‘Preponderance of evidence’ screams for a Dietary Guidelines course-correction to expand flexibility and increase, not reduce, saturated fat limits as well as to examine the nutrient deficiencies of currently approved dietary patterns in all life stages, and to examine the effects of these overly-prescriptive one-size-fits-all patterns on vulnerable populations in government feeding situations such as children obtaining most of their nourishment at school where DGAs rule.

Editorial opinion by Sherry Bunting, Farmshine, May 6, 2022

Recently, USDA and HHS launched the 2025-30 cycle of the Dietary Guidelines for Americans (DGA). Trouble is, the first and undeniably most important part of the process that will shape WHAT can be amended and the research-screening process for doing so are the “scientific questions” to be examined.

A paltry 30-day public comment period about these already-prepared questions was announced April 15 and expires May 16, 2022.

By the time you read this, there will be fewer than 10 days to comment. To read the USDA HHS proposed scientific questions, click here and to submit a comment to the docket, click here

In addition to the links above, comments can be mailed to Janet M. de Jesus, MS, RD, Office of Disease Prevention and Health Promotion (ODPHP) Office of the Assistant
Secretary for Health (OASH), HHS; 1101 Wootton Parkway, Suite 420; Rockville, MD 20852. Be sure to reference HHSOASH-2022-0005-0001 on the submission.

Lack of time to comment on the questions is not the only problem with the 2025-30 DGA launch. The commenting instructions state: “HHS and USDA will consider all public comments posted to Regulations.gov in relation to the specified criteria. Comments will be used to prioritize the scientific questions to be examined.”

These instructions do not leave much opening to amend the already-prepared scientific questions.

I encourage others to join me in requesting an extension of this comment period to 90 days and to open the process into a course-correcting complete re-evaluation of saturated fat limits — to drive home the point that the “preponderance of evidence” screams for higher, more flexible, saturated fat limits (especially for children), to review the science on saturated fat consumption at all life stages on not only cardiovascular health, but also weight management and diabetes, cognitive health, and other areas, including how current saturated fat limits affect under-consumption of essential nutrients, how these limits affect school meal patterns where most children receive most of their nourishment most of the year — considering the 2020-25 DGA Committee admitted the three government sanctioned dietary patterns are deficient in key nutrients of concern for all age groups.

Join me in asking USDA and HHS to educate the public about the true impact of the DGAs on our most vulnerable populations (children and the elderly) and to avoid prescriptive one-size-fits-all dietary patterns.

People don’t seem to pay much attention to the DGA process because there has been no full disclosure of the true impacts of these so-called “guidelines.” People say, oh, they’re “just guidelines.” Maybe that’s true for you and I, but what about the children? What about the elderly? They are under the ruthless thumb of USDA HHS DGA implementation in feeding programs for America’s most vulnerable ages and demographics.

The ink is barely dry on the 2020-25 DGAs, leaving many to believe there is plenty of time to comment on the next round — later — when the process is fully underway. After all, USDA reminds us this is a five-step process, and they are “committed” to providing plenty of opportunities to be heard.

Wrong. This first step is in many ways the most important for public comment because it shapes how the other four steps unfold. It shapes what research will be screened in and out of the process. It shapes what areas of the DGAs can be amended and specific criteria for how they can be amended — no matter how earthshaking a dietary revelation.

This first step also shapes how your future comments will be considered. For example, many comments, even research in the screening process, will be ignored as this 2025-30 DGA cycle unfolds when it is deemed to fall outside of the specific criteria set in the scientific questions of step-one — right now — for this 2025-30 cycle.

USDA and HHS have already formulated the 2025-30 “scientific questions,” leaving most of the failed guidelines ‘base’ pretty much moving forward — as-is.

One area the Departments announced will run parallel is on ‘planetary diets.’

The USDA HHS announcement notes that the 2025-30 DGAs won’t incorporate DIRECTLY any ‘climate-related’ dietary recommendations, stating: “Sustainability and the complex relationship between nutrition and climate change is an important, cross-cutting, high priority topic that also requires specific expertise. HHS and USDA will address this topic separate from the Committee’s process to inform work across the Departments.”

That’s about as clear as mud. In this statement, USDA seems to tie nutrition and climate change together with the term “cross-cutting,” and describes the “relationship” as a “high priority topic,” assuring us that USDA and HHS will handle this separately and then “inform.”

After looking through the scientific questions in the areas of systematic review and dietary patterns, below is my citizen’s comment: 

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Dear Secretary Vilsack:

To use the phrase you used repeatedly in a Congressional hearing about the 2015-20 Dietary Guidelines, the ‘preponderance of evidence’ on saturated fat limits for all ages — and for children and adolescents in particular — should be up for a complete re-evaluation in the 2025-30 DGAs.

