Editor's Note: (Marion Nestle is a sociology professor and Paulette Goddard professor in the Department of Nutrition, Food Studies and Public Health at New York University. She is also an author, most recently of "Soda Politics: Taking on Big Soda (and Winning)." She blogs at foodpolitics.com. )
(CNN) The recently released report from the International Agency for Research on Cancer judging processed meat as clearly carcinogenic and red meat as probably carcinogenic has caused consternation among meat producers and consumers.
Meat producers do not like the "eat less meat" message. Consumers do not want to give up their bacon and hamburgers -- delicious and also icons of the American way of life.
But these judgments should come as no surprise to anyone. Eating less processed and red meat has been accepted dietary advice since Ancel and Margaret Keys wrote their diet book for heart disease prevention, "Eat Well and Stay Well," in 1959. Their advice: "restrict saturated fats, the fats in beef, pork, lamb, sausages ..." They aimed this advice at reducing saturated fat to prevent heart disease. Federal committees and agencies have continued issuing such heart-disease advice to the present day.
Cancer entered the picture in the 1970s, when scientists began to link red meat -- beef, pork, lamb -- to the risk of cancers of the colon and rectum. Even after several decades of research, they had a hard time deciding whether the culprit in meat was fat, saturated fat, protein, carcinogens induced when meat is cooked to high temperatures or some other component.
In the mid-1990s, dietary guidelines committees advised eating lean meats and limiting intake of processed meats, still because of their high fat content. By the late 1990s, cancer experts said that red meat "probably" increases the risk of colorectal cancers, and "possibly" increases the risk of cancers of the pancreas, breast, prostate and kidney. The IARC report, based on more recent evidence, makes even stronger recommendations and favors carcinogens as the causative factors.
What nutritionists choose at McDonalds
"If you must have something more "traditional" at McD's, opt for a regular burger patty and swap out the fries for a side salad with low fat vinaigrette dressing. Otherwise, I'd choose the Premium Southwest Salad with Grilled Chicken."
--
Katherine Brooking, M.S., R.D.
"I'd choose the Sweet Chili Chicken Wrap because it's grilled chicken, and I like chili/sweet sauces. It doesn't have the least amount of calories on the menu, but if I have to eat McDonald's, I don't want to eat it and still be hungry after.
I'd round out the wrap with a fruit and side salad to transform it into balanced meal."
-- Marjorie Nolan Cohn, MS, RD, CDN, ACSM-HFS, National Spokesperson, Academy of Nutrition & Dietetics, Author of "
Belly Fat Fix"
If it is lunch time, I typically choose a kids meal. A 4-piece nugget, small fry, apples and a go-yogurt. This contains fewer than 500 calories. With this meal, the small portion size equals the right amount of calories for me. Plus it's adding a fruit and dairy serving for the day."
--
Angela Ginn-Meadow, R.D., L.D.N., C.D.E., Spokesperson for The Academy of Nutrition & Dietetics
"I would select the Premium Southwest Salad without chicken (I'm a vegetarian), a McCafe Nonfat Medium Latte and a side order of cuties.
All of this would total to 350 calories, 70g fat, 55g carbs, 8g fiber, 35g sugar and 21g protein.
This meal would be satisfying, flavorful, hit most of the food group targets and one that I would enjoy."
--
Vandana Sheth, RDN, CDE, registered dietitian nutritionist and spokesperson for the Academy of Nutrition and Dietetics
"Being the
oatmeal fanatic that I am (hello, fiber, whole grains and energizing B vitamins!), I'd probably go for the fruit and maple oatmeal without brown sugar. And I'd likely be the annoying customer that asks for blueberries from the yogurt parfait and apple slices on the side.
Complete with a whopping 8 teaspoons of added sugar, McDonald's oatmeal with brown sugar has more sugar and calories than a 2-ounce Snickers bar.
Moral of the story? Pass on the brown sugar."
-- Alexis Joseph M.S, R.D., author of
Hummusapien.com
"I'd get fresh, hot fries (not wimpy cold ones) and a small chocolate shake. Why? If I'm famished, I need "quick energy" which I'll get from carbohydrates, but also because ... I actually enjoy fries and shakes. I wouldn't worry about nutrition right now because it's not in the cards. I'd rather get a healthy meal I could savor later, and something quick and enjoyable now."
