Mharidzo ya 2015-2020
Dietary Guidelines yeAmerica inogadzirwa kwemakore mashanu ese mumatanho maviri-danho. Maonero angu ndeokuti taizobata nehuwandu hwenheyo uye zvisina maturo pamusoro pehurukuro kunyange kana izvozvo zvakajeka kune vanhu vazhinji, asi hazvisi pachena - saka ngatitangei kutarisa izvo zvakatanga.
Hurumende yehurumende inotanga kuungana boka rezvenzvi, rakasununguka, rakanyatsorongedzwa noutano masayendisiti anosarudzwa nevezera ravo.
Nhengo dzinofanirwa kuzivisa nekudzivisa kubva kune chero ipi zvayo chaiyo kana inogona kukakavadzana. Zvadaro, boka racho rinoshanda, kunyanya muhove yehove, kwemakore maviri, kuongorora humwe humwe uchapupu hunobvumirana, uye kubudisa mitsara. Iyo mitsara yakazopedzisira yakabatanidzwa muDhipatimendi reZviro reDare Rokuongorora , iro rinowanikwawo muhove yehove, kwete chete kuratidzwa kwevanhu - asi nekukoka kwakashambadzirwa kwevanhu vanopindurwa uye kugutsikana.
Kungoti mushure mekupedzisira mushumo weDGAC unotumirwa kuDADA inoita chirongwa chekugadzira "hurumende" Dhiyabhorosi Zvinyorwa zvevaAmerica kutanga. Izvozvo zvinosanganisira kwete mamwe masayenzi kana unyanzvi, asi pane zvakanyanya kukwikwidza kweCongress nemapoka evanhu vanofarira, uye zvinobva kune avo veConfellow kune mapato maviri ehurumende anotarisirwa nemitemo yekupedzisira: USDA, uye DHHS.
Chimwe chezvikwereti zvikuru mune izvi ndechekushaikwa kwemazuva masikati pakati pemiti miviri, yekutanga yehutano hwehutano, yechipiri chezvematongerwe enyika.
Izvo chaizvoizvo kuti mabhuku maviri aya anonzi akaisvonaka zvakangofanana, pamwe nekutanga kune wechipiri, anoita kuti zviite sekuti kana kutsoropodzwa kwakakodzera kwakakonzerwa nechikamu chezvematongerwo enyika chekuita maererano nechikamu chesayenzi, zvakare. Icho hachisi chokwadi.
Imwe dambudziko rakanyanyobatana nderokuti Dhiyabhorosi yekupedzisira Mazano evanhu veAmerica haasi, kunyange nekugamuchirwa kwevamwe shamwari dzangu kune vezve federal masangano anotarisirwa, chaizvoizvo akafanirwa se "mazano" pane izvo vanhu vose vekuAmerica vanofanira kudya nekuda kwehutano hwakanaka.
Pane kudaro, ndizvo izvo vezvematongerwe enyika vanofunga kuti zvinofanira kuitwa nezano rakanaka, nyanzvi mukuedza kuenzanisa hutano hwehupfumi nehupfumi hwekambani. Saka ivo havasi ivo vanorayira zvekudya kune vemuAmerica zvachose, asi panzvimbo yekuronga mitemo yekuronga kune rudzi rweAmerica. Pachikonzero chechokwadi ichi, ndakarondedzera kuti "Dhiyabhorosi Nhungamiro yevaAmerica" inodanwa mazita, uye kuti zita razvino risiri chinhu chisiri chekuparidzira kwenhema.
Kutaura chokwadi, ndinofunga kuti zvingabatsira kudzivisa humwe mheremhere uye zvisina maturo isu tose tinosangana nazvino kana kusiyana kwebasa reasayendisiti uye kupindira kwevematongerwe enyika kwaiva pachena, uye kana "Kudya Kwezvirevo zvevaAmerica" kwakanzi chimwe chinhu kunyanya kutendeseka. Kana iwe uchibvumirana, tapota shandisai uye mugovere chikumbiro changu chokuti zita richinje.
Kufamba, ikozvino, kumubvumo uye zvisina maturo pachako.
Ini ndinoitika pakunyora izvi mushure mokunge mabhuku anotsanangurwa mumabhuku eAnals of Internal Medicine , korodhi yakakurumbira, iyo yakarondedzera US Dietary Guidelines (chaizvoizvo, Dietary Guidelines yeAmerica , asi nei chibble) "Evidence-free Zone. "Pane dambudziko rimwe chete: mhinduro yacho yaiva Nyanzvi-isina Zone.
Munyori, nyanzvi yepamusoro yemapurisa iyo yakakosha zvikuru kuhutano hwevanhu sehutachiona chekuchengetedza mishonga, haina basa chero ripi zvaro rine chokuita nekudya.
