Healthy diet


A healthy diet is a diet that maintains or improves overall health. A healthful diet provides the body with essential nutrition: water, macronutrients such as protein, micronutrients such as vitamins, and adequate fibre and food energy.
A healthy diet may contain fruits, vegetables, and whole grains, and may include little to no ultra-processed foods or sweetened beverages. The requirements for a healthy diet can be met from a variety of plant-based and animal-based foods, although additional sources of vitamin B are needed for those following a vegan diet. Various nutrition guides are published by medical and governmental institutions to educate individuals on what they should be eating to be healthy. Not only advertising may drive preferences towards unhealthy foods. To reverse this trend, consumers should be informed, motivated and empowered to choose healthy diets. Nutrition facts labels are also mandatory in some countries to allow consumers to choose between foods based on the components relevant to health.
It is estimated that in 2023 40% of the world population could not afford a healthy diet. This is often a political issue. The Food and Agriculture Organization and the World Health Organization have formulated four core principles of what constitutes healthy diets. According to these two organizations, health diets are:
  • Adequate, as they meet, without exceeding, our body's energy and essential nutrient requirements in support of all the many body functions.
  • Diverse, as they include various nutritious foods within and across food groups to help secure the sufficient nutrients needed by our bodies.
  • Balanced, as they include energy from the three primary sources in a balanced way and foster healthy weight, growth and activity, and to prevent disease.
  • Moderate, as they include only small quantities of foods that may have a negative impact on health, such as highly salty and sugary foods.

    Recommendations

World Health Organization

The World Health Organization makes the following five recommendations with respect to both populations and individuals:
  1. Maintain a healthy weight by eating roughly the same number of calories that your body is using.
  2. Limit intake of fats to no more than 30% of total caloric intake, preferring unsaturated fats to saturated fats. Avoid trans fats.
  3. Eat at least 400 grams of fruits and vegetables per day. A healthy diet also contains legumes, whole grains, and nuts.
  4. Limit the intake of simple sugars to less than 10% of caloric intake.
  5. Limit salt/sodium from all sources and ensure that salt is iodized. Less than 5 grams of salt per day can reduce the risk of cardiovascular disease.
The WHO has stated that insufficient vegetables and fruit is the cause of 2.8% of deaths worldwide.
Other WHO recommendations include:
  • ensuring that the foods chosen have sufficient vitamins and certain minerals;
  • avoiding directly poisonous and carcinogenic substances;
  • avoiding foods contaminated by human pathogens ;
  • and replacing saturated fats with polyunsaturated fats in the diet, which can reduce the risk of coronary artery disease and diabetes.

    United States Department of Agriculture

The Dietary Guidelines for Americans by the United States Department of Agriculture recommends three healthy patterns of diet, summarized in the table below, for a 2000 kcal diet. These guidelines are increasingly adopted by various groups and institutions for recipe and meal plan development.
The guidelines emphasize both health and environmental sustainability and a flexible approach. The committee that drafted it wrote: "The major findings regarding sustainable diets were that a diet higher in plant-based foods, such as vegetables, fruits, whole grains, legumes, nuts, and seeds, and lower in calories and animal-based foods is more health promoting and is associated with less environmental impact than is the current U.S. diet. This pattern of eating can be achieved through a variety of dietary patterns, including the "Healthy U.S.-style Pattern", the "Healthy Vegetarian Pattern" and the "Healthy Mediterranean-style Pattern". Food group amounts are per day, unless noted per week.
Food group/subgroup U.S. styleVegetarianMed-style
Fruits 222.5
Vegetables 2.52.52.5
Dark green1.5/wk1.5/wk1.5/wk
Red/orange5.5/wk5.5/wk5.5/wk
Starchy5/wk5/wk5/wk
Legumes1.5/wk3/wk1.5/wk
Others4/wk4/wk4/wk
Grains 66.56
Whole33.53
Refined333
Dairy 332
Protein Foods 5.53.56.5
Meat 12.5/wk12.5/wk
Poultry10.5/wk10.5/wk
Seafood8/wk15/wk
Eggs3/wk3/wk3/wk
Nuts/seeds4/wk7/wk4/wk
Processed Soy 0.5/wk8/wk0.5/wk
Oils 272727
Solid fats limit 182117
Added sugars limit 303629

American Heart Association / World Cancer Research Fund / American Institute for Cancer Research

