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00:00:05,649 --> 00:00:13,276
>> GOOD MORNING AND
WELCOME AND 

2
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THANKS FOR JOINING US AGAIN 

3
00:00:13,843 --> 00:00:15,444
TODAY.

4
00:00:15,444 --> 00:00:19,515
I'M GOING TO TURN IT OVER RIGHT 

5
00:00:19,515 --> 00:00:22,752
NOW TO DR. EVE STOODY TO GIVE AN

6
00:00:22,752 --> 00:00:24,820
UPDATE ON OUR FEDERAL ACTIVITIES

7
00:00:24,820 --> 00:00:29,191
RELATED TO DIETARY GUIDELINES 

8
00:00:29,191 --> 00:00:30,960
AND THE COMMITTEE'S GOING TO BE 

9
00:00:30,960 --> 00:00:32,862
DISCUSSING DIET AND PREGNANCY 

10
00:00:32,862 --> 00:00:34,997
THROUGH ADOLESCENCE AND PATTERN 

11
00:00:34,997 --> 00:00:36,365
MODELLING AND UPDATE FROM THE 

12
00:00:36,365 --> 00:00:38,301
HEALTH EQUITY WORKING GROUP.

13
00:00:38,301 --> 00:00:41,671
I WILL DISCUSS NEXT STEPS IN THE

14
00:00:41,671 --> 00:00:42,738
DIETARY GUIDELINES PROCESS AND 

15
00:00:42,738 --> 00:00:44,941
WE'LL FINISH OFF THE DAY WITH A 

16
00:00:44,941 --> 00:00:47,109
FACILITATED DISCUSSION FROM THE 

17
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COMMITTEE.

18
00:00:47,677 --> 00:00:49,078
SO WITHOUT FURTHER ADO I'D LIKE 

19
00:00:49,078 --> 00:00:53,983
TO TURN IT OVER TO DR. EVE 

20
00:00:53,983 --> 00:00:54,317
STOODY.

21
00:00:54,317 --> 00:00:57,553
>> THANKS, JANET.

22
00:00:57,553 --> 00:00:58,287
GOOD MORNING.

23
00:00:58,287 --> 00:01:00,523
SO JUST LIKE SOME OF OUR 

24
00:01:00,523 --> 00:01:02,625
PREVIOUS COMMITTEES I'LL GIVE 

25
00:01:02,625 --> 00:01:04,660
UPDATES RELATED TO THE WORK OF 

26
00:01:04,660 --> 00:01:05,995
THE COMMITTEE.

27
00:01:05,995 --> 00:01:08,331
THE NEXT SLIDE KARA THANKS FOR 

28
00:01:08,331 --> 00:01:09,765
ADVANCING THE SLIDES ALL 

29
00:01:09,765 --> 00:01:14,737
MEETING, KARA AND SARA.

30
00:01:14,737 --> 00:01:17,173
THE FIRST ARE UPDATES FROM 

31
00:01:17,173 --> 00:01:20,409
PREVIOUS MEETINGS ALCOHOLIC 

32
00:01:20,409 --> 00:01:22,612
BEVERAGES AND HEALTH AND INTAKE 

33
00:01:22,612 --> 00:01:23,179
AND SUSTAINABILITY IN THE 

34
00:01:23,179 --> 00:01:25,014
DIETARY GUIDELINES.

35
00:01:25,014 --> 00:01:26,449
THE NEXT TWO ARE NEW UPDATES 

36
00:01:26,449 --> 00:01:30,987
RELATED TO PROJECTS SOME OF OUR 

37
00:01:30,987 --> 00:01:33,089
FEDERAL PARTNERS HAVE BEEN 

38
00:01:33,089 --> 00:01:35,424
SUPPORTING RELATED TO SEAFOOD 

39
00:01:35,424 --> 00:01:38,861
AND CHILD DEVELOPMENT AND BREAST

40
00:01:38,861 --> 00:01:41,497
FEEDING FOR INFANTS AND CHILDREN

41
00:01:41,497 --> 00:01:43,399
AND GIVE A HEADS UP ABOUT AN 

42
00:01:43,399 --> 00:01:48,871
UPCOMING WORKSHOP SUPPORTED BY 

43
00:01:48,871 --> 00:01:53,776
FDA AND NIH AND A NEW CAMPAIGN.

44
00:01:53,776 --> 00:01:55,878
FIRST IS ALCOHOLIC BEVERAGES.

45
00:01:55,878 --> 00:01:57,246
SINCE AS WE TALKED ABOUT FROM 

46
00:01:57,246 --> 00:01:59,849
THE BEGINNING WE DID NOT INCLUDE

47
00:01:59,849 --> 00:02:02,985
QUESTIONS ON ALCOHOLIC BEVERAGES

48
00:02:02,985 --> 00:02:04,920
AND HEALTH FOR THIS ADVISORY 

49
00:02:04,920 --> 00:02:05,421
COMMITTEE TO CONSIDER.

50
00:02:05,421 --> 00:02:08,257
WE FELT WE WERE AT A TIME WHERE 

51
00:02:08,257 --> 00:02:10,426
THAT DESERVED A FOCUSSED REVIEW.

52
00:02:10,426 --> 00:02:13,729
THERE'S TWO ACTIVITIES RELATED 

53
00:02:13,729 --> 00:02:16,332
TO ALCOHOLIC BEVERAGES IN 

54
00:02:16,332 --> 00:02:17,533
HEALTH.

55
00:02:17,533 --> 00:02:19,602
BOTH ACTIVITIES HAVE HAPPENING 

56
00:02:19,602 --> 00:02:21,804
IN PARALLEL BUT COMPLEMENTARY 

57
00:02:21,804 --> 00:02:23,773
NOT DUPLICATIVE.

58
00:02:23,773 --> 00:02:25,708
THEY'RE COVERING SLIGHTLY 

59
00:02:25,708 --> 00:02:27,176
DIFFERENT QUESTIONS USING 

60
00:02:27,176 --> 00:02:28,778
DIFFERENT METHODS.

61
00:02:28,778 --> 00:02:30,479
BOTH PROJECTS ARE EVIDENCE 

62
00:02:30,479 --> 00:02:31,847
REVIEW PROJECTS.

63
00:02:31,847 --> 00:02:32,815
NEITHER RESULT IN THE 

64
00:02:32,815 --> 00:02:35,351
DEVELOPMENT OF GUIDANCE ON 

65
00:02:35,351 --> 00:02:37,820
ALCOHOLIC BEVERAGES AND HEALTH.

66
00:02:37,820 --> 00:02:39,622
SIMILAR TO THE ADVISORY 

67
00:02:39,622 --> 00:02:41,023
COMMITTEE'S REPORTS, THOSE WILL 

68
00:02:41,023 --> 00:02:42,591
RESULT IN REPORTS PROVIDED TO 

69
00:02:42,591 --> 00:02:44,994
THE DEPARTMENTS OF HEALTH AND 

70
00:02:44,994 --> 00:02:50,399
HUMAN SERVICES AND USDA TO BORNE

71
00:02:50,399 --> 00:02:53,769
THE NEXT EDITION OF IT THE 

72
00:02:53,769 --> 00:02:57,406
DIETARY GUIDELINES.

73
00:02:57,406 --> 00:02:59,508
THIS IS INTEREST THE HHS AND 

74
00:02:59,508 --> 00:03:01,143
SAMHSA SPECIFICALLY THE 

75
00:03:01,143 --> 00:03:02,344
INTERAGENCY COORDINATING 

76
00:03:02,344 --> 00:03:06,449
COMMITTEE ON THE PREVENTION OF 

77
00:03:06,449 --> 00:03:10,786
UNDER AGE DRINKING OR ICCPUD.

78
00:03:10,786 --> 00:03:12,288
THIS IS A BIG PROJECT HHS 

79
00:03:12,288 --> 00:03:13,355
SUPPORTS EVERY YEAR.

80
00:03:13,355 --> 00:03:16,058
THIS IS THE WORK RELATED TO 

81
00:03:16,058 --> 00:03:22,898
ALCOHOL INTAKE IN HEALTH FOR 

82
00:03:22,898 --> 00:03:23,432
SPIFF

83
00:03:23,432 --> 00:03:24,934
SPECIFICALLY ADULT POPULATION.

84
00:03:24,934 --> 00:03:30,906
THIS IS PART OF A MUCH LARGER 

85
00:03:30,906 --> 00:03:33,943
ACTIVITY.

86
00:03:33,943 --> 00:03:37,546
IT'S A STUDY CONSIDERING ALCOHOL

87
00:03:37,546 --> 00:03:41,517
IN TAKE IN ADULTHOOD AND 

88
00:03:41,517 --> 00:03:44,286
ESTIMATE RISKS ASSOCIATED WEDGE 

89
00:03:44,286 --> 00:03:46,255
LIFE TIME ALCOHOL CONSUMPTION 

90
00:03:46,255 --> 00:03:47,790
AND VARIOUS HEALTH OUTCOMES.

91
00:03:47,790 --> 00:03:50,726
FOR THIS WORK THEY IDENTIFIED A 

92
00:03:50,726 --> 00:03:52,261
SIX-MEMBER EXTERNAL SCIENTIFIC 

93
00:03:52,261 --> 00:03:54,630
REVIEW PANEL THAT WILL REPORT TO

94
00:03:54,630 --> 00:03:56,999
A TECHNICAL REVIEW SUBCOMMITTEE 

95
00:03:56,999 --> 00:03:58,801
THAT IS COMPRISED OF FEDERAL 

96
00:03:58,801 --> 00:03:59,034
EXPERTS.

97
00:03:59,034 --> 00:04:03,239
SINCE WE LAST MET IN MAY, THAT 

98
00:04:03,239 --> 00:04:04,140
EXPERT SCIENTIFIC REVIEW PANEL 

99
00:04:04,140 --> 00:04:06,208
HAS POSTED THE STUDY METHODS FOR

100
00:04:06,208 --> 00:04:08,144
THAT WORK ON THEIR WEBSITE AND 

101
00:04:08,144 --> 00:04:10,513
THAT WAS OPEN FOR PUBLIC 

102
00:04:10,513 --> 00:04:10,746
COMMENT.

103
00:04:10,746 --> 00:04:12,748
SO THAT INFORMATION WAS POSTED 

104
00:04:12,748 --> 00:04:15,885
IN JULY AND THERE WAS A PUBLIC 

105
00:04:15,885 --> 00:04:17,753
COMMENT PERIOD ACROSS JULY AND 

106
00:04:17,753 --> 00:04:20,022
AUGUST AND THEY ALSO HELD A 

107
00:04:20,022 --> 00:04:22,391
PUBLIC MEETING THAT DISCUSSED 

108
00:04:22,391 --> 00:04:23,859
THOSE METHODS AS WELL AS THE 

109
00:04:23,859 --> 00:04:25,761
OPPORTUNITY FOR PUBLIC COMMENTS.

110
00:04:25,761 --> 00:04:28,764
WHERE THAT PROFESSION IS AT THIS

111
00:04:28,764 --> 00:04:32,401
POINT IS EXTERNAL SCIENTIFIC 

112
00:04:32,401 --> 00:04:34,904
REVIEW PANEL IS CONSIDERING 

113
00:04:34,904 --> 00:04:35,771
PUBLIC COMMENT AS IT WORKS TO 

114
00:04:35,771 --> 00:04:37,706
CONDUCT THE ANALYSES AND DRAFT 

115
00:04:37,706 --> 00:04:39,308
FINDINGS ARE EXPECTED TO BE 

116
00:04:39,308 --> 00:04:41,010
PUBLIC AVAILABLE AND OPEN FOR 

117
00:04:41,010 --> 00:04:42,344
PUBLIC COMMENT LATER THIS YEAR.

118
00:04:42,344 --> 00:04:46,015
OUR NEXT ACTIVITY RELATED TO 

119
00:04:46,015 --> 00:04:48,150
ALCOHOLIC BEVERAGES IS BEING 

120
00:04:48,150 --> 00:04:52,755
CONDUCTED BY THE NATIONAL 

121
00:04:52,755 --> 00:04:53,022
ACADEMIES.

122
00:04:53,022 --> 00:04:56,625
THIS WAS MANDATED BY CONGRESS 

123
00:04:56,625 --> 00:04:59,762
THAT USDA COMMISSION A STUDY 

124
00:04:59,762 --> 00:05:00,362
WITH THE NATIONAL ACADEMIES 

125
00:05:00,362 --> 00:05:02,498
ESSENTIALLY A SYSTEMATIC REVIEW 

126
00:05:02,498 --> 00:05:05,601
PROJECT LOOKING AT A REVIEW OF 

127
00:05:05,601 --> 00:05:06,902
EVIDENCE ON ALCOHOL INTAKE AND 

128
00:05:06,902 --> 00:05:07,436
HEALTH.

129
00:05:07,436 --> 00:05:10,172
WHEN WE LAST MET WE NOTED A 15 

130
00:05:10,172 --> 00:05:14,043
MEMBER COMMITTEE HAD BEEN 

131
00:05:14,043 --> 00:05:17,146
FINALIZED THAT HAS HELD TWO 

132
00:05:17,146 --> 00:05:17,746
PUBLIC MEETINGS.

133
00:05:17,746 --> 00:05:19,582
ONE IN JANUARY AND MARCH.

134
00:05:19,582 --> 00:05:22,751
SINCE WE LAST MET IN MAY, THE 

135
00:05:22,751 --> 00:05:26,689
SYSTEMATIC REVIEW PROTOCOLS FOR 

136
00:05:26,689 --> 00:05:29,758
THE QUESTIONS THEY ARE REVIEWING

137
00:05:29,758 --> 00:05:32,761
HAVE BEEN POSTED TO THE NASEM 

138
00:05:32,761 --> 00:05:35,764
STUDY PANEL YOU CAN GO TO THE 

139
00:05:35,764 --> 00:05:36,365
NASEM WEBSITE.

140
00:05:36,365 --> 00:05:38,467
I THINK IT'S UNDER RESOURCES 

141
00:05:38,467 --> 00:05:41,036
THERE'S A LINK TO A PDF THAT 

142
00:05:41,036 --> 00:05:44,206
INCLUDES LINKS TO THE PROTOCOLS 

143
00:05:44,206 --> 00:05:48,878
AND THEY'VE BEEN POSTED ON 

144
00:05:48,878 --> 00:05:49,144
PROSPERO.

145
00:05:49,144 --> 00:05:49,979
IF YOU'RE INTERESTED WE 

146
00:05:49,979 --> 00:05:51,347
ENCOURAGE YOU TO GO THERE AND 

147
00:05:51,347 --> 00:05:52,581
CHECK THEM OUT.

148
00:05:52,581 --> 00:05:55,184
THERE'S A DEDICATED E-MAIL FOR 

149
00:05:55,184 --> 00:05:58,354
THAT STUDY WHERE THE PUBLIC CAN 

150
00:05:58,354 --> 00:05:59,021
PROVIDE PUBLIC COMMENT AT ANY 

151
00:05:59,021 --> 00:06:02,258
TIME AND THE LINK IS ON THE THIS

152
00:06:02,258 --> 00:06:02,992
SLIDE.

153
00:06:02,992 --> 00:06:05,361
THE FINDINGS FROM THE NASEM 

154
00:06:05,361 --> 00:06:07,062
STUDY WILL BE MADE PUBLICALLY 

155
00:06:07,062 --> 00:06:08,397
AVAILABLE LATER THIS YEAR.

156
00:06:08,397 --> 00:06:12,334
SO FOR BOTH OF THESE THE PROJECT

157
00:06:12,334 --> 00:06:14,837
AND THE LAST PROJECT THE METHODS

158
00:06:14,837 --> 00:06:19,008
FOR THE ICCPUP STUDY ARE STILL 

159
00:06:19,008 --> 00:06:22,344
AVAILABLE AND SEE THE METHODS ON

160
00:06:22,344 --> 00:06:23,445
TE WEBSITE.

161
00:06:23,445 --> 00:06:26,782
LINKS ARE AVAILABLE AT DIETARY 

162
00:06:26,782 --> 00:06:28,484
GUIDELINES.gov UNDER THE RELATED

163
00:06:28,484 --> 00:06:29,652
PROJECTS PAGE.

164
00:06:29,652 --> 00:06:31,186
SO THAT'S ALCOHOLIC BEVERAGES.

165
00:06:31,186 --> 00:06:33,589
THE NEXT TOPIC AREA IS RELATED 

166
00:06:33,589 --> 00:06:35,424
TO THE DIETARY REFERENCE 

167
00:06:35,424 --> 00:06:35,758
INTAKES.

168
00:06:35,758 --> 00:06:40,095
WE NOTED PREVIOUSLY THERE'S A 

169
00:06:40,095 --> 00:06:42,865
JOINT U.S.-CANADIAN DRI WORKING 

170
00:06:42,865 --> 00:06:45,334
GROUP AND WE THOUGH THEED WE ARE

171
00:06:45,334 --> 00:06:49,171
SUPPORTING UPDATES TO THE ENERGY

172
00:06:49,171 --> 00:06:51,740
AND MACRO NUTRIENT DRIs.

173
00:06:51,740 --> 00:06:53,776
AND WE'VE TALKED PREVIOUSLY WE 

174
00:06:53,776 --> 00:06:56,779
COMMISSIONED SYSTEMATIC REVIEWS 

175
00:06:56,779 --> 00:06:59,782
TO INFORM FUTURE DRI UPDATES FOR

176
00:06:59,782 --> 00:07:01,550
CARBOHYDRATE, PROTEIN AND FAT.

177
00:07:01,550 --> 00:07:03,252
THIS GROUP ALSO SUPPORTS A 

178
00:07:03,252 --> 00:07:04,920
STANDING COMMITTEE FOR THE 

179
00:07:04,920 --> 00:07:06,922
REVIEW OF THE DIETARY REFERENCE 

180
00:07:06,922 --> 00:07:08,891
INTAKES FRAMEWORK.

181
00:07:08,891 --> 00:07:11,760
THERE'S A STANDING COMMITTEE 

182
00:07:11,760 --> 00:07:12,628
THAT THE FEDERAL GOVERNMENT 

183
00:07:12,628 --> 00:07:14,997
SUPPORTS THAT ADDRESSES VARIOUS 

184
00:07:14,997 --> 00:07:20,402
TOPICS.

185
00:07:20,402 --> 00:07:23,005
THE WORK INFORMS FUTURE DRI 

186
00:07:23,005 --> 00:07:23,772
COMMITTEES AND THEIR 

187
00:07:23,772 --> 00:07:24,139
APPLICATIONS.

188
00:07:24,139 --> 00:07:27,476
RECENTLY THIS SUMMER THERE IS A 

189
00:07:27,476 --> 00:07:29,778
REPORT PUBLISHED ON RETHINKING 

190
00:07:29,778 --> 00:07:33,248
THE ACCEPTABLE MACRO NUTRIENT 

191
00:07:33,248 --> 00:07:35,084
DISTRIBUTION RANGE FOR THE 21st 

192
00:07:35,084 --> 00:07:35,551
CENTURY.

193
00:07:35,551 --> 00:07:36,719
THIS WILL BE OF INTEREST AS WE 

194
00:07:36,719 --> 00:07:39,722
LOOKED TO UPDATING THE DRIs FOR 

195
00:07:39,722 --> 00:07:41,457
THE MACRO NUTRIENTS BUT WANTED 

196
00:07:41,457 --> 00:07:46,395
TO NOTE IT'S PUBLICALLY 

197
00:07:46,395 --> 00:07:51,000
AVAILABLE AND FOR THE NEXT 

198
00:07:51,000 --> 00:07:52,568
UPDATE SUSTAINABILITY.

199
00:07:52,568 --> 00:07:57,506
I THINK AT A HIGH LEVEL AS WE'VE

200
00:07:57,506 --> 00:08:00,809
NOTED PREVIOUSLY, USDA AND HHS 

201
00:08:00,809 --> 00:08:02,111
CONVENED A WORK GROUP TASKED 

202
00:08:02,111 --> 00:08:05,214
WITH THE MERITS OF VARIOUS 

203
00:08:05,214 --> 00:08:06,815
PATHWAYS TO CONSIDER INTEGRATING

204
00:08:06,815 --> 00:08:08,083
SUSTAINABILITY TO FUTURE 

205
00:08:08,083 --> 00:08:10,753
EDITIONS OF THE DIETARY 

206
00:08:10,753 --> 00:08:11,754
GUIDELINES AS WELL AS OTHER 

207
00:08:11,754 --> 00:08:15,157
FEDERAL POLICIES AND PROGRAMS AS

208
00:08:15,157 --> 00:08:15,591
APPROPRIATE.

209
00:08:15,591 --> 00:08:17,693
SINCE OUR LAST MEETING I WILL 

210
00:08:17,693 --> 00:08:19,328
NOTE THIS WORK HAS CONTINUED.

211
00:08:19,328 --> 00:08:20,462
THERE ARE STILL PLANS FOR A 

212
00:08:20,462 --> 00:08:23,399
REPORT TO BE MADE PUBLICLY 

213
00:08:23,399 --> 00:08:24,500
AVAILABLE AND FOR PUBLIC MEETING

214
00:08:24,500 --> 00:08:25,601
TO OCCUR.

215
00:08:25,601 --> 00:08:27,369
THE DATES OF THOSE SPECIFIC 

216
00:08:27,369 --> 00:08:29,972
ITEMS ARE STILL TO BE 

217
00:08:29,972 --> 00:08:30,272
DETERMINED.

218
00:08:30,272 --> 00:08:31,640
JUST WANTED TO ACKNOWLEDGE THAT 

219
00:08:31,640 --> 00:08:33,175
WORK CONTINUES.

220
00:08:33,175 --> 00:08:35,544
WE DON'T HAVE SPECIFIC DETAILS 

221
00:08:35,544 --> 00:08:37,212
ON THE REPORT OR THE PUBLIC 

222
00:08:37,212 --> 00:08:41,550
MEETING TIMING JUST YET.

223
00:08:41,550 --> 00:08:42,251
HOWEVER, WE WILL INCLUDE 

224
00:08:42,251 --> 00:08:43,018
INFORMATION ABOUT THIS AND 

225
00:08:43,018 --> 00:08:45,120
CONTINUE TO AT DIETARY 

226
00:08:45,120 --> 00:08:49,858
GUIDELINES.gov UNDER RELATED 

227
00:08:49,858 --> 00:08:50,859
PROJECTS AND ONCE THAT 

228
00:08:50,859 --> 00:08:53,462
INFORMATION AND MAKE SURE TO 

229
00:08:53,462 --> 00:08:54,763
ANNOUNCE THAT THROUGH OUR GOV 

230
00:08:54,763 --> 00:09:01,070
DELIVERY AND NEWS ALERTS.

231
00:09:01,070 --> 00:09:02,905
AS WE TALKED ABOUT BEFORE, IN 

232
00:09:02,905 --> 00:09:05,774
DEVELOPMENT OF THE DIETARY 

233
00:09:05,774 --> 00:09:09,878
GUIDELINES AND ACROSS OR WORK IN

234
00:09:09,878 --> 00:09:12,548
THE NUTRITION SPACE WE TRY NOT 

235
00:09:12,548 --> 00:09:14,249
TO DUPLICATE EFFORTS.

236
00:09:14,249 --> 00:09:16,285
WE WORK WITH OUR FEDERAL FAMILY 

237
00:09:16,285 --> 00:09:18,454
TO KNOW WHO'S COVERING WHAT AND 

238
00:09:18,454 --> 00:09:22,291
WE'RE NOT BEING DUPLICATIVE.

239
00:09:22,291 --> 00:09:26,395
WE WANTED TO NOTE THIS PROJECT 

240
00:09:26,395 --> 00:09:28,730
UNDERWAY ON SEAFOOD AND CHILD 

241
00:09:28,730 --> 00:09:31,066
DEVELOPMENT SUPPORT ED BY THE 

242
00:09:31,066 --> 00:09:33,969
FOOD AND DRUG ADMINISTRATION.

243
00:09:33,969 --> 00:09:36,805
THEY COMMISSIONED A 20 MONTH 

244
00:09:36,805 --> 00:09:37,973
STUDY WITH THE NATIONAL 

245
00:09:37,973 --> 00:09:40,375
ACADEMIES TO LOOK AT SYSTEMIC 

246
00:09:40,375 --> 00:09:42,344
REVIEW ON SEAFOOD NUTRITION AND 

247
00:09:42,344 --> 00:09:45,814
TOXICOLOGY TAKEN TOGETHER TO 

248
00:09:45,814 --> 00:09:46,448
FORM RECOMMENDATIONS ON SEAFOOD 

249
00:09:46,448 --> 00:09:49,051
CONSUMPTION.

250
00:09:49,051 --> 00:09:50,986
FDA PARTNERED WITH A NUMBER OF 

251
00:09:50,986 --> 00:09:52,688
AGENCIES AS NOTED IN THE SECOND 

252
00:09:52,688 --> 00:09:55,124
BULLET AND IT WAS PART OF THEIR 

253
00:09:55,124 --> 00:09:55,991
CLOSER TO ZERO INITIATIVE.

254
00:09:55,991 --> 00:09:58,527
WE WANTED TO NOTE THAT THAT 

255
00:09:58,527 --> 00:10:00,562
STUDY RECENTLY COMPLETED EARLIER

256
00:10:00,562 --> 00:10:02,831
THIS SUMMER AND THEY PUBLISHED A

257
00:10:02,831 --> 00:10:05,501
REPORT ON THE ROLE OF SEAFOOD 

258
00:10:05,501 --> 00:10:08,737
CONSUMPTION AND CHILD GROWTH AND

259
00:10:08,737 --> 00:10:11,773
DEVELOPMENT AND AS PART OF THE 

260
00:10:11,773 --> 00:10:15,010
WORK COMMISSIONED REVIEWS AND 

261
00:10:15,010 --> 00:10:17,079
ADDITIONAL REVIEWS RELATED TO 

262
00:10:17,079 --> 00:10:17,379
TOXICOLOGY.

263
00:10:17,379 --> 00:10:21,016
I'LL NOTE ONE OF THE FINDINGS 

264
00:10:21,016 --> 00:10:21,783
NOT FINDING EVIDENCE THAT WOULD 

265
00:10:21,783 --> 00:10:25,854
SUGGEST THERE SHOULD BE CHACNGE 

266
00:10:25,854 --> 00:10:27,122
TO THE SEAFOOD RECOMMENDATIONS 

267
00:10:27,122 --> 00:10:29,625
AND DIETARY GUIDELINES.

268
00:10:29,625 --> 00:10:31,860
FDA IS CONSIDERING THE FINDINGS 

269
00:10:31,860 --> 00:10:35,731
FROM THE NASEM REPORT WITH OTHER

270
00:10:35,731 --> 00:10:37,132
INFORMATION TO INFORM THEIR 

271
00:10:37,132 --> 00:10:41,003
JOINT ADVICE ABOUT EATING FISH 

272
00:10:41,003 --> 00:10:42,704
WE ELEVATE AND IMPLEMENT IN THE 

273
00:10:42,704 --> 00:10:44,006
DIETARY GUIDELINES AS WELL AS 

274
00:10:44,006 --> 00:10:46,241
PART OF THEIR CLOSER TO ZERO 

275
00:10:46,241 --> 00:10:46,542
INITIATIVE.

276
00:10:46,542 --> 00:10:50,379
AS USUAL THE LINK FOR THAT IS AT

277
00:10:50,379 --> 00:10:55,817
THE BOTTOM OF THE PAGE AND THE 

278
00:10:55,817 --> 00:10:56,518
DOI NUMBER.

279
00:10:56,518 --> 00:10:59,755
THE NEXT ACTIVITY IS RELEVANT TO

280
00:10:59,755 --> 00:11:01,757
DIETARY GUIDANCE THAT NOW WE'RE 

281
00:11:01,757 --> 00:11:02,758
WE'RE INTEGRATING THE BIRTH TO 

282
00:11:02,758 --> 00:11:03,859
24 MONTH POPULATION.

283
00:11:03,859 --> 00:11:05,761
WE WANTED TO NOTE OUR COLLEAGUES

284
00:11:05,761 --> 00:11:11,800
AT THE CENTERS FOR DISEASE 

285
00:11:11,800 --> 00:11:13,535
CONTROL AND PREVENTION 

286
00:11:13,535 --> 00:11:16,271
COMMISSIONED A SYSTEMATIC REVIEW

287
00:11:16,271 --> 00:11:19,541
PROJECT WITH THE HHS AGENCY FOR 

288
00:11:19,541 --> 00:11:22,177
HEALTH CARE RESEARCH AND QUALITY

289
00:11:22,177 --> 00:11:23,545
LOOKING AT THE ASSOCIATION 

290
00:11:23,545 --> 00:11:26,348
BETWEEN BREAST FEEDING AND HUMAN

291
00:11:26,348 --> 00:11:28,116
MILK CONSUMPTION AND VARIOUS 

292
00:11:28,116 --> 00:11:29,451
HEALTH OUTCOMES AMONG INFANTS 

293
00:11:29,451 --> 00:11:31,954
AND CHILDREN AND HOW THE 

294
00:11:31,954 --> 00:11:34,456
ASSOCIATIONS VARY BY INTENSITY, 

295
00:11:34,456 --> 00:11:37,559
VARIATION AND SOURCE OF HUMAN 

296
00:11:37,559 --> 00:11:38,460
MILK.

297
00:11:38,460 --> 00:11:43,232
THE DRAFT SYSTEMATIC REVIEW WAS 

298
00:11:43,232 --> 00:11:47,002
RELEASED SEPTEMBER 23 AND OPEN 

299
00:11:47,002 --> 00:11:49,838
FOR PUBLIC COMMENT UNTIL OCTOBER

300
00:11:49,838 --> 00:11:50,172
23.

301
00:11:50,172 --> 00:11:51,106
WE WELCOME PUBLIC COMMENTS.

302
00:11:51,106 --> 00:11:53,809
THE LINK AT THE BOTTOM OF THE 

303
00:11:53,809 --> 00:11:54,376
SLIDE.

304
00:11:54,376 --> 00:11:56,478
ON THE NEXT SLIDE WE WANTED TO 

305
00:11:56,478 --> 00:11:58,780
HIGHLIGHT A WORKSHOP THAT NIH 

306
00:11:58,780 --> 00:12:00,649
AND FDA RECENTLY ANNOUNCED THAT 

307
00:12:00,649 --> 00:12:03,752
IS ON NUTRITION REGULATORY 

308
00:12:03,752 --> 00:12:04,853
SCIENCE THAT WILL BE DECEMBER 17

309
00:12:04,853 --> 00:12:08,490
AND 18 AND THE PUBLIC IS INVITED

310
00:12:08,490 --> 00:12:10,993
TO PARTICIPATE UP THAT WORKSHOP 

311
00:12:10,993 --> 00:12:11,260
REMOTELY.

312
00:12:11,260 --> 00:12:12,561
WE WANTED TO HIGHLIGHT IT FOR A 

313
00:12:12,561 --> 00:12:13,528
COUPLE REASONS.

314
00:12:13,528 --> 00:12:15,030
ONE IT'S ABOUT RESEARCH AND 

315
00:12:15,030 --> 00:12:17,466
RESEARCH RECOMMENDATIONS WHICH 

316
00:12:17,466 --> 00:12:19,468
IS OBVIOUSLY A VERY BIG 

317
00:12:19,468 --> 00:12:21,136
CONVERSATION WITHIN THIS 

318
00:12:21,136 --> 00:12:21,403
COMMITTEE.

319
00:12:21,403 --> 00:12:23,739
THEY'RE GOING TO HIGHLIGHT HOW 

320
00:12:23,739 --> 00:12:25,507
NUTRITION SCIENCE CAN INFORM 

321
00:12:25,507 --> 00:12:26,708
FOOD RELATED POLICY AND 

322
00:12:26,708 --> 00:12:27,376
REGULATORY DECISION MAKING AND 

323
00:12:27,376 --> 00:12:32,014
THIS IS PART OF JUST A REGULAR 

324
00:12:32,014 --> 00:12:36,385
PARTNERSHIP BETWEEN NIH AND FDA 

325
00:12:36,385 --> 00:12:37,152
IN RESEARCH.

326
00:12:37,152 --> 00:12:39,521
WE WANTED TO FLAG IT BECAUSE 

327
00:12:39,521 --> 00:12:42,291
TOPIC AREAS ARE AREAS Y'ALL HAVE

328
00:12:42,291 --> 00:12:42,958
SPOKEN ABOUT.

329
00:12:42,958 --> 00:12:45,827
SOME ARE ULTRA PROCESSED FOODS 

330
00:12:45,827 --> 00:12:48,263
AND IMPLEMENTATION SCIENCE.

331
00:12:48,263 --> 00:12:49,631
THE REGISTRATION FOR THAT 

332
00:12:49,631 --> 00:12:51,199
WEBINAR IS CURRENTLY OPEN AND 

333
00:12:51,199 --> 00:12:52,267
IT'S AVAILABLE THROUGH THE LINK 

334
00:12:52,267 --> 00:12:54,236
AT THE BOTTOM OF THE PAGE.

335
00:12:54,236 --> 00:12:55,003
YOU CAN GO TO THE WEBSITE TO 

336
00:12:55,003 --> 00:12:58,473
LEARN MORE.

337
00:12:58,473 --> 00:13:01,977
AND THEN FINALLY WE WANTED TO 

338
00:13:01,977 --> 00:13:04,179
CLOSE OUT WITH A LITTLE UPDATE 

339
00:13:04,179 --> 00:13:05,013
ABOUT MY PLATE.

340
00:13:05,013 --> 00:13:07,382
AND MY PLATE IS THE CONSUMER 

341
00:13:07,382 --> 00:13:11,953
TRANSLATION OF THE DIETARY 

342
00:13:11,953 --> 00:13:12,487
GUIDELINES.

343
00:13:12,487 --> 00:13:14,856
AND USDA HAS RECENTLY LAUNCHED A

344
00:13:14,856 --> 00:13:16,325
NEW CAMPAIGN CALLED WHAT'S ON MY

345
00:13:16,325 --> 00:13:18,560
PLATE AND THIS IS A CAMPAIGN TO 

346
00:13:18,560 --> 00:13:20,295
HIGHLIGHT HOW MY PLATE FITS MANY

347
00:13:20,295 --> 00:13:25,634
LIFE STYLES AND CAN BE USED TO 

348
00:13:25,634 --> 00:13:28,003
FIT FOOD PREFERENCES, CULTURAL 

349
00:13:28,003 --> 00:13:29,705
TASTE AND THEY'RE INTENDED TO BE

350
00:13:29,705 --> 00:13:31,807
A FRAMEWORK THAT CAN BE 

351
00:13:31,807 --> 00:13:32,107
CUSTOMIZED.

352
00:13:32,107 --> 00:13:33,909
THE PURPOSE OF THIS CAMPAIGN IS 

353
00:13:33,909 --> 00:13:34,910
TO HIGHLIGHT THAT WHETHER YOU 

354
00:13:34,910 --> 00:13:37,145
EAT ON A PLATE, IN A BOWL OR 

355
00:13:37,145 --> 00:13:39,081
ANOTHER WAY, THERE'S A LOT OF 

356
00:13:39,081 --> 00:13:40,749
WAYS TO EAT HEALTHY.

357
00:13:40,749 --> 00:13:45,320
SO THERE IS A DIGITAL HUB AT MY 

358
00:13:45,320 --> 00:13:50,659
PLATE.gov THERE'S A NUMBER OF 

359
00:13:50,659 --> 00:13:52,627
HEALTHY EATING TOOLS AT MY 

360
00:13:52,627 --> 00:13:54,996
PLATE.gov/WHAT'S ON MY PLATE.

361
00:13:54,996 --> 00:13:57,065
IF YOU SCROLL DOWN TO THE BOTTOM

362
00:13:57,065 --> 00:13:58,633
OF THAT PANEL THERE'S A SOCIAL 

363
00:13:58,633 --> 00:14:01,169
MEDIA TOOL KIT AND REALLY 

364
00:14:01,169 --> 00:14:02,270
ENCOURAGE HEALTH PROFESSIONALS 

365
00:14:02,270 --> 00:14:04,039
TO HELP LIFT THIS UP AND SHOW 

366
00:14:04,039 --> 00:14:07,743
DIFFERENT WAYS TO EAT PROMOTE 

367
00:14:07,743 --> 00:14:09,244
HEALTHY EATING AND ENCOURAGE YOU

368
00:14:09,244 --> 00:14:11,780
TO TAG MY PLATE AND THAT 

369
00:14:11,780 --> 00:14:14,683
INCLUDES IN FACEBOOK, INSTAGRAM 

370
00:14:14,683 --> 00:14:16,685
AND X.

371
00:14:16,685 --> 00:14:17,386
I REALLY APPRECIATE THE 

372
00:14:17,386 --> 00:14:18,653
OPPORTUNITY TO PROVIDE THESE FEW

373
00:14:18,653 --> 00:14:20,589
DIFFERENT FEDERAL UPDATES AND 

374
00:14:20,589 --> 00:14:22,424
NOW ARE GOING TO TURN IT OVER TO

375
00:14:22,424 --> 00:14:27,696
THE COMMITTEE AND I'LL TURN IT 

376
00:14:27,696 --> 00:14:33,902
OVER TO DR. JENNIFER ORLET 

377
00:14:33,902 --> 00:14:35,003
FISHER.

378
00:14:35,003 --> 00:14:36,671
>> GOOD MORNING IT'S A
PLEASURE 

379
00:14:36,671 --> 00:14:39,007
TO BE ABLE TO KICK OFF THE 

380
00:14:39,007 --> 00:14:41,510
SECOND DAY OF SCIENCE AND IT'S 

381
00:14:41,510 --> 00:14:43,378
REALLY MY PLEASURE AND PRIVILEGE

382
00:14:43,378 --> 00:14:44,446
TO PRESENT OUR SUBCOMMITTEES 

383
00:14:44,446 --> 00:14:47,015
REVIEW OF THE EVIDENCE ON DIET 

384
00:14:47,015 --> 00:14:51,019
AND PREGNANCY AND BIRTH THROUGH 

385
00:14:51,019 --> 00:14:52,587
ADOLESCENCE WITH DR. BE A RAMS 

386
00:14:52,587 --> 00:14:53,522
ON MY LEFT.

387
00:14:53,522 --> 00:14:57,392
SO LET'S GET STARTED BUT BEFORE 

388
00:14:57,392 --> 00:15:00,629
WE BEGIN, AS ALL OF US HAVE AND 

389
00:15:00,629 --> 00:15:03,498
WANT TO ACKNOWLEDGE OUR 

390
00:15:03,498 --> 00:15:05,434
FANTASTIC SUBCOMMITTEE MEMBERS.

391
00:15:05,434 --> 00:15:06,902
THIS SUBCOMMITTEE IN PARTICULAR 

392
00:15:06,902 --> 00:15:10,439
IS ONE THAT BRINGS TOGETHER 

393
00:15:10,439 --> 00:15:12,240
DIVERSE SET OF EXPERTISE 

394
00:15:12,240 --> 00:15:14,009
CRITICAL FOR UNDERSTANDING THE 

395
00:15:14,009 --> 00:15:17,312
RELATIONSHIPS IN THE CONTEMPT OF

396
00:15:17,312 --> 00:15:18,880
DYNAMIC DEVELOPMENT THAT OCCURS 

397
00:15:18,880 --> 00:15:20,415
FROM PREGNANCY THROUGH 

398
00:15:20,415 --> 00:15:20,715
ADOLESCENCE.

399
00:15:20,715 --> 00:15:23,652
NOT ONLY IN TERMS OF BIOLOGICAL 

400
00:15:23,652 --> 00:15:26,988
AND COGNITIVE DEVELOPMENT AND 

401
00:15:26,988 --> 00:15:29,758
SOCIO EMOTIONAL DEVELOPMENT AND 

402
00:15:29,758 --> 00:15:31,760
EATING BEHAVIORS AND DIETARY 

403
00:15:31,760 --> 00:15:33,528
PATTERNS WE'LL CONSIDER TODAY.

404
00:15:33,528 --> 00:15:35,363
IT TAKES A SCIENTIFIC VILLAGE TO

405
00:15:35,363 --> 00:15:36,698
TAKE ON THESE KINDS OF QUESTIONS

406
00:15:36,698 --> 00:15:40,836
AND WANT TO ACKNOWLEDGE THAT 

407
00:15:40,836 --> 00:15:41,536
BEFORE MOVING FORWARD.

408
00:15:41,536 --> 00:15:43,939
SEVERAL OF US SIT ON THE HEALTH 

409
00:15:43,939 --> 00:15:45,373
EQUITY COMMITTEE AND BRING THOSE

410
00:15:45,373 --> 00:15:45,941
VERY IMPORTANT PERSPECTIVES 

411
00:15:45,941 --> 00:15:48,944
WHACK TO OUR WORK.

412
00:15:48,944 --> 00:15:51,780
AND THEN LASTLY BEFORE WE LAUNCH

413
00:15:51,780 --> 00:15:55,884
IN SPEAKING OF THE VILLAGE, WE 

414
00:15:55,884 --> 00:16:02,424
WANT WANT TO STOP AND THANK THE 

415
00:16:02,424 --> 00:16:05,827
TREMENDOUS WORK OF THE STAFF.

416
00:16:05,827 --> 00:16:15,837
THANK YOU.

417
00:16:15,837 --> 00:16:17,539
THE EXPERTISE IS VAST AND AT 

418
00:16:17,539 --> 00:16:20,308
TIMES IT'S LIKE HERDING CATS, I 

419
00:16:20,308 --> 00:16:24,980
KNOW SO IT'S VERY MUCH 

420
00:16:24,980 --> 00:16:25,680
APPRECIATED.

421
00:16:25,680 --> 00:16:28,850
SO LET US MOVE ON.

422
00:16:28,850 --> 00:16:30,318
AND REALLY START WITH TALKING 

423
00:16:30,318 --> 00:16:31,786
ABOUT WHAT WE'VE BEEN UP TO 

424
00:16:31,786 --> 00:16:32,988
SINCE WE LAST MET.

425
00:16:32,988 --> 00:16:34,589
I'M PLEASED TO SAY AT THE LAST 

426
00:16:34,589 --> 00:16:37,626
MEETING WE PRESENTED OUR 

427
00:16:37,626 --> 00:16:38,994
FINDINGS ON COMPLIMENTARY 

428
00:16:38,994 --> 00:16:41,229
FEEDING AND THE SYSTEMATIC 

429
00:16:41,229 --> 00:16:42,998
REPORT OF THE REVIEW HAS UNDER 

430
00:16:42,998 --> 00:16:44,199
GONE THE PEER REVIEW PROCESS AND

431
00:16:44,199 --> 00:16:50,138
WE REVISED THE WORK TO RESPOND 

432
00:16:50,138 --> 00:16:51,840
TO THAT FEEDBACK.

433
00:16:51,840 --> 00:16:53,141
AND PROBABLY THE MOST EXCITING 

434
00:16:53,141 --> 00:16:55,010
NEWS IS THAT WE HAVE COMPLETED 

435
00:16:55,010 --> 00:16:57,846
OUR REVIEW OF THE SCIENTIFIC 

436
00:16:57,846 --> 00:16:59,214
EVIDENCE AND QUESTIONS TO WHICH 

437
00:16:59,214 --> 00:17:02,117
WE'VE BEEN ASSIGNED WHICH IS 

438
00:17:02,117 --> 00:17:04,019
QUITE EXCITING AND AS A 

439
00:17:04,019 --> 00:17:05,587
REMINDER, OUR SUBCOMMITTEE WAS 

440
00:17:05,587 --> 00:17:07,956
TASKED WITH LOOKING AT EIGHT 

441
00:17:07,956 --> 00:17:10,392
DIFFERENT QUESTIONS FOR RELATED 

442
00:17:10,392 --> 00:17:14,062
TO DIET DURING PREGNANCY STEVE 

443
00:17:14,062 --> 00:17:16,598
WILL PRESENT AND FOUR QUESTIONS 

444
00:17:16,598 --> 00:17:17,766
INVOLVING DIET THROUGH INFANCY 

445
00:17:17,766 --> 00:17:20,302
AND ADOLESCENCE.

446
00:17:20,302 --> 00:17:27,876
TODAY WE ARE GOING TO PRESENT 

447
00:17:27,876 --> 00:17:31,680
OUR LAST OUTCOMES AS WELL AS THE

448
00:17:31,680 --> 00:17:34,616
WORK THAT WE'VE DONE IN 

449
00:17:34,616 --> 00:17:37,252
CAREGIVER FEEDING STYLES AND 

450
00:17:37,252 --> 00:17:39,354
PRACTICES AND THEY'RE 

451
00:17:39,354 --> 00:17:40,922
ASSOCIATIONS WITH DIETARY 

452
00:17:40,922 --> 00:17:44,659
INTAKES AND BODY COMPOSITION AND

453
00:17:44,659 --> 00:17:46,027
RISK OF OBESITY DURING 

454
00:17:46,027 --> 00:17:46,561
CHILDHOOD.

455
00:17:46,561 --> 00:17:49,197
WITH THAT I'LL TURN IT OVER TO 

456
00:17:49,197 --> 00:17:50,999
DR. ABRAMS.

457
00:17:50,999 --> 00:17:53,768
>> WE'LL TALK ABOUT
DIETARY 

458
00:17:53,768 --> 00:17:59,774
PATTERNS DURING PREGNANCY.

459
00:17:59,774 --> 00:18:04,546
THE EXISTING SYSTEMATIC REVIEW 

460
00:18:04,546 --> 00:18:09,384
WHICH HAD A LIMITED EVIDENCE 

461
00:18:09,384 --> 00:18:10,752
CONCLUSION STATEMENT THIS 

462
00:18:10,752 --> 00:18:13,154
SYNTHESIZED THE DATA FROM 1980 

463
00:18:13,154 --> 00:18:16,625
THROUGH MAY OF 2023.

464
00:18:16,625 --> 00:18:18,994
THE POPULATION COMPARATIVE 

465
00:18:18,994 --> 00:18:20,862
OUTCOME DISCUSSIONS AND TOPICS 

466
00:18:20,862 --> 00:18:22,998
WERE ESSENTIALLY THE SAME AS 

467
00:18:22,998 --> 00:18:26,201
REPRESENTED AT THE LAST MEETING.

468
00:18:26,201 --> 00:18:28,903
DATA WERE SYNTHESIZED AT THE 

469
00:18:28,903 --> 00:18:31,006
LEVEL OF POPULATION AND FOR THIS

470
00:18:31,006 --> 00:18:32,574
ANALYSIS WE'LL REFER TO THE 

471
00:18:32,574 --> 00:18:34,309
PRETERM BIRTH AS A MATTER OF 

472
00:18:34,309 --> 00:18:41,983
PUBLIC HEALTH CONCERN.

473
00:18:41,983 --> 00:18:43,351
SO, THE CONCLUSION I'LL START 

474
00:18:43,351 --> 00:18:46,521
WITH FIRST IS DIETARY PATTERNS 

475
00:18:46,521 --> 00:18:47,555
CONSUMED DURING PREGNANCY MAY IN

476
00:18:47,555 --> 00:18:52,160
THE BE ASSOCIATED WITH RISK OF 

477
00:18:52,160 --> 00:18:53,762
PRE TERM BIRTH.

478
00:18:53,762 --> 00:18:55,830
THE BODY OF EVIDENCE CONSISTENCY

479
00:18:55,830 --> 00:18:58,033
RISK AND BIAS AND 

480
00:18:58,033 --> 00:18:59,401
GENERALIZABILITY ARE SHOWN 

481
00:18:59,401 --> 00:18:59,901
THERE.

482
00:18:59,901 --> 00:19:02,337
THIS IS DATA THAT'S VERY 

483
00:19:02,337 --> 00:19:05,540
DIFFICULT TO COLLECT FOR THE 

484
00:19:05,540 --> 00:19:06,975
ARTICLES HOWEVER, WHAT'S 

485
00:19:06,975 --> 00:19:10,979
IMPORTANT IS THEY GENERALLY WERE

486
00:19:10,979 --> 00:19:13,081
NOT DESIGN TO DIRECT EXAMINE THE

487
00:19:13,081 --> 00:19:14,983
RELATIONSHIP AND HAVE A HIGH 

488
00:19:14,983 --> 00:19:15,817
RISK OF BIAS AS WELL AS CONCERNS

489
00:19:15,817 --> 00:19:17,786
ABOUT THE PRECISION AND 

490
00:19:17,786 --> 00:19:18,453
CONSISTENCY.

491
00:19:18,453 --> 00:19:20,488
NOW, I WANT TO MAKE A COMMENT OR

492
00:19:20,488 --> 00:19:22,123
TWO ABOUT THE REASON AND 

493
00:19:22,123 --> 00:19:23,758
INTERPRETATION OF THE DATA.

494
00:19:23,758 --> 00:19:25,894
FIRST OF ALL, IN NO WAY DO THESE

495
00:19:25,894 --> 00:19:28,897
DATA GO AGAINST THE IDEA THAT 

496
00:19:28,897 --> 00:19:30,598
HEALTHY DIET DURING PREGNANCY 

497
00:19:30,598 --> 00:19:32,934
ISN'T IMPORTANT FOR BIRTH 

498
00:19:32,934 --> 00:19:33,234
OUTCOMES.

499
00:19:33,234 --> 00:19:36,137
OF COURSE IT IS.

500
00:19:36,137 --> 00:19:40,141
BUT PRE TERM BIRTH AFFECTS 11% 

501
00:19:40,141 --> 00:19:42,977
AND THE VALUE GOES UP AND DOWN A

502
00:19:42,977 --> 00:19:49,050
LITTLE BIT OVER TIME BUT HAS NOT

503
00:19:49,050 --> 00:19:53,755
SUBSEQUENTLY DECREASED AND PRE 

504
00:19:53,755 --> 00:19:59,561
TERM BIRTH IS RELATED WITH 

505
00:19:59,561 --> 00:20:03,565
SPECIFICS AND SORTING IT OUT IS 

506
00:20:03,565 --> 00:20:04,632
DIFFICULT.

507
00:20:04,632 --> 00:20:06,968
36 WEEKS IS A FAIRLY ARBITRARY 

508
00:20:06,968 --> 00:20:08,503
END POINT.

509
00:20:08,503 --> 00:20:12,207
WE MAY BE MORE CONCERNED AND FEW

510
00:20:12,207 --> 00:20:17,579
STUDIES LOOK AT VARIABLE BIRTH 

511
00:20:17,579 --> 00:20:20,248
WEIGHT AND DELIVERY OF 36 WEEKS 

512
00:20:20,248 --> 00:20:21,316
GESTATION WHICH IS RELATIVELY 

513
00:20:21,316 --> 00:20:22,917
FEWER COMPLICATED.

514
00:20:22,917 --> 00:20:26,421
IT'S NOT SURPRISING WE'RE NOT 

515
00:20:26,421 --> 00:20:27,722
ABLE TO IDENTIFY ANYTHING WITH 

516
00:20:27,722 --> 00:20:29,924
LIMITED CONCLUSION AND THAT DOES

517
00:20:29,924 --> 00:20:32,227
RELATE TO OUTCOMES WE MIGHT 

518
00:20:32,227 --> 00:20:34,362
THINK OR RECOMMENDATIONS ABOUT 

519
00:20:34,362 --> 00:20:35,163
HAVING A HEALTHY DIET DURING 

520
00:20:35,163 --> 00:20:40,502
PREGNANCY.

521
00:20:40,502 --> 00:20:42,570
WHEN WE LOOK AT BIRTH WEIGHT, WE

522
00:20:42,570 --> 00:20:45,206
ALSO ARE LOOKING AT DIETARY 

523
00:20:45,206 --> 00:20:47,008
PATTERNS IN BIRTH WEIGHT.

524
00:20:47,008 --> 00:20:49,410
THE NUMBER OF WAYS IN WHICH TO 

525
00:20:49,410 --> 00:20:50,745
LOOK AT THESE AND THE PICO 

526
00:20:50,745 --> 00:20:52,847
ELEMENTS ARE THE SAME AND THE 

527
00:20:52,847 --> 00:20:54,282
CONFOUNDERS BUT WE HAVE A 

528
00:20:54,282 --> 00:20:56,918
VARIETY OF DIFFERENT TERMS AS WE

529
00:20:56,918 --> 00:20:59,320
LOOK AT WHAT MIGHT BE CONSIDERED

530
00:20:59,320 --> 00:21:00,221
ABNORMALITIES OF BIRTH WEIGHT 

531
00:21:00,221 --> 00:21:03,725
AND THEY EACH NEED TO BE 

532
00:21:03,725 --> 00:21:04,392
DISCUSSED AND THEN WE'LL GO 

533
00:21:04,392 --> 00:21:10,265
THROUGH WHAT THE RESULTS WERE.

534
00:21:10,265 --> 00:21:12,000
WE'LL TALK ABOUT LARGE 

535
00:21:12,000 --> 00:21:14,569
GESTATIONAL AGE AND LOW BIRTH 

536
00:21:14,569 --> 00:21:20,642
WEIGHT, LBW AND MACROSOMIA.

537
00:21:20,642 --> 00:21:22,343
SO DEFINITIONS ARE MEDICAL.

538
00:21:22,343 --> 00:21:25,346
I USED THE MEDICAL LITERATURE 

539
00:21:25,346 --> 00:21:26,748
THAT DOESN'T NECESSARILY MEAN 

540
00:21:26,748 --> 00:21:29,083
THEY'RE PHYSIOLOGICALLY THE MOST

541
00:21:29,083 --> 00:21:30,952
RELEVANT OUTCOMES.

542
00:21:30,952 --> 00:21:37,692
SO SMALL FOR GUEESTATIONAL AGE  

543
00:21:37,692 --> 00:21:41,362
10th PERCENTILE WHICH MEANS YOU 

544
00:21:41,362 --> 00:21:43,031
HAVE NORMAL BABIES OF THE 

545
00:21:43,031 --> 00:21:47,001
REFERENCE POPULATION IT DOES NOT

546
00:21:47,001 --> 00:21:50,972
IMPLY DISEASE PER SE.

547
00:21:50,972 --> 00:21:54,976
AND LARGE FOR GESTATIONAL AGE 

548
00:21:54,976 --> 00:21:58,112
ABOVE 90th PERCENTILE AND OVER 

549
00:21:58,112 --> 00:22:03,051
THE LAST DECADES WE'VE SEEN AN 

550
00:22:03,051 --> 00:22:04,853
INCREASED IN BIRTH WEIGHTS 

551
00:22:04,853 --> 00:22:07,822
WHEREAS THE 90th PERCENTILE 

552
00:22:07,822 --> 00:22:09,591
WITHOUT HAVE BEEN 4,000 GRAMS 

553
00:22:09,591 --> 00:22:11,759
AND CLINICALLY MANY HOSPITALS 

554
00:22:11,759 --> 00:22:14,229
USE THAT AS A CUT-OFF FOR 

555
00:22:14,229 --> 00:22:19,300
CONSIDERING A BABY LGA IN 

556
00:22:19,300 --> 00:22:22,003
REALITY BASED RECENT CURVES IT'S

557
00:22:22,003 --> 00:22:23,771
WELL WITHIN THE 90th PERCENTILE 

558
00:22:23,771 --> 00:22:25,139
AND HAVE SEEN MANY BABIES 

559
00:22:25,139 --> 00:22:27,308
CLINICALLY BORN AT THE WEIGHTS 

560
00:22:27,308 --> 00:22:29,644
WITH NO PROBLEM AT ALL.

561
00:22:29,644 --> 00:22:34,115
ON THE OTHER HAND LOW BIRTH 

562
00:22:34,115 --> 00:22:36,784
WEIGHT ONE RELATE TO THE 

563
00:22:36,784 --> 00:22:38,453
GESTATIONAL AGE AND THE OTHER IS

564
00:22:38,453 --> 00:22:40,121
SIMPLY A WEIGHT MAY HAVE MORE 

565
00:22:40,121 --> 00:22:42,790
CONSEQUENCES AND THERE'S BEEN A 

566
00:22:42,790 --> 00:22:44,459
RELATIVELY SMALLER SECULAR 

567
00:22:44,459 --> 00:22:45,927
CHANGE IN THOSE CONCERNS.

568
00:22:45,927 --> 00:22:49,163
SO I GIVE YOU THAT BACKGROUND AS

569
00:22:49,163 --> 00:22:51,633
WE LOOK AT THE CONCLUSIONS FOR 

570
00:22:51,633 --> 00:22:53,234
UNDERSTANDING WHY THERE MAY BE 

571
00:22:53,234 --> 00:22:55,904
MORE FOCUS ON THE SMALL FOR 

572
00:22:55,904 --> 00:23:00,008
GESTATIONAL AGE GROUP.

573
00:23:00,008 --> 00:23:04,379
SO I'LL START WITH SMALL FOR 

574
00:23:04,379 --> 00:23:05,680
GESTATIONAL AGE AND HIGHER 

575
00:23:05,680 --> 00:23:09,617
INTAKES OF VEGETABLES AND FRUITS

576
00:23:09,617 --> 00:23:12,186
AND LEGUMES AND DAIRY AND 

577
00:23:12,186 --> 00:23:14,122
UNSATURATED FAT AND LOWER 

578
00:23:14,122 --> 00:23:17,759
INTAKES OF RED AND PROCESSED 

579
00:23:17,759 --> 00:23:19,627
MEAT MAY BE ASSOCIATED WITH 

580
00:23:19,627 --> 00:23:22,830
SMALL FOR GESTATIONAL AGE AND 

581
00:23:22,830 --> 00:23:25,500
THIS STATEMENT IS LIMITED.

582
00:23:25,500 --> 00:23:28,002
AGAIN THE CHALLENGE IS LOOKING 

583
00:23:28,002 --> 00:23:29,370
AT THE STUDIES ARE DESCRIBED 

584
00:23:29,370 --> 00:23:32,507
BELOW WITH SOME OF THE USUAL AND

585
00:23:32,507 --> 00:23:34,242
COMMON CONCERNS.

586
00:23:34,242 --> 00:23:35,777
THE MOST IMPORTANT ONE BEING 

587
00:23:35,777 --> 00:23:36,577
GENERAL STUDIES ARE NOT DESIGN 

588
00:23:36,577 --> 00:23:41,349
TO DIRECTLY LOOK AT THIS 

589
00:23:41,349 --> 00:23:41,749
RELATIONSHIP.

590
00:23:41,749 --> 00:23:43,151
MOST HAD AN IMMEDIATE OUTCOMES 

591
00:23:43,151 --> 00:23:47,722
BEING CONSIDERED.

592
00:23:47,722 --> 00:23:49,557
NONETHELESS THERE IS SOME 

593
00:23:49,557 --> 00:23:51,192
DIRECTIONALITY TO THESE RESULTS.

594
00:23:51,192 --> 00:23:53,594
AND I THINK WHEN WE CONSIDER THE

595
00:23:53,594 --> 00:23:56,464
FACT THAT SMALL FOR GESTATIONAL 

596
00:23:56,464 --> 00:24:00,902
AGE DOES HAVE SOME PHYSIOLOGICAL

597
00:24:00,902 --> 00:24:01,903
CONSEQUENCES THOUGH IT'S 

598
00:24:01,903 --> 00:24:05,907
IMPRECISELY DEFINED I THINK OF 

599
00:24:05,907 --> 00:24:10,979
THIS IF YOU DON'T HAVE A GOOD, 

600
00:24:10,979 --> 00:24:11,479
HEAL

601
00:24:11,479 --> 00:24:12,080
HEALTHY, ADEQUATE DIET WITH 

602
00:24:12,080 --> 00:24:14,282
ENOUGH PROTEIN FROM A GOOD 

603
00:24:14,282 --> 00:24:17,752
SOURCE YOU MAY IN FACT NOT HAVE 

604
00:24:17,752 --> 00:24:21,389
ADEQUATE PLACENTAL FUNCTION AND 

605
00:24:21,389 --> 00:24:23,891
BIRTH WEIGHT IN THE SMALL FOR 

606
00:24:23,891 --> 00:24:25,326
GESTATIONAL AGE.

607
00:24:25,326 --> 00:24:25,960
IT'S SUPPORTED BY THIS TYPE OF 

608
00:24:25,960 --> 00:24:30,098
DATA.

609
00:24:30,098 --> 00:24:32,333
IT BECOMES MORE DIFFICULT THAN 

610
00:24:32,333 --> 00:24:34,702
ON THE OTHER DEFINING 

611
00:24:34,702 --> 00:24:35,770
CHARACTERISTICS FOR THE REASONS 

612
00:24:35,770 --> 00:24:39,273
I EXPLAINED AND THEY'RE POORLY 

613
00:24:39,273 --> 00:24:41,776
DEFINED AND SO MUCH INTERACTION 

614
00:24:41,776 --> 00:24:43,845
OR SO MUCH THAT FITS WITHIN THE 

615
00:24:43,845 --> 00:24:53,755
DEFINITIONS OF LGA AND 

616
00:24:53,755 --> 00:24:56,391
MACROSOMIA THAT ARE NORMAL 

617
00:24:56,391 --> 00:24:57,892
WITHIN THE POPULATION OF DATA.