--
Rebecca Scritchfield, MA, RD, HFS
"I'd order the bacon ranch salad with grilled chicken and use less than half the dressing. It provides some veggies and fiber, some lean protein to fill me up, some calcium and flavor from the cheese and extra flavor from the bacon (sue me, I like bacon every once in a while). I'd also order apple slices as they provide fiber and help me meet my fruit quota.
Once in a while I will eat French fries with ketchup. If I ordered them with a salad, I'd choose a small order. And I'd limit total fat and saturated fat the rest of the day.
I think when it comes to fast food, watching portions is most important. If you stick to smallest portions and try to get foods from at least 3 food groups (lean protein, fruits and vegetables), a fast food meal doesn't have to be a dietary disaster."
-- Elisa Zied, MS, RDN, CDN, Author of "
Younger Next Week"
"I would have the Premium Southwest Salad with grilled Chicken. I would order that because I would get some veggies, 7 grams of fiber for fullness and would not go overboard on refined carbs (from the buns). I also like that it has 29 grams of protein as I generally strive to get 25-30 grams protein in all of my three main meals every day.
It also has 320 calories, which means I can have a piece of fruit or something else as part of this lunch too."
--
Julie Upton, M.S., R.D., CSSD
"A salad just wouldn't be enough calories.So if I'm famished, I think I would probably choose the Premium McWrap Southwest (grilled).
Five hundred calories is a reasonable amount for a meal and it's pretty balanced, with about 40% of the calories coming from carbs, 24% from protein and 33% from fat.
It's also got a serving of vegetables (including a salad blend that actually includes
some nice greens, like mizuna and arugula) and 5 grams of fiber. For fast food, that's actually pretty good!
The trick would be resisting the fries!!"
-- Monica Reinagel, MS, LDN, CNS, Author of "
Nutrition Diva's Secrets for a Healthy Diet"
I'd get the Southwest Salad without chicken. I prefer eating more vegetarian foods and that really is difficult at McDonald's. Trying to eat veggies at each meal is important to me --I like that the salad is mostly veggies with some fun from tortilla strips, cheese and dressing.
It weighs in under 300 calories and has 9 grams of protein and 6 grams of fiber. Plus, the sodium isn't off the charts like many other fast food options."
--
Dawn Jackson Blatner, RDN, CSSD, LDN
To put this in context: For decades, the meat industry's big public relations problem has been that vegetarians are demonstrably healthier than meat eaters. People who do not eat red meat have much less of a chance of developing heart disease and bowel cancers than the average American.
More recently, the 2015 Dietary Guidelines Advisory Committee (DGAC) found diets "higher in red/processed meats..." to be associated with a greater risk of colorectal cancer, and it recommended dietary patterns and low in red and/or processed meats, but higher in vegetables, fruits, legumes, whole grains, lean meats/seafood and low-fat dairy -- largely, but not necessarily exclusively, plant-based.
This is good advice for anyone.
Eating less red and processed meats has two benefits: a reduced risk for certain forms of cancer, and a reduced effect on climate change.
The DGAC deemed eating less red meat to be exceptionally beneficial to the environment as well as to human health. The IARC report strengthens the health component of the recommendation. The secretaries of USDA and Health and Human Services, however, have refused to allow environmental concerns to be considered in the 2015 dietary guidelines.
Healthy government school lunches you'll actually want to make at home
Local chefs teamed up with school nutritionists, kids, parents and other interested community members to brainstorm, create and test healthy recipes that were designed to make a better school lunch. They entered those recipes into a national
Recipes for Healthy Kids competition, part of first lady Michelle Obama's Let's Move initiative. While it all happened back in 2010, those winning recipes are still just as tasty -- and nutritious -- today. Even if your local school is not including these healthy choices in their lunch menus --
and they probably should -- you can make them part of your back-to-school meal choices. We've included a link on every picture to the full recipe.
CLICK HERE FOR FULL RECIPE An unusual combo of butternut squash and granola looks good enough to eat anytime of the day. Winning first place in the green and orange veggie division, Harvest Bake is the brainchild of Chef Bryan Ehrenholm and the kids from Joshua Cowell Elementary School in Manteca, California.
