The most striking feature of the revised Dietary Guidelines for Americans, released this past January, is the publication’s increased emphasis on obesity prevention: “To reverse the trend toward obesity, most Americans need to eat fewer calories, be more active, and make wiser food choices” (U.S. Department of Health and Human Services and U.S. Department of Agriculture, 2005). The Dietary Guidelines, which are released every 5 years and are now in their sixth edition, are intended as the Federal Government’s most authoritative summary of the state of nutrition science and the basis for all Federal communication with consumers on nutrition topics.
The pronounced focus on obesity prevention is not surprising, because rates of overweight and obesity have increased sharply in recent decades. One could quote any number of reports on these trends, but this chapter focuses on federal government statements, to give a sense of the prevailing view among federal policy-makers. In 2001, The Surgeon General’s Call To Action To Prevent and Decrease Overweight and Obesity warned that these health conditions have become an epidemic (U.S. Department of Health and Human Services, 2001). The Surgeon General estimated that, as of 1999, 61 percent of U.S. adults were overweight or obese. Thirteen percent of children and adolescents were overweight. The number of overweight children had doubled, and the number of overweight adolescents had almost tripled, since 1980. “We already are seeing tragic results from these trends,” the Surgeon General said.