618
00:24:57,892 --> 00:24:58,993
IN TERMS OF RESEARCH WE 

619
00:24:58,993 --> 00:25:04,232
ABSOLUTELY NEED TO LOOK AT THE 

620
00:25:04,232 --> 00:25:12,974
LARGER EXTREMES AND 4 SKIKILOS 

621
00:25:12,974 --> 00:25:14,375
SHOULD BE DEFINED AND WE HAVE TO

622
00:25:14,375 --> 00:25:18,112
CONSIDER THE IMPLICATIONS OF 

623
00:25:18,112 --> 00:25:20,148
GESTATIONAL DIABETES AND OTHER 

624
00:25:20,148 --> 00:25:22,850
HEALTH OUTCOMES AND HOW THEY ARE

625
00:25:22,850 --> 00:25:23,084
TREATED.

626
00:25:23,084 --> 00:25:24,619
IT'S NOT SURPRISING THE 

627
00:25:24,619 --> 00:25:25,253
CONCLUSION STATEMENT COULD NOT 

628
00:25:25,253 --> 00:25:28,589
BE DRAWN AT ALL RELATED TO THESE

629
00:25:28,589 --> 00:25:29,824
OUTCOMES AT BASELINE THESE TYPES

630
00:25:29,824 --> 00:25:33,194
OF DIETARY ISSUES WE'VE SEEN 

631
00:25:33,194 --> 00:25:35,329
WITH A LARGE AMOUNT OF 

632
00:25:35,329 --> 00:25:35,897
INCONSISTENT DATA REGARDING 

633
00:25:35,897 --> 00:25:44,605
THAT.

634
00:25:44,605 --> 00:25:46,974
IF I COULD SUMMARIZE OUR 

635
00:25:46,974 --> 00:25:49,644
CONCLUSION IS MAINTAINING A 

636
00:25:49,644 --> 00:25:50,278
RELATIVELY HEALTHY DIET 

637
00:25:50,278 --> 00:25:54,115
CONSISTENT WITH PATTERN HAS 

638
00:25:54,115 --> 00:25:56,984
LIMITED EVIDENCE OF HELP 

639
00:25:56,984 --> 00:25:58,686
PREVENTING ADEQUATE GROWTH AND 

640
00:25:58,686 --> 00:26:00,488
IT MAY BE RELATED TO PRE TERM 

641
00:26:00,488 --> 00:26:02,423
BIRTH BUT IT'S IMPOSSIBLE TO 

642
00:26:02,423 --> 00:26:05,560
TEASE OUT FROM THIS TYPE OF DET 

643
00:26:05,560 --> 00:26:07,528
AND STUDIES BEING DONE AND 

644
00:26:07,528 --> 00:26:09,897
THOUGH LARGE FOR GESTATIONAL AGE

645
00:26:09,897 --> 00:26:12,266
IS NOT ENTIRELY BENIGN THE TYPE 

646
00:26:12,266 --> 00:26:15,002
OF DATA WE HAVE DOESN'T ALLOW US

647
00:26:15,002 --> 00:26:16,137
TO IDENTIFY CLEARLY HOW DIET 

648
00:26:16,137 --> 00:26:16,604
MIGHT RELATE TO THAT.

649
00:26:16,604 --> 00:26:25,213
THANK YOU.

650
00:26:25,213 --> 00:26:26,747
>> THANK YOU, DAVE.

651
00:26:26,747 --> 00:26:28,382
FOR THE REMAINDER OF OUR 

652
00:26:28,382 --> 00:26:33,488
PRESENTATION I'M GOING TO SHIFT 

653
00:26:33,488 --> 00:26:34,889
GEARS AND FOCUS ON CAREGIVER 

654
00:26:34,889 --> 00:26:36,824
FEEDING STYLES AND PRACTICE.

655
00:26:36,824 --> 00:26:38,693
I THINK I MENTIONED THIS IS NEW 

656
00:26:38,693 --> 00:26:40,294
FOR THE DIETARY GUIDELINES 

657
00:26:40,294 --> 00:26:41,295
ADVISORY COMMITTEE.

658
00:26:41,295 --> 00:26:43,331
OUR COMMITTEE IS REALLY THE 

659
00:26:43,331 --> 00:26:47,768
FIRST TO COMPREHENSIVELY REVIEW 

660
00:26:47,768 --> 00:26:48,836
THE BEHAVIORAL SCIENCE AND 

661
00:26:48,836 --> 00:26:50,972
FEEDING AND WE'RE CON DUPTHED 

662
00:26:50,972 --> 00:27:01,516
THIS WORK WITH THE ULTIMATE GOAL

663
00:27:03,985 --> 00:27:05,319
OF FEEDING AND I'LL SUMMARIZE 

664
00:27:05,319 --> 00:27:06,654
THE REVIEW OF THE SCIENCE IN THE

665
00:27:06,654 --> 00:27:11,659
AREA FIRST LOOKING AT DIETARY 

666
00:27:11,659 --> 00:27:14,128
OUTCOMES RELATED TO DIETARY 

667
00:27:14,128 --> 00:27:14,362
INTAKES.

668
00:27:14,362 --> 00:27:16,764
I WANT TO COMMENT THE SCHOLARLY 

669
00:27:16,764 --> 00:27:19,534
WORK ON PARENTING DATES BACK TO 

670
00:27:19,534 --> 00:27:22,737
THE EARLY 1900s, HOWEVER WORK IN

671
00:27:22,737 --> 00:27:25,740
THIS AREA OF FEEDING YOUNG 

672
00:27:25,740 --> 00:27:27,975
CHILDREN IS RELATIVELY MORE 

673
00:27:27,975 --> 00:27:28,209
RECENT.

674
00:27:28,209 --> 00:27:33,414
IT STARTED IN THE 90s AS A SMALL

675
00:27:33,414 --> 00:27:34,982
AND NICHE INTERSECTION OF 

676
00:27:34,982 --> 00:27:42,924
NUTRITION AND DEVELOPMENTAL WHEN

677
00:27:42,924 --> 00:27:44,392
INTERESTS AROUND ENVIRONMENTAL 

678
00:27:44,392 --> 00:27:46,227
CONTRIBUTIONS TO OBESITY AND ITS

679
00:27:46,227 --> 00:27:46,961
PREVENTION WERE CONSIDERED.

680
00:27:46,961 --> 00:27:49,597
AND SINCE THAT TIME THE FIELD 

681
00:27:49,597 --> 00:27:50,498
HAS RAPIDLY EXPANDED.

682
00:27:50,498 --> 00:27:53,901
I SAY THIS AS A WAY OF 

683
00:27:53,901 --> 00:27:56,270
INTRODUCING STARTING WITH TERMS 

684
00:27:56,270 --> 00:27:57,939
BECAUSE OUR FIELD IS RIPE WITH 

685
00:27:57,939 --> 00:27:58,172
TERMS.

686
00:27:58,172 --> 00:28:00,308
WHAT DO WE MEAN WHEN WE TALK 

687
00:28:00,308 --> 00:28:01,676
ABOUT STYLES AND PRACTICES?

688
00:28:01,676 --> 00:28:02,577
HOW ARE THEY DIFFERENT?

689
00:28:02,577 --> 00:28:05,780
I WANT TO START WITH 

690
00:28:05,780 --> 00:28:07,648
NOMENCLATURE THAT IS BASIC 

691
00:28:07,648 --> 00:28:07,949
DEFINITION.

692
00:28:07,949 --> 00:28:14,989
FIRST, WHEN WE USE THE WORD 

693
00:28:14,989 --> 00:28:19,727
CAREGIVERS WE'RE INCLUSIVE OF 

694
00:28:19,727 --> 00:28:21,062
INDIVIDUALS WHO PROVIDE CARE FOR

695
00:28:21,062 --> 00:28:23,931
AND FEED CHIRP WE'RE TALKING 

696
00:28:23,931 --> 00:28:26,500
PARENTS AND AND GRANDPARENTS AND

697
00:28:26,500 --> 00:28:26,767
GUARDIANS.

698
00:28:26,767 --> 00:28:29,770
THAT'S A STARTING PLACE.

699
00:28:29,770 --> 00:28:30,972
LET'S MOVE ON TO FEEDING STYLES 

700
00:28:30,972 --> 00:28:35,810
AND PRACTICES.

701
00:28:35,810 --> 00:28:38,946
THERE'S MUCH DISCUSSION ON WHAT 

702
00:28:38,946 --> 00:28:41,048
THESE MEAN AND IT'S IMPORTANT TO

703
00:28:41,048 --> 00:28:41,782
OUTLINE THEM.

704
00:28:41,782 --> 00:28:44,652
FEEDING STYLES HAVE BEEN USED TO

705
00:28:44,652 --> 00:28:49,357
REFER TO AN OVER ALL ATTITUDE OR

706
00:28:49,357 --> 00:28:50,291
APPROACH CAREGIVERS GIVE IN 

707
00:28:50,291 --> 00:28:52,760
FEEDING CHILDREN AND THE 

708
00:28:52,760 --> 00:28:54,161
EMOTIONAL CLIMATE AROUND 

709
00:28:54,161 --> 00:28:54,495
FEEDING.

710
00:28:54,495 --> 00:28:56,831
THEY'RE VERY GLOBAL IN NATURE.

711
00:28:56,831 --> 00:28:59,033
HISTORICALLY THEY'VE BEEN 

712
00:28:59,033 --> 00:29:00,668
CHARACTERIZED ALONG LINES OF 

713
00:29:00,668 --> 00:29:02,970
DEMANDINGNESS AND 

714
00:29:02,970 --> 00:29:03,537
RESPONSIVENESS.

715
00:29:03,537 --> 00:29:07,375
WHAT DO THOSE MEAN.

716
00:29:07,375 --> 00:29:10,978
DEMANDINGNESS MEANS MATURITY 

717
00:29:10,978 --> 00:29:12,546
DEMANDS CAREGIVERS PLACE ON THE 

718
00:29:12,546 --> 00:29:17,685
CHILD AND RESPONSIVE IS THE 

719
00:29:17,685 --> 00:29:18,986
CAREGIVER'S SENSITIVITY TO THE 

720
00:29:18,986 --> 00:29:20,888
CHILD'S NEEDS.

721
00:29:20,888 --> 00:29:22,189
FEEDING STYLES ARE LOOKED AT A 

722
00:29:22,189 --> 00:29:24,859
NUMBER OF WAYS BUT ALONG THE 

723
00:29:24,859 --> 00:29:26,260
DIMENSIONS CATEGORIZED OR 

724
00:29:26,260 --> 00:29:27,428
CONTINUOUSLY BUT THE MAIN 

725
00:29:27,428 --> 00:29:30,898
TAKEAWAY IS THESE ARE OVER ALL 

726
00:29:30,898 --> 00:29:34,568
BROAD APPROACHES AND 

727
00:29:34,568 --> 00:29:35,770
CHARACTERIZE THE CLIMATE IN 

728
00:29:35,770 --> 00:29:37,405
WHICH CHILDREN'S EATING 

729
00:29:37,405 --> 00:29:38,472
BEHAVIORS ARE SOCIALIZED.

730
00:29:38,472 --> 00:29:42,610
IN CONTRAST TO STYLES, FEEDING 

731
00:29:42,610 --> 00:29:44,145
PRACTICES REFER TO SPECIFIC 

732
00:29:44,145 --> 00:29:47,415
GOAL-DIRECTED BEHAVIORS USED BY 

733
00:29:47,415 --> 00:29:48,282
CAREGIVERS TO GUIDE CHILDREN'S 

734
00:29:48,282 --> 00:29:49,050
FEEDING.

735
00:29:49,050 --> 00:29:51,585
THE SLIDE SHOWS WHAT IS THE 

736
00:29:51,585 --> 00:29:52,620
PREVAILING FRAMEWORK IN THE 

737
00:29:52,620 --> 00:29:54,855
FIELD THE CONCEPTUAL FRAMEWORK 

738
00:29:54,855 --> 00:29:56,424
CITED CLOSE TO 700 TIMES.

739
00:29:56,424 --> 00:29:58,225
IF YOU FOCUS ON THE FAR 

740
00:29:58,225 --> 00:30:00,761
RIGHT-HAND SIDE OF THE SLIDE 

741
00:30:00,761 --> 00:30:03,631
YOU'LL SEE A WIDE NUMBER OF 

742
00:30:03,631 --> 00:30:04,598
PRACTICES HAVE BEEN IDENTIFIED 

743
00:30:04,598 --> 00:30:06,133
IN THE LITERATURE AND PROBABLY 

744
00:30:06,133 --> 00:30:07,935
MANY MORE SO SINCE THIS PAPER 

745
00:30:07,935 --> 00:30:09,003
HAS BEEN PUBLISHED.

746
00:30:09,003 --> 00:30:12,473
BUT THE IMPORTANT THING HERE IS 

747
00:30:12,473 --> 00:30:14,975
THAT THIS CONCEPTUAL FRAMEWORK 

748
00:30:14,975 --> 00:30:16,177
SUGGESTS THE RANGE OF PRACTICES 

749
00:30:16,177 --> 00:30:18,245
CAN BE GROUPED ACCORDING TO 

750
00:30:18,245 --> 00:30:23,384
HIGHER ORDER CONCEPTUAL THEMES 

751
00:30:23,384 --> 00:30:25,286
OR SIMILARITIES.

752
00:30:25,286 --> 00:30:26,987
THOSE ARE STRUCTURE, AUTONOMY, 

753
00:30:26,987 --> 00:30:29,657
SUPPORT AND CONTROL.

754
00:30:29,657 --> 00:30:37,431
WE HAVE SYNTHESIZED AND 

755
00:30:37,431 --> 00:30:40,334
STRUCTURE IS ENVIRONMENTS AND 

756
00:30:40,334 --> 00:30:44,438
BEHAVIORS AND REFER TO PHYSICAL 

757
00:30:44,438 --> 00:30:47,241
ASPECT AROUND EATING AND SOCIAL.

758
00:30:47,241 --> 00:30:49,910
AUTONOMY SUPPORT AND PRACTICES 

759
00:30:49,910 --> 00:30:51,045
THAT PROVIDE DEVELOPMENTALLY 

760
00:30:51,045 --> 00:30:54,749
SUPPORT OR SCAFFOLDING FOR 

761
00:30:54,749 --> 00:30:55,850
CHILDREN'S EATING EVERYTHING 

762
00:30:55,850 --> 00:30:57,017
FROM SELF-FEEDING SKILLS TO 

763
00:30:57,017 --> 00:30:59,353
EATING CHOICES AND ISSUES AROUND

764
00:30:59,353 --> 00:30:59,754
APPETITE.

765
00:30:59,754 --> 00:31:04,892
AND THEN FINALLY THE LAST 

766
00:31:04,892 --> 00:31:07,061
DIMENSION INVOLVES CONTROL.

767
00:31:07,061 --> 00:31:09,263
CONTROLLING FEEDING PRACTICES 

768
00:31:09,263 --> 00:31:12,099
ARE CAREGIVER PRACTICES THAT ARE

769
00:31:12,099 --> 00:31:13,734
AGAIN MORE PARENT OR CAREGIVER 

770
00:31:13,734 --> 00:31:18,873
DRIVEN OPPOSED TO THE CHILD.

771
00:31:18,873 --> 00:31:20,941
SO AGAIN GOAL DIRECTED BEHAVIORS

772
00:31:20,941 --> 00:31:23,077
THAT CAN BE GROUPED ACCORDING TO

773
00:31:23,077 --> 00:31:28,649
THESE HIGHER ORDER THEMES.

774
00:31:28,649 --> 00:31:31,552
THAT BRINGS ME TO THE ANALYTICAL

775
00:31:31,552 --> 00:31:41,729
FRAMEWORK.

776
00:31:42,897 --> 00:31:46,734
WE LOOK AT THE DIETARY PATTERN 

777
00:31:46,734 --> 00:31:47,768
WITH DIETARY GUIDELINE.

778
00:31:47,768 --> 00:31:50,971
THIS IS A NEW REVIEW WHICH IS 

779
00:31:50,971 --> 00:31:52,406
SKIING TO US.

780
00:31:52,406 --> 00:31:53,441
THE POPULATION INTERVENTION 

781
00:31:53,441 --> 00:31:56,911
COMPARATOR AND OUTCOMES AND KEY 

782
00:31:56,911 --> 00:31:58,512
CONFOUNDERS ARE SHOWN HERE.

783
00:31:58,512 --> 00:32:02,650
THE PROTOCOL WAS ORIGINALLY 

784
00:32:02,650 --> 00:32:04,285
SPECIFIED TO EVALUATE PRACTICES 

785
00:32:04,285 --> 00:32:10,991
FROM CHILDREN FROM BIRTH TO 

786
00:32:10,991 --> 00:32:14,995
ADOLESCENCE AND IT WAS IN 

787
00:32:14,995 --> 00:32:16,464
RECOGNITION OF WORK LOAD AND DO 

788
00:32:16,464 --> 00:32:26,373
IT WELL IN THE TIME REMAINING.

789
00:32:26,373 --> 00:32:27,508
AND SOCIALIZATION IS THOUGHT TO 

790
00:32:27,508 --> 00:32:30,478
BE IMPORTANT AND THE REVISION 

791
00:32:30,478 --> 00:32:36,417
WAS BEFORE WE SYNTHESIZED THE 

792
00:32:36,417 --> 00:32:36,851
ERC

793
00:32:36,851 --> 00:32:38,118
EVIDENCE.

794
00:32:38,118 --> 00:32:39,720
OUTCOMES OF INTEREST HERE WERE 

795
00:32:39,720 --> 00:32:42,990
DIET QUALITY AS MEASURED BY AGI 

796
00:32:42,990 --> 00:32:48,395
AND CHILDREN'S DIETARY INTAKE 

797
00:32:48,395 --> 00:32:50,831
EMPHASIZED IN FRUITS AND 

798
00:32:50,831 --> 00:32:53,734
VEGETABLES, WHOLE GRAINS, 

799
00:32:53,734 --> 00:32:54,535
SUGAR-SWEETENED BEVERAGES.

800
00:32:54,535 --> 00:32:56,837
WE SYNTHESIZED THE EVIDENCE AT 

801
00:32:56,837 --> 00:32:58,973
THE LEVEL OF CAREGIVING STYLES 

802
00:32:58,973 --> 00:32:59,840
AND THREE HIGHER ORDER 

803
00:32:59,840 --> 00:33:02,309
DIMENSIONS OF STRUCTURE, 

804
00:33:02,309 --> 00:33:03,277
AUTONOMY, SUPPORT AND CONTROL.

805
00:33:03,277 --> 00:33:06,981
I'M GOING TO START BY REVIEWING 

806
00:33:06,981 --> 00:33:07,915
THE EVIDENCE OF FEEDING STYLES 

807
00:33:07,915 --> 00:33:09,984
AND WANTED TO POINT OUT IN THE 

808
00:33:09,984 --> 00:33:12,052
WORK AGAIN IT'S REALLY A MIX OF 

809
00:33:12,052 --> 00:33:13,687
DIFFERENT WAYS OF LOOKING AT 

810
00:33:13,687 --> 00:33:15,890
STYLES THAT CAN EITHER BE ON A 

811
00:33:15,890 --> 00:33:17,758
CONTINUUM IF YOU LOOK AT 

812
00:33:17,758 --> 00:33:19,560
DEMANDINGNESS AND RESPONSIVENESS

813
00:33:19,560 --> 00:33:20,794
OR AT CERTAIN TYPES AND THESE 

814
00:33:20,794 --> 00:33:23,731
ARE TYPES THAT HAVE A LONG 

815
00:33:23,731 --> 00:33:25,299
HISTORY IN THE DEVELOPMENTAL 

816
00:33:25,299 --> 00:33:26,567
LITERATURE LOOKING AT GENERAL 

817
00:33:26,567 --> 00:33:29,770
PARENTING BUT APPLIED TO 

818
00:33:29,770 --> 00:33:30,004
FEEDING.

819
00:33:30,004 --> 00:33:33,407
YOU CAN SEE FOR INSTANCE 

820
00:33:33,407 --> 00:33:35,643
INDULGENT FEEDING ARE STYLES 

821
00:33:35,643 --> 00:33:39,547
THAT INVOLVE HIGH LEVELS OF 

822
00:33:39,547 --> 00:33:41,382
RESPONSIVENESS TO THE CHILD AND 

823
00:33:41,382 --> 00:33:47,221
LOWER DEMANDS ON THE CHILD'S 

824
00:33:47,221 --> 00:33:50,991
BEHAVIOR AND AUTHORITARIAN 

825
00:33:50,991 --> 00:33:55,663
PRACTICES AND AU AUTHORITATIVE 

826
00:33:55,663 --> 00:33:56,797
FEEDING STYLES HAVE THOUGHT TO 

827
00:33:56,797 --> 00:33:58,799
BALANCE DEMANDINGNESS AND 

828
00:33:58,799 --> 00:34:01,335
RESPONSIVENESS HISTORICALLY AND 

829
00:34:01,335 --> 00:34:03,971
ASSOCIATED WITH THE MOST 

830
00:34:03,971 --> 00:34:05,105
POSITIVE OUTCOMES IN THE 

831
00:34:05,105 --> 00:34:06,473
PARENTING LITERATURE BUT NOT ALL

832
00:34:06,473 --> 00:34:08,108
STUDIES AND I THINK THERE'S 

833
00:34:08,108 --> 00:34:10,978
IMPORTANT CAVEATS AND FINALLY IT

834
00:34:10,978 --> 00:34:16,650
INVOLVES STYLE LOW IN BOTH.

835
00:34:16,650 --> 00:34:17,818
ALL THAT TO BRING TO THE FIRST 

836
00:34:17,818 --> 00:34:28,095
CONCLUSION HERE.

837
00:34:29,797 --> 00:34:32,566
WE'RE ONLY ABLE TO IDENTIFY TWO 

838
00:34:32,566 --> 00:34:33,801
THAT MET THE CRITERIA.

839
00:34:33,801 --> 00:34:35,769
DUE TO LACK OF EVIDENCE WE COULD

840
00:34:35,769 --> 00:34:37,871
NOT DRAW A CONCLUSION REGARDING 

841
00:34:37,871 --> 00:34:40,240
THE RELATIONSHIP BETWEEN FEEDING

842
00:34:40,240 --> 00:34:41,875
STYLES BY CAREGIVERS AND 

843
00:34:41,875 --> 00:34:43,811
CHILDREN 2 TO YEARS OF AGE AND 

844
00:34:43,811 --> 00:34:45,579
CONSUMING A PATTERN ALIGNED WITH

845
00:34:45,579 --> 00:34:52,086
THE DIETARY GUIDELINES FOR 

846
00:34:52,086 --> 00:34:52,353
AMERICANS.

847
00:34:52,353 --> 00:34:56,190
MOVING ON TO FEEDING PRACTICES 

848
00:34:56,190 --> 00:34:58,225
I'M GOING TO GIVING A BROAD 

849
00:34:58,225 --> 00:34:59,593
DEFINITIONS BUT I WANTED TO GIVE

850
00:34:59,593 --> 00:35:01,662
YOU LIKE OPERATIONALLY WHAT ARE 

851
00:35:01,662 --> 00:35:02,963
WE TALKING ABOUT?

852
00:35:02,963 --> 00:35:05,799
STRUCTURED PRACTICES HAVE BEEN 

853
00:35:05,799 --> 00:35:07,735
USED TOE DESCRIBE THOSE WHO 

854
00:35:07,735 --> 00:35:10,704
ORGANIZE SOCIAL AND PHYSICAL 

855
00:35:10,704 --> 00:35:14,108
ASPECTS OF CHILDREN'S FEEDING 

856
00:35:14,108 --> 00:35:16,076
ENVIRONMENT, SETTING LIMITS, 

857
00:35:16,076 --> 00:35:19,780
PROVIDE CHOICES, HAVING ROUTINES

858
00:35:19,780 --> 00:35:22,082
AROUND MEALS AND SNACKS AND 

859
00:35:22,082 --> 00:35:23,517
MODELLING HEALTHY BEHAVIORS AND 

860
00:35:23,517 --> 00:35:25,019
REFERS TO THE AVAILABILITY AND 

861
00:35:25,019 --> 00:35:26,186
ACCESSIBILITY OF FOODS TO 

862
00:35:26,186 --> 00:35:27,988
CHILDREN AND HOMES AND THE 

863
00:35:27,988 --> 00:35:28,555
ENVIRONMENTS WHERE CHILDREN 

864
00:35:28,555 --> 00:35:35,796
ROUTINELY EAT.

865
00:35:35,796 --> 00:35:38,298
THE SYSTEMATIC REVIEW IDENTIFIED

866
00:35:38,298 --> 00:35:39,833
22 ARTICLES AND COHORT STUDIES 

867
00:35:39,833 --> 00:35:42,970
AND 12 RANDOMIZED CONTROL TRIALS

868
00:35:42,970 --> 00:35:46,006
THAT MET INCLUSION CRITERIA.

869
00:35:46,006 --> 00:35:47,541
AND THE TYPES OF STRUCTURED 

870
00:35:47,541 --> 00:35:48,108
PRACTICES EVALUATING THE 

871
00:35:48,108 --> 00:35:50,077
ARTICLES INCLUDED AVAILABILITY 

872
00:35:50,077 --> 00:35:51,412
OF HEALTHY FOODS IN THE HOME IN 

873
00:35:51,412 --> 00:35:53,747
THREE ARTICLES AND FREQUENCY AND

874
00:35:53,747 --> 00:35:56,517
ENVIRONMENT OF FAMILY MEALS IN 

875
00:35:56,517 --> 00:35:57,518
HOMES, MONITORING OF CHILDREN'S 

876
00:35:57,518 --> 00:35:59,787
EATING IN FOUR ARTICLES, SOCIAL 

877
00:35:59,787 --> 00:36:02,990
MODELLING IN TWO ARTICLES AND 

878
00:36:02,990 --> 00:36:05,592
HAVING RULES RELATED TO EATING.

879
00:36:05,592 --> 00:36:07,661
I ELABORATE THESE ONLY TO GIVE 

880
00:36:07,661 --> 00:36:09,797
YOU A FLAVOR OF THE EVIDENCE AND

881
00:36:09,797 --> 00:36:11,799
THE EXPOSURES UPON WHICH THIS 

882
00:36:11,799 --> 00:36:15,969
CONCLUSION STATEMENT IS BASED.

883
00:36:15,969 --> 00:36:18,972
THE 12 RCTs INCLUDE MATERIALS 

884
00:36:18,972 --> 00:36:20,741
AND ACTIVITIES AIMED AT 

885
00:36:20,741 --> 00:36:21,909
INCREASING THE AVAILABILITY OF 

886
00:36:21,909 --> 00:36:24,311
FRUITS AND VEGETABLES IN THE 

887
00:36:24,311 --> 00:36:26,880
HOME AND STRUCTURING FAMILY MEAL

888
00:36:26,880 --> 00:36:27,848
TIMES.

889
00:36:27,848 --> 00:36:31,385
IN TERMS OF THE OUTCOMES, 17 OF 

890
00:36:31,385 --> 00:36:33,887
22 ARTICLES EVALUATED FRUIT AND 

891
00:36:33,887 --> 00:36:36,256
VEGETABLE INTAKE AMONG CHILDREN 

892
00:36:36,256 --> 00:36:38,959
AND EIGHT EVALUATED ASSOCIATIONS

893
00:36:38,959 --> 00:36:41,795
WITH SUGAR SWEETENED BEVERAGE 

894
00:36:41,795 --> 00:36:44,565
AND TWO WITH WHOLE GRAINS AND 

895
00:36:44,565 --> 00:36:46,166
GLOBAL QUALITY AS MEASURED BY 

896
00:36:46,166 --> 00:36:46,333
HGI.

897
00:36:46,333 --> 00:36:47,801
BASED ON THE REVIEW OF THE 

898
00:36:47,801 --> 00:36:50,971
EVIDENCE WE CONCLUDED FOOD 

899
00:36:50,971 --> 00:36:53,807
PARENTING PRACTICES BY 

900
00:36:53,807 --> 00:36:56,977
CAREGIVERS OF CHILDREN AGE 2- 6 

901
00:36:56,977 --> 00:36:59,780
THAT STRUCTURE CHILDREN'S 

902
00:36:59,780 --> 00:37:02,049
PHYSICAL AND SOCIAL ENVIRONMENTS

903
00:37:02,049 --> 00:37:03,650
ARE ASSOCIATED WITH HIGHER 

904
00:37:03,650 --> 00:37:05,786
INTAKES OF FRUITS AND VEGETABLES

905
00:37:05,786 --> 00:37:08,122
AND THIS WAS CREATED AS MODERATE

906
00:37:08,122 --> 00:37:11,658
AND WHY AND HOW IS THIS GRADED 

907
00:37:11,658 --> 00:37:12,526
AT MODERATE?

908
00:37:12,526 --> 00:37:13,827
I THINK THE PRIMARY 

909
00:37:13,827 --> 00:37:18,365
CONTRIBUTIONS WERE STRENGTHS IN 

910
00:37:18,365 --> 00:37:19,633
CONSISTENCY AND DIRECTNESS.

911
00:37:19,633 --> 00:37:21,969
SPECIFICALLY THE FINDINGS WERE 

912
00:37:21,969 --> 00:37:26,974
CONSISTENT IN POSITIVE 

913
00:37:26,974 --> 00:37:30,677
ASSOCIATIONS WERE SEEN BETWEEN 

914
00:37:30,677 --> 00:37:34,982
STRUCTURED PRACTICES IN 17 OF 22

915
00:37:34,982 --> 00:37:36,483
SUDDEN STUDIES.

916
00:37:36,483 --> 00:37:38,018
THERE WERE CONCERNS OF RISK OF 

917
00:37:38,018 --> 00:37:42,489
BIAS WITH KEY CONFOUNDERS AND 

918
00:37:42,489 --> 00:37:46,059
GENERALIZABILITY ECHOING SOME OF

919
00:37:46,059 --> 00:37:46,760
THE COMMENTS FROM YESTERDAY.

920
00:37:46,760 --> 00:37:49,029
MORE THAN HALF THE STUDIES WERE 

921
00:37:49,029 --> 00:37:52,399
CONDUCTED IN THE U.S., THE 

922
00:37:52,399 --> 00:37:53,534
MAJORITY OF PARTICIPANTS WERE 

923
00:37:53,534 --> 00:37:55,102
WHITE IN THE STUDIES AND ONLY A 

924
00:37:55,102 --> 00:38:05,646
FEW INCLUDED PARTICIPANTS WITH 

925
00:38:05,879 --> 00:38:10,984
OF DIVERSE RACE AND CAREGIVERS 

926
00:38:10,984 --> 00:38:14,087
OTHER THAN MOTHERS.

927
00:38:14,087 --> 00:38:17,825
FEEDING PRACTICES WITH AUTONOMY 

928
00:38:17,825 --> 00:38:19,493
SUPPORT WITH A WIDE RANGE LIKE 

929
00:38:19,493 --> 00:38:21,061
TEACHING CHILDREN ABOUT FOODS 

930
00:38:21,061 --> 00:38:22,996
AND EATING AND NUTRITION 

931
00:38:22,996 --> 00:38:26,133
EDUCATION AS THEY CLASSICALLY 

932
00:38:26,133 --> 00:38:27,501
UNDERSTAND IT AND SHOPPING AND 

933
00:38:27,501 --> 00:38:29,536
GROWING AND PREPARING FOODS AND 

934
00:38:29,536 --> 00:38:30,971
ENCOURAGING KIDS TO TRY NEW 

935
00:38:30,971 --> 00:38:33,507
FOODS AND ENGAGING IN REASONING 

936
00:38:33,507 --> 00:38:33,974
AND NEGOTIATION.

937
00:38:33,974 --> 00:38:35,709
THESE ARE THE TYPE OF PRACTICES 

938
00:38:35,709 --> 00:38:38,045
WE'RE LOOKING AT WHEN WE'RE 

939
00:38:38,045 --> 00:38:38,979
REVIEWING THE LITERATURE ON 

940
00:38:38,979 --> 00:38:42,983
AUTONOMY SUPPORT.

941
00:38:42,983 --> 00:38:45,118
THE SYSTEMATIC REVIEW IDENTIFIED

942
00:38:45,118 --> 00:38:46,987
FOUR ARTICLES, TWO PROSPECTIVE 

943
00:38:46,987 --> 00:38:50,657
COHORT AND TWO RANDOMIZED STUDY 

944
00:38:50,657 --> 00:38:53,026
THAT MET INCLUSION CRITERIA.

945
00:38:53,026 --> 00:38:54,962
THE COMMITTEE FAILED TO DRAW A 

946
00:38:54,962 --> 00:38:55,495
CONCLUSION REGARDING THE 

947
00:38:55,495 --> 00:38:58,398
ASSOCIATION OF AUTONOMY SUPPORT 

948
00:38:58,398 --> 00:38:59,933
WITH DIETARY INTAKES AMONG 

949
00:38:59,933 --> 00:39:02,970
CHILDREN 2- 6 YEARS OF AGE DUE 

950
00:39:02,970 --> 00:39:13,347
TO A LACK OF STUDIES.

951
00:39:13,981 --> 00:39:17,417
AND THERE'S PRESSURE 

952
00:39:17,417 --> 00:39:18,018
INTRUSIVENESS AND INCLUDING 

953
00:39:18,018 --> 00:39:19,686
THINGS LIKE OVERT RESTRICTIONS 

954
00:39:19,686 --> 00:39:24,992
ON ABOUT WHAT KIDS ARE EATING, 

955
00:39:24,992 --> 00:39:25,926
USING THREATS AND BRIBES AND 

956
00:39:25,926 --> 00:39:27,961
NEGATIVE EMOTIONS.

957
00:39:27,961 --> 00:39:29,796
I FEEL COMPELLED TO SAY IN THE 

958
00:39:29,796 --> 00:39:31,932
FIELD OF FOOD PARENTING IT'S 

959
00:39:31,932 --> 00:39:34,368
RECOGNIZED MOST PARENTS ENGAGE 

960
00:39:34,368 --> 00:39:36,336
IN A WIDE VARIETY OF STRATEGIES 

961
00:39:36,336 --> 00:39:38,972
AND MY PERSONAL EXPERIENCE I 

962
00:39:38,972 --> 00:39:41,441
HAVE USED ALL OF THESE INCLUDING

963
00:39:41,441 --> 00:39:42,976
THESE ON THE SLIDE.

964
00:39:42,976 --> 00:39:49,750
I FEEL LIKE IT'S IMPORTANT 

965
00:39:49,750 --> 00:39:52,185
BECAUSE IN PRESENTING THE WORK 

966
00:39:52,185 --> 00:39:53,654
IT'S REALLY IMPORTANT THAT WE'RE

967
00:39:53,654 --> 00:39:54,488
TRYING TO IDENTIFY SUPPORTIVE 

968
00:39:54,488 --> 00:39:57,591
APPROACHES.

969
00:39:57,591 --> 00:40:00,160
AND SUPPORT CAREGIVERS.

970
00:40:00,160 --> 00:40:02,362
SO LET US MOVE ON TO THE 

971
00:40:02,362 --> 00:40:02,629
EVIDENCE.

972
00:40:02,629 --> 00:40:04,498
HERE THERE WERE FIVE PROSPECTIVE

973
00:40:04,498 --> 00:40:06,500
COHORT STUDIES AND ONE 

974
00:40:06,500 --> 00:40:07,134
RANDOMIZED CONTROL TRIAL THAT 

975
00:40:07,134 --> 00:40:09,536
MET THE CONCLUSION OF THE SIX 

976
00:40:09,536 --> 00:40:09,803
ARTICLES.

977
00:40:09,803 --> 00:40:11,705
THREE FOCUSSED ON RESTRICTED 

978
00:40:11,705 --> 00:40:13,340
PRACTICES AND PRESSURE TO EAT 

979
00:40:13,340 --> 00:40:15,075
AND ONE STUDY EVALUATED CONTROL 

980
00:40:15,075 --> 00:40:17,811
AND NOT ALLOWING CHILDREN TO 

981
00:40:17,811 --> 00:40:18,979
CONSUME SUGAR SWEETENED 

982
00:40:18,979 --> 00:40:29,156
BEVERAGES.

983
00:40:34,528 --> 00:40:38,165
AND THERE WERE A SMALL NUMBER OF

984
00:40:38,165 --> 00:40:41,702
STUDIES AND THE INCONSISTENCIES 

985
00:40:41,702 --> 00:40:43,804
AND ONE OF OUR STRENGTH OF 

986
00:40:43,804 --> 00:40:45,272
APPROACH AT THE BROAD DIMENSIONS

987
00:40:45,272 --> 00:40:50,744
IS PULLING WORK ACROSS A DIVERSE

988
00:40:50,744 --> 00:40:55,649
SET OF PRACTICES.

989
00:40:55,649 --> 00:40:56,717
AND SOMETIMES WITH THE SMALL 

990
00:40:56,717 --> 00:40:58,685
NUMBER OF STUDIES IT'S DIFFICULT

991
00:40:58,685 --> 00:41:00,320
TO KNOW WHETHER THIS IS TRULY 

992
00:41:00,320 --> 00:41:04,591
DUE TO DIFFERENCES IN FINDINGS, 

993
00:41:04,591 --> 00:41:06,893
DIFFERENCES IN FEEDING PRACTICES

994
00:41:06,893 --> 00:41:13,367
AND METHODS AND WE'RE NOT ABLE 

995
00:41:13,367 --> 00:41:21,008
TO DISENTANGLE THAT WE'LL LOOK 

996
00:41:21,008 --> 00:41:23,377
AT GROWTH BODY COMPOSITION AND 

997
00:41:23,377 --> 00:41:24,044
RISK OF OBESITY OUTCOMES IN 

998
00:41:24,044 --> 00:41:32,285
CHILDREN.

999
00:41:32,285 --> 00:41:34,955
THIS IS THE FRAMEWORK AND THE 

1000
00:41:34,955 --> 00:41:38,992
SAME POPULATION AND COMPARATORS 

1001
00:41:38,992 --> 00:41:40,293
AND CONFOUNDERS WITH GROWTH, 

1002
00:41:40,293 --> 00:41:42,429
BODY COMPOSITION AND RISK OF 

1003
00:41:42,429 --> 00:41:44,664
OBESITY OUTCOMES AS PRESENTED IN

1004
00:41:44,664 --> 00:41:46,466
PREVIOUS MEETINGS.

1005
00:41:46,466 --> 00:41:49,102
WE REVISED THE PROTOCOL WITH THE

1006
00:41:49,102 --> 00:41:52,572
EVIDENCE ON CHILDREN 2-6 FOR THE

1007
00:41:52,572 --> 00:41:54,107
SAME REASONS IN THE PREVIOUS 

1008
00:41:54,107 --> 00:41:59,346
REVIEW AND THIS IS ISN'T NEW PUT

1009
00:41:59,346 --> 00:42:01,314
COMPLEMENTS A SYSTEMATIC REVIEW 

1010
00:42:01,314 --> 00:42:04,651
AS THE B24 PROJECT ON FEEDING 

1011
00:42:04,651 --> 00:42:08,021
PRACTICES AND LATE OUTCOMES 

1012
00:42:08,021 --> 00:42:09,022
AMONG CHILDREN.

1013
00:42:09,022 --> 00:42:11,825
AS WITH THE PREVIOUS ANALYTICAL 

1014
00:42:11,825 --> 00:42:13,360
FRAMEWORK WE SYNTHESIZED THE 

1015
00:42:13,360 --> 00:42:14,594
EVIDENCE BASED ON FEEDING STYLES

1016
00:42:14,594 --> 00:42:17,831
AND THE THREE BROAD DIMENSIONS 

1017
00:42:17,831 --> 00:42:22,969
OF FEEDING PRACTICES.

1018
00:42:22,969 --> 00:42:25,806
THERE WERE NINE PROSPECTIVE 

1019
00:42:25,806 --> 00:42:27,774
COHORT STUDIES FOR ASSOCIATION 

1020
00:42:27,774 --> 00:42:29,409
BETWEEN FEEDING STYLES USED BY 

1021
00:42:29,409 --> 00:42:35,715
CHILDREN 2 TO 6 YEARS WITH CHILD

1022
00:42:35,715 --> 00:42:37,084
GBC OUTCOME.

1023
00:42:37,084 --> 00:42:40,287
WE WERE UNABLE TO DRAW 

1024
00:42:40,287 --> 00:42:43,323
CONCLUSIONS PRIMARILY DUE TO 

1025
00:42:43,323 --> 00:42:46,093
INCONSISTENCIES THAT WERE 

1026
00:42:46,093 --> 00:42:48,662
DIFFICULT TO INTERPRET IN LIGHT 

1027
00:42:48,662 --> 00:42:53,800
OF HETEROGENEITY IN THE COMPARE 

1028
00:42:53,800 --> 00:42:56,236
 -- COMPARATORS.

1029
00:42:56,236 --> 00:43:05,245
SOME COMPARED INDULGENT STYLES 

1030
00:43:05,245 --> 00:43:10,817
AND THE LITERATURE AND FINDINGS 

1031
00:43:10,817 --> 00:43:20,660
WERE DIVERSE.

1032
00:43:20,660 --> 00:43:22,963
THERE WAS A CONCLUSION STATEMENT

1033
00:43:22,963 --> 00:43:23,797
ABOUT MONITORING A SPECIFIC 

1034
00:43:23,797 --> 00:43:26,666
PRACTICE WITHIN THE DOMAIN OF 

1035
00:43:26,666 --> 00:43:27,834
STRUCTURE.

1036
00:43:27,834 --> 00:43:30,504
AND IT REFERS TO CAREGIVERS' 

1037
00:43:30,504 --> 00:43:31,838
KNOWLEDGE OF CHILDREN'S EATING 

1038
00:43:31,838 --> 00:43:33,406
LESS HEALTHY FOODS IN THE WORK.

1039
00:43:33,406 --> 00:43:34,407
THAT'S HOW IT'S BEEN 

1040
00:43:34,407 --> 00:43:35,742
OPERATIONALLY DEFINED.

1041
00:43:35,742 --> 00:43:39,546
THE EVIDENCE ON MONITORING 

1042
00:43:39,546 --> 00:43:41,781
INCLUDED 15 PROSPECTIVE COHORT 

1043
00:43:41,781 --> 00:43:42,382
STUDIES.

1044
00:43:42,382 --> 00:43:45,552
IN TERMS OF OUTCOMES 13 OF 15 

1045
00:43:45,552 --> 00:43:48,288
EVALUATED EITHER CHILD BMI 

1046
00:43:48,288 --> 00:43:50,724
SCORES CONTROLLING FOR BASELINE 

1047
00:43:50,724 --> 00:43:53,593
VALUES OR MATHEMATICALLY SIMILAR

1048
00:43:53,593 --> 00:43:54,794
CHANGE IN BMIZ.

1049
00:43:54,794 --> 00:43:57,197
BASED ON THE EVIDENCE WE 

1050
00:43:57,197 --> 00:43:58,064
CONCLUDED FOOD PARENTING 

1051
00:43:58,064 --> 00:44:02,302
PRACTICES INVOLVING MONITORING 

1052
00:44:02,302 --> 00:44:04,771
OF CHILDREN AGE 2 OF 6 ARE NOT 

1053
00:44:04,771 --> 00:44:05,839
ASSOCIATED WITH OUTCOMES RELATED

1054
00:44:05,839 --> 00:44:06,973
TO GROWTH.

1055
00:44:06,973 --> 00:44:08,408
THIS STATEMENT WAS BASED ON 

1056
00:44:08,408 --> 00:44:10,377
EVIDENCE GRADED AS LIMITED.

1057
00:44:10,377 --> 00:44:12,612
SO STUDY WERE DIRECT AND FAIRLY 

1058
00:44:12,612 --> 00:44:12,913
CONSISTENT.

1059
00:44:12,913 --> 00:44:14,848
NINE OF 15 STUDIES REPORTED 

1060
00:44:14,848 --> 00:44:15,982
NON-SIGNIFICANT ASSOCIATIONS 

1061
00:44:15,982 --> 00:44:17,817
BETWEEN MONITORING AND GROWTH.

1062
00:44:17,817 --> 00:44:19,386
THE SIX REMAINING STUDIES 

1063
00:44:19,386 --> 00:44:22,422
REPORTED SIGNIFICANT FINDINGS 

1064
00:44:22,422 --> 00:44:23,657
HOWEVER FOUR WERE INTEREST THE 

1065
00:44:23,657 --> 00:44:25,292
SAME COHORT AND GRADE OF LIMIT 

1066
00:44:25,292 --> 00:44:28,128
WERE ASSIGNED DUE TO PRECISION 

1067
00:44:28,128 --> 00:44:29,829
RISK OF BIAS AND 

1068
00:44:29,829 --> 00:44:31,264
GENERALIZABILITY STEM FROM SMALL

1069
00:44:31,264 --> 00:44:34,134
SAMPLE AND FAILURE TO TAKE IN 

1070
00:44:34,134 --> 00:44:38,171
KEY CONFOUNDERS AND ACCOUNT FOR 

1071
00:44:38,171 --> 00:44:41,808
DATA AND MEASUREMENTS AND 

1072
00:44:41,808 --> 00:44:44,377
DIFFERENCES AS PREVIOUSLY 

1073
00:44:44,377 --> 00:44:45,345
DESCRIBED.

1074
00:44:45,345 --> 00:44:48,215
SO, IN CONTRAST TO THAT SPECIFIC

1075
00:44:48,215 --> 00:44:49,683
CONCLUSION ABOUT MONITORING, THE

1076
00:44:49,683 --> 00:44:53,353
COMMITTEE WAS UNABLE TO DRAW 

1077
00:44:53,353 --> 00:44:55,522
CONCLUSIONS ABOUT THE BROADER 

1078
00:44:55,522 --> 00:44:58,124
CONSTRUCT OF STRUCTURE AND 

1079
00:44:58,124 --> 00:45:00,060
ASSOCIATIONS OF STRUCTURED 

1080
00:45:00,060 --> 00:45:01,861
PRACTICES WITH CHILD GROWTH BODY

1081
00:45:01,861 --> 00:45:04,698
COMPOSITION AND RISK OF OBESITY 

1082
00:45:04,698 --> 00:45:05,799
OUTCOMES BASED ON THE ASSESSMENT

1083
00:45:05,799 --> 00:45:08,768
OF SEVEN PROSPECTIVE COHORT 

1084
00:45:08,768 --> 00:45:10,403
STUDIES.

1085
00:45:10,403 --> 00:45:12,939
THE INABILITY TO DRAW CONCLUSION

1086
00:45:12,939 --> 00:45:15,675
STEMMED FROM THE SMALL NUMBER OF

1087
00:45:15,675 --> 00:45:19,512
STUDIES AN INCONSISTENCY IN 

1088
00:45:19,512 --> 00:45:20,680
FINDINGS AS WELL AS 

1089
00:45:20,680 --> 00:45:22,382
HETEROGENEITY AND EXPOSURES THAT

1090
00:45:22,382 --> 00:45:25,285
MADE THE EVIDENCE DIFFICULT TO 

1091
00:45:25,285 --> 00:45:25,685
SYNTHESIZE.

1092
00:45:25,685 --> 00:45:27,787
MOVING ON TO AUTONOMY SUPPORTED 

1093
00:45:27,787 --> 00:45:34,327
PRACTICES AND GBC OUTCOMES FIVE 

1094
00:45:34,327 --> 00:45:35,929
MET THE INCLUSION CRITERIA AND 

1095
00:45:35,929 --> 00:45:38,865
HERE THE COMMITTEE WAS UNABLE TO

1096
00:45:38,865 --> 00:45:40,267
DRAW CONCLUSIONS DUE TO A SMALL 

1097
00:45:40,267 --> 00:45:41,234
NUMBER OF STUDIES AND PLAYING 

1098
00:45:41,234 --> 00:45:43,870
ANY TUDE OF RESULTS AND OTHER 

1099
00:45:43,870 --> 00:45:54,381
ISSUES I PREVIOUSLY DESCRIBED.

1100
00:45:56,683 --> 00:45:58,985
AND BETWEEN BODY COMPOSITION AND

1101
00:45:58,985 --> 00:46:00,587
RISK OF OBESITY OUTCOMES.

1102
00:46:00,587 --> 00:46:02,956
HERE THERE WERE 28 PROSPECTIVE 

1103
00:46:02,956 --> 00:46:07,460
COHORT STUDIES.

1104
00:46:07,460 --> 00:46:11,798
DESPITE THE OUTCOMES AND 

1105
00:46:11,798 --> 00:46:13,199
DEVELOPMENTAL LITERATURE AND IN 

1106
00:46:13,199 --> 00:46:14,501
THE CONTEXT OF THIS WORK THE 

1107
00:46:14,501 --> 00:46:16,770
LARGE NUMBER OF STUDIES WE WERE 

1108
00:46:16,770 --> 00:46:18,371
UNABLE TO DRAW CONCLUSIONS.

1109
00:46:18,371 --> 00:46:28,915
TRUST ME, WHEN WE SIT AROUND AND

1110
00:46:31,017 --> 00:46:33,186
LOOKED AT THE STUDIES AND LOOK 

1111
00:46:33,186 --> 00:46:35,355
AT THE COMMONALITIES HERE AND 

1112
00:46:35,355 --> 00:46:40,927
UNFORTUNATELY IN THE CASE OF 

1113
00:46:40,927 --> 00:46:43,530
THESE STUDIES, THE FINDINGS ARE 

1114
00:46:43,530 --> 00:46:43,863
INCONSISTENT.

1115
00:46:43,863 --> 00:46:46,633
IN 7 OF THE 28 STUDIES 

1116
00:46:46,633 --> 00:46:48,134
CONTROLLING FEEDING PRACTICES 

1117
00:46:48,134 --> 00:46:51,604
POSITIVELY ASSOCIATED WITH BMI 

1118
00:46:51,604 --> 00:46:53,373
AND CHANGE FROM BASELINE TO 

1119
00:46:53,373 --> 00:46:58,144
FOLLOW-UP AND IN SIX OF THE 28 

1120
00:46:58,144 --> 00:46:59,612
NEGATIVITY ASSOCIATED AND OTHER 

1121
00:46:59,612 --> 00:47:01,281
STUDIES NUL RESULTS.

1122
00:47:01,281 --> 00:47:03,917
IT WAS A MIXED BAG.

1123
00:47:03,917 --> 00:47:08,755
AND IN SAYING ARE WE MISSING ?

1124
00:47:08,755 --> 00:47:10,990
IS THERE GOING TO ON WITH 

1125
00:47:10,990 --> 00:47:13,927
INDIVIDUAL PRACTICES.

1126
00:47:13,927 --> 00:47:15,995
WE DOES THE EXAMINATION AND 

1127
00:47:15,995 --> 00:47:16,763
CALLED NOT DRAW ASSOCIATIONS 

1128
00:47:16,763 --> 00:47:17,831
BECAUSE WHEN YOU PARS OUTS 

1129
00:47:17,831 --> 00:47:18,698
THERE'S A RELATIVELY SMALL 

1130
00:47:18,698 --> 00:47:20,734
NUMBER OF STUDIES.

1131
00:47:20,734 --> 00:47:21,668
I WANTED TO GIVE THOSE 

1132
00:47:21,668 --> 00:47:23,002
QUALIFICATIONS BECAUSE I KNOW 

1133
00:47:23,002 --> 00:47:26,306
PART OF THIS SOUNDED LIKE A 

1134
00:47:26,306 --> 00:47:29,642
BROKEN RECORD BUT THERE'S BEEN A

1135
00:47:29,642 --> 00:47:30,176
LOT OF DELIBERATION AND 

1136
00:47:30,176 --> 00:47:31,311
EVALUATION AND CAREFUL 

1137
00:47:31,311 --> 00:47:32,812
CONSIDERATION OF THE SCIENCE WE 

1138
00:47:32,812 --> 00:47:33,079
REVIEWED.

1139
00:47:33,079 --> 00:47:35,315
SO I WANT TO MOVE ON TO THE LAST

1140
00:47:35,315 --> 00:47:37,884
SLIDE WHICH IS A SUMMARY.

1141
00:47:37,884 --> 00:47:42,255
THIS IS REALLY A SUMMARY OF THE 

1142
00:47:42,255 --> 00:47:44,290
CONCLUSIONS OUR SUBCOMMITTEE HAS

1143
00:47:44,290 --> 00:47:46,593
DRAWN ABOUT THE EVIDENCE THE 

1144
00:47:46,593 --> 00:47:48,461
FIRST COMPREHENSIVE EVALUATION 

1145
00:47:48,461 --> 00:47:50,029
BY THE DIETARY GUIDELINES 

1146
00:47:50,029 --> 00:47:50,897
ADVISORY COMMITTEE.

1147
00:47:50,897 --> 00:47:53,233
AND I HAVE TO SAY AS SOMEONE 

1148
00:47:53,233 --> 00:47:54,267
WHOSE BEEN INVOLVED IN THE WORK 

1149
00:47:54,267 --> 00:47:56,136
MANY DECADES IT'S NOTHING SHORT 

1150
00:47:56,136 --> 00:48:00,774
OF DRILLING -- THRILLING IT'S 

1151
00:48:00,774 --> 00:48:03,777
BEEN CONSIDERED IN THE VENUE AS 

1152
00:48:03,777 --> 00:48:06,980
PART OF THE EVIDENCE ON DIET AND

1153
00:48:06,980 --> 00:48:07,547
HEALTH.

1154
00:48:07,547 --> 00:48:09,015
SO IT'S BEEN TRULY I THINK 

1155
00:48:09,015 --> 00:48:10,817
EXCITING FOR US ALL.

1156
00:48:10,817 --> 00:48:12,485
I THINK THE MAIN FINDING THAT 

1157
00:48:12,485 --> 00:48:14,988
HAS COME FROM THE WORK THAT I'VE

1158
00:48:14,988 --> 00:48:17,857
PRESENTED TODAY IS THAT WE FOUND

1159
00:48:17,857 --> 00:48:19,826
MODERATE EVIDENCE THAT 

1160
00:48:19,826 --> 00:48:21,394
STRUCTURED FEEDING PRACTICES 

1161
00:48:21,394 --> 00:48:23,596
USED WITH CHILDREN 2 TO 6 YEARS 

1162
00:48:23,596 --> 00:48:26,032
OF AGE MAY HAVE BENEFICIAL 

1163
00:48:26,032 --> 00:48:27,567
ASSOCIATION WITH CHILD FRUIT AND

1164
00:48:27,567 --> 00:48:30,970
VEGETABLE INTAKES.

1165
00:48:30,970 --> 00:48:34,974
AND I THINK IF YOU THINK ABOUT 

1166
00:48:34,974 --> 00:48:37,877
THIS CONCLUSION IT'S ACTUALLY 

1167
00:48:37,877 --> 00:48:40,280
QUITE CONSISTENT WITH SYSTEMATIC

1168
00:48:40,280 --> 00:48:41,815
REVIEW WE PREVIOUSLY PRESENTED 

1169
00:48:41,815 --> 00:48:44,584
ON REPEATED EXPOSURE WHICH IS 

1170
00:48:44,584 --> 00:48:47,821
CONSIDERED A SPECIFIC TYPE OF 

1171
00:48:47,821 --> 00:48:49,556
STRUCTURED PRACTICE WHERE 

1172
00:48:49,556 --> 00:48:52,892
CAREGIVERS PROVIDER THE REPEATED

1173
00:48:52,892 --> 00:48:54,194
AVAILABILITY OF HEALTHFUL FOODS 

1174
00:48:54,194 --> 00:48:56,296
AT MEALS AND SNACKS.

1175
00:48:56,296 --> 00:48:58,164
AND ROBUST EVIDENCE OF AGAIN 

1176
00:48:58,164 --> 00:49:00,266
BENEFITS FOR ACCEPTANCE OF 

1177
00:49:00,266 --> 00:49:02,702
FRUITS AND VEGETABLES.

1178
00:49:02,702 --> 00:49:05,705
EVEN THOUGH WE'VE SEEN A LOT OF 

1179
00:49:05,705 --> 00:49:07,273
GRAY SPACES WHERE WE DON'T HAVE 

1180
00:49:07,273 --> 00:49:09,609
ANSWERS, THERE IS SOME 

1181
00:49:09,609 --> 00:49:12,345
CONSISTENCY ACROSS THESE TWO 

1182
00:49:12,345 --> 00:49:13,580
REVIEWS AS WELL AS OTHERS WHICH 

1183
00:49:13,580 --> 00:49:16,282
WE MAY TALK ABOUT AND I THINK 

1184
00:49:16,282 --> 00:49:17,817
TAKEN TOGETHER THESE CONCLUSIONS

1185
00:49:17,817 --> 00:49:20,887
POINT TO THE IDEA THAT FRUIT AND

1186
00:49:20,887 --> 00:49:22,188
VEGETABLE INTAKE AMONG YOUNG 

1187
00:49:22,188 --> 00:49:26,759
KIDS MAY BE SUPPORTED VIA 

1188
00:49:26,759 --> 00:49:28,161
STRUCTURED FEEDING PRACTICES 

1189
00:49:28,161 --> 00:49:29,796
THROUGH THINGS LIKE MAKING 

1190
00:49:29,796 --> 00:49:31,598
FRUITS AND VEGETABLES AVAILABLE 

1191
00:49:31,598 --> 00:49:33,500
IN THE ENVIRONMENTS WHERE 

1192
00:49:33,500 --> 00:49:34,968
CHILDREN ROUTINELY EAT AND 

1193
00:49:34,968 --> 00:49:37,003
PROVIDING REPEATED EXPOSURE TO 

1194
00:49:37,003 --> 00:49:37,804
THOSE FOODS AND HAVING 

1195
00:49:37,804 --> 00:49:41,274
CONSISTENT EATING ROUTINES THAT 

1196
00:49:41,274 --> 00:49:42,876
INVOLVED THOSE FOODS AND 

1197
00:49:42,876 --> 00:49:45,211
PROVIDING POSITIVE SOCIAL MODELS

1198
00:49:45,211 --> 00:49:46,212
OF EATING.

1199
00:49:46,212 --> 00:49:50,984
I SHARE THAT ENTHUSIASM AND WITH

1200
00:49:50,984 --> 00:49:53,887
IMPORTANT CAVEATS AND I THINK I 

1201
00:49:53,887 --> 00:49:56,389
KNOW YOU TALKED ABOUT THESE AS 

1202
00:49:56,389 --> 00:49:59,792
GUARDRAILS FOR INTERPRETATION.

1203
00:49:59,792 --> 00:50:03,530
BECAUSE WE'RE TALKING ABOUT HOW 

1204
00:50:03,530 --> 00:50:05,832
CAREGIVERS ARE RAISING YOUNG 

1205
00:50:05,832 --> 00:50:07,333
CHILDREN AND THESE SEEM LIKE 

1206
00:50:07,333 --> 00:50:09,035
GENERAL RECOMMENDATIONS, LET'S 

1207
00:50:09,035 --> 00:50:11,104
TALK ABOUT WHAT WE SHOULD BE 

1208
00:50:11,104 --> 00:50:12,038
THINKING ABOUT NEXT.

1209
00:50:12,038 --> 00:50:13,806
SO EVEN THOUGH I THINK THERE'S A

1210
00:50:13,806 --> 00:50:15,875
LOT OF UTILITY IN LOOKING AT THE

1211
00:50:15,875 --> 00:50:17,810
EVIDENCE ALONG THE BROAD 

1212
00:50:17,810 --> 00:50:19,779
DIMENSIONS, IT HAS CLEAR APPEAL 

1213
00:50:19,779 --> 00:50:23,349
FOR PUBLIC HEALTH TRANSLATION 

1214
00:50:23,349 --> 00:50:23,650
SIG QUANS.

1215
00:50:23,650 --> 00:50:26,719
IT DOESN'T ALLOW US TO HAVE THE 

1216
00:50:26,719 --> 00:50:29,522
GRANULARITY TO HAVE PRACTICES 

1217
00:50:29,522 --> 00:50:32,125
WITH REPEATED EXPOSURE WITH GOOD

1218
00:50:32,125 --> 00:50:32,425
EVIDENCE.

1219
00:50:32,425 --> 00:50:36,563
IT'S AN IMPORTANT LIMITATION AND

1220
00:50:36,563 --> 00:50:38,298
SO RELATED THESE DIMENSIONS 

1221
00:50:38,298 --> 00:50:40,433
WHILE ROOTED IN DEVELOPMENTAL 

1222
00:50:40,433 --> 00:50:41,834
SCIENCE WHETHER THEY ARE THE 

1223
00:50:41,834 --> 00:50:43,002
ONLY DIMENSIONS IN FEEDING THAT 

1224
00:50:43,002 --> 00:50:43,670
MATTER.

1225
00:50:43,670 --> 00:50:44,771
THEY'RE THE MOST SALIENT 

1226
00:50:44,771 --> 00:50:46,873
RELEVANT DIMENSIONS, I THINK 

1227
00:50:46,873 --> 00:50:49,008
THOSE ARE IMPORTANT QUESTIONS 

1228
00:50:49,008 --> 00:50:50,510
THAT MERIT FURTHER INQUIRY AND 

1229
00:50:50,510 --> 00:50:54,514
WE DON'T HAVE THE ANSWERS TO.

1230
00:50:54,514 --> 00:50:56,049
AND I'LL END WITH WHAT'S MOST 

1231
00:50:56,049 --> 00:50:59,152
IMPORTANT IS OUR COMMITTEE HAS 

1232
00:50:59,152 --> 00:51:01,821
SPOKEN A LOT ABOUT THE FACT THAT

1233
00:51:01,821 --> 00:51:05,892
YOU CANNOT INTERPRET A FEEDING 

1234
00:51:05,892 --> 00:51:07,860
PRACTICE WITHOUT CONSIDERATION 

1235
00:51:07,860 --> 00:51:09,963
OF THE CULTURE, OF THE CONTEXT 

1236
00:51:09,963 --> 00:51:14,968
AND THE ENVIRONMENT IN WHICH 

1237
00:51:14,968 --> 00:51:17,170
FEEDING AND CARE GIVING OCCURS.

