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    A How-To GuideforOlder Adults

    Using the Nutrition Facts Label

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    Good Nutrition Can Help You Avoid or

    Manage These Common Diseases:

    certain cancers

    type 2 diabetes

    heart disease

    Why Nutrition Matters For You

    Good nutrition is important throughout your lie!

    It can help you eel your best and stay strong. It can help

    reduce the risk o some diseases that are common among

    older adults. And, i you already have certain health

    issues, good nutrition can help you manage the symptoms.

    Nutrition can sometimes seem complicated. But the good

    news is that the Food and Drug Administration has a simple

    tool to help you know exactly what youre eating.

    Its called the Nutrition Facts Label. You will nd it on all

    packaged oods and beverages. It serves as your guide ormaking choices that can aect your long-term health.

    This booklet will give you the inormation you need to start

    using the Nutrition Facts Label today!

    high blood pressure

    obesity

    osteoporosis

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    For more on nutrition or older adults, visit:

    www.da.gov/Food/ResourcesForYou/Consumers/Seniors

    Why Nutrition Matters For You ....................................1

    At-A-Glance: The Nutrition Facts Label .......................2

    3 Key Areas o Importance .........................................4Your Guide To a Healthy Diet ......................................7

    Dietary Salt/Sodium ................................................9

    Fiber ....................................................................10

    Total Fat ..............................................................13

    Cholesterol ..........................................................16

    Calcium ...............................................................18

    Glossary ..................................................................20

    Inside

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    2 Amount of CaloriesThe calories listed are or one serving o the ood.

    Calories rom at shows how many at calories there

    are in one serving.

    Remember a product thats fat-free isnt necessarily

    calorie-free. Read the label!

    Percent (%) Daily ValueThis section tells you how the nutrients in one serving o

    the ood contribute to your total daily diet. Use it to chooseoods that are high in the nutrients you should get more o,

    and low in the nutrients you should get less o.

    Daily Values are based on a 2,000-calorie diet. However,

    your nutritional needs will likely depend on how physically

    active you are. Talk to your healthcare provider to see what

    calorie level is right or you.

    Limit these NutrientsEating too much total at (especially saturated at and trans

    at), cholesterol, or sodium may increase your risk o certain

    chronic diseases, such as heart disease, some cancers, or

    high blood pressure.

    Try to keep these nutrients as low as possible each day.

    Get Enough of these NutrientsAmericans oten dont get enough dietary ber, vitamin A,

    vitamin C, calcium, and potassium in their diets. These

    nutrients are essential or keeping you eeling strong

    and healthy.

    Eating enough o these nutrients may improve your health

    and help reduce the risk o some diseases.

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    4

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    Serving SizeThis section shows how many servings are in the package,

    and how big the serving is. Serving sizes are given in amiliar

    measurements, such as cups or pieces.

    Remember: All o the nutrition inormation on the label is

    based upon one serving o the ood.

    A package o ood oten contains more than one serving!

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    1

    The Nutrition

    Facts LabelUnderstanding what the Nutrition

    Facts Label includes can help you

    make ood choices that are best

    or your health.

    2

    At-A-Glance:

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    Percent Daily Value (%DV)

    The %DV is a general guide to help you

    link nutrients in one serving o ood to

    their contribution to your total daily diet.

    It can help you determine i a ood is high

    or low in a nutrient: 5% or less is low,

    20% or more is high.

    You can also use the %DV to make

    dietary trade-os with other oods

    throughout the day.

    %DV: Quick Tips

    You can tell i a ood is high or low in a particular nutrient by taking

    a quick look at the %DV.

    I it has 5% percent o the Daily Value or less, it is low in that

    nutrient.

    This can be good or bad, depending on i it is a nutrient you

    want more o or less o.

    I it has 20% or more, it is high in that nutrient.

    This can be good or nutrients like ber (a nutrient to get more

    o) . . . but not so good or something like saturated at

    (a nutrient to get less o).

    Using %DV

    Once you are amiliar with %DV, you can use it to compare

    oods and decide which is the better choice or you. Be sure to

    check or the particular nutrients you want more o or less o.

