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Food Facts Asia Issue 23 "A Varied Diet for Better Health"
 
t_Articles t_Articles

March 7, 2005

Nutrition science has identified almost 50 essential nutrients. Nutrients are chemical substances such as vitamins, amino acids, minerals and essential fatty acids, that the human body needs but cannot synthesise itself and so must be included in the diet. Scientists have also discovered more than 1200 phytochemicals, present in fruits, vegetables, beans & grains and animal products. Although not essential, many of these do appear to have positive impact on health and wellness. Of course, all these healthful nutrients and phytochemicals cannot be found together in one food or even one group of foods, and relying on a restricted range of foods carries its own risk, as some nutrients and phytochemcials can be harmful if consumed too excessively. That's why most dietary guidelines include advice 'to eat a varied diet' and why there is increasing interest amongst researchers and health professionals in dietary diversity. Read on to find out how to ensure your diet is sufficiently varied for maximum health and wellness...

What Makes a Varied Diet?

A varied diet will include a broad selection of foods across the whole range, or most of the traditional food groups, such as vegetables, fruits, cereals, meat, fish and dairy products. A varied diet will also include a good mix of foods within each of these groups - eating two bananas and three carrots each and everyday may meet the 5 portions of fruit and vegetables per day target, but will not provide the body with even half the potentially healthful phytochemicals that scientists have identified in fruit and vegetables.

Research suggests that an intake of 30 or more different foods per week or more than 12 foods in one day usually characterizes a diet adequate in essential nutrients. Japan's dietary guidelines actually includes advice to aim for 30 foodstuffs a day.

To assess daily food variety, start by grouping similar food together.  For examples of food groupsing see table. Thus, rice congee at breakfast, bread made from a mix of wheat and rye flours at lunchtime, and buckwheat noodles (sobu) for evening meal represent four food types during the day. However, grapefruit juice for breakfast, sweet orange as mid-morning snack and spicy Thai pomelo salad would be counted as 1 food type for the day.

Variety, Balance, Moderation are Complementary…

Selecting a variety of foods daily, fits well with another fundamental piece of nutritional advice, which is 'aim for balance and moderation'. A balanced diet is a diet which includes enough, but not too much, of each type of nutrient and food group. For example protein foods such as red meats, fish, and poultry are rich in iron but poor sources of calcium; milk and milk products are also high quality protein foods, rich in calcium but poor sources of iron. So, including both these food groups in a regular diet is one approach to achieving a balance of both calcium and iron.

Moderation also fits well with a balanced and varied diet. For example, a moderate fat intake is fundamental to a healthy diet because some fat (about 15% of total energy content of the diet) is essential for health, but too much is likely to lead to overweight and heart disease. On this basis, occasional higher fat foods, will contribute to variety without compromising health quality of regular diet, especially if types of fats and oils consumed are varied.

Increasingly, consumers in Asia enjoy a food supply that includes fresh and processed foods all year round with little restriction as a result of seasonal variation. It can be tempting to use this year-round availability to restrict food choices to same old favorites but a better strategy is to use this increase in choice and convenience to expand the range of foods and cooking styles enjoyed in the regular diet.

Tips to Increase Food Variety

  • Choose foods that already provide variety, such as multigrain breads and mueslis.

  • Serve accompaniments, like fruit/vegetable salads, sprouted pulses, pickles, chutneys.

  • Stir fries, casseroles, soups and salads are an easy way to increase vegetable variety by using lots of different ingredients.

  • Be Adventurous. Expanding your tastes to enjoy a variety of foods can be fun and exciting.

  • Aim to regularly try a fruit or vegetable that is not familiar; for example, when shopping for groceries shop, aim to pick up a food you don't normally buy.

  • Enjoy a variety of national cuisines.

  • Above all, set aside time to enjoy meals, drinks and snacks, and to take an interest in the wide range of foods available and preparation methods.