Study after study show our government-sanctioned dietary patterns are failing our children who receive most of their nourishment at school under the thumb of USDA-HHS Dietary Guidelines. USDA even threatens to financially penalize any school that dares make nutritious, wholesome, satiating, healthful whole milk available — even for students to buy from a vending machine run by an FFA chapter seeking to raise funds for agriculture programs, simply because the calories and percent of calories from saturated fat in that nutrient-dense superior beverage exceed your arbitrary, unscientific DGA limit.

But that’s okay, say the HHS USDA DGA, just have a Mountain Dew Kickstart or a sugar-free Gatorade Zero. PepsiCo thanks you, dear USDA, for caring about the profitability of the Smart Snacks empire they and others have built on your say-so, while children become fatter, sicker and sadder and under-consume key nutrients for health and brain power.

Meanwhile, farmers wonder what on earth they can do to get the nutritious, natural, beautiful, local whole milk product they produce to the children in need of nourishment at school, while doctors bemoan under-consumption of nutrients of concern like calcium, vitamin D and potassium (abundant in milk, better absorbed with the fat).

Even the 2020-25 DGA Committee admitted that all three dietary patterns leave all age groups deficient in key nutrients. That’s okay, just get in line for our vitamin pills, right?

It’s even more concerning to see the diets in reality are even worse than they are on paper, if that’s possible, as students pass-over the obligatory skimmed milk in favor of big-brand junk drinks devoid of nutrition, or they take the skimmed milk and toss it into the trash.

USDA’s own study in 2013 showed that in the first year after the Smart Snacks regulations tied competing beverages to the DGAs — outright prohibiting whole milk and 2% milk from schools — student selection of milk fell 24%, and the amount of milk discarded by students increased by 22%. Other studies since 2012 show milk is among the most frequently discarded items at schools. World Wildlife Fund issued a report saying one way to reduce this waste is to educate schools on the fact that they are not forced to serve milk, they can offer it and educate students not to take the milk if they aren’t going to drink it.

What does that solve? It still leaves children and youth without the nourishment USDA touts in the school lunch program on paper even as the school meal situation has become an increasingly restrictive maze of fat limits and thresholds that schools give up managing it and leave it to the ‘Big Daddy’ institutional foodservice corporations with their pre-packaged, highly-processed deals that come with ‘USDA compliance guarantees.’

Why is the Biden Administration fast-tracking this agenda? There are four bipartisan bills before Congress dealing with school milk and others dealing with childhood nutrition. There are bills about allowing whole milk in schools at the state level in Pennsylvania and New York, with lawmakers in at least two other states watching closely to perhaps do the same.

The Whole Milk for Healthy Kids Act to repeal your whole milk prohibition has 93 cosponsors in 32 states. City schools, rural schools, town mayors, boards, teachers, parents, coaches, dieticians, doctors, nurses, farmers — people from all walks of life — and, yes, food and nutrition scientists are increasingly appalled at the school milk and school lunch issues — all under the thumb of the DGAs.

The DGAs are designed in a way that each 5-year cycle builds on the one before it — since 1990! The scientific questions are formulated to keep moving that way instead of looking back and re-evaluating or re-examining nutritional aspects USDA considers ‘settled science.’

In reality, however, there is nothing settled about the DGA ‘science’ on saturated fat. This build-upon process is flawed.

In fact the ‘preponderance of evidence’ would tell us the process should be opened up for a more thorough and reflective review, toward more flexible saturated fat limits — especially to expand overly-restrictive saturated fat limits that are creating concerns for children and youth and, in effect, keep nutrient-dense whole milk and 2% milk, as well as full-fat dairy products out of schools. By these standards, the DGAs actually embrace artificially-created highly processed beverages and foods — even Impossible Burger over Real Beef.

The preponderance of evidence is undeniable. The DGA saturated fat limits are a straight-jacket for schools, imprisoning children into poor nutritional health outcomes that can stay with them the rest of their lives and may affect their abilities to learn. Our future as a nation, the health of our children, the economic standing of our food producers, our nation’s food security, our national security itself are all rooted in these DGAs that are still centered on false narratives about saturated fat that the preponderance of evidence has disproven.

Please extend this comment period to 90 days and expand the input considerations and the process, especially as relates to saturated fat limits for all life stages and evaluate the current patterns for under-consumption of nutrients of concern for all life stages. Simply amending a failed base product is unproductive at best and creates more negative health consequences at worst. We need a DGA course correction, a re-do, rigorous scientific debate, acknowledgment that the science is not settled against fat with the preponderance of evidence moving toward the healthfulness of dietary fat.

Finally, we need a Dietary Guidelines product that serves more broadly as just that — guidelines — not a prescriptive one-size-fits-all straight-jacket that obviously is failing the majority of Americans.

Public discussion about the process is needed in a more open, thoughtful, comprehensive manner before the 2025-30 DGAs get underway.

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