1238
00:51:17,170 --> 00:51:17,837
IT'S IMPORTANT.

1239
00:51:17,837 --> 00:51:20,607
IT'S NOT JUST AN ADDENDUM IT'S 

1240
00:51:20,607 --> 00:51:21,307
CENTRALLY IMPORTANT.

1241
00:51:21,307 --> 00:51:23,776
I THINK IN THINKING FORWARD THAT

1242
00:51:23,776 --> 00:51:27,580
WE'RE GOING TO BE TALKING A LOT 

1243
00:51:27,580 --> 00:51:29,816
MORE ABOUT TRYING TO UNDERSTAND 

1244
00:51:29,816 --> 00:51:32,652
THOSE FACTORS IN ORDER TO 

1245
00:51:32,652 --> 00:51:33,553
UNDERSTAND THE MEANING OF THESE 

1246
00:51:33,553 --> 00:51:34,988
PRACTICES AND STYLES WE'RE 

1247
00:51:34,988 --> 00:51:37,090
LOOKING AT AND OUR SUBCOMMITTEE 

1248
00:51:37,090 --> 00:51:37,957
REALLY NOTED NEEDS FOR RESEARCH 

1249
00:51:37,957 --> 00:51:38,958
IN THIS AREA.

1250
00:51:38,958 --> 00:51:41,260
THE LAST POINT IS THAT THERE ARE

1251
00:51:41,260 --> 00:51:43,596
A LOT OF IN ADDITION TO THE 

1252
00:51:43,596 --> 00:51:45,365
CONCLUSIONS WE DRAW THERE'S A 

1253
00:51:45,365 --> 00:51:46,432
LOT OF CONCLUSIONS WE COULD NOT 

1254
00:51:46,432 --> 00:51:48,668
DRAW AND POINTS TO THE GAPS IN 

1255
00:51:48,668 --> 00:51:52,739
OUR KNOWLEDGE AND NEED FOR 

1256
00:51:52,739 --> 00:51:57,810
RESEARCH AND WE'LL CONTINUE OUR 

1257
00:51:57,810 --> 00:52:02,615
WORK AND AND WRAP IT UP WITH 

1258
00:52:02,615 --> 00:52:04,651
SYSTEMATIC REVIEW REPORTS WITH 

1259
00:52:04,651 --> 00:52:06,653
OUR CHAPTER AND WE'RE FINALLY 

1260
00:52:06,653 --> 00:52:07,987
GETTING TO DISCUSSION OF 

1261
00:52:07,987 --> 00:52:12,025
INTEGRATION WHERE I THINK A LOT 

1262
00:52:12,025 --> 00:52:17,130
OF THE THOUGHT WILL OCCUR.

1263
00:52:17,130 --> 00:52:18,431
THANK YOU.

1264
00:52:18,431 --> 00:52:23,903
>> I JUST WANT TO COMMEND
BOTH 

1265
00:52:23,903 --> 00:52:34,347
OF YOU FOR IN AN AMAZING 

1266
00:52:35,048 --> 00:52:35,648
CONTEXT.

1267
00:52:35,648 --> 00:52:38,317
I FEEL LIKE YOU HAVE DONE 

1268
00:52:38,317 --> 00:52:41,020
GREAT -- YOU HAVE TAKEN GREAT 

1269
00:52:41,020 --> 00:52:42,355
STRIDES TO EDUCATE THE FULL 

1270
00:52:42,355 --> 00:52:44,590
COMMITTEE ON AREAS THAT MOST OF 

1271
00:52:44,590 --> 00:52:48,528
US ARE NOT FAMILIAR WITH.

1272
00:52:48,528 --> 00:52:52,899
AND I JUST WANT TO SAY THAT THIS

1273
00:52:52,899 --> 00:52:53,833
PUBLIC MEETING, THE FULL 

1274
00:52:53,833 --> 00:52:55,735
COMMITTEE MEETING THESE TWO DAYS

1275
00:52:55,735 --> 00:53:00,873
WE'VE HAD A LOT OF EDUCATION 

1276
00:53:00,873 --> 00:53:05,978
FROM LEARNING ABOUT SUBSTITUTION

1277
00:53:05,978 --> 00:53:10,183
ANALYSIS TO BIRTH WEIGHT AND 

1278
00:53:10,183 --> 00:53:10,983
PARENTING PRACTICES SO THANK YOU

1279
00:53:10,983 --> 00:53:11,384
VERY MUCH.

1280
00:53:11,384 --> 00:53:13,953
AND I ALSO THINK WE SHOULD THANK

1281
00:53:13,953 --> 00:53:21,761
THE STAFF BECAUSE THIS HAS BEEN 

1282
00:53:21,761 --> 00:53:21,994
AMAZING.

1283
00:53:21,994 --> 00:53:28,167
I OPEN IT UP FOR QUESTIONS.

1284
00:53:28,167 --> 00:53:29,235
SHERYL THAN FATIMA.

1285
00:53:29,235 --> 00:53:35,608
>> I WANT TO ADD MY
SUPPORT FOR 

1286
00:53:35,608 --> 00:53:36,709
COMMENTS SARA JUST MADE AROUND 

1287
00:53:36,709 --> 00:53:38,911
THE WAY THIS WAS PRESENTED AND 

1288
00:53:38,911 --> 00:53:41,314
THE REAL CARE AND THOUGHT GIVEN 

1289
00:53:41,314 --> 00:53:43,015
TO THE ANALYSES.

1290
00:53:43,015 --> 00:53:53,526
MY QUESTIONS ARE BRINGING ME 

1291
00:54:04,070 --> 00:54:06,205
BACK TO THE PRINCIPLES THAT 

1292
00:54:06,205 --> 00:54:10,977
APPLY WE START TO LOOK AT 

1293
00:54:10,977 --> 00:54:12,111
NUTRIENT AND HEALTH OUTCOMES.

1294
00:54:12,111 --> 00:54:17,416
SO RHYME -- I'M GOING TO GO 

1295
00:54:17,416 --> 00:54:19,452
THERE TO TALK ABOUT STUDIES PUT 

1296
00:54:19,452 --> 00:54:20,720
FORWARD.

1297
00:54:20,720 --> 00:54:22,255
MY FIRST ISSUE IS ABOUT 

1298
00:54:22,255 --> 00:54:27,460
POTENTIAL CONFOUNDING WITH 

1299
00:54:27,460 --> 00:54:29,929
REGARDS TO CAREGIVER SEX IN 

1300
00:54:29,929 --> 00:54:31,697
FEEDING STYLES AND DIETARY 

1301
00:54:31,697 --> 00:54:34,066
PATTERNS ALIGNED WITH THE 

1302
00:54:34,066 --> 00:54:34,367
GUIDELINES.

1303
00:54:34,367 --> 00:54:38,471
I NOTICED THAT THE POTENTIAL 

1304
00:54:38,471 --> 00:54:40,006
CONFOUNDING FACTOR OF CHILD SEX 

1305
00:54:40,006 --> 00:54:45,845
WAS INCLUDED BUT NOT CAREGIVER 

1306
00:54:45,845 --> 00:54:46,012
SEX.

1307
00:54:46,012 --> 00:54:47,146
THERE'S ONLY TWO STUDIES 

1308
00:54:47,146 --> 00:54:47,847
APPARENTLY FOUND.

1309
00:54:47,847 --> 00:54:52,952
THE LIST OF CONFOUNDERS 

1310
00:54:52,952 --> 00:54:54,620
IDENTIFIED A, PRIORITY DID THEY 

1311
00:54:54,620 --> 00:54:57,456
HOLD WHEN THE LITERATURE RESULTS

1312
00:54:57,456 --> 00:55:01,327
CAME THROUGH AND WHAT WAS THE 

1313
00:55:01,327 --> 00:55:04,230
THOUGHT PROCESS AROUND NOT 

1314
00:55:04,230 --> 00:55:08,568
INCLUDING CAREGIVER SEX BUT 

1315
00:55:08,568 --> 00:55:09,969
INCLUDING CHILD SEX.

1316
00:55:09,969 --> 00:55:11,337
I HOPE IT'S QUICK.

1317
00:55:11,337 --> 00:55:12,038
>> I CAN START.

1318
00:55:12,038 --> 00:55:15,174
THESE ARE GREAT QUESTIONS.

1319
00:55:15,174 --> 00:55:17,643
AND I THINK WE JUST ACKNOWLEDGED

1320
00:55:17,643 --> 00:55:18,444
THE INCREDIBLE COMPLEXITY OF 

1321
00:55:18,444 --> 00:55:19,378
WHAT WAS STUDIED.

1322
00:55:19,378 --> 00:55:21,514
THE REALITY OF THIS BODY OF 

1323
00:55:21,514 --> 00:55:25,551
LITERATURE IS THAT IT IS 

1324
00:55:25,551 --> 00:55:26,686
EXTREMELY SMALL AND PROVIDES FAR

1325
00:55:26,686 --> 00:55:29,956
FEWER ANSWERS THAN I THINK -- 

1326
00:55:29,956 --> 00:55:31,257
AND LESS NUANCE THAN I THINK IS 

1327
00:55:31,257 --> 00:55:37,597
NEEDED.

1328
00:55:37,597 --> 00:55:40,933
MOVING BACK TO KEY CONFOUNDERS 

1329
00:55:40,933 --> 00:55:42,935
IT'S A GREAT OBSERVATION.

1330
00:55:42,935 --> 00:55:44,370
THE ISSUE WHEN WE STARTED THE 

1331
00:55:44,370 --> 00:55:47,373
WORK WAS TRYING TO FOCUS OUR 

1332
00:55:47,373 --> 00:55:51,244
CONVERSATIONS OF IDENTIFICATION 

1333
00:55:51,244 --> 00:55:53,412
AROUND THE EVIDENCE OF 

1334
00:55:53,412 --> 00:55:57,350
CONFOUNDERS.

1335
00:55:57,350 --> 00:55:58,384
GIVEN THE STATE OF THE SCIENCE 

1336
00:55:58,384 --> 00:56:05,124
THERE'S FEW STUDIES OF FATHERING

1337
00:56:05,124 --> 00:56:09,262
OUT THERE TO THERE'S MAYBE A FEW

1338
00:56:09,262 --> 00:56:12,531
AND THEY'RE ACTUALLY A NUMBER 

1339
00:56:12,531 --> 00:56:14,533
UNDERWAY BUT WE SIMPLY WHILE WE 

1340
00:56:14,533 --> 00:56:17,336
RESPECT THAT MIGHT BE INCREDIBLY

1341
00:56:17,336 --> 00:56:19,472
IMPORTANT, WE I THINK OUR 

1342
00:56:19,472 --> 00:56:21,307
GENERAL CONSENSUS WAS WE WANTED 

1343
00:56:21,307 --> 00:56:25,912
TO TRY TO KEEP THOSE CONFOUNDERS

1344
00:56:25,912 --> 00:56:28,514
THAT CLEARLY REFLECTED A HEALTH 

1345
00:56:28,514 --> 00:56:31,417
EQUITY LENS OR WHICH THERE WAS 

1346
00:56:31,417 --> 00:56:38,224
EMPIRICAL EVIDENCE LEADING TO A 

1347
00:56:38,224 --> 00:56:39,792
SHORT AND PROBABLY 

1348
00:56:39,792 --> 00:56:40,493
UNSATISFACTORY LIST.

1349
00:56:40,493 --> 00:56:44,096
WHAT THE IMPLICATIONS OF THE KEY

1350
00:56:44,096 --> 00:56:45,331
CONFOUNDERS AND REVIEW THE 

1351
00:56:45,331 --> 00:56:45,598
EVIDENCE.

1352
00:56:45,598 --> 00:56:48,868
THE LONGER THE LIST THE LESS WE 

1353
00:56:48,868 --> 00:56:49,268
CAN SAY.

1354
00:56:49,268 --> 00:56:50,503
I THINK WE HAD TO BALANCE THAT 

1355
00:56:50,503 --> 00:56:53,873
TENSION AS WELL.

1356
00:56:53,873 --> 00:56:55,741
NOT THAT IT'S THE RIGHT APPROACH

1357
00:56:55,741 --> 00:56:58,778
BUT IT WAS THE APPROACH WE 

1358
00:56:58,778 --> 00:57:02,448
DELIBERATED AND CONSIDERED.

1359
00:57:02,448 --> 00:57:05,851
>> THIS QUESTION IS AT THE
CRUX 

1360
00:57:05,851 --> 00:57:11,958
OF IT ABOUT MEASUREMENT ERROR 

1361
00:57:11,958 --> 00:57:16,262
AND DON'T KNOW HOW IT FUNCTIONS 

1362
00:57:16,262 --> 00:57:17,797
IN THE QUESTION BUT THE FIRST 

1363
00:57:17,797 --> 00:57:20,199
CONCEPT WHERE IT STRUCK ME WAS 

1364
00:57:20,199 --> 00:57:24,036
ON CONTROLLED FEEDING PRACTICES.

1365
00:57:24,036 --> 00:57:27,006
I COULDN'T FIGURE OUT IF THERE 

1366
00:57:27,006 --> 00:57:28,441
WAS POTENTIALLY A DILUTION IN 

1367
00:57:28,441 --> 00:57:31,010
THE EXPOSURE BECAUSE I'M NOT 

1368
00:57:31,010 --> 00:57:33,379
SURE HOW EXPOSURE ASCERTAINMENT 

1369
00:57:33,379 --> 00:57:39,018
HAPPENS IN A QUESTION LIKE THIS.

1370
00:57:39,018 --> 00:57:42,788
FOR EXAMPLE IF THE MEASUREMENT 

1371
00:57:42,788 --> 00:57:45,992
ERROR IS LARGE YOU CAN LACK THE 

1372
00:57:45,992 --> 00:57:48,995
RESULT AND I COULDN'T TELL 

1373
00:57:48,995 --> 00:57:50,229
BECAUSE I SUSPECT IN MY 

1374
00:57:50,229 --> 00:57:52,198
PEDESTRIAN UNDERSTANDING OF 

1375
00:57:52,198 --> 00:57:53,899
WHAT'S HAPPENING HERE THERE MAY 

1376
00:57:53,899 --> 00:57:55,468
BE DILUTION OF THE EXPOSURE 

1377
00:57:55,468 --> 00:57:57,670
BECAUSE PEOPLE GO IN AND OUT OF 

1378
00:57:57,670 --> 00:57:59,271
DIFFERENT STYLES.

1379
00:57:59,271 --> 00:58:00,940
SO PERHAPS CONTROLLED FEEDING 

1380
00:58:00,940 --> 00:58:02,441
PRACTICES AND SOME OTHER NUL 

1381
00:58:02,441 --> 00:58:05,044
FINDINGS THAT OCCURRED MAY BE A 

1382
00:58:05,044 --> 00:58:06,412
RESULT OF MEASUREMENT ERROR.

1383
00:58:06,412 --> 00:58:08,614
SO I WANTED TO THROW THAT OUT 

1384
00:58:08,614 --> 00:58:09,982
FOR CONSIDERATION.

1385
00:58:09,982 --> 00:58:12,051
I THINK THAT ONE HAS SIX 

1386
00:58:12,051 --> 00:58:14,987
ARTICLES AND THEN A SIMILAR 

1387
00:58:14,987 --> 00:58:18,724
THING STRUCK ME AS YOU WERE 

1388
00:58:18,724 --> 00:58:19,325
DISCUSSING CAREGIVER FEEDING 

1389
00:58:19,325 --> 00:58:20,192
STYLES WITH NINE ARTICLES.

1390
00:58:20,192 --> 00:58:23,329
I THINK IT'S A MATTER OF WAS IT 

1391
00:58:23,329 --> 00:58:26,399
ON A RANGE WHERE YOU COULD TELL 

1392
00:58:26,399 --> 00:58:28,000
IN QUARTILES OR QUINTILES WHAT 

1393
00:58:28,000 --> 00:58:31,003
WAS HAPPENING RELATIVE ON THE 

1394
00:58:31,003 --> 00:58:33,739
EXPOSURE ASSESSMENT OR WAS IT 

1395
00:58:33,739 --> 00:58:34,707
PRESENT/NOT PRESENT.

1396
00:58:34,707 --> 00:58:36,142
I WANTED TO GIVE MORE VISIBILITY

1397
00:58:36,142 --> 00:58:43,015
ON THAT.

1398
00:58:43,015 --> 00:58:48,921
>> I'M HAPPY TO ANSWER BUT
DOES 

1399
00:58:48,921 --> 00:58:53,592
ANYONE ELSE WANT TO?

1400
00:58:53,592 --> 00:58:54,994
WHEN WE TALK ABOUT MEASUREMENT 

1401
00:58:54,994 --> 00:58:57,363
OF BEHAVIOR IN FILLING OUT A 

1402
00:58:57,363 --> 00:58:59,665
QUESTIONNAIRE, WHAT ARE YOU 

1403
00:58:59,665 --> 00:58:59,932
CAPTURING?

1404
00:58:59,932 --> 00:59:01,700
YOU'RE CAPTURING YOUR SENSE OF 

1405
00:59:01,700 --> 00:59:03,235
GENERAL BEHAVIOR AND HOW WELL 

1406
00:59:03,235 --> 00:59:05,738
DOES THAT REFLECT HOW THAT 

1407
00:59:05,738 --> 00:59:06,038
TRANSLATES.

1408
00:59:06,038 --> 00:59:07,940
WE CLEARLY SEE CASES WHERE OUR 

1409
00:59:07,940 --> 00:59:09,341
LABORATORY EXPERIMENTS LOOKING 

1410
00:59:09,341 --> 00:59:12,211
AT THE EFFECTS OF ONE PRACTICE 

1411
00:59:12,211 --> 00:59:14,980
LIKE PROMPTING KIDS TO EAT A 

1412
00:59:14,980 --> 00:59:16,115
SOUP CAN LEAD TO DIFFERENT 

1413
00:59:16,115 --> 00:59:18,717
OUTCOMES AND WHEN WE USE THE 

1414
00:59:18,717 --> 00:59:20,786
SELF-REPORT MEASURES OR EVEN 

1415
00:59:20,786 --> 00:59:24,857
OBSERVATIONS THAT REFLECT A MORE

1416
00:59:24,857 --> 00:59:29,528
NATURALISTIC CONTEXT IT'S ALWAYS

1417
00:59:29,528 --> 00:59:31,063
BEEN A CHALLENGE OF WORK AROUND 

1418
00:59:31,063 --> 00:59:32,765
BEHAVIOR AND LONG STANDING 

1419
00:59:32,765 --> 00:59:35,868
TRADITION AND PSYCHOLOGY THAT 

1420
00:59:35,868 --> 00:59:43,976
POINTS TO PSYCHOMETRIC TESTING 

1421
00:59:43,976 --> 00:59:45,878
COMING BACK TO THE MEASURE.

1422
00:59:45,878 --> 00:59:48,514
DOUGH WE HAVE A GOOD DEGREE OF 

1423
00:59:48,514 --> 00:59:51,450
CERTAINTY OF THE CONSTRUCT.

1424
00:59:51,450 --> 00:59:52,852
DO PEOPLE ANSWER THE SAME WAY 

1425
00:59:52,852 --> 00:59:54,353
OVER TIME?

1426
00:59:54,353 --> 00:59:55,754
ALL THOSE THINGS ARE IMPORTANT 

1427
00:59:55,754 --> 00:59:57,656
ASPECTS OF TRYING TO BUILD A 

1428
00:59:57,656 --> 01:00:00,226
CASE AND GET A BETTER SENSE OF 

1429
01:00:00,226 --> 01:00:02,061
HOW PRECISE THE MEASUREMENTS 

1430
01:00:02,061 --> 01:00:02,561
ARE.

1431
01:00:02,561 --> 01:00:03,829
WE HAVE GREATER DEGREE OF 

1432
01:00:03,829 --> 01:00:09,135
CERTAINLY WHEN THE MORE WE KNOW 

1433
01:00:09,135 --> 01:00:11,003
ABOUT THE PSYCHO METRIC 

1434
01:00:11,003 --> 01:00:11,537
QUESTIONNAIRES.

1435
01:00:11,537 --> 01:00:14,673
THE PROBLEM IN THE FIELD IS MANY

1436
01:00:14,673 --> 01:00:21,247
ARE 20 YEARS OLD NOW OR MORE.

1437
01:00:21,247 --> 01:00:23,048
THERE IS A REAL NEED FOR 

1438
01:00:23,048 --> 01:00:27,019
CONTINUED ATTENTION TO 

1439
01:00:27,019 --> 01:00:27,653
MEASUREMENT.

1440
01:00:27,653 --> 01:00:29,021
BEHAVIORS IS MESSY.

1441
01:00:29,021 --> 01:00:30,990
WE'RE NOT LOOKING AT AN INTAKE 

1442
01:00:30,990 --> 01:00:32,725
OF A NUTRIENT BUT CAPTURING 

1443
01:00:32,725 --> 01:00:34,493
SOMETHING BY DEFINITION IS GOING

1444
01:00:34,493 --> 01:00:36,428
TO HAVE MORE VARIABILITY AND 

1445
01:00:36,428 --> 01:00:41,433
ERROR AROUND ITS CERTAINTY.

1446
01:00:41,433 --> 01:00:47,973
I THINK THOSE POINT ARE WREL 

1447
01:00:47,973 --> 01:00:49,441
TAKEN.

1448
01:00:49,441 --> 01:00:50,075
>> ONE MORE ON THE
ANALYTICS AND

1449
01:00:50,075 --> 01:00:51,810
THE CONSTRUCT VALIDITY AND 

1450
01:00:51,810 --> 01:00:53,879
POTENTIAL ERROR WITHIN THE 

1451
01:00:53,879 --> 01:00:58,484
MEASUREMENT AND IN EPIDEMIOLOGY 

1452
01:00:58,484 --> 01:01:09,028
WE WILL SOMETIMES YOU DIFFERENCE

1453
01:01:12,398 --> 01:01:14,466
METRICS AND PLAY GET LOST AND 

1454
01:01:14,466 --> 01:01:17,870
TIMES IT'S QUARTILE OR DECILE 

1455
01:01:17,870 --> 01:01:19,505
BECAUSE YOU WORRY YOU 

1456
01:01:19,505 --> 01:01:21,106
CONDITIONED FIND WHERE THE SHIFT

1457
01:01:21,106 --> 01:01:26,145
HAPPENS AND MAY BE FOR 

1458
01:01:26,145 --> 01:01:27,012
CONSIDERATION IN THE REPORT 

1459
01:01:27,012 --> 01:01:36,255
AROUND HOW THE WORK GETS DONE 

1460
01:01:36,255 --> 01:01:38,991
AND THE EXPOSURE AND ONCE ITS 

1461
01:01:38,991 --> 01:01:39,291
ASCERTAINED.

1462
01:01:39,291 --> 01:01:42,695
>> THOSE ARE INCREDIBLY 

1463
01:01:42,695 --> 01:01:43,796
IMPORTANT POINTS AND I WOULD ADD

1464
01:01:43,796 --> 01:01:47,433
THERE'S A REAL NEED FOR 

1465
01:01:47,433 --> 01:01:51,971
DIFFERENT RESEARCH DESIGNS.

1466
01:01:51,971 --> 01:01:54,006
OFTEN WE DISCOUNT RESEARCH UP 

1467
01:01:54,006 --> 01:01:58,811
MORE CONTROLLED SETTING AS A

1468
01:01:58,811 --> 01:02:02,081
ARTIFICIALLY CONSTRAINED BUT CAN

1469
01:02:02,081 --> 01:02:03,215
PROVIDE A MORE PRECISE VIEW OF 

1470
01:02:03,215 --> 01:02:06,552
MECHANISMS.

1471
01:02:06,552 --> 01:02:07,953
I WOULD ADD THAT'S IMPORTANT.

1472
01:02:07,953 --> 01:02:09,855
I WOULD SAY IN ALL THIS WORK 

1473
01:02:09,855 --> 01:02:10,990
HISTORICALLY BECAUSE OF WHERE 

1474
01:02:10,990 --> 01:02:13,926
THE FUNDING STARTED OUT, THE 

1475
01:02:13,926 --> 01:02:16,128
HARD OUTCOMES WERE THE PRIMARY 

1476
01:02:16,128 --> 01:02:22,301
INTERESTS.

1477
01:02:22,301 --> 01:02:24,703
I WOULD ARGUE THAT WE'RE ON 

1478
01:02:24,703 --> 01:02:29,475
TENUOUS GROUND TO DRAW FIRM 

1479
01:02:29,475 --> 01:02:31,577
CONCLUSIONS ABOUT HOW CAREGIVING

1480
01:02:31,577 --> 01:02:34,079
INFLUENCES A CHILD'S GROWTH 

1481
01:02:34,079 --> 01:02:35,881
WITHOUT KNOWING HOW FEEDING 

1482
01:02:35,881 --> 01:02:37,182
INFLUENCES EATING.

1483
01:02:37,182 --> 01:02:40,619
I THINK THE FOCUS ON MEASUREMENT

1484
01:02:40,619 --> 01:02:44,356
AND WAYS OF WAYS OF GETTING 

1485
01:02:44,356 --> 01:02:46,725
GREATER NUANCE IS WHERE I WOULD 

1486
01:02:46,725 --> 01:02:56,168
SAY ARE THE GREATEST NEEDS.

1487
01:02:56,168 --> 01:02:59,004
>> I WAS HOPING WE CAN GO
BACK 

1488
01:02:59,004 --> 01:03:03,008
TO YOUR CONCLUSION SLIDES FOR --

1489
01:03:03,008 --> 01:03:13,319
CAN WE PULL THOSE UP?

1490
01:03:13,319 --> 01:03:14,953
>> WHEN WE LOOK AT THESE
SLIDES 

1491
01:03:14,953 --> 01:03:17,890
AND IN THINKING ABOUT THE 

1492
01:03:17,890 --> 01:03:20,225
PEDIATRIC POPULATION AND GBCO 

1493
01:03:20,225 --> 01:03:23,896
AND THE IDEA WHEN WE LOOK AT 

1494
01:03:23,896 --> 01:03:26,732
THAT IN OBESITY TECHNICALLY WE 

1495
01:03:26,732 --> 01:03:28,600
CAN'T DRAW CONCLUSIONS BECAUSE 

1496
01:03:28,600 --> 01:03:30,636
WE DON'T DEFINE OBESITY RIGHT 

1497
01:03:30,636 --> 01:03:31,537
UNTIL THEY HIT THE GROWTH CHART 

1498
01:03:31,537 --> 01:03:37,443
AT THE AGE OF 2.

1499
01:03:37,443 --> 01:03:39,845
IT'S A LITTLE BIT TO MAKE THAT 

1500
01:03:39,845 --> 01:03:40,479
CONCLUSION STATEMENT SURROUNDING

1501
01:03:40,479 --> 01:03:45,184
EVEN OBESITY BECAUSE WE DON'T 

1502
01:03:45,184 --> 01:03:46,585
DEFINE OBESITY IN THE PEDIATRIC 

1503
01:03:46,585 --> 01:03:47,453
POPULATION IN THE THEY HIT THE 

1504
01:03:47,453 --> 01:03:49,722
GROWTH CHART AT THE AGE OF 2.

1505
01:03:49,722 --> 01:03:51,757
EVEN THE QUESTION ITSELF WHEN WE

1506
01:03:51,757 --> 01:03:57,663
POSE IT IN THIS PEDIATRIC 

1507
01:03:57,663 --> 01:03:59,365
POPULATION IS A LITTLE BIT NOT 

1508
01:03:59,365 --> 01:04:02,201
QUITE RELEVANT.

1509
01:04:02,201 --> 01:04:04,870
WE CAN'T DESIGN OBESITY AS A 

1510
01:04:04,870 --> 01:04:06,572
RISK FACTOR UNTIL THE AGE OF 2 

1511
01:04:06,572 --> 01:04:09,241
AND NOT SOMETHING WE CAN STATE.

1512
01:04:09,241 --> 01:04:10,142
WE SHOULD HAVE BEEN CAUTIOUS 

1513
01:04:10,142 --> 01:04:11,810
ABOUT MAKING THAT A QUESTION 

1514
01:04:11,810 --> 01:04:13,479
BECAUSE WE CAN'T DEFINE OBESITY 

1515
01:04:13,479 --> 01:04:14,847
BY DEFINITION UNTIL THE AGE OF 

1516
01:04:14,847 --> 01:04:15,247
2.

1517
01:04:15,247 --> 01:04:19,718
ONE OF THE THINGS I DO WANT TO 

1518
01:04:19,718 --> 01:04:21,086
THINK ABOUT IN THE PEDIATRIC 

1519
01:04:21,086 --> 01:04:23,889
POPULATION MAY GO BACK TO ONE OF

1520
01:04:23,889 --> 01:04:27,626
THE THINGS SHERYL DID IS IN 

1521
01:04:27,626 --> 01:04:31,296
TALKING ABOUT MACROSOMIA AND 

1522
01:04:31,296 --> 01:04:34,199
LOOKING AT 4500 AS A POTENTIAL 

1523
01:04:34,199 --> 01:04:37,870
CHANGE AND WHETHER OR NOT THAT 

1524
01:04:37,870 --> 01:04:38,604
WOULD BE SOMETHING FOR 

1525
01:04:38,604 --> 01:04:39,004
CONSIDERATION.

1526
01:04:39,004 --> 01:04:41,440
DO YOU THINK THAT WILL HAPPEN?

1527
01:04:41,440 --> 01:04:45,077
WHEN DO YOU THINK THAT WILL 

1528
01:04:45,077 --> 01:04:46,945
HAPPEN, IF YOU THINK IT WILL 

1529
01:04:46,945 --> 01:04:48,380
HAPPEN AND HOW AND WANT YOUR 

1530
01:04:48,380 --> 01:04:50,582
THOUGHTS SINCE YOU THAT UP IN 

1531
01:04:50,582 --> 01:04:51,617
YOUR DISCUSSION TODAY.

1532
01:04:51,617 --> 01:04:53,252
>> ON THE FIRST PART, WE
THINK 

1533
01:04:53,252 --> 01:04:57,256
OF THE CONSEQUENCES OF THESE 

1534
01:04:57,256 --> 01:05:01,727
LOWER OR HIGH BIRTH WEIGHTS WE 

1535
01:05:01,727 --> 01:05:05,898
HAVE CONCERNS OF SOME BABIES 

1536
01:05:05,898 --> 01:05:11,470
BEING HYPOGLYCEMIC AND WE 

1537
01:05:11,470 --> 01:05:13,205
HAVEN'T TALKED ABOUT FETAL 

1538
01:05:13,205 --> 01:05:14,840
PROGRAMMING BUT WE CAN SAY 

1539
01:05:14,840 --> 01:05:18,110
THERE'S SOME RISK TO THE SGA 

1540
01:05:18,110 --> 01:05:23,449
BABIES THAT HAD A HIGHER RISK OF

1541
01:05:23,449 --> 01:05:23,682
OBESITY.

1542
01:05:23,682 --> 01:05:24,716
NOBODY POINTS TO OBESITY PER SE 

1543
01:05:24,716 --> 01:05:26,952
AS THE OUTCOME AND STUDIES MAY 

1544
01:05:26,952 --> 01:05:29,021
HAVE LOOKED AT ONE OR THE OTHER 

1545
01:05:29,021 --> 01:05:31,390
OR MAY NOT HAVE FOCUSSED ON 

1546
01:05:31,390 --> 01:05:32,224
EITHER ONE.

1547
01:05:32,224 --> 01:05:34,493
ALL I CARE ABOUT IS THE BABY 

1548
01:05:34,493 --> 01:05:36,295
GOING TO BE SICK AND YOU HAVE A 

1549
01:05:36,295 --> 01:05:37,763
GLOBAL PERSPECTIVE.

1550
01:05:37,763 --> 01:05:42,634
WE CAN SAY A THIRD OF ALL BABIES

1551
01:05:42,634 --> 01:05:45,170
ARE LOW BIRTH WEIGHT AND SGA AND

1552
01:05:45,170 --> 01:05:47,706
HOW DOES THAT AFFECT THE PATTERN

1553
01:05:47,706 --> 01:05:49,274
OF OBESITY AND FETAL PROGRAM ALL

1554
01:05:49,274 --> 01:05:52,377
WHICH ARE SOMEWHAT OUTSIDE OF 

1555
01:05:52,377 --> 01:05:53,712
OUR SCOPE.

1556
01:05:53,712 --> 01:05:55,781
THAT ALL COMPLICATES THE BIG 

1557
01:05:55,781 --> 01:05:56,648
PICTURE LITERATURE.

1558
01:05:56,648 --> 01:05:59,451
MOST OF THIS IS FOCUSSED ON THE 

1559
01:05:59,451 --> 01:06:01,153
NEONATAL PERIOD AS YOU POINT OUT

1560
01:06:01,153 --> 01:06:06,992
NOT ABOUT FETAL PROGRAMMING OR 

1561
01:06:06,992 --> 01:06:10,162
LONG-TERM OBESITY RISK.

1562
01:06:10,162 --> 01:06:17,002
IN TERMS OF DEFINING MACROSOMIA 

1563
01:06:17,002 --> 01:06:20,072
DO WE NEED TO CHECK BLOOD 

1564
01:06:20,072 --> 01:06:22,608
GLUCOSE ON THIS AND IT'S MORE 

1565
01:06:22,608 --> 01:06:26,979
IMPORTANT TO LOOK AT LGA AND SGA

1566
01:06:26,979 --> 01:06:29,014
AND LOOKING AT TIMING OF 

1567
01:06:29,014 --> 01:06:30,949
DELIVERY AND ALL KIND OF THINGS 

1568
01:06:30,949 --> 01:06:34,086
THAT CAN AFFECT THE DEFINITIONS.

1569
01:06:34,086 --> 01:06:36,255
THE REAL QUESTION IS DO WE 

1570
01:06:36,255 --> 01:06:40,826
REALLY NEED TO REDEFINE THE 

1571
01:06:40,826 --> 01:06:45,964
CONCEPT OF SGL AND LGA TO BE 

1572
01:06:45,964 --> 01:06:49,968
LESS BROAD THAN THE 10 

1573
01:06:49,968 --> 01:06:50,369
PERCENTILE.

1574
01:06:50,369 --> 01:06:51,570
YOU DILUTE OUT A BUNCH OF THINGS

1575
01:06:51,570 --> 01:06:53,405
BECAUSE WE'RE CONCERNED ABOUT 

1576
01:06:53,405 --> 01:06:55,274
THE BABY'S SCORES OR SOMETHING 

1577
01:06:55,274 --> 01:06:56,408
OF THAT SCORE.

1578
01:06:56,408 --> 01:06:59,044
IT'S REALLY SMALL OR REALLY BIG.

1579
01:06:59,044 --> 01:07:00,579
ESPECIALLY LOOK AT THE LONG-TERM

1580
01:07:00,579 --> 01:07:03,315
OUTCOMES OF FETAL PROGRAMMING 

1581
01:07:03,315 --> 01:07:04,316
AND THOSE AFFECTS.

1582
01:07:04,316 --> 01:07:06,985
PEOPLE HAVE BEEN SIMPLIFIED 

1583
01:07:06,985 --> 01:07:09,755
BECAUSE CLINICALLY WE INITIALLY 

1584
01:07:09,755 --> 01:07:15,027
IDENTIFIED BABIES AS LGA OR SGA 

1585
01:07:15,027 --> 01:07:19,498
BUT PROBABLY NOT THE OUTCOMES TO

1586
01:07:19,498 --> 01:07:20,365
LOOK AT LONG TERM.

1587
01:07:20,365 --> 01:07:23,869
THE FIELD NEEDS TO LOOK AT 

1588
01:07:23,869 --> 01:07:25,304
SCORES THAT ARE SPECIFIC MOVING 

1589
01:07:25,304 --> 01:07:26,438
FORWARD AND IDENTIFYING NOT JUST

1590
01:07:26,438 --> 01:07:28,840
THE 10 PERCENTILE WHICH IS AN 

1591
01:07:28,840 --> 01:07:30,208
ARCHAIC WAY OF LOOKING AT 

1592
01:07:30,208 --> 01:07:30,442
THINGS.

1593
01:07:30,442 --> 01:07:32,210
>> THEN FOR THE COMMITTEE
AS A 

1594
01:07:32,210 --> 01:07:33,879
WHOLE AS WE LOOK AT TWO PLUS 

1595
01:07:33,879 --> 01:07:36,682
WHICH IS THE GROUP WHERE WE DO 

1596
01:07:36,682 --> 01:07:39,484
GET INTO THE GBCO OUTCOMES HAVE 

1597
01:07:39,484 --> 01:07:41,253
YOU BEEN ABLE TO EXTRAPOLATE TO 

1598
01:07:41,253 --> 01:07:47,492
THE 2+ AGE RANGES AND PREGNANCY 

1599
01:07:47,492 --> 01:07:50,796
AND WHETHER THEY'RE LEADING TO 

1600
01:07:50,796 --> 01:07:51,363
OUTCOMES IN 2+?

1601
01:07:51,363 --> 01:07:54,199
>> I DON'T THINK WE DID
THAT -- 

1602
01:07:54,199 --> 01:07:56,435
>> AND IS THAT A FUTURE 

1603
01:07:56,435 --> 01:07:56,935
DIRECTION?

1604
01:07:56,935 --> 01:07:57,469
>> IT'S IMPORTANT.

1605
01:07:57,469 --> 01:08:00,272
THE FETAL PROGRAMMING IS 

1606
01:08:00,272 --> 01:08:03,775
CRITICALLY IMPORTANT.

1607
01:08:03,775 --> 01:08:05,877
I DON'T BELIEVE IT WAS IN OUR 

1608
01:08:05,877 --> 01:08:08,280
LIST OF TOPICS AT ALL BUT IT'S 

1609
01:08:08,280 --> 01:08:09,748
ONE THAT'S IMPORTANT.

1610
01:08:09,748 --> 01:08:11,416
ALSO A LOT OF LITERATURE IS 

1611
01:08:11,416 --> 01:08:14,987
EXPANDING NOW AND I THINK TO BE 

1612
01:08:14,987 --> 01:08:17,222
ACCURATE AND MEANINGFUL ONE IS 

1613
01:08:17,222 --> 01:08:23,862
WHEN YOU THINK OF THE SGA 

1614
01:08:23,862 --> 01:08:25,564
DEFINITION.

1615
01:08:25,564 --> 01:08:28,200
IF YOU'RE SMALL THERE'S BEEN 

1616
01:08:28,200 --> 01:08:30,669
CONTROVERSY OUTSIDE THIS 

1617
01:08:30,669 --> 01:08:33,705
DISCUSSION BUT I DON'T THINK 

1618
01:08:33,705 --> 01:08:35,674
THAT WAS PART OF REVIEWS I DID.

1619
01:08:35,674 --> 01:08:37,175
>> AND I THINK WHEN WE
REVIEW 

1620
01:08:37,175 --> 01:08:40,812
THE LITERATURE ONE OF THE THINGS

1621
01:08:40,812 --> 01:08:44,116
THAT WE IDENTIFIED IS THAT THE 

1622
01:08:44,116 --> 01:08:45,117
MEASUREMENT OF THE DIETARY 

1623
01:08:45,117 --> 01:08:47,285
PATTERNS DURING PREGNANCY IS A 

1624
01:08:47,285 --> 01:08:47,886
HUGE CHALLENGE.

1625
01:08:47,886 --> 01:08:50,622
WHEN WAS IT DONE, HOW EARLY WAS 

1626
01:08:50,622 --> 01:08:53,492
IT DONE AND HOW OFTEN TO 

1627
01:08:53,492 --> 01:08:54,993
CHARACTERIZE THE DIETARY PATTERN

1628
01:08:54,993 --> 01:08:59,064
DURING THAT CRITICAL PERIOD.

1629
01:08:59,064 --> 01:09:00,265
SO I THINK THERE ARE A LOT OF 

1630
01:09:00,265 --> 01:09:02,401
CHALLENGES TO IDENTIFYING THAT 

1631
01:09:02,401 --> 01:09:05,137
AND THAT WILL BE PART OF OUR 

1632
01:09:05,137 --> 01:09:05,971
RECOMMENDATION AS WELL BECAUSE 

1633
01:09:05,971 --> 01:09:08,073
IF WE CAN'T DEFINE THAT EXPOSURE

1634
01:09:08,073 --> 01:09:10,242
SPECIFICALLY WE CAN'T REALLY 

1635
01:09:10,242 --> 01:09:15,213
APPLY TO LATER IN LIFE OUTCOME.

1636
01:09:15,213 --> 01:09:16,581
>> GREAT, DIANNA.

1637
01:09:16,581 --> 01:09:18,984
>> FIRST OF ALL I WANTED
TO 

1638
01:09:18,984 --> 01:09:19,751
COMMEND YOU.

1639
01:09:19,751 --> 01:09:22,154
I THOUGHT IT WAS A GREAT 

1640
01:09:22,154 --> 01:09:22,487
PRESENTATION.

1641
01:09:22,487 --> 01:09:24,356
SO I'M GOING TO KIND OF PICK UP 

1642
01:09:24,356 --> 01:09:26,491
WHERE SHERYL AND FATIMA LEFT 

1643
01:09:26,491 --> 01:09:26,992
OFF.

1644
01:09:26,992 --> 01:09:29,895
I'M TALKING ABOUT OUTCOMES ON 

1645
01:09:29,895 --> 01:09:33,932
GROWTH BODY COMP AND OBESITY.

1646
01:09:33,932 --> 01:09:36,001
SO WITH THOSE WERE MOST THE 

1647
01:09:36,001 --> 01:09:38,070
STUDIES BMI ORIENTED OR -- DO 

1648
01:09:38,070 --> 01:09:41,073
YOU RECALL?

1649
01:09:41,073 --> 01:09:45,711
>> YES, MOST STUDIES WERE
EITHER

1650
01:09:45,711 --> 01:09:50,082
LOOKING AT BMI AT A FOLLOW UP 

1651
01:09:50,082 --> 01:09:52,150
POINT CONTROLLING FOR BASELINE 

1652
01:09:52,150 --> 01:09:53,952
LEVELS OR CHANGE IN BMIC.

1653
01:09:53,952 --> 01:09:57,155
>> AT THAT ABLE THERE'S
NOT MANY

1654
01:09:57,155 --> 01:09:58,790
POUNDS CHANGING FROM ONE BMI TO 

1655
01:09:58,790 --> 01:10:01,827
THE OTHER AND BMIZ DEPENDING ON 

1656
01:10:01,827 --> 01:10:02,994
WHAT POPULATION YOU'RE IN MIGHT 

1657
01:10:02,994 --> 01:10:08,066
NOT REFLECT MUCH HOME AT THAT 

1658
01:10:08,066 --> 01:10:08,233
AGE.

1659
01:10:08,233 --> 01:10:10,669
-- REFLECT MUCH MOVEMENT AT THAT

1660
01:10:10,669 --> 01:10:12,471
AGE AND ONE WAS GENERALIZABILITY

1661
01:10:12,471 --> 01:10:16,308
IN TERMS OF DIVERSITY IN THE 

1662
01:10:16,308 --> 01:10:16,608
POPULATIONS.

1663
01:10:16,608 --> 01:10:18,810
AND SO IT MIGHT BE IF YOU WERE 

1664
01:10:18,810 --> 01:10:20,445
IN A MORE DIVERSE POPULATION OR 

1665
01:10:20,445 --> 01:10:25,083
POPULATION IN THE SOUTH WHERE 

1666
01:10:25,083 --> 01:10:26,418
YOU SEE MORE VARIABILITY IN 

1667
01:10:26,418 --> 01:10:29,354
GROWTH BODY COMP YOU MAY SEE 

1668
01:10:29,354 --> 01:10:29,755
BETTER OUTCOMES.

1669
01:10:29,755 --> 01:10:31,656
AS YOU SAID IT'S GOING TO BE 

1670
01:10:31,656 --> 01:10:34,126
HARD TO SEE BMI OUTCOMES IN KIDS

1671
01:10:34,126 --> 01:10:42,701
THAT AGE.

1672
01:10:42,701 --> 01:10:46,037
>> I THINK POINT WELL
TAKEN.

1673
01:10:46,037 --> 01:10:47,873
I AGREE.

1674
01:10:47,873 --> 01:10:49,908
THE ISSUES AROUND 

1675
01:10:49,908 --> 01:10:53,478
GENERALIZABILITY ARE 

1676
01:10:53,478 --> 01:10:55,447
MULTI-FACETED IN TERMS OF TRYING

1677
01:10:55,447 --> 01:10:59,885
TO REPRESENT THE DIVERSITY OF 

1678
01:10:59,885 --> 01:11:02,821
CAREGIVERS, CAREGIVING CONTEXT 

1679
01:11:02,821 --> 01:11:03,922
AND CERTAINLY DIFFERENT 

1680
01:11:03,922 --> 01:11:04,256
ENVIRONMENTS.

1681
01:11:04,256 --> 01:11:06,358
YOU CAN IMAGINE IN CASES WHERE 

1682
01:11:06,358 --> 01:11:07,092
THERE IS GREATER VARIABILITY 

1683
01:11:07,092 --> 01:11:09,394
BEING MORE LIKELY TO HAVE A 

1684
01:11:09,394 --> 01:11:10,996
BETTER OPPORTUNITY TO DETECT 

1685
01:11:10,996 --> 01:11:12,364
RELATIONSHIPS OF THOSE 

1686
01:11:12,364 --> 01:11:14,699
RELATIONSHIPS IF THEY'RE IN FACT

1687
01:11:14,699 --> 01:11:15,867
PRESENT.

1688
01:11:15,867 --> 01:11:17,002
>> AND OKAY.

1689
01:11:17,002 --> 01:11:17,402
SURE.

1690
01:11:17,402 --> 01:11:19,004
>> SO WHEN WE WERE LOOKING
AT 

1691
01:11:19,004 --> 01:11:23,875
THE DATA WE LOOK AT BMIC SCORE 

1692
01:11:23,875 --> 01:11:28,113
POINT 1, POINT 2 CHANGES.

1693
01:11:28,113 --> 01:11:28,513
SO SMALL.

1694
01:11:28,513 --> 01:11:30,549
YOU'RE RIGHT.

1695
01:11:30,549 --> 01:11:34,085
SOME WERE SIGNIFICANT BECAUSE 

1696
01:11:34,085 --> 01:11:36,254
BMIC SCORE IS SMALL CHANGES ARE 

1697
01:11:36,254 --> 01:11:37,823
GETTING YOU OFF TRACK.

1698
01:11:37,823 --> 01:11:39,424
SO WE WERE CAREFUL ABOUT LOOKING

1699
01:11:39,424 --> 01:11:41,126
AT THE SMALL CHANGES BUT YOU'RE 

1700
01:11:41,126 --> 01:11:42,427
RIGHT, THEY ARE WERE VERY SMALL 

1701
01:11:42,427 --> 01:11:47,599
CHANGES FOR THE AGE GROUP.

1702
01:11:47,599 --> 01:11:50,502
>> AND EXPANDED THE GROWTH

1703
01:11:50,502 --> 01:11:51,102
CHARTS MAY BE HELPFUL IN THE 

1704
01:11:51,102 --> 01:11:57,375
FUTURE.

1705
01:11:57,375 --> 01:11:59,110
ONE OTHER QUESTION FOR YOU WITH 

1706
01:11:59,110 --> 01:12:01,079
THE GROWTH BODY COMP, DO YOU 

1707
01:12:01,079 --> 01:12:04,182
THINK IT WOULD BE HELPFUL IN THE

1708
01:12:04,182 --> 01:12:05,784
FUTURE TO MAYBE LOOK AT EARLY 

1709
01:12:05,784 --> 01:12:06,785
CHILDHOOD AND TRACK TO 

1710
01:12:06,785 --> 01:12:08,186
ELEMENTARY SCHOOL BECAUSE THAT 

1711
01:12:08,186 --> 01:12:12,924
MIGHT BE WHERE YOU SEE THE 

1712
01:12:12,924 --> 01:12:14,025
OUTCOMES MIGHT BE A LITTLE 

1713
01:12:14,025 --> 01:12:14,259
BETTER.

1714
01:12:14,259 --> 01:12:16,328
IF YOU WAIT LONGER THEY GET 

1715
01:12:16,328 --> 01:12:16,595
BIGGER.

1716
01:12:16,595 --> 01:12:18,496
YOU GOT MORE WIGGLE ROOM IN 

1717
01:12:18,496 --> 01:12:20,365
TERMS OF BMI OUTCOMES.

1718
01:12:20,365 --> 01:12:22,467
>> QUITE POSSIBLY.

1719
01:12:22,467 --> 01:12:25,704
I FEEL LIKE OUR EPIDEMIOLOGISTS 

1720
01:12:25,704 --> 01:12:29,941
WOULD BE CURIOUS IN HEARING YOUR

1721
01:12:29,941 --> 01:12:31,476
PERSPECTIVES ON THIS BECAUSE IF 

1722
01:12:31,476 --> 01:12:33,845
WE LOOK AT FEEDING PRACTICES AT 

1723
01:12:33,845 --> 01:12:37,415
ONE POINT IN TIME THINK ABOUT 

1724
01:12:37,415 --> 01:12:39,684
FEEDING A PRESCHOOLER VERSUS A 

1725
01:12:39,684 --> 01:12:41,887
SCHOOL-AGED CHILD AND THE 

1726
01:12:41,887 --> 01:12:42,988
ENVIRONMENT IN WHICH THEY'RE IN 

1727
01:12:42,988 --> 01:12:43,755
THEY'RE DIFFERENT.

1728
01:12:43,755 --> 01:12:47,525
THE DEVELOPMENT LOOKS DIFFERENT.

1729
01:12:47,525 --> 01:12:49,094
TO ASK QUESTIONS ABOUT A 

1730
01:12:49,094 --> 01:12:51,263
PRACTICE AT ONE POINT IN TIME 

1731
01:12:51,263 --> 01:12:52,931
AND LOOK OFF IN THREE YEARS DOWN

1732
01:12:52,931 --> 01:12:54,299
THE FUTURE, I DON'T KNOW IF 

1733
01:12:54,299 --> 01:12:55,333
THOSE ARE THE RIGHT QUESTIONS TO

1734
01:12:55,333 --> 01:12:59,271
BE HONEST.

1735
01:12:59,271 --> 01:13:03,208
I THINK WHERE THE FIELD NEEDS TO

1736
01:13:03,208 --> 01:13:05,577
START IS UNDERSTANDING AT THE 

1737
01:13:05,577 --> 01:13:09,214
TIME THEY'RE USED HOW PRACTICES 

1738
01:13:09,214 --> 01:13:10,382
AND APPROACHES ARE SHAPING 

1739
01:13:10,382 --> 01:13:12,517
BEHAVIOR AND THEN START TO ASK 

1740
01:13:12,517 --> 01:13:14,452
QUESTIONS ABOUT ASK THIS MATTER 

1741
01:13:14,452 --> 01:13:14,753
OVER TIME.

1742
01:13:14,753 --> 01:13:17,889
I JUST DON'T FEEL LIKE WE HAVE 

1743
01:13:17,889 --> 01:13:19,724
THE ANSWERS IN THE SHORT TERM.

1744
01:13:19,724 --> 01:13:23,528
SO IN LOOKING LONGER ACROSS TIME

1745
01:13:23,528 --> 01:13:24,829
I THINK IT WILL JUST RAISE 

1746
01:13:24,829 --> 01:13:26,298
QUESTIONS UNTIL WE HAVE A BETTER

1747
01:13:26,298 --> 01:13:29,000
SENSE OF WHAT WE'RE LOOKING AT 

1748
01:13:29,000 --> 01:13:29,601
IN THE SHORT TERM.

1749
01:13:29,601 --> 01:13:33,171
AND I DON'T KNOW IF THAT'S A 

1750
01:13:33,171 --> 01:13:34,306
SHORT-SIGHTED ANSWER AND HOW 

1751
01:13:34,306 --> 01:13:37,876
THAT MAKES CON  TEXT BECAUSE 

1752
01:13:37,876 --> 01:13:40,345
IT'S A QUESTION IN THE MEETING.

1753
01:13:40,345 --> 01:13:43,982
I WOULD INVITE OTHER OPINIONS.

1754
01:13:43,982 --> 01:13:45,417
>> I JUST WANTED TO CHIME
IN ON 

1755
01:13:45,417 --> 01:13:46,851
THAT ONE, JEN.

1756
01:13:46,851 --> 01:13:48,553
I REMEMBER WITH SOME EVIDENCE WE

1757
01:13:48,553 --> 01:13:49,621
HAD WAS A MIXED BACK.

1758
01:13:49,621 --> 01:13:53,892
THERE WERE STUDIES THAT CARRIED 

1759
01:13:53,892 --> 01:13:55,660
OUT INTO THE SCHOOL AGE GROUPS.

1760
01:13:55,660 --> 01:13:59,965
BUT THEN THEY WOULD BE TAKING 

1761
01:13:59,965 --> 01:14:02,167
THE MEASURE AT DIFFERENT TIMES 

1762
01:14:02,167 --> 01:14:04,402
LIKE MAYBE ONES IN THIRD GRADE 

1763
01:14:04,402 --> 01:14:07,772
AND ONES AT FIFTH GRADE.

1764
01:14:07,772 --> 01:14:11,009
AND SOMETIMES THE RESULTS WOULD 

1765
01:14:11,009 --> 01:14:13,445
CHANGE DEPENDING ON THAT EVEN IN

1766
01:14:13,445 --> 01:14:17,582
THE SAME STUDY.

1767
01:14:17,582 --> 01:14:20,118
SO LIKE IT JUST BECAME -- IT WAS

1768
01:14:20,118 --> 01:14:26,157
DIFFICULT TO MAKE SENSE OF 

1769
01:14:26,157 --> 01:14:26,358
THOSE.

1770
01:14:26,358 --> 01:14:26,725
>> YEAH, THANKS.

1771
01:14:26,725 --> 01:14:28,827
>> THIS IS A GREAT
DISCUSSION.

1772
01:14:28,827 --> 01:14:33,565
DOES ANYBODY ELSE HAVE ANY 

1773
01:14:33,565 --> 01:14:33,832
QUESTIONS?

1774
01:14:33,832 --> 01:14:36,735
>> JUST A COMMENT THOUGH
WE 

1775
01:14:36,735 --> 01:14:41,573
FOCUSSED ON 2 TO 6, PATERNAL 

1776
01:14:41,573 --> 01:14:42,607
STYLES DEVELOP BEFORE THAT BABY 

1777
01:14:42,607 --> 01:14:44,409
HITS AGE 2 AND THINKING OF 

1778
01:14:44,409 --> 01:14:46,611
THINGS TO GO FORWARD YOU CAN 

1779
01:14:46,611 --> 01:14:48,713
BEGIN WITH PATTERNS OF BREAST 

1780
01:14:48,713 --> 01:14:49,814
FEEDING AND SOLID FOODS AND 

1781
01:14:49,814 --> 01:14:54,753
ETCETERA AND AE  ETCETERA AND 

1782
01:14:54,753 --> 01:14:56,087
THAT'S WHAT'S EASIEST FOR THE 

1783
01:14:56,087 --> 01:14:57,756
STUDIES TO LOOK AT IF WE'RE 

1784
01:14:57,756 --> 01:14:58,490
LOOKING AT THE FEEDING BEHAVIORS

1785
01:14:58,490 --> 01:15:02,694
IT BEGINS AT BIRTH.

1786
01:15:02,694 --> 01:15:06,264
>> GREAT POINT AND GREAT
WAY TO 

1787
01:15:06,264 --> 01:15:06,998
END THE CONVERSATION.

1788
01:15:06,998 --> 01:15:09,034
I WANT TO THANK THE GROUP AGAIN.

1789
01:15:09,034 --> 01:15:12,137
I THINK MANY OF US HAVE LEARNED 

1790
01:15:12,137 --> 01:15:18,676
A GREAT DEAL TODAY SO THANK YOU.

1791
01:15:18,676 --> 01:15:22,180
AND WE HAVE A BREAK FOR 15 

1792
01:15:22,180 --> 01:15:24,883
MINUTES SO WE RECONVENE FOR 

1793
01:15:24,883 --> 01:15:27,452
THOSE WHO ARE WATCHING THIS WE 

1794
01:15:27,452 --> 01:15:29,888
RECONVENE AT 10:00.

1795
01:15:29,888 --> 01:15:31,334
THANK YOU VERY MUCH.

1796
01:15:31,334 --> 01:15:34,737
WE ARE NOW MOVING 

1797
01:15:34,737 --> 01:15:37,073
TO FOOD PATTERN MODELLING AND 

1798
01:15:37,073 --> 01:15:37,740
DATA ANALYSIS AND I'LL HAND IT 

1799
01:15:37,740 --> 01:15:39,475
OVER TO CHRIS.

1800
01:15:39,475 --> 01:15:42,144
>> THANK YOU, ALL.

1801
01:15:42,144 --> 01:15:44,347
WELCOME BACK FOR TODAY'S 

1802
01:15:44,347 --> 01:15:46,048
INSTALLMENT OF FOOD PATTERN 

1803
01:15:46,048 --> 01:15:47,983
MODELLING FOLLOWING UP ON THE 

1804
01:15:47,983 --> 01:15:49,251
FINALIZED RESULTS WE PRESENTED 

1805
01:15:49,251 --> 01:15:54,223
YESTERDAY.

1806
01:15:54,223 --> 01:15:56,325
AND TALK ON THE INTEGRATION SIDE

1807
01:15:56,325 --> 01:15:58,094
AND DIET SIMULATIONS WE'VE ALL 

1808
01:15:58,094 --> 01:16:00,029
BEEN LOOKING FORWARD TO SINCE 

1809
01:16:00,029 --> 01:16:02,064
THEY TOLD US ABOUT IT AT MEETING

1810
01:16:02,064 --> 01:16:02,198
1.

1811
01:16:02,198 --> 01:16:04,333
WE'LL BE WORKING OUR WAY THROUGH

1812
01:16:04,333 --> 01:16:06,645
THE RESULTS TODAY.

1813
01:16:06,645 --> 01:16:08,347
AGAIN I'D LIKE TO ACKNOWLEDGE 

1814
01:16:08,347 --> 01:16:10,449
OUR COMMITTEE THAT HAS KIND OF 

1815
01:16:10,449 --> 01:16:13,118
WORKED OVERTIME SINCE THE LAST 

1816
01:16:13,118 --> 01:16:15,621
MEETING WITH ALL OF THE DATA 

1817
01:16:15,621 --> 01:16:20,192
THAT'S COME THROUGH AS FAR AS 

1818
01:16:20,192 --> 01:16:24,396
THE SIMULATIONS, THE COMBINING 

1819
01:16:24,396 --> 01:16:26,966
AND THE GROUP THAT HAS WORKED 

1820
01:16:26,966 --> 01:16:31,770
SUPER OVERTIME IS THERE'S SOME 

1821
01:16:31,770 --> 01:16:32,304
CATEGORY.

1822
01:16:32,304 --> 01:16:34,540
AND THAT WILL BECOME EXCEEDINGLY

1823
01:16:34,540 --> 01:16:37,443
EVIDENT AS WE START WORKING OUR 

1824
01:16:37,443 --> 01:16:40,045
WAY ESPECIALLY THROUGH THE DATA 

1825
01:16:40,045 --> 01:16:42,614
IN THE SIMULATIONS THEMSELVES.

1826
01:16:42,614 --> 01:16:44,249
A LOT OF DECISION MAKING 

1827
01:16:44,249 --> 01:16:45,684
HAPPENING, A LOT OF INTEGRATION 

1828
01:16:45,684 --> 01:16:47,286
HAPPENING AND NEW DATA AND 

1829
01:16:47,286 --> 01:16:49,455
TRYING TO FACILITATE THIS ALL AT

1830
01:16:49,455 --> 01:16:54,526
ONCE.

1831
01:16:54,526 --> 01:16:56,195
THIS SHOULD THEN LOOK FAMILIAR.

1832
01:16:56,195 --> 01:16:58,630
I FEEL LIKE WE'VE SAID IT BEFORE

1833
01:16:58,630 --> 01:17:00,733
AND WILL STAY IT AGAIN.

1834
01:17:00,733 --> 01:17:02,868
THIS IS OUR OVER ARCHING 

1835
01:17:02,868 --> 01:17:04,370
SCIENTIFIC QUESTION FOR FOOD 

1836
01:17:04,370 --> 01:17:05,437
PATTERN MODELLING CONSIDERING 

1837
01:17:05,437 --> 01:17:06,972
EACH LIFE STAGE SHOULD CHANGES 

1838
01:17:06,972 --> 01:17:09,441
BE MADE TO THE U.S. DIETARY 

1839
01:17:09,441 --> 01:17:13,645
PATTERNS, THE HEALTHY U.S. STYLE

1840
01:17:13,645 --> 01:17:15,347
AND HEALTHY MEDITERRANEAN STYLE 

1841
01:17:15,347 --> 01:17:18,017
AND VEGETARIAN AND SHOULD 

1842
01:17:18,017 --> 01:17:19,118
DIETARY PATTERNS BE DEVELOPED 

1843
01:17:19,118 --> 01:17:22,388
BASED ON THE SCIENTIFIC EVERYDAY

1844
01:17:22,388 --> 01:17:28,394
FROM THE SYSTEMIC REVIEWS AND 

1845
01:17:28,394 --> 01:17:28,894
PATTERN MODELLING WORK.

