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Ideas and Opinions |19 April 2016

U.S. Dietary Guidelines: An Evidence-Free Zone

Steven E. Nissen, MD

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Author, Article, and Disclosure Information
This article was published at www.annals.org on 19 January 2016.
  • From The Cleveland Clinic, Cleveland, Ohio.

    Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0035.

    Requests for Single Reprints: Steven E. Nissen, MD, Department of Cardiovascular Medicine, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail, nissens@ccf.org.

    Author Contributions: Conception and design: S.E. Nissen.

    Drafting of the article: S.E. Nissen.

    Critical revision for important intellectual content: S.E. Nissen.

    Final approval of the article: S.E. Nissen.

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FULL TEXT
On 7 January 2016, the U.S. Department of Health and Human Services and Department of Agriculture released the Dietary Guidelines for Americans 2015–2020 (1). The preliminary report (released in February 2015) had generated considerable media attention by reversing decades of dogma with the statement that “cholesterol is not a nutrient of concern for overconsumption.” Incredibly, in the final 2015 report, this statement has been removed, instead suggesting that “individuals should eat as little dietary cholesterol as possible.” Which version should we believe? How can the same committee arrive at diametrically opposite conclusions? Now that the final report is available, it is prudent to examine how, for decades, the U.S. medical establishment has erroneously advised the population to severely limit cholesterol intake and to consider whether other conventional dietary advice will eventually prove faulty.
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Nissen SE. U.S. Dietary Guidelines: An Evidence-Free Zone. Ann Intern Med. ;164:558–559. doi: 10.7326/M16-0035

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Published: Ann Intern Med. 2016;164(8):558-559.

DOI: 10.7326/M16-0035

Published at www.annals.org on 19 January 2016

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2016 American College of Physicians
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