Maererano nezvinoratidzika sezvakasiyana nekusaremekedza tsika yedu, zviri pachena kusvika kune vanyori vezvinyorwa zvezvechiremba zvakatariswa, vane chikafu-mhinduro iyi inowanzoenderana nekubvunza, kureva, dermatologist inonyanya kugadzira nyanzvi yekunyora nyanzvi yekurudzira zvekufambira mberi kwekupedzisira muuropiyurgery.
Chigumisiro chacho chakanga chisingataurikiki. Nyaya yacho yaive isina kururama, kutsoropodza zvikamu zveDetary Guidelines munyori aireva zvaive izvo zvaive, chaizvoizvo, zvakasiyiwa makore apfuura-kana kuti hazvina kumbovapo pane dzimwe nguva. Pakanga pane, zvakare, hapana kusiyana kwakagadzirwa pakati pebasa rekudzidzira kwekudya, uye kushandiswa kwebasa iroro nevezvematongerwe enyika pavanenge vachida kubvumirana.
Pakupedzisira, munyori akatsigira, kana kuti akanyatsokurudzira, kuti hatigone kunyatsoziva nezvekudya kwakakwana munzvimbo idzodzo dzatisina mamiedzo anotungamirirwa nemaitiro. Izvi zvakanyanyisa kutarisa mitemo yakawanda inowanzoitwa yeRCTs ivo pachavo, pamwe chete neshamwari yavo isingabvumirwi kune dzimwe mibvunzo inokosha yezvokudya, kusanganisira iyo huru: ndekupi kudya kwakakwana "kwakanakisisa"? Ndinokukumbira iwe kuti ufunge nezvekudzidza kwakakosha kuratidza, somuenzaniso, kana yakanakisisa kudya kwemiti, kudya kwakanakisisa kweMediterranean, kana kuti zvakanakisisa Paleo kudya "zvakanakisisa" kwehutano hwehupenyu hwevanhu munguva yeupenyu hwose. Izvozvo zvakati, kune hukuru hwekutenderera huchapupu hunoenderana chete, kusanganisira, kwete kungorega, RCTs.
Nyaya yacho inotarisawo kuti RCT yakawanda inogona kutsausa kana kusinganzwisisiki nemasayendisiti ivo pachavo, kana kunyoreswa nevhidhiyo. Zvose izvi zvinoitika nguva dzose, dzimwe nguva nemigumisiro yakaoma. Chinonyanya kukosha, kunyange zvakadaro, kutaura pamusoro pematambudziko akasiyana-siyana kwakangoipa-nekuda kwezvikonzero zvinonzwisisika kwatiri tose. Chero ani anoziva kuti mheni inogona kupisa moto, uye mvura inogona kuibudisa, ine uchapupu hwokuti kunzwisisa- kunzwisisa kwechokwadi-hakusi nguva dzose kunotsamira pakuedza kusinganzwisisiki kutongwa.
Mhinduro yacho sechikamu chemugariro mukuru wezvokudya zvisina kuremekedza zvinotyisa zvikuru. Kana tikatakura chimiro ichi kumhedziso yaro inonzwisisika, tichabudirira kugutsikana nevose kuti hakuna mazamu uye hapana ruzivo mune zvinovaka, uye-ivo (iwe) haufaniri kuteerera kune umwe wedu. Panguva iyoyo, iwe unongova putty mumaoko eChikudya Chakakura, uyo anoita seanoziva zvakawanda pamusoro pekugadzirisa kudya kunovaka muviri kukurudzira kudya kwako uye kuunza purofiti. Zvinoratidzika kupfuura zvisinganzwisisiki kuti pasinei nekushaikwa kwakakwana kweunyanzvi hwekudya kunovaka zvakanaka, mhizha yezvokudya ine unyanzvi hwokuita zvakaipa, handizvo here? Kana zvisinganzwisisi, usazvitenga.
Ndinoshushikana, kunyange zvakadaro, kuti iwe ungatenga-nokuti kutengesa iyo yemutambo wezuva. Chinangwa changu ndechekuvhara mutsara, nekutsanangura, pamusoro penyaya yangu, yakanaka, yakaipa, uye yakaipa muDheetary Guidelines - uye kuedza kukusiya iwe nekujekesa pamusoro paani, uye chii, chaunogona kuvimba nacho. Verenga pamusoro peVakanaka, Vakaipa, uye Vakashata.
Zvakanaka
Chinenge chinhu chose pamusoro pehupfumi weDGAC - kunyanya kusanganisira kusimbiswa kwekusimudzira. Haisi yakakwana, hongu, nokuti vanhu vaibatanidzwa. Asi zvakanaka, uye zvinopfuura zvakanaka; iyo yakanaka.
