Dietitian's Advice: What to Eat for a Healthy Life

Consuming a healthy diet throughout life is crucial for preventing malnutrition in all its forms and reducing the risk of noncommunicable diseases (NCDs). Modern lifestyles have shifted dietary patterns towards energy-dense foods high in fats, free sugars, and salt/sodium, while many people lack sufficient intake of fruits, vegetables, and dietary fiber like whole grains.

The ideal composition of a diversified, balanced, and healthy diet varies based on individual factors such as age, gender, lifestyle, physical activity level, cultural context, available foods, and dietary customs. However, the fundamental principles of a healthy diet remain consistent.

Key Components of a Healthy Diet

For Adults

A healthy diet for adults should include:

  • Fruits, vegetables, legumes, nuts, and whole grains: Aim for at least 400 grams (five portions) of fruits and vegetables daily to reduce the risk of NCDs and ensure adequate fiber intake.
  • Limiting Free Sugars: Reduce free sugars intake to less than 10% of total energy intake, with further health benefits at less than 5%. Free sugars include those added by manufacturers, cooks, or consumers, as well as those naturally present in honey, syrups, fruit juices, and concentrates.
  • Controlling Fat Intake: Limit total fat intake to less than 30% of total energy intake. Reduce saturated fats to less than 10% and trans-fats to less than 1% of total energy intake, replacing them with unsaturated fats, especially polyunsaturated fats.
  • Reducing Salt Intake: Consume less than 5 grams of salt per day, ensuring it is iodized.
  • Prioritizing Whole Grains: Choose wholegrain or wholemeal varieties of starchy foods like brown rice, whole wheat pasta, and wholemeal bread for higher fiber, vitamin, and mineral content.

For Infants and Young Children

Optimal nutrition in the first two years of life is vital for healthy growth and cognitive development, reducing the risk of overweight, obesity, and NCDs later in life.

  • Exclusive Breastfeeding: Infants should be exclusively breastfed for the first six months.
  • Continued Breastfeeding: Breastfeeding should continue up to two years of age and beyond.
  • Complementary Foods: From six months, introduce a variety of adequate, safe, and nutrient-dense foods alongside breast milk, without adding salt or sugars.

Practical Tips for Maintaining a Healthy Diet

Fruit and Vegetables

  • Always include vegetables in meals.
  • Eat fresh fruit and raw vegetables as snacks.
  • Choose seasonal fruits and vegetables.
  • Consume a variety of fruits and vegetables.

Fats

  • Steam or boil instead of frying.
  • Replace butter, lard, and ghee with oils rich in polyunsaturated fats like soybean, canola, corn, safflower, and sunflower oils.
  • Choose reduced-fat dairy and lean meats, or trim visible fat from meat.
  • Limit consumption of baked and fried foods, and pre-packaged snacks containing industrially-produced trans-fats.

Salt, Sodium, and Potassium

  • Limit salt and high-sodium condiments when cooking and preparing foods.
  • Avoid having salt or high-sodium sauces on the table.
  • Limit salty snacks.
  • Choose products with lower sodium content.
  • Increase potassium intake by consuming fresh fruits and vegetables.

Sugars

  • Limit foods and drinks high in sugars, such as sugary snacks, candies, and sugar-sweetened beverages.
  • Eat fresh fruit and raw vegetables as snacks instead of sugary options.

How to Promote Healthy Diets

Dietary habits evolve due to social and economic factors, individual preferences, cultural traditions, and environmental aspects. Promoting a balanced and healthy diet requires the involvement of government, the public sector, and the private sector.

Read also: CA Registered Dietitian Guide

Governments play a crucial role in creating a healthy food environment by:

  • Creating Coherence in National Policies: Aligning trade, food, and agricultural policies to promote healthy diets and protect public health.
  • Incentivizing Healthy Food Production: Increasing incentives for producers and retailers to grow, use, and sell fresh fruits and vegetables.
  • Reducing Incentives for Unhealthy Foods: Reducing incentives for the food industry to produce processed foods high in saturated fats, trans-fats, free sugars, and salt/sodium.
  • Encouraging Food Reformulation: Encouraging the food industry to reduce the levels of saturated fats, trans-fats, free sugars, and salt/sodium in their products, with the goal of eliminating industrially-produced trans-fats.
  • Implementing Marketing Recommendations: Implementing WHO recommendations on marketing foods and non-alcoholic beverages to children.
  • Establishing Standards for Healthy Dietary Practices: Ensuring the availability of healthy, nutritious, safe, and affordable foods in schools, public institutions, and workplaces.
  • Exploring Regulatory and Voluntary Instruments: Utilizing marketing regulations, nutrition labeling policies, and economic incentives to facilitate consumer understanding.
  • Providing Nutrition and Dietary Counseling: Offering nutrition and dietary counseling at primary health-care facilities.

Promoting Appropriate Infant and Young Child Feeding Practices

  • Implementing the International Code of Marketing of Breast-milk Substitutes.
  • Implementing policies and practices to promote the protection of working mothers.
  • Promoting, protecting, and supporting breastfeeding in health services and the community.

The Mediterranean Diet: A Heart-Healthy Option

The Mediterranean Diet emphasizes plant-based foods and healthy fats, focusing on overall eating patterns rather than strict calculations. It's linked to a reduced risk of coronary artery disease and is often recommended for individuals with heart disease risk factors.