1846
01:17:28,894 --> 01:17:31,430
SO AGAIN KIND OF A LOOK AT OUR 

1847
01:17:31,430 --> 01:17:33,132
TRAJECTORY OF THE WORK COMPLETED

1848
01:17:33,132 --> 01:17:34,833
THROUGHOUT THIS PROCESS ON DAY 

1849
01:17:34,833 --> 01:17:38,504
ONE YESTERDAY WE TALKED ABOUT 

1850
01:17:38,504 --> 01:17:41,440
REMOVING ANIMAL BASED FOODS AND 

1851
01:17:41,440 --> 01:17:45,444
REDUCING CARBOHYDRATE FOODS AND 

1852
01:17:45,444 --> 01:17:48,847
NUTRIENT DENSITY.

1853
01:17:48,847 --> 01:17:50,616
TODAY WE'RE GOING TO FOCUS ON 

1854
01:17:50,616 --> 01:17:53,352
HOW WE EVALUATE AND REFINE THE 

1855
01:17:53,352 --> 01:17:55,254
DIETARY PATTERNS, HOW THIS PLAYS

1856
01:17:55,254 --> 01:17:56,789
OUT FROM OUR POPULATION GROUPS 

1857
01:17:56,789 --> 01:17:57,890
AND LOOKING AT THAT ASSESSMENT 

1858
01:17:57,890 --> 01:18:00,392
AND THEN HOW THIS ULTIMATELY 

1859
01:18:00,392 --> 01:18:04,096
GETS TRANSLATED INTO TESTING THE

1860
01:18:04,096 --> 01:18:05,097
DIET SIMULATIONS OF OUR PROPOSED

1861
01:18:05,097 --> 01:18:10,402
REVISED PATTERN.

1862
01:18:10,402 --> 01:18:12,738
TODAY WE'RE GOING TO WORK OUR 

1863
01:18:12,738 --> 01:18:14,940
WAY THROUGH MODIFICATIONS.

1864
01:18:14,940 --> 01:18:16,308
SARA'S GOING TO GUIDE US THROUGH

1865
01:18:16,308 --> 01:18:19,244
OUR MODIFICATIONS OF DIETARY 

1866
01:18:19,244 --> 01:18:19,511
PATTERNS.

1867
01:18:19,511 --> 01:18:21,447
WE'RE LOOK TO LOOK AT REFINEMENT

1868
01:18:21,447 --> 01:18:23,315
OF THE DIETARY PATTERNS AND TALK

1869
01:18:23,315 --> 01:18:26,518
THROUGH DIET SIMULATIONS AND 

1870
01:18:26,518 --> 01:18:28,320
PASS IT TO THERESE FOR 

1871
01:18:28,320 --> 01:18:30,756
FLEXIBILITIES ON THE DIETARY 

1872
01:18:30,756 --> 01:18:31,156
PATTERNS.

1873
01:18:31,156 --> 01:18:33,926
TAKE IT AWAY, SARAH.

1874
01:18:33,926 --> 01:18:37,463
>> SO, I HAVE TO SAY DOING
THIS 

1875
01:18:37,463 --> 01:18:40,432
ON THE HEELS OF OUR MORNING 

1876
01:18:40,432 --> 01:18:44,636
SESSION WITH SUCH ELEGANT 

1877
01:18:44,636 --> 01:18:47,139
INSTRUCTION I JUST ASK FOR YOUR 

1878
01:18:47,139 --> 01:18:51,443
FORGIVENESS AS A STUMBLE THROUGH

1879
01:18:51,443 --> 01:18:51,643
THIS.

1880
01:18:51,643 --> 01:18:55,214
SO, SINCE MEETING 5 AS CHRIS 

1881
01:18:55,214 --> 01:18:58,417
MENTIONED, THE SUBCOMMITTEE HAS 

1882
01:18:58,417 --> 01:19:00,352
BEEN IN OVERDRIVE IN INTEGRATING

1883
01:19:00,352 --> 01:19:04,423
AND SYNTHESIZING THE EVIDENCE.

1884
01:19:04,423 --> 01:19:06,425
AND SINCE MEETING 5 AS YOU CAN 

1885
01:19:06,425 --> 01:19:09,261
SEE FROM THE SLIDES WE HAVE 

1886
01:19:09,261 --> 01:19:13,432
CONSIDERED THE SYSTEMATIC REVIEW

1887
01:19:13,432 --> 01:19:14,266
EVIDENCE.

1888
01:19:14,266 --> 01:19:15,501
WE'VE CONSIDERED THE DATA 

1889
01:19:15,501 --> 01:19:16,969
ANALYSIS EVIDENCE AND WHAT WE 

1890
01:19:16,969 --> 01:19:21,373
DID WAS WE EXAMINED ALL THE 

1891
01:19:21,373 --> 01:19:22,174
POTENTIAL MODIFICATIONS TO THE 

1892
01:19:22,174 --> 01:19:25,043
PATTERN TOGETHER.

1893
01:19:25,043 --> 01:19:28,413
WE EXAMINED THE RESULTS OF THE 

1894
01:19:28,413 --> 01:19:29,681
SIMULATIONS REFLECTING WHAT WE 

1895
01:19:29,681 --> 01:19:33,452
ARE REFERRING TO HERE AS THE 

1896
01:19:33,452 --> 01:19:38,457
DRAFT MODIFIED 2020 PATTERN AND 

1897
01:19:38,457 --> 01:19:40,058
THE TITLE OR THE TERM WILL 

1898
01:19:40,058 --> 01:19:41,627
BECOME EVIDENT AS WE MOVE 

1899
01:19:41,627 --> 01:19:43,996
THROUGH THE PRESENTATION.

1900
01:19:43,996 --> 01:19:46,365
AND WE ALSO EXAMINED ALL THE 

1901
01:19:46,365 --> 01:19:55,140
POTENTIAL FLEXIBILITIES TO THE 

1902
01:19:55,140 --> 01:19:55,407
PATTERNS.

1903
01:19:55,407 --> 01:20:01,013
AND THE NEXT STEP FOR THE 

1904
01:20:01,013 --> 01:20:09,121
SYNTHESIS ON DRAFT PATTERNS AND 

1905
01:20:09,121 --> 01:20:09,454
FLEXIBILITIES.

1906
01:20:09,454 --> 01:20:16,395
WE WILL FINALIZE FLEXIBILITIES 

1907
01:20:16,395 --> 01:20:19,264
TO THOSE STANDARDS.

1908
01:20:19,264 --> 01:20:22,100
I JUST WANT TO EMPHASIZE WE HAVE

1909
01:20:22,100 --> 01:20:25,404
DISCUSSED THIS BEFORE AND AT THE

1910
01:20:25,404 --> 01:20:28,340
RISK OF STATING WHAT MANY OF YOU

1911
01:20:28,340 --> 01:20:30,609
KNOW BUT I AM DOING THIS MORE 

1912
01:20:30,609 --> 01:20:35,113
FOR MY OWN PURPOSE, THIS IS 

1913
01:20:35,113 --> 01:20:40,719
NOT -- THESE ARE MODELLING.

1914
01:20:40,719 --> 01:20:42,854
I THINK IT'S REALLY IMPORTANT 

1915
01:20:42,854 --> 01:20:44,122
THINKING ABOUT THE HEALTHY 

1916
01:20:44,122 --> 01:20:47,926
U.S. STYLE DIETARY PATTERN.

1917
01:20:47,926 --> 01:20:50,295
IT IS ALREADY DESIGNED -- THE 

1918
01:20:50,295 --> 01:20:55,100
PATTERN DEVELOPED BY THE LAST 

1919
01:20:55,100 --> 01:21:01,240
COMMITTEE ITERATIVELY BUILT ON 

1920
01:21:01,240 --> 01:21:02,241
PRIOR DIETARY COMMITTEE 

1921
01:21:02,241 --> 01:21:03,242
RECOMMENDATIONS IT'S HEALTHY.

1922
01:21:03,242 --> 01:21:06,945
AND WHAT WE'RE DOING IS SEEING 

1923
01:21:06,945 --> 01:21:12,751
WHAT IF BASED ON ALL THIS 

1924
01:21:12,751 --> 01:21:13,685
SYNTHESIS OF THE KNOWLEDGE THE 

1925
01:21:13,685 --> 01:21:16,321
DATA ANALYSIS AND THE FOOD 

1926
01:21:16,321 --> 01:21:18,824
PATTERN MODELLING, ARE THERE 

1927
01:21:18,824 --> 01:21:20,926
POTENTIAL MODIFICATIONS THAT 

1928
01:21:20,926 --> 01:21:23,562
WOULD ACTUALLY REFLECT THE DETE 

1929
01:21:23,562 --> 01:21:27,366
DATA WE HAVE BEEN REVIEWING FOR 

1930
01:21:27,366 --> 01:21:29,201
COLLECTIVELY AS A COMMITTEE FOR 

1931
01:21:29,201 --> 01:21:32,237
ALMOST TWO YEARS SO WHAT WE 

1932
01:21:32,237 --> 01:21:35,674
PRESENTED IN MEETING 6 AND WE 

1933
01:21:35,674 --> 01:21:41,446
WANTED EVERYBODY TO KNOW THAT 

1934
01:21:41,446 --> 01:21:45,684
THIS REALLY WAS PRESENTED FROM 

1935
01:21:45,684 --> 01:21:49,454
MEETING 5 WE WANTED TO LOOK AT 

1936
01:21:49,454 --> 01:21:51,223
MODIFYING VEGETABLE SUBGROUPS 

1937
01:21:51,223 --> 01:21:53,892
AND WERE GOING TO -- WE WANTED 

1938
01:21:53,892 --> 01:21:56,528
TO LOOK AT INFECTIOUSING BEANS, 

1939
01:21:56,528 --> 01:21:59,331
PEAS AND LENTILS AND DARK GREEN 

1940
01:21:59,331 --> 01:21:59,798
VEGETABLES.

1941
01:21:59,798 --> 01:22:02,668
WE ALSO WANTED TO LOOK AT TOTAL 

1942
01:22:02,668 --> 01:22:05,737
GRAINS AND PROTEIN FOODS AND 

1943
01:22:05,737 --> 01:22:06,438
DAIRY AND FORTIFIED SOY 

1944
01:22:06,438 --> 01:22:08,874
ALTERNATIVES.

1945
01:22:08,874 --> 01:22:10,409
THESE ARE THE POTENTIAL 

1946
01:22:10,409 --> 01:22:13,445
MODIFICATIONS WE WANTED TO 

1947
01:22:13,445 --> 01:22:15,347
EXPLORE.

1948
01:22:15,347 --> 01:22:17,482
AND IT WAS THE INDIVIDUAL FOOD 

1949
01:22:17,482 --> 01:22:19,017
PATTERN MODELLING ANALYSIS THAT 

1950
01:22:19,017 --> 01:22:20,552
INFORMED THIS LIST.

1951
01:22:20,552 --> 01:22:22,721
AS PART OF THE SYNTHESIS PHASE 

1952
01:22:22,721 --> 01:22:25,023
WE HAVE TO PUT IT TOGETHER 

1953
01:22:25,023 --> 01:22:28,427
BECAUSE ONE DOES NOT CONSUME ONE

1954
01:22:28,427 --> 01:22:28,827
FOOD IN ISOLATION.

1955
01:22:28,827 --> 01:22:33,765
SO THAT'S WHAT WE'RE GOING TO 

1956
01:22:33,765 --> 01:22:37,936
TALK ABOUT TODAY.

1957
01:22:37,936 --> 01:22:39,404
SO ONCE WE STARTED DOING THE 

1958
01:22:39,404 --> 01:22:41,506
SYNTHESIS AND INTEGRATING THE 

1959
01:22:41,506 --> 01:22:45,977
EVIDENCE, A FEW OF THE PROPOSED 

1960
01:22:45,977 --> 01:22:47,879
MODIFICATIONS FELL OFF THE LIST.

1961
01:22:47,879 --> 01:22:49,448
LET'S TAKE FOR EXAMPLE MODIFYING

1962
01:22:49,448 --> 01:22:52,250
VEGETABLE SUBGROUPS.

1963
01:22:52,250 --> 01:22:56,955
SO DARK GREEN VEGETABLES HAVE 

1964
01:22:56,955 --> 01:23:01,460
CONTAINED NUTRIENTS THAT ARE 

1965
01:23:01,460 --> 01:23:03,795
VERY IMPORTANT FOR HEALTH AS 

1966
01:23:03,795 --> 01:23:07,432
EVIDENCED BY THE DRIs AND OTHER 

1967
01:23:07,432 --> 01:23:08,433
GUIDANCE ON THE ASSOCIATION 

1968
01:23:08,433 --> 01:23:09,534
BETWEEN INDIVIDUAL NUTRIENTS AND

1969
01:23:09,534 --> 01:23:12,371
HEALTH OUTCOMES.

1970
01:23:12,371 --> 01:23:15,607
HOWEVER, THE SYSTEMATIC REVIEWS 

1971
01:23:15,607 --> 01:23:18,110
DO NOT HAVE THAT GRANULARITY.

1972
01:23:18,110 --> 01:23:21,446
WE WEREN'T SEEING IN THE 

1973
01:23:21,446 --> 01:23:23,715
SYSTEMATIC REVIEWS THAT 

1974
01:23:23,715 --> 01:23:25,016
INVESTIGATORS WERE CALLING OUT 

1975
01:23:25,016 --> 01:23:29,154
DARK GREEN VEGETABLE S PER SE AS

1976
01:23:29,154 --> 01:23:31,256
A PATTERN LINKED TO THE OUTCOME 

1977
01:23:31,256 --> 01:23:32,791
OF INTEREST.

1978
01:23:32,791 --> 01:23:34,226
WE TOOK THAT OFF THE LIST 

1979
01:23:34,226 --> 01:23:34,960
BECAUSE IT WASN'T SUPPORTED BY 

1980
01:23:34,960 --> 01:23:40,432
THE EVIDENCE.

1981
01:23:40,432 --> 01:23:43,635
THE OTHER EXAMPLES HERE IS IF WE

1982
01:23:43,635 --> 01:23:46,605
WERE TO INCREASE BEANS, PEAS AND

1983
01:23:46,605 --> 01:23:48,106
LENTILS WHILE KEEPING TOTAL 

1984
01:23:48,106 --> 01:23:49,374
VEGETABLES CONSTANT WE HAD TO 

1985
01:23:49,374 --> 01:23:54,546
THINK OF A CONCURRENT DECREASE 

1986
01:23:54,546 --> 01:23:56,314
SO WE CONSIDERED DECREASED 

1987
01:23:56,314 --> 01:23:56,715
STARCHY VEGETABLE.

1988
01:23:56,715 --> 01:23:58,984
IT'S PUTTING THE PIECES OF THE 

1989
01:23:58,984 --> 01:24:01,453
JIGSAW PUZZLE WE'RE STARTING TO 

1990
01:24:01,453 --> 01:24:05,123
PUT IT TOGETHER NOW.

1991
01:24:05,123 --> 01:24:08,894
SO, TO START WITH, IT'S REALLY 

1992
01:24:08,894 --> 01:24:14,933
AGAIN THESE ARE MODIFICATIONS TO

1993
01:24:14,933 --> 01:24:16,435
MODELLED PATTERNS.

1994
01:24:16,435 --> 01:24:22,407
AND WE SAW IN THE PRESENTATION 

1995
01:24:22,407 --> 01:24:25,210
YESTERDAY AND FROM HEATHER AND 

1996
01:24:25,210 --> 01:24:28,146
FROM MEETING FIVE THE CURRENT 

1997
01:24:28,146 --> 01:24:29,748
INTAKES GENERALLY DO NOT ALIGN 

1998
01:24:29,748 --> 01:24:31,450
WITH THESE PATTERNS.

1999
01:24:31,450 --> 01:24:33,151
THEREFORE THE DIRECTION OF THE 

2000
01:24:33,151 --> 01:24:35,454
MODIFICATION MAY NOT APPLY TO 

2001
01:24:35,454 --> 01:24:39,925
THE DIRECTION NEEDED TO IMPROVE 

2002
01:24:39,925 --> 01:24:40,158
INTAKE.

2003
01:24:40,158 --> 01:24:44,262
SO WE MAY SAY DECREASE A CERTAIN

2004
01:24:44,262 --> 01:24:49,201
FOOD GROUP BUT IT DOESN'T MEAN 

2005
01:24:49,201 --> 01:24:50,802
PEOPLE SHOULD EAT LESS OF IT IF 

2006
01:24:50,802 --> 01:24:51,570
THEY'RE ALREADY NOT EATING 

2007
01:24:51,570 --> 01:24:52,437
ENOUGH.

2008
01:24:52,437 --> 01:24:54,506
WHAT WE'RE DOING IS JUST THE 

2009
01:24:54,506 --> 01:24:55,073
MODIFICATIONS TO THE MODEL 

2010
01:24:55,073 --> 01:25:01,446
PATTERN.

2011
01:25:01,446 --> 01:25:04,416
THIS IS FROM MY EDIFICATION SO I

2012
01:25:04,416 --> 01:25:05,684
REMIND MYSELF AND NOT WRONGLY 

2013
01:25:05,684 --> 01:25:09,454
SPEAK.

2014
01:25:09,454 --> 01:25:11,923
OUR SUMMARY OF THE PROPOSED 

2015
01:25:11,923 --> 01:25:15,427
MODIFICATIONS ARE THE SYSTEMATIC

2016
01:25:15,427 --> 01:25:17,462
REVIEW EVIDENCE DOES SUPPORT, 

2017
01:25:17,462 --> 01:25:19,865
EMPHASIZING DIETARY INTAKES OF 

2018
01:25:19,865 --> 01:25:26,137
BEANS, PEAS AND LENTILS.

2019
01:25:26,137 --> 01:25:31,076
AND REDUCE INTAKES OF RED AND 

2020
01:25:31,076 --> 01:25:31,443
PROCESSED MEATS.

2021
01:25:31,443 --> 01:25:33,011
OUR SYSTEMATIC REVIEW EVERYDAY 

2022
01:25:33,011 --> 01:25:34,346
AND WE HAD RICH DISCUSSION ON 

2023
01:25:34,346 --> 01:25:37,282
THIS YESTERDAY DOES NOT SPECIFY 

2024
01:25:37,282 --> 01:25:38,984
A SPECIFIC AMOUNT.

2025
01:25:38,984 --> 01:25:41,453
I THINK THE DISCUSSION YESTERDAY

2026
01:25:41,453 --> 01:25:44,155
AFTERNOON REALLY EMPHASIZED THAT

2027
01:25:44,155 --> 01:25:45,690
IT'S ALL RELATIVE HIGHER OR 

2028
01:25:45,690 --> 01:25:52,430
LOWER BUT WE DO NOT HAVE 

2029
01:25:52,430 --> 01:25:56,067
SPECIFIC AMOUNTS BASED ON THE 

2030
01:25:56,067 --> 01:25:58,203
SYSTEMATIC REVIEW.

2031
01:25:58,203 --> 01:26:00,305
HOWEVER, WITH THE BEANS, PEAS 

2032
01:26:00,305 --> 01:26:03,241
AND LENTILS IT'S A SUBGROUP WITH

2033
01:26:03,241 --> 01:26:06,778
A SMALL WEEKLY QUANTITY 

2034
01:26:06,778 --> 01:26:09,147
RECOMMENDED IN THE CURRENT 20 

2035
01:26:09,147 --> 01:26:13,184
HEALTHY U.S. STYLE DIETARY 

2036
01:26:13,184 --> 01:26:13,418
PATTERN.

2037
01:26:13,418 --> 01:26:16,454
AND WE THOUGHT PUTTING 

2038
01:26:16,454 --> 01:26:19,391
RECOMMENDING AN INCREASED 

2039
01:26:19,391 --> 01:26:22,394
QUANTITY WAS IN LINE WITH AGE 

2040
01:26:22,394 --> 01:26:24,796
EMPHASIZE ON BEANS, PEAS AND 

2041
01:26:24,796 --> 01:26:25,063
LENTILS.

2042
01:26:25,063 --> 01:26:29,868
THE SECOND MODIFICATION WAS THE 

2043
01:26:29,868 --> 01:26:32,737
ENERGY PROPOSED INCREASE OF 

2044
01:26:32,737 --> 01:26:34,272
BEANS, PEAS AND LENTILS WOULD BE

2045
01:26:34,272 --> 01:26:39,377
OFFSET BY A DECREASE IN STARCHY 

2046
01:26:39,377 --> 01:26:40,412
VEGETABLES.

2047
01:26:40,412 --> 01:26:42,981
AS THAT CHANGE WITHIN THE TOTAL 

2048
01:26:42,981 --> 01:26:43,815
VEGETABLE GROUP WOULD HAVE THE 

2049
01:26:43,815 --> 01:26:45,283
MOST NUTRIENT IMPROVEMENTS.

2050
01:26:45,283 --> 01:26:49,454
WE ALSO SHOULD DO A CALL OUT ON 

2051
01:26:49,454 --> 01:26:51,189
POTASSIUM BECAUSE WE HAD QUITE A

2052
01:26:51,189 --> 01:26:53,425
BIT OF DISCUSSION ABOUT 

2053
01:26:53,425 --> 01:26:54,926
POTASSIUM.

2054
01:26:54,926 --> 01:26:58,229
SO WHEN THE PRIOR USDA DIETARY 

2055
01:26:58,229 --> 01:27:02,534
PATTERNS WERE DEVELOPED, THE 

2056
01:27:02,534 --> 01:27:03,868
POTASSIUM A.I. WAS MUCH HIGHER 

2057
01:27:03,868 --> 01:27:04,502
THAN IT IS NOW WHEN IT WAS 

2058
01:27:04,502 --> 01:27:07,272
REVISED.

2059
01:27:07,272 --> 01:27:12,010
SO THE IMPLICATIONS OF MODIFYING

2060
01:27:12,010 --> 01:27:14,613
STARCHY VEGETABLES NOW DO NOT 

2061
01:27:14,613 --> 01:27:16,581
HAVE THE IMPACT ON POTASSIUM AS 

2062
01:27:16,581 --> 01:27:21,453
THEY WOULD HAVE IN THE PAST WHEN

2063
01:27:21,453 --> 01:27:24,422
WE HAD PRIOR A.I. LEVELS.

2064
01:27:24,422 --> 01:27:28,059
SO WITH THIS MODIFICATION, THE 

2065
01:27:28,059 --> 01:27:30,562
NEW A.I. FOR POTASSIUM IS 

2066
01:27:30,562 --> 01:27:33,431
ACHIEVED AND GENERALLY EXCEEDED 

2067
01:27:33,431 --> 01:27:34,299
IN THE PROPOSED MODEL.

2068
01:27:34,299 --> 01:27:37,435
THE THIRD ONE IS THE VARIABILITY

2069
01:27:37,435 --> 01:27:40,572
AND ENERGY CONTRIBUTION AMONG 

2070
01:27:40,572 --> 01:27:45,176
NUTRIENT DENSE FOOD BEVERAGES 

2071
01:27:45,176 --> 01:27:46,077
MODELLED PRECLUDE A PRECISE 

2072
01:27:46,077 --> 01:27:48,546
LIMIT OF CALORIES OR OTHER USES.

2073
01:27:48,546 --> 01:27:51,549
THIS WAS PRESENTED YESTERDAY BY 

2074
01:27:51,549 --> 01:27:52,417
DIDI.

2075
01:27:52,417 --> 01:27:57,055
WE PROPOSED ELIMINATING THOSE 

2076
01:27:57,055 --> 01:27:57,389
TWO LAST ROWS.

2077
01:27:57,389 --> 01:28:00,592
THE FOURTH IS THAT OVER ALL 

2078
01:28:00,592 --> 01:28:02,794
IMPROVEMENTS RELATED TO 

2079
01:28:02,794 --> 01:28:04,062
ACHIEVING NUTRIENT GOALS ARE 

2080
01:28:04,062 --> 01:28:08,299
SMALL AND GENERALLY APPLY TO A 

2081
01:28:08,299 --> 01:28:14,039
SMALL MEMBER OF AGE, SEX GROUPS.

2082
01:28:14,039 --> 01:28:21,446
NOW, WHEN I FIRST WERE DOING THE

2083
01:28:21,446 --> 01:28:22,080
DISCUS

2084
01:28:22,080 --> 01:28:22,781
DISCUSS

2085
01:28:22,781 --> 01:28:24,382
DISCUSSIONS, THE STATEMENT 

2086
01:28:24,382 --> 01:28:27,185
ITSELF I HAD TO REMIND MYSELF 

2087
01:28:27,185 --> 01:28:28,420
EXISTING DIETARY PATTERNS WERE 

2088
01:28:28,420 --> 01:28:30,221
DEVELOPED BY OUR PREDECESSORS 

2089
01:28:30,221 --> 01:28:32,991
AND THEY WERE ALSO REVIEWING 

2090
01:28:32,991 --> 01:28:33,525
SYSTEMATIC EVIDENCE.

2091
01:28:33,525 --> 01:28:36,594
SO THE PATTERNS HERE ARE DESIGN 

2092
01:28:36,594 --> 01:28:39,197
TO ALIGN WITH THAT EVIDENCE ON 

2093
01:28:39,197 --> 01:28:45,370
DIET AND HEALTH AND MEAT NEWT 

2094
01:28:45,370 --> 01:28:50,775
REPRESENT NEEDS AND -- NUTRIENTS

2095
01:28:50,775 --> 01:28:51,676
AND WOULDN'T EXPECT LARGE 

2096
01:28:51,676 --> 01:28:53,978
TWEAKING FOR IMPLICATIONS AND 

2097
01:28:53,978 --> 01:29:00,251
THE FINAL SUMMARY IS THE DIET 

2098
01:29:00,251 --> 01:29:01,986
SIMULATION RESULTS CHRIS WILL BE

2099
01:29:01,986 --> 01:29:03,088
PRESENTING SUGGEST NUTRIENT 

2100
01:29:03,088 --> 01:29:05,724
REQUIREMENTS ARE GENERALLY MET 

2101
01:29:05,724 --> 01:29:09,427
WHEN YOU CONSIDER VARIATION IN 

2102
01:29:09,427 --> 01:29:19,704
DIETARY INTAKE.

2103
01:29:21,506 --> 01:29:26,244
SO THIS SLIDE SHOWS THE 

2104
01:29:26,244 --> 01:29:27,445
DIFFERENCE BETWEEN HEALTHY 

2105
01:29:27,445 --> 01:29:31,316
U.S. STYLE DIETARY PATTERNS.

2106
01:29:31,316 --> 01:29:35,820
WHAT WE ARE REFERRING TO IS THE 

2107
01:29:35,820 --> 01:29:41,993
U.S. STYLE DIETARY PATTERN AND 

2108
01:29:41,993 --> 01:29:43,962
REMINDING US WE'RE BUILDING ON 

2109
01:29:43,962 --> 01:29:49,434
AN EXISTING HEALTHY DIETARY 

2110
01:29:49,434 --> 01:29:49,667
PATTERN.

2111
01:29:49,667 --> 01:29:51,669
AS YOU CAN SEE WE HAVE BEANS, 

2112
01:29:51,669 --> 01:29:56,274
PEAS AND LENTILS AND STARCHY 

2113
01:29:56,274 --> 01:29:56,574
VEGETABLES.

2114
01:29:56,574 --> 01:29:59,244
WE DID NOT PROPOSED INCREASING 

2115
01:29:59,244 --> 01:30:02,881
AT THE HIGH CALORIE LEVELS AND 

2116
01:30:02,881 --> 01:30:07,285
WE WILL DISCUSS THAT COMING UP 

2117
01:30:07,285 --> 01:30:10,355
LATER AND CHRIS ACTUALLY 

2118
01:30:10,355 --> 01:30:12,490
DISCUSSED THIS YESTERDAY ABOUT 

2119
01:30:12,490 --> 01:30:15,326
WHEN YOU DO DECREASE -- SO WE 

2120
01:30:15,326 --> 01:30:18,196
ARE PROPOSING WE DECREASE TOTAL 

2121
01:30:18,196 --> 01:30:20,465
PROTEIN FOODS SPECIFICALLY MEAT,

2122
01:30:20,465 --> 01:30:23,835
POULTRY AND EGGS, WHEN YOU GET 

2123
01:30:23,835 --> 01:30:26,337
TO THE LOWER CALORIES WE HAVE TO

2124
01:30:26,337 --> 01:30:28,373
CONSIDER NEWT REPRESENT DENSITY.

2125
01:30:28,373 --> 01:30:29,541
THESE WERE THE PROPOSED 

2126
01:30:29,541 --> 01:30:36,381
MODIFICATIONS WHEN WE PUT IT ALL

2127
01:30:36,381 --> 01:30:36,648
TOGETHER.

2128
01:30:36,648 --> 01:30:43,855
SO THIS ACTUAL LY PROVIDES THE 

2129
01:30:43,855 --> 01:30:47,292
FOOD GROUP AND SUB GROUP 

2130
01:30:47,292 --> 01:30:47,592
QUANTITIES.

2131
01:30:47,592 --> 01:30:53,431
THE CURRENT DIETARY PATTERN 

2132
01:30:53,431 --> 01:30:56,634
PROPOSES INTAKES OF BEANS, PEAS 

2133
01:30:56,634 --> 01:30:58,436
AND LENTILS AT THREE CUPS 

2134
01:30:58,436 --> 01:31:01,206
EQUIVALENT PER WEEK.

2135
01:31:01,206 --> 01:31:03,241
THIS IS ALREADY AT THE 95th 

2136
01:31:03,241 --> 01:31:05,443
PERCENTILE OF WHAT PEOPLE ARE 

2137
01:31:05,443 --> 01:31:05,677
EATING.

2138
01:31:05,677 --> 01:31:09,981
WE FELT IF WE ADDED MORE OF THE 

2139
01:31:09,981 --> 01:31:14,853
HIGHER CALORIE LEVELS THE DATA 

2140
01:31:14,853 --> 01:31:15,954
DID NOT SUPPORT GOING THAT 

2141
01:31:15,954 --> 01:31:26,030
HIGHER INTAKE.

2142
01:31:26,030 --> 01:31:30,668
I'M JUST GOING TO ORIENT YOU TO 

2143
01:31:30,668 --> 01:31:33,738
THE COLOR CODING THE BLUE IS 5% 

2144
01:31:33,738 --> 01:31:35,740
CHANGE IN NUTRIENT ADEQUACY WHEN

2145
01:31:35,740 --> 01:31:37,242
THE EXISTING DIETARY PATTERN IS 

2146
01:31:37,242 --> 01:31:40,411
ALREADY AT OR ABOVE THE 

2147
01:31:40,411 --> 01:31:42,647
ESTABLISHED GOALS.

2148
01:31:42,647 --> 01:31:44,449
YOU CAN SEE THERE'S SEVERAL 

2149
01:31:44,449 --> 01:31:45,450
PLACES WHERE NEWT REPRESENTS 

2150
01:31:45,450 --> 01:31:46,417
INCREASE OR DECREASE BY 5% OR 

2151
01:31:46,417 --> 01:31:51,289
MORE.

2152
01:31:51,289 --> 01:31:53,424
IT DOES NOT HAVE IMPLICATIONS 

2153
01:31:53,424 --> 01:31:56,294
FOR MEETING THE GOAL.

2154
01:31:56,294 --> 01:31:57,562
FOR EXAMPLE, LET'S PULL OUT THE 

2155
01:31:57,562 --> 01:32:00,798
PROTEIN.

2156
01:32:00,798 --> 01:32:07,105
EVEN WITH THE DECREASE IN THE 

2157
01:32:07,105 --> 01:32:09,107
MACRO NUTRIENT ALL ARE ABOVE THE

2158
01:32:09,107 --> 01:32:12,076
PROTEIN RDA AND THE RANGE FOR 

2159
01:32:12,076 --> 01:32:14,112
THE MODIFYING PATTERN IS BETWEEN

2160
01:32:14,112 --> 01:32:19,050
132 AND 465% OF THE RDA.

2161
01:32:19,050 --> 01:32:21,085
SO EVEN THOUGH YOU SEE A 

2162
01:32:21,085 --> 01:32:21,719
DECREASE IT'S STILL ABOVE WHAT 

2163
01:32:21,719 --> 01:32:29,427
WE NEED.

2164
01:32:29,427 --> 01:32:32,030
THE DARK BLUE AND THERE'S SOME 

2165
01:32:32,030 --> 01:32:33,431
FOR FOLATE DURING PREGNANCY AND 

2166
01:32:33,431 --> 01:32:36,100
THIS PERTAINS TO THE DISCUSSION 

2167
01:32:36,100 --> 01:32:37,435
YESTERDAY WE HAD ABOUT GRAINS 

2168
01:32:37,435 --> 01:32:41,439
AND PREGNANCY AND FOLATE.

2169
01:32:41,439 --> 01:32:44,375
THE PROPOSED MODIFICATIONS WOULD

2170
01:32:44,375 --> 01:32:49,113
INCREASE THE FOLATE BY 5% BUT 

2171
01:32:49,113 --> 01:32:51,215
DESPITE THAT INCREASE FOLATE IS 

2172
01:32:51,215 --> 01:32:55,153
NOT MEETING THE RDA YET.

2173
01:32:55,153 --> 01:32:57,455
WE'RE GETTING CLOSER FOR 

2174
01:32:57,455 --> 01:33:04,662
PREGNANT WOMEN.

2175
01:33:04,662 --> 01:33:09,400
SO THIS SLIDE JUST EMPHASIZES 

2176
01:33:09,400 --> 01:33:10,969
THAT THE EXISTING DIETARY 

2177
01:33:10,969 --> 01:33:13,438
PATTERN WAS DESIGN TO ALIGN WITH

2178
01:33:13,438 --> 01:33:16,240
THE SYSTEMIC REVIEW EVIDENCE ON 

2179
01:33:16,240 --> 01:33:18,042
DIET AND OUTCOMES AND MEET 

2180
01:33:18,042 --> 01:33:18,810
NUTRIENT NEEDS.

2181
01:33:18,810 --> 01:33:22,013
THIS SLIDE INDICATES THAT WITH 

2182
01:33:22,013 --> 01:33:23,448
THE PROPOSED MODIFICATION 

2183
01:33:23,448 --> 01:33:25,149
THERE'S GOING TO BE ADDITIONAL 

2184
01:33:25,149 --> 01:33:27,819
IMPROVEMENTS ON INDIVIDUAL 

2185
01:33:27,819 --> 01:33:30,054
NUTRIENTS BUT THEY'RE LESS THAN 

2186
01:33:30,054 --> 01:33:31,122
5%.

2187
01:33:31,122 --> 01:33:33,424
AS WE HAVE A DISCUSSION 

2188
01:33:33,424 --> 01:33:34,425
YESTERDAY THERE'S LARGE 

2189
01:33:34,425 --> 01:33:37,061
VARIABILITY IN FOOD COMPOSITION 

2190
01:33:37,061 --> 01:33:39,797
OF FOOD AND BEVERAGES 

2191
01:33:39,797 --> 01:33:40,665
PARTICULARLY WITHIN EACH FOOD 

2192
01:33:40,665 --> 01:33:42,800
GROUP AND SUB GROUP.

2193
01:33:42,800 --> 01:33:44,736
THIS IS TRUE I THINK HEATHER 

2194
01:33:44,736 --> 01:33:47,605
PRESENTED A BEAUTIFUL EXAMPLE 

2195
01:33:47,605 --> 01:33:51,709
FOR EXAMPLE OF ENERGY COMPARED 

2196
01:33:51,709 --> 01:33:54,712
WITH TOMATOES AND SWEET 

2197
01:33:54,712 --> 01:33:54,979
POTATOES.

2198
01:33:54,979 --> 01:33:56,514
WHEN WE'RE THINKING ABOUT THIS 

2199
01:33:56,514 --> 01:33:59,350
THROUGH A HEALTH EQUITY LENS AND

2200
01:33:59,350 --> 01:34:01,452
FLEXIBILITIES, I THINK IT'S GOOD

2201
01:34:01,452 --> 01:34:02,754
TO NOTE THERE'S GENERALLY 

2202
01:34:02,754 --> 01:34:04,422
INCREASES BUT I THINK THESE ARE 

2203
01:34:04,422 --> 01:34:07,025
MODEST AND I DON'T THINK THAT 

2204
01:34:07,025 --> 01:34:09,293
THESE -- I THINK THEY'RE MODEST.

2205
01:34:09,293 --> 01:34:11,496
WE'RE GOING IN THE RIGHT 

2206
01:34:11,496 --> 01:34:13,364
DIRECTION BUT THEY'RE NOT GOING 

2207
01:34:13,364 --> 01:34:18,503
TO CHANGE MUCH WHICH IS WHY THE 

2208
01:34:18,503 --> 01:34:20,571
THIRD BULLET EMPHASIZES THE FACT

2209
01:34:20,571 --> 01:34:22,073
THESE IMPROVEMENTS ARE SMALL.

2210
01:34:22,073 --> 01:34:25,076
LET'S DO THE RATIONALE FOR THE 

2211
01:34:25,076 --> 01:34:25,643
PROPOSED MODIFICATION.

2212
01:34:25,643 --> 01:34:27,979
AND I JUST REALLY WANT TO THANK 

2213
01:34:27,979 --> 01:34:32,216
THE STAFF FOR TAKING WHAT WERE 

2214
01:34:32,216 --> 01:34:33,251
EXTENSIVE DISCUSSIONS AND 

2215
01:34:33,251 --> 01:34:34,852
SUMMARIZING THEM HERE IN A FAR 

2216
01:34:34,852 --> 01:34:38,389
MORE ARTICULATE WAY THAN I 

2217
01:34:38,389 --> 01:34:38,823
COULD.

2218
01:34:38,823 --> 01:34:41,292
SO IN THE NEXT FEW SLIDE WE'RE 

2219
01:34:41,292 --> 01:34:43,494
GOING TO DISCUSS THE RATIONALE 

2220
01:34:43,494 --> 01:34:46,431
FOR THE MODIFICATION CONSIDERING

2221
01:34:46,431 --> 01:34:49,033
THE EVIDENCE WE COLLECTIVELY AS 

2222
01:34:49,033 --> 01:34:51,302
A COMMITTEE PRESENTED AND DATA 

2223
01:34:51,302 --> 01:34:53,438
ANALYSIS AND FOOD PATTERN 

2224
01:34:53,438 --> 01:34:53,971
MODELLING.

2225
01:34:53,971 --> 01:34:57,442
SO FOR THE VEGETABLE SUB GROUP, 

2226
01:34:57,442 --> 01:35:00,178
OUR PROPOSED MODIFICATION FOR 

2227
01:35:00,178 --> 01:35:03,748
THE 2020 DIETARY PATTERN FOR 

2228
01:35:03,748 --> 01:35:06,017
AGES 2 YEARS AND OVER AND I 

2229
01:35:06,017 --> 01:35:07,985
SHOULD EMPHASIZE THIS IS 2 YEARS

2230
01:35:07,985 --> 01:35:12,757
AND OLDER IS TO INCREASE BEANS, 

2231
01:35:12,757 --> 01:35:14,392
PEAS AND LENTILS AND REDUCE 

2232
01:35:14,392 --> 01:35:15,560
STARCHY VEGETABLES.

2233
01:35:15,560 --> 01:35:16,794
WE NEED TO GET THE DISCUSSION 

2234
01:35:16,794 --> 01:35:20,198
OVER AND DONE WITH HERE IN TERMS

2235
01:35:20,198 --> 01:35:21,199
OF NOMENCLATURE.

2236
01:35:21,199 --> 01:35:23,534
IN SYSTEMATIC REVIEWS, THE 

2237
01:35:23,534 --> 01:35:25,937
MAJORITY OF INVESTIGATORS USED 

2238
01:35:25,937 --> 01:35:28,439
THE TERM LEGUMES AND USE THE 

2239
01:35:28,439 --> 01:35:31,676
WORD OR LEGUMES OR LEGUMES AND 

2240
01:35:31,676 --> 01:35:33,311
NUTS AND CORRESPONDS TO BEANS, 

2241
01:35:33,311 --> 01:35:36,481
PEAS AND LENTILS BUT NOT 

2242
01:35:36,481 --> 01:35:44,956
EXPLICITLY STATED AS STUCH -- SO

2243
01:35:44,956 --> 01:35:47,458
SUCH SO WE'RE TALKING ABOUT 

2244
01:35:47,458 --> 01:35:51,963
BEANS, PEAS AND LENTILS AND WANT

2245
01:35:51,963 --> 01:35:52,763
TO THROW THAT OUT WITH 

2246
01:35:52,763 --> 01:35:53,364
CONSIDERABLE DISCUSSION ABOUT 

2247
01:35:53,364 --> 01:36:02,106
THAT.

2248
01:36:02,106 --> 01:36:04,442
AND DIETARY PATTERNS HIGHER IN 

2249
01:36:04,442 --> 01:36:07,512
VEGETABLES AND LEGUMES AND 

2250
01:36:07,512 --> 01:36:09,814
RELATED TO BENEFICIAL HEALTH 

2251
01:36:09,814 --> 01:36:10,414
OUTCOMES.

2252
01:36:10,414 --> 01:36:12,483
AGAIN, IT'S RELATIVE.

2253
01:36:12,483 --> 01:36:14,452
SO HIGHER IS RELATIVE TO LOW OR 

2254
01:36:14,452 --> 01:36:16,187
LOWER THE DIETARY PATTERN.

2255
01:36:16,187 --> 01:36:20,491
IT'S NOT -- THERE'S NO DEFINED 

2256
01:36:20,491 --> 01:36:22,293
QUANTITY RELATIVE TO THE CURRENT

2257
01:36:22,293 --> 01:36:23,561
INTAKES.

2258
01:36:23,561 --> 01:36:26,330
CONCLUSION STATEMENTS FROM 

2259
01:36:26,330 --> 01:36:28,432
SYSTEMATIC REVIEWS DID NOT 

2260
01:36:28,432 --> 01:36:31,536
SPECIFY VEGETABLE INTO FURTHER 

2261
01:36:31,536 --> 01:36:36,574
FOOD SUB GROUPS THOUGH THERE ARE

2262
01:36:36,574 --> 01:36:38,609
SYSTEMATIC REVIEWS THAT HAVE 

2263
01:36:38,609 --> 01:36:40,011
REVIEWS LOWER IN FRIED POTATOES 

2264
01:36:40,011 --> 01:36:46,417
WHICH IS WHY THEY'RE HERE.

2265
01:36:46,417 --> 01:36:49,453
THE DATA ANALYSIS INDICATES THE 

2266
01:36:49,453 --> 01:36:51,956
LARGEST WEEKLY RECOMMENDATION 

2267
01:36:51,956 --> 01:36:56,727
FOR BEANS IS NEAR THE 95th 

2268
01:36:56,727 --> 01:36:59,664
PERCENTILE OF CURRENT POPULATION

2269
01:36:59,664 --> 01:36:59,897
INTAKE.

2270
01:36:59,897 --> 01:37:01,899
AND THE FOOD PATTERN MODELLING 

2271
01:37:01,899 --> 01:37:04,468
CONFIRMED THE SAME OR IMPROVED 

2272
01:37:04,468 --> 01:37:06,904
NUTRIENT ADEQUACY OF THE DIETARY

2273
01:37:06,904 --> 01:37:14,545
PATTERNS WITH THIS MODIFICATION.

2274
01:37:14,545 --> 01:37:17,114
FOR PROTEIN FOODS OUR PROPOSED 

2275
01:37:17,114 --> 01:37:18,482
MODIFICATIONS INCLUDE TOTAL 

2276
01:37:18,482 --> 01:37:20,284
PROTEIN FOODS AND MEAT, POULTRY 

2277
01:37:20,284 --> 01:37:21,919
AND EGGS FOR THE 2200 CALORIE 

2278
01:37:21,919 --> 01:37:24,755
LEVEL AND ABOVE.

2279
01:37:24,755 --> 01:37:27,725
THE RATIONALE IS THE EVIDENCE 

2280
01:37:27,725 --> 01:37:30,995
FROM OUR SYSTEMATIC REVIEWS THAT

2281
01:37:30,995 --> 01:37:32,830
INCLUDED DIETARY PATTERNS 

2282
01:37:32,830 --> 01:37:34,432
INCLUDING THOSE WE HEARD ABOUT 

2283
01:37:34,432 --> 01:37:37,335
YESTERDAY REGARDING SATURATED 

2284
01:37:37,335 --> 01:37:46,644
FOOD SOURCES OF FAT.

2285
01:37:46,644 --> 01:37:49,447
THEY'RE LOWER IN RED AND 

2286
01:37:49,447 --> 01:37:59,724
PROCESSED MEATS.

2287
01:38:04,795 --> 01:38:08,466
THERE'S IMPROVED ADEQUACY OF THE

2288
01:38:08,466 --> 01:38:10,468
PATTERN WITH MODIFICATION OF 

2289
01:38:10,468 --> 01:38:14,672
REDUCING MEAT, POULTRY AND EGGS.

2290
01:38:14,672 --> 01:38:16,707
THIS IS THE RATIONALE FOR THE 

2291
01:38:16,707 --> 01:38:19,543
LIMIT OF CALORIES FOR OTHER 

2292
01:38:19,543 --> 01:38:20,344
USES.

2293
01:38:20,344 --> 01:38:22,413
AND YOU DID A BEAUTIFUL JOB 

2294
01:38:22,413 --> 01:38:23,314
EXPLAINING THIS YESTERDAY.

2295
01:38:23,314 --> 01:38:27,485
SO I THINK WE CAN GO TO -- 

2296
01:38:27,485 --> 01:38:29,053
HEATHER, I'M SORRY.

2297
01:38:29,053 --> 01:38:31,289
I THOUGHT IT WAS DIDI.

2298
01:38:31,289 --> 01:38:33,124
MY APOLOGIES.

2299
01:38:33,124 --> 01:38:34,625
HEATHER YOU DID SUCH A BEAUTIFUL

2300
01:38:34,625 --> 01:38:42,366
JOB AND IT WAS SO SEAMLESS -- 

2301
01:38:42,366 --> 01:38:52,476
OKAY.

2302
01:39:00,584 --> 01:39:01,986
WE LOOKED AT INTERVENTION 

2303
01:39:01,986 --> 01:39:07,692
EXPOSURES IN RELATED TO HEALTH 

2304
01:39:07,692 --> 01:39:07,958
OUTCOMES.

2305
01:39:07,958 --> 01:39:09,427
THOSE SYSTEMATIC REVIEWS SUPPORT

2306
01:39:09,427 --> 01:39:10,428
DIETARY PATTERNS HIGHER IN 

2307
01:39:10,428 --> 01:39:10,695
FRUIT.

2308
01:39:10,695 --> 01:39:15,132
I SHOULD POINT OUT THE 2020 

2309
01:39:15,132 --> 01:39:17,435
DIETARY GUIDELINE ADVICE IS AT 

2310
01:39:17,435 --> 01:39:19,370
LEAST HALF OF FRUIT COMES FROM 

2311
01:39:19,370 --> 01:39:20,871
WHOLE FRUIT AND DID NOT 

2312
01:39:20,871 --> 01:39:22,406
RECOMMENDATION ANY MODIFICATION 

2313
01:39:22,406 --> 01:39:24,442
TO THAT.

2314
01:39:24,442 --> 01:39:28,412
AND THE DATA ANALYSIS INDICATES 

2315
01:39:28,412 --> 01:39:32,983
THAT POPULATION IS BELOW 

2316
01:39:32,983 --> 01:39:34,418
RECOMMENDATIONS AND THE FOOD 

2317
01:39:34,418 --> 01:39:36,087
PATTERN MODELLING DOES NOT 

2318
01:39:36,087 --> 01:39:38,055
SUPPORT MODIFICATION BECAUSE 

2319
01:39:38,055 --> 01:39:41,659
FRUIT IS THE MAIN CONTRIBUTOR OF

2320
01:39:41,659 --> 01:39:42,793
VITAMIN C AND POTASSIUM IN THE 

2321
01:39:42,793 --> 01:39:50,067
DIETARY PATTERN.

2322
01:39:50,067 --> 01:39:52,370
WE DID NOT PROPOSE ANY 

2323
01:39:52,370 --> 01:39:56,173
MODIFICATIONS TO THE CURRENT 

2324
01:39:56,173 --> 01:39:58,442
GUIDANCE ON GRAINS.

2325
01:39:58,442 --> 01:40:00,311
WE EXPLORED MODIFICATION TO 

2326
01:40:00,311 --> 01:40:02,947
GRAINS THAT REDUCED THE TOTAL 

2327
01:40:02,947 --> 01:40:05,616
GRAINS THAT ULTIMATELY WE'VE 

2328
01:40:05,616 --> 01:40:08,886
DECIDED THIS WOULD NOT BE A GOOD

2329
01:40:08,886 --> 01:40:10,254
MODIFICATION AT THIS TIME.

2330
01:40:10,254 --> 01:40:12,990
WE RECOGNIZE A MAJORITY OF 

2331
01:40:12,990 --> 01:40:16,327
ENERGY OF EACH CALORIE LEVEL IS 

2332
01:40:16,327 --> 01:40:18,829
ACCOUNTED FOR AND REDUCING TOTAL

2333
01:40:18,829 --> 01:40:21,065
GRAINS MIGHT HAVE BEEN A WAY TO 

2334
01:40:21,065 --> 01:40:22,066
REDUCE THE TOTAL ENERGY 

2335
01:40:22,066 --> 01:40:25,436
CONTRIBUTED BY THE PATTERN AND 

2336
01:40:25,436 --> 01:40:26,871
TO ALLOW MORE FLEXIBILITY 

2337
01:40:26,871 --> 01:40:27,772
HOWEVER, THE FOOD PATTERN 

2338
01:40:27,772 --> 01:40:34,378
MODELLING AND THIS IS A GREAT 

2339
01:40:34,378 --> 01:40:36,280
EXAMPLE WHERE YOU'VE GOT 

2340
01:40:36,280 --> 01:40:37,448
SYSTEMATIC REVIEW AND PATTERN 

2341
01:40:37,448 --> 01:40:38,749
MODELLING TOGETHER AND IT'S 

2342
01:40:38,749 --> 01:40:42,987
COLLECTIVELY INFORMING THE 

2343
01:40:42,987 --> 01:40:43,320
GUIDANCE.

2344
01:40:43,320 --> 01:40:44,422
FOOD PATTERN MODELLING INDICATED

2345
01:40:44,422 --> 01:40:47,691
IF WITH REDUCE TOTAL GRAINS 

2346
01:40:47,691 --> 01:40:49,627
THERE WOULD BE NUTRIENT 

2347
01:40:49,627 --> 01:40:50,961
INADEQUACIES IN THE PATTERN.

2348
01:40:50,961 --> 01:40:53,330
FURTHERMORE ANY SMALL 

2349
01:40:53,330 --> 01:40:56,066
IMPROVEMENTS GAINED BY 

2350
01:40:56,066 --> 01:40:59,136
INCREASING BEANS, PEAS AND 

2351
01:40:59,136 --> 01:41:00,805
LENTILS WE'D WIPE OUT IF WE 

2352
01:41:00,805 --> 01:41:02,706
REDUCE THE TOTAL GRAINS.

2353
01:41:02,706 --> 01:41:03,974
THIS IS THE RATIONALE FOR NOT 

2354
01:41:03,974 --> 01:41:11,148
PROPOSING A MODIFICATION.

2355
01:41:11,148 --> 01:41:14,318
WE ALSO DID NOT RECOMMEND A 

2356
01:41:14,318 --> 01:41:19,190
MODIFICATION FOR DAIRY AND 

2357
01:41:19,190 --> 01:41:21,358
FORTIFIED SOY ALTERNATIVES.

2358
01:41:21,358 --> 01:41:24,462
WE DID TAKE THE PUBLIC COMMENTS 

2359
01:41:24,462 --> 01:41:25,429
AGAIN THANK YOU VERY MUCH FOR 

2360
01:41:25,429 --> 01:41:28,799
THOSE WHO SUBMITTED THEM BECAUSE

2361
01:41:28,799 --> 01:41:31,435
IT DID -- WE DID ACKNOWLEDGE 

2362
01:41:31,435 --> 01:41:33,437
THEM AND DISCUSS THEM.

2363
01:41:33,437 --> 01:41:35,806
THE PUBLIC COMMENTS OF NOTICE 

2364
01:41:35,806 --> 01:41:39,677
THAT DAIRY ITSELF IS NOT 

2365
01:41:39,677 --> 01:41:41,145
CONSUMED BY SOME LACTOSE 

2366
01:41:41,145 --> 01:41:43,214
INTOLERANCE FROM MANY IN THE 

2367
01:41:43,214 --> 01:41:44,682
POPULATION.

2368
01:41:44,682 --> 01:41:47,751
AND THE QUANTITY OF THE DAIRY IN

2369
01:41:47,751 --> 01:41:49,086
THE CURRENT PATTERN COULD BE 

2370
01:41:49,086 --> 01:41:50,788
LOWER TO MEET PEOPLE WHERE THEY 

2371
01:41:50,788 --> 01:41:54,191
ARE SINCE 88% OF THE POPULATION 

2372
01:41:54,191 --> 01:41:56,694
BASED ON THE DATA ANALYSIS FALL 

2373
01:41:56,694 --> 01:41:58,429
SHORT OF RECOMMENDATIONS DAIRY 

2374
01:41:58,429 --> 01:41:58,662
INTAKES.

2375
01:41:58,662 --> 01:42:00,030
WE ALSO DISCUSSED THE FACT THAT 

2376
01:42:00,030 --> 01:42:01,699
LIGHT GRAINS, IF THERE WAS A 

2377
01:42:01,699 --> 01:42:03,834
REDUCTION OF DAIRY, WE MIGHT BE 

2378
01:42:03,834 --> 01:42:06,036
ABLE TO REDUCE THE TOTAL ENERGY 

2379
01:42:06,036 --> 01:42:07,471
CONTRIBUTES BY THE PATTERN AND 

2380
01:42:07,471 --> 01:42:09,440
THAT WOULD AGAIN ALLOW FOR MORE 

2381
01:42:09,440 --> 01:42:13,410
FLEXIBILITY.

2382
01:42:13,410 --> 01:42:14,345
HOWEVER, THE SYNTHESIS FROM THE 

2383
01:42:14,345 --> 01:42:16,614
FOOD PATTERN MODELLING DID NOT 

2384
01:42:16,614 --> 01:42:18,849
ULTIMATELY SUPPORT CHANGES TO 

2385
01:42:18,849 --> 01:42:21,552
DAIRY AND FORTIFIED SOY 

2386
01:42:21,552 --> 01:42:21,986
ALTERNATIVES.

2387
01:42:21,986 --> 01:42:22,853
IT'S MAINLY BECAUSE THERE WOULD 

2388
01:42:22,853 --> 01:42:27,191
BE NEGATIVE IMPLICATIONS ON 

2389
01:42:27,191 --> 01:42:29,460
NUTRIENTS FOR MANY AGE SEX 

2390
01:42:29,460 --> 01:42:30,461
GROUPS AND PARTICULARLY 

2391
01:42:30,461 --> 01:42:33,430
CHILDREN, ADOLESCENTS AND OLDER 

2392
01:42:33,430 --> 01:42:36,233
ADULTS FOR WHOM NUTRIENT NEEDS 

2393
01:42:36,233 --> 01:42:37,735
RELATES TO BONE HEALTH ARE 

2394
01:42:37,735 --> 01:42:39,436
HIGHER.

2395
01:42:39,436 --> 01:42:41,405
ADDITIONALLY SOME OF THE 

2396
01:42:41,405 --> 01:42:42,439
IMPROVEMENTS WE WOULD GAIN WITH 

2397
01:42:42,439 --> 01:42:45,476
SOME OTHER MODIFICATIONS WOULD 

2398
01:42:45,476 --> 01:42:49,813
AGAIN BE LOST IF WE REDUCED 

2399
01:42:49,813 --> 01:42:56,387
DAIRY AND FORTIFIED SOY 

2400
01:42:56,387 --> 01:42:56,720
ALTERNATIVES.

2401
01:42:56,720 --> 01:43:00,658
WE ALSO THE RATIONALE ALSO 

2402
01:43:00,658 --> 01:43:01,458
CONSIDERS OUR SYSTEMATIC REVIEW 

2403
01:43:01,458 --> 01:43:03,661
WHICH SUPPORT DIETARY PATTERNS 

2404
01:43:03,661 --> 01:43:07,865
THAT INCLUDE LOW OR NON-FAT 

2405
01:43:07,865 --> 01:43:08,365
DAIRY.

2406
01:43:08,365 --> 01:43:11,802
WE DID EXPLORE NON-DAIRY MILK 

2407
01:43:11,802 --> 01:43:12,136
ALTERNATIVES.

2408
01:43:12,136 --> 01:43:18,642
THE COMMITTEE ACKNOWLEDGED THIS 

2409
01:43:18,642 --> 01:43:26,150
IS AN AREA OF GROWING POPULARITY

2410
01:43:26,150 --> 01:43:28,052
HOWEVER, WE DID NOT PROVIDE A 

2411
01:43:28,052 --> 01:43:31,889
RECOMMENDATION OR CONCLUSION ON 

2412
01:43:31,889 --> 01:43:35,526
THAT BECAUSE THE MODIFICATION OF

2413
01:43:35,526 --> 01:43:38,762
FLEXIBILITY FOR NON-DAIRY MILK 

2414
01:43:38,762 --> 01:43:40,998
ALTERNATIVES SIMPLY DOES NOT 

2415
01:43:40,998 --> 01:43:43,300
HAVE THE DATA YET.

2416
01:43:43,300 --> 01:43:46,437
THERE WAS NO EVIDENT TO IDENTIFY

2417
01:43:46,437 --> 01:43:48,539
THE SYSTEMATIC REVIEWS.

2418
01:43:48,539 --> 01:43:53,444
THIS IS A RAPIDLY EVOLVING 

2419
01:43:53,444 --> 01:43:55,679
CHANGE IN THE FOOD SUPPLY, THE 

2420
01:43:55,679 --> 01:43:59,350
NUTRIENT DATABASES MAY NOT HAVE 

2421
01:43:59,350 --> 01:44:03,053
ALL THE CURRENT FORM  

2422
01:44:03,053 --> 01:44:07,524
FORMLATIONS AND THERE WAS A LOT 

2423
01:44:07,524 --> 01:44:09,426
OF CONCERNS ABOUT THE PRACTICES 

2424
01:44:09,426 --> 01:44:13,097
IN THE FOOD SUPPLY AND THEY AS A

2425
01:44:13,097 --> 01:44:15,132
GROUP THERE'S WIDE VARIATION IN 

2426
01:44:15,132 --> 01:44:19,136
NUTRIENT CONTENT.

2427
01:44:19,136 --> 01:44:21,138
SO WE CHOSE NOT TO EXPLORE THAT 

2428
01:44:21,138 --> 01:44:30,814
MODIFICATION OR FLEXIBILITY.

2429
01:44:30,814 --> 01:44:33,817
WE HAVE A COMMITTEE DISCUSSION.

2430
01:44:33,817 --> 01:44:40,424
THANK YOU I'LL OPEN IT UP FOR 

2431
01:44:40,424 --> 01:44:41,225
DISCUSSION.

2432
01:44:41,225 --> 01:44:43,327
CHRIS DO YOU WANT TO LEAD THE 

2433
01:44:43,327 --> 01:44:43,627
DISCUSSION?

2434
01:44:43,627 --> 01:44:44,662
>> YES, BECAUSE THE THINGS
WE'RE

2435
01:44:44,662 --> 01:44:46,764
TALKING ABOUT COMING FORWARD ARE

2436
01:44:46,764 --> 01:44:48,132
BASED ON THESE MODIFICATION 

2437
01:44:48,132 --> 01:44:49,466
CHANGES SO WE WANTED A CHANCE TO

2438
01:44:49,466 --> 01:44:59,843
TAKE A FEW QUESTIONS.

2439
01:45:08,452 --> 01:45:10,154
GO AHEAD, DIDI.

2440
01:45:10,154 --> 01:45:13,190
>> THIS IS NOT GOING TO BE
A 

2441
01:45:13,190 --> 01:45:14,591
COMFORTABLE CONVERSATION.

2442
01:45:14,591 --> 01:45:15,959
WE HAD PROPOSED MODIFICATIONS 

2443
01:45:15,959 --> 01:45:17,561
CROSSED OUT AND I KNOW THERE WAS

2444
01:45:17,561 --> 01:45:24,501
A SLIDE YOU WALKED THROUGH 

2445
01:45:24,501 --> 01:45:26,637
CAREFULLY LIST  GRAINS 

2446
01:45:26,637 --> 01:45:28,439
DISCUSSION BUT A COUPLE 

2447
01:45:28,439 --> 01:45:34,945
IMPORTANT POINTS.

2448
01:45:34,945 --> 01:45:37,481
GRAINS ARE EIGHT SERVINGS A DAY 

2449
01:45:37,481 --> 01:45:40,784
AND VEG TWO SERVES PER DAY AT 

2450
01:45:40,784 --> 01:45:42,720
THE 2400 CALORIE LEVEL.

