Improving America's Diet and Health -- Copyright -- Preface -- FORMATION OF COMMITTEE AND COMMITTEE PROCEDURES -- SCOPE AND LIMITATIONS OF REPORT -- ACKNOWLEDGMENTS -- REFERENCE -- Contents -- 1 Summary -- PLACING DIETARY RECOMMENDATIONS IN PERSPECTIVE -- ISSUES IN IMPLEMENTING DIETARY RECOMMENDATIONS -- THE TASKS AND THE PARTICIPANTS IN IMPLEMENTATION -- Public Sector -- Private Sector -- Health-Care Professionals -- Education of the Public -- PRINCIPAL IMPLEMENTATION STRATEGIES -- DIRECTIONS FOR RESEARCH -- LESSONS LEARNED AND PROCESS FOR FUTURE -- REFERENCES -- 2 Introduction -- PLACING DIETARY RECOMMENDATIONS IN PERSPECTIVE -- FROM GUIDANCE TO IMPLEMENTATION -- IMPLEMENTATION AND THE POOR -- BARRIERS AND INCENTIVES TO DIETARY CHANGE -- THE TASK OF IMPLEMENTATION: GOALS, TACTICS, AND POLICIES -- THE TASK AND THE IMPLEMENTORS -- BENEFITS AND COSTS OF DIETARY CHANGE -- NOTES -- REFERENCES -- 3 Determinants of Food Choice and Prospects for Modifying Food Attitudes and Behavior -- DETERMINANTS OF FOOD CHOICE -- CHANGES IN FOOD SELECTION -- Changes from 1909 to 1987 -- Economic and Demographic Influences on Change -- CHANGES IN CONSUMER ATTITUDES AND KNOWLEDGE -- THEORIES OF ATTITUDE AND BEHAVIOR CHANGE -- Communication/Persuasion Model -- Attitude Change Theories -- Links Between Attitudes and Behaviors -- Social Learning Model -- Implications of Theoretical Perspectives for Changing Diet for Health -- COMMUNICATION THROUGH THE MEDIA -- REVIEW OF EVIDENCE ON CHANGING DIET TO BENEFIT HEALTH -- Small-Group Classroom Studies -- Programs That Activate Social Support Systems -- School-Based Programs for Adolescents -- Health Communication at Points of Purchase -- Studies Conducted at Work Sites -- Regional and National Mass Media Campaigns -- Comprehensive, Integrated Community-Based Multifactor Risk-Reduction Programs -- Effective Educational Methods.

Components and Amount of Nutrition Education Needed in Community-Based Programs -- SUMMARY -- REFERENCES -- 4 Interpretation and Application of the Recommendations in the Diet and Health Report -- INTERPRETATION OF THE DIET AND HEALTH RECOMMENDATIONS -- MEETING THE RECOMMENDATIONS -- Food Selection -- Food Preparation -- Eating Outside the Home -- ACHIEVING SPECIFIC DIET AND HEALTH RECOMMENDATIONS -- REFERENCES -- 5 Public Sector Strategies and Actions for Implementation -- GOVERNMENTS AS IMPLEMENTORS -- PRINCIPLES THAT SERVE AS A BASIS FOR IMPLEMENTATION -- Provide Information and Education -- Ensure Freedom of Choice -- Foster Long-Term Commitment and Incremental Approaches -- Facilitate Access to Health-Promoting Foods -- Present Healthful Eating in a Context of Total Health Promotion -- Involve All Interested Parties -- Ensure Palatability of Healthful Diets -- Encourage Convenience -- Encourage the Incorporation of Health-Promoting Foods in Food Programs -- Implement the Recommendations with Minimal Disruption of Food Preferences -- STRATEGIES AND ACTIONS FOR THE PUBLIC SECTOR -- REFERENCES -- 6 Private Sector. Strategies and Actions for Implementation -- INCENTIVES AND BARRIERS TO IMPLEMENTATION BY THE PRIVATE SECTOR IN GENERAL -- Incentives -- Competitive Advantage -- Consumer Confidence -- Enhanced Image and Credibility -- Cost Reduction and Improved Programs Through Cooperative Efforts -- Barriers -- Restrictive, Confusing, or Nonexistent Government Standards -- Inadequate Federal Guidance on Health Claims -- Lack of Guidance on Implementation -- Cost of Product Development and Research -- Consumer Concerns about Food Safety -- STRATEGIES AND ACTIONS FOR THE PRIVATE SECTOR -- STRATEGIES AND ACTIONS APPLIED TO SPECIFIC SEGMENTS OF THE PRIVATE SECTOR -- Fruits and Vegetables (Produce) -- Grains and Legumes -- Dairy -- Meat -- Poultry.

Fish and Seafood -- Eggs -- Food Manufacturers and Processors -- Food Retailers -- Food-Service Establishments -- Work Sites -- NOTE -- REFERENCES -- 7 Health-Care Professionals: Strategies and Actions for Implementation -- MULTIPLE ROLES -- CURRENT STATUS AND FUTURE NEEDS OF SOME HEALTH-CARE PRACTITIONERS -- Nutritionists -- Physicians -- Nurses -- Health Educators -- Other Health-Care Professionals -- STRATEGIES AND ACTIONS FOR HEALTH-CARE PROFESSIONALS -- REFERENCES -- 8 Education of the Public: Strategies and Actions for Implementation -- STRATEGIES AND ACTIONS FOR EDUCATION OF THE PUBLIC -- REFERENCES -- 9 Directions for Research -- REFERENCES -- APPENDIX A Dietary Recommendations -- RECOMMENDATIONS FROM THE DIET AND HEALTH REPORT -- RECOMMENDATIONS OF THE SURGEON GENERAL OF THE UNITED STATES -- Issues for Most People -- Other Issues for Some People -- DIETARY GUIDELINES FOR AMERICANS -- NOTES -- APPENDIX B Summary of Committee's Major Recommendations -- PRINCIPAL IMPLEMENTATION STRATEGIES -- RECOMMENDATIONS TO THE PUBLIC SECTOR -- RECOMMENDATIONS TO THE PRIVATE SECTOR -- RECOMMENDATIONS TO HEALTH-CARE PROFESSIONALS -- RECOMMENDATIONS FOR EDUCATION OF THE PUBLIC -- DIRECTIONS FOR RESEARCH -- Acronyms -- Index.