    Using %DV inormation can also help you balance things out

    or the day.

    For example: I you ate a avorite ood at lunch that was high

    in sodium, a nutrient to get less o, you would then try to

    choose oods or dinner that are lower in sodium.

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    Serving SizeThe top o the Nutrition Facts Label shows

    the serving size and the servings per

    container. Serving size is the key to the rest

    o the inormation on the Nutrition Facts Label.

    The nutrition inormation about the ood

    like the calories, sodium, and ber is

    based upon one serving.

    I you eat two servings o the ood, you

    are eating double the calories and getting

    twice the amount o nutrients, both good

    and bad.

    I you eat three servings, that means three times the calories

    and nutrients and so on.

    That is why knowing the serving size is important. Its how you know

    or sure how many calories and nutrients you are getting.

    Check Serving Size!

    It is very common or a ood package

    to contain more than one serving.

    One bottled sot drink or a small bag

    o chips can actually contain two or

    more servings!

    of ImportanceAs you use the Nutrition Facts

    Label, pay particular attention

    to Serving Size, Percent Daily

    Value, and Nutrients.

    3 Key Areas

    4

    I you eat two servings . . .

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    Use this chapter as a guide or those

    nutrients that could impact your own

    health. Each nutrient section discusses:

    What the nutrient is

    What it can mean or your health

    Label-reading tips

    Watch or nutrients to get less o

    (the ones that you should try to limit),

    and nutrients to get more o (the ones

    that are very important to be sure to get

    enough o).

    You also might want to talk to your healthcare provider about

    which nutrients you should track closely or your continued health.

    And remember the Nutrition Facts Label is a tool that is

    available to you on every packaged ood and beverage!

    to a

    Healthy DietThe Nutrition Facts Label can

    help you make choices or

    overallhealth. But some

    nutrients can also aect certain

    health conditions and diseases.

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    Your Guide

    Test your Nutrition Facts Label knowledge with

    Label Man, FDAs online label-reading tool!

    www.da.gov/LabelMan

    NutrientsA nutrient is an ingredient in a ood that provides nourishment.

    Nutrients are essential or lie and to keep your body

    unctioning properly.

    Nutrients To Get MOREO:

    There are some nutrients that are especially

    important or your health. You should try to get

    adequate amounts o these each day. They are:

    calcium vitamin A

    dietary ber vitamin C

    potassium*

    Nutrients To Get LESS O:

    There are other nutrients that are important, but

    that you should eat in moderate amounts. They

    can increase your risk o certain diseases.

    They are:

    Total at (especially saturated at)

    Cholesterol

    Sodium

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    * Note: The listing o potassium is optional on the

    Nutrition Facts Label.

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    Dietary Salt/Sodium

    What It Is:

    Salt is a crystal-like compound that is used to favor and preserve

    ood. The words salt and sodium are oten used interchangeably.

    Salt is listed as sodium on the Nutrition Facts Label.

    What You Should Know:

    A small amount o sodium is needed to help certain organs and

    fuids work properly. But most people eat too much o it and theymay not even know it! Thats because many packaged oods have

    a high amount o sodium, even when they dont taste salty. Plus,

    when you add salt to ood, youre addingmore sodium.

    Sodium has been linked to high blood pressure. In act, eating

    less sodium can oten help lower blood pressure . . . which in

    turn can help reduce the risk o heart disease.

    And since blood pressure normally rises with age, limiting your

    sodium intake becomes even more important each year.

    Salt/Sodium

    Read the label to see how much sodium is in the ood you

    are choosing.

    5% DV or less islowin sodium

    20% DV or more ishigh in sodium.

    When you are deciding between two oods, compare the

    amount o sodium. Look or cereals, crackers, pasta

    sauces, canned vegetables, and other packaged oods

    that are lower in sodium.

    LabelReadingTips

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    On the ollowing pages, youll nd specic inormation about

    certain nutrients.

    Some are nutrients to get less o;

    others are nutrients to get more o.

    All o them can have an impact on your long-term health.

    In addition, here is an example o how the Nutrition Facts Label

    can guide you in making good decisions or long-term health

    and nutrition.

