Healthful diet report: Sugary drinks out; coffee, eggs in

WASHINGTON - An extra cup or two of coffee may be OK after all. More eggs, too. But you definitely need to drink less sugary soda. And, as always, don't forget your vegetables.

Recommendations Thursday from a government advisory committee call for an environmentally friendly diet lower in red and processed meats. But the panel would reverse previous guidance on limiting dietary cholesterol. And it says the caffeine in a few cups of coffee could actually be good for you.

The committee also is backing off stricter limits on salt, though it says Americans still get much too much. It's recommending the first real limits on added sugar, saying that's especially a problem for young people.

The Agriculture and Health and Human Services Departments will take those recommendations into account in writing final 2015 dietary guidelines by the end of the year.

The guidelines affect nutritional patterns throughout the country - from federally subsidized school lunches to food package labels to your doctor's advice.

Agriculture Secretary Tom Vilsack said, "It is by no means over" with the release of the report. The government will take comments on the advice before distilling it - and possibly changing it - into final guidelines for consumers.

Even with the changes, the report sticks to the basic message of the previous guidelines in 2010: Eat more fruits and vegetables and whole grains; eat less saturated fats, salt, and sugar.

The report says dietary cholesterol now is "not considered a nutrient of concern for overconsumption." This follows increasing medical research showing the amount of cholesterol in your bloodstream is more complicated than once thought.

The committee says available evidence "shows no appreciable relationship" between heart disease and how much dietary cholesterol you eat, but it still recommends eating less saturated fat. As in previous years, the report advises limiting saturated fats to 10 percent of total calories.

The panel doesn't give a specific recommendation for how much cholesterol - or eggs - a person may eat.

Added sugars should be around 200 calories a day - about the amount in one 16-ounce sugary drink, says the advisory committee, which is made up of doctors and nutritionists.

The recommendation is part of a larger push in recent years to help consumers isolate added sugars from naturally occurring ones, such as those in fruit and milk. Added sugars generally add empty calories to the diet.

Americans now get about 13 percent of their calories from added sugar, or 268 calories a day, the committee says. Older children, adolescents, and young adults generally take in more. The committee recommends 10 percent, which is "a target within reach," says Miriam Nelson, a Tufts University professor of nutrition who served on the panel.

Sugary drinks should be replaced with water instead of those with low-calorie sweeteners; there's not enough evidence that those drinks can help with weight loss, the committee advises. (In Philadelphia, Mayor Nutter twice sought to impose a 2-cent-per-ounce tax to discourage consumption of sugary drinks.)

Sodium adds up quickly. A turkey sandwich and a cup of soup can average about 2,200 milligrams.

That's just under the committee's recommendation of 2,300 milligrams a day for all people, even those most at risk for heart disease.

The 2010 dietary guidelines had recommended that those at risk for heart disease limit sodium to 1,500 milligrams. The new report said lowering to that amount could still be helpful for some. But the new advice follows a 2013 report by the Institute of Medicine that said there was no good evidence that eating less than 2,300 milligrams a day of sodium offered benefits.

With the average American eating more than 3,400 milligrams daily, the panel recommends at least trying to reduce sodium intake by 1,000 milligrams a day if the goals are unattainable.

Alice Lichtenstein, a member of the panel and a professor at Tufts University, said the new recommendation "puts the focus where it should be." Get sodium intake down, and fine-tune the numbers as more evidence comes in.

The report looks at caffeine for the first time and says coffee is OK - even good for you. The panel says there is strong evidence that three to five cups a day can be part of a healthy diet, and there's consistent evidence that it's even associated with reduced risk of type 2 diabetes and heart disease.

The advice comes with some caveats - don't add calories with cream, milk, and added sugars. The report also advises against large-size energy drinks that are popular in the marketplace, and it recommends that pregnant women limit caffeine to two cups of coffee a day.

The panel recommends eating more vegetables, fruits, whole grains, legumes, nuts, and seeds.

A plant-based diet is "more health-promoting and is associated with less environmental impact" than the current U.S. diet, which is high in meat.

The report stops short of telling people not to eat meat, saying, "No food groups need to be eliminated completely to improve sustainability outcomes."