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Picture This! Diet Guidelines
 
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Communicating Nutrition Around the World.

Most nutrition educators will tell you that people learn far more from looking at simple pictorial representations than they do from reading pages of information. This knowledge led to the development of food guides in many countries around the world. The guides, ranging from pyramids to plates and even pagodas, are intended to provide a visual depiction of a country's dietary guidelines or recommendations.

Food guides are not new education tools. The first food guides date back to the early 1900s. In the United States, the food guide depicting the five food groups- milk and meat; cereals; vegetables and fruits; fats and fat-containing foods; and sugars and sugar-containing foods - was introduced in 1916. In the Philippines, the three food groups - Grow (Protein foods), Glow (fruits and vegetables) and Go (carbohydrate and fat foods)- were used to guide people in their dietary choices for many years.

Schoolchildren were often the targets for simple educational materials used to depict the optimal diet. Most people can remember the basic food group models from school.

Pyramids and others

The pyramid shape is perhaps one of the better known food guides. This guide conveys the concept of variety and relative amounts to eat from the various food groups. The food pyramid concept has been used widely in Australia, the United States, Malaysia, Vietnam and Singapore. However, because of differences in communicating symbolism and other cultural differences, the pyramid is not necessarily the graphic of choice for food guides worldwide.

In other countries, rainbows, circles, fans and even a chalice are used to represent the "optimal" diet. The different graphics depict cultural norms and symbols as well as the emphasis of the dietary guidelines of each country. In developed countries, food guides tend to promote a diet that prevents chronic disease. In developing countries, however, the guide needs to depict both the prevention of chronic disease and the alleviation of nutrient deficiencies. The two conditions often co-exist in developing countries making the development of one symbol more challenging.

Common messages

Despite the different pictorial representations, different communities communicate similar themes. Food guide graphics from countries as diverse as Italy and South Africa convey a common message - balance, variety and moderation in food choices. While the number of food groups displayed in the graphics varies from country to country, most guides attempt to illustrate the food group's optimal proportion of the total diet. For instance, based on the Singapore Dietary Pyramid, the largest part of the pyramid shape - rice, noodles, breads and cereals - should be taken in the greatest proportion in the diet. Vegetables and fruits are the next biggest group, followed by meat and dairy products. At the apex of the pyramid are foods - such as oils, fats, sugars and sugary foods and salt and salty foods - that should be eaten in the smallest amounts. This is consistent with Singapore's national dietary guidelines.

In Thailand, an inverted pyramid in the shape of a downward-facing flag has recently been developed as the country's food guide. Research showed that consumer understanding of the eating guide concept was vastly improved in Thailand by having the largest amounts at the top and the smaller amounts at the bottom of the graphic.

The wheel or dinner plate design is a popular graphic that represents the total diet, with each section depicting a food group and its relative proportion of the total diet. This design is used in the United Kingdom, Germany and Norway, among other countries. Many of the food guide graphics are unique to their respective countries. In Japan, the optimal diet is depicted by the numeral six to remind consumers of the six food groups.

Canada's Food Guide to Healthy Eating is a four-banded rainbow, with each colour representing one of its four food groups. The rainbow shows that all food groups are important but different amounts are needed from each group. The larger outer arcs of the rainbow are the grain products and fruits and vegetables. According to Canada's dietary guidelines, these foods should make up a larger part of a healthy eating plan. Similarly, the smaller inner arcs make up the milk products and meat and meat alternatives that should make up a smaller amount of a healthy eating plan.

Many of the food guides around the world emphasise the bread, cereals and grain foods as the largest part of the diet. In China, a pagoda is used as a food guide, with the cereal group forming the base of the pagoda and smaller levels used for the rest of the food groups. Israel's chalice graphic illustrates the importance of water for overall health by placing "water" at the topmost and largest section of the chalice. Israel is one of the few food guides that characterise water as a principal part of the diet.

South Africa's food guide graphic contains the least number of food groups and organises food in a unique way - according to the food's function in the body. Group One contains "Energy food" and includes margarine, grains, porridge and maize. The second group is entitled "Body Building Food" and includes chicken, beans, milk and eggs. The third group is "Protective Food" to protect the body from illness and includes fruits and vegetables.

A Picture Paints a Thousand Words

You've undoubtedly heard the term "a picture paints a thousand words" before. Nutrition education has long proven this idiom to ring true through the use of food models and pictures to depict foods and portion sizes. Likewise, symbols such as a heart, checkmate or apple are often used on food packaging or restaurant menus to depict healthier food choices.

The primary role of food guides is to communicate an optimal diet for overall health of the population. Whether a star, pagoda or square is used, all are meant to improve quality of life and nutritional well-being in a simple and understandable way.

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