oz-eq/wk Nuts, seeds, soy products ----------------- 3 oz-eq/wk3 oz-eq/wk Oils ----------------------------------------- 17 g/d17 g/d Limit on Calories for Other Uses* ------------ 110 (8% of kcal)121 (9% of kcal) * In 2010, Maximum SoFAS limit, calories (% of calories)

7. A healthy eating pattern includes: A variety of vegetables from all of the subgroups—dark green, red and orange, legumes (beans and peas), starchy, and other Fruits, especially whole fruits Grains, at least half of which are whole grains Fat-free or low-fat dairy, including milk, yogurt, cheese, and/or fortified soy beverages A variety of protein foods, including seafood, lean meats and poultry, eggs, legumes (beans and peas), and nuts, seeds, and soy products Oils A healthy eating pattern limits: Saturated fats and trans fats, added sugars, and sodium Key Elements of Healthy Eating Patterns: Key Recommendations

8. Key Elements of Healthy Eating Patterns: Key Recommendations (cont.) Key Recommendations that are quantitative are provided for several components of the diet that should be limited. Consume less than 10 percent of calories per day from added sugars Consume less than 10 percent of calories per day from saturated fats Consume less than 2,300 milligrams (mg) per day of sodium (or age- and sex-appropriate Tolerable Upper Intake Levels (ULs))

9. Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits. Limit on Calories for Other Uses

10. Current Eating Patterns Young Children (1-8yrs) and Adult Women (19-50yrs)

11. Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits. Current Eating Patterns in the United States

12. Total Vegetables: Intakes and Recommendations Average Daily Intakes by Age-Sex Groups, Compared to Ranges of Recommended Intake Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

13. The percent of young children and adult women meeting the vegetable food group recommendation is small.

14. Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits. A small percent of young children eat recommended amounts of any vegetable subgroup.

15. A majority of adult women fall below recommendations for vegetable subgroups. Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

16. Fruits: Intakes and Recommendations Average Daily Intakes by Age-Sex Groups, Compared to Ranges of Recommended Intake Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

17. A large percent of young children are meeting the fruit food group recommendation, however most adult women do not meet the recommendation.

18. Total Grains: Intakes and Recommendations Average Daily Intakes by Age-Sex Groups, Compared to Ranges of Recommended Intake Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

19. Almost no young children or adult women eat recommended amounts of whole grains. Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

20. Dairy: Intakes and Recommendations Average Daily Intakes by Age-Sex Groups, Compared to Ranges of Recommended Intake Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

21. The youngest children have the highest proportion meeting dairy food group recommendations. Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

22. Protein Foods: Intakes and Recommendations Average Daily Intakes by Age-Sex Groups, Compared to Ranges of Recommended Intake Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

23. Few children or adult women have intakes of seafood at or above the recommended amounts. Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

24. Added Sugars: Intakes and Limit Average Intakes as a Percent of Calories per Day by Age-Sex Group, in Comparison to the Dietary Guidelines Target of Less than 10 Percent of Calories Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

25. Saturated Fats: Intakes and Limit Average Intakes as a Percent of Calories per Day by Age-Sex Group, in Comparison to the Dietary Guidelines Maximum Limit of Less than 10 Percent of Calories Data Source: What We Eat in America, NHANES 2007-2010 for average intakes by age-sex group. Healthy U.S.-Style Food Patterns, which vary based on age, sex, and activity level, for recommended intakes and limits.

26. Shifts to Align with Healthy Eating Patterns USDA Food Plans include amounts that reflect eating patterns associated with positive health outcomes. Vegetables: Most young children and adult women fall short of recommended intakes. Fruit: Average intakes among children fall within the recommendations, however adult women have intakes that fall short of recommended intakes. Whole grains: Most young children and women do not consume recommended amounts of whole grains. Dairy: Only 1-3 year olds have average intakes that fall within the recommendations for the dairy food group. Protein foods: A large majority of the population falls short of the seafood recommendation. Amounts of added sugar and saturated fat must be lower than 10% of total energy intake to stay within calorie limits.

27. THANK YOU! USDA Center for Nutrition Policy and Promotion www.cnpp.usda.gov www.DietaryGuidelines.gov www.ChooseMyPlate.gov www.SuperTracker.usda.gov REVISED MARCH 2016