This article discusses the process by which a country can effectively solve health problems through recommended changes in the nutrient content of the diet. Each country must consider not only the development of scientific guidelines suitable for its population, but also strategies for effective food-based dietary guidance to achieve the goal. This is best done by integrating health and dietary goals when forming scientific guidelines and by developing effective partnerships among the many sectors that influence the food supply and food selection. Using fat intake in children as an example, this article describes the determinants of success in achieving the goals of science-based dietary guidelines through food-based dietary guidance.
To determine whether utilization of iron from infant cereal and pureed meat was sufficient to prevent iron depletion and/or anaemia in infants 6 to 12 months old fed whole cow milk (WCM) as their primary milk source.
Six-month-old infants were randomized into a treatment group (n = 43) receiving iron-fortified infant cereal (10.2 mg iron), pureed meat (0.75-1.7 mg iron) and WCM for six months or a control group (n = 54) receiving no dietary intervention. Haemoglobin
A joint Working Group from the Canadian Paediatric Society and Health Canada met in the early 1990s to consider the applicability of recommendations to restrict total and saturated fat in children > or = 2 y of age. The Group weighed information from the literature on the nutritional needs for growth and development against evidence relating diet to risk of nutrition-related diseases. The Group concluded that the efficacy of the fat-restricted diet could not be assumed. There was no evidence that implementation of the diet would reduce illness in later life or provide benefit to children as children. Regarding safety, some children consuming self-selected diets with low fat intakes have lower energy intakes and food patterns that may compromise the intake of certain key nutrients. The primary recommendations of the Group were that the provision of adequate energy and nutrients to ensure adequate growth and development remains the most important consideration in the nutrition of children and that during the preschool and childhood years, nutritious food choices should not be eliminated or restricted because of fat content. Once linear growth has stopped, fat intake as currently recommended (30:10) is appropriate.