A lot of this discussion is a reflection of my journey.
According to BMI, I was "Obese
Class 1". I struggled with that moniker. My wife is in a medical profession and her perspective is that it is one of the best measures we've been able to come up with that is easy to compute. Another is waist to hip ratio. I've never been accused of being slim nor slender in my life. I do have a relatively broad build and am reasonably muscular. In the doctor's office, her BMI chart has a point that it is not for pregnant women nor overly muscular individuals (or some similar wording). I get that implies the bodybuilder types, but there's a spectrum that we are all on and muscle is denser and therefore heavier than fat.
Anyway, in the spring of 2021 I took in a food summit. At that time I was questioning a lot of things about health, especially since enough of the authoritative lines didn't entirely make sense to me. I didn't realize when I signed up, but it quickly became apparent during the summit that it was an event promoting vegan living as the best possible diet, least environmentally destructive, and "cruelty-free". There was a lot of good information there and it
led me to investigate more of the rabbit warren. There was enough contradiction though that I couldn't bring myself to a vegan diet (especially as it can be somewhat cultish and is considered a religion in some jurisdictions).
We did make changes, having more
vegetarian diets, watching portion sizes more intently, and being more critical of processed foods (not that we leaned heavily in that realm, particularly the ultra-processed category). In the ensuing year and a half, I shed about 40 lbs...since then, I've come back up about 10, and am staying pretty consistently around the same weight. My wife also lost a chunk of weight as well (she has always been slender, but had put some on after a significant health issue and major surgery over a decade ago).
Over time, I came to see processing and chemical-laden foods as a significant issue. Thus, in the fall of 2021, after a couple of overspray incidents through the years, we told the neighbouring farmer who was cropping about 3 acres of our land that we were taking it back. It wasn't that I wanted to develop that much garden space, but that I wanted to reduce the amount of land with chemical gick, especially since everything is so interconnected.
Somewhere in the rabbit warren of dietary (mis)information, I came across one saying that I like. "Eat real food; less of it; mainly plants." I'm not as excited about the last part any more, but I think it makes sense. If we look at the rise of negative health in North America, obesity and chronic disease is relatively recent (as in measured in decades, not centuries). Coincidental with these human health changes are the rise of chemical agriculture (synthetic fertilizer and 'cides), increased mechanization, leading to bigger farms and the reduction of the small family / mixed farm, increased pharmaceutical use (both human and livestock), increase in intensive livestock operations and CAFOs, land use changes that correspond somewhat with those, and increase in processed foods and the rise of "ultra-processed" "food". I trained in engineering so consider myself to be something of an applied scientist in background although it isn't what I'm presently doing as a career. Correlation does not imply causation, but it is pretty hard to ignore these changes in the world around us and how human health has deteriorated more or less in lockstep. A longer term trend that has really taken hold in recent decades is also increased mechanization and computerization which have led to more sedentary lifestyles.
Somewhere in all this, I also noticed that every diet (implying some sort of specialized way of eating) was backed by medical professional(s) and there was peer-reviewed literature that backed their claims. How can these opposing views (especially more drastic ones like carnivore versus vegan) be back by science and be correct? It seems incongruous to me. That is the signal to tighten my skeptic hat. Of course, as others have noted, we can add extra skeptic points to a lot of these ideas based on
profit motive.
The scientific method, as applied to human nutrition, has also been about an attempt to break everything down into constituent parts in an attempt to isolate the impact of a given vitamin/mineral/nutrient. However, the value of food may be the combination of all the components together, rather than just a single bit that can be encapsulated and commercialized.
Another thing to note as has been previously discussed, is the developments centred around plant breeding. Aside from the commercial aspects of better shelve life, consistent colour, and so forth, fruit in particular has been developed for sweetness. The apples of today are very different from apples of 100 years ago, and especially compared with the earliest examples that were grown in North America. Considering that fermenting a drink was one way to make it safe to drink (alcohol killing off potentially nasty things in water), cider was popular. Preservation through drying was bigger than it presently is. In temperate regions, tropical fruit was relatively rare earlier in my lifetime, whereas now, the supermarkets will have "fresh" pineapple, mango, avocado, and a wide array of citrus as commonplace items. After having fresh dragonfruit in Vietnam in 2018, we noticed it in the markets here, but there was no comparison (instead of white interior of the fresh stuff, it was sort of grey). Why is it that developing wheat to have more gluten ostensibly for fluffier bread has been coincident (or at least seems to be) with a rise in gluten-intolerance? I've heard of people who are gluten-intolerant being able to eat baking made from flour from older or ancient grains.
One thing I have seen in my travels (limited but various locations) is that everywhere I've been outside North America values food much more so than here. Elsewhere, they want fresh/local/traditional and they tend to eat more slowly, savouring a meal along with the company. In North America, gobbling as fast as you can is almost seen to be a virtue, so everything that aids that (prepackaged/processed "foodstuffs", microwave ovens, etc.) is worshipped and glorified (just added to see if anyone is still reading...).
I think it also makes sense that there would be regional / cultural disparities in diet and how we react to them (as per the earlier response noting Inuit and Australian Aboriginals). I understand that regions where livestock was milked and that was part of the local diet maintained the ability to digest lactose. Other locales did not, so our globalization and mobility around the world has thrown a bit of a wrench into that as well. Many of us no longer know which "tribe" may best describe us and as we intermingle among peoples, our genetics may get confused as well.
I suspect I've thoroughly bounced around this topic. It's one I've been fairly keenly interested in the past few years. I think my overall way of thinking has been to tighten my skeptic hat, and strive to eat real food, less of it, and move more.