    Example

    Heart disease is the number one cause o death in the U.S.

    today. You can use the Nutrition Facts Label to compare oods

    and decide which ones t with a diet that may help reduce the

    risk o heart disease. Choose oods that have ewer calories

    per serving and a lower %DVo these nutrients to get less o:

    Total at

    Saturated at Cholesterol

    Sodium

    To lower your risk o heart disease,it is also recommended that you

    eatmore ber.

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    NUTRIENTS AND YOUR NEEDS

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    Soluble v. Insoluble Fiber:

    Where To Get It, and What It Does

    Fiber comes in two orms insoluble and soluble. Most plant

    oods contain some o each kind.

    Insoluble fberis mostly ound in whole-grain products, such

    as wheat bran cereal, vegetables and ruit. It provides bulk

    or stool ormation and helps wastes move quickly through your

    colon.

    Soluble fberis ound in peas, beans, many vegetables and

    ruits, oat bran, whole grains, barley, cereals, seeds, rice, and

    some pasta, crackers, and other bakery products. It slows the

    digestion o carbohydrates, and can help stabilize blood sugar i

    you have diabetes. In addition, it helps lower bad cholesterol.

    This, in turn, reduces the risk o heart disease.

    Check the Nutrition Facts Label to see which oods have a

    higher %DV o ber.

    Fiber also aids in the regularity o bowel movements and

    preventing constipation. It may help reduce the risk o

    diverticulosis, a common condition in which small pouches

    orm in the colon wall. This condition oten has ew or no

    symptoms; people who already have diverticulosis and do have

    symptoms oten nd that increased ber consumption can

    reduce these symptoms. Its also important to note that i the

    pouches caused by diverticulosis rupture and become inected,it results in a more severe condition called diverticulitis.

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    Fiber

    What It Is:

    Fiber, or dietary ber, is sometimes called roughage. Its the

    part o ood that cant be broken down during digestion. So

    because it moves through your digestive system undigested,

    it plays an important role in keeping your system moving and in

    working order.

    What You Should Know:

    Fiber is a nutrient to get more o. In addition to aiding in digestion,

    ber has a number o other health-related benets. These benets

    are especiallyeective when you have a high fber diet that is

    also low in saturated at, cholesterol, trans at, added sugars,

    salt, and alcohol.

    Eating a diet that is low in saturated at and cholesterol and

    high in ruits, vegetables, and grain products that contain some

    types o dietary ber, particularly soluble ber, may help lower

    your cholesterol and reduce your chances o getting heart

    disease, a disease associated with many actors.

    Healthul diets that are low in atandrich in ruits and

    vegetables that contain ber may reduce the risk osome

    types o cancer, including colon cancer, a disease associatedwith many actors. In addition, such healthul diets are also

    associated with a reduced risk otype 2 diabetes.

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    NUTRIENT

    Total Fat

    What It Is:

    Fat, or dietary at, is a nutrient that is a major source o

    energy or the body. It also helps you absorb certain important

    vitamins. As a ood ingredient, at provides taste, consistency, and

    helps you eel ull.

    What You Should Know:

    Eating too much at can lead to a wide range o health challenges.

    The total amount and type o at can contribute to and/or increase

    the risk o:

    heart disease

    high cholesterol

    increased risk o many cancers (including colon-rectum cancer)

    obesity

    high blood pressure

    type 2 diabetes

    It is important to know that there are dierent types o dietary at.

    Some have health benets when eaten in small quantities, butothers do not.

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    LabelReadingTips

    Fiber

    Read ood labels. The Nutrition Facts Label tells you the

    amount o dietary ber in each serving, as well as the %DV

    o ber that ood contains.

    When comparing the amount o ber in ood, remember:

    5% DV or less islowin ber

    20% DV or more ishigh in ber

    The label wont indicate whether ber is insoluble or

    soluble, so its best to try to get some o both.

    (See inormation on previous page)

    Compare oods and choose the ones with higher fber.

    Look or and compare labels on whole-grain products such

    as bulgur, brown rice, whole wheat couscous or kasha and

    whole-grain breads, cereals and pasta. In addition, compare

    dierent styles/types o canned or rozen beans and ruit.