CLICK HERE FOR FULL RECIPEStudies show kids like to eat food with fun names, but this grand prize winner is as nutritious as it is tasty and fun to say. The recipe for Porcupine Sliders was dreamed up by Chef Todd Bolton and students, community members and school professionals from the South Education Center Alternative School in Richfield, Minnesota.
CLICK HERE FOR FULL RECIPEDr. Seuss would be thrilled to see his work applied to a tasty and nutritious choice that won a place in the top 30 recipes. Green Rice, Eggs and Ham was submitted by Chef Andrea Reusing and students,community members and school professionals from McDougle Elementary School and Culbreth Middle School in Chapel Hill, North Carolina.
CLICK HERE FOR FULL RECIPE Kids love oodles of noodles, so this top recipe is a perfect choice for a healthy lunch or dinner. It was submitted by Chef Patsy Bentivegna and kid testers from Lincoln Junior High School in Skokie, Illinois.
CLICK HERE FOR FULL RECIPEThis nontraditional version of a kid favorite, tater tots, uses chickpeas and sweet potatoes to pack a tasty tot punch, and it's oven fried! Chef Rodney Poles from the "
Chefs Move to Schools" initiative worked with students, community members and school nutritionists from Bellingham Memorial Middle School, in Bellingham, Massachusetts, to come up with this popular choice winner.
CLICK HERE FOR FULL RECIPEThe power of purple cabbage combines with beans and some great spices to create this vegetarian wrap that's sure to be a packable lunchtime hit. Chef Sue Findlay joined up with students, community members and school nutritionists from Newman Elementary School, in Needham, Massachusetts, to create this winner.
CLICK HERE FOR FULL RECIPEThe name might be a stretch, but if your kids find it funny and eat it, who cares? This tasty version of a personal pizza comes from Chef Ruth Burrows and the kids from Byars Elementray School in Byars, Oklahoma.
CLICK HERE FOR FULL RECIPEA healthy alternative to rice, quinoa is trendy among kids and parents alike. Sartell, Minnesota, Chef Paul Ruszat, as well as kids, parents and school nutritionists from Sartell Middle School teamed up to create this peppy version.
CLICK HERE FOR FULL RECIPEAlmost every color of the rainbow appears in this top winner, along with three different versions of grains. What could be more healthy? This top 30 recipe comes from Chef Patricia D'Alessio and the kiddos from Highland Elementary School in Cheshire, Connecticut.
CLICK HERE FOR FULL RECIPEAnother great name sure to please the kids--just don't let them try to "squish"it with their hands while it's on the way to their mouths. Chef Jeff Lindemeyer worked hard building this colorful lasagna to please the kids at Liberty Elementary School in Powell, Ohio.
CLICK HERE FOR FULL RECIPEIt could almost be called rainbow chili, there's so many colors and textures in this belly-filling hot lunch, but kids will have fun saying that 'it's smokin'!" Chef Jenny Breen worked hand in hand with kids and parents at Hopkins West Junior High School in Minnetonka, Minnesota, to create this crowd pleaser.
CLICK HERE FOR FULL RECIPERunner-up for best green and orange veggie recipe is this tasty treat from Chef Paul Gray and the gang at Monument Valley High School in Kayenta, Arizona.
I mention the dispute over environmental "sustainability" in the dietary guidelines because largely plant-based diets are appropriate for all kinds of health concerns -- obesity, type 2 diabetes, coronary heart disease and now, especially, colorectal cancer -- as well as environmental concerns.
By eating less red and processed meats, you promote both your own health and that of the planet.
At issue then is how much red and processed meat is compatible with good health. The IARC commission ducked that question, although it cites evidence that as little as 100 grams (a quarter pound) of red meat a day, and half that much of processed meats, increases cancer risk by 15% to 20%.
Will an occasional hamburger or piece of bacon raise your risk that much? I don't think so. But the evidence reviewed by IARC strongly suggests that if you do eat meat, eat less when you do, don't eat meat every day, save processed meats for rare treats and be sure to eat plenty of vegetables.
Fortunately, this advice leaves plenty of room for delicious meals -- just with meat taking up much less room on the plate.
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