Special Report: Clinicians call for cultural inclusion in new Dietary Guidelines

In the final episode of this Special Report, Colleen Sloan, PA-C, RDN, joined Catherine McManus, PhD, RDN, LD, and Viet Le, DMSc, MPAS, PA-C, FACC, to discuss how the 2025–2030 US Dietary Guidelines fall short in addressing culturally diverse eating patterns—and how clinicians can bridge that gap in practice.

Sloan noted that the guidelines provide limited acknowledgment of culturally diverse foods, which may leave some patients questioning whether their traditional diets are “unhealthy” simply because they are not explicitly represented. She emphasized that this omission can reinforce bias, guilt, or confusion—particularly among patients from underrepresented communities.

McManus stressed that food is deeply tied to culture, family traditions, and community identity, making drastic dietary overhauls unrealistic and disrespectful. Rather than encouraging elimination, she advocated for additive strategies, such as “crowding out” less healthful options by introducing nutritious foods alongside cultural staples. She offered practical examples, including blending refined grains with whole grains instead of fully replacing culturally significant foods.

Le echoed the importance of grounding recommendations in both science and empathy. He emphasized that while clinicians should explain optimal dietary patterns, effective counseling begins by understanding what patients are already eating and what changes feel achievable. He cautioned against rigid, prescriptive approaches, noting that incremental changes are more sustainable and better received.

The panel agreed that culturally responsive nutrition counseling—focused on flexibility, education, and small, patient-driven adjustments—is essential to translating population-level dietary guidance into meaningful, individualized care.

Our Experts:
Colleen Sloan, PA-C, RDN, pediatric physician assistant and registered dietitian; host of The Exam Room Nutrition Podcast.
Catherine McManus, PhD, RDN, LD, assistant professor of nutrition, Case Western Reserve University; Cleveland Clinic Foundation.
Viet Le, DMSc, MPAS, PA-C, FACC, preventive cardiology physician assistant and associate professor of research, Intermountain Health.