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    LabelReadingTips

    Total Fat

    When comparing oods, check the Nutrition Facts Labeland choose the ood with the lower %DV o total at and

    saturated at, and low or no grams otrans at.

    5% DV or less o total at islow

    20% DV or more o total at ishigh

    When choosing oods that are labeled at-ree and

    low-at, be aware that fat-free doesnt mean calorie-free.

    Sometimes, to make a ood tastier, extra sugars are added,

    which adds extra calories. Be sure to check the calories

    per serving.

    Trans Fat On the Label

    There is no recommended total daily

    value or trans at, so you wont nd

    the %DV otrans at on a oods

    Nutrition Facts Label. However, you

    can still use the label to see i a ood

    contains trans at and to compare two

    oods by checking to see igrams o

    trans at are listed. I there is anything

    other than 0 grams listed, then the ood

    contains trans at.Because it is extremely dicult to eat

    a diet that is completely trans at-ree without decreasing other

    nutrient intakes, just aim to keep your intake otrans at as low

    as possible.

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    Good Fat: unsaturated ats (monounsaturated and

    polyunsaturated)

    These are healthul i eaten in moderation. In act, small amounts

    can even help lower cholesterol levels!

    Best Sources: plant-based oils (sunfower, corn, soybean,

    cottonseed, and safower), olive, canola and peanut oils, nuts,

    and sot margarines (liquid, tub or spray).

    Undesirable Fat: saturated and trans ats. These can raise

    cholesterol levels in the blood which in turn can contribute to

    heart disease.

    Common Sources: meat, poultry, sh, butter, ice cream, cheese,

    coconut and palm kernel oils, solid shortenings, and hard

    margarines.

    Meat (including chicken and turkey) and sh supply protein,

    B vitamins, and iron. When selecting and preparing meat, poultry,

    sh and milk or milk products, choose those that are lean,

    low-at, or at-ree. Doing this, along with removing the skin rom

    sh and poultry, are good strategies or limiting undesirable at

    rom your diet. In addition, dry beans, which can be used as a

    meat substitute, are a good source o protein and are non-at.

    UnderstandingTrans

    FatTrans at is one o the newest additions to the Nutrition FactsLabel, so you may be hearing more about it. Heres what you need

    to know:

    Most trans at is made when manuacturers hydrogenize

    liquid oils, turning them into solid ats, like shortening or some

    margarines. Trans at is commonly ound in crackers, cookies,

    snack oods, and other oods made with or ried in these solid oils.

    Trans at, like saturated at and cholesterol, raises your LDL

    (bad) cholesterol. But unlike these other nutrients, trans at also

    lowers your HDL (good) cholesterol. This urther increases

    your risk o coronary heart disease.

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    good

    cholesterol

    LDLbad

    cholesterol

    High-density lipoprotein (HDL): This good

    cholesterol is the orm in which cholesterol

    travelsback to the liver, where it can be

    eliminated.

    HDL helps prevent cholesterol buildup

    in blood vessels. A higher level o this

    cholesterol is better. Low HDL levels

    increase heart disease risk. Discuss your

    HDL level with your healthcare provider.Low-density lipoprotein (LDL): This bad

    cholesterol is carriedinto the blood. It is the

    main cause o harmul atty buildup in arteries.

    The higher the LDL cholesterol level in the blood,

    the greater the heart disease risk. So, a lower level

    o this cholesterol is better.

    LabelReadingTips

    Cholesterol

    Cholesterol is a nutrient to get less o. When comparing

    oods, look at the Nutrition Facts Label, and choose the

    ood with the lower %DV o cholesterol. Be sure not to

    go above 100% DV or the day.

    5% DV or less o cholesterol islow

    20% DV or more o cholesterol ishigh

    One o the primary ways LDL (bad) cholesterol levels

    can become too high in the blood is by eating too much

    saturated at and cholesterol. Saturated at raises LDL

    levels more than anything else in the diet.

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    HDL

    Cholesterol

    What It Is:

    Cholesterol is a crystal-like substance carried through the

    bloodstream by lipoproteins the transporters o at. Cholesterol

    is required or certain important body unctions, like digesting

    dietary ats, making hormones, and building cell walls.

