It is of interest to note that the most recent US (9) and Canadian Food Guides, (10) based on the new US-Canadian Dietary Reference Intakes, (11) have a substantially higher intake recommendation for the group as a whole than the basic AGHE
pattern (about 170 g/day meats for an average man in the USA and 225 g/day in Canada).
2) Non-core foods--these were divided into two groups: fast food restaurants, and extra foods (which included soft drinks, chocolates, biscuits, confectionery and more); in accordance with the AGHE.
Of the 544 food advertisements, 21% were for foods from the core food groups of the AGHE (30) (see Table 2).
The AGHE recommends eating specified proportions of foods from each of the five core food groups each day, and includes a general recommendation about eating a variety of foods from within each group.
In short, there are a number of issues to be addressed in updating the current AGHE
and to optimise its usefulness and uptake.
6,10) However, substantial investment into research in communication and translation will be required as focus groups during the development phase of the AGHE indicated that messages on healthy fats were confusing to consumers.
1) Although protein intakes modelled in the AGHE (15-21% of energy intake) are already at the lower end of the AMDR, future dietary modelling should aim to balance potentially higher protein intakes with other chronic disease recommendations.
For example, four serves of fruit were specified by the AGHE, so the four sub-major fruit groups consumed by greatest proportion of adults aged 19 years or more in NSW were included (pome, tropical, citrus and other fruit).
However the AGHE does allow for 'extra' foods and recognises that these may contain high levels of fat, salt or sugar (34).
The final 57 foods and the quantities defined for the IHFB are given in Table 3, organised by the food groups used in the AGHE.
Approximately one third of students ate a breakfast that included items from at least three AGHE food groups (9) and 4% of children reported no foods from any AGHE food groups.
This study also found that parental preparation of breakfast was not associated with the number of AGHE Groups (9) represented in reported breakfasts or the incidence of EDMP choices.