2451
01:45:42,720 --> 01:45:44,788
I PICKED A RANDOM COLUMN.

2452
01:45:44,788 --> 01:45:46,423
WITHIN GRAINS THERE'S THE 

2453
01:45:46,423 --> 01:45:47,091
QUALITATIVE RECOMMENDATION FOR 

2454
01:45:47,091 --> 01:45:49,359
HALF BEING WHOLE AND REFINED 

2455
01:45:49,359 --> 01:45:52,529
WHICH WE KNOW NOBODY EATS WHOLE 

2456
01:45:52,529 --> 01:45:52,763
GRAINS.

2457
01:45:52,763 --> 01:45:56,266
THAT'S FOUR SERVINGS OF REFINED 

2458
01:45:56,266 --> 01:45:56,834
GRAINS MORE THEN THE 

2459
01:45:56,834 --> 01:45:57,434
RECOMMENDATION THAN FRUIT AND 

2460
01:45:57,434 --> 01:46:06,210
VEG.

2461
01:46:06,210 --> 01:46:08,979
THAT BOTHERS ME AS SOMETHING TO 

2462
01:46:08,979 --> 01:46:11,315
PROMOTE BUT IT'S A LOT BUT IT'S 

2463
01:46:11,315 --> 01:46:14,151
MORE THAN VEGETABLES AND MORE 

2464
01:46:14,151 --> 01:46:16,019
THAN FRUIT OF REFINED GRAINS.

2465
01:46:16,019 --> 01:46:17,921
I THINK THIS IS A MISSED 

2466
01:46:17,921 --> 01:46:19,523
OPPORTUNITY AND IT REALLY 

2467
01:46:19,523 --> 01:46:23,527
BOTHERS ME AND I THINK THERE IS 

2468
01:46:23,527 --> 01:46:24,495
RATIONALE DISCUSSED AT SOME 

2469
01:46:24,495 --> 01:46:30,033
POINT BUT I WOULD LOVE THE 

2470
01:46:30,033 --> 01:46:32,035
PUBLIC TO HEAR THE RATIONALE A 

2471
01:46:32,035 --> 01:46:37,975
BIT MORE.

2472
01:46:37,975 --> 01:46:39,476
>> DIDI, WE THANK YOU FOR 

2473
01:46:39,476 --> 01:46:40,277
RAISING THIS BECAUSE I THINK 

2474
01:46:40,277 --> 01:46:44,148
THIS IS THE POINT OF THE 

2475
01:46:44,148 --> 01:46:46,450
COMMITTEE DISCUSSION.

2476
01:46:46,450 --> 01:46:50,254
THIS IS CONSENSUS BASED AND IT'S

2477
01:46:50,254 --> 01:46:53,357
IMPORTANT FOR PEOPLE TO PRESENT 

2478
01:46:53,357 --> 01:46:53,690
PERSPECTIVES.

2479
01:46:53,690 --> 01:46:57,394
I CAN'T TALK ABOUT THE SPECIFICS

2480
01:46:57,394 --> 01:47:01,331
WHICH IS ABOUT THE SPECIFICS IN 

2481
01:47:01,331 --> 01:47:04,134
TERMS OF THE QUANTITIES.

2482
01:47:04,134 --> 01:47:06,203
I THINK THIS IS WHERE CHRIS'S 

2483
01:47:06,203 --> 01:47:09,439
VAST EXPERTISE IN THIS WILL 

2484
01:47:09,439 --> 01:47:10,207
REALLY HELP.

2485
01:47:10,207 --> 01:47:16,446
BUT DON'T FORGET THE SYSTEMATIC 

2486
01:47:16,446 --> 01:47:19,216
REVIEWS GO HIGHER OR LOWER.

2487
01:47:19,216 --> 01:47:22,553
THERE WAS AN EXTENSIVE AMOUNT OF

2488
01:47:22,553 --> 01:47:27,958
FOOD PATTERN MODELLING IN THIS 

2489
01:47:27,958 --> 01:47:28,225
EXERCISE.

2490
01:47:28,225 --> 01:47:32,262
AND WHAT WE WERE FINDING WAS 

2491
01:47:32,262 --> 01:47:34,431
THAT THE ENRICHMENT OF GRAINS 

2492
01:47:34,431 --> 01:47:36,900
AND EVEN FORTIFICATION OF READY 

2493
01:47:36,900 --> 01:47:42,773
TO EAT CEREALS REALLY HAVE 

2494
01:47:42,773 --> 01:47:44,041
PUBLIC HEALTH BENEFITS ON 

2495
01:47:44,041 --> 01:47:49,046
NUTRIENT INSIGHTS.

2496
01:47:49,046 --> 01:47:50,814
I THINK WE HAVE TO INCREASE THE 

2497
01:47:50,814 --> 01:47:55,886
PROPORTION OF GRAINS WE WOULD 

2498
01:47:55,886 --> 01:48:01,425
NEED TO DO WOULD NEED TO DO A 

2499
01:48:01,425 --> 01:48:02,559
DIFFERENT PATTERN OF MODELLING 

2500
01:48:02,559 --> 01:48:05,262
TO ALIGN THE GRAINS TYPES TO 

2501
01:48:05,262 --> 01:48:07,197
WHOLE GRAIN AND THE NUTRIENT 

2502
01:48:07,197 --> 01:48:12,603
DENSE FORMS, ETCETERA.

2503
01:48:12,603 --> 01:48:18,008
I THINK THE COMMITTEE FELT THE 

2504
01:48:18,008 --> 01:48:20,577
NUTRIENT NEEDS WERE THE MOST 

2505
01:48:20,577 --> 01:48:22,412
IMPORTANT THINGS AND A CRITICAL 

2506
01:48:22,412 --> 01:48:26,350
GROUP FOR MEETING NEEDS AT 

2507
01:48:26,350 --> 01:48:27,517
DIFFERENT GROUPS BUT I'LL HAND 

2508
01:48:27,517 --> 01:48:28,485
IT OVER TO CHRIS.

2509
01:48:28,485 --> 01:48:34,424
>> IT TIES BACK TO THE 

2510
01:48:34,424 --> 01:48:37,694
CONVERSATION YESTERDAY FOLLOWING

2511
01:48:37,694 --> 01:48:41,164
THE CURRENT PATTERN WE HAVE 

2512
01:48:41,164 --> 01:48:42,599
CHALLENGES MEETING THE FOLATE 

2513
01:48:42,599 --> 01:48:43,934
LEVELS FOR PREGNANT WOMEN AND 

2514
01:48:43,934 --> 01:48:46,436
THE FORTIFICATION LEVELS IN 

2515
01:48:46,436 --> 01:48:47,471
REFINED GRAINS TO HELP MEET THAT

2516
01:48:47,471 --> 01:48:51,208
BUT IF YOU LOOK BACK TO 

2517
01:48:51,208 --> 01:48:52,075
HEATHER'S PRESENTATION ON DATA 

2518
01:48:52,075 --> 01:48:57,214
ANALYSIS SHE HAD A BUSY DAY 

2519
01:48:57,214 --> 01:49:01,919
YESTERDAY, SHOWS THAT THE PLACES

2520
01:49:01,919 --> 01:49:04,621
WE'RE GETTING FOLATE THEY'RE 

2521
01:49:04,621 --> 01:49:05,822
CONSIDERABLY LOWER IN THE TOTAL 

2522
01:49:05,822 --> 01:49:06,023
DIET.

2523
01:49:06,023 --> 01:49:08,992
PART IS GOING TO BE THIS SKREP 

2524
01:49:08,992 --> 01:49:11,128
AN SI BETWEEN THE SYSTEM REVIEW 

2525
01:49:11,128 --> 01:49:12,062
EVIDENCE SAYING 90% OF OUR 

2526
01:49:12,062 --> 01:49:16,433
GRAINS ARE COMING AS REFINED 

2527
01:49:16,433 --> 01:49:18,368
GRAINS AND ABOVE RECOMMENDATIONS

2528
01:49:18,368 --> 01:49:21,772
WHICH WE'RE A PERCENT ABOVE AND 

2529
01:49:21,772 --> 01:49:23,540
BELOW AS WELL AS THE LACK OF 

2530
01:49:23,540 --> 01:49:25,309
NUTRIENTS THAT COME FROM THE 

2531
01:49:25,309 --> 01:49:26,810
OTHER SIDE OF WHERE THESE ARE 

2532
01:49:26,810 --> 01:49:30,480
COMING FROM BUT GETS INTO A FAR 

2533
01:49:30,480 --> 01:49:31,748
MORE COMPLEX QUESTION OF 

2534
01:49:31,748 --> 01:49:34,584
COMPARING THE SYSTEMATIC REVIEWS

2535
01:49:34,584 --> 01:49:37,688
OF POTENTIALLY OVER AND UNDER 

2536
01:49:37,688 --> 01:49:40,657
CONSUMPTION AND MODIFYING THAT 

2537
01:49:40,657 --> 01:49:43,927
SLIGHTLY VERSUS WITH THE FOOD 

2538
01:49:43,927 --> 01:49:47,864
PATTERN MODELLING AND GETTING TO

2539
01:49:47,864 --> 01:49:49,933
THE NUTRIENT LEVEL AND THE 

2540
01:49:49,933 --> 01:49:51,435
MODELLING OF GRAINS OF WHAT 

2541
01:49:51,435 --> 01:49:54,204
HAPPENS IF YOU REDUCE ONLY 

2542
01:49:54,204 --> 01:49:56,273
REFINED OR WHOLE GRAINS OR A 

2543
01:49:56,273 --> 01:49:58,208
LITTLE BIT OF BOTH IN THOSE 

2544
01:49:58,208 --> 01:50:00,077
MODIFICATIONS REALLY HAS RAY 

2545
01:50:00,077 --> 01:50:04,348
COMPLEX STORY LINE AROUND THE 

2546
01:50:04,348 --> 01:50:06,583
FORTIFICATION QUESTIONS AND THE 

2547
01:50:06,583 --> 01:50:07,217
ENRICH

2548
01:50:07,217 --> 01:50:09,720
ENRICHMENT THAT IS A BACK STORY 

2549
01:50:09,720 --> 01:50:20,197
TO SO MUCH OF ALL THIS WORK.

2550
01:50:26,737 --> 01:50:27,938
J I'D ENCOURAGE THE COMMITTEE TO

2551
01:50:27,938 --> 01:50:29,639
HAVE A THOUGHTFUL DISCUSSION IN 

2552
01:50:29,639 --> 01:50:34,011
THE REPORT IS THERE FOR THE NEXT

2553
01:50:34,011 --> 01:50:38,148
COMMITTEE, FOR EXAMPLE, IS THERE

2554
01:50:38,148 --> 01:50:39,383
A SPECIFIC FOOD PATTERN 

2555
01:50:39,383 --> 01:50:42,119
MODELLING QUESTION THAT WOULD 

2556
01:50:42,119 --> 01:50:45,722
ADDRESS WHAT YOU'RE ASKING FOR 

2557
01:50:45,722 --> 01:50:47,758
WHICH WE WILL NOT BE -- WE WILL 

2558
01:50:47,758 --> 01:50:49,693
NOT HAVE DONE.

2559
01:50:49,693 --> 01:50:52,863
>> TWO QUICK FOLLOW UPS.

2560
01:50:52,863 --> 01:50:55,532
I APPRECIATE BOTH OF YOU 

2561
01:50:55,532 --> 01:50:57,300
SPELLING THOSE OUT.

2562
01:50:57,300 --> 01:50:59,202
I THINK IN THE REPORT IT DOES 

2563
01:50:59,202 --> 01:51:01,638
NEED TO BE CAREFULLY DESCRIBED 

2564
01:51:01,638 --> 01:51:07,377
IN A VERY SORT OF HONEST WAY THE

2565
01:51:07,377 --> 01:51:09,012
SYSTEMATIC REVIEW DOESN'T NOT 

2566
01:51:09,012 --> 01:51:10,047
PARTICULARLY ALIGN WITH THE 

2567
01:51:10,047 --> 01:51:13,417
ULTIMATE DECISION NOT TO TOUCH A

2568
01:51:13,417 --> 01:51:15,619
GRAIN CATEGORY GIVEN THERE'S NO 

2569
01:51:15,619 --> 01:51:16,486
QUANTITY IT'S STILL NOT 

2570
01:51:16,486 --> 01:51:17,687
CONSISTENT WITH OUR EVIDENCE 

2571
01:51:17,687 --> 01:51:20,257
FROM THE DIETARY PATTERN REVIEW 

2572
01:51:20,257 --> 01:51:23,493
THAT REFINED GRAINS SHOULD BE 

2573
01:51:23,493 --> 01:51:24,961
CONSUMED MORE PER DAY AT A 

2574
01:51:24,961 --> 01:51:27,497
SERVING LEVEL THAN VEGETABLES 

2575
01:51:27,497 --> 01:51:28,465
AND FRUIT.

2576
01:51:28,465 --> 01:51:32,102
SO THAT PIECE IS THE 

2577
01:51:32,102 --> 01:51:34,037
INCONSISTENCY EVEN IF QUANTITY 

2578
01:51:34,037 --> 01:51:35,639
CAN BE PUT ON THAT.

2579
01:51:35,639 --> 01:51:38,775
IF IT'S ABOUT FOLATE WHICH I 

2580
01:51:38,775 --> 01:51:41,445
AGREE IS AN IMPORTANT 

2581
01:51:41,445 --> 01:51:46,416
MICRONUTRIENT AS IT NOT INHERENT

2582
01:51:46,416 --> 01:51:48,318
IN MANY PRODUCTS.

2583
01:51:48,318 --> 01:51:49,453
IT'S AN INDUSTRIAL MANUFACTURED 

2584
01:51:49,453 --> 01:51:55,725
ADDITIVE.

2585
01:51:55,725 --> 01:51:57,761
IF THAT'S HOLDING US FROM 

2586
01:51:57,761 --> 01:51:59,930
TOUCHING THE GRAIN 

2587
01:51:59,930 --> 01:52:01,298
RECOMMENDATION IT'S ON FURTHER 

2588
01:52:01,298 --> 01:52:03,233
POLICY TO MAKE SURE THE 

2589
01:52:03,233 --> 01:52:05,135
FORTIFICATION, IF THAT'S WHAT'S 

2590
01:52:05,135 --> 01:52:07,104
MAKING THE DECISION, EXTENT TO 

2591
01:52:07,104 --> 01:52:08,438
WHOLE GRAIN OR OTHER 

2592
01:52:08,438 --> 01:52:10,874
ALTERNATIVES SO REFINED GRAINS 

2593
01:52:10,874 --> 01:52:14,811
ARE NOT BEING CONSUMED JUST TO 

2594
01:52:14,811 --> 01:52:17,380
GET A MULTI VITAMIN.

2595
01:52:17,380 --> 01:52:19,716
>> DIDI IT'S A GOOD POINT
AND 

2596
01:52:19,716 --> 01:52:22,786
ENDORSE IT GOES IN THE CHAPTER 

2597
01:52:22,786 --> 01:52:24,554
FOR FUTURE DIRECTIONS AND 

2598
01:52:24,554 --> 01:52:25,856
GUIDANCE TO FEDERAL AGENCIES.

2599
01:52:25,856 --> 01:52:26,923
I THINK YOU RAISED A GOOD POINT 

2600
01:52:26,923 --> 01:52:37,334
AND THANK YOU FOR THAT.

2601
01:52:40,704 --> 01:52:41,271
RECOMMENDATION IT'S ON FURTHER 

2602
01:52:41,271 --> 01:52:45,709
GUIDANCE TO FEDERAL A>>
CAN YOU 

2603
01:52:45,709 --> 01:52:47,844
LEAFY GREENS AND THINKING ABOUT 

2604
01:52:47,844 --> 01:52:48,745
THE CULTURAL DIETS AS WELL THAT 

2605
01:52:48,745 --> 01:52:50,080
WOULD BE ONE OF THE THINGS AND 

2606
01:52:50,080 --> 01:52:51,481
THE DAIRY REDUCTION.

2607
01:52:51,481 --> 01:52:56,453
I KNOW THOSE WERE TWO THINGS 

2608
01:52:56,453 --> 01:53:00,757
WOULD BE GREAT TO HAVE A MORE 

2609
01:53:00,757 --> 01:53:01,491
DETAILED EXPLANATION WHY WE 

2610
01:53:01,491 --> 01:53:11,968
CAN'T CONSIDER THOSE THINGS.

2611
01:53:17,274 --> 01:53:18,708
>> THE CHALLENGE IS THE 

2612
01:53:18,708 --> 01:53:19,910
SYSTEMATIC REVIEW EVIDENCE DOES 

2613
01:53:19,910 --> 01:53:22,445
NOT SINGLE OUT THAT VEGETABLE 

2614
01:53:22,445 --> 01:53:28,752
SUB GROUP.

2615
01:53:28,752 --> 01:53:31,354
POINT TAKEN THE DARK LEAFY 

2616
01:53:31,354 --> 01:53:34,324
GREENS HAVE IMPORTANT ROLES IN 

2617
01:53:34,324 --> 01:53:35,125
DIFFERENT INDIVIDUAL POPULATION 

2618
01:53:35,125 --> 01:53:35,559
GROUP DIETS.

2619
01:53:35,559 --> 01:53:39,529
BUT AT IF THE EVIDENCE FROM THE 

2620
01:53:39,529 --> 01:53:41,765
SYSTEMATIC REVIEWS DID NOT CALL 

2621
01:53:41,765 --> 01:53:44,734
OUT DARK LEAFY VEGETABLES AND 

2622
01:53:44,734 --> 01:53:48,538
SAYING DIETS HIGHER IN DARK 

2623
01:53:48,538 --> 01:53:53,343
LEAFY VEGETABLES THEN WE CAN'T 

2624
01:53:53,343 --> 01:53:54,911
IMPOSE OUR ASSUMPTIONS WITHOUT 

2625
01:53:54,911 --> 01:53:56,079
THE EVIDENCE.

2626
01:53:56,079 --> 01:53:57,180
DON'T FORGET THERE'S A 

2627
01:53:57,180 --> 01:53:58,715
RECOMMENDATION FOR DARK LEAFY 

2628
01:53:58,715 --> 01:54:04,454
VEGETABLES AND BASED ON THE DATA

2629
01:54:04,454 --> 01:54:07,857
ANALYSIS WE ARE WOEFULLY BELOW 

2630
01:54:07,857 --> 01:54:10,327
THE RECOMMENDED INTAKE AND THIS 

2631
01:54:10,327 --> 01:54:13,263
IS MODELLING AND ISN'T ABOUT 

2632
01:54:13,263 --> 01:54:14,931
TELLING PEOPLE TO -- PEOPLE 

2633
01:54:14,931 --> 01:54:16,466
AREN'T EVEN MEETING THE CURRENT 

2634
01:54:16,466 --> 01:54:18,335
DIETARY PATTERN SO THAT WAS THE 

2635
01:54:18,335 --> 01:54:20,670
RATIONALE FOR THE DARK LEAFY 

2636
01:54:20,670 --> 01:54:21,204
VEGETABLES.

2637
01:54:21,204 --> 01:54:22,038
CHRIS, WOULD YOU MIND TAKING THE

2638
01:54:22,038 --> 01:54:31,414
DAIRY?

2639
01:54:31,414 --> 01:54:34,150
>> WE USE VEGETABLES ARE 

2640
01:54:34,150 --> 01:54:37,687
GENERALLY REPORTED AS 

2641
01:54:37,687 --> 01:54:38,255
VEGETABLES.

2642
01:54:38,255 --> 01:54:38,989
THERE'S SOME EVIDENCE IN THE 

2643
01:54:38,989 --> 01:54:42,626
CANCER THAT WILL FOCUS ON 

2644
01:54:42,626 --> 01:54:44,427
NON-STARCHY VEGETABLES VERSUS 

2645
01:54:44,427 --> 01:54:45,362
VEGETABLE SO YOU GET A LITTLE 

2646
01:54:45,362 --> 01:54:46,796
BIT FIDELITY THERE IN TERMS OF 

2647
01:54:46,796 --> 01:54:47,464
WHAT'S BEING ASSESSED.

2648
01:54:47,464 --> 01:54:49,466
WITH THE DAIRY ITSELF WAS 

2649
01:54:49,466 --> 01:54:52,469
LOOKING SPECIFICALLY AT A LOT OF

2650
01:54:52,469 --> 01:54:55,171
THE NUTRIENT GAPS WITH PRIMARY 

2651
01:54:55,171 --> 01:54:57,507
CONCERNS OF NUTRIENTS ESPECIALLY

2652
01:54:57,507 --> 01:55:03,313
IN AAGE -- AGE GROUPS WHERE THE 

2653
01:55:03,313 --> 01:55:05,115
CALORIE LEVELS WERE LOWER AND 

2654
01:55:05,115 --> 01:55:07,117
HAD IMPACT ON A MULTITUDE OF 

2655
01:55:07,117 --> 01:55:08,018
NUTRIENTS.

2656
01:55:08,018 --> 01:55:10,453
>> I WANT TO ADD ANGELA,
AND I 

2657
01:55:10,453 --> 01:55:13,056
THINK THIS IMPORTANT RELATIVE TO

2658
01:55:13,056 --> 01:55:14,924
THE HEALTH EQUITY LENS AS WELL, 

2659
01:55:14,924 --> 01:55:16,626
WHEN WE SAY DAIRY WE'RE NOT 

2660
01:55:16,626 --> 01:55:20,630
BEING PRECISE IN OUR LANGUAGE 

2661
01:55:20,630 --> 01:55:23,867
AND I OWN THAT SLIPPINESS.

2662
01:55:23,867 --> 01:55:27,671
WE'RE TALKING ABOUT DAIRY AND 

2663
01:55:27,671 --> 01:55:30,073
FORTIFIED SOY ALTERNATIVES SO 

2664
01:55:30,073 --> 01:55:32,442
THE RECOMMENDATIONS INCLUDE 

2665
01:55:32,442 --> 01:55:34,477
PRODUCTS THAT WHERE THE LACTOSE 

2666
01:55:34,477 --> 01:55:35,979
IS REMOVED AND THERE'S THE ALSO 

2667
01:55:35,979 --> 01:55:37,447
THE SOY.

2668
01:55:37,447 --> 01:55:39,316
I WANTED TO EMPHASIZE THAT WE'RE

2669
01:55:39,316 --> 01:55:42,419
NOT JUST TALKING ABOUT COW MILK 

2670
01:55:42,419 --> 01:55:43,620
AND THAT'S MY SLOPPINESS.

2671
01:55:43,620 --> 01:55:48,992
>> I WAS THINKING ABOUT
WHAT 

2672
01:55:48,992 --> 01:55:50,327
MIGHT BE RAISED BECAUSE WHAT'S 

2673
01:55:50,327 --> 01:55:51,528
BEEN RAISED IS AN INCREASE IN 

2674
01:55:51,528 --> 01:55:53,296
DARK LEAFY GREENS IN ADDITION TO

2675
01:55:53,296 --> 01:55:58,268
THE IDEA OF A REDUCTION IN 

2676
01:55:58,268 --> 01:55:58,468
DAIRY.

2677
01:55:58,468 --> 01:56:00,403
IN SOME DISCUSSIONS AROUND 

2678
01:56:00,403 --> 01:56:02,138
CULTURAL DIETS AND THE MORE WE 

2679
01:56:02,138 --> 01:56:07,510
HAVE A JUSTIFICATION AND 

2680
01:56:07,510 --> 01:56:10,980
THINKING AROUND NOT NECESSARILY 

2681
01:56:10,980 --> 01:56:12,349
MODELLING AND INCREASE IN DARK 

2682
01:56:12,349 --> 01:56:13,450
LEAFY GREENS AT THIS POINT WHICH

2683
01:56:13,450 --> 01:56:14,317
MAY BE A RECOMMENDATION FOR THE 

2684
01:56:14,317 --> 01:56:16,186
FUTURE BUT I WANT TO MAKE SURE 

2685
01:56:16,186 --> 01:56:20,223
WE GET THAT OUT THERE ABOUT SOME

2686
01:56:20,223 --> 01:56:21,958
OF THE LIMITATIONS BECAUSE THERE

2687
01:56:21,958 --> 01:56:23,827
COULD BE A DISCUSSION ABOUT 

2688
01:56:23,827 --> 01:56:26,896
INCREASE IN DARK LEAFY GREENS TO

2689
01:56:26,896 --> 01:56:30,166
THINK ABOUT NUTRIENTS.

2690
01:56:30,166 --> 01:56:31,901
OF COURSE BECAUSE MUCH OUR 

2691
01:56:31,901 --> 01:56:35,338
SYSTEM WE CAN'T MAKE UP ALL THE 

2692
01:56:35,338 --> 01:56:36,873
NUTRIENTS BUT SINCE THAT WAS PUT

2693
01:56:36,873 --> 01:56:40,810
ON THE TABLE FOR A REASON, I 

2694
01:56:40,810 --> 01:56:43,546
THINK IT'S A SOMETHING WE SHOULD

2695
01:56:43,546 --> 01:56:45,281
DISCUSS AND CLARIFY WHAT THE 

2696
01:56:45,281 --> 01:56:48,184
LIMITATIONS OF THE PROCESS MAY 

2697
01:56:48,184 --> 01:56:48,485
BE.

2698
01:56:48,485 --> 01:56:50,653
>> ONE MORE THING BECAUSE
WE 

2699
01:56:50,653 --> 01:56:53,490
LOOKED AT THE DATA ANALYSIS 

2700
01:56:53,490 --> 01:56:55,592
EVIDENCE ON THE QUANTITY OF 

2701
01:56:55,592 --> 01:56:57,627
CONSUMPTION AND THE DISTRIBUTION

2702
01:56:57,627 --> 01:56:58,495
WE WERE BELOW AND THE QUANTITY 

2703
01:56:58,495 --> 01:57:02,198
THAT WOULD HAVE TO BE ADDED TO 

2704
01:57:02,198 --> 01:57:05,235
BRING IT UP WHERE IT WAS AND 

2705
01:57:05,235 --> 01:57:08,238
WHERE IT WAS GOING STARTED TO 

2706
01:57:08,238 --> 01:57:12,108
SHIFT TOWARDS UNREALISTIC DATA 

2707
01:57:12,108 --> 01:57:15,812
BASED ON POPULATION CONSUMPTION 

2708
01:57:15,812 --> 01:57:19,716
LEVELS THAT EVEN WITH SOME 

2709
01:57:19,716 --> 01:57:23,453
SMALLER INCREMENTAL CHANGES PER 

2710
01:57:23,453 --> 01:57:24,821
DAY LED TO SUBSTANTIAL AMOUNTS 

2711
01:57:24,821 --> 01:57:27,290
OF GREEN LEVY VEGETABLES WHEN 

2712
01:57:27,290 --> 01:57:30,827
YOU LOOK AT UNCOOKED VEGETABLES.

2713
01:57:30,827 --> 01:57:34,497
SO PULLING IN THOSE PIECES AS 

2714
01:57:34,497 --> 01:57:40,470
WELL.

2715
01:57:40,470 --> 01:57:41,805
>> I'D LIKE TO FOLLOW UP
ON 

2716
01:57:41,805 --> 01:57:44,541
DIDI'S COMMENT HERE.

2717
01:57:44,541 --> 01:57:51,080
FEEL FREE TO CORRECT ME IF I'M 

2718
01:57:51,080 --> 01:57:51,281
WRONG.

2719
01:57:51,281 --> 01:57:52,849
FORTIFICATION OF RIBOFLAVIN, 

2720
01:57:52,849 --> 01:57:55,185
IRON TO LEVELS THE WHOLE GRAINS 

2721
01:57:55,185 --> 01:57:56,986
WOULD HAVE HAD AND THERE'S 

2722
01:57:56,986 --> 01:57:59,122
PROBABLY MULTIPLE NUTRIENTS THAT

2723
01:57:59,122 --> 01:58:00,323
AREN'T INCLUDED IN FORTIFICATION

2724
01:58:00,323 --> 01:58:01,991
THAT ARE LOST WHEN YOU GET TO 

2725
01:58:01,991 --> 01:58:03,793
REFINED GRAIN.

2726
01:58:03,793 --> 01:58:05,361
AND FOLATE IS THE ONLY ONE THAT 

2727
01:58:05,361 --> 01:58:08,364
IS HIGHER IN REFINED GRAINS THAN

2728
01:58:08,364 --> 01:58:10,500
WOULD HAVE BEEN IN THE WHOLE 

2729
01:58:10,500 --> 01:58:14,137
GRAINS IT'S LIKE A 

2730
01:58:14,137 --> 01:58:14,938
MULTI-VITAMIN.

2731
01:58:14,938 --> 01:58:19,509
AT ONE POINT NUTRIENTS WOULD BE 

2732
01:58:19,509 --> 01:58:22,679
LOST IF YOU GOT RID OF FINE 

2733
01:58:22,679 --> 01:58:22,912
GRAINS.

2734
01:58:22,912 --> 01:58:24,481
I KNOW IRON IS A NUTRIENT OF 

2735
01:58:24,481 --> 01:58:26,850
CONCERN FOR INFANTS AND PREGNANT

2736
01:58:26,850 --> 01:58:28,485
WOMEN BUT WITH A FOCUS AND I 

2737
01:58:28,485 --> 01:58:30,353
HAVE A FOLLOW-UP BUT HAVE THE 

2738
01:58:30,353 --> 01:58:39,762
FOCUS MOSTLY FOLATE?

2739
01:58:39,762 --> 01:58:41,498
>> WITH THE CONSUMPTION OF

2740
01:58:41,498 --> 01:58:45,468
PATTERN THAT DRIVES WHAT THE 

2741
01:58:45,468 --> 01:58:49,005
NUTRIENT PROFILE LOOKS LIKE 

2742
01:58:49,005 --> 01:58:54,477
FORTIFIED BREAKFAST CEREALS HAS 

2743
01:58:54,477 --> 01:58:56,613
A DISPROPORTIONATE IMPACT BEYOND

2744
01:58:56,613 --> 01:58:59,048
FOLATE FORTIFICATION SO YOU GET 

2745
01:58:59,048 --> 01:59:03,686
A MORE NUTRIENT COMPLEX NUTRIENT

2746
01:59:03,686 --> 01:59:06,956
FROM FORTIFIED BREAKFAST CEREALS

2747
01:59:06,956 --> 01:59:08,157
MORE COMMONLY THE SOURCE HAVING 

2748
01:59:08,157 --> 01:59:10,493
AN IMPACT ON THE NUTRIENTS.

2749
01:59:10,493 --> 01:59:10,860
>> INTERESTING.

2750
01:59:10,860 --> 01:59:12,028
IT MAKES SENSE.

2751
01:59:12,028 --> 01:59:14,364
TO FOLLOW UP ON THE FOLATE FOR 

2752
01:59:14,364 --> 01:59:15,832
WOMEN OF CHILDBEARING AGE AND I 

2753
01:59:15,832 --> 01:59:19,769
DON'T KNOW HOW SUCCESSFUL 

2754
01:59:19,769 --> 01:59:22,171
PRENATAL VITAMIN SUPPLEMENTATION

2755
01:59:22,171 --> 01:59:23,139
IS?

2756
01:59:23,139 --> 01:59:25,475
I ASSUME IT'S FAIRLY SUCCESSFUL 

2757
01:59:25,475 --> 01:59:27,110
AND FOLATE IS ONE YOU HAVE TO 

2758
01:59:27,110 --> 01:59:29,445
GET EVEN BEFORE YOU KNOW YOU'RE 

2759
01:59:29,445 --> 01:59:30,747
PREGNANT SO THAT IS A PROBLEM 

2760
01:59:30,747 --> 01:59:33,216
AND PUT IN A PITCH FOR BEANS, 

2761
01:59:33,216 --> 01:59:35,385
PEAS AND LENTILS BECAUSE ONE OF 

2762
01:59:35,385 --> 01:59:42,292
THE BEST SOURCES OF FOLATE ARE 

2763
01:59:42,292 --> 01:59:48,531
BEANS, PEAS AND LENTILS.

2764
01:59:48,531 --> 01:59:50,633
GREENS, BEANS AND CITRUS AND IT 

2765
01:59:50,633 --> 01:59:52,502
BRINGS BEANS, PEAS AND LENTILS 

2766
01:59:52,502 --> 01:59:55,338
BACK AGAIN.

2767
01:59:55,338 --> 01:59:57,840
>> SO TALKING ABOUT THE
FOLATE, 

2768
01:59:57,840 --> 02:00:02,011
IN 1966 WE ADDED FOLIC ACID TO 

2769
02:00:02,011 --> 02:00:07,116
OUR GRAINS TO PREVENT NEURAL 

2770
02:00:07,116 --> 02:00:10,019
DEFECTS AND FEELING PEOPLE WERE 

2771
02:00:10,019 --> 02:00:11,054
NOT MAKING GRAIN DECISIONS BASED

2772
02:00:11,054 --> 02:00:12,889
ON THAT.

2773
02:00:12,889 --> 02:00:14,557
THAT WAS 28 YEARS AGO.

2774
02:00:14,557 --> 02:00:16,492
PERHAPS IT'S TIME AND FEDERAL 

2775
02:00:16,492 --> 02:00:17,260
PEOPLE KNOW MORE ABOUT THE 

2776
02:00:17,260 --> 02:00:20,296
HISTORY OF THIS THAN I DO, THE 

2777
02:00:20,296 --> 02:00:22,365
ISSUE HAS COME UP A GOOD BIT 

2778
02:00:22,365 --> 02:00:24,567
WITH IRON WITH THE GUIDANCE THAT

2779
02:00:24,567 --> 02:00:27,203
JUST CAME OUT THAT DEALT WITH 

2780
02:00:27,203 --> 02:00:29,872
THIS EXTENSIVELY INVOLVING 

2781
02:00:29,872 --> 02:00:32,008
ISSUES WITH IRON AND WHOLE GRAIN

2782
02:00:32,008 --> 02:00:32,976
BUT YOU'RE FUNDAMENTALLY RIGHT 

2783
02:00:32,976 --> 02:00:35,178
WE PERHAPS NEED TO TAKE A LOOK 

2784
02:00:35,178 --> 02:00:36,045
AT THAT.

2785
02:00:36,045 --> 02:00:37,880
THE RATIONALE IS WHAT YOU SAID 

2786
02:00:37,880 --> 02:00:40,917
PEOPLE MIGHT NOT BE TAKING 

2787
02:00:40,917 --> 02:00:43,753
PRENATAL VITAMIN WITHOUT KNOWING

2788
02:00:43,753 --> 02:00:45,922
THEY'RE PREGNANT AND WE PROTECT 

2789
02:00:45,922 --> 02:00:48,091
THE POPULATION.

2790
02:00:48,091 --> 02:00:49,459
IT'S BEEN PROFOUNDLY SUCCESS 

2791
02:00:49,459 --> 02:00:52,261
PROGRAM IN DECREASING NEURAL 

2792
02:00:52,261 --> 02:00:53,963
TUBE DEFECTS SO NO ONE WANTS TO 

2793
02:00:53,963 --> 02:00:55,632
TAKE THAT AWAY BUT I'M NOT 

2794
02:00:55,632 --> 02:00:57,100
SURE -- I WOULD AGREE IT'S AN 

2795
02:00:57,100 --> 02:00:58,668
ISSUE THAT COULD BE RECONSIDERED

2796
02:00:58,668 --> 02:01:00,803
IN SOME WAYS.

2797
02:01:00,803 --> 02:01:04,140
>> I WANT TO ADD ONE
ADDITIONAL 

2798
02:01:04,140 --> 02:01:05,174
DIMENSION TO THE CONVERSATION 

2799
02:01:05,174 --> 02:01:10,380
WITH REGARDS TO THE ORIGINAL 

2800
02:01:10,380 --> 02:01:13,950
PREMISE OF HAVING MORE WHOLE 

2801
02:01:13,950 --> 02:01:16,486
REFINED GRAINS IN THE HUS 

2802
02:01:16,486 --> 02:01:19,188
PATTERN THAN YOU MIGHT SEE FOR 

2803
02:01:19,188 --> 02:01:25,461
FRUIT AND VEGETABLE INTAKE AND 

2804
02:01:25,461 --> 02:01:29,198
BIO AVAILABILITY IS SOMETHING TO

2805
02:01:29,198 --> 02:01:31,567
CONSIDERING AND PUT IN A PLUG 

2806
02:01:31,567 --> 02:01:33,503
NOT FOR '25 BUT ANOTHER POINT 

2807
02:01:33,503 --> 02:01:35,905
THINKING THROUGH THE CUT POINTS 

2808
02:01:35,905 --> 02:01:37,874
FOR THE VARIOUS NUTRIENT INTAKE 

2809
02:01:37,874 --> 02:01:39,308
WITHIN THE HUS BECAUSE THAT'S A 

2810
02:01:39,308 --> 02:01:40,910
WHOLE DIFFERENT QUESTION IT 

2811
02:01:40,910 --> 02:01:42,178
APPEARS THAN TRYING TO DO IT 

2812
02:01:42,178 --> 02:01:43,546
FROM A MODELLING PERSPECTIVE.

2813
02:01:43,546 --> 02:01:48,718
SO THE HUS RIGHT NOW TELLS US 

2814
02:01:48,718 --> 02:01:51,087
ONE THING THALT THE JUMPING OFF 

2815
02:01:51,087 --> 02:01:53,089
POINT FOR THE MODELLING.

2816
02:01:53,089 --> 02:01:54,924
IT'S NOT THE PREHUS.

2817
02:01:54,924 --> 02:01:56,459
IT'S START BEING WITH THE HUS 

2818
02:01:56,459 --> 02:01:57,226
AND NOW LET'S MODEL.

2819
02:01:57,226 --> 02:01:58,761
I THINK THE QUESTION OR SOME 

2820
02:01:58,761 --> 02:02:00,430
QUESTIONS THAT HAVE COME UP SO 

2821
02:02:00,430 --> 02:02:04,067
FAR RELATE TO HOW DO WE GET TO 

2822
02:02:04,067 --> 02:02:05,101
THAT HUS AND MAYBE THAT'S 

2823
02:02:05,101 --> 02:02:09,472
ANOTHER POINT OF CONTENTION FOR 

2824
02:02:09,472 --> 02:02:11,607
THE NEXT GROUP.

2825
02:02:11,607 --> 02:02:12,742
>> ONE MORE COMMENT.

2826
02:02:12,742 --> 02:02:15,878
>> YES, I'M GOING BACK TO
THE 

2827
02:02:15,878 --> 02:02:17,447
DARK GREEN VEGETABLE BECAUSE 

2828
02:02:17,447 --> 02:02:20,116
DARK GREEN VEGETABLES ARE 

2829
02:02:20,116 --> 02:02:22,485
VEGETABLES AND THE SYSTEMATIC 

2830
02:02:22,485 --> 02:02:24,187
REVIEW POINTED TO HIGHER AMOUNT 

2831
02:02:24,187 --> 02:02:27,890
OF FRUITS AND VEGETABLES.

2832
02:02:27,890 --> 02:02:31,327
ONE OF THE RATIONALES IS THE 

2833
02:02:31,327 --> 02:02:31,961
SYSTEMATIC REVIEW DIDN'T CALL 

2834
02:02:31,961 --> 02:02:33,329
SPECIFICALLY FOR DARK GREEN BUT 

2835
02:02:33,329 --> 02:02:41,471
DID CALL FOR VEGETABLES.

2836
02:02:41,471 --> 02:02:44,440
>> DON'T FORGET BEANS,
PEAS AND 

2837
02:02:44,440 --> 02:02:47,643
LENTILS ARE IN THE VEGETABLE 

2838
02:02:47,643 --> 02:02:52,081
GROUP SO ANY MODIFICATION HAS TO

2839
02:02:52,081 --> 02:02:56,419
BE CONSIDERED RELATIVE TO THE 

2840
02:02:56,419 --> 02:02:57,453
OTHERS AS WELL BUT THE 

2841
02:02:57,453 --> 02:02:59,122
SYSTEMATIC REVIEWS DID NOT CALL 

2842
02:02:59,122 --> 02:03:05,461
OUT DARK LEAFY VEGETABLES 

2843
02:03:05,461 --> 02:03:10,867
SPECIFICALLY.

2844
02:03:10,867 --> 02:03:13,069
>> IN THE INTEREST OF TIME
WE 

2845
02:03:13,069 --> 02:03:16,272
HAVE TO MOVE FORWARD AND I'LL 

2846
02:03:16,272 --> 02:03:26,682
PASS IT OFF TO HEATHER.

2847
02:03:33,189 --> 02:03:37,994
>> ANOTHER PIECE OF OUR 

2848
02:03:37,994 --> 02:03:39,428
SYNTHESIS POPULATION GROUP IN 

2849
02:03:39,428 --> 02:03:42,098
OUR PROFILES IN OUR SYNTHESIS.

2850
02:03:42,098 --> 02:03:44,300
YOU MAY REMEMBER THAT DURING THE

2851
02:03:44,300 --> 02:03:46,169
DEVELOPMENT OF NUTRIENT PROFILES

2852
02:03:46,169 --> 02:03:51,541
WE HAD A PROTOCOL THAT FOCUSED 

2853
02:03:51,541 --> 02:03:55,645
ON THE DEVELOPMENT OF PROFILES 

2854
02:03:55,645 --> 02:03:57,446
USING OUR DIFFERENT POPULATION 

2855
02:03:57,446 --> 02:03:57,680
GROUPS.

2856
02:03:57,680 --> 02:04:00,983
AND WE DID PRESENT THE RESULTS 

2857
02:04:00,983 --> 02:04:03,786
OF THESE ANALYSIS AT MEETING.

2858
02:04:03,786 --> 02:04:06,255
THE SUMMARY OF THOSE FINDINGS 

2859
02:04:06,255 --> 02:04:11,794
WAS THAT THE POPULATION GROUP 

2860
02:04:11,794 --> 02:04:13,462
DATA WOULD NOT BE USED TO CREATE

2861
02:04:13,462 --> 02:04:17,466
THE NUTRIENT PROFILES BUT WOULD 

2862
02:04:17,466 --> 02:04:20,403
USE THOSE POPULATION GROUP DATA 

2863
02:04:20,403 --> 02:04:22,605
OF VARIOUS GROUPS TO EVALUATE 

2864
02:04:22,605 --> 02:04:24,440
AND SOMEONE THE PROPOSED 

2865
02:04:24,440 --> 02:04:25,942
PATTERNS ONCE WE CREATED THEM.

2866
02:04:25,942 --> 02:04:28,511
SO THAT'S WHAT I'M GOING TO 

2867
02:04:28,511 --> 02:04:35,184
SHARE HERE.

2868
02:04:35,184 --> 02:04:38,287
IT'S COMPLICATED IN HOW WE DID 

2869
02:04:38,287 --> 02:04:42,992
THE MODELLING AND PLACE THIS 

2870
02:04:42,992 --> 02:04:44,327
PIECE WITHIN THAT CONTEXT IS 

2871
02:04:44,327 --> 02:04:49,866
WHAT I WANT TO MAKE CLEAR RIGHT 

2872
02:04:49,866 --> 02:04:52,501
NOW.

2873
02:04:52,501 --> 02:05:01,444
SO OUR FOOD MODELLING IS BASED 

2874
02:05:01,444 --> 02:05:03,246
ON THESE PROFILES.

2875
02:05:03,246 --> 02:05:06,816
WE CAN CREATE A WEIGHTED AVERAGE

2876
02:05:06,816 --> 02:05:08,384
NUTRIENT PROFILE TO DEVELOP OUR 

2877
02:05:08,384 --> 02:05:13,489
NUTRIENT PROFILES FOR EACH FOOD 

2878
02:05:13,489 --> 02:05:15,224
GROUP AND SUB GROUP LIKE THE 

2879
02:05:15,224 --> 02:05:19,528
EXAMPLE IS THEN GIVING RED AND 

2880
02:05:19,528 --> 02:05:20,730
ORANGE VEGETABLES.

2881
02:05:20,730 --> 02:05:23,666
AND SO THE CALCULATION OF THESE 

2882
02:05:23,666 --> 02:05:27,870
NUTRIENT PROFILES CONSIDERED THE

2883
02:05:27,870 --> 02:05:28,504
PROPORTION CONTRIBUTION FROM 

2884
02:05:28,504 --> 02:05:29,739
MULTIPLE ITEM CLUSTERS.

2885
02:05:29,739 --> 02:05:33,442
THINK OF ALL THE ITEMS THAT FIT 

2886
02:05:33,442 --> 02:05:38,047
IN RED AND ORANGE VEGETABLES.

2887
02:05:38,047 --> 02:05:39,515
THESE ARE BASED ON THE 

2888
02:05:39,515 --> 02:05:41,951
POPULATIONS DIETARY INTAKES 

2889
02:05:41,951 --> 02:05:45,454
REPORTED IN WHAT WE EAT IN 

2890
02:05:45,454 --> 02:05:46,822
AMERICA NHANES.

2891
02:05:46,822 --> 02:05:47,857
HERE'S WHERE THE POPULATION 

2892
02:05:47,857 --> 02:05:49,392
PIECE COMES IN.

2893
02:05:49,392 --> 02:05:52,295
WHEN YOU THINK OF THE ITEMS THAT

2894
02:05:52,295 --> 02:05:54,330
ARE IN RED AND ORANGE VEGETABLES

2895
02:05:54,330 --> 02:05:57,867
AND THEN THINK ABOUT THE 

2896
02:05:57,867 --> 02:05:58,868
PROPORTIONS THAT THE POPULATION 

2897
02:05:58,868 --> 02:06:05,441
CONSUMES OF EACH OF THOSE ITEMS.

2898
02:06:05,441 --> 02:06:06,442
THE PERCENT CONTRIBUTION OF EACH

2899
02:06:06,442 --> 02:06:09,045
ITEM CLUSTER WITHIN A FOOD GROUP

2900
02:06:09,045 --> 02:06:11,247
OR SUBGROUP MULTIPLIED BY THE 

2901
02:06:11,247 --> 02:06:14,717
ENERGY AND NUTRIENTS IN THEIR 

2902
02:06:14,717 --> 02:06:15,318
ASSIGNED NUTRIENT DENSE 

2903
02:06:15,318 --> 02:06:16,652
REPRESENTATIVE FOODS.

2904
02:06:16,652 --> 02:06:19,088
THEN WE SUM THOSE RESULTS TO 

2905
02:06:19,088 --> 02:06:22,158
DETERMINE THE OVER ALL NUTRIENT 

2906
02:06:22,158 --> 02:06:22,792
PROFILE FOR THAT FOOD GROUP OR 

2907
02:06:22,792 --> 02:06:30,199
SUBGROUP.

2908
02:06:30,199 --> 02:06:31,300
THAT'S OUR STARTING POINT AND 

2909
02:06:31,300 --> 02:06:34,303
WE'VE BEEN USING THE TOTAL 

2910
02:06:34,303 --> 02:06:37,440
POPULATION WEIGHTED CONTRIBUTION

2911
02:06:37,440 --> 02:06:42,912
TO THOSE DIFFERENT ITEMS.

2912
02:06:42,912 --> 02:06:46,515
HERE WE WANTED TO DETERMINE IF 

2913
02:06:46,515 --> 02:06:48,050
THEY'RE RELIANCE ON THE 

2914
02:06:48,050 --> 02:06:49,485
POPULATION INTAKES AT THE BASIS 

2915
02:06:49,485 --> 02:06:52,488
OF THE PERCENT OF THOSE ITEM 

2916
02:06:52,488 --> 02:06:55,257
CLUSTERS WOULD MEET NUTRITIONAL 

2917
02:06:55,257 --> 02:06:57,393
GOALS IN THE SAME WAY IF WE USED

2918
02:06:57,393 --> 02:07:00,696
THE BREAK DOWN RACE, ETHNIC AND 

2919
02:07:00,696 --> 02:07:01,897
INCOME-BASED POPULATION GROUPS 

2920
02:07:01,897 --> 02:07:03,332
AND USING THE PER PORTION OF 

2921
02:07:03,332 --> 02:07:05,935
THEIR INTAKES EACH LOOKING AT 

2922
02:07:05,935 --> 02:07:06,869
THOSE SEPARATELY AS THE BASIS OF

2923
02:07:06,869 --> 02:07:09,238
THOSE PROFILES.

2924
02:07:09,238 --> 02:07:12,875
SO I FEEL LIKE THIS PIECE IS 

2925
02:07:12,875 --> 02:07:16,312
REALLY AN INTEGRATION OF THE 

2926
02:07:16,312 --> 02:07:17,179
HEALTH EQUITY CONSIDERATIONS AND

2927
02:07:17,179 --> 02:07:22,518
IT GIVES US A WAY TO TEST THAT 

2928
02:07:22,518 --> 02:07:25,121
THE PATTERNS WE'RE PROPOSING ARE

2929
02:07:25,121 --> 02:07:25,788
MEETING EACH OF THOSE SUB GROUPS

2930
02:07:25,788 --> 02:07:30,726
WHERE THEY ARE.

2931
02:07:30,726 --> 02:07:36,132
NOW WE'LL SURE THOSE RESULTS.

2932
02:07:36,132 --> 02:07:40,436
MOVING ON TO THE NEXT SLIDE AND 

2933
02:07:40,436 --> 02:07:42,571
SUMMARY STATEMENT WAS PRESENTED 

2934
02:07:42,571 --> 02:07:45,474
AT MEETING 5 AND SO THAT WAS AS 

2935
02:07:45,474 --> 02:07:51,213
PART OF THE FINAL SYNTHESIS 

2936
02:07:51,213 --> 02:07:54,984
ANALYSIS THE PROPOSED PATTERNS 

2937
02:07:54,984 --> 02:07:55,885
AGAINST NUTRITIONAL GOALS USING 

2938
02:07:55,885 --> 02:07:57,420
THE POPULATION NUTRIENT PROFILE 

2939
02:07:57,420 --> 02:08:00,056
AND THE INDIVIDUALLY CALCULATED 

2940
02:08:00,056 --> 02:08:01,457
PROFILES FOR THE POPULATION 

2941
02:08:01,457 --> 02:08:02,892
GROUPS CLASSIFIED BY RACE AND 

2942
02:08:02,892 --> 02:08:09,432
HISPANIC ORE DPIN AND INCOME.

2943
02:08:09,432 --> 02:08:11,801
FOR THE RESULTS MOVING TO THE 

2944
02:08:11,801 --> 02:08:21,444
NEXT SLIDE AFTER WE DRAFTED THIS

2945
02:08:21,444 --> 02:08:28,117
MODIFIED HUSS PATTERN IN THE 

2946
02:08:28,117 --> 02:08:30,319
ABILITY TO MEET NUTRIENT GOALS 

2947
02:08:30,319 --> 02:08:32,455
WHEN THE UNDERLYING NUTRIENT 

2948
02:08:32,455 --> 02:08:35,458
PROFILES FOR EACH GROUP WAS 

2949
02:08:35,458 --> 02:08:37,126
ESTIMATED USING POPULATION GROUP

2950
02:08:37,126 --> 02:08:38,260
SPECIFIC NUTRIENT PROFILES FOR 

2951
02:08:38,260 --> 02:08:41,030
THE GROUPS THAT ARE SHOWN HERE.

2952
02:08:41,030 --> 02:08:44,934
AND SO THOSE AGAIN WERE BY RACE 

2953
02:08:44,934 --> 02:08:49,338
FOR NON-HISPANIC BLACK, 

2954
02:08:49,338 --> 02:08:52,708
NON-HISPANIC WHITE AND ETHNICITY

2955
02:08:52,708 --> 02:08:56,112
BY POPULATION LEVEL, BY UNDER 

2956
02:08:56,112 --> 02:08:58,414
131% OF THE POVERTY LEVEL AND 

2957
02:08:58,414 --> 02:09:01,617
350% OF THE POVERTY LEVEL AND 

2958
02:09:01,617 --> 02:09:07,656
OVER 350% OF THE POVERTY LEVEL.

2959
02:09:07,656 --> 02:09:13,462
THE RESULTS WERE WHEN WE USED 

2960
02:09:13,462 --> 02:09:14,163
THESE DIVERSE POPULATION 

2961
02:09:14,163 --> 02:09:18,134
SPECIFIC PROFILES TO ESTIMATE 

2962
02:09:18,134 --> 02:09:19,335
NUTRIENTS THERE WERE NO 

2963
02:09:19,335 --> 02:09:21,470
DIFFERENCES IN THE NUTRIENTS 

2964
02:09:21,470 --> 02:09:25,107
THAT FELL BELOW THE ESTABLISHED 

2965
02:09:25,107 --> 02:09:25,441
GOALS.

2966
02:09:25,441 --> 02:09:26,609
THAT WAS OVER ALL.

2967
02:09:26,609 --> 02:09:33,449
WE DID HAVE TWO WE WANTED TO 

2968
02:09:33,449 --> 02:09:38,654
NOTE AND LOOKING AT HOW WELL THE

2969
02:09:38,654 --> 02:09:44,260
PATTERNS MET THE NUTRIENT WE 

2970
02:09:44,260 --> 02:09:47,630
WANTED TO DO THAT IN A WAY THAT 

2971
02:09:47,630 --> 02:09:49,532
WOULD STRONGLY ADHERE TO THE 

2972
02:09:49,532 --> 02:09:49,899
RECOMMENDATIONS.

2973
02:09:49,899 --> 02:09:57,306
WE USED A CUT POINT OF 90%.

2974
02:09:57,306 --> 02:09:59,141
WE WANTED OUR PATTERNS TO MEET 

2975
02:09:59,141 --> 02:10:02,745
90% OF THE GOAL AND FOR THE 

2976
02:10:02,745 --> 02:10:03,746
NON-HISPANIC ASIAN GROUP THAT 

2977
02:10:03,746 --> 02:10:09,385
WAS AGES 2-6 THE PATTERN FOR 

2978
02:10:09,385 --> 02:10:12,955
FIBER MET 88% OF THE ADEQUATE 

2979
02:10:12,955 --> 02:10:16,792
INTAKE AND FOR AGES 14 TO 18 

2980
02:10:16,792 --> 02:10:23,165
YEARS FOR IRON, IRON MET 87% OF 

2981
02:10:23,165 --> 02:10:25,067
THE RECOMMENDATION.

2982
02:10:25,067 --> 02:10:26,635
SO THESE ARE GREATER THAN OUR 

2983
02:10:26,635 --> 02:10:31,740
CUT POINT OF 80% BUT IN GENERAL 

2984
02:10:31,740 --> 02:10:32,708
STILL VERY GOOD.

2985
02:10:32,708 --> 02:10:35,711
AS A REMINDER THE NUTRIENTS EVEN

2986
02:10:35,711 --> 02:10:38,047
IN THE GENERAL PROFILE ARE NOT 

2987
02:10:38,047 --> 02:10:45,354
QUITE MEETING THE 90% GOAL.

2988
02:10:45,354 --> 02:10:46,755
WE WANT TO EMPHASIZE THE 

2989
02:10:46,755 --> 02:10:49,458
ANALYSIS WERE CONDUCTED TO 

2990
02:10:49,458 --> 02:10:52,494
EVALUATE THE FLEXIBILITY OF THE 

2991
02:10:52,494 --> 02:11:03,005
MODIFIED HUSS DIETARY PATTERN 

2992
02:11:04,573 --> 02:11:08,577
AND EACH ANALYSIS AND CALCULATED

2993
02:11:08,577 --> 02:11:10,512
FOR EACH GROUP IN THE PATTERN 

2994
02:11:10,512 --> 02:11:14,049
AND FOUND THE MODIFIED HUSS 

2995
02:11:14,049 --> 02:11:15,551
PATTERN GENERALLY MET THE 

2996
02:11:15,551 --> 02:11:19,188
NUTRIENT GOALS IN THE ANALYSIS.

2997
02:11:19,188 --> 02:11:21,790
SO THE MODIFIED HUSS MODIFIED 

2998
02:11:21,790 --> 02:11:23,225
PATTERN IS EXPECTED TO MEET 

2999
02:11:23,225 --> 02:11:25,461
GOALS IF UTILIZED AMONG THE 

3000
02:11:25,461 --> 02:11:35,938
DIVERSE GROUPS IN THE POMP.

3001
02:11:37,773 --> 02:11:47,650
THAT'S IT.

3002
02:11:47,650 --> 02:11:49,251
OPEN FOR DISCUSSION.

3003
02:11:49,251 --> 02:11:51,186
>> WHAT PROPORTION OF 

3004
02:11:51,186 --> 02:11:55,891
NON-HISPANIC ASIANS WERE NOT AT 

3005
02:11:55,891 --> 02:11:58,861
90% OF THE GUIDE LINE.

3006
02:11:58,861 --> 02:11:58,994
?

3007
02:11:58,994 --> 02:12:00,763
AM I MISSING THE POINT?

3008
02:12:00,763 --> 02:12:02,264
WERE THEY ARE BEFORE THE SWITCH?

3009
02:12:02,264 --> 02:12:07,469
>> SO WHEN WE WORKED ON
ALL THE 

3010
02:12:07,469 --> 02:12:09,204
MODELLING OF THE PATTERN TO 

3011
02:12:09,204 --> 02:12:10,973
BETTER UNDERSTAND IF WE COULD 

3012
02:12:10,973 --> 02:12:13,075
MODIFY PIECES OF THE PATTERN TO 

3013
02:12:13,075 --> 02:12:16,211
MAKE IT BETTER, WE BASED THAT ON

3014
02:12:16,211 --> 02:12:20,382
THE WEIGHTED PROPORTION OF THE 

3015
02:12:20,382 --> 02:12:22,418
TOTAL POPULATION'S INTAKES.

3016
02:12:22,418 --> 02:12:22,885
>> YEAH.

3017
02:12:22,885 --> 02:12:28,490
>> THEN WE KIND OF TESTED
THAT 

3018
02:12:28,490 --> 02:12:31,160
OUT BASED ON DIFFERENT 

3019
02:12:31,160 --> 02:12:32,127
POPULATION GROUPS.

3020
02:12:32,127 --> 02:12:35,197
SO WE DIDN'T TEST OUT WHAT THE 

3021
02:12:35,197 --> 02:12:39,168
PRIOR PATTERN BEFORE WE MODIFIED

3022
02:12:39,168 --> 02:12:41,470
IT HOW THAT MET THE DIVERSE 

3023
02:12:41,470 --> 02:12:46,275
POPULATION GROUPS.

3024
02:12:46,275 --> 02:12:48,644
>> WOULDN'T THAT HELP TO
SHOW 

3025
02:12:48,644 --> 02:12:50,979
THAT WAS BETTER THAN BEFORE?

3026
02:12:50,979 --> 02:12:54,183
MAYBE I'M NOT UNDERSTANDING.

3027
02:12:54,183 --> 02:12:55,784
IT SEEMS I WOULD WANT TO KNOW 

3028
02:12:55,784 --> 02:12:59,121
THE DIFFERENCE THE MODELLING 

3029
02:12:59,121 --> 02:13:00,222
CREATES COMPARED TO THE PREVIOUS

3030
02:13:00,222 --> 02:13:00,622
MODEL.

3031
02:13:00,622 --> 02:13:07,262
>> WE CAN LOOK AT THAT.

3032
02:13:07,262 --> 02:13:08,897
I THOUGHT YOU WERE TALKING ABOUT

3033
02:13:08,897 --> 02:13:10,399
DIETARY INTAKES VERSUS MODELS 

3034
02:13:10,399 --> 02:13:13,001
AND LOOKED AT THE PROFILES TO 

3035
02:13:13,001 --> 02:13:14,169
THE DRAFT MODEL PATTERN.

3036
02:13:14,169 --> 02:13:17,473
YOU CAN GO BACK AND LOOK TO SEE 

3037
02:13:17,473 --> 02:13:24,613
HOW IT CHANGED BETWEEN THE 

3038
02:13:24,613 --> 02:13:24,980
2000s.

3039
02:13:24,980 --> 02:13:27,416
>> THE FIRST QUESTION WAS 

3040
02:13:27,416 --> 02:13:29,451
DEVELOPING THE BASIS PATTERN 

3041
02:13:29,451 --> 02:13:30,552
WITH REMOVING FOODS OF LOWER 

3042
02:13:30,552 --> 02:13:33,455
NUTRIENT DENSITY.

3043
02:13:33,455 --> 02:13:35,224
THE SECOND WAS TO TEST IF THE 

3044
02:13:35,224 --> 02:13:38,794
NUTRIENT PROFILES NEEDED TO BE 

3045
02:13:38,794 --> 02:13:40,929
DIFFERENT BASED ON THE SUBGROUPS

3046
02:13:40,929 --> 02:13:42,030
FOR THAT POPULATION GROUPS THAT 

3047
02:13:42,030 --> 02:13:43,265
WE DEMONSTRATED HERE.

3048
02:13:43,265 --> 02:13:44,700
WE DIDN'T SEE A BIG DIFFERENCE 

3049
02:13:44,700 --> 02:13:47,503
IN THE NUTRIENT PROFILES SO WE 

3050
02:13:47,503 --> 02:13:50,506
DIDN'T MOVE FORWARD WITH A 

3051
02:13:50,506 --> 02:13:52,508
POPULATION GROUP SPECIFIC 

3052
02:13:52,508 --> 02:13:55,577
ANALYSIS OF ALL THESE BUT ON A 

3053
02:13:55,577 --> 02:13:57,813
SYNTHESIS SIDE WHAT HEATHER WAS 

3054
02:13:57,813 --> 02:14:00,616
JUST REPORTING WAS IT STILL HELD

3055
02:14:00,616 --> 02:14:05,087
TOGETHER AND MET NUTRIENT NEEDS 

3056
02:14:05,087 --> 02:14:07,589
GENERALLY WITH JUST A FEW 

3057
02:14:07,589 --> 02:14:08,657
EXCEPTIONS.