Iko kutsoropodza, kunyange nevanhu vakanaka kwazvo vane vavariro dzakanaka, kazhinji vakave vasina kururama. Chimbofunga, somuenzaniso, kupikisa pamusoro peDGAC Report kunogumisa kuti cholesterol haifaniri kuva chinotarisa.
DGAC Report haina KUFUNGA kuti cholesterol haina ngozi, kana inofanira kudyiwa zvisingagoneki, kana kuti haigoni kusimudza ropa rekutsvaga muropa, ichiti, vegans. Mhedziso ndeyekuti hazviiti mungozi yemazuva ano, yakajeka, uye yemazuva ano kune vanoverengeka veAmerica, sezvo muvhareji weAmerica ari kupedza cholesterol zvakanaka pasi pekurudzirwa kwepamusoro. Zvose DGAC zvakati ndiko kutaura nezve cholesterol, neyese, hakusi yakakosha kana kuti inobatsira, uye naizvozvo haibvumirwi kudanidzira mumitemo.
Avo vanofunga kuti izvi zvinoreva kuti cholesterol inofanira kuva isina mhosva yakakwana inogona kutora nyaradzo mukuti iyo DGAC mushumo haina kurumbidza kudanidzira kwe mercury muzvokudya zvedu zvimwe. Izvi hazvirevi kuti munhu anofunga kuti mercury haibatsiri, asi nokuti kungofanana nekutarisa mercury mukutungamirirwa kwekudya hakusi panguva yakakodzera, kusingadiwi, uye kusingabatsiri kumunhu wekuAmerica.
Kuziva kwangu, hakuna munhu anovhima mercury nemaune, saka zvichida tinoda zvimwe zvechokwadi, uye muenzaniso wakawanda, uye zvakanyanya kupfuura zvose zvinouya nyore nyore mupfungwa, kureva: dope. Vanhu vane pica vanodya ivhu nevhu. Dietary Guidelines vakanyarara panyaya yevhu inopisa. Izvi hazvirevi nokuti miromo isingagumi-yakazadza ivhu zuva rega roga raizova risina njodzi; zvakanyanya kupesana.
Pane kudaro, ndeyekuti fist izere tsvina yekudya mangwanani-ngwanani haisi huwandu, huwandu hwevanhu-hwakawanda hunofunganya. Kana zvikazova saizvozvo, ndinotarisira zvizere mirayiridzo yekuenderera mberi, uye kugadzirisa nyaya yacho.
DGAC Report haina kukurudzira vaAmerica kudya mamwe mazai. Pane kudaro, kuguma kwecholesterol kunogadzirisa kungoita izvi: muvhareji weAmerica haafaniri kutsvaga, kutungamirirwa kubva kune dambudziko rezvokudya s / iye haasi iye zvino.
Saka, zvakare, pamwe nenyama- asi mune imwe nzira. My Paleo vashandi pamwe vangave vakarurama kuti antelope steaks kana nyama yemhuka, sezvinofananidzirwa zvemazuva ano yeChered Age nyama, inogona kunge yakagadzikana zvakakwana mumuviri weHomo sapien. Asi chimiro cheAmerica chikadya nyama hachisi kudya antelope; s / iye ari kudya zviyo anodya nyama yemombe uye dzakasungwa-nguruve, uye akashandura kusiyana kwemashoko akadaro. Iro zano rekudya nyama shomanana harina kuitwa mumamiriro ezvinhu eimwe Paleo fantasy world, asi zvinoshandiswa- zvakare zvakakodzera- kune chaiyo chaiyo, nyama chaiye vanhu chaivo mairi vanodya, uye zvinokonzerwa nehutano hwevanhu, uye hutano hwepasi.
DGAC Report yakawana izvi, uye pamusoro pezvose zvese, zvakarurama. Sezvakataurwa, zvakanaka. Zvakanyanya, zvakanaka kwazvo. Iyo iriwo munharaunda yevanhu vose, inogamuchirwa nevanosiyana-siyana, vanozivikanwa vanyanzvi vezvokudya; uye maererano nemitemo inotsigirwa nebatanidzwa vesayenzi uye vatungamiri vanofunga kubva munyika makumi matatu.
Iwe unogona kuvimba nayo.
Chii chakaipa
Chinenge chinhu chose pamusoro pegadziriro inopfuurira iyo nyanzvi dzehutano hwehutano hwehutano dzinofunga kuti ndiyo yakanakisisa yehutano kune vezvematongerwe enyika vanofunga kuti inofanira kuitwa pamusoro payo, uye vanozviti ivo vakafanana. Commentary nevasiri vadzidzisi vanoita sevasingazivi kuti havana ruzivo. Mhinduro yevaya vane nheyo yekukuya ivo vanokundikana kutarira demo varikuya.