Advice to Choose a Varied Diet is International

Overwhelmingly, "choosing and enjoying a wide variety of foods" is the most consistent message across dietary guidelines worldwide. Malaysia, Thailand, South Korea, China, Philippines are just some of the many countries in the Asia region to include this advice in their official, national guidelines.

Encouraging an adventurous approach to food and diet is also strongly emphasized in many healthy eating guidelines for young families in countries all around the world. Regularly offering (but not forcing) new foods and new preparation methods for foods, to young children is extremely common  and very sound advice for parents who wish to establish lifelong health eating and lifestyle habits in their children. Of course, many children develop strong food likes and dislikes and for parents who feel their children are 'picky eaters' providing and encouraging consumption of a varied diet can seem an impossible task. In these instances, it's important to avoid confrontation and instead encourage children to take an interest and pleasure in food and drink (for example, by involving them in selection, preparation, shopping etc of foods) and take a long-term approach by continuing to offer new foods in small amounts alongside favorites and always remembering that most personal fads will pass over time.

Minute amounts of phytochemicals such as flavonoids, isothiocyanates, lutein, beta and alpha carotene appear to be helpful in suppressing cancer development and heart disease.

The Benefits of Eating a Variety of Foods

Variety is important for a number of reasons. It tends to balance the potential positive and negative interactions among food components, and it also balances the overall availability of nutrients to the body by providing nutrients in different forms from different food sources.

A varied diet is also a more enjoyable and pleasurable diet, adding interest and mystery to the meals we eat, a talking point over shared meals, and a glimpse into lives, cultures and customs of people around the world.

Research into exactly what are the health benefits of a varied diet is still in the early stages, but published evidence to date, includes:

  • Variety seems to protect against onset of Type 2 diabetes, some cancers and cardiovascular disease.

  • A study of Type 2 diabetics found dietary diversity reduced risk of macrovascular (large blood vessel) degenerative change and better blood sugar levels.

  • Findings from the US National Health and Nutrition Examination Survey (NHANES) I Epidemiologic follow up study found better survival rates generally amongst those consuming food from a greater variety of food groups.

  •  Eating a variety of nutrient rich, low energy foods, like vegetables and fruit, helps in weight control.

Evidence from a limited number of studies indicate that consumption of variety of foods improves health outcomes such as longevity, reduced incidence and severity of chronic degenerative illness such as cancer, diabetes and faster recovery from sickness and injury.

FOOD  TYPE

FOODS

Wheat

Breads made with white or wholegrain wheat flour, wheat noodles, wheat-based breakfast cereals, cakes, wheat crackers, biscuits

Rice

White and brown rice, rice cakes, rice porridge, rice noodles

Fungi

Fresh or dried shitake, oyster mushrooms, ennoki mushrooms, button mushrooms

Fresh green legumes

Bush beans, mange-tout, snow peas, garden peas, winged beans

Dried beans

Adzuki beans, cow peas, chick peas, red beans, red kidney beans, soya beans, bean curd, tempeh, mung beans

Onions

Garlic, shallots, leeks, red onions, white onions, spring onions

Flower vegetables

Cauliflower, green and purple broccoli

Leafy green vegetables

Kale, lettuce, pak-choi, cabbage, spinach

Gourd vegetables

Pumpkin, squash, cucumber, marrow, bitter gourd, zucchini

Roots vegetables

Mooli, carrot, potato, water chestnut, ginger

Stone fruit        

Mango, apricot, plum, prune, olive

Fleshy seeded fruit

Figs, dates, kiwi, passion fruit

Melons

All types, e.g. cantaloupe, honeydew, watermelon

Citrus fruit

Lime, lemon, pomelo, tangerine, orange, grapefruit

Further Reading

  • Wahlqvist ML et al. Food variety is associated with less macrovascular disease in those with type II diabetes and their healthy controls J Am Coll Nutr. 1989 Dec;8(6):515-23.

  • Kant et al. Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination  Survey Epidemiologic Follow-up Study. Am J Clin Nutr 1993; 57:434-440.

  • Savige et al Food variety as nutritional therapy Current Therapeutics 1997; March: 57-67

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