Skip to main content

Everything in Moderation?

I also write for a dietitian's blog in NYC - if you're interested, check out my post questioning the mantra of moderation over at :

http://the-sage.org/post/60752812562/moderation-is-key


Everything in Moderation?
This is the mantra of the field of nutrition. It states that no one food is bad for you if you consume it in moderation.
“Everything in moderation” is a bit confusing - and I imagine to the average person. Should you consume everything in the same moderation? I hope not - how moderately you consume vegetables and how moderately you consume Crisco should hopefully be extremely different levels of moderation. Added sugars are fine to consume in moderation - does that mean you drink a Coca-Cola once a week? Once a month? 4 times a year? What is moderate? Moderate consumption and your ability to thrive on moderate consumption of soda are going to be different depending on your daily schedule, level of activity and even your genes.
The biggest issue with recommending “moderation” is that it seems to have come about to guide how many low nutrient, processed foods we can add into our diet. No one is talking about moderation when it comes to vegetables, but the Coca-Cola Company will be the first to tell you that their products are fine… in moderation. A can or two of coke per month, diet or not, is fine and is not going to cause you major adverse side effects - that is probably what is meant when nutrition professionals say, “everything is fine in moderation.”
The major problem is that the business and capitalism of food do not work in a system of moderation. Soda isn’t designed so that you only want one or two cans a month - it’s pure sugar that taps into our primal desire for sugary foods. It does not contain the satiety mechanisms that whole foods contain, aka it has no fiber, fats, protein or any nutrient for that matter. Snack foods are designed to lure people in the same way. Processed foods (including packaged and snack foods) are laden with salt the same way certain beverages are laden with sugar – and people are drawn to them. Because these foods do not provide any satiety factors, someone can keep eating them all the while only gaining empty calories and salt. Foods high in empty calories are usually also high in salt and sugar – and usually processed – which are correlated with type 2 diabetes, heart disease, vascular complications, just to name a few, when consumed in large amounts. Because companies want their profits to be consistently increasing every quarter, having their products consumed in moderation does not allow for this.
Talking about moderation leaves it up to the individual to decide what is moderate. Take a look at the obesity epidemic - we’re clearly really bad at moderation. There is some merit to this method and mantra because humans can also be quite obsessive – there are many people doing an exclusion diet (low carb, no grains, no gluten, no added sugars, etc.). These people seem to have a lot of anxiety about food in general, especially when it comes to how much to eat. No one should stress about food, that’s why “diets” don’t typically work in the long-term. However, until the food system is reflective of an environment that promotes moderation, is moderation the best choice?
RECOMMENDATION
Instead of everything in moderation, the best is to eat mostly unprocessed. Whole foods are rich in good nutrition, leaving room for that brownie, bag of chips, or soda you may crave. I would recommend limiting these foods to about 3x per week, which fits right under the manta of “moderation.” This ensures that you lead a healthy, balanced diet without complete restriction of any one food - processed or not.

Comments

Popular posts from this blog

Beware the Meta-Analysis: Fat, Guidelines, and Biases

Headlines were abuzz this week, reporting that a new review of randomized controlled trials at the time of the low-fat guidelines didn't support their institution. Time , Business Insider , and The Verge all covered the topic with sensationalist headlines (e.g. 'We should never have told people to stop eating fat' #weneverdid). I won't spend every part of this blog picking apart the entire meta-analysis; you can read it over at the open access journal, BMJ Open Heart (1) -- (note, for myself, i'm adding an extra level of skepticism for anything that gets published in this journal). I'm also not going to defend low-fat diets either, but rather, use this meta-analysis to point out some critical shortcomings in nutritional sciences research, and note that we should be wary of meta-analyses when it comes to diet trials. First off, let's discuss randomized controlled trials (RCTs). They are considered the gold standard in biomedical research; in the hierarc

Nutrition Recommendations Constantly Change...Don't They?

I was on Facebook the other day, and someone in a group I'm in made a statement about not being sure whether to eat dairy, because "one week its bad, and the next its good". This is something I hear all too often from people: nutrition is complex, confusing, and constantly changing. One week 'X' is bad, the next 'X' is good. From an outsider's perspective, nutrition seems like a battlefield - low fat vs low carb vs Mediterranean vs Paleo vs Veg*n. Google any of these diets and you'll find plenty of websites saying that the government advice is wrong and they've got the perfect diet, the solution to all of your chronic woes, guarantee'ing weight loss, muscle growth, longevity, etc. Basically, if you've got an ailment, 'X' diet is the cure. I can certainly see this as being overwhelming from a non-scientist/dietitian perspective. Nutrition is confusing...right? Screenshot, DGA: 1980, health.gov From an insider's pe

On PURE

The PURE macronutrients studies were published in the Lancet journals today and the headlines / commentaries are reminding us that everything we thought we think we were told we knew about nutrition is wrong/misguided, etc. Below is my non-epidemiologist's run down of what happened in PURE. A couple papers came out related to PURE, but the one causing the most buzz is the relationship of the macronutrients to mortality. With a median follow up of 7.4 years, 5796 people died and 4784 had a major cardiovascular event (stroke, MCI). The paper modeled the impacts of self reported dietary carbohydrate, total fat, protein, monounsaturated (MUFA), saturated (SFA), and polyunsaturated (PUFA) fatty acid intakes on cardiovascular (CVD), non-CVD and total mortality; all macros were represented as a percentage of total self reported energy intakes and reported/analyzed in quintiles (energy intakes between 500-5000kcals/day were considered plausible..). All dietary data was determined by a