3058
02:14:08,657 --> 02:14:10,993
ONE IS ON A POPULATION GROUP 

3059
02:14:10,993 --> 02:14:16,498
LEVEL OR THE TOTAL NUTRIENT 

3060
02:14:16,498 --> 02:14:19,334
PROFILE WITHIN THE GROUPS.

3061
02:14:19,334 --> 02:14:21,737
>> WE PULLED UP THE DATA
AND IT 

3062
02:14:21,737 --> 02:14:31,947
DID IMPROVE.

3063
02:14:32,147 --> 02:14:33,449
>> ARE THERE ANY OTHER 

3064
02:14:33,449 --> 02:14:36,552
QUESTIONS?

3065
02:14:36,552 --> 02:14:36,919
OKAY.

3066
02:14:36,919 --> 02:14:40,522
CHRIS, I THINK YOU'RE GOING TO 

3067
02:14:40,522 --> 02:14:42,357
NOW PRESENT SOME NEW DATA ON 

3068
02:14:42,357 --> 02:14:48,063
DIET SIMULATIONS.

3069
02:14:48,063 --> 02:14:52,334
>> YES.

3070
02:14:52,334 --> 02:15:02,811
>> JUST TAKE A FEW
MINUTES.

3071
02:15:05,614 --> 02:15:07,416
>> YOU RAISE A QUESTION
AND 

3072
02:15:07,416 --> 02:15:09,017
INSTANTLY THE DATA IS ANALYZED.

3073
02:15:09,017 --> 02:15:09,718
DOES IT SPEAK IT HOW GREAT THE 

3074
02:15:09,718 --> 02:15:19,895
STAFF ARE?

3075
02:15:21,930 --> 02:15:22,431
TAKE IT AWAY.

3076
02:15:22,431 --> 02:15:24,099
>> IN THE INTEREST OF TIME
I'LL 

3077
02:15:24,099 --> 02:15:30,372
BE WORKING MY WAY THROUGH A VERY

3078
02:15:30,372 --> 02:15:31,540
COMPLEX STATISTICAL ADDITION 

3079
02:15:31,540 --> 02:15:33,542
ADDED TO THE DIETARY GUIDELINES 

3080
02:15:33,542 --> 02:15:36,311
THIS TIME FROM DIET SIMULATIONS.

3081
02:15:36,311 --> 02:15:37,813
IT'S KIND OF IMPORTANT TO LEVEL 

3082
02:15:37,813 --> 02:15:39,681
SET AROUND WHAT WE'RE LOOKING 

3083
02:15:39,681 --> 02:15:42,150
AT, HOW WE'RE TESTING IT, HOW 

3084
02:15:42,150 --> 02:15:44,620
WE'RE GOING TO TEST THE NEW 

3085
02:15:44,620 --> 02:15:46,154
MODIFIED PATTERN AND KIND OF 

3086
02:15:46,154 --> 02:15:49,191
MORE OF A REAL WORLD SITUATION.

3087
02:15:49,191 --> 02:15:51,360
THE FOOD PATTERN MODELLING AS WE

3088
02:15:51,360 --> 02:15:56,031
TALKED ABOUT IS BASED ON THIS 

3089
02:15:56,031 --> 02:15:58,100
NUTRIENT DENSE VERSION OF THE 

3090
02:15:58,100 --> 02:15:59,034
DIFFERENT FOODS AND BEVERAGES TO

3091
02:15:59,034 --> 02:16:00,569
BE INCLUDED IN THE PATTERN AND 

3092
02:16:00,569 --> 02:16:03,138
HOW WELL THAT MEETS NUTRIENT 

3093
02:16:03,138 --> 02:16:04,373
GOALS.

3094
02:16:04,373 --> 02:16:06,675
AGAIN, HARKENING BACK TO 

3095
02:16:06,675 --> 02:16:08,210
YESTERDAY WHAT THE CONSUMPTION 

3096
02:16:08,210 --> 02:16:10,512
LEVELS CURRENTLY ARE IN MEETING 

3097
02:16:10,512 --> 02:16:11,613
THESE RECOMMENDATIONS.

3098
02:16:11,613 --> 02:16:14,449
PRIOR COMMITTEE DID SOME WORK ON

3099
02:16:14,449 --> 02:16:17,052
WHAT USUAL CHOICES COMPARED TO 

3100
02:16:17,052 --> 02:16:19,888
THE NUTRIENT DENSE CHOICES AND 

3101
02:16:19,888 --> 02:16:21,623
HOW THOSE INFLUENCE LIKE THE 

3102
02:16:21,623 --> 02:16:22,891
CALORIE LEVELS AND WHAT THE 

3103
02:16:22,891 --> 02:16:25,193
CALORIE LEVEL WOULD BE FOR USUAL

3104
02:16:25,193 --> 02:16:29,798
CHOICES VERSUS CONSUMING THE 

3105
02:16:29,798 --> 02:16:31,333
REPRESENTATIVE FOOD AND THAT 

3106
02:16:31,333 --> 02:16:36,338
TIES INTO THE CALORIES FOR OTHER

3107
02:16:36,338 --> 02:16:37,239
USES THAT WE TALKED ABOUT 

3108
02:16:37,239 --> 02:16:40,509
YESTERDAY CAME FORWARD ON WHAT 

3109
02:16:40,509 --> 02:16:42,978
THE VARIABILITY IS WITHIN THIS.

3110
02:16:42,978 --> 02:16:44,513
WHAT WE ARE DOING IS A SPECIFIC 

3111
02:16:44,513 --> 02:16:46,515
QUESTION ADDRESS THE ANALYSIS OF

3112
02:16:46,515 --> 02:16:49,451
DO SIMULATED DIETS MEET THE 

3113
02:16:49,451 --> 02:16:51,320
UPDATED U.S. DIETARY PATTERNS 

3114
02:16:51,320 --> 02:16:52,654
AND REFLECT VARIATION AND 

3115
02:16:52,654 --> 02:16:55,791
DIETARY INTAKES TO ACHIEVE 

3116
02:16:55,791 --> 02:16:59,127
NUTRITIONAL ADEQUACY.

3117
02:16:59,127 --> 02:17:03,732
THIS IS SHOWING THE RECOMMENDED 

3118
02:17:03,732 --> 02:17:04,900
AMOUNTS SARA JUST DESCRIBED AND 

3119
02:17:04,900 --> 02:17:07,703
WERE CONDUCTED TO TEST THE DRAFT

3120
02:17:07,703 --> 02:17:10,505
PATTERN AMOUNTS FROM EACH FOOD 

3121
02:17:10,505 --> 02:17:13,308
GROUP THAT MET NUTRIENT GOALS 

3122
02:17:13,308 --> 02:17:16,445
REGARDLESS OF WHICH 

3123
02:17:16,445 --> 02:17:17,045
PREDOMINATELY NUTRIENT DENSE 

3124
02:17:17,045 --> 02:17:18,146
FOOD SOURCE WERE SELECTED FROM 

3125
02:17:18,146 --> 02:17:18,947
EACH GROUP.

3126
02:17:18,947 --> 02:17:21,650
THE DIETARY PATTERNS ARE 

3127
02:17:21,650 --> 02:17:25,287
INTENDED TO PROVIDER A FLEXIBLE 

3128
02:17:25,287 --> 02:17:27,489
FRAMEWORK ON REQUIREMENTS AND S,

3129
02:17:27,489 --> 02:17:27,789
TRADITIONS.

3130
02:17:27,789 --> 02:17:30,892
THIS IS THE FIRST TIME DIET 

3131
02:17:30,892 --> 02:17:32,661
SIMULATIONS WAS CONDUCTED TO 

3132
02:17:32,661 --> 02:17:38,767
TEST THE PATTERNS FOR VARIATION 

3133
02:17:38,767 --> 02:17:40,168
AND INTAKE.

3134
02:17:40,168 --> 02:17:45,607
AS PART OF OUR CONTINUOUS 

3135
02:17:45,607 --> 02:17:46,808
QUALITY IMPROVEMENT ASPECT OF 

3136
02:17:46,808 --> 02:17:49,111
THE COMMITTEE'S WORK, THE 

3137
02:17:49,111 --> 02:17:52,514
ADDITION TO THE DIET SIMULATIONS

3138
02:17:52,514 --> 02:17:54,349
WAS IDENTIFIED AS A WAY TO TEST 

3139
02:17:54,349 --> 02:17:57,452
WHAT THE PATTERNS LOOK LIKE OUT 

3140
02:17:57,452 --> 02:18:02,991
IN THE WILD PER SE.

3141
02:18:02,991 --> 02:18:04,493
AND PATTERN METHODOLOGY.

3142
02:18:04,493 --> 02:18:07,963
IT'S DEFINED AS A MATHEMATICAL 

3143
02:18:07,963 --> 02:18:13,435
MODEL THAT DESCRIBES OR 

3144
02:18:13,435 --> 02:18:14,870
RECREATES COMPUTATIONALLY A 

3145
02:18:14,870 --> 02:18:17,439
SYSTEMS PROCESS AND USED IN THIS

3146
02:18:17,439 --> 02:18:20,409
PROTOCOL TO RECREATE DAILY 

3147
02:18:20,409 --> 02:18:20,709
DIETS.

3148
02:18:20,709 --> 02:18:22,511
SO FOOD PATTERN MODELLING LIKE 

3149
02:18:22,511 --> 02:18:23,879
DIET SIMULATIONS CONSIDER A 

3150
02:18:23,879 --> 02:18:25,414
BROAD RANGE OF NUTRIENT INTAKES 

3151
02:18:25,414 --> 02:18:28,383
BUT INSTEAD OF USING A COMPOSITE

3152
02:18:28,383 --> 02:18:30,786
NUTRIENT PROFILE BASED ON THE 

3153
02:18:30,786 --> 02:18:32,287
REPRESENTATIVE FOOD THE ENERGY 

3154
02:18:32,287 --> 02:18:35,757
AND NUTRIENT COMPOSITION IS FROM

3155
02:18:35,757 --> 02:18:37,492
RANDOMLY SELECTED FOODS THAT FIT

3156
02:18:37,492 --> 02:18:39,594
WITHIN THE FOOD GROUPS AND SUB 

3157
02:18:39,594 --> 02:18:44,399
GROUPS THAT COME FROM OUR FNDDS 

3158
02:18:44,399 --> 02:18:47,102
DATABASES FROM WHAT WE EAT IN 

3159
02:18:47,102 --> 02:18:47,335
AMERICA.

3160
02:18:47,335 --> 02:18:48,870
INSTEAD OF BUILDING THE NUTRIENT

3161
02:18:48,870 --> 02:18:50,972
PROFILES ON THE PROPORTIONAL 

3162
02:18:50,972 --> 02:18:52,040
CONTRIBUTION THAT COMES FROM 

3163
02:18:52,040 --> 02:18:54,443
NHANES, WE'RE NOW ALLOWING FOODS

3164
02:18:54,443 --> 02:18:58,080
TO BE SELECTED TO MEET THESE 

3165
02:18:58,080 --> 02:19:00,182
DIETARY PATTERNS AND THEN 

3166
02:19:00,182 --> 02:19:03,318
TESTING THE NUTRIENT 

3167
02:19:03,318 --> 02:19:03,652
IMPLICATIONS.

3168
02:19:03,652 --> 02:19:04,619
IT ALLOWS A SYSTEMS SCIENCE 

3169
02:19:04,619 --> 02:19:08,657
APPROACH TO ENSURE THE FINAL 

3170
02:19:08,657 --> 02:19:11,093
PATTERN WE PROPOSED TO THE 

3171
02:19:11,093 --> 02:19:12,494
DEPARTMENT IS INCLUSIVE OF 

3172
02:19:12,494 --> 02:19:14,563
BROADER RANGE OF DIETARY INTAKES

3173
02:19:14,563 --> 02:19:16,665
AND THE NOT JUST THE 

3174
02:19:16,665 --> 02:19:21,436
REPRESENTATIVE FOODS.

3175
02:19:21,436 --> 02:19:23,038
FOR THOSE THAT DON'T LIKE THE 

3176
02:19:23,038 --> 02:19:31,713
PUNCH LIKE BEFORE THE JOKE, SO 

3177
02:19:31,713 --> 02:19:34,049
DIET SIMULATION RESULTS NUTRIENT

3178
02:19:34,049 --> 02:19:36,284
REQUIREMENTS CAN BE GENERALLY 

3179
02:19:36,284 --> 02:19:37,452
MET WHEN CONSIDERING VARIATION 

3180
02:19:37,452 --> 02:19:38,386
IN DIETARY INTAKE.

3181
02:19:38,386 --> 02:19:41,456
AGAIN, I'M GOING TO LINK BACK TO

3182
02:19:41,456 --> 02:19:45,060
SARA'S COMMENTS THE DIETARY 

3183
02:19:45,060 --> 02:19:47,796
PATTERN IS CONSTRUCTED AND BEEN 

3184
02:19:47,796 --> 02:19:49,965
EVOLVING OVER COMMITTEES TO 

3185
02:19:49,965 --> 02:19:51,233
REALLY FOCUS ON MEETING THE 

3186
02:19:51,233 --> 02:19:52,467
NUTRIENT GOALS AND WE'VE BEEN 

3187
02:19:52,467 --> 02:19:55,570
LOOKING AT WAYS TO REFINE AND 

3188
02:19:55,570 --> 02:20:01,243
TIGHTEN BUT IT'S A PATTERN THAT 

3189
02:20:01,243 --> 02:20:03,745
VERY MUCH HELPS MEET NUTRIENT 

3190
02:20:03,745 --> 02:20:06,548
GOALS AND GIVEN THE QUANTITIES 

3191
02:20:06,548 --> 02:20:07,749
NUTRIENT REQUIREMENTS ARE MET 

3192
02:20:07,749 --> 02:20:11,653
WHEN CONSIDERING DIETARY INTAKE 

3193
02:20:11,653 --> 02:20:13,221
WITH THE EXCEPTION FROM FOOD 

3194
02:20:13,221 --> 02:20:15,557
PATTERN MODELLING OF VITAMIN D 

3195
02:20:15,557 --> 02:20:17,459
AND E AND REDUCING THE 

3196
02:20:17,459 --> 02:20:18,994
PROBABILITY OF THOSE FOODS LOWER

3197
02:20:18,994 --> 02:20:21,229
IN NUTRIENT DENSITY INCLUDED TO 

3198
02:20:21,229 --> 02:20:23,665
15% OF PROBABILITY OF FOODS 

3199
02:20:23,665 --> 02:20:26,034
HIGHER IN NUTRIENT DENSITY IS 

3200
02:20:26,034 --> 02:20:31,740
NEEDED TO MEET GOALS FOR ADDED 

3201
02:20:31,740 --> 02:20:32,541
SUGAR.

3202
02:20:32,541 --> 02:20:34,042
SO WE TOOK REPRESENTATIVE FOODS 

3203
02:20:34,042 --> 02:20:36,778
WITHIN THE FOOD PATTERN 

3204
02:20:36,778 --> 02:20:38,780
MODELLING THAT MINIMIZED THE 

3205
02:20:38,780 --> 02:20:40,549
CONTRIBUTION OF SATURATED FAT, 

3206
02:20:40,549 --> 02:20:47,823
ADDED SUGAR AND SOME OF SODIUM.

3207
02:20:47,823 --> 02:20:49,591
OUR SIMULATIONS CONSIDERED ALL 

3208
02:20:49,591 --> 02:20:51,059
FOODS OR POTENTIALLY LIMITING 

3209
02:20:51,059 --> 02:20:52,694
FOODS THE INCLUSION OF FOODS 

3210
02:20:52,694 --> 02:21:01,336
LOWER IN NUTRIENT DENSITY.

3211
02:21:01,336 --> 02:21:03,004
AND WITH THE EXCLUSION OF FOODS 

3212
02:21:03,004 --> 02:21:05,440
LOWER IN NUTRIENT DENSITY, 

3213
02:21:05,440 --> 02:21:07,509
SIMULATIONS EXCEEDED THE CDRR 

3214
02:21:07,509 --> 02:21:09,444
FOR SODIUM.

3215
02:21:09,444 --> 02:21:11,780
IT GIVES A LITTLE BIT OF CONTEXT

3216
02:21:11,780 --> 02:21:17,285
AROUND THE ANALYSES COMING 

3217
02:21:17,285 --> 02:21:22,991
FORWARD.

3218
02:21:22,991 --> 02:21:24,159
THE SUPPORT FOR THE STATEMENT 

3219
02:21:24,159 --> 02:21:27,362
WE'LL WALK THROUGH IS NUTRIENTS 

3220
02:21:27,362 --> 02:21:33,068
AN EAR WE WERE LOOKING FOR THIS 

3221
02:21:33,068 --> 02:21:36,338
LEVEL OF DATA FROM ALL THE 

3222
02:21:36,338 --> 02:21:36,638
SIMULATIONS.

3223
02:21:36,638 --> 02:21:38,506
POOLING THOSE TOGETHER WE WANTED

3224
02:21:38,506 --> 02:21:41,443
TO LESS THAN 10% OF THE 

3225
02:21:41,443 --> 02:21:45,447
SIMULATED DIETS TO HAVE AN 

3226
02:21:45,447 --> 02:21:53,321
INTAKE DISTRIBUTION BELOW THE 

3227
02:21:53,321 --> 02:21:57,893
AND WANT LESS 10% TO BE BELOW 

3228
02:21:57,893 --> 02:22:02,364
THE EXCEPT FOR VITAMINS D AND E 

3229
02:22:02,364 --> 02:22:04,532
WE KNEW WOULD BE A CHALLENGE.

3230
02:22:04,532 --> 02:22:10,171
FOR NUTRIENTS WITH AN AEI 

3231
02:22:10,171 --> 02:22:16,111
THEY'LL BE XRARD  COMPARED AND 

3232
02:22:16,111 --> 02:22:21,449
WANTED DISTRIBUTION TO BE 

3233
02:22:21,449 --> 02:22:24,653
GREATER THAN AI BUT FALLS SHORT 

3234
02:22:24,653 --> 02:22:27,255
FOR CHOLIN AND FIBER FOR SELECT 

3235
02:22:27,255 --> 02:22:37,799
AGE GROUP AND LINOLEIC ACID AND 

3236
02:22:42,604 --> 02:22:44,940
LOOKING AT DENSITY AS REDUCED OR

3237
02:22:44,940 --> 02:22:45,206
EXCLUDED.

3238
02:22:45,206 --> 02:22:47,876
THE MODEL LAD TO ADDRESS HAD TO 

3239
02:22:47,876 --> 02:22:57,452
ADDRESS LEVELS OF NUTRIENT 

3240
02:22:57,452 --> 02:23:07,595
DENSITY.

3241
02:23:13,501 --> 02:23:18,173
SODIUM EXCLUDE THE EAR AND 

3242
02:23:18,173 --> 02:23:20,508
MEDIAN ENERGY CONTENT OF THE 

3243
02:23:20,508 --> 02:23:22,744
DISTRIBUTION IS GREATER THAN THE

3244
02:23:22,744 --> 02:23:24,980
ESTIMATED ENERGY NEEDS AND WE 

3245
02:23:24,980 --> 02:23:30,251
KIND OF TALKED ABOUT THIS AROUND

3246
02:23:30,251 --> 02:23:35,623
THE TIGHT NATURE MEETING NEEDS.

3247
02:23:35,623 --> 02:23:41,429
SIMULATION OF EACH GROUP IN 

3248
02:23:41,429 --> 02:23:47,535
ISOLATION OILS PRECLUDE ENERGY 

3249
02:23:47,535 --> 02:23:48,770
AND REMIND YOU OF WHAT THE 

3250
02:23:48,770 --> 02:23:50,305
APPROACH WAS IN TERMS OF HOW 

3251
02:23:50,305 --> 02:24:00,682
THESE WERE CALCULATED.

3252
02:24:03,618 --> 02:24:05,487
WE'LL TALK ABOUT WHAT WE 

3253
02:24:05,487 --> 02:24:06,521
SUBMITTED IN THE PREVIOUS 

3254
02:24:06,521 --> 02:24:06,755
MEETING.

3255
02:24:06,755 --> 02:24:09,457
TO CONDUCT THE SIMULATED DIETS, 

3256
02:24:09,457 --> 02:24:11,126
INDIVIDUAL FOODS AND BEVERAGES 

3257
02:24:11,126 --> 02:24:12,227
WERE RANDOMLY SELECTED FROM ALL 

3258
02:24:12,227 --> 02:24:15,697
THE FOODS AND BEVERAGES WE HAD 

3259
02:24:15,697 --> 02:24:22,537
AVAILABLE WITHIN FNDDS.

3260
02:24:22,537 --> 02:24:29,444
EXCEPT IT HAD TAKEN OUT 

3261
02:24:29,444 --> 02:24:31,479
COMBINATION FOODS AND LASAGNA 

3262
02:24:31,479 --> 02:24:34,516
WOULD NOT BE INCLUDED BUT THE 

3263
02:24:34,516 --> 02:24:35,150
INDIVIDUAL INGREDIENTS WITHIN 

3264
02:24:35,150 --> 02:24:36,985
THE FOOD WOULD BE AVAILABLE TO 

3265
02:24:36,985 --> 02:24:37,452
BE SELECTED.

3266
02:24:37,452 --> 02:24:40,455
IT MAY NOT HAVE A SANDWICH FOR A

3267
02:24:40,455 --> 02:24:41,689
PASTA DISH TOGETHER BUT THE 

3268
02:24:41,689 --> 02:24:44,225
INDIVIDUAL ITEMS WERE AVAILABLE 

3269
02:24:44,225 --> 02:24:48,263
TO BE PUT INTO THE SIMULATION.

3270
02:24:48,263 --> 02:24:50,899
THEN THE RANDOM SELECTION OF THE

3271
02:24:50,899 --> 02:24:51,866
ITEMS RESULTED IN -- I'LL LET 

3272
02:24:51,866 --> 02:24:57,472
THIS SINK IN FOR A SECOND, 2500,

3273
02:24:57,472 --> 02:24:59,307
SEVEN DAY DIETS FOR EACH AGE SEX

3274
02:24:59,307 --> 02:25:03,344
GROUP BY RANDOMLY SELECTING 

3275
02:25:03,344 --> 02:25:07,082
FOODS TO MEET THE VEGETABLE, 

3276
02:25:07,082 --> 02:25:09,784
DARK GREEN LEVY AND THE AMOUNT 

3277
02:25:09,784 --> 02:25:12,587
OF INFORMATION THAT'S GENERATED 

3278
02:25:12,587 --> 02:25:18,093
FROM THIS, 2500, SEVEN DAY DIETS

3279
02:25:18,093 --> 02:25:21,096
TO GET TO THIS VARIABILITY OF 

3280
02:25:21,096 --> 02:25:22,564
FOODS FOR EACH AGE SEX GROUP TO 

3281
02:25:22,564 --> 02:25:23,932
BE ABLE TO TEST THIS MODEL.

3282
02:25:23,932 --> 02:25:29,671
SO WE CREATED THE PATTERN WE HAD

3283
02:25:29,671 --> 02:25:35,977
A DEADLINE AND MET IT WITH ABOUT

3284
02:25:35,977 --> 02:25:45,453
45 SECONDS LEFT.

3285
02:25:45,453 --> 02:25:47,155
THEY HAVE MORE CAPACITY TO 

3286
02:25:47,155 --> 02:25:49,224
GENERATE THE PROFILES AND 

3287
02:25:49,224 --> 02:25:51,092
CONDUCTED THESE NOT ONLY WITH 

3288
02:25:51,092 --> 02:25:54,462
ALL FOODS INCLUDED BUT 

3289
02:25:54,462 --> 02:25:55,864
PROPORTIONALLY REDUCING THE 

3290
02:25:55,864 --> 02:25:58,299
PROBABLE OF FOODS LOWER IN 

3291
02:25:58,299 --> 02:26:00,768
NUTRIENT DENSITY.

3292
02:26:00,768 --> 02:26:02,804
SO FOODS HIGHER IN ADDED FAT, 

3293
02:26:02,804 --> 02:26:10,512
SHUGAR TO HAVE THE ANY FOODS 

3294
02:26:10,512 --> 02:26:15,016
COUNT SLIGHTLY HIGHER DENSITY 

3295
02:26:15,016 --> 02:26:21,456
AND 75% PROBABILITY AND 50 AND 

3296
02:26:21,456 --> 02:26:23,358
25 AND 15 PERCENT WHAT YOU NEED 

3297
02:26:23,358 --> 02:26:33,768
TO GET TO THE OUTCOMES.

3298
02:26:36,704 --> 02:26:39,007
AND WE LOOKED AT THOSE HIGHER IN

3299
02:26:39,007 --> 02:26:41,442
SATURATED FAT OR ADDED SUGARS 

3300
02:26:41,442 --> 02:26:43,077
AND THAT WAS OUR INITIAL 

3301
02:26:43,077 --> 02:26:49,450
APPROACH AND THEN AS WE DID THE 

3302
02:26:49,450 --> 02:26:55,557
ANALYSIS REFINED IT IN AS A 

3303
02:26:55,557 --> 02:26:56,424
SODIUM LEVEL AND THE CRITERIA 

3304
02:26:56,424 --> 02:26:58,059
USED WERE A COMBINATION OF THE 

3305
02:26:58,059 --> 02:27:00,428
FOOD AND DRUG ADMINISTRATION'S 

3306
02:27:00,428 --> 02:27:01,829
PROPOSED CRITERIA FOR 

3307
02:27:01,829 --> 02:27:04,132
DETERMINING ELIGIBILITY OF FOODS

3308
02:27:04,132 --> 02:27:05,433
AND BEVERAGES TO BEAR A DIETARY 

3309
02:27:05,433 --> 02:27:12,240
GUIDANCE STATEMENT.

3310
02:27:12,240 --> 02:27:16,244
AND SUGAR CRITERIA FOR THE 

3311
02:27:16,244 --> 02:27:19,347
STANDARD PORTION SIZES BASED ON 

3312
02:27:19,347 --> 02:27:20,114
CANADA'S FOOD CLASSIFICATION 

3313
02:27:20,114 --> 02:27:24,118
SYSTEM.

3314
02:27:24,118 --> 02:27:27,255
WE'RE LOOKING TO SEE AND SETTING

3315
02:27:27,255 --> 02:27:28,990
CRITERIA FOR FOODS AND BEVERAGES

3316
02:27:28,990 --> 02:27:39,534
TO BE LOWER IN NUTRIENT DENSITY.

3317
02:27:40,201 --> 02:27:41,436
AND PROPORTION LESS THAN 30 

3318
02:27:41,436 --> 02:27:44,339
GRAMS AND GREATER THAN 10% OR 

3319
02:27:44,339 --> 02:27:46,407
GRAMMED OF SATURATED FAT OR 

3320
02:27:46,407 --> 02:27:49,444
GREATER THAN 10% OF THE DAILY 

3321
02:27:49,444 --> 02:27:55,683
VALUE, 5 GRAMS OR GREATER THAN 

3322
02:27:55,683 --> 02:27:58,720
15% OR 350 MILLIGRAMS OF SODIUM 

3323
02:27:58,720 --> 02:28:00,488
WERE USED TO CREATE THE 

3324
02:28:00,488 --> 02:28:00,989
CRITERIA.

3325
02:28:00,989 --> 02:28:03,625
AND FOR FOOD AND BEVERAGES WITH 

3326
02:28:03,625 --> 02:28:05,426
A STANDARD PORTION GREATER THAN 

3327
02:28:05,426 --> 02:28:08,529
30 GRAMS WE WENT UP TO 15% OF 

3328
02:28:08,529 --> 02:28:10,164
THE DAILY VALUE FOR THOSE WITH 

3329
02:28:10,164 --> 02:28:13,434
THE EXCEPTIONS FOR FATS AND OILS

3330
02:28:13,434 --> 02:28:16,204
SO HIGHER IN SATURATED FAT 

3331
02:28:16,204 --> 02:28:22,543
GREATER THAN 30% OF TOTAL 

3332
02:28:22,543 --> 02:28:24,479
UNSATURATED FAT AND NOT APPLIED 

3333
02:28:24,479 --> 02:28:25,680
TO NUTS AND SEEDS BASED ON THE 

3334
02:28:25,680 --> 02:28:30,952
COMPOSITION.

3335
02:28:30,952 --> 02:28:38,126
STEP TWO, MAKE LOTS OF DATA.

3336
02:28:38,126 --> 02:28:44,365
WHEN WE CONSIDER 2500, SEVEN DAY

3337
02:28:44,365 --> 02:28:46,567
DIET SIMULATIONS THAT'S 17,500 

3338
02:28:46,567 --> 02:28:53,441
DIET SIMULATIONS.

3339
02:28:53,441 --> 02:29:00,148
THE NERNL AND NUTRIENT  -- THE 

3340
02:29:00,148 --> 02:29:02,850
ENERGY AND NUTRIENT WERE USED TO

3341
02:29:02,850 --> 02:29:05,453
SUMMARIZE THE ENERGY AND 

3342
02:29:05,453 --> 02:29:08,156
NUTRIENT CONTENT AGGREGATED 

3343
02:29:08,156 --> 02:29:09,457
ACROSS THE SIMULATED DIETS FOR 

3344
02:29:09,457 --> 02:29:11,092
THE SEX GROUPS.

3345
02:29:11,092 --> 02:29:13,428
ONCE THE DIETS WERE CONSTRUCTED 

3346
02:29:13,428 --> 02:29:15,797
THEY WERE PULLED AND USED TO 

3347
02:29:15,797 --> 02:29:19,000
ILLUSTRATE THE DIET AND 

3348
02:29:19,000 --> 02:29:20,568
PERCENTILE DISTRIBUTIONS USED TO

3349
02:29:20,568 --> 02:29:21,502
ESSENTIALLY DETERMINE SUCCESS OF

3350
02:29:21,502 --> 02:29:31,612
MEETING NUTRIENT GOALS.

3351
02:29:31,612 --> 02:29:33,981
THIS IS THE SAME SLIDE WE SHOWED

3352
02:29:33,981 --> 02:29:35,583
BEFORE TALKING THROUGH OUR 

3353
02:29:35,583 --> 02:29:37,452
PROTOCOL IN LOOKING HOW THE 

3354
02:29:37,452 --> 02:29:39,120
PERCENTILE DISTRIBUTION MAPPED 

3355
02:29:39,120 --> 02:29:43,424
OUT IN TERMS OF HOW MUCH VITAMIN

3356
02:29:43,424 --> 02:29:48,096
C AND POTASSIUM AN ZINC AND IRON

3357
02:29:48,096 --> 02:29:50,164
WOULD BE ACROSS THE PATTERNS TO 

3358
02:29:50,164 --> 02:29:51,265
DETERMINE HOW THE DISTRIBUTION 

3359
02:29:51,265 --> 02:29:51,933
WOULD LOOK.

3360
02:29:51,933 --> 02:29:54,702
ON ANY GIVEN DAY FROM THAT 

3361
02:29:54,702 --> 02:29:55,937
RANDOM SELECTION YOU MIGHT 

3362
02:29:55,937 --> 02:29:59,574
CHOOSE A HIGH VITAMIN C FRUIT OR

3363
02:29:59,574 --> 02:30:03,745
CHOOSE A LOWER VITAMIN C FRUIT 

3364
02:30:03,745 --> 02:30:08,049
AND WHETHER BANANAS MAKE IT IN 

3365
02:30:08,049 --> 02:30:09,450
MORE THAN ORANGES WILL CHANGE 

3366
02:30:09,450 --> 02:30:13,421
THAT DISTRIBUTION AND IT WILL BE

3367
02:30:13,421 --> 02:30:16,124
BASED ON VERSIONS OF A RAW 

3368
02:30:16,124 --> 02:30:26,667
APPLE, BANANA AND RASBERRY AND 

3369
02:30:27,769 --> 02:30:35,376
FOR THE RANGE OF VITAMIN C 

3370
02:30:35,376 --> 02:30:38,479
CONTENTS 4 TO 8 TO DETERMINE THE

3371
02:30:38,479 --> 02:30:41,149
AVERAGE AND THE PERCENT OF DIET 

3372
02:30:41,149 --> 02:30:45,453
WITH LOW AND HIGH VITAMIN C 

3373
02:30:45,453 --> 02:30:49,223
CONTENT FOR THOSE BELOW AND THE 

3374
02:30:49,223 --> 02:30:51,025
UPPER PERCENTILES AN GIVES US 

3375
02:30:51,025 --> 02:30:55,930
THE DATA WE'LL LOOK AT FOR THE 

3376
02:30:55,930 --> 02:30:56,397
DISTRIBUTIONS.

3377
02:30:56,397 --> 02:30:58,299
STEP 3 OF THE ANALYSIS IN THE 

3378
02:30:58,299 --> 02:31:00,735
THIRD STEP OF THE ANALYTICAL 

3379
02:31:00,735 --> 02:31:02,470
APPROACH THE PERCENT OF 

3380
02:31:02,470 --> 02:31:05,440
DISTRIBUTIONS ENERGY AND 26 

3381
02:31:05,440 --> 02:31:07,775
NUTRIENTS WERE COMPARED TO THE 

3382
02:31:07,775 --> 02:31:11,312
NUTRIENT GOALS FOR EACH AGE, SEX

3383
02:31:11,312 --> 02:31:13,414
GROUP IT DIFFERS WITH AN EAR AND

3384
02:31:13,414 --> 02:31:15,983
AI AS MENTIONED EARLIER.

3385
02:31:15,983 --> 02:31:17,418
BECAUSE DIET SIMULATIONS ARE 

3386
02:31:17,418 --> 02:31:21,456
DESIGN TO BE A FRAMEWORK FOR 

3387
02:31:21,456 --> 02:31:23,024
VARIABILITY IN THE POPULATION, 

3388
02:31:23,024 --> 02:31:28,529
THE GOALS WOULD BE A LOW PERCENT

3389
02:31:28,529 --> 02:31:34,101
OF SIMULATED DIETS OR 10% BELOW 

3390
02:31:34,101 --> 02:31:36,737
THE EAR THIS DIFFERS IN THE USE 

3391
02:31:36,737 --> 02:31:39,774
OF THE RDA WITHIN FOOD PATTERN 

3392
02:31:39,774 --> 02:31:40,208
MODELLING.

3393
02:31:40,208 --> 02:31:41,442
WE WERE TRYING TO ON THE 

3394
02:31:41,442 --> 02:31:44,412
INDIVIDUAL LEVEL GET ABOVE THE 

3395
02:31:44,412 --> 02:31:44,579
RDA.

3396
02:31:44,579 --> 02:31:47,081
IN SIMULATIONS WE'RE LOOKING AT 

3397
02:31:47,081 --> 02:31:49,050
POPULATION DISTRIBUTIONS AND 

3398
02:31:49,050 --> 02:31:50,451
COMPARING IT TO THE EAR.

3399
02:31:50,451 --> 02:31:52,887
WHEN THE EAR NOT ESTABLISHED, 

3400
02:31:52,887 --> 02:31:56,190
THE A.I. IS USED TO SIMULATE THE

3401
02:31:56,190 --> 02:31:59,293
DIETS WITH THE NUTRITIONAL GOAL 

3402
02:31:59,293 --> 02:32:02,730
OF THE MEDIAN BEING MEDIAN 

3403
02:32:02,730 --> 02:32:10,538
CONTENT AT OR ABOVE THE A.I.

3404
02:32:10,538 --> 02:32:13,774
THE NUTRITIONAL GOALS EXCEEDED 

3405
02:32:13,774 --> 02:32:16,244
THE CDRR FOR SODIUM WITH A LESS 

3406
02:32:16,244 --> 02:32:19,146
THAN 20% OF SIMULATED DIETS 

3407
02:32:19,146 --> 02:32:21,682
OUTSIDE THE ADEQUATE MACRO 

3408
02:32:21,682 --> 02:32:25,419
NUTRIENT DISTRIBUTION RANGE FOR 

3409
02:32:25,419 --> 02:32:27,321
CARBOHYDRATE, PROTEIN AND TOTAL 

3410
02:32:27,321 --> 02:32:29,023
LIPID CONTENT.

3411
02:32:29,023 --> 02:32:31,792
LESS THAN 10% FOR TWO PLUS FROM 

3412
02:32:31,792 --> 02:32:33,561
SATURATED FATS AND ADDED SUGARS 

3413
02:32:33,561 --> 02:32:37,431
AND THE MEDIAN ENERGY CONTENT AT

3414
02:32:37,431 --> 02:32:40,535
OR ABOVE THE ASSIGNED ESTIMATED 

3415
02:32:40,535 --> 02:32:43,070
ENERGY REQUIREMENT.

3416
02:32:43,070 --> 02:32:44,338
A CULMINATION OF USING ALL THE 

3417
02:32:44,338 --> 02:32:52,947
DRIs.

3418
02:32:52,947 --> 02:32:56,150
AND FROM A HEALTH EQUITY LENS IN

3419
02:32:56,150 --> 02:32:59,186
THE SPACE WAS TO ALSO INCLUDE 

3420
02:32:59,186 --> 02:32:59,954
SIMULATION OF FOODS AND 

3421
02:32:59,954 --> 02:33:03,190
BEVERAGES IDENTIFIED AS INCLUDED

3422
02:33:03,190 --> 02:33:09,263
IN SELECTED AMERICAN INDIAN AND 

3423
02:33:09,263 --> 02:33:12,233
ALASKA NATIVE DIETS.

3424
02:33:12,233 --> 02:33:15,770
SO IT'S NOT SIMULATING INTAKE 

3425
02:33:15,770 --> 02:33:18,673
BUT ALL FOODS AND BEVERAGES 

3426
02:33:18,673 --> 02:33:22,243
REPORTED IN NHANES ITEFIDE TO BE

3427
02:33:22,243 --> 02:33:23,744
INCLUDED WITHIN THE DIETS 

3428
02:33:23,744 --> 02:33:24,111
THEMSELVES.

3429
02:33:24,111 --> 02:33:26,447
WE HAVE TO PUT THAT CAVEAT HOW 

3430
02:33:26,447 --> 02:33:28,916
THE INTERPRETATION FALLS.

3431
02:33:28,916 --> 02:33:31,919
IT'S SUPPORTED BY PUBLIC INPUT 

3432
02:33:31,919 --> 02:33:34,789
CALLING FOR MORE INCLUSIVE 

3433
02:33:34,789 --> 02:33:39,427
NATURE OF LOOKING AT DIETARY 

3434
02:33:39,427 --> 02:33:40,528
PATTERNS AND TRADITIONAL EATING 

3435
02:33:40,528 --> 02:33:46,701
PATTERNS.

3436
02:33:46,701 --> 02:33:49,804
FOR FOODS IDENTIFIED IN THE 

3437
02:33:49,804 --> 02:33:53,307
AMERICAN INDIAN AND ALASKA 

3438
02:33:53,307 --> 02:33:57,178
NATIVE DIETS WERE REVIEWED FOR 

3439
02:33:57,178 --> 02:33:58,879
THOSE WITH EXPERIENCE AND THE 

3440
02:33:58,879 --> 02:34:02,016
NAVAJO NATION OR DENAE AND 

3441
02:34:02,016 --> 02:34:06,087
CHEROKEE AND ONE EXPERT WITH 

3442
02:34:06,087 --> 02:34:08,823
EXPERTISE IN ALASKAN NATIVE FOOD

3443
02:34:08,823 --> 02:34:10,958
WAYS IDENTIFIED FOODS AND 

3444
02:34:10,958 --> 02:34:13,427
BEVERAGES IN THE DATABASES AND 

3445
02:34:13,427 --> 02:34:17,164
FNDDS AND SR LEGACY.

3446
02:34:17,164 --> 02:34:20,301
AND FOODS WERE CLASSIFIED AS 

3447
02:34:20,301 --> 02:34:22,603
INTEGRAL TO CULTURAL CUISINE, 

3448
02:34:22,603 --> 02:34:24,572
EATEN BUT NOT INTEGRAL AND THEN 

3449
02:34:24,572 --> 02:34:25,606
NEVER KWON ASSUMED AS PART OF 

3450
02:34:25,606 --> 02:34:28,676
THE CUISINE.

3451
02:34:28,676 --> 02:34:30,177
SO THEN THE FOODS WERE 

3452
02:34:30,177 --> 02:34:32,046
IDENTIFIED IN THESE THREE 

3453
02:34:32,046 --> 02:34:33,781
CATEGORIES AND THEN SIMULATED 

3454
02:34:33,781 --> 02:34:35,549
FOLLOWING THE SAME STEPS OF THE 

3455
02:34:35,549 --> 02:34:37,418
FRAMEWORK OUTLINED IN THE 

3456
02:34:37,418 --> 02:34:40,521
EARLIER PRESENTATION.

3457
02:34:40,521 --> 02:34:42,490
SIMULATION WAS CONDUCTED 

3458
02:34:42,490 --> 02:34:43,791
COMBINING THE FOODS AND 

3459
02:34:43,791 --> 02:34:46,560
BEVERAGES IDENTIFIED BY THE 

3460
02:34:46,560 --> 02:34:49,163
EXPERTS WITH PROFESSIONAL LIVED 

3461
02:34:49,163 --> 02:34:49,463
EXPERIENCE.

3462
02:34:49,463 --> 02:34:52,533
A SEPARATE SIMULATION FOR EACH 

3463
02:34:52,533 --> 02:34:55,703
ONE OF THESE PATTERNS OF FOODS 

3464
02:34:55,703 --> 02:34:58,439
IDENTIFIED AND THE ENERGY AND 

3465
02:34:58,439 --> 02:35:00,941
NUTRIENT CONTENT OF AGGREGATED 

3466
02:35:00,941 --> 02:35:04,178
SIMULATED DIETS FOR THE SELECT 

3467
02:35:04,178 --> 02:35:04,779
AMERICAN INDIAN AND ALASKA 

3468
02:35:04,779 --> 02:35:07,314
NATIVE WERE EVALUATED AGAINST 

3469
02:35:07,314 --> 02:35:08,783
THE SAME NUTRITIONAL GOALS FOR 

3470
02:35:08,783 --> 02:35:19,226
THE NUTRIENTS AND ENERGY.

3471
02:35:20,528 --> 02:35:23,798
IT DOESN'T ACCOUNT FOR ALL THE 

3472
02:35:23,798 --> 02:35:24,699
REPRESENTATIVENESS OF ALL THE 

3473
02:35:24,699 --> 02:35:29,603
GROUPS BUT GIVES AN OPPORTUNITY 

3474
02:35:29,603 --> 02:35:30,905
TO FIRST STEP TEST THE APPROACH 

3475
02:35:30,905 --> 02:35:32,773
AND ABOUT WHAT IT GIVES FOR THE 

3476
02:35:32,773 --> 02:35:34,542
OUTCOMES AND HELPS US REFINE THE

3477
02:35:34,542 --> 02:35:35,976
PROCESS FOR FUTURE APPLICATION.

3478
02:35:35,976 --> 02:35:37,445
IT'S KIND OF EXCITING IT'S THE 

3479
02:35:37,445 --> 02:35:44,418
FIRST STEP.

3480
02:35:44,418 --> 02:35:46,020
WHAT ARE WE PUTTING IN THE 

3481
02:35:46,020 --> 02:35:46,387
SIMULATED MODEL?

3482
02:35:46,387 --> 02:35:49,423
IT GIVES AN ACCOUNT OF THE FOODS

3483
02:35:49,423 --> 02:35:53,160
FROM FNDDS THAT CAN BE RANDOMLY 

3484
02:35:53,160 --> 02:35:56,664
SELECTED TO MAKE 2500, SEVEN DAY

3485
02:35:56,664 --> 02:35:57,431
DIETS ACROSS EACH OF THE FOOD 

3486
02:35:57,431 --> 02:36:00,601
GROUPS AND SUB GROUP.

3487
02:36:00,601 --> 02:36:02,603
YOU CAN SEE WE HAVE 106 

3488
02:36:02,603 --> 02:36:03,804
DIFFERENT DARK GREEN VEGETABLES 

3489
02:36:03,804 --> 02:36:06,040
WHICH IS THE FOCUS MUCH OUR 

3490
02:36:06,040 --> 02:36:06,707
CONVERSATION.

3491
02:36:06,707 --> 02:36:09,376
NOW WE'VE GOT 106 DIFFERENT WAYS

3492
02:36:09,376 --> 02:36:11,912
YOU CAN CONSUME DARK GREEN 

3493
02:36:11,912 --> 02:36:14,381
VEGETABLES FROM FNDDS.

3494
02:36:14,381 --> 02:36:15,449
108 RED AND ORANGE VEGETABLES 

3495
02:36:15,449 --> 02:36:18,385
AND SO ON AND SO FORTH.

3496
02:36:18,385 --> 02:36:21,388
THESE VARIOUS OPTIONS WOULD THEN

3497
02:36:21,388 --> 02:36:28,062
BE WALKING IN THE PRAN TRY AND 

3498
02:36:28,062 --> 02:36:32,366
 -- PANTRY AND GENERATE THE 

3499
02:36:32,366 --> 02:36:35,503
INTAKE BASED ON THESE FOODS.

3500
02:36:35,503 --> 02:36:38,606
YOU SEE SIMILARLY THE NUMBER OF 

3501
02:36:38,606 --> 02:36:40,541
FOODS IDENTIFIED AS FOR 

3502
02:36:40,541 --> 02:36:42,810
INCLUSION FOR THE AMERICAN 

3503
02:36:42,810 --> 02:36:44,645
INDIAN SIMULATION AND FOR THE 

3504
02:36:44,645 --> 02:36:49,416
ALASKAN NATIVE SIMULATION TO 

3505
02:36:49,416 --> 02:36:50,985
SHOW DIFFERENTIATION IN FOOD 

3506
02:36:50,985 --> 02:36:55,289
IDENTIFIED BY THE EXPERTS.

3507
02:36:55,289 --> 02:36:59,493
THIS IS WHERE WE GET INTO OUR 

3508
02:36:59,493 --> 02:37:01,595
STARTING WITH ALL FOODS HAVE A 

3509
02:37:01,595 --> 02:37:04,298
CHANCE TO FIT.

3510
02:37:04,298 --> 02:37:06,400
THE DIFFERENCE WE HAVE FROM FOOD

3511
02:37:06,400 --> 02:37:07,268
PATTERN MODELLING WAS THE 

3512
02:37:07,268 --> 02:37:09,904
NUTRIENT PROFILES WERE GENERATED

3513
02:37:09,904 --> 02:37:15,643
BASED ON THE PROPORTIONAL C

3514
02:37:15,643 --> 02:37:19,547
CONSUMPTION FROM NHANES.

3515
02:37:19,547 --> 02:37:21,148
THE MOST COMMON FOOD AND 

3516
02:37:21,148 --> 02:37:23,017
VEGETABLE AND THE NUTRIENT 

3517
02:37:23,017 --> 02:37:25,753
PROFILE GETS WEIGHTED OR SKEWED 

3518
02:37:25,753 --> 02:37:28,522
TO WHAT THE MOST COMMON 

3519
02:37:28,522 --> 02:37:30,457
SELECTIONS ARE.

3520
02:37:30,457 --> 02:37:36,163
THIS ANALYSIS WE USED EQUAL 

3521
02:37:36,163 --> 02:37:37,031
PROBABILITY.

3522
02:37:37,031 --> 02:37:40,768
SO NOW THE FOODS THAT ARE 

3523
02:37:40,768 --> 02:37:42,770
CONSUMED LESS FREQUENTLY STILL 

3524
02:37:42,770 --> 02:37:45,439
HAVE AN EQUAL CHANCE OF GETTING 

3525
02:37:45,439 --> 02:37:47,041
IN THE SIMULATIONS OPPOSED TO 

3526
02:37:47,041 --> 02:37:49,410
BASICALLY RECREATING FOOD 

3527
02:37:49,410 --> 02:37:52,079
PATTERN MODELLING WHERE IT'S THE

3528
02:37:52,079 --> 02:37:54,281
TOP SOURCES OF FRUITS AND 

3529
02:37:54,281 --> 02:37:55,816
VEGETABLES THAT CONTRIBUTE TO 

3530
02:37:55,816 --> 02:37:56,217
OUR PATTERN.

3531
02:37:56,217 --> 02:37:58,285
WE HAVE EQUAL CONTRIBUTION AND 

3532
02:37:58,285 --> 02:38:00,454
THAT HITS ACROSS OUR MAIN 

3533
02:38:00,454 --> 02:38:01,021
ANALYSIS WHERE FOODS AREN'T 

3534
02:38:01,021 --> 02:38:03,123
EXCLUDED.

3535
02:38:03,123 --> 02:38:05,492
THEN OUR SUPPLEMENTAL ANALYSES 

3536
02:38:05,492 --> 02:38:12,132
FOR MODEL 1, 2, 3, 4 AND 5 

3537
02:38:12,132 --> 02:38:14,368
DECREASE THE PROPORTION OF LESS 

3538
02:38:14,368 --> 02:38:16,036
NUTRIENT FOODS OR BEVERAGES 

3539
02:38:16,036 --> 02:38:24,311
INCLUDED IN THE SIMULATIONS.

3540
02:38:24,311 --> 02:38:32,019
FOR OUR RESULTS SO EVALUATION OF

3541
02:38:32,019 --> 02:38:32,953
MICRONUTRIENT CONSENT OF 

3542
02:38:32,953 --> 02:38:34,021
SIMULATED DIETS OUR CRITERIA IS 

3543
02:38:34,021 --> 02:38:38,025
WE WANT LESS THAN 10% OF THE 

3544
02:38:38,025 --> 02:38:45,432
SIMULATIONS TO HAVE A SIMULATED 

3545
02:38:45,432 --> 02:38:47,134
ESTIMATE BELOW THE EAR.

3546
02:38:47,134 --> 02:38:51,071
AND AGAIN AS SARA MENTIONED THE 

3547
02:38:51,071 --> 02:38:52,539
PATTERN IS WELL DEVELOPED TO 

3548
02:38:52,539 --> 02:38:54,842
HELP MEET NUTRIENT GOALS.

3549
02:38:54,842 --> 02:38:57,811
SO WITH THE SELECTION OF A 

3550
02:38:57,811 --> 02:38:59,546
VARIETY OF FOODS CONTRIBUTING 

3551
02:38:59,546 --> 02:39:03,918
AND NOT JUST FOR FOOD PATTERN 

3552
02:39:03,918 --> 02:39:05,352
MODELLING THERE'S PRETTY 

3553
02:39:05,352 --> 02:39:07,254
ASTOUNDING RESULTS THE MODIFIED 

3554
02:39:07,254 --> 02:39:11,759
PATTERN BASED ON SIMULATIONS IS 

3555
02:39:11,759 --> 02:39:14,795
MEETING THE EAR WITH IN SOME 

3556
02:39:14,795 --> 02:39:18,198
CASES FOR CALCIUM 0% OF OUR 

3557
02:39:18,198 --> 02:39:22,536
SIMULATIONS WERE BELOW THE EAR.

3558
02:39:22,536 --> 02:39:28,042
SO EVIDENCE FOR HOW THIS IS 

3559
02:39:28,042 --> 02:39:29,276
PLAYING OUT.

3560
02:39:29,276 --> 02:39:31,845
SO REGARDLESS OF INCLUSION OF 

3561
02:39:31,845 --> 02:39:34,315
LESS NUTRIENT FOODS SIMULATED 

3562
02:39:34,315 --> 02:39:36,650
FOR THIS, FOODS AND BEVERAGES 

3563
02:39:36,650 --> 02:39:38,585
REPORTED AS CONSUMED AND FOODS 

3564
02:39:38,585 --> 02:39:41,188
AND BEVERAGES AS IDENTIFIED 

3565
02:39:41,188 --> 02:39:42,990
INCLUDED IN SELECT AMERICAN 

3566
02:39:42,990 --> 02:39:44,591
INDIAN AND ALASKA NATIVE DIETS 

3567
02:39:44,591 --> 02:39:45,225
WERE MEETING NUTRIENT 

3568
02:39:45,225 --> 02:39:45,893
RECOMMENDATIONS FOR THE ONES YOU

3569
02:39:45,893 --> 02:39:53,968
SEE HERE.

3570
02:39:53,968 --> 02:39:57,004
AGAIN FOR OUR GOAL HERE IS THE 

3571
02:39:57,004 --> 02:40:00,541
STARS ARE LESS THAN 10% OF THE 

3572
02:40:00,541 --> 02:40:02,443
DIETS WERE BELOW THE EAR FOR AGE

3573
02:40:02,443 --> 02:40:04,945
SEX GROUPS AT THE ASSIGNED 

3574
02:40:04,945 --> 02:40:08,782
CALORIE LEVELS FOR AGES 2 AND 

3575
02:40:08,782 --> 02:40:12,686
OLDER AND MET THE NUTRIENT 

3576
02:40:12,686 --> 02:40:16,523
CONTENT CRITERIA FOR VITAMINS 

3577
02:40:16,523 --> 02:40:22,196
B12 AND ZINC AND NOT D AND E AS 

3578
02:40:22,196 --> 02:40:25,065
ANTICIPATED AND REGARDLESS OF 

3579
02:40:25,065 --> 02:40:28,936
THE NUTRIENT DENSE FOODS.

3580
02:40:28,936 --> 02:40:31,705
WITH THE EXCEPTION FOR VITAMIN E

3581
02:40:31,705 --> 02:40:35,075
WITH FOODS IDENTIFIED WITH 

3582
02:40:35,075 --> 02:40:39,613
ALASKAN NATIVE DIETS AND VITAMIN

3583
02:40:39,613 --> 02:40:42,049
E ADEQUACY WAS NOT ACHIEVED WIN 

3584
02:40:42,049 --> 02:40:44,818
SOME GROUP RESULTING UP TO 12% 

3585
02:40:44,818 --> 02:40:45,452
SIMULATED DIETS NOT MEETING THE 

3586
02:40:45,452 --> 02:40:55,662
CRITERIA.

3587
02:40:55,662 --> 02:40:58,265
EVALUATING NUTRIENT CONTENT FOR 

3588
02:40:58,265 --> 02:41:01,435
THOSE WITH AN A.I. THE CRITERIA 

3589
02:41:01,435 --> 02:41:05,439
IS MEDIAN INTAKE WOULD BE AT 

3590
02:41:05,439 --> 02:41:09,043
ABOVE THE A.I. FOR EACH AGE SEX 

3591
02:41:09,043 --> 02:41:11,545
GROUP AND CALORIE LEVEL AND THE 

3592
02:41:11,545 --> 02:41:13,447
SIMULATED DIETS WERE ABLE TO 

3593
02:41:13,447 --> 02:41:24,224
MEET ALPHA LINOLENICLINOLENIC I 

3594
02:41:33,500 --> 02:41:43,544
DIET.

3595
02:41:49,950 --> 02:41:51,452
AND THIS IS FOR GENERALLY NOT 

3596
02:41:51,452 --> 02:41:55,456
MET FOR SIMULATED DIETS FOR OVER

3597
02:41:55,456 --> 02:41:55,956
30 YEARS.

3598
02:41:55,956 --> 02:41:58,592
AND THESE WERE ACROSS THE 

3599
02:41:58,592 --> 02:42:04,531
SIMULATION IN THE DIETS AND 

3600
02:42:04,531 --> 02:42:13,540
ADEQUACY MEETING LINOLENIC ACID 

3601
02:42:13,540 --> 02:42:18,412
AND RESULTS DELIVERED FOR FOODS 

3602
02:42:18,412 --> 02:42:19,446
IDENTIFIED WITH ALASKAN NATIVE 

3603
02:42:19,446 --> 02:42:22,116
DIETS AND ADEQUACY OF SIMULATED 

3604
02:42:22,116 --> 02:42:24,084
DIETS WAS CONSISTENTLY NOT MET 

3605
02:42:24,084 --> 02:42:27,154
FOR DRAFT DIETARY PATTERNS FOR 4

3606
02:42:27,154 --> 02:42:31,358
TO 8 AND 31 TO 50 AND NOT MET 

3607
02:42:31,358 --> 02:42:33,427
FOR MALES 30 PLUS WITH PROBABLE 

3608
02:42:33,427 --> 02:42:35,896
MUCH LOWER NUTRIENT DENSITY TO 

3609
02:42:35,896 --> 02:42:40,167
NUTRIENT DENSITY OF 15 TO 0%.

3610
02:42:40,167 --> 02:42:45,572
SO THESE RESULTS REQUIRE FURTHER

3611
02:42:45,572 --> 02:42:50,644
WORK IN EVALUATION.

3612
02:42:50,644 --> 02:42:53,480
EVALUATING NUTRIENT CONSENT FOR 

3613
02:42:53,480 --> 02:42:57,451
FIBER, THE SLIDE DISPLAYS THE 

3614
02:42:57,451 --> 02:42:59,953
PERCENT WITH CARBOHYDRATE, 

3615
02:42:59,953 --> 02:43:04,491
PROTEIN OR FAT CONTENT OUTSIDE 

3616
02:43:04,491 --> 02:43:10,531
THE ADEQUATE MACRO NUTRIENT 

3617
02:43:10,531 --> 02:43:20,941
RANGE OUTSIDE THE AMDR.

3618
02:43:31,752 --> 02:43:35,455
SHOULD THE SIMULATED DIETS MEET 

3619
02:43:35,455 --> 02:43:37,191
THE CRITERIA FOR CARBOHYDRATE 

3620
02:43:37,191 --> 02:43:39,960
AND PROTEIN SIMULATED 2 TO 3 

3621
02:43:39,960 --> 02:43:43,430
YEAR DRAFT DIETARY PATTERNS WERE

3622
02:43:43,430 --> 02:43:46,066
HIGH IN PROTEIN CONSENT 

3623
02:43:46,066 --> 02:43:47,167
EXCLUDING LOWER NUTRIENT DENSITY

3624
02:43:47,167 --> 02:43:50,204
CONSISTENT FOR FOODS SIMULATED 

3625
02:43:50,204 --> 02:43:51,772
FOR U.S. AMERICAN INDIAN AND 

3626
02:43:51,772 --> 02:43:53,440
ALASKAN NATIVE DIETS AND ALL THE

3627
02:43:53,440 --> 02:44:02,416
SIMULATIONS.

3628
02:44:02,416 --> 02:44:05,452
FOR THE A.I. FOR FIBER ADEQUACY 

3629
02:44:05,452 --> 02:44:08,956
WAS CONSISTENCY MET FOR FIBER 

3630
02:44:08,956 --> 02:44:13,093
FOR 9 TO 13 YEARS MALES AND 

3631
02:44:13,093 --> 02:44:14,861
FEMALES 14 TO 30 AND FEMALES 31 

3632
02:44:14,861 --> 02:44:17,164
PLUS BUT NOT FOR ALL OTHER AGE 

3633
02:44:17,164 --> 02:44:19,132
SEX GROUPS.

3634
02:44:19,132 --> 02:44:20,901
THE FINDINGS WERE CONSISTENT 

3635
02:44:20,901 --> 02:44:21,969
ACROSS SIMULATIONS VARIATION 

3636
02:44:21,969 --> 02:44:25,439
INCLUSION OF LOWER NUTRIENT 

3637
02:44:25,439 --> 02:44:33,413
DENSITY, FOODS AND BEVERAGES 

3638
02:44:33,413 --> 02:44:37,351
CONSUMED IN THE U.S. AND IN 

3639
02:44:37,351 --> 02:44:38,018
AMERICAN INDIAN AND ALASKAN 

3640
02:44:38,018 --> 02:44:41,989
NATIVE DIETS.

3641
02:44:41,989 --> 02:44:43,590
SATURATED FAT.

3642
02:44:43,590 --> 02:44:49,196
THEY MET IF 10% OF THE DIETS MET

3643
02:44:49,196 --> 02:44:50,097
OR EXCEEDED THE RECOMMENDATION 

3644
02:44:50,097 --> 02:44:53,166
AND LESS THAN 10% WERE FROM 

3645
02:44:53,166 --> 02:44:55,802
SATURATED FAT AND MORE THAN HALF

3646
02:44:55,802 --> 02:44:59,339
THE SIMULATED DIETS EXCEEDED 

3647
02:44:59,339 --> 02:45:01,642
SATURATE FAT WHEN FOODS AND 

3648
02:45:01,642 --> 02:45:02,609
BEVERAGES LOWER IN NUTRIENT 

3649
02:45:02,609 --> 02:45:06,013
DENSITY WERE INCLUDED AND MORE 

3650
02:45:06,013 --> 02:45:06,580
FREQUENTLY.

3651
02:45:06,580 --> 02:45:08,682
THE PERCENT THAT EXCEEDED THE 

3652
02:45:08,682 --> 02:45:12,352
LIMIT DECREASED AS WE DECREASE 

3653
02:45:12,352 --> 02:45:14,054
THE CONTRIBUTION OF FOODS LOWER 

3654
02:45:14,054 --> 02:45:18,292
IN NUTRIENT DENSITY.