The American Heart Association, World Cancer Research Fund, and American Institute for Cancer Research recommend a diet that consists mostly of unprocessed plant foods, with emphasis on a wide range of whole grains, legumes, and non-starchy vegetables and fruits. This healthy diet includes a wide range of non-starchy vegetables and fruits which provide different colors including red, green, yellow, white, purple, and orange. The recommendations note that tomato cooked with oil, allium vegetables like garlic, and cruciferous vegetables like cauliflower, provide some protection against cancer. This healthy diet is low in energy density, which may protect against weight gain and associated diseases. Finally, limiting consumption of sugary drinks, limiting energy-rich foods, including "fast foods" and red meat, and avoiding processed meats improves health and longevity. Overall, researchers and medical policymakers conclude that this healthy diet can reduce the risk of chronic disease and cancer.
It is recommended that children consume 25 grams or less of added sugar per day. Other recommendations include no extra sugars in those under two years old and less than one soft drink per week. As of 2017, decreasing total fat is no longer recommended, but instead, the recommendation to lower risk of cardiovascular disease is to increase consumption of monounsaturated fats and polyunsaturated fats, while decreasing consumption of saturated fats.

Harvard School of Public Health

The Nutrition Source of Harvard School of Public Health makes the following dietary recommendations:
  • Eat healthy fats: healthy fats are necessary and beneficial for health. HSPH "recommends the opposite of the low-fat message promoted for decades by the USDA" and "does not set a maximum on the percentage of calories people should get each day from healthy sources of fat." Healthy fats include polyunsaturated and monounsaturated fats, found in vegetable oils, nuts, seeds, and fish. Foods containing trans fats are to be avoided, while foods high in saturated fats like red meat, butter, cheese, ice cream, coconut and palm oil negatively impact health and should be limited.
  • Eat healthy protein: the majority of protein should come from plant sources when possible: lentils, beans, nuts, seeds, whole grains; avoid processed meats like bacon.
  • Eat mostly vegetables, fruit, and whole grains.
  • Drink water. Consume sugary beverages, juices, and milk only in moderation. Artificially sweetened beverages contribute to weight gain because sweet drinks cause cravings. 100% fruit juice is high in calories. The ideal amount of milk and calcium is not known today.
  • Pay attention to salt intake from commercially prepared foods: most of the dietary salt comes from processed foods, "not from salt added to cooking at home or even from salt added at the table before eating."
  • Vitamins and minerals: must be obtained from food because they are not produced in our body. They are provided by a diet containing healthy fats, healthy protein, vegetables, fruit, milk and whole grains.
  • Pay attention to the carbohydrates package: the type of carbohydrates in the diet is more important than the amount of carbohydrates. Good sources for carbohydrates are vegetables, fruits, beans, and whole grains. Avoid sugared sodas, 100% fruit juice, artificially sweetened drinks, and other highly processed food.
Other than nutrition, the guide recommends staying active and maintaining a healthy body weight.

Others

, who reviewed the most prevalent popular diets in 2014, noted:
The weight of evidence strongly supports a theme of healthful eating while allowing for variations on that theme. A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention and is consistent with the salient components of seemingly distinct dietary approaches.
Efforts to improve public health through diet are forestalled not for want of knowledge about the optimal feeding of Homo sapiens but for distractions associated with exaggerated claims, and our failure to convert what we reliably know into what we routinely do. Knowledge in this case is not, as of yet, power; would that it were so.

Marion Nestle expresses the mainstream view among scientists who study nutrition:
The basic principles of good diets are so simple that I can summarize them in just ten words: eat less, move more, eat lots of fruits and vegetables. For additional clarification, a five-word modifier helps: go easy on junk foods. Follow these precepts and you will go a long way toward preventing the major diseases of our overfed society—coronary heart disease, certain cancers, diabetes, stroke, osteoporosis, and a host of others.... These precepts constitute the bottom line of what seem to be the far more complicated dietary recommendations of many health organizations and national and international governments—the forty-one "key recommendations" of the 2005 Dietary Guidelines, for example.... Although you may feel as though advice about nutrition is constantly changing, the basic ideas behind my four precepts have not changed in half a century. And they leave plenty of room for enjoying the pleasures of food.

Historically, a healthy diet was defined as a diet comprising more than 55% of carbohydrates, less than 30% of fat and about 15% of proteins. This view is currently shifting towards a more comprehensive framing of dietary needs as a global need of various nutrients with complex interactions, instead of per nutrient type needs.
In 2022, the American Society for Preventive Cardiology defined a healthful dietary pattern as a diet consisting predominantly of fruits, vegetables, legumes, nuts, seeds, plant protein and fatty fish with reduced consumption of saturated fat, salt and ultra-processed food. The National Heart Foundation of Australia's "Healthy Eating Principles" include plenty of fruit, vegetables and whole grains with a variety of protein sources such as fish and seafood, lean poultry with a restriction on red meat.