Key Components of the Mediterranean Diet

  • Abundant Plant-Based Foods: Lots of vegetables, fruit, beans, lentils, and nuts.
  • Whole Grains: A good amount of whole grains, like whole-wheat bread and brown rice.
  • Healthy Fats: Plenty of extra virgin olive oil (EVOO) as a source of healthy fat.
  • Fish: A good amount of fish, especially fish rich in omega-3 fatty acids.
  • Dairy: A moderate amount of natural cheese and yogurt.
  • Limited Red Meat: Little or no red meat, choosing poultry, fish, or beans instead.
  • Limited Sweets: Little or no sweets, sugary drinks, or butter.
  • Moderate Wine Consumption: A moderate amount of wine with meals (optional).

Benefits of the Mediterranean Diet

  • Lowering the risk of cardiovascular disease.
  • Supporting a healthy body weight.
  • Supporting healthy blood sugar levels, blood pressure, and cholesterol.
  • Lowering the risk of metabolic syndrome.
  • Supporting a healthy balance of gut microbiota.
  • Lowering the risk for certain types of cancer.
  • Slowing the decline of brain function as you age.
  • Helping you live longer.

Why the Mediterranean Diet is Beneficial

  • Limits Saturated and Trans Fats: Reduces intake of unhealthy fats that can raise LDL cholesterol and cause inflammation.
  • Encourages Healthy Unsaturated Fats: Promotes healthy cholesterol levels, supports brain health, and combats inflammation.
  • Limits Sodium: Helps maintain healthy blood pressure levels.
  • Limits Refined Carbohydrates: Prevents blood sugar spikes and provides fewer empty calories.
  • Favors Foods High in Fiber and Antioxidants: Reduces inflammation, supports digestive health, and protects against cancer.

Mediterranean Diet Food List

  • Fresh Fruits and Vegetables: Aim for at least three servings of each per day.
  • Whole Grains and Starchy Vegetables: Include three to six servings per day.
  • Extra Virgin Olive Oil (EVOO): Use one to four tablespoons per day.
  • Legumes (Beans and Lentils): Eat at least three servings per week.
  • Fish: Consume three servings per week, especially those rich in omega-3s.
  • Nuts: Have at least three servings per week, choosing raw, unsalted varieties.
  • Poultry: Limit to no more than once daily, opting for white meat and skinless options.
  • Dairy: Consume no more than once daily, choosing low-fat options.
  • Eggs: Limit to one yolk per day.
  • Red Meat: Limit to one serving per week or less, choosing lean cuts.
  • Wine (Optional): One glass per day for females, two for males.
  • Baked Goods and Desserts: Avoid commercially prepared items and limit homemade goods.

Sample Mediterranean Diet Meal Plan

  • Breakfast: Steel-cut oats with berries and flaxseed, whole-grain toast with nut butter and smoothie, Greek yogurt with fruit and walnuts, or an egg white omelet with vegetables.
  • Lunch: Prepare lunches the day before so they’re ready to pack or grab from the fridge as needed.
  • Dinner: Include a side salad — like a sesame cucumber salad or a fennel, orange and mint salad.
  • Snacks: A handful of nuts and seeds (low salt or no salt added).

Foods That Support Healthy Weight Loss

While weight loss isn't a universal goal, certain foods can support a healthy weight loss journey when combined with a balanced diet and exercise.

  • Eggs: Increase feelings of fullness and satiety.
  • Leafy Greens: Contain thylakoids, which may help with appetite management.
  • Fish: High in quality protein, healthy fats, and iodine for thyroid function.
  • Cruciferous Vegetables: High in fiber and low in calories.
  • Chicken Breast and Lean Meats: Pack protein and iron with less saturated fat.
  • Potatoes and Root Vegetables: High on the Satiety Index and can form resistant starch when cooled.
  • Beans and Legumes: High in protein and fiber for fullness.
  • Soups: Can promote mindful eating and reduce overall calorie intake.
  • Avocados: Rich in heart-healthy fats, water, and fiber.
  • Nuts: Provide heart-healthy unsaturated fat, protein, and fiber.
  • Whole Grains: Loaded with fiber and protein.
  • Chili Peppers: Contain capsaicin, which may improve fat metabolism and increase fullness.
  • Fruits: Low in calories, loaded with micronutrients, and high in fiber.
  • Chia Seeds: Highly nutritious and rich in fiber.
  • Greek Yogurt: Contains a good amount of protein per serving.

General Dietary Recommendations

  • Emphasize Nutrient-Rich Foods: Focus on lean protein, legumes, fruits, vegetables, whole grains, and low-fat or fat-free dairy.
  • Increase Fiber Intake: Choose foods with dietary fiber to maintain digestive health, control blood sugar, and lower cholesterol levels.
  • Consume Adequate Calcium and Vitamin D: Promote optimal bone health.
  • Increase Potassium Intake: Support kidney, heart, muscle, and nerve function.
  • Reduce Added Sugar Intake: Minimize the risk of weight gain, obesity, type 2 diabetes, and heart disease.
  • Replace Saturated Fat with Unsaturated Fat: Protect your heart by choosing healthier fats.
  • Reduce Sodium Intake: Lower the risk of high blood pressure, heart attack, and stroke.
  • Aim for Variety and Color: Include a variety of colorful fruits and vegetables in your diet.
  • Use Healthy Oils: Opt for olive and canola oil for cooking and salads.
  • Limit Certain Foods: Limit butter, milk/dairy (1-2 servings/day), and juice (1 small glass/day).

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