AMERICANS FOLLOW THE GUIDELINES, BUT THEIR HEALTH HAS NOT IMPROVED

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AMERICANS HAVE REDUCED FAT INTAKE AND INCREASED CARBOHYDRATES:

Macro Nutrient 1965 to 2011 Source.png
 

IS JUNK FOOD THE ONLY PROBLEM?

This is not clear. Since 2001: 

YET AMERICAN HEALTH HAS NOT IMPROVED:

Since 1980: