March 21, 2012
The essentials of a healthy diet are similar for men and women. Eat when hungry, stop when full. Choose fruits, vegetables, whole grains, protein, and dairy sources that are low in saturated fat. Avoid trans fat, excessive sodium, and added sugar.
While these general recommendations apply to everyone, a more detailed nutrition and exercise plan to carry out the recommendations do vary by gender.
Take, for starters, caloric needs. Because men generally have an overall larger body (both height and weight) and greater muscle mass than women, they also have increased caloric needs compared to women.
The average-sized, moderately physically active 30-year-old female needs about 2000 calories per day while her male counterpart needs about 2800 calories per day. Even if they were the same height and weight, the Dietary Reference Intakes (DRIs) approximate that the man burns about 400 calories more per day than the woman.
Although the recommended breakdown of carbohydrate, protein, and fat are the same for both genders, because men generally need more calories, they also require higher total intake of each of the macronutrients.
Women need fewer calories than men, but in many cases, they have higher vitamin and mineral needs. Adequate intake of calcium, iron, and folic acid are of special importance for women.
Due to the hormonal changes associated with menstruation and child-bearing, women are more susceptible than men to weakened bones and osteoporosis. For this reason, the average post-menopausal woman requires more calcium than her male counterpart (1000 mg for 51- to 70-year-old women compared to 800 mg for 51- to 70-year-old men). Recommended calcium intakes at other ages are the same for both genders.
Women also are at increased risk of iron-deficiency anemia compared to men due to the monthly blood loss associated with menstruation. The average pre-menopausal woman needs about 18 milligrams of iron per day compared to 8 milligrams for men.
Both men and women need about 400 micrograms of the B vitamin folic acid, but the DRIs specifically recommend that all women of childbearing age take a multivitamin with at least 400 micrograms of folic acid to prevent brain and spinal cord defects in a growing fetus. These devastating consequences can occur in the early weeks gestation, before a woman even knows that she is pregnant. Once a woman is pregnant, the DRIs recommend 600 micrograms per day.
Men and women may both experience cardiovascular benefits from moderate alcohol consumption, but women can also experience a devastating effect– increased risk of breast cancer. For both genders, alcohol should always be consumed in moderation, if at all.
Despite an extra caloric allowance, men suffer from overweight and obesity at disproportionately higher rates than women. The effects of obesity [defined as a body mass index (BMI) >30kg/m2] are widespread and pronounced, plaguing over a third of Americans.
Nearly 70 percent of U.S. adults are overweight (defined as a BMI >25kg/m2) or obese. If you break it down by gender, almost three out of four men over 20 are overweight or obese compared to about two out of three women. Among older adults, a similar percentage of men and women are overweight, but substantially more older women are obese compared to older men.
One can only speculate why men have become the heavier sex. Whatever the reasons, if men were able to overcome the barriers and commit to healthier eating and more physical activity, most men would find that, due to gender differences in fat storage and fat metabolism, it is actually easier for them, compared to women, to lose weight!
Overall, increased awareness of the nutritional value of foods, including calories, macronutrient composition, and vitamin and mineral content will empower both men and women to make smarter nutrition choices and move a few steps closer to their health, fitness, and weight management goals.
- Dietary Reference Intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, DC: Institute of Medicine, Food and Nutrition Board;2005.
- Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010. Jama. Jan 20 2012.
By Natalie Digate Muth
Natalie Digate Muth, MD, MPH, RD, FAAPNatalie Digate Muth, MD, MPH, RD, FAAP is the Senior Advisor for Healthcare Solutions for the American Council on Exercise, a board-certified pediatrician and Fellow of the American Academy of Pediatrics, a Diplomat of the American Board of Obesity Medicine, registered dietitian and board-certified specialist in sports dietetics, and ACE Certified Health Coach. She is the author of "Eat Your Vegetables and Other Mistakes Parents Make: Redefining How to Raise Healthy Eaters" and the textbook "Sports Nutrition for Health Professionals." She has been ACE certified since 1998.