3655
02:45:18,292 --> 02:45:20,360
WERE NOT MET UNTIL LOWER 

3656
02:45:20,360 --> 02:45:21,428
NUTRIENT DENSE FOODS WERE 

3657
02:45:21,428 --> 02:45:22,663
EXCLUDED FROM THE SIMULATIONS 

3658
02:45:22,663 --> 02:45:25,799
AND THE FINDINGS WERE CONSISTENT

3659
02:45:25,799 --> 02:45:30,103
ACROSS OUR OTHER SIMULATIONS FOR

3660
02:45:30,103 --> 02:45:33,874
SELECT AMERICAN INDIAN AND 

3661
02:45:33,874 --> 02:45:34,541
ALASKAN NATIVE.

3662
02:45:34,541 --> 02:45:37,444
AND FOLLOWING UP WITH ADDED 

3663
02:45:37,444 --> 02:45:38,979
SUGARS IN THE SAME VEIN LESS 

3664
02:45:38,979 --> 02:45:40,714
THAN 10% OF DIETS WITH LESS THAN

3665
02:45:40,714 --> 02:45:43,784
10% OF CALORIES FROM ADDED 

3666
02:45:43,784 --> 02:45:46,553
SUGAR, THE PERCENT OF SIMULATED 

3667
02:45:46,553 --> 02:45:52,092
DIET DECREASED AS WE DECREASED 

3668
02:45:52,092 --> 02:45:55,162
THE CONTRIBUTION OF LOWER 

3669
02:45:55,162 --> 02:45:58,632
DENSITY FOODS TO 15% SIMILAR TO 

3670
02:45:58,632 --> 02:46:01,234
WHAT WE SAW WITH SATURATED FAT 

3671
02:46:01,234 --> 02:46:06,373
OCCURRING AT 15% PROBABILITY OF 

3672
02:46:06,373 --> 02:46:09,976
LOWER DENSE FOODS AND SATURATED 

3673
02:46:09,976 --> 02:46:14,414
FAT WAS 0 AND CONSISTENT WITH 

3674
02:46:14,414 --> 02:46:16,249
THE SELECT AMERICAN INDIAN AND 

3675
02:46:16,249 --> 02:46:18,118
ALASKAN NATIVE.

3676
02:46:18,118 --> 02:46:22,522
THE OTHER SOMEWHAT NOT 

3677
02:46:22,522 --> 02:46:25,258
SURPRISING COMMENT THAT CARRIED 

3678
02:46:25,258 --> 02:46:28,528
FORWARD FROM SODIUM THE INITIAL 

3679
02:46:28,528 --> 02:46:32,132
ANALYSIS WE CONDUCTED WAS LESS 

3680
02:46:32,132 --> 02:46:34,334
FOCUSSED ON SODIUM AND REVISED 

3681
02:46:34,334 --> 02:46:39,239
OUR ANALYSIS AND INCLUDED A MORE

3682
02:46:39,239 --> 02:46:41,675
STRINGENT SODIUM CRITERIA FOR 

3683
02:46:41,675 --> 02:46:44,044
THIS LEVEL OF ANALYSIS AND WE 

3684
02:46:44,044 --> 02:46:46,480
WERE LOOKING FOR THE DRAFT 

3685
02:46:46,480 --> 02:46:47,414
SIMULATED DIETS TO MEET THE 

3686
02:46:47,414 --> 02:46:49,416
DRAFT DIETARY PATTERNS OF THE 

3687
02:46:49,416 --> 02:46:52,452
CRITERIA OF LESS THAN 10% OF 

3688
02:46:52,452 --> 02:46:53,487
DIETS EXCEED THE CDRR AND WE 

3689
02:46:53,487 --> 02:46:58,225
DIDN'T GET THERE.

3690
02:46:58,225 --> 02:46:59,626
OR CLOSE.

3691
02:46:59,626 --> 02:47:02,229
THE ANALYSIS REVEALED ALL 

3692
02:47:02,229 --> 02:47:04,831
SIMULATED DIETS EXCEEDED IT 

3693
02:47:04,831 --> 02:47:06,900
REGARDLESS OF AGE SEX GROUPS, 

3694
02:47:06,900 --> 02:47:09,169
FREQUENCY OF EXCLUSION OF LOWER 

3695
02:47:09,169 --> 02:47:11,638
DENSITY FOODS AND SIMULATION WAS

3696
02:47:11,638 --> 02:47:16,209
BASED ON FOODS IN THE U.S. DIET,

3697
02:47:16,209 --> 02:47:18,912
SELECT AMERICAN INDIAN AND 

3698
02:47:18,912 --> 02:47:25,419
ALASKAN NATIVE.

3699
02:47:25,419 --> 02:47:29,523
WE HAD A REDUCTION FROM 3400 

3700
02:47:29,523 --> 02:47:32,459
MILLIGRAMS AT EQUAL FREQUENCY 

3701
02:47:32,459 --> 02:47:35,095
DOWN TO 2748 WHEN LOWER NUTRIENT

3702
02:47:35,095 --> 02:47:36,463
DENSE WAS EXCLUDE BUT STILL 

3703
02:47:36,463 --> 02:47:38,832
DIDN'T COME CLOSE TO THAT 10% 

3704
02:47:38,832 --> 02:47:39,699
WHICH GETS TO A BROADER 

3705
02:47:39,699 --> 02:47:46,039
CONVERSATION.

3706
02:47:46,039 --> 02:47:48,708
AND THEN FINALLY LOOKING AT 

3707
02:47:48,708 --> 02:47:50,944
ENERGY TRYING TO MOVE AS QUICKLY

3708
02:47:50,944 --> 02:47:53,980
AS POSSIBLE WITH LOTS OF DATA.

3709
02:47:53,980 --> 02:47:55,849
THE ENERGY CONTENT WAS EVALUATED

3710
02:47:55,849 --> 02:47:59,586
BY THE MEDIAN CONTENT OF THE 

3711
02:47:59,586 --> 02:48:00,954
DISTRIBUTION FOR EACH AGE SEX 

3712
02:48:00,954 --> 02:48:03,323
GROUP COMPARED TO THE EAR.

3713
02:48:03,323 --> 02:48:06,359
THE TABLE SHOWS THE EXTENT TO 

3714
02:48:06,359 --> 02:48:13,433
CONSIDER THE DIET SIMULATED 

3715
02:48:13,433 --> 02:48:19,639
EXCEEDED EER AND SIMULATED DIETS

3716
02:48:19,639 --> 02:48:21,441
EXCEEDED BY MORE THAN 450 

3717
02:48:21,441 --> 02:48:24,044
CALORIES THE EXTENT TO WHICH 

3718
02:48:24,044 --> 02:48:27,314
THEY DECREASED AS THE INCLUSION 

3719
02:48:27,314 --> 02:48:29,449
OF LOWER NUTRIENT DENSE FOODS IN

3720
02:48:29,449 --> 02:48:32,486
THE SIMULATION DECREASED AND 

3721
02:48:32,486 --> 02:48:34,688
THREE AGE SEX GROUPS, MALES 14 

3722
02:48:34,688 --> 02:48:40,026
TO 18 AND 19 TO 30 AND 31 TO 50 

3723
02:48:40,026 --> 02:48:44,397
AND SIMULATIONS THAT EXCLUDED 

3724
02:48:44,397 --> 02:48:47,534
LOWER DENSITY FOOD AND IT'S 

3725
02:48:47,534 --> 02:48:50,003
INCLUSIVE DUE TO THE OIL CONTENT

3726
02:48:50,003 --> 02:48:52,539
WITHIN FOODS BUT THEN ALSO 

3727
02:48:52,539 --> 02:48:55,041
ADDING IT AS A COMPONENT OF THE 

3728
02:48:55,041 --> 02:48:56,076
DIETARY PATTERNS AS WELL.

3729
02:48:56,076 --> 02:48:58,545
WE NEED FURTHER WORK IN THIS 

3730
02:48:58,545 --> 02:49:03,250
SPACE TO ADDRESS THAT.

3731
02:49:03,250 --> 02:49:05,185
SO CONSIDERATIONS AND 

3732
02:49:05,185 --> 02:49:08,321
LIMITATIONS FOCUS ON THE 

3733
02:49:08,321 --> 02:49:10,457
SIMULATED FRUITS AND BEVERAGES 

3734
02:49:10,457 --> 02:49:12,959
REPORTED IN NATIONAL DIETARY 

3735
02:49:12,959 --> 02:49:14,594
SURVEYS USED.

3736
02:49:14,594 --> 02:49:17,597
AS A RESULT THERE.

3737
02:49:17,597 --> 02:49:19,165
VARIATIONS OF BASIC FOODS AND 

3738
02:49:19,165 --> 02:49:21,434
BEVERAGES REPORTED THAT MAY HAVE

3739
02:49:21,434 --> 02:49:24,738
MULTIPLE FOOD CODES DIFFERENT 

3740
02:49:24,738 --> 02:49:26,006
WAYS OF COMPARING GREEN BEANS.

3741
02:49:26,006 --> 02:49:27,807
THEY MAY HAVE A CHANCE TO GET IN

3742
02:49:27,807 --> 02:49:30,844
SEVERAL TIMES IF PREPARED IN 

3743
02:49:30,844 --> 02:49:31,411
DIFFERENT WAYS.

3744
02:49:31,411 --> 02:49:33,413
SO THE BASIC FOOD IS MORE LIKELY

3745
02:49:33,413 --> 02:49:35,515
TO BE SELECTED IF IT HAS MORE 

3746
02:49:35,515 --> 02:49:35,782
OPTIONS.

3747
02:49:35,782 --> 02:49:40,220
SO FUTURE ANALYTIC FRAMEWORKS 

3748
02:49:40,220 --> 02:49:41,354
SHOULD ADDRESS AS THE CONCERNS.

3749
02:49:41,354 --> 02:49:44,524
SIMULATION WAS CONDUCTED BY FOOD

3750
02:49:44,524 --> 02:49:46,826
GROUP OR SUB GROUPS AND 

3751
02:49:46,826 --> 02:49:47,994
CONTRIBUTING TO MORE THAN ONE 

3752
02:49:47,994 --> 02:49:52,532
GROUP WERE NOT INCLUDED.

3753
02:49:52,532 --> 02:49:56,937
CRITERIA FOR IDENTIFYING FOODS 

3754
02:49:56,937 --> 02:49:59,806
IN SUGARS WERE RELAXED FOR 

3755
02:49:59,806 --> 02:50:01,408
HIGHER PROPORTION SIZED FOODS 

3756
02:50:01,408 --> 02:50:02,976
AND THE IMPACT WILL REQUIRE 

3757
02:50:02,976 --> 02:50:05,412
FURTHER EVIDENCE AROUND WHAT THE

3758
02:50:05,412 --> 02:50:09,416
CRITERIA LEVELS MIGHT BE.

3759
02:50:09,416 --> 02:50:11,217
AGAIN THE STRICTER SODIUM 

3760
02:50:11,217 --> 02:50:12,819
CRITERIA MAY BE NECESSARY AS 

3761
02:50:12,819 --> 02:50:14,120
WELL AS THE WAY OILS CONTRIBUTE 

3762
02:50:14,120 --> 02:50:16,556
TO THE PATTERN AND THE WAYS THEY

3763
02:50:16,556 --> 02:50:18,925
ARE COME FORWARD FROM FOODS AS 

3764
02:50:18,925 --> 02:50:21,227
PREPARATION BUT ALSO HOW THEY'RE

3765
02:50:21,227 --> 02:50:22,128
INCLUDED AS PART OF THE PATTERN 

3766
02:50:22,128 --> 02:50:26,232
WILL NEED TO BE TRAEFD.

3767
02:50:26,232 --> 02:50:27,901
 -- ADDRESSED.

3768
02:50:27,901 --> 02:50:31,104
LIMITATIONS OF THE PILOT TO 

3769
02:50:31,104 --> 02:50:36,242
SIMULATE FOODS AND BEVERAGES 

3770
02:50:36,242 --> 02:50:39,379
IDENTIFIED IN AMERICAN INDIAN 

3771
02:50:39,379 --> 02:50:42,582
AND ALASKAN NATIVES AND FOODS 

3772
02:50:42,582 --> 02:50:45,418
AND BEVERAGES FROM THE DATA 

3773
02:50:45,418 --> 02:50:50,023
SOURCES THAT BY EXPERTS WERE 

3774
02:50:50,023 --> 02:50:50,957
DETERMINED TO REPRESENT FOODS 

3775
02:50:50,957 --> 02:50:52,225
AND BEVERAGES CONSUMED.

3776
02:50:52,225 --> 02:50:57,063
SO WHILE THE EXPERTS IDENTIFIED 

3777
02:50:57,063 --> 02:50:59,232
FOODS AND HAD PROFESSIONAL LIVED

3778
02:50:59,232 --> 02:51:00,300
EXPERIENCE IT WAS LIMITED AND 

3779
02:51:00,300 --> 02:51:02,469
THE FOODS AND BEVERAGES 

3780
02:51:02,469 --> 02:51:05,438
IDENTIFIED WERE NOT PARTICULARLY

3781
02:51:05,438 --> 02:51:07,540
REPRESENTATIVE OF ALL AMERICAN 

3782
02:51:07,540 --> 02:51:08,775
OR ALASKA NATIVE POPULATIONS.

3783
02:51:08,775 --> 02:51:11,177
IT'S ALSO IMPORTANT TO RECOGNIZE

3784
02:51:11,177 --> 02:51:12,345
THE EQUAL PROBABILITY OF 

3785
02:51:12,345 --> 02:51:14,914
SELECTION USED FOR ALL 

3786
02:51:14,914 --> 02:51:17,183
SIMULATIONS SO AS TO NOT 

3787
02:51:17,183 --> 02:51:19,753
REPRESENT INFREQUENTLY CONSUMED 

3788
02:51:19,753 --> 02:51:21,421
FOODS MIGHT OVER REPRESENT 

3789
02:51:21,421 --> 02:51:26,092
FREQUENTLY CONSUMED TO NOT OVER 

3790
02:51:26,092 --> 02:51:27,594
REPRESENTATIVE FOODS DIFFERS 

3791
02:51:27,594 --> 02:51:30,530
FROM FOOD PATTERN MODELLING WITH

3792
02:51:30,530 --> 02:51:32,999
MODELLING AND DIET SIMULATIONS 

3793
02:51:32,999 --> 02:51:34,567
DO NOT INCLUDE FOODS OR 

3794
02:51:34,567 --> 02:51:35,669
BEVERAGES THAT DO NOT CONTRIBUTE

3795
02:51:35,669 --> 02:51:39,172
TO A FOOD GROUP OR SUB GROUP 

3796
02:51:39,172 --> 02:51:39,773
INCLUDING BEVERAGES WE HAVE 

3797
02:51:39,773 --> 02:51:45,345
LISTED HERE.

3798
02:51:45,345 --> 02:51:47,714
>> OKAY.

3799
02:51:47,714 --> 02:51:49,482
THANK YOU, CHRIS, FOR PRESENTING

3800
02:51:49,482 --> 02:51:52,485
AN AMAZING AMOUNT OF DATA AND I 

3801
02:51:52,485 --> 02:51:55,588
JUST WANTED TO CALL OUT TO THE 

3802
02:51:55,588 --> 02:52:00,894
STAFF AS WELL FOR REALLY DOING 

3803
02:52:00,894 --> 02:52:04,664
CREATIVE WORK.

3804
02:52:04,664 --> 02:52:08,702
WE OMITTED TO SAY AT THE 

3805
02:52:08,702 --> 02:52:10,770
BEGINNING OF THIS THAT DR. HOLLY

3806
02:52:10,770 --> 02:52:15,041
RAINER IS NOT JOINING US TODAY 

3807
02:52:15,041 --> 02:52:20,747
BUT WE DO HAVE ON ZOOM 

3808
02:52:20,747 --> 02:52:26,119
DR. VALERIE JURNIGAN AND I'M 

3809
02:52:26,119 --> 02:52:27,353
GOING TO HAND IT TO YOU FOR THE 

3810
02:52:27,353 --> 02:52:31,925
PRIVILEGE OF THE FIRST QUESTION.

3811
02:52:31,925 --> 02:52:36,062
>> THANK YOU, SO MUCH.

3812
02:52:36,062 --> 02:52:37,630
I DON'T ACTUALLY HAVE ANY 

3813
02:52:37,630 --> 02:52:39,466
QUESTIONS BECAUSE I'VE BEEN SO 

3814
02:52:39,466 --> 02:52:41,167
INVOLVED IN EVERY STEP OF THIS 

3815
02:52:41,167 --> 02:52:45,505
BUT I WANT IT ALSO ECHO WHAT 

3816
02:52:45,505 --> 02:52:46,005
YOU'VE SAID.

3817
02:52:46,005 --> 02:52:47,607
A HUGE THANK YOU TO THE STAFF 

3818
02:52:47,607 --> 02:52:50,110
AND THE COMMITTEE AND IT 

3819
02:52:50,110 --> 02:52:51,044
REPRESENTS SUCH AN EXCITING NEW 

3820
02:52:51,044 --> 02:52:54,714
STEP FORWARD TO BE ABLE TO DO 

3821
02:52:54,714 --> 02:52:56,149
THIS WORK.

3822
02:52:56,149 --> 02:52:59,652
WE KNOW IT'S NOT REPRESENTING 

3823
02:52:59,652 --> 02:53:03,523
ALL AMERICAN INDIAN AND ALASKAN 

3824
02:53:03,523 --> 02:53:05,692
NATIVES BUT A HUGE STEP FORWARD 

3825
02:53:05,692 --> 02:53:06,292
WITH OUR HEALTH EQUITY FOCUS.

3826
02:53:06,292 --> 02:53:13,433
THANK YOU SO MUCH.

3827
02:53:13,433 --> 02:53:15,769
>> SO I'LL OPEN IT UP TO
OTHER 

3828
02:53:15,769 --> 02:53:22,442
MEMBERS OF THE COMMITTEE FOR 

3829
02:53:22,442 --> 02:53:24,811
QUESTIONS AND COMMENTS.

3830
02:53:24,811 --> 02:53:25,044
SHERYL.

3831
02:53:25,044 --> 02:53:26,646
>> I DON'T THINK I HAVE 

3832
02:53:26,646 --> 02:53:31,718
QUESTIONS BUT WE'LL SEE.

3833
02:53:31,718 --> 02:53:36,456
FIRST COMMENT IS WHAT A GREAT 

3834
02:53:36,456 --> 02:53:40,894
STATE OF AFFAIRS WHEN WE CAN 

3835
02:53:40,894 --> 02:53:46,533
ACTUALLY COME UP WITH THOUSANDS 

3836
02:53:46,533 --> 02:53:53,873
OF FOOD ITEMS AND POTENTIAL 

3837
02:53:53,873 --> 02:53:54,874
PATTERNS BECAUSE WHEN YOU THINK 

3838
02:53:54,874 --> 02:53:57,610
OF THE NUMBER OF PEOPLE WE'RE 

3839
02:53:57,610 --> 02:54:00,046
SUPPOSED TO EVERYBODY SERVE AND 

3840
02:54:00,046 --> 02:54:01,447
REPRESENT WITH THE MODELLING IT 

3841
02:54:01,447 --> 02:54:04,551
MAKES SENSE.

3842
02:54:04,551 --> 02:54:08,254
I'M GLAD WE HAVE STAFFING 

3843
02:54:08,254 --> 02:54:10,290
ABILITIES AND THE TECHNICAL 

3844
02:54:10,290 --> 02:54:12,458
ABILITY TO DO THIS AND SO CHEERS

3845
02:54:12,458 --> 02:54:13,159
ON THAT.

3846
02:54:13,159 --> 02:54:15,295
WE ALSO IN THINKING ABOUT THE 

3847
02:54:15,295 --> 02:54:19,866
VARIOUS PLACES WHERE THIS KIND 

3848
02:54:19,866 --> 02:54:23,102
OF FALLS APART FOR WHAT IDEALLY 

3849
02:54:23,102 --> 02:54:25,405
WE KNOW IS IMPORTANT FOR HUMAN 

3850
02:54:25,405 --> 02:54:34,581
HEALTH AND WHERE SIMULATIONS GET

3851
02:54:34,581 --> 02:54:44,657
US.

3852
02:54:45,225 --> 02:54:46,526
SODIUM LOOKS DARK AND DIRE AND 

3853
02:54:46,526 --> 02:54:52,699
IF WE LOOK AT THE DECADES OF 

3854
02:54:52,699 --> 02:54:53,900
EPIDEMIOLOGY, INTERVENTION 

3855
02:54:53,900 --> 02:54:54,767
EVIDENCE, WITH A LITTLE SEE 

3856
02:54:54,767 --> 02:54:59,839
UNLESS WE'RE IN A TIGHTLY 

3857
02:54:59,839 --> 02:55:02,942
CONTROLLED NUTRITION 

3858
02:55:02,942 --> 02:55:04,544
INTERVENTION SITUATION IT'S A 

3859
02:55:04,544 --> 02:55:07,513
VERY HARD FOR PEOPLE TO MEET -- 

3860
02:55:07,513 --> 02:55:10,550
TO NOT EXCEED THE CDRR.

3861
02:55:10,550 --> 02:55:13,419
I THINK THAT'S REFLECTED HERE IN

3862
02:55:13,419 --> 02:55:14,621
THE DATA.

3863
02:55:14,621 --> 02:55:17,023
IF IT WEREN'T I'D BE REALLY 

3864
02:55:17,023 --> 02:55:18,191
SURPRISED.

3865
02:55:18,191 --> 02:55:19,826
AGAIN, I THINK IT'S REASONABLE.

3866
02:55:19,826 --> 02:55:24,030
AND IT BRINGS TO THE 

3867
02:55:24,030 --> 02:55:24,597
CONVERSATION THE IMPORTANT 

3868
02:55:24,597 --> 02:55:26,733
POLICY ANGLE THAT I THINK IS 

3869
02:55:26,733 --> 02:55:28,902
MISSION CONSISTENT BUT OUT OF 

3870
02:55:28,902 --> 02:55:31,771
SCOPE FOR US AROUND THINKING 

3871
02:55:31,771 --> 02:55:34,140
THROUGH HOW DO WE GET OUR FOOD 

3872
02:55:34,140 --> 02:55:35,775
SUPPLY TO A PLACE WHERE IT MAKE 

3873
02:55:35,775 --> 02:55:38,978
IT POSSIBLE TO NOT EXCEED THE 

3874
02:55:38,978 --> 02:55:40,546
CDRR.

3875
02:55:40,546 --> 02:55:43,049
SO THANK YOU FOR THE WORK AND 

3876
02:55:43,049 --> 02:55:48,421
WHILE IN SOME PLACES IT SEEMS 

3877
02:55:48,421 --> 02:55:51,758
FROM AN EQUITY PERSPECTIVE AND 

3878
02:55:51,758 --> 02:55:54,193
HUMAN HEALTH PERSPECTIVE 

3879
02:55:54,193 --> 02:55:58,498
DAUNTING, WE ARE ON THE PATH TO 

3880
02:55:58,498 --> 02:55:59,465
GETTING THERE.

3881
02:55:59,465 --> 02:56:02,135
THE EXPECTATION I DON'T THINK IS

3882
02:56:02,135 --> 02:56:05,939
THE CGA2025 SOLVES IT BUT WE'RE 

3883
02:56:05,939 --> 02:56:07,373
WELL ON OUR WAY.

3884
02:56:07,373 --> 02:56:09,409
THANKS.

3885
02:56:09,409 --> 02:56:11,377
>> THANK YOU, SHERYL.

3886
02:56:11,377 --> 02:56:16,549
OTHER COMMENTS, QUESTIONS, 

3887
02:56:16,549 --> 02:56:18,584
OBSERVATIONS?

3888
02:56:18,584 --> 02:56:18,818
ALLENE?

3889
02:56:18,818 --> 02:56:20,353
>> WONDERFUL WORK AND A
LOT OF 

3890
02:56:20,353 --> 02:56:22,522
WORK BEHIND ALL THAT.

3891
02:56:22,522 --> 02:56:25,892
I WAS JUST WONDERING FOLLOWING 

3892
02:56:25,892 --> 02:56:27,994
CHERYL'S COMMENT TOO WE FALL 

3893
02:56:27,994 --> 02:56:29,429
SHORT ON SODIUM AND OTHER 

3894
02:56:29,429 --> 02:56:33,099
NUTRIENTS YOU POINTED OUT, I 

3895
02:56:33,099 --> 02:56:40,106
THINK VITAMIN D, E, CHOLINE IF I

3896
02:56:40,106 --> 02:56:40,540
REMEMBER CORRECTLY.

3897
02:56:40,540 --> 02:56:42,375
I WAS WONDERING OF THE EXERCISE 

3898
02:56:42,375 --> 02:56:43,609
OF SIMULATION WILL HELP US 

3899
02:56:43,609 --> 02:56:45,445
REFINE THE DIETARY PATTERN AND 

3900
02:56:45,445 --> 02:56:53,252
IS THAT THE GOAL ULTIMATELY OR 

3901
02:56:53,252 --> 02:57:03,629
WILL THAT INFORM THAT.

3902
02:57:04,263 --> 02:57:08,868
>> THE FOOD PATTERN
MODELLING 

3903
02:57:08,868 --> 02:57:12,005
WAS BASED ON PROFILE IN THE 

3904
02:57:12,005 --> 02:57:14,073
REPRESENTATIVE FOOD WORLD.

3905
02:57:14,073 --> 02:57:18,311
SIMULATIONS TAKE US TO ANY FOOD 

3906
02:57:18,311 --> 02:57:20,646
WITHIN THE FOOD GROUP THAT AGAIN

3907
02:57:20,646 --> 02:57:24,550
I THINK THIS REALLY JUST UNDER 

3908
02:57:24,550 --> 02:57:26,986
SCORES VARIETY OF FOODS.

3909
02:57:26,986 --> 02:57:29,422
SO THE FOODS ARE CLUSTERED INTO 

3910
02:57:29,422 --> 02:57:30,790
FOOD GROUPS FOR NUTRITIONAL 

3911
02:57:30,790 --> 02:57:32,358
CONTRIBUTION IN THERE BUT SOME 

3912
02:57:32,358 --> 02:57:35,094
WILL BE SLIGHTLY HIGHER IN SOME 

3913
02:57:35,094 --> 02:57:36,729
THINGS THAN OTHERS.

3914
02:57:36,729 --> 02:57:38,464
FOR THE MOST PART ACROSS THE 

3915
02:57:38,464 --> 02:57:41,000
BOARD THE PATTERN IS WORKING TO 

3916
02:57:41,000 --> 02:57:44,103
MEET THE NUTRIENT PROFILE.

3917
02:57:44,103 --> 02:57:49,842
WHEN YOU RELAX THE CRITERIA FROM

3918
02:57:49,842 --> 02:57:55,681
REPRESENT FOOT  -- FOOD AND YOU 

3919
02:57:55,681 --> 02:57:57,750
START TO IDENTIFY SOME OF THOSE 

3920
02:57:57,750 --> 02:58:04,157
POTENTIAL CHALLENGES LIKE FIBER.

3921
02:58:04,157 --> 02:58:08,561
OUR GUIDANCE GOES TOWARDS 

3922
02:58:08,561 --> 02:58:10,563
PROMOTING FIBER AND CHELLINE 

3923
02:58:10,563 --> 02:58:13,332
RICH SOURCES AND LAT 

3924
02:58:13,332 --> 02:58:14,000
CONVERSATION AROUND FOLATE AND 

3925
02:58:14,000 --> 02:58:16,202
THE PATTERN NOT MEETING IN 

3926
02:58:16,202 --> 02:58:18,004
PREGNANCY OUR RECOMMENDATIONS 

3927
02:58:18,004 --> 02:58:19,439
NEED TO ENCOURAGE CONSUMPTION 

3928
02:58:19,439 --> 02:58:22,341
AND CHOOSING FOODS THAT ARE 

3929
02:58:22,341 --> 02:58:25,244
HIGHER IN THE NUTRIENTS TO MEET 

3930
02:58:25,244 --> 02:58:28,548
THE GOALS AND THIS IS LIKE 

3931
02:58:28,548 --> 02:58:31,217
PERFECT TIMING FOR THE STAFF OF 

3932
02:58:31,217 --> 02:58:36,956
THE DIETARY GUIDELINES.gov 

3933
02:58:36,956 --> 02:58:41,027
RELEASED THE DIFFERENT NUTRIENTS

3934
02:58:41,027 --> 02:58:49,402
AND THEN SAYS HEY, IF WE NEED IT

3935
02:58:49,402 --> 02:58:51,904
PROMOTE FIBER HERE'S FOODS HIGH 

3936
02:58:51,904 --> 02:58:54,474
UP FIBER AND BECOMES A NICE 

3937
02:58:54,474 --> 02:58:56,242
COMPLEMENT IN THE TARGET 

3938
02:58:56,242 --> 02:58:56,542
POPULATIONS.

3939
02:58:56,542 --> 02:59:01,114
>> I'D LIKE TO FOLLOW UP
TOO CAN

3940
02:59:01,114 --> 02:59:03,816
YOU COMMENT ON WHAT YOU USED TO 

3941
02:59:03,816 --> 02:59:06,119
GET FOOD COMPOSITION AND WHAT DO

3942
02:59:06,119 --> 02:59:09,422
YOU THINK ARE POTENTIAL 

3943
02:59:09,422 --> 02:59:12,225
IMPROVEMENT THERE TO GET TO 

3944
02:59:12,225 --> 02:59:13,426
MAYBE GREATER ESTIMATION OF 

3945
02:59:13,426 --> 02:59:18,131
SIMULATION.

3946
02:59:18,131 --> 02:59:23,069
>> IT'S AN AMAZING
RESOURCE, 

3947
02:59:23,069 --> 02:59:33,412
FNDDS AND THE IMPROVEMENTS BEING

3948
02:59:33,412 --> 02:59:38,284
MADE BUT AT THE SAME TIME IT 

3949
02:59:38,284 --> 02:59:43,422
STILL BECOMES A POINT ESTIMATE 

3950
02:59:43,422 --> 02:59:47,026
FOR THE COMBINATION OF FOODS 

3951
02:59:47,026 --> 02:59:47,760
REPORTED.

3952
02:59:47,760 --> 02:59:49,729
OATMEAL COOKIE IS REPRESENTING A

3953
02:59:49,729 --> 02:59:53,399
WIDE VARIETY OF OUR FOOD SUPPLY.

3954
02:59:53,399 --> 02:59:56,669
NOW, I'LL ADMIT WHEN WE DID THIS

3955
02:59:56,669 --> 02:59:59,305
FIRST SET OF ANALYSIS I 

3956
02:59:59,305 --> 03:00:00,339
ENCOURAGED US NOT TO INCLUDE 

3957
03:00:00,339 --> 03:00:02,742
SODIUM AS A LIMITING FACTOR, ONE

3958
03:00:02,742 --> 03:00:05,311
VARIABILITY DATABASE GOING TO BE

3959
03:00:05,311 --> 03:00:07,547
RELATIVELY HIGH AND HOW MUCH OF 

3960
03:00:07,547 --> 03:00:10,950
THE FOODS WOULD IT CUT OUT FOR 

3961
03:00:10,950 --> 03:00:11,684
REPRESENTATIVE NATURE OF BEING 

3962
03:00:11,684 --> 03:00:13,519
ABLE IT RANDOMLY SELECT FOODS IN

3963
03:00:13,519 --> 03:00:17,256
THAT CASE BUT WHEN WE GOT THE 

3964
03:00:17,256 --> 03:00:19,625
DATA BACK ON SODIUM WAS WORSE 

3965
03:00:19,625 --> 03:00:20,726
THAN RESTRICTIONS.

3966
03:00:20,726 --> 03:00:25,264
SO THE DATABASE IN AND OF ITSELF

3967
03:00:25,264 --> 03:00:26,032
IS A GREAT RESOURCE CONTINUES TO

3968
03:00:26,032 --> 03:00:29,902
NEED MORE RESOURCES BECAUSE AS 

3969
03:00:29,902 --> 03:00:31,938
WE TALKED ABOUT WITH THE DAIRY 

3970
03:00:31,938 --> 03:00:37,043
ALTERNATIVES IT'S LIMITED AND 

3971
03:00:37,043 --> 03:00:39,178
THE DATABASE BUILT ON 

3972
03:00:39,178 --> 03:00:40,880
QUANTITATIVE ASSESSMENT AND NOT 

3973
03:00:40,880 --> 03:00:42,582
JUST FOOD LABEL DATA PER SE THAT

3974
03:00:42,582 --> 03:00:43,516
IS RESTRICTED THE LIMITS.

3975
03:00:43,516 --> 03:00:45,851
IT'S GOT TO MEET ALL THE 

3976
03:00:45,851 --> 03:00:47,587
NUTRIENTS THAT NEED TO BE 

3977
03:00:47,587 --> 03:00:47,853
INCLUDED.

3978
03:00:47,853 --> 03:00:48,788
SO THERE ARE RESOURCES THAT 

3979
03:00:48,788 --> 03:00:51,591
REQUIRE THE DATABASE TO BE 

3980
03:00:51,591 --> 03:00:51,824
UPDATED.

3981
03:00:51,824 --> 03:00:55,027
SO IT'S A HERCULEAN TASK TO HAVE

3982
03:00:55,027 --> 03:00:59,298
A DATABASE THAT REPRESENTS 

3983
03:00:59,298 --> 03:01:00,900
POPULATION-BASED CONSUMPTION AND

3984
03:01:00,900 --> 03:01:04,003
AVAILABILITY BASED ON A 

3985
03:01:04,003 --> 03:01:07,406
CONSTANTLY VARYING FOOD SUPPLY.

3986
03:01:07,406 --> 03:01:08,708
WE NEED A LOT OF RESOURCES 

3987
03:01:08,708 --> 03:01:10,343
CONTINUING IT MOVE IN THAT SPACE

3988
03:01:10,343 --> 03:01:11,210
TO CONTINUE TO HAVE THIS AMAZING

3989
03:01:11,210 --> 03:01:16,515
RESOURCE AVAILABLE.

3990
03:01:16,515 --> 03:01:18,117
>> THANK YOU.

3991
03:01:18,117 --> 03:01:18,451
DIANA.

3992
03:01:18,451 --> 03:01:19,485
>> IT'S FUN TO SEE ALL
THESE 

3993
03:01:19,485 --> 03:01:19,752
ANALYSES.

3994
03:01:19,752 --> 03:01:21,420
THANK YOU.

3995
03:01:21,420 --> 03:01:26,559
I HAD A QUESTION FOR YOU ABOUT 

3996
03:01:26,559 --> 03:01:27,727
YOU SAID MIXED DISHES AREN'T 

3997
03:01:27,727 --> 03:01:31,998
INCLUDED IN THE SIMULATION.

3998
03:01:31,998 --> 03:01:33,699
IT'S THE INGREDIENTS.

3999
03:01:33,699 --> 03:01:35,601
SO DO INGREDIENTS LIKE CLUSTER 

4000
03:01:35,601 --> 03:01:37,436
TOGETHER?

4001
03:01:37,436 --> 03:01:40,640
DO YOU HAVE A CLUSTER FOR 

4002
03:01:40,640 --> 03:01:41,407
LASAGNA OR SANDWICH OR SOMETHING

4003
03:01:41,407 --> 03:01:44,810
LIKE THAT?

4004
03:01:44,810 --> 03:01:46,612
>> IN THE FIRST STAGE OF
THINGS 

4005
03:01:46,612 --> 03:01:50,349
WE DO NOT BECAUSE THAT 

4006
03:01:50,349 --> 03:01:52,018
ULTIMATELY THEN MEANS WHEN 

4007
03:01:52,018 --> 03:01:53,085
YOU'RE PULLING THINGS FORWARD 

4008
03:01:53,085 --> 03:01:55,554
AND RANDOMLY SELECTING ITEMS YOU

4009
03:01:55,554 --> 03:01:57,523
RANDOMLY SELECT ITEMS.

4010
03:01:57,523 --> 03:02:00,693
WHEN YOU RANDOMLY SELECT A 

4011
03:02:00,693 --> 03:02:01,794
SANDWICH YOU THEN HAVE TO PULL 

4012
03:02:01,794 --> 03:02:04,196
OUT THE ITEMS THAT COME WITH IT 

4013
03:02:04,196 --> 03:02:06,465
THAT START TO MAKE IT A FAR MORE

4014
03:02:06,465 --> 03:02:10,603
COMPLICATED RANDOM SELECTION 

4015
03:02:10,603 --> 03:02:12,838
THAN IT DOES.

4016
03:02:12,838 --> 03:02:16,342
IN THAT CASE YOU MAY NOT BE 

4017
03:02:16,342 --> 03:02:22,214
CAPTURING A LASAGNA IN A DAY SO 

4018
03:02:22,214 --> 03:02:23,616
IT BECOMES A LIMITATION AND ONE 

4019
03:02:23,616 --> 03:02:25,851
THING WE GRAPPLED WITH AND A 

4020
03:02:25,851 --> 03:02:27,320
FUTURE DIRECTION HOW THIS 

4021
03:02:27,320 --> 03:02:28,020
CARRIES FORWARD.

4022
03:02:28,020 --> 03:02:32,158
HOW DO YOU REDUCE SO YOU DON'T 

4023
03:02:32,158 --> 03:02:33,626
GET AN INCREASED PROBABILITY 

4024
03:02:33,626 --> 03:02:35,861
BECAUSE YOU HAVE FIVE OR EIGHT 

4025
03:02:35,861 --> 03:02:39,365
KINDS OF GREEN BEANS OR HOW A 

4026
03:02:39,365 --> 03:02:42,168
LASAGNA COMES OUT YOU HAVE 

4027
03:02:42,168 --> 03:02:43,969
NOODLES BUT NOTHING ELSE THAT 

4028
03:02:43,969 --> 03:02:49,241
NORMALLY GOES WITH THE LASAGNA 

4029
03:02:49,241 --> 03:02:49,475
NOODLE.

4030
03:02:49,475 --> 03:02:52,645
IT'S A WHICH WILL BUT A FIRST 

4031
03:02:52,645 --> 03:02:53,412
STEPS FORWARD.

4032
03:02:53,412 --> 03:02:55,548
>> I WANTED TO CLARIFY
THAT 

4033
03:02:55,548 --> 03:02:56,649
BECAUSE I THOUGHT THAT THE WHAT 

4034
03:02:56,649 --> 03:02:58,284
YOU SAID ALONG THERE.

4035
03:02:58,284 --> 03:03:01,721
I HAVE A FOLLOW-UP QUESTION, 

4036
03:03:01,721 --> 03:03:04,857
WITH SATURATED FAT WE KNOW MIXED

4037
03:03:04,857 --> 03:03:06,759
DISHES ARE A BIG SOURCE OF 

4038
03:03:06,759 --> 03:03:09,462
SATURATED FAT IN THE DIET.

4039
03:03:09,462 --> 03:03:13,332
SO WHEN Y'ALL DID THE LOW 

4040
03:03:13,332 --> 03:03:15,334
NUTRIENT FOODS WOULD THINGS LIKE

4041
03:03:15,334 --> 03:03:20,172
HIGHER FAT DAIRY BE EXCLUDED AND

4042
03:03:20,172 --> 03:03:22,241
MEAT, HIGH SATURATED FAT MEAT?

4043
03:03:22,241 --> 03:03:25,411
>> SO WITH THE LOWER
NUTRIENT 

4044
03:03:25,411 --> 03:03:28,647
DENSE ITEM SIMULATIONS 

4045
03:03:28,647 --> 03:03:32,685
ESSENTIALLY YOU'RE MIXED DISH 

4046
03:03:32,685 --> 03:03:35,621
INGREDIENTS WOULD BE PULLED AS 

4047
03:03:35,621 --> 03:03:37,390
REDUCING THE CONCENTRATION TO 

4048
03:03:37,390 --> 03:03:39,759
LOWER DENSITY FOODS.

4049
03:03:39,759 --> 03:03:46,031
IF YOU'RE MAKING LASAGNA THERE'S

4050
03:03:46,031 --> 03:03:51,137
A LOWER FAT MEAT OR LESSER SUGAR

4051
03:03:51,137 --> 03:03:52,505
TOMATO SAUCE OR SOMETHING THAT 

4052
03:03:52,505 --> 03:03:55,141
THEN SIMULATES THE INGREDIENTS 

4053
03:03:55,141 --> 03:03:57,309
AT THAT LOWER LEVEL.

4054
03:03:57,309 --> 03:03:58,144
>> YEAH.

4055
03:03:58,144 --> 03:04:00,479
SO I THINK MY POINT HERE IS THAT

4056
03:04:00,479 --> 03:04:02,281
THIS IS A GOOD INTEGRATION PIECE

4057
03:04:02,281 --> 03:04:03,849
WHERE WE CAN KIND OF TAKE WHAT 

4058
03:04:03,849 --> 03:04:06,352
WE'RE DOING WITH THE SATURATED 

4059
03:04:06,352 --> 03:04:08,721
FOOT FOODS AND LOOKING AT WHAT 

4060
03:04:08,721 --> 03:04:10,656
HAPPENED HERE AND INCLUDING THAT

4061
03:04:10,656 --> 03:04:12,958
IN OUR WRITE UP.

4062
03:04:12,958 --> 03:04:13,459
>> GREAT.

4063
03:04:13,459 --> 03:04:17,463
I LOVE THE WAY YOU'RE THINKING, 

4064
03:04:17,463 --> 03:04:17,663
DIANA.

4065
03:04:17,663 --> 03:04:24,170
OTHER QUESTIONS OR COMMENTS?

4066
03:04:24,170 --> 03:04:28,641
THANK YOU AGAIN, CHRIS.

4067
03:04:28,641 --> 03:04:31,410
THANK YOU AGAIN, STAFF.

4068
03:04:31,410 --> 03:04:37,983
I THINK AFTER THAT WE'RE GOING 

4069
03:04:37,983 --> 03:04:44,957
DO DRAFT SUMMARY.

4070
03:04:44,957 --> 03:04:46,625
ACTUALLY I THINK WHAT -- HOW 

4071
03:04:46,625 --> 03:04:49,462
MANY SLIDES?

4072
03:04:49,462 --> 03:04:49,728
>> THREE.

4073
03:04:49,728 --> 03:04:50,830
>> OKAY.

4074
03:04:50,830 --> 03:04:54,533
>> SO IN MEETING 5, CHRIS 

4075
03:04:54,533 --> 03:04:57,036
PRESENTED FIVE POTENTIAL 

4076
03:04:57,036 --> 03:04:58,204
FLEXIBILITIES IN THE HEALTHY 

4077
03:04:58,204 --> 03:05:01,941
U.S. DIET AND VEGETARIAN 

4078
03:05:01,941 --> 03:05:09,448
PATTERNS WE'RE GOING TO TRY TO 

4079
03:05:09,448 --> 03:05:13,552
EXPLORE IN TERM OF MODIFIED AND 

4080
03:05:13,552 --> 03:05:15,321
LABELLED AND LAID OUT.

4081
03:05:15,321 --> 03:05:18,691
THE FLEXIBILITIES ARE WITHIN THE

4082
03:05:18,691 --> 03:05:19,258
SUB GROUPS WITHOUT EXACTLY 

4083
03:05:19,258 --> 03:05:21,927
LAYING IT OUT.

4084
03:05:21,927 --> 03:05:24,096
THOSE ARE THE FIVE FLEXIBILITY.

4085
03:05:24,096 --> 03:05:25,865
STAFF HAS COLLECTED MILLIONS OF 

4086
03:05:25,865 --> 03:05:28,634
DATA POINTS AND ORGANIZED THEM 

4087
03:05:28,634 --> 03:05:30,002
AND REVIEWED EVIDENCE AND LOOKED

4088
03:05:30,002 --> 03:05:37,443
AMOUNT THE DATA AND COME TO THE 

4089
03:05:37,443 --> 03:05:47,853
SUMMARY OF THOSE DATA.

4090
03:05:47,853 --> 03:05:50,022
OF THE FIVE, THREE DO NOT 

4091
03:05:50,022 --> 03:05:55,194
SUPPORT THOSE FLEXIBILITIES.

4092
03:05:55,194 --> 03:05:56,395
TWO OF THEM THE FIRST TWO 

4093
03:05:56,395 --> 03:06:01,467
INVOLVE BEANS AND PEAS AND 

4094
03:06:01,467 --> 03:06:03,736
REDUCING GRAINS OR INCREASING 

4095
03:06:03,736 --> 03:06:05,771
STARCHY VEGETABLES AN GREENS AND

4096
03:06:05,771 --> 03:06:07,740
THEY'VE BEEN EXPLAINED IN TERMS 

4097
03:06:07,740 --> 03:06:10,175
OF THE NUTRIENT COMPETITION OF 

4098
03:06:10,175 --> 03:06:11,777
THE DIET.

4099
03:06:11,777 --> 03:06:14,480
BESIDES THAT, THESE KIND OF 

4100
03:06:14,480 --> 03:06:15,848
FLEXIBILITIES HAVE THE 

4101
03:06:15,848 --> 03:06:18,551
ASSUMPTION PEOPLE ARE ALREADY 

4102
03:06:18,551 --> 03:06:21,954
MEETING THE BEANS, PEAS AND 

4103
03:06:21,954 --> 03:06:25,958
LENTILS OR STARCHY 

4104
03:06:25,958 --> 03:06:27,059
RECOMMENDATIONS AND WE'RE NOT 

4105
03:06:27,059 --> 03:06:30,596
CLOSE TO MEETING THE 

4106
03:06:30,596 --> 03:06:30,996
RECOMMENDATIONS.

4107
03:06:30,996 --> 03:06:32,631
THEREFORE WITH THAT IT IS 

4108
03:06:32,631 --> 03:06:34,266
DIFFICULT TO SUPPORT THE 

4109
03:06:34,266 --> 03:06:37,436
FLEXIBILITIES.

4110
03:06:37,436 --> 03:06:40,239
AND EVEN IN ORDER TO SIMULATE 

4111
03:06:40,239 --> 03:06:42,841
THOSE FLEXIBILITIES IN 

4112
03:06:42,841 --> 03:06:45,210
SUBSTITUTION WE NEED TO KNOW 

4113
03:06:45,210 --> 03:06:47,346
PEOPLE ARE INCREASING BEANS, 

4114
03:06:47,346 --> 03:06:49,148
PEAS AND LENTILS OR STARCHY 

4115
03:06:49,148 --> 03:06:51,050
VEGETABLES WHAT PARTS OF THE 

4116
03:06:51,050 --> 03:06:52,618
TOTAL GRAINS THEY ARE REDUCING.

4117
03:06:52,618 --> 03:06:59,325
WHOLE GRAINS, REFINED GRA D  GRO

4118
03:06:59,325 --> 03:07:00,492
WITHOUT THAT EVERYDAY UP TRYING 

4119
03:07:00,492 --> 03:07:06,665
TO SIMULATE AND CALCULATE THIS 

4120
03:07:06,665 --> 03:07:09,034
FLEXIBILITY WITH SUBSTITUTION 

4121
03:07:09,034 --> 03:07:10,936
ANALYSIS BECOMES DIFFICULT.

4122
03:07:10,936 --> 03:07:12,938
TO CONCLUDE CURRENT EVIDENCE 

4123
03:07:12,938 --> 03:07:16,342
DOES NOT SUPPORT THOSE TWO 

4124
03:07:16,342 --> 03:07:16,675
FLEXIBILITIES.

4125
03:07:16,675 --> 03:07:20,112
THE THIRD REGARDING THE 

4126
03:07:20,112 --> 03:07:25,451
FORTIFIED MILK HAS BEEN 

4127
03:07:25,451 --> 03:07:28,220
EXPLAINED I WILL NOT ELABORATE 

4128
03:07:28,220 --> 03:07:31,457
AND TWO FLEXIBILITIES WITH 

4129
03:07:31,457 --> 03:07:32,858
PROTEIN FOOD THE EVIDENCE DOES 

4130
03:07:32,858 --> 03:07:36,428
SUPPORT INCLUDING THOSE 

4131
03:07:36,428 --> 03:07:36,762
FLEXIBILITIES.

4132
03:07:36,762 --> 03:07:39,064
HOWEVER, RE-ORGANIZING THAT TO 

4133
03:07:39,064 --> 03:07:40,165
PLACE IT IN THE HEALTHY 

4134
03:07:40,165 --> 03:07:44,036
U.S. DIETARY PATTERNS AND ONE 

4135
03:07:44,036 --> 03:07:49,441
BEING ORIGINALLY PROPOSED IN THE

4136
03:07:49,441 --> 03:07:50,676
VEGETARIAN PATTERN.

4137
03:07:50,676 --> 03:07:52,645
THE DATA DOES SUPPORT THE 

4138
03:07:52,645 --> 03:07:55,080
FLEXIBILITY OF INCREASING ANIMAL

4139
03:07:55,080 --> 03:07:57,449
SOURCES OF PLANT PROTEINS AND 

4140
03:07:57,449 --> 03:08:01,453
REDUCING ANIMAL SOURCES OF 

4141
03:08:01,453 --> 03:08:05,658
PROTEIN AND THAT SHIFT MAY 

4142
03:08:05,658 --> 03:08:08,627
PRESENT WHAT SOME MIGHT CONSIDER

4143
03:08:08,627 --> 03:08:12,064
AS A PESCATARIAN PATTERN WHERE 

4144
03:08:12,064 --> 03:08:14,533
SEAFOOD AND PLANT PROTEINS ARE 

4145
03:08:14,533 --> 03:08:17,436
THE MAIN PROTEINS AND LITTLE 

4146
03:08:17,436 --> 03:08:20,973
OTHER MEAT PROTEINS.

4147
03:08:20,973 --> 03:08:23,342
IT CAN ALSO INCREASE BEANS, PEAS

4148
03:08:23,342 --> 03:08:28,614
AND LENTILS MAY BE TO THE EXTENT

4149
03:08:28,614 --> 03:08:31,583
THAT REPRESENT A LACTO 

4150
03:08:31,583 --> 03:08:36,522
VEGETARIAN PATTERN AND THEN 

4151
03:08:36,522 --> 03:08:38,057
THEREFORE INCLUDING FISH AS A 

4152
03:08:38,057 --> 03:08:42,161
FLEXIBILITY IN THE VEGETARIAN 

4153
03:08:42,161 --> 03:08:45,397
PATTERNS CAN BE PLACED IN THE 

4154
03:08:45,397 --> 03:08:48,100
HEALTHY U.S. PATTERN ALREADY AND

4155
03:08:48,100 --> 03:08:53,038
THE FLEXIBILITY IS ONE 

4156
03:08:53,038 --> 03:08:53,338
DIRECTIONAL.

4157
03:08:53,338 --> 03:08:54,873
AS IT ABOUT DECREASING THE 

4158
03:08:54,873 --> 03:08:57,376
ANIMAL AND NOT FLEXIBILITY OF 

4159
03:08:57,376 --> 03:08:58,644
THE OTHER WAY AROUND INCREASING 

4160
03:08:58,644 --> 03:09:07,152
ANIMAL PROTEINS AND REDUCE PLANT

4161
03:09:07,152 --> 03:09:07,419
PROTEINS.

4162
03:09:07,419 --> 03:09:08,987
SO THE LAST SLIDE IS WHAT WE 

4163
03:09:08,987 --> 03:09:10,255
PROPOSED AS THE FLEXIBILITY 

4164
03:09:10,255 --> 03:09:19,031
WITHIN THE MODIFIED PATTERN 

4165
03:09:19,031 --> 03:09:20,599
CHRIS PRESENTED AND MEETS NEEDS 

4166
03:09:20,599 --> 03:09:22,634
WITH VARIOUS ANIMAL PLANT 

4167
03:09:22,634 --> 03:09:25,037
PROTEIN IN ADDITION THE FOOD 

4168
03:09:25,037 --> 03:09:27,406
PATTERN MODELS DOES SUPPORT THE 

4169
03:09:27,406 --> 03:09:30,209
FLEXIBILITY IN THE PROPORTION OF

4170
03:09:30,209 --> 03:09:31,577
ANIMAL AND PLANT BASED PROTEIN 

4171
03:09:31,577 --> 03:09:34,279
INCREASING THE FLEXIBILITY OF 

4172
03:09:34,279 --> 03:09:36,381
WHAT IS ALREADY IN THERE IN 

4173
03:09:36,381 --> 03:09:39,017
TERMS OF INCREASING PLANT BASED 

4174
03:09:39,017 --> 03:09:40,819
PROTEIN AND DECREASING ANIMAL 

4175
03:09:40,819 --> 03:09:42,621
PROTEINS AND THE NUTRIENT GOALS 

4176
03:09:42,621 --> 03:09:45,457
ARE ABLE TO BE MET.

4177
03:09:45,457 --> 03:09:49,461
SO THAT'S IT.

4178
03:09:49,461 --> 03:09:54,833
>> WOW, THANK YOU.

4179
03:09:54,833 --> 03:09:55,467
THANK YOU FOR THAT ANALYSES.

4180
03:09:55,467 --> 03:10:02,541
QUESTIONS OR COMMENTS?

4181
03:10:02,541 --> 03:10:02,775
SHERYL.

4182
03:10:02,775 --> 03:10:05,711
>> THANK YOU FOR THE
SUMMARY IN 

4183
03:10:05,711 --> 03:10:09,481
THE SECOND SLIDE YOU SHOWED 

4184
03:10:09,481 --> 03:10:12,417
SHOWING THE EVIDENCE SYNTHESIS.

4185
03:10:12,417 --> 03:10:14,153
GIVEN THE CONVERSATIONS TODAY I 

4186
03:10:14,153 --> 03:10:16,121
FEEL IT'S IMPORTANT TO POSSIBLY 

4187
03:10:16,121 --> 03:10:21,093
ALTER THE WAY THAT TEXT IS 

4188
03:10:21,093 --> 03:10:21,894
PRESENTED.

4189
03:10:21,894 --> 03:10:23,195
SO, FOR EXAMPLE IF IT STARTED 

4190
03:10:23,195 --> 03:10:25,731
WITH IN THE CONTEXT OF A DIET 

4191
03:10:25,731 --> 03:10:28,066
WHERE THE BEANS, PEAS AND 

4192
03:10:28,066 --> 03:10:31,270
LENTILS REQUIREMENTS ARE MET, 

4193
03:10:31,270 --> 03:10:34,239
COMMA, THE FLEXIBILITY OF 

4194
03:10:34,239 --> 03:10:35,240
INCREASING AND DECREASING WON'T 

4195
03:10:35,240 --> 03:10:35,674
HOLD.

4196
03:10:35,674 --> 03:10:45,918
I THINK IT WOULD REALLY HELP TO 

4197
03:10:45,918 --> 03:10:49,254
ARRANGE OUR MIND SETS FOR WHAT'S

4198
03:10:49,254 --> 03:10:50,722
HAPPENING AND IN THE CONTEXT OF 

4199
03:10:50,722 --> 03:10:52,391
A DIET WHERE IT'S ALREADY WHERE 

4200
03:10:52,391 --> 03:10:54,827
IT SHOULD BE.

4201
03:10:54,827 --> 03:10:55,894
>> THAT'S RIGHT.

4202
03:10:55,894 --> 03:11:00,566
DIETS IF YOU MEET ALL THESE 

4203
03:11:00,566 --> 03:11:02,201
REQUIREMENTS AND INCREASING 

4204
03:11:02,201 --> 03:11:04,636
PLANT PROTEINS AND REDUCING 

4205
03:11:04,636 --> 03:11:05,270
ANIMAL PROTEINS.

4206
03:11:05,270 --> 03:11:06,972
IT HAS A LITTLE BIT OF BENEFITS 

4207
03:11:06,972 --> 03:11:13,512
IN TERMS OF MICRONUTRIENTS.

4208
03:11:13,512 --> 03:11:16,348
ALSO FIBER.

4209
03:11:16,348 --> 03:11:17,316
>> THAT'S MY
RECOMMENDATION FOR 

4210
03:11:17,316 --> 03:11:19,484
ALL THREE BULLETS TO 

4211
03:11:19,484 --> 03:11:21,453
CHARACTERIZE THEM IN WHERE THE 

4212
03:11:21,453 --> 03:11:23,021
STARTING POINT IS.

4213
03:11:23,021 --> 03:11:29,528
>> SHERYL, I THINK THAT'S
A GOOD

4214
03:11:29,528 --> 03:11:33,432
OBSERVATION.

4215
03:11:33,432 --> 03:11:36,468
WE HAD A LOT OF DISCUSSION ABOUT

4216
03:11:36,468 --> 03:11:39,771
IT AND HAVE TO REMEMBER PEOPLE 

4217
03:11:39,771 --> 03:11:40,572
READING THESE DON'T HAVE THE 

4218
03:11:40,572 --> 03:11:41,506
BENEFIT OF OUR DISCUSSIONS.

4219
03:11:41,506 --> 03:11:49,815
OTHER QUESTIONS OR COMMENTS?

4220
03:11:49,815 --> 03:11:50,883
THAT WAS QUITE VERY RICH 

4221
03:11:50,883 --> 03:11:52,451
DISCUSSION.

4222
03:11:52,451 --> 03:11:54,019
I REALLY WANT TO THANK EVERYONE 

4223
03:11:54,019 --> 03:11:56,688
FOR ALL THEIR THOUGHTFUL 

4224
03:11:56,688 --> 03:11:58,624
PRESENTATIONS AND PREPARATION 

4225
03:11:58,624 --> 03:12:03,829
AND WILLINGNESS TO EDUCATE THE 

4226
03:12:03,829 --> 03:12:04,997
ENTIRE COMMITTEE ON THEIR AREAS 

4227
03:12:04,997 --> 03:12:08,634
DISCUSSED TODAY.

4228
03:12:08,634 --> 03:12:10,135
SO WITH THAT WE'RE GOING TO TAKE

4229
03:12:10,135 --> 03:12:13,705
A BREAK AND WE WILL RECONVENE AT

4230
03:12:13,705 --> 03:12:15,574
1:00.

4231
03:12:15,574 --> 03:12:15,908
SEE YOU THEN.

4232
03:12:15,908 --> 03:12:16,575
 

4233
03:12:24,616 --> 03:12:28,153
WE'LL HAVE THE FINAL 

4234
03:12:28,153 --> 03:12:28,754
PRESENTATION ON HEALTH EQUITY 

4235
03:12:28,754 --> 03:12:31,726
AFTER THE BREAK.

4236
03:12:31,726 --> 03:12:33,995
>> WE'RE GOING TO SHIFT
GEARS 

4237
03:12:33,995 --> 03:12:35,931
FROM FOOD PATTERN MODELLING SO 

4238
03:12:35,931 --> 03:12:40,368
THE PROGRESS ON THE HEALTH 

4239
03:12:40,368 --> 03:12:42,404
EQUITY WORKING GROUP.

4240
03:12:42,404 --> 03:12:46,508
>> GOOD AFTERNOON.

4241
03:12:46,508 --> 03:12:48,109
I CHAIR HEALTH EQUITY WORKING 

4242
03:12:48,109 --> 03:12:51,012
GROUP I WOULD LIKE TO PROVIDE A 

4243
03:12:51,012 --> 03:12:54,182
SHORT UPDATE ON THE PROGRESS 

4244
03:12:54,182 --> 03:12:54,950
SINCE MEETING FIVE.

4245
03:12:54,950 --> 03:12:58,620
SINCE IS JUST A REMINDER OF THE 

4246
03:12:58,620 --> 03:13:00,155
MEMBERSHIP OF THE HEALTH EQUITY 

4247
03:13:00,155 --> 03:13:01,489
WORK GROUP.

4248
03:13:01,489 --> 03:13:04,626
WE HAVE REPRESENTATION ACROSS 

4249
03:13:04,626 --> 03:13:07,162
THE SUBCOMMITTEE AND I WOULD 

4250
03:13:07,162 --> 03:13:09,397
LIKE TO THANK THE ROLES FOR 

4251
03:13:09,397 --> 03:13:11,900
TAKING AN ACTIVE ROLE IN OUR 

4252
03:13:11,900 --> 03:13:15,103
HEALTH EQUITY WORKING GROUP 

4253
03:13:15,103 --> 03:13:18,039
MEETINGS.

4254
03:13:18,039 --> 03:13:22,811
AS OTHER CHAIRS OF THE 

4255
03:13:22,811 --> 03:13:24,312
SUBCOMMITTEES HAVE MENTIONS WE 

4256
03:13:24,312 --> 03:13:25,647
CANNOT DO OUR WORK WITHOUT THE 

4257
03:13:25,647 --> 03:13:27,182
FEDERAL STAFF.

4258
03:13:27,182 --> 03:13:31,119
THANK YOU VERY MUCH FOR ALL YOUR

4259
03:13:31,119 --> 03:13:38,026
HELP AND SUPPORT.

4260
03:13:38,026 --> 03:13:40,061
THIS IS PROBABLY FAMILIAR TO ALL

4261
03:13:40,061 --> 03:13:41,763
MEMBERS OF THE COMMITTEE AND 

4262
03:13:41,763 --> 03:13:43,465
DON'T NEED A REMINDER.