    Cholesterol is ound in animal-based oods, like meats and dairy

    products.

    What You Should Know:

    Too much cholesterol in the bloodstream can

    damage arteries, especially the ones that supply

    blood to the heart. It can build up in blood vessel

    linings. This is called atherosclerosis, and it can

    lead to heart attacks and stroke.

    However, its important to know that not all cholesterol is bad.

    There are two kinds o cholesterol ound in the bloodstream.

    How much you have o each is what determines your risk o

    heart disease.

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    Its true that many dairy products, which contain high levels o

    calcium, are relatively high in at and calories. But keep in mind

    that at-ree or low-at types o milk products are excellent

    calcium sources. Nutritionists recommend that you try to get

    most o your calcium rom calcium-rich oods, rather than rom

    calcium supplements. The Nutrition Facts Label can help you

    make good high-calcium choices.

    Other good sources o calcium are: canned salmon (with bones, which are edible)

    calcium-ortied soy beverages

    tou (soybean curd that is calcium-processed)

    certain vegetables (or example, dark leay greens such as

    collards and turnip greens)

    legumes (blackeyed peas and white beans)

    calcium-ortied grain products

    calcium-ortied juice

    LabelReadingTipsCalcium

    Read the label to see how much calcium is in the ood

    you are choosing.

    5% DV or less islowin calcium

    20% DV or more ishigh in calcium

    Select oods that are high in calcium as oten as possible.

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    Calcium

    What It Is:

    Calcium is a mineral that has a lot o uses in the body, but it is

    best known or its role in building healthy bones and teeth.

    What You Should Know:

    Lack o calcium causes osteoporosis, which is the primary cause

    o hip ractures. In act, the word osteoporosis means porous

    bones. It causes progressive bone loss as you age, and makes

    bones ragile so that they can break easily. Its extremely

    important (especially or women) to get enough calcium

    throughout your lie, especially ater menopause. Women are

    at much higher risk or osteoporosis, but men can get it too.

    A Note About Vitamin D

    For calcium to be properly absorbed by the body, you also

    need to get enough vitamin D. Many milk products and

    cereals are ortied with vitamin D; also, vitamin D is produced

    by the body when exposed to sunlight.

    I you arent exposed to outdoor sunlight on a regular

    basis, ask your healthcare provider whether you

    should take vitamin D supplements.

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    The web links provided in this booklet were current at time o publication. In the

    event that they change, please visit www.da.gov and search by topic, such as

    Seniors or Labelman.

    Glossary of Key Nutrition Label Terms

    Calcium: a mineral that builds and maintains strong bones. Calcium

    helps prevent osteoporosis.

    Calories: the energy provided by ood/nutrients. On the label,

    calories shown are or one serving.

    Calories rom Fat: Fat calories shown on the label are or one serving.

    Cholesterol: a necessary nutrient rom animal-based oods that is

    carried in the bloodstream. LDL cholesterol is bad and HDL

    cholesterol is good.

    Daily Value: the amount o certain nutrients that most people need

    each day.

    Nutrient: an ingredient in a ood that provides nourishment or

    nutritional benet.

    Nutrition Facts Label: the black-and-white box ound on ood and

    beverage packages.

    Percent Daily Value (%DV): the percentage o a nutrient ound in

    one serving o ood, based on the established standard o 2000

    calories per day.

    Saturated Fat: a type o at that is solid at room temperature. It is

    usually animal-based. This type o at is associated with certain

    health risks.

    Sodium: dietary salt that is important in the diet. However, too much

    sodium can lead to high blood pressure and risk o heart disease.

    Total Fat: the combined ats that provide energy to the body. Some

    types o at are healthier than others.

    Trans Fat: a type o at that is created when liquid at is turned into

    solid at during manuacturing. Trans at has no daily value, and

    should be replaced with unsaturated at in your diet whenever

    possible.

    Unsaturated Fat: a type o at that is liquid at room temperature; can

    be plant-based or animal-based. These are usually good ats.

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    and theNutrition Facts Label