New dietary guidelines urge Americans to avoid processed foods and added sugar

Americans should eat more whole foods and protein, fewer highly processed foods and less added sugar, according to the latest edition of federal nutrition advice released Wednesday by the Trump administration.

Health Secretary Robert F. Kennedy Jr. and Agriculture Secretary Brooke Rollins issued the 2025-2030 U.S. Dietary Guidelines for Americans, which offer updated recommendations for a healthy diet and provide the foundation for federal nutrition programs and policies. They come as Kennedy has for months stressed overhauling the U.S. food supply as part of his Make America Healthy Again agenda.

''Our message is clear: Eat real food,'' Kennedy said at a White House briefing.

The guidelines emphasize consumption of fresh vegetables, whole grains and dairy products, long advised as part of a healthy eating plan. Officials released a new graphic depicting an inverted version of the long-abandoned food pyramid, with protein, dairy, healthy fats and fruits and vegetables at the top and whole grains at the bottom.

But they also take a new stance on ''highly processed'' foods, and refined carbohydrates, urging consumers to avoid ''packaged, prepared, ready-to-eat or other foods that are salty or sweet, such as chips, cookies and candy." That's a different term for ultraprocessed foods, the tasty, energy-dense products that make up more than half the calories in the U.S. diet and have been linked to chronic diseases such as diabetes and obesity.

The new guidance backs away from revoking long-standing advice to limit saturated fats, despite signals from Kennedy and Food and Drug Commissioner Marty Makary that the administration would push for more consumption of animal fats to end the ''war'' on saturated fats.

Instead, the document suggests that Americans should choose whole-food sources of saturated fat — such as meat, whole-fat dairy or avocados — while continuing to limit saturated fat consumption to no more than 10% of daily calories. The guidance says ''other options can include butter or beef tallow,'' despite previous recommendations to avoid those fats.

The dietary guidelines, required by law to be updated every five years, provide a template for a healthy diet. But in a country where more than half of adults have a diet-related chronic disease, few Americans actually follow the guidance, research shows.

The new recommendations drew praise from some prominent nutrition and medical experts.

"There should be broad agreement that eating more whole foods and reducing highly processed carbohydrates is a major advance in how we approach diet and health,'' said Dr. David Kessler, a former FDA commissioner who has written books about diet and nutrition and has sent a petition to the FDA to remove key ingredients in ultraprocessed foods.

''The guidelines affirm that food is medicine and offer clear direction patients and physicians can use to improve health,'' said Dr. Bobby Mukkamala, president of the American Medical Association.

Other experts were relieved that the guidelines didn't go against decades of nutrition evidence linking saturated fat to heart disease, but they were critical of the guidelines' focus on meat and dairy as a primary source of protein instead of plant-based sources.

The new document is just 10 pages, upholding Kennedy's pledge to create a simple, understandable guideline. Previous editions of the dietary guidelines have grown over the years, from a 19-page pamphlet in 1980 to the 164-page document issued in 2020, which included a four-page executive summary.

The guidance will have the most profound effect on the federally funded National School Lunch Program, which is required to follow the guidelines to feed nearly 30 million U.S. children on a typical school day.

The Agriculture Department will have to translate the recommendations into specific requirements for school meals, a process that can take years, said Diane Pratt-Heavner, spokesperson for the School Nutrition Association. The latest school nutrition standards were proposed in 2023 but won't be fully implemented until 2027, she noted.

Science advisers didn't make ultraprocessed food recommendations

The new guidelines skip the advice of a 20-member panel of nutrition experts, who met for nearly two years to review the latest scientific evidence on diet and health.

The recommendations on highly processed foods drew cautiously positive reactions. The FDA and the Agriculture Department are already working on a definition of ultraprocessed foods, but it's expected to take time.

Not all highly processed foods are unhealthy, said Dr. David Ludwig, an endocrinologist and researcher at Boston Children's Hospital.

''I think the focus should be on highly processed carbohydrates,'' he said, noting that processing of protein or fats can be benign or even helpful.

More protein recommended

The guidelines made a few other notable changes, including a call to potentially double protein consumption.

Makary said the new advice supersedes protein guidance that was based on the ''bare minimum'' required for health.

Ludwig also noted that the earlier recommendation was the minimum amount needed to prevent protein deficiency and said higher amounts of protein might be beneficial.

''A moderate increase in protein to help displace the processed carbohydrates makes sense,'' he said.

Officials with the American Heart Association, however, called for more research on protein consumption and the best sources for optimal health.

''Pending that research, we encourage consumers to prioritize plant-based proteins, seafood and lean meats and to limit high-fat animal products including red meat, butter, lard and tallow, which are linked to increased cardiovascular risk,'' the group said in a statement.

The guidelines advise avoiding or sharply limiting added sugars or non-nutritive sweeteners, saying ''no amount'' is considered part of a healthy diet.

No one meal should contain more than 10 grams of added sugars, or about 2 teaspoons, the new guidelines say.

Previous federal guidelines recommended limiting added sugars to less than 10% of daily calories for people older than 2, but to aim for less. That's about 12 teaspoons a day in a 2,000-calorie daily diet. Children younger than 2 should have no added sugars at all, the older guidance said.

In general, most Americans consume about 17 teaspoons of added sugars per day, according to the U.S. Centers for Disease Control and Prevention.

Alcohol limits removed

Instead, the guidance advises Americans to ''consume less alcohol for better health." They also say that alcohol should be avoided by pregnant women, people recovering from alcohol use disorder and those who are unable to control the amount they drink.

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