Ndine ruremekedzo rukuru kune vamwe vanhu uye mapoka asina kufara nezvemashoko ari muDGAC Report (uye kunyanya kuremekedzwa kune vamwe). Asi kunyange zvakadaro, kana ivo vakatendeseka, ivo vanofanirwa kubvuma chimiro chakakosha.
Iyo yakanyanyogadziriswa yakakonzera zvakajeka inokurudzira zvakanyanya nemaonero kupfuura epidemiology. Haisi mungozi kuti kushorwa kwekusimudza cholesterol cap kunouya kubva kune vegans, kana kuti hutori inoda kuti isu tose tidye nyama, bhotela, uye cheese ndiyo inokonzera kuti dhodhi yeDGAC yakanga yakanyanyisa kudzivirira munzvimbo idzodzo.
Vose ava vanopomera, uye vamwe vakaita savo, vanotaura nzira dzakaipa neDGAC kuti vaite nyaya yavo. Asi, ngatinyatsojeka. Vanongotaura chete zvakaipa nzira dzavasingadi kupedzisa. Nzira dzekunyadzisa dzinofanira kunge dzisingabvumirwi nemafungiro, kwete kunyatsoenderana navo.
Kana zvaive zvechokwadi nezvehutano hwemashandisirwo, ipapo kushorwa kwaisazoita zvakajeka zvakajeka nezvinodiwa zvakasarudzwa. Murevereri wekudya mazai anoitika kuva nyanzvi mune nzira yekutsvakurudza inofanira kurwisa nzira dzisina kururama kana kuti kwete kugumisa kunotsigira kudya mazai. Hatisi kuona chimwe cheizvi.
Zvose zvinoshorwa pamusoro pehupfumiro reDGAC zvinowirirana zvakakwana nemafungiro akaiswa, zvakakosha, uye kugadziriswa kwevaya vanobhadhara mhosva - kureva zvakasimba hakuna dambudziko guru nenzira; vanhu havangodi zvido zvechirevo. Kana nzira dzekodha dzakanga dziri dambudziko, ipapo kusawirirana kune DGAC kugadziriswa maererano nemitemo yakashata hakungagari kune avo vanogona kurwisana neavo mhedziso.
Vegans inopesana neii kushandiswa nekuda kwezvikonzero zvakawanda, chikamu chimwe chete chinowanikwa nesayenzi yemararamiro epfungwa, uye zvikurukuru yakagadzirirwa maitiro ane tsika uye yezvakatipoteredza. Vaya vanoda kuti tidye nyama yakawanda uye vatozvipira kune chirevo ichocho, kunyanya nokuti vane ruzivo pamutsetse, vakasarudza vasati vatarisa nzira dzinopedzisa kupesana dzinofanira kunge dzisina kunaka.
Aya haasi kutsoropodza kwakarurama kwezvirevo nevana methodologists. Ava vanhu vasingafari nezvirevo zvakasiyana nemafungiro avo.
Zvose kutsoropodza kwakadaro, saka, mumaonero angu, kushungurudzika kunofadza kubva kune zvakakosha zvehupfumi weDGAC, uye naizvozvo: zvakaipa.
Uye pakupedzisira, musiyano wese pakati peDGAC Report 2015, uye Dare reMitemo Dzemitemo iyo iyo nzira yakanaka yakasvibiswa-yakaipa.
Chii chakaipa
Panenge pane zvose zvakaitika kubvira mushumo weDGAC wakatanga kusunungurwa.
Takanga tine hutano hwakanaka, sarudzo-based guidance. Takazvigadzirisa, takashandisa zvisina kufanira, zvikamu zvitsva zvayo, zvisingatauri, uye zvezvematongerwe enyika kuti zvive zvisina zvazvinobatsira. Muchiitiko ichi, takatadza kuvimba nevateteeri vakazvipira zvehutano hwevanhu, uye zvose zvakaitwa mumaoko emabhizimisi ayo anobatsira kubva pakuderedzwa kwedu. Isu tiri, kazhinji, yakawandisa, yakaora, uye yakawedzerwa kuvhiringidzika pamusoro pokuti nei isu tichifanira- uye mumwe munhu ari kunetseka pamusoro payo yose kuenda kubhangi.
Mune DGAC Report, tine mwana akanaka. Zvematongerwo enyika yakawedzera chiitiko chakakura chekudhakwa mvura yakachena. Kukundikana kusiyanisa- kunotyisa kwakaipa.