Purpose of review: Twelve years have passed since the US Department of Agriculture introduced the Food Guide Pyramid as a single visual expression of the major food groups and their relative amounts in a healthy diet. Unfortunately, no regular review has been conducted to incorporate new knowledge. Some feel that the pyramid format is too limited for modern use, while others wish it to continue with new information. It seems timely to review what features of the pyramid design have been useful over past years and how it can be improved with new concepts while maintaining ease of understanding by the average consumer.
Recent findings: Examples are presented of adapting the pyramid to diets promoted by a special group or to support particular dietary beliefs, in contrast to the goal of seeking a single standardized format. Inherent limitations of the pyramid format are discussed. One proposal is discussed which seeks to redesign the pyramid into a modern educational tool presenting current concepts supported by recent studies and outcomes data. Popular beliefs about what is a healthy diet have perhaps never been as varied as now. This is partly due to sharply differing opinions about which highly publicized weight-loss diet is most effective.
Summary: The educational benefits of the pyramid format need objective study in view of the inherent limitations of that configuration. Only when the specific visual advantages for the consumer are shown can a decision be made as to the benefit of major new efforts to construct a single modern pyramid.