What is healthy?

What are we teaching our children it looks like?

Nearly two-thirds of the calories consumed by American children come from ultra-processed foods.

It is time we understand how we got here.

Understand Real Food. Question What Became Normal. Change What We Pass Down.

Four siblings, from a baby to an older child, sitting together on the floor
A toddler smiling in a living room
The early years, when food first becomes normal.
A teacher and elementary students looking at fruit, carrots, and a sandwich
School years, when children learn what a meal looks like.
Two teenagers cooking eggs and greens in a home kitchen
Older kids, making the meal themselves.

64.8%

of calories consumed by children ages 6–11 come from ultra-processed foods.

What are our children actually eating?

Ages 1–556.1%
Ages 6–1164.8%
Ages 12–1863.0%
Ages 19–3954.4%
Ages 40–5952.6%
Ages 60+51.7%

0% to 80%

What this tells us. Children ages 6–11 have the highest share. The youngest school years are when ultra-processed foods take up the most of the plate.Source · August 2021–August 2023 · U.S. ages 1 and older, Nova classification, day-1 dietary recall · CDC/NCHS Data Brief No. 536
Join the children conversation

Is this getting better?

Change is possible. Ultra-processed food consumption among young people has declined from its recent peak. It still represents nearly two-thirds of calories.

02040608063.8%2013–1463.5%2015–1665.6%2017–1861.9%2021–23

Percent of calories, youth ages 1–18. Axis runs from 0 to 80 so the level stays visible.

What this tells us. Youth calories from ultra-processed foods were 63.8% in 2013–14, 63.5% in 2015–16, 65.6% in 2017–18, and 61.9% in August 2021–August 2023. The drop from the peak is real. The level is still high.Source · 2013–2014 through August 2021–August 2023 · U.S. youth ages 1–18 · CDC/NCHS Data Brief No. 536, Figure 5

From the book

What Is Healthy?

Explore the ideas

Most of us are born healthy. Somewhere along the way, we become unhealthy. Then health is sold back to us.

If most people begin life healthy, what happens between childhood and adulthood?

Food. Environment. Culture. Convenience. Marketing. Habits. Access. Information. Family. Economics.

We do not have a shortage of health information. We have a problem turning information into decisions people can actually use. Vowels.org exists to keep asking those questions.

Who told us this was healthy?

A health belief can become a product. A product can become normal.

Corn flakes, bacon and eggs, “low fat,” vegan labels, and protein snacks each have a history. The point is not a villain. The point is to separate what happened, what people believed, who benefited, and what the evidence says now.

What happens as children grow?

About one in five U.S. children and adolescents ages 2–19 has obesity. The share is 14.9% at ages 2–5 and 22.1% at ages 6–11. These figures describe weight status. They do not prove a single cause.

14.9%

Ages 2–5

22.1%

Ages 6–11

Obesity prevalence. Bars run from 0 to 40%.

What this tells us. Obesity is more common in elementary school than in preschool. The overall figure for ages 2–19 is 21.1%.Source · August 2021–August 2023 · U.S. children, measured height and weight, BMI at or above the 95th percentile · NCHS FastStats and MMWR QuickStats

Overall ages 2–19: 21.1%, MMWR.

What are teenagers actually doing?

Out of 100 U.S. high school students, in the 7 days before the 2025 survey.

Eat fruit at least once a day

39 of 100

Eat vegetables at least once a day

63 of 100

Eat breakfast every day

27 of 100

Drink 3 or more glasses of plain water a day

58 of 100

Active for 60 minutes every day

25 of 100

What this tells us. Daily breakfast, fruit, vegetables, water, and daily activity are not what most students report. Physical activity is about 25 of 100.Source · 2025 · U.S. high school students, grades 9–12 · CDC Youth Risk Behavior Survey, 2025, MMWR

Which breakfast did we learn was normal?

This is a way of looking, not a scored contest. The numbers on a real package belong on the label. Vowels teaches people how to read them.

Breakfast A

  • Sugary cereal
  • Flavored milk
  • Packaged breakfast bar

Breakfast B

  • Eggs
  • Fruit
  • Oats
  • Water

Ask of each one: Can you name the ingredients? How long does it take? What does it cost this week? What does a child learn is a normal morning?

Read a label

Health is generational

We inherit more than genetics. We inherit recipes, routines, beliefs, shopping patterns, celebrations, portion expectations, and ideas about what food is supposed to look like. Inherited does not mean permanent.

  1. Grandparents' environment and traditions
  2. Parents' habits, convenience, and marketing
  3. Children's environment and what becomes normal
  4. Adult behavior
  5. The next generation
  6. Awareness

What changed together?

Food spending, eating away from home, sweet drinks, portion sizes, and advertising moved over the same decades. Understanding why requires the whole system. Vowels will put a year on this timeline only when that year has a public source.

  • What was cooked at home?
  • What became the convenient default?
  • What was marketed to children?
  • What do children see adults eat now?

The conversation has changed

If the guidance is clearer, how do families use it?

The Dietary Guidelines for Americans, 2025–2030 emphasize real, nutrient-dense foods and home-prepared meals, and tell people to avoid highly processed salty or sweet foods and sugar-sweetened beverages. The public toolkit pictures that as protein foods, dairy, vegetables, fruits, healthy fats, and whole grains. RealFood.gov describes the guidance as flexible across cultures and kitchens. Clearer guidance still has to be understood.

Eat Real Food poster from the Dietary Guidelines toolkit, showing protein, dairy, vegetables, fruits, and whole grains.

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Do you know what your children are eating?

Nearly two-thirds of the calories American children consume come from ultra-processed foods. Help Vowels.org raise awareness, teach families about real food, and give the next generation the knowledge to make informed choices. The first public goal is $25,000.