Vol.#2 -- 13 "Nutrition and Health Promotion" Presented to a Luncheon Meeting of the Wheat Industry Council Washington, D.C. September 8, 1982 This is the first speech I gave on nutrition as Surgeon General. The invitation came from the Wheat Council because they had initiated a nutrition educational program. The speech was intended to provide a basic pillar of nutrition as one of the important supports of public health. Of course the wheat industry was seeking an economic gain, and therefore, this speech is tilted toward the fact that wheat-based food can be a one-stop source of carbohydrate, fiber, protein, vitamin b, and important trace minerals. Wheat foods are also abundant, inexpensive, and not fattening. This is an example of Reagan's policy to look to the private sector to make its unique contributions to progress in American life. The Wheat Council was created by an act of Congress. (Public law 95-113). The lecture starts off with some general nutritional concerns about increased consumption of fat and simple sugars and a drop in the presence of wheat flour in the per capita food supply. These have an impact upon the health status of American citizens. This speech came at a time when the Departments of Agriculture and Health and Human Services were beginning to work together, hitherto an unusual phenomenon, and probably could be said to be the beginning in the Surgeon General's involvement in nutrition which lead to the first report ever by a Surgeon General on nutrition several years later. References were made to the publication of "Healthy People" every decade by the government as well as our efforts with "Healthy Mothers, Healthy Babies". Of greatest interest from the vantage point of the early years of the 21st century is the fact that we had very little information at the time this speech was given about the extent of obesity among children. Now we know that America is obese across the board. We did know that about a third of all obese adults were obese as children. Even alcohol and drunk driving got into the speech because the Department of Agriculture includes alcohol in "food group 5" along with fats and oils. Cholesterol was mentioned here as a risk factor in heart disease even though the message was given in `82. Links were also made between nutrition and cancer as well as the economics of nutrition. Aging of America & Diet Alcohol & motor vehicle deaths Alcohol & Smoking American increase of consumption of fat American increase of consumption of simple sugars Cancer & diet Cancer of the Upper GI & respiratory tracts Cholesterol & heart disease Cigarette smoking & heart disease Contributions of the private sector to American life Cost of wheat-based food Death rate Death rates in cancer Death rates in heart disease and stroke Drop in the percentage of wheat flour in the per capita food supply Drunk driving & high school students Heart disease Heart disease & diet Hypertension Infant mortality Link to breast & colonic cancers Links of obesity between childhood and adult life Longevity Obesity Salt cured, smoked, & picked foods Saturated & unsaturated fats Sodium consumption Stomach & esophageal cancers Wheat-based food has a one-stop source of multiple nutrients Wheat Council chartered by an act of Congress "Dietary guidelines for Americans" (1980) "Healthy Mothers, Healthy Babies" "Healthy People" Maternal nutrition "National Nutritional Monitoring System" Partnership of Departments of Agriculture and Health and Human Services President Ronald Reagan "Research Initiative in Nutrition" Secretary Richard Schweiter "Task force on private initiatives"