4263
03:13:43,465 --> 03:13:45,033
HOWEVER THOSE VIEWING OUR 

4264
03:13:45,033 --> 03:13:46,301
DELIBERATIONS FOR THE FIRST TIME

4265
03:13:46,301 --> 03:13:49,237
I'D LIKE TO NOTE THE 2025 

4266
03:13:49,237 --> 03:13:49,804
DIETARY GUIDELINES ADVISORY 

4267
03:13:49,804 --> 03:13:51,373
COMMITTEE HAD BEEN CHARGED WITH 

4268
03:13:51,373 --> 03:13:52,941
EXAMINING ALL THE SCIENTIFIC 

4269
03:13:52,941 --> 03:13:55,076
QUESTIONS WITH THE HEALTH EQUITY

4270
03:13:55,076 --> 03:13:58,213
LENS TO WHY ENSURE THE NEXT THE 

4271
03:13:58,213 --> 03:14:04,619
NEXT EDITION IS RELEVANT TO 

4272
03:14:04,619 --> 03:14:07,889
CULTURAL BACKGROUNDS AND IF YOU 

4273
03:14:07,889 --> 03:14:08,890
ATTENDED SUBCOMMITTEE 

4274
03:14:08,890 --> 03:14:09,724
PRESENTATIONS YESTERDAY AND 

4275
03:14:09,724 --> 03:14:11,026
EARLIER TODAY YOU MAY HAVE 

4276
03:14:11,026 --> 03:14:12,928
NOTICED WE'RE INTENTIONALLY 

4277
03:14:12,928 --> 03:14:14,095
ADDRESSING HEALTH EQUITY UP OUR 

4278
03:14:14,095 --> 03:14:15,363
DELIBERATIONS AN REVIEW OF THE 

4279
03:14:15,363 --> 03:14:20,735
EVIDENCE.

4280
03:14:20,735 --> 03:14:22,103
SPECIFICALLY SINCE MEETING FIVE,

4281
03:14:22,103 --> 03:14:23,772
THE HEALTH EQUITY WORKING GROUP 

4282
03:14:23,772 --> 03:14:26,241
HAS COME WITH EFFORTS TO ENSURE 

4283
03:14:26,241 --> 03:14:28,443
HEALTH EQUITY CONSIDERATIONS ARE

4284
03:14:28,443 --> 03:14:30,245
INCORPORATED IN ALL THE 

4285
03:14:30,245 --> 03:14:31,012
APPROACHES TAKEN BY THE 

4286
03:14:31,012 --> 03:14:32,280
COMMITTEE IN ITS WORK.

4287
03:14:32,280 --> 03:14:34,983
THE WORKING GROUP MEMBERS HAVE 

4288
03:14:34,983 --> 03:14:36,551
COMPLETED MOST THE WRITING FOR 

4289
03:14:36,551 --> 03:14:38,420
THE HEALTH EQUITY CHAPTER AND 

4290
03:14:38,420 --> 03:14:39,454
RECENTLY OUR WORKING GROUP 

4291
03:14:39,454 --> 03:14:41,556
MEETINGS HAVE FOCUSSED ON 

4292
03:14:41,556 --> 03:14:43,491
DEVELOPING OVERARCHING THEMES, 

4293
03:14:43,491 --> 03:14:46,628
RECOMMENDATIONS AND FUTURE 

4294
03:14:46,628 --> 03:14:48,430
DIRECTIONS TO ENSURE IT 

4295
03:14:48,430 --> 03:14:49,464
CONTINUES VIA RESEARCH 

4296
03:14:49,464 --> 03:14:49,931
RECOMMENDATIONS AND 

4297
03:14:49,931 --> 03:14:51,099
RECOMMENDATIONS TO FEDERAL 

4298
03:14:51,099 --> 03:14:55,870
AGENCIES.

4299
03:14:55,870 --> 03:14:57,806
SO AT MEETING FIVE THE WORKING 

4300
03:14:57,806 --> 03:15:00,842
GROUP PRESENTED A DRAFT OF THE 

4301
03:15:00,842 --> 03:15:02,477
HEALTH EQUITY INFO GRAPHIC TO 

4302
03:15:02,477 --> 03:15:03,545
VISUAL USING HEALTH EQUITY 

4303
03:15:03,545 --> 03:15:04,646
APPROACH IN THE COMMITTEE'S 

4304
03:15:04,646 --> 03:15:14,756
WORK.

4305
03:15:16,691 --> 03:15:17,993
AND ICONS IN THE EVIDENCE FOR 

4306
03:15:17,993 --> 03:15:19,461
DIETARY HEALTH AND THE BOX THAT 

4307
03:15:19,461 --> 03:15:21,830
YOU SEE THERE TO REPRESENT A 

4308
03:15:21,830 --> 03:15:25,567
MORE DIVERSE GROUP OF 

4309
03:15:25,567 --> 03:15:26,968
INDIVIDUALS AND CHANGES FOR 

4310
03:15:26,968 --> 03:15:27,268
CLARITY.

4311
03:15:27,268 --> 03:15:30,739
WE WOULD LIKE FOR THE COMMITTEE 

4312
03:15:30,739 --> 03:15:32,007
TO ACTUALLY PROVIDER FURTHER 

4313
03:15:32,007 --> 03:15:34,509
INPUT IF THEY HAVE ANY BEFORE WE

4314
03:15:34,509 --> 03:15:35,977
FINALIZE AND PRESENT THE INFO 

4315
03:15:35,977 --> 03:15:36,778
GRAPHIC AND INCLUDE IT IN OUR 

4316
03:15:36,778 --> 03:15:38,913
REPORT TO THE AGENCIES.

4317
03:15:38,913 --> 03:15:42,917
SO I'LL JUST WALK YOU THROUGH EN

4318
03:15:42,917 --> 03:15:44,219
CASE YOU'VE FORGOTTEN THE 

4319
03:15:44,219 --> 03:15:48,523
COMPONENTS FOR THOSE SEEING THIS

4320
03:15:48,523 --> 03:15:52,660
FOR THE FIRST TIME SO WE HAVE 

4321
03:15:52,660 --> 03:15:55,130
HEALTH EQUITY VISUALIZED THROUGH

4322
03:15:55,130 --> 03:15:58,566
THE CONSIDERATIONS FOR HEALTH 

4323
03:15:58,566 --> 03:15:59,968
EQUITY WHICH INCLUDE SOCIO 

4324
03:15:59,968 --> 03:16:01,903
ECONOMIC POSITION, RACE AND 

4325
03:16:01,903 --> 03:16:04,439
ETHNICITY AND CULTURE AND THEN 

4326
03:16:04,439 --> 03:16:06,741
IN THE NEXT INFO GRAPHIC THE 

4327
03:16:06,741 --> 03:16:09,377
NEXT BAR WHICH IS NUMBER 2 YOU 

4328
03:16:09,377 --> 03:16:10,645
CAN SEE EACH EXAMINING THE 

4329
03:16:10,645 --> 03:16:15,583
EVIDENCE FOR UPDATING THE 

4330
03:16:15,583 --> 03:16:16,651
GUIDELINES AND EACH HAVE 

4331
03:16:16,651 --> 03:16:18,053
INCLUDED CONSIDERATION FOR 

4332
03:16:18,053 --> 03:16:21,623
HEALTH EQUITY IN ITS 

4333
03:16:21,623 --> 03:16:22,624
DELIBERATIONS.

4334
03:16:22,624 --> 03:16:24,926
THIS PROCESS IS INFORMED BY 

4335
03:16:24,926 --> 03:16:25,527
NUTRITION RESEARCH AND 

4336
03:16:25,527 --> 03:16:26,361
SURVEILLANCE AND MONITORING YOU 

4337
03:16:26,361 --> 03:16:34,669
CAN SEE IN THE BOXES ABOVE AND 

4338
03:16:34,669 --> 03:16:35,937
BELOW.

4339
03:16:35,937 --> 03:16:36,504
EXAMPLES INCLUDE SYSTEMATIC 

4340
03:16:36,504 --> 03:16:38,540
REVIEW AND RACE AND ETHNICITY 

4341
03:16:38,540 --> 03:16:40,675
WHEN GRADING THE STRENGTH OF THE

4342
03:16:40,675 --> 03:16:42,977
EVIDENCE AND MUST HAVE REALIZED 

4343
03:16:42,977 --> 03:16:46,081
A LOT OF THE MEMBERS SMOKE SPOKE

4344
03:16:46,081 --> 03:16:47,615
ABOUT THIS IN THE SUMMARY 

4345
03:16:47,615 --> 03:16:48,283
STATEMENT FOR SYSTEMATIC 

4346
03:16:48,283 --> 03:16:53,221
REVIEWS.

4347
03:16:53,221 --> 03:16:54,522
THEN YOU HAVE THE DATA ANALYSIS 

4348
03:16:54,522 --> 03:16:58,660
ON DIETARY INTAKES AND NUTRITION

4349
03:16:58,660 --> 03:17:00,261
CREATED HEALTH CONDITIONS FOR 

4350
03:17:00,261 --> 03:17:04,132
DEMOGRAPHIC POPULATIONS FOR DATA

4351
03:17:04,132 --> 03:17:05,867
ANALYSIS AND THIS IS WHERE WE 

4352
03:17:05,867 --> 03:17:07,535
LOOKED AT THE DIFFERENCES BY THE

4353
03:17:07,535 --> 03:17:11,506
DIFFERENT POPULATION GROUPS.

4354
03:17:11,506 --> 03:17:14,876
WE ALSO EARLIER THIS MORNING 

4355
03:17:14,876 --> 03:17:16,678
LOOKED AT EVALUATING THE VARIOUS

4356
03:17:16,678 --> 03:17:22,383
MODELLING PROTOCOLS THAT WERE 

4357
03:17:22,383 --> 03:17:23,852
PRESENTED INCLUDING SPECIFIC 

4358
03:17:23,852 --> 03:17:25,687
PROTOCOLS DEVELOPING NUTRIENT 

4359
03:17:25,687 --> 03:17:28,189
PROFILES TO ADDRESS DIETARY 

4360
03:17:28,189 --> 03:17:30,592
INTAKES, TESTING NUTRITIONAL 

4361
03:17:30,592 --> 03:17:32,227
IMPLICATIONS OF FLEXIBILITIES OF

4362
03:17:32,227 --> 03:17:33,661
DIETARY PATTERNS BASED ON THE 

4363
03:17:33,661 --> 03:17:37,298
TYPE OF FOODS CONSUMED BY PEOPLE

4364
03:17:37,298 --> 03:17:39,334
ACROSS ALL DIFFERENT CULTURAL OR

4365
03:17:39,334 --> 03:17:43,972
ETHNIC GROUPS AND THIS WAS 

4366
03:17:43,972 --> 03:17:45,140
PRESENTED EARLIER THIS MORNING 

4367
03:17:45,140 --> 03:17:55,583
BY CHRIS, SARA AND TERESA.

4368
03:18:00,221 --> 03:18:01,956
THE REVIEW IS UNDERTAKEN ACROSS 

4369
03:18:01,956 --> 03:18:03,992
THE LIFE SPAN AND LOOKING AT NOT

4370
03:18:03,992 --> 03:18:06,027
JUST ADULTS AND OLDER ADULTS BUT

4371
03:18:06,027 --> 03:18:07,195
ACROSS THE LIFE SPAN.

4372
03:18:07,195 --> 03:18:08,630
THAT'S INDICATED BY THE GRAPHIC 

4373
03:18:08,630 --> 03:18:10,265
AND THIS WAS A PLACE WHERE A LOT

4374
03:18:10,265 --> 03:18:15,603
OF SUGGESTIONS HAD COME THE LAST

4375
03:18:15,603 --> 03:18:21,109
TIME AND SO WE TOOK THAT AND 

4376
03:18:21,109 --> 03:18:23,144
EDITS HAVE BEEN MADE AND THE 

4377
03:18:23,144 --> 03:18:25,547
REVIEW TAKES INTO CONSIDERATION 

4378
03:18:25,547 --> 03:18:27,148
PUBLIC COMMENTS AND ANYTHING 

4379
03:18:27,148 --> 03:18:28,550
THAT'S BEEN ON THE WEBSITE FOR 

4380
03:18:28,550 --> 03:18:31,152
REVIEW BY THE COMMITTEE.

4381
03:18:31,152 --> 03:18:35,190
THAT'S ALSO TAKEN INTO 

4382
03:18:35,190 --> 03:18:36,691
CONSIDERATION BEFORE WE COME UP 

4383
03:18:36,691 --> 03:18:40,295
WITH OUR RECOMMENDATIONS FOR THE

4384
03:18:40,295 --> 03:18:41,563
DRAFT DIETARY PATTERNS.

4385
03:18:41,563 --> 03:18:46,701
AS YOU SAW IN THE PRESENTATION 

4386
03:18:46,701 --> 03:18:52,740
BY CHRIS EARLIER BEFORE THESE 

4387
03:18:52,740 --> 03:18:54,175
WERE TURN IF REFINED OR 

4388
03:18:54,175 --> 03:19:00,982
PRESENTED IN THE FORM OF LOOKING

4389
03:19:00,982 --> 03:19:04,686
AT AND WHETHER THE PROPOSED 

4390
03:19:04,686 --> 03:19:05,587
DIETARY PATTERNS ARE 

4391
03:19:05,587 --> 03:19:07,288
REPRESENTATIVE OF THE 

4392
03:19:07,288 --> 03:19:14,128
U.S. POPULATION.

4393
03:19:14,128 --> 03:19:18,733
IN ADDITION TO THE INFO GRAPHIC 

4394
03:19:18,733 --> 03:19:20,535
WE HAVE A BOX WHICH WORKS 

4395
03:19:20,535 --> 03:19:23,204
THROUGH THE CONSIDERATIONS WE 

4396
03:19:23,204 --> 03:19:25,540
HAVE THOUGHTFULLY PUT IN PLACE 

4397
03:19:25,540 --> 03:19:28,076
IN THE PILLARS OF EXAMINING THE 

4398
03:19:28,076 --> 03:19:28,343
EVIDENCE.

4399
03:19:28,343 --> 03:19:31,112
THE LAST ONE I'D LIKE TO CALL 

4400
03:19:31,112 --> 03:19:32,213
OUT IS THE SYSTEMATIC REVIEW 

4401
03:19:32,213 --> 03:19:35,917
CONDUCTED AND PRESENTED BY 

4402
03:19:35,917 --> 03:19:38,920
ANGELA ON LOOKING AT CULTURALLY 

4403
03:19:38,920 --> 03:19:41,556
TAILORED INTERVENTION.

4404
03:19:41,556 --> 03:19:44,425
THAT WAS PUT FORTH OR BROUGHT TO

4405
03:19:44,425 --> 03:19:46,828
ADDRESS HEALTH EQUITY IN OUR 

4406
03:19:46,828 --> 03:19:51,399
CONSIDERATIONS.

4407
03:19:51,399 --> 03:19:52,567
AS NEXT STEPS WE'RE CONTINUING 

4408
03:19:52,567 --> 03:19:55,069
TO WORK WITH THE SUBCOMMITTEES 

4409
03:19:55,069 --> 03:19:55,970
SINCE WE HAD REPRESENTATION 

4410
03:19:55,970 --> 03:19:58,506
ACROSS ALL OF THEM.

4411
03:19:58,506 --> 03:19:59,540
WE'RE MAKING SURE THAT HEALTH 

4412
03:19:59,540 --> 03:20:02,076
EQUITY IS FRONT AND CENTER TO 

4413
03:20:02,076 --> 03:20:03,678
THE SCIENTIFIC REPORT WE WILL BE

4414
03:20:03,678 --> 03:20:05,480
SUBMITTING AND THEN WE LOOK 

4415
03:20:05,480 --> 03:20:06,781
FORWARD TO HAVING A GOOD 

4416
03:20:06,781 --> 03:20:08,049
DISCUSSION THIS AFTERNOON AS WE 

4417
03:20:08,049 --> 03:20:10,952
INTEGRATE ALL THE WORK THAT WE 

4418
03:20:10,952 --> 03:20:15,790
HAVE SPENT ON FOR THE LAST 

4419
03:20:15,790 --> 03:20:16,424
ALMOST 18 MONTHS THAT'S THE 

4420
03:20:16,424 --> 03:20:16,658
UPDATE.

4421
03:20:16,658 --> 03:20:24,165
ANY QUESTIONS?

4422
03:20:24,165 --> 03:20:28,236
>> THANK YOU, SAMEERA.

4423
03:20:28,236 --> 03:20:30,438
QUESTION, DISCUSSION, ANY INPUT 

4424
03:20:30,438 --> 03:20:31,139
ON THE GRAPHIC.

4425
03:20:31,139 --> 03:20:33,574
THE QUALITY OF THE INTERACTION 

4426
03:20:33,574 --> 03:20:38,379
IN MEETING FIVE HELPED.

4427
03:20:38,379 --> 03:20:39,647
>> FIRST, THANK YOU SO
MUCH.

4428
03:20:39,647 --> 03:20:41,115
I WAS PROBABLY THE ONE THAT GAVE

4429
03:20:41,115 --> 03:20:42,717
THE FEEDBACK SO I REALLY 

4430
03:20:42,717 --> 03:20:46,354
APPRECIATE YOU FOR INCORPORATING

4431
03:20:46,354 --> 03:20:47,455
PARTICULARLY OUR INDIVIDUALS 

4432
03:20:47,455 --> 03:20:51,993
THAT LIVE IN BODIES THAT ARE 

4433
03:20:51,993 --> 03:20:55,763
DISABLED AND THE INFO GRAPHIC 

4434
03:20:55,763 --> 03:20:57,165
REFLECT THE FULL POPULATION SO 

4435
03:20:57,165 --> 03:20:58,499
THANK YOU FOR TAKING THAT INTO 

4436
03:20:58,499 --> 03:20:58,833
CONSIDERATION.

4437
03:20:58,833 --> 03:21:04,672
THANKS SO MUCH.

4438
03:21:04,672 --> 03:21:07,608
>> I HAVE A COMMENT OR
REQUEST.

4439
03:21:07,608 --> 03:21:10,345
THE INTEGRATION ALONG THE WAY 

4440
03:21:10,345 --> 03:21:11,079
HAS BEEN ACTUALLY VERY 

4441
03:21:11,079 --> 03:21:15,149
INTENTIONAL AND PRODUCTIVE AND 

4442
03:21:15,149 --> 03:21:16,684
NOT A BOX TO BE CHECKED.

4443
03:21:16,684 --> 03:21:18,886
SOME OF THE DISCUSSION IN THE 

4444
03:21:18,886 --> 03:21:20,388
LAST COUPLE DAYS MAKES WE ALSO 

4445
03:21:20,388 --> 03:21:23,024
HOPE YOU GUYS TAKE A CAREFUL 

4446
03:21:23,024 --> 03:21:26,761
LOOK AT FUTURE DIRECTIONS AND 

4447
03:21:26,761 --> 03:21:28,696
POTENTIAL PROPOSED SOLUTIONS OR 

4448
03:21:28,696 --> 03:21:30,665
BEHAVIORAL CHANGE 

4449
03:21:30,665 --> 03:21:33,368
RECOMMENDATIONS OR POLICIES 

4450
03:21:33,368 --> 03:21:36,571
BECAUSE WHAT STRUCK ME WAS THE 

4451
03:21:36,571 --> 03:21:38,473
CONSISTENCY OF THE AGI SCORES.

4452
03:21:38,473 --> 03:21:40,041
THE ADHERENCE OR ALIGNMENT TO 

4453
03:21:40,041 --> 03:21:43,911
THE DIETARY GUIDELINE 

4454
03:21:43,911 --> 03:21:45,613
RECOMMENDATIONS ACROSS FOR RACE,

4455
03:21:45,613 --> 03:21:48,549
ETHNICITY AND SOCIO ECONOMIC 

4456
03:21:48,549 --> 03:21:50,351
POSITION PARAMETERS INCREDIBLY 

4457
03:21:50,351 --> 03:21:53,187
CONSISTENT AND IF SOLUTIONS ARE 

4458
03:21:53,187 --> 03:21:56,190
PROPOSED AND HAPPENING TO BE 

4459
03:21:56,190 --> 03:21:56,791
EFFECTIVE AT RAISING THOSE 

4460
03:21:56,791 --> 03:22:02,697
SCORES I HOPE IT RAISES 

4461
03:22:02,697 --> 03:22:08,770
EVERYBODY'S SCORES AND IF IT'S A

4462
03:22:08,770 --> 03:22:11,406
BEHAVIOR OR NOT AFFORDABLE OR 

4463
03:22:11,406 --> 03:22:12,640
ACCESSIBLE TOOL THAT HELPS 

4464
03:22:12,640 --> 03:22:14,675
PEOPLE ADHERE BETTER THAT WOULD 

4465
03:22:14,675 --> 03:22:16,844
PROBABLY ONLY CREATE THESE GAPS 

4466
03:22:16,844 --> 03:22:18,045
RATHER THAN HELP EVERYONE.

4467
03:22:18,045 --> 03:22:20,915
I DON'T KNOW WHAT SOLUTIONS 

4468
03:22:20,915 --> 03:22:23,684
MIGHT BE DOWN THE ROAD BUT THAT 

4469
03:22:23,684 --> 03:22:24,719
WOULD BE IMPORTANT TO INTEGRATE 

4470
03:22:24,719 --> 03:22:27,455
TO THE BEST OF OUR ABILITY NOW 

4471
03:22:27,455 --> 03:22:29,424
OR AT LEAST INCLUDE MONITORING 

4472
03:22:29,424 --> 03:22:32,093
OF THE DISPARITIES SO THAT THEY 

4473
03:22:32,093 --> 03:22:36,397
DON'T PERSIST OR GET WORSE.

4474
03:22:36,397 --> 03:22:41,269
>> I WAS THINKING IN TERMS
OF 

4475
03:22:41,269 --> 03:22:44,172
TRANSLATIONAL WORK, WHAT WAS 

4476
03:22:44,172 --> 03:22:46,374
PRESENTED WITH MY PLATE WAS A 

4477
03:22:46,374 --> 03:22:46,674
GREAT TOOL.

4478
03:22:46,674 --> 03:22:48,609
YOU CAN SEE THE APPLICATION OF 

4479
03:22:48,609 --> 03:22:53,314
THE GUIDELINES ON LIKE CULTURAL 

4480
03:22:53,314 --> 03:22:53,848
SPECIFIC EATING.

4481
03:22:53,848 --> 03:22:56,150
YOU CAN SEE YOURSELF IN THE 

4482
03:22:56,150 --> 03:22:57,685
EATING PATTERN RECOMMENDED.

4483
03:22:57,685 --> 03:22:59,320
I THOUGHT THAT WAS A GREAT STEP 

4484
03:22:59,320 --> 03:23:01,556
TOWARDS MORE TRANSLATIONAL AND 

4485
03:23:01,556 --> 03:23:07,328
MORE NUTRITION EDUCATION.

4486
03:23:07,328 --> 03:23:09,297
>> GREAT.

4487
03:23:09,297 --> 03:23:09,530
SHERYL.

4488
03:23:09,530 --> 03:23:12,366
>> WAY I WANTED TO ADDRESS

4489
03:23:12,366 --> 03:23:14,302
DIDI'S COMMENT BECAUSE IN 

4490
03:23:14,302 --> 03:23:16,671
ADDITION TO THE AGI SCORES AND 

4491
03:23:16,671 --> 03:23:18,406
VARIABILITY THERE AND WHAT WE 

4492
03:23:18,406 --> 03:23:22,677
KNOW AROUND THE AGI AND ITS 

4493
03:23:22,677 --> 03:23:25,446
ASSOCIATION IN OBSERVATIONAL AS 

4494
03:23:25,446 --> 03:23:27,148
WELL AS STRONGER CAUSAL 

4495
03:23:27,148 --> 03:23:28,816
INFERENCE DESIGNS WITH HEALTH 

4496
03:23:28,816 --> 03:23:33,454
OUTCOMES A KEY PART OF OUR 

4497
03:23:33,454 --> 03:23:35,156
DISCUSSIONS SO FAR HAS BEEN WHEN

4498
03:23:35,156 --> 03:23:38,259
WE MOVE UPSTREAM ON THE INFO 

4499
03:23:38,259 --> 03:23:39,060
GRAPHIC FROM THIS BLANKET 

4500
03:23:39,060 --> 03:23:40,495
STATEMENT THAT WE'RE GOING TO 

4501
03:23:40,495 --> 03:23:43,130
START WITH HEALTH EQUITY, WE 

4502
03:23:43,130 --> 03:23:44,866
KNOW THAT NOT EVERYBODY AGREES 

4503
03:23:44,866 --> 03:23:47,535
THAT WE SHOULD BE JUST STARTING 

4504
03:23:47,535 --> 03:23:49,136
WITH HEALTH EQUITY.

4505
03:23:49,136 --> 03:23:51,205
BUT IT COMES OFF FROM THE INFO 

4506
03:23:51,205 --> 03:23:53,241
GRAPHIC AS THOUGH WE'RE ALL 

4507
03:23:53,241 --> 03:23:54,542
THERE, LET'S GO.

4508
03:23:54,542 --> 03:23:58,980
SO THE PRECURSORS TO GETTING TO 

4509
03:23:58,980 --> 03:24:01,782
A PLACE WHERE HEALTH EQUITY HAS 

4510
03:24:01,782 --> 03:24:03,818
TO BE PART OF THE AROUND FOOD 

4511
03:24:03,818 --> 03:24:05,987
AND HEALTH ISN'T YET 

4512
03:24:05,987 --> 03:24:06,854
INCORPORATED BUT I THINK WE'LL 

4513
03:24:06,854 --> 03:24:08,589
BE TRYING TO DO THAT.

4514
03:24:08,589 --> 03:24:10,691
FOR EXAMPLE, SOCIAL COMMITMENT 

4515
03:24:10,691 --> 03:24:13,227
CAME UP IN OUR DISCUSSIONS LIKE 

4516
03:24:13,227 --> 03:24:15,596
THERE HAS TO BE A SOCIAL 

4517
03:24:15,596 --> 03:24:16,697
AGREEMENT THAT THAT'S WHERE WE 

4518
03:24:16,697 --> 03:24:20,501
NEED TO BE.

4519
03:24:20,501 --> 03:24:23,137
THE IDEA AROUND HIE AND DO WE 

4520
03:24:23,137 --> 03:24:26,374
ALL AGREE THAT IF THE HEALTHY 

4521
03:24:26,374 --> 03:24:28,609
EATING INDEX HAS CAUSAL 

4522
03:24:28,609 --> 03:24:31,345
INFERENCE, DO WE THINK IT SHOULD

4523
03:24:31,345 --> 03:24:34,448
BE UNIFORM FOR ALL PEOPLE?

4524
03:24:34,448 --> 03:24:37,585
SO IF WE AGAIN HAVE A SOCIAL 

4525
03:24:37,585 --> 03:24:40,221
COMMITMENT AND AGREEMENT ALL 

4526
03:24:40,221 --> 03:24:41,088
INDIVIDUALS SHOULD EXPERIENCE 

4527
03:24:41,088 --> 03:24:44,258
ADHERENCE TO THE GUIDELINES IN A

4528
03:24:44,258 --> 03:24:49,330
REASONABLY UNIFORM WAY, THEN I 

4529
03:24:49,330 --> 03:24:50,698
THINK THAT GETS US A LITTLE BIT 

4530
03:24:50,698 --> 03:24:51,832
FURTHER ALONG.

4531
03:24:51,832 --> 03:24:53,868
HOPEFULLY WE'LL SEE THE INFO 

4532
03:24:53,868 --> 03:24:54,502
GRAPHICS SHIFT A BIT TO BRING IN

4533
03:24:54,502 --> 03:24:58,339
THOSE TWO THINGS.

4534
03:24:58,339 --> 03:25:00,942
>> THANK YOU FOR THAT 

4535
03:25:00,942 --> 03:25:01,275
CLARIFICATION.

4536
03:25:01,275 --> 03:25:03,611
GREAT DISCUSSION.

4537
03:25:03,611 --> 03:25:07,148
OTHER POINTS?

4538
03:25:07,148 --> 03:25:09,417
YES.

4539
03:25:09,417 --> 03:25:12,553
>> IN THE DISCUSSION WHAT
I 

4540
03:25:12,553 --> 03:25:15,423
NOTICE WAS SOME SUB GROUPS MEET 

4541
03:25:15,423 --> 03:25:16,424
THE RECOMMENDATIONS AND FOCUS ON

4542
03:25:16,424 --> 03:25:23,130
THE 80% NOT THE 20%.

4543
03:25:23,130 --> 03:25:26,033
I WAS WONDERING WITHIN THE DATA 

4544
03:25:26,033 --> 03:25:28,703
SET WHAT IS THE CAPACITY TO 

4545
03:25:28,703 --> 03:25:32,607
UNDERSTANDING THE PROFILE OF 

4546
03:25:32,607 --> 03:25:33,908
THOSE DIFFERENT RACE, ETHNIC 

4547
03:25:33,908 --> 03:25:36,110
GROUP OR INCOMES THAT WERE 

4548
03:25:36,110 --> 03:25:37,044
IDENTIFIED AS MEETING THOSE 

4549
03:25:37,044 --> 03:25:38,012
RECOMMENDATIONS AND CAN WE LEARN

4550
03:25:38,012 --> 03:25:47,054
FROM THEM?

4551
03:25:47,054 --> 03:25:48,155
>> THAT'S A REALLY
INTERESTING 

4552
03:25:48,155 --> 03:25:51,092
POINTS AND TO REPEAT AN ESTIMATE

4553
03:25:51,092 --> 03:25:53,861
I HEARD BEFORE THAT IS LIKE 3% 

4554
03:25:53,861 --> 03:25:55,796
OR SOMETHING OF THE POPULATION 

4555
03:25:55,796 --> 03:26:00,901
MAY ACTUALLY MEET THE 

4556
03:26:00,901 --> 03:26:01,335
GUIDELINES.

4557
03:26:01,335 --> 03:26:03,137
IT'S VERY SMALL, YEAH.

4558
03:26:03,137 --> 03:26:07,008
THAT MAY NOT BE QUITE ACCURATE 

4559
03:26:07,008 --> 03:26:08,476
BUT IT'S VERY SMALL BUT YEAH I 

4560
03:26:08,476 --> 03:26:11,178
THINK IT'S A GREAT IDEA WHAT IF 

4561
03:26:11,178 --> 03:26:19,020
WE PULLED THOSE PEOPLE OUT AND 

4562
03:26:19,020 --> 03:26:20,321
TRIED TO DIG A LITTLE BIT DEEPER

4563
03:26:20,321 --> 03:26:22,690
IN KNOWING WHAT'S GOING ON 

4564
03:26:22,690 --> 03:26:23,157
THERE.

4565
03:26:23,157 --> 03:26:27,361
I THINK IT WOULD BE ENLIGHTENING

4566
03:26:27,361 --> 03:26:30,197
AND COULD BE HELPFUL.

4567
03:26:30,197 --> 03:26:34,001
IT PROBABLY DOES MEAN THEY MIGHT

4568
03:26:34,001 --> 03:26:35,136
HAVE CERTAIN CHARACTERISTICS 

4569
03:26:35,136 --> 03:26:39,106
THAT MAY BE DIFFERENT FROM THE 

4570
03:26:39,106 --> 03:26:40,641
REST OF US BUT STILL IT COULD BE

4571
03:26:40,641 --> 03:26:47,148
HELPFUL.

4572
03:26:47,148 --> 03:26:49,316
>> GREAT.

4573
03:26:49,316 --> 03:26:50,918
ANY OTHER?

4574
03:26:50,918 --> 03:26:51,952
THANK YOU SAMEERA FOR LEADING US

4575
03:26:51,952 --> 03:26:55,923
IN THIS REALLY IMPORTANT AREA 

4576
03:26:55,923 --> 03:26:57,124
AND THANK YOU TO THE STAFF WHO 

4577
03:26:57,124 --> 03:27:03,030
HAVE REALLY BEEN SUPPORTIVE.

4578
03:27:03,030 --> 03:27:05,966
AND NOW WE'RE HANDING IT OVER TO

4579
03:27:05,966 --> 03:27:07,401
JANET TO TALK ABOUT OUR NEXT 

4580
03:27:07,401 --> 03:27:15,142
STEPS.

4581
03:27:15,142 --> 03:27:16,577
>> I CAN'T BELIEVE WE'RE
HERE 

4582
03:27:16,577 --> 03:27:16,777
TODAY.

4583
03:27:16,777 --> 03:27:19,447
IT'S BEEN AN AMAZING JOURNEY BUT

4584
03:27:19,447 --> 03:27:21,582
WANTED TO SHARE WITH THE 

4585
03:27:21,582 --> 03:27:22,149
COMMITTEE AS YOU THINK OF 

4586
03:27:22,149 --> 03:27:23,217
FINALIZING YOUR REPORT IN THE 

4587
03:27:23,217 --> 03:27:24,852
NEXT MONTH OR SO THE NEXT STEPS 

4588
03:27:24,852 --> 03:27:27,254
IN OUR PROCESS ESPECIALLY AFTER 

4589
03:27:27,254 --> 03:27:28,789
WE RECEIVE YOUR REPORT.

4590
03:27:28,789 --> 03:27:31,025
SO HERE WE ARE AT MEETING SIX.

4591
03:27:31,025 --> 03:27:33,394
THERE'S GOING TO BE ONE MORE 

4592
03:27:33,394 --> 03:27:35,496
MEETING IN OCTOBER, YOUR 

4593
03:27:35,496 --> 03:27:38,232
SCIENTIFIC REPORT MEETING 

4594
03:27:38,232 --> 03:27:40,935
OCTOBER 21 AND 22 AT A HIGH 

4595
03:27:40,935 --> 03:27:42,737
LEVEL AND THE DEPARTMENT'S WE 

4596
03:27:42,737 --> 03:27:44,538
ARE CHARGED AND MANDATED TO 

4597
03:27:44,538 --> 03:27:46,941
RELEASE THE DIETARY GUIDELINES 

4598
03:27:46,941 --> 03:27:48,342
EVERY FIVE YEARS WHICH WILL 

4599
03:27:48,342 --> 03:27:50,177
OCCUR IN 2025.

4600
03:27:50,177 --> 03:27:51,746
WE'LL WORK OVER 2025 TO UPDATE 

4601
03:27:51,746 --> 03:27:53,781
AND RELEASE THE NEXT EDITION.

4602
03:27:53,781 --> 03:27:55,583
SO NOW I'M GOING TO TELL YOU A 

4603
03:27:55,583 --> 03:27:58,385
LITTLE BIT MORE ABOUT WHAT WE DO

4604
03:27:58,385 --> 03:28:01,589
IN THAT INTERIM PERIOD AS WE 

4605
03:28:01,589 --> 03:28:02,223
UPDATE AND DEVELOP THE DIETARY 

4606
03:28:02,223 --> 03:28:07,495
GUIDELINES.

4607
03:28:07,495 --> 03:28:09,530
SO ONCE THE DEPARTMENTS RECEIVE 

4608
03:28:09,530 --> 03:28:10,197
YOUR SCIENTIFIC REPORT IT WILL 

4609
03:28:10,197 --> 03:28:11,966
BE PREPARED FOR POSTING AND 

4610
03:28:11,966 --> 03:28:14,535
PUBLISHED ON DIETARY 

4611
03:28:14,535 --> 03:28:15,402
GUIDELINES.gov.

4612
03:28:15,402 --> 03:28:19,740
SO THIS IS LOON WITH ALL THE 

4613
03:28:19,740 --> 03:28:21,509
SUPPLEMENTAL DOCUMENTS A WEALTH 

4614
03:28:21,509 --> 03:28:22,676
OF INFORMATION INCLUDING DATA 

4615
03:28:22,676 --> 03:28:25,813
ANALYSIS REPORTS, ALL THE FOOD 

4616
03:28:25,813 --> 03:28:28,682
PATTERN MODELLING REPORTS AND 

4617
03:28:28,682 --> 03:28:29,683
FULL SYSTEMATIC REVIEWS YOU 

4618
03:28:29,683 --> 03:28:31,352
COMPLETED THAT GO WITH YOUR 

4619
03:28:31,352 --> 03:28:34,588
SCIENTIFIC REPORT.

4620
03:28:34,588 --> 03:28:35,856
ONCE THE REPORT IS RELEASED 

4621
03:28:35,856 --> 03:28:37,958
WE'LL OPEN A NEW DEDICATED 

4622
03:28:37,958 --> 03:28:44,565
COMMENT PERIOD IN WHICH THE 

4623
03:28:44,565 --> 03:28:50,805
PUBLIC CAN COMMENT AND CURRENTLY

4624
03:28:50,805 --> 03:28:52,273
THE PUBLIC COMMENT IS DIRECTED 

4625
03:28:52,273 --> 03:28:54,708
AT THE THE COMMITTEE AND YOUR 

4626
03:28:54,708 --> 03:28:57,645
WORK BUT THE NEXT PUBLIC COMMENT

4627
03:28:57,645 --> 03:29:00,815
PERIOD WILL BE DIRECTED TO THE 

4628
03:29:00,815 --> 03:29:02,316
DEPARTMENT USDA AND FOLLOWING 

4629
03:29:02,316 --> 03:29:04,418
THE RECEIPT AND PUBLICATION 

4630
03:29:04,418 --> 03:29:07,154
WE'LL MOVE INTO STEP FOR AND 

4631
03:29:07,154 --> 03:29:10,457
DEVELOPMENT PROCESS.

4632
03:29:10,457 --> 03:29:14,128
SO IN THIS DEVELOPMENT PROCESS 

4633
03:29:14,128 --> 03:29:15,830
WE HAVE WE'LL FORM A FEDERAL 

4634
03:29:15,830 --> 03:29:18,098
WRITING TEAM THAT UPDATES THE 

4635
03:29:18,098 --> 03:29:23,637
DIETARY GUIDELINES SO IT IS 

4636
03:29:23,637 --> 03:29:25,639
COMPOSED WITH REPRESENTATIVES 

4637
03:29:25,639 --> 03:29:28,676
WEDGE EXPERTISE IN NUTRITION 

4638
03:29:28,676 --> 03:29:31,011
SCIENCE, DIETARY GUIDELINES, 

4639
03:29:31,011 --> 03:29:33,314
RELATED RESEARCH PROGRAMS AND 

4640
03:29:33,314 --> 03:29:33,981
COMMUNICATION SPECIALISTS WITH 

4641
03:29:33,981 --> 03:29:35,783
EXPERTISE IN COMMUNICATING 

4642
03:29:35,783 --> 03:29:36,617
NUTRITION INFORMATION.

4643
03:29:36,617 --> 03:29:39,053
I KNOW ACROSS YOUR CONVERSATIONS

4644
03:29:39,053 --> 03:29:40,321
YOU'VE TALKED ABOUT LIKE HOW 

4645
03:29:40,321 --> 03:29:42,056
THIS CAN BE COMMUNICATED.

4646
03:29:42,056 --> 03:29:46,126
WE DO THAT WITHIN OUR TEAM AS 

4647
03:29:46,126 --> 03:29:47,962
WELL HOW TO COMMUNICATE SO IT'S 

4648
03:29:47,962 --> 03:29:51,131
UNDERSTOOD BY THE PEOPLE WHO ARE

4649
03:29:51,131 --> 03:29:52,700
USING IT.

4650
03:29:52,700 --> 03:29:54,335
SO PRIOR TO THE WRITING WE GET 

4651
03:29:54,335 --> 03:29:57,004
TOGETHER WITH OUR TEAM AND 

4652
03:29:57,004 --> 03:29:59,139
DISCUSS MAJOR TEAMS FROM YOUR 

4653
03:29:59,139 --> 03:30:02,643
SCIENTIFIC REPORT ALSO 

4654
03:30:02,643 --> 03:30:05,446
RECOMMENDATIONS FROM PREVIOUS 

4655
03:30:05,446 --> 03:30:07,114
EDITIONS THE COMMITTEE 

4656
03:30:07,114 --> 03:30:08,349
RECOMMENDED FORWARD AND NOT 

4657
03:30:08,349 --> 03:30:10,317
FORWARD WITH AND THIS IS WHERE 

4658
03:30:10,317 --> 03:30:11,385
YOUR ADVICE IS CRITICAL AND 

4659
03:30:11,385 --> 03:30:15,022
WE'VE BEEN TALK BEING ABOUT THIS

4660
03:30:15,022 --> 03:30:16,290
PROCESS YOUR ADVICE SECTION IN 

4661
03:30:16,290 --> 03:30:26,834
YOUR CHAPTERS ARE HELPFUL TO US.

4662
03:30:28,035 --> 03:30:30,037
WE ALSO LOOK AT COMMENTS FROM 

4663
03:30:30,037 --> 03:30:31,338
THE PUBLIC AND FROM FROM 

4664
03:30:31,338 --> 03:30:31,805
AGENCIES.

4665
03:30:31,805 --> 03:30:34,308
FOLLOWING RECEIPT OF YOUR REPORT

4666
03:30:34,308 --> 03:30:36,110
WE USUALLY HAVE LIKE A WEBINAR 

4667
03:30:36,110 --> 03:30:38,012
WITH OUR FEDERAL COLLEAGUES TO 

4668
03:30:38,012 --> 03:30:40,080
SHARE MORE INFORMATION AND 

4669
03:30:40,080 --> 03:30:41,081
HIGHLIGHTS FROM YOUR REPORT AND 

4670
03:30:41,081 --> 03:30:43,684
DO ASK FOR THEIR INPUT SINCE 

4671
03:30:43,684 --> 03:30:44,785
THEY'RE A MAJOR USER OF THE 

4672
03:30:44,785 --> 03:30:48,789
DIETARY GUIDELINES.

4673
03:30:48,789 --> 03:30:50,925
SO OUR TEAM DRAFTS THE CHAPTERS 

4674
03:30:50,925 --> 03:30:52,793
AND WE DEVELOP THE DIETARY 

4675
03:30:52,793 --> 03:30:54,228
GUIDELINES.

4676
03:30:54,228 --> 03:30:56,163
WE ALSO HAVE A REVIEW PROCESS.

4677
03:30:56,163 --> 03:30:58,966
WE HAVE A REVIEW BY FEDERAL 

4678
03:30:58,966 --> 03:31:00,734
SCIENTISTS INCLUDING STAFF WHO 

4679
03:31:00,734 --> 03:31:02,236
SUPPORT THE ADVISORY COMMITTEE.

4680
03:31:02,236 --> 03:31:04,672
WE DO HAVE A PEER REVIEW PROCESS

4681
03:31:04,672 --> 03:31:07,007
SO WE HAVE EXTERNAL FOLKS REVIEW

4682
03:31:07,007 --> 03:31:10,678
THE DRAFT, DIETARY GUIDELINES 

4683
03:31:10,678 --> 03:31:12,713
WHICH INCLUDE MEMBERS OF YOUR 

4684
03:31:12,713 --> 03:31:14,481
COMMITTEE THAT WILL BE REVIEWING

4685
03:31:14,481 --> 03:31:15,149
IT.

4686
03:31:15,149 --> 03:31:16,617
AND LASTLY DEPARTMENT CLEARANCE.

4687
03:31:16,617 --> 03:31:20,587
SO IT DOES GO THROUGH FULL HHS 

4688
03:31:20,587 --> 03:31:22,723
AND USDA DEPARTMENT CLEARANCE 

4689
03:31:22,723 --> 03:31:28,929
AND FINALLY THE APPROVAL BY BOTH

4690
03:31:28,929 --> 03:31:33,801
SECRETARIES OF USDA AND HHS.

4691
03:31:33,801 --> 03:31:38,973
SO WHAT INFORMS THE DIETARY 

4692
03:31:38,973 --> 03:31:39,273
GUIDELINES?

4693
03:31:39,273 --> 03:31:41,875
YOUR SCIENTIFIC REPORT IS A 

4694
03:31:41,875 --> 03:31:46,313
MAJOR PIECE OF WHAT INFORMS.

4695
03:31:46,313 --> 03:31:50,751
WE HAVE A VARIETY OF INPUTS 

4696
03:31:50,751 --> 03:31:51,919
INCLUDING THE DRIs WHICH SHE 

4697
03:31:51,919 --> 03:31:55,155
DESCRIBED AND EXISTING FEDERAL 

4698
03:31:55,155 --> 03:31:55,422
GUIDANCE.

4699
03:31:55,422 --> 03:31:57,224
THERE'S A LOT OF SCIENTIFIC AND 

4700
03:31:57,224 --> 03:31:59,693
GUIDANCE AND OTHER PROJECTS 

4701
03:31:59,693 --> 03:32:01,128
GOING ON WITHIN OR FEDERAL 

4702
03:32:01,128 --> 03:32:01,862
GOVERNMENT WE'VE NOT ASKED YOU 

4703
03:32:01,862 --> 03:32:05,265
TO REVIEW BECAUSE THAT WOULD BE 

4704
03:32:05,265 --> 03:32:07,134
DUPLICATION AND THE PREVIOUS 

4705
03:32:07,134 --> 03:32:08,669
EDITION OF THE DIETARY 

4706
03:32:08,669 --> 03:32:08,969
GUIDELINES.

4707
03:32:08,969 --> 03:32:11,071
WE START WITH THAT AS OUR BASIS 

4708
03:32:11,071 --> 03:32:13,140
AND SEE WHAT NEEDS TO BE 

4709
03:32:13,140 --> 03:32:14,775
UPDATED, DO THINGS NEED TO 

4710
03:32:14,775 --> 03:32:16,543
CHANGE, BE ADDED, REMOVED BASED 

4711
03:32:16,543 --> 03:32:22,716
ON YOUR ADVICE AND ALL THESE 

4712
03:32:22,716 --> 03:32:23,350
INPUTS.

4713
03:32:23,350 --> 03:32:24,251
NEXT SLIDE.

4714
03:32:24,251 --> 03:32:26,954
I JUST MENTIONED STARTING FROM 

4715
03:32:26,954 --> 03:32:30,524
THE PREVIOUS EDITION THE OVER 

4716
03:32:30,524 --> 03:32:32,960
ALL GOAL IS TO HELP AMERICANS 

4717
03:32:32,960 --> 03:32:34,695
MEET NUTRIENT NEEDS, PROMOTE 

4718
03:32:34,695 --> 03:32:35,229
HEALTH AND REDUCE RISK OF 

4719
03:32:35,229 --> 03:32:38,165
DISEASE.

4720
03:32:38,165 --> 03:32:40,701
AS WE KNOW LIKE AS SCIENCE 

4721
03:32:40,701 --> 03:32:42,436
EVOLVES RECOMMENDATION ON DIET 

4722
03:32:42,436 --> 03:32:44,571
AND HEALTH MAY STAY THE SAME AND

4723
03:32:44,571 --> 03:32:46,707
MAY BE UPDATED ORDER NO LONGER 

4724
03:32:46,707 --> 03:32:48,142
CARRIED FORWARD IN THE NEXT 

4725
03:32:48,142 --> 03:32:51,045
EDITION OF THE DIETARY GUIDE 

4726
03:32:51,045 --> 03:32:51,245
LIPS.

4727
03:32:51,245 --> 03:32:55,149
-- GUIDELINES.

4728
03:32:55,149 --> 03:32:57,751
AND EVE TALKED ABOUT THE DRIs 

4729
03:32:57,751 --> 03:33:00,754
AND YOU KNOW YOU'RE WELL AWARE 

4730
03:33:00,754 --> 03:33:04,691
OF THE DRIs AND PROVIDE A 

4731
03:33:04,691 --> 03:33:10,697
REFERENCE VALUE FOR MINERALS AND

4732
03:33:10,697 --> 03:33:12,132
NUTRIENTS MEETING THE NEEDS OF 

4733
03:33:12,132 --> 03:33:13,834
MOST TAKE AND INTAKE LEVELS NOT 

4734
03:33:13,834 --> 03:33:16,103
TO EXCEED HARM AND AIM TO REDUCE

4735
03:33:16,103 --> 03:33:19,139
THE RISK OF CHRONIC DISEASE.

4736
03:33:19,139 --> 03:33:23,977
SO THE DIETARY PATTERNS PROVIDE 

4737
03:33:23,977 --> 03:33:25,779
FOOD BASED RECOMMENDS MEET THE 

4738
03:33:25,779 --> 03:33:27,147
NUTRIENT NEEDS AND THE DRI 

4739
03:33:27,147 --> 03:33:34,088
VALUES.

4740
03:33:34,088 --> 03:33:35,189
A NOTE ON EXISTING FEDERAL GUIDE

4741
03:33:35,189 --> 03:33:36,957
ANTS AND DELAYS ACTIVITIES 

4742
03:33:36,957 --> 03:33:39,393
HAPPENING NOW AND THESE ARE 

4743
03:33:39,393 --> 03:33:40,861
OTHER EXAMPLES OF GUIDANCE IN 

4744
03:33:40,861 --> 03:33:42,830
THE FEDERAL GOVERNMENT THAT WE 

4745
03:33:42,830 --> 03:33:46,700
CAN PULL IN TO THE DIETARY 

4746
03:33:46,700 --> 03:33:47,134
GUIDELINES.

4747
03:33:47,134 --> 03:33:48,168
FOR EXAMPLE, LIKE FOOD SAFETY 

4748
03:33:48,168 --> 03:33:50,104
ARE A WEALTH OF INFORMATION AND 

4749
03:33:50,104 --> 03:33:52,706
OFTEN GET QUESTIONS WHY OUR 

4750
03:33:52,706 --> 03:33:56,376
COMMITTEES AREN'T LOOKING AT 

4751
03:33:56,376 --> 03:33:58,212
FOOD SAFETY WELL COVERED BY OUR 

4752
03:33:58,212 --> 03:34:01,515
PARTNER AGENCIES AND HHS AND 

4753
03:34:01,515 --> 03:34:01,715
USDA.

4754
03:34:01,715 --> 03:34:02,049
ORAL HEALTH.

4755
03:34:02,049 --> 03:34:04,685
WE HEAR A LOT ABOUT THAT TOPIC.

4756
03:34:04,685 --> 03:34:07,054
IT'S WELL COVERED BY NIH AND 

4757
03:34:07,054 --> 03:34:08,188
CDC.

4758
03:34:08,188 --> 03:34:09,656
HEALTHY FOOD ENVIRONMENT.

4759
03:34:09,656 --> 03:34:12,860
C.D.C. HAS A COMMUNITY 

4760
03:34:12,860 --> 03:34:14,728
PREVENTATIVE TASK FORCE AND 

4761
03:34:14,728 --> 03:34:16,296
FINDINGS OF IMPLEMENTATION OF 

4762
03:34:16,296 --> 03:34:18,432
THINGS IN SYSTEMS AND 

4763
03:34:18,432 --> 03:34:18,932
COMMUNITIES.

4764
03:34:18,932 --> 03:34:21,435
WE LOOK TO THAT AND EVE 

4765
03:34:21,435 --> 03:34:23,170
DESCRIBED THE SEAFOOD ACTIVITY 

4766
03:34:23,170 --> 03:34:25,172
AND OF COURSE PHYSICAL ACTIVITY.

4767
03:34:25,172 --> 03:34:27,508
I KNOW THAT'S BEEN MENTIONED 

4768
03:34:27,508 --> 03:34:28,675
CRITICALLY IMPORTANT FOR OVER 

4769
03:34:28,675 --> 03:34:32,212
ALL HEALTH AND THAT HAS LED IN 

4770
03:34:32,212 --> 03:34:34,915
MY OFFICE AT HHS AND THEY'LL BE 

4771
03:34:34,915 --> 03:34:41,922
STARTING AN UPDATE PROCESS SOON.

4772
03:34:41,922 --> 03:34:42,756
SO YOUR SCIENTIFIC REPORT 

4773
03:34:42,756 --> 03:34:45,425
PROVIDES CRITICAL UPDATES TO THE

4774
03:34:45,425 --> 03:34:46,693
EVIDENCE THAT INFORM OUR 

4775
03:34:46,693 --> 03:34:49,196
GUIDELINES.

4776
03:34:49,196 --> 03:34:52,332
AND I'VE ALREADY TO NOTE OUR 

4777
03:34:52,332 --> 03:34:54,768
TEAM, OUR FEDERAL WRITING TEAM 

4778
03:34:54,768 --> 03:34:56,336
IS GOING TO BE CLOSELY EXAMINING

4779
03:34:56,336 --> 03:34:58,305
YOUR SECTIONS AND REVIEW OF THE 

4780
03:34:58,305 --> 03:35:01,308
SCIENCE AND INTEGRATION, 

4781
03:35:01,308 --> 03:35:02,876
DISCUSSION, YOUR RESEARCH 

4782
03:35:02,876 --> 03:35:03,744
RECOMMENDATIONS AND YOUR ADVICE 

4783
03:35:03,744 --> 03:35:04,311
TO THE DEPARTMENT.

4784
03:35:04,311 --> 03:35:06,680
ALL THESE SECTIONS ARE 

4785
03:35:06,680 --> 03:35:08,015
CRITICALLY IMPORTANT AND WE 

4786
03:35:08,015 --> 03:35:10,684
APPRECIATE YOUR WORK ON YOUR 

4787
03:35:10,684 --> 03:35:15,355
CHAPTERS.

4788
03:35:15,355 --> 03:35:18,258
JUST ADDING THE COMMITTEE'S 

4789
03:35:18,258 --> 03:35:20,127
ADVICE TO THE DEPARTMENT OVER 

4790
03:35:20,127 --> 03:35:22,696
THE LAST TWO YEARS YOU'VE 

4791
03:35:22,696 --> 03:35:26,166
REVIEWED THOUSANDS OF PAPERS OF 

4792
03:35:26,166 --> 03:35:27,501
DATA ANALYSIS REPORTS, COUNTLESS

4793
03:35:27,501 --> 03:35:28,702
FOOD PATTERN MODELLING 

4794
03:35:28,702 --> 03:35:31,538
SIMULATION THAT HAVE COME TO 

4795
03:35:31,538 --> 03:35:32,105
THIS POINTS.

4796
03:35:32,105 --> 03:35:34,508
SO WE ARE REALLY LOOKING FORWARD

4797
03:35:34,508 --> 03:35:35,909
TO RECEIVING YOUR REPORT AND 

4798
03:35:35,909 --> 03:35:36,877
CHEERING YOU ON OVER THE NEXT 

4799
03:35:36,877 --> 03:35:40,280
MONTH AS YOU COMPLETE YOUR 

4800
03:35:40,280 --> 03:35:41,048
REPORT AND JUST APPRECIATE ALL 

4801
03:35:41,048 --> 03:35:42,416
YOU'VE PUT INTO THIS IN YOUR 

4802
03:35:42,416 --> 03:35:47,187
DETAILED REVIEW OF THE EVIDENCE.

4803
03:35:47,187 --> 03:35:50,357
I'LL PAUSE THERE AND SEE IF 

4804
03:35:50,357 --> 03:35:52,392
THERE'S ANY QUESTIONS YOU WOULD 

4805
03:35:52,392 --> 03:35:53,660
LIKE TO ASK ME OR COMMENTS.

4806
03:35:53,660 --> 03:36:01,902
JUST WANTED TO OPEN THE FLOOR.

4807
03:36:01,902 --> 03:36:04,004
>> THANK YOU, JANET FOR 

4808
03:36:04,004 --> 03:36:07,574
SUMMARIZING THIS.

4809
03:36:07,574 --> 03:36:10,377
I FEEL THAT HAVING THE 

4810
03:36:10,377 --> 03:36:12,479
PRESENTATION ON ALL THE WORK 

4811
03:36:12,479 --> 03:36:14,348
THAT FOLLOWS WE HAVE SPENT EIGHT

4812
03:36:14,348 --> 03:36:21,955
OF TIME TOGETHER AND WE HAVE 

4813
03:36:21,955 --> 03:36:25,192
APPRECIATED THE STAFF EFFORTS 

4814
03:36:25,192 --> 03:36:26,893
BECAUSE OUR TIME IS COMING TO AN

4815
03:36:26,893 --> 03:36:27,160
END.

4816
03:36:27,160 --> 03:36:29,329
I THINK WE FORGET THE WORK IS 

4817
03:36:29,329 --> 03:36:32,799
NOW JUST STARTING FOR MANY MORE 

4818
03:36:32,799 --> 03:36:35,168
PEOPLE AND THE SAME PEOPLE THAT 

4819
03:36:35,168 --> 03:36:37,971
HAVE BEEN HELPING US HAVE MORE 

4820
03:36:37,971 --> 03:36:39,740
WRITING THAN WE DO.

4821
03:36:39,740 --> 03:36:44,978
THANK YOU SO VERY MUCH FOR THE 

4822
03:36:44,978 --> 03:36:45,545
PRESENTATION.

4823
03:36:45,545 --> 03:36:51,118
>> THERE'S A
SUSTAINABILITY 

4824
03:36:51,118 --> 03:36:54,354
GROUP WORKING.

4825
03:36:54,354 --> 03:36:55,622
THAT LISTED PHYSICAL ACTIVITY 

4826
03:36:55,622 --> 03:36:58,392
AND WASN'T ON YOUR LIST.

4827
03:36:58,392 --> 03:37:00,494
IS IT BECAUSE IT HASN'T MOVED 

4828
03:37:00,494 --> 03:37:01,728
FORWARD ENOUGH TO BE ON THE 

4829
03:37:01,728 --> 03:37:02,529
LIST?

4830
03:37:02,529 --> 03:37:03,563
>> GREAT QUESTION.

4831
03:37:03,563 --> 03:37:06,400
THERE'S A FEDERAL WORK GROUP 

4832
03:37:06,400 --> 03:37:09,369
LOOKING AT THE MERIT OF 

4833
03:37:09,369 --> 03:37:10,537
SUSTAINABILITY IN FUTURE 

4834
03:37:10,537 --> 03:37:11,672
EDITIONS OF THE DIETARY 

4835
03:37:11,672 --> 03:37:11,938
GUIDELINE.

4836
03:37:11,938 --> 03:37:12,873
THERE WILL BE A PUBLIC MEETING 

4837
03:37:12,873 --> 03:37:17,277
AND OPPORTUNITY FOR PUBLIC 

4838
03:37:17,277 --> 03:37:19,546
COMMENT COMING SOON IS WE DON'T 

4839
03:37:19,546 --> 03:37:22,049
HAVE A DATE HAPPENING AND 

4840
03:37:22,049 --> 03:37:25,085
THERE'S A PARALLEL AND 

4841
03:37:25,085 --> 03:37:26,687
SCIENTIFIC PROCESS CALLED 

4842
03:37:26,687 --> 03:37:28,689
ADVANTAGE BEING LED AT NIH.

4843
03:37:28,689 --> 03:37:30,424
THAT'S HIGHLIGHTED ON THE 

4844
03:37:30,424 --> 03:37:31,825
RELATED PAGE AS WELL.

4845
03:37:31,825 --> 03:37:35,128
THAT'S A SCIENTIFIC ACTIVITY 

4846
03:37:35,128 --> 03:37:38,298
THEY HAVE LIKE FIVE WORK GROUPS,

4847
03:37:38,298 --> 03:37:39,066
EXTERNAL WORK GROUPS AND THEY'LL

4848
03:37:39,066 --> 03:37:40,967
BE PUBLISHING THEIR RESULTS AS 

4849
03:37:40,967 --> 03:37:43,403
WELL ON THIS VERY IMPORTANT 

4850
03:37:43,403 --> 03:37:45,872
TOPIC.

4851
03:37:45,872 --> 03:37:47,140
>> QUICK QUESTION.

4852
03:37:47,140 --> 03:37:48,709
YOU ALSO SAID THERE WERE TWO 

4853
03:37:48,709 --> 03:37:55,382
COMMITTEES LOOKING AT ALCOHOL.

4854
03:37:55,382 --> 03:37:57,184
WILL THOSE BE AVAILABLE SOON 

4855
03:37:57,184 --> 03:37:58,318
ENOUGH TO INCORPORATE IN THE 

4856
03:37:58,318 --> 03:38:00,320
DIETARY GUIDELINES?

4857
03:38:00,320 --> 03:38:00,887
>> ABSOLUTELY.

4858
03:38:00,887 --> 03:38:03,123
THOSE TWO PROJECTS, SCIENTIFIC 

4859
03:38:03,123 --> 03:38:04,424
ACTIVITIES THE RESULTS SHOULD BE

4860
03:38:04,424 --> 03:38:06,360
AVAILABLE BY THE END OF THE 

4861
03:38:06,360 --> 03:38:06,560
YEAR.

4862
03:38:06,560 --> 03:38:06,993
WE WILL HAVE THOSE.

4863
03:38:06,993 --> 03:38:07,361
GREAT QUESTION.

4864
03:38:07,361 --> 03:38:15,936
THANK YOU.

4865
03:38:15,936 --> 03:38:18,805
>> OTHER QUESTIONS,
COMMENTS?

4866
03:38:18,805 --> 03:38:22,509
THANK YOU VERY MUCH.

4867
03:38:22,509 --> 03:38:24,511
PASSING IT TO YOU.

4868
03:38:24,511 --> 03:38:27,681
>> SO FOR OUR DISCUSSION
I'M 

4869
03:38:27,681 --> 03:38:32,152
GOING TO HAND OVER THE PODIUM TO

4870
03:38:32,152 --> 03:38:35,422
MY COLLEAGUE ANGELA.

4871
03:38:35,422 --> 03:38:36,923
>> THANK YOU SO MUCH JANET
FOR 

4872
03:38:36,923 --> 03:38:40,127
THE DETAILED EXPLANATION AS WHAT

4873
03:38:40,127 --> 03:38:47,134
HAPPENS AS WE MOVE FORWARD.

4874
03:38:47,134 --> 03:38:52,672
TO SET THE STAGE FOR OUR 

4875
03:38:52,672 --> 03:38:54,608
DISCUSSION THIS AFTERNOON WE'LL 

4876
03:38:54,608 --> 03:38:58,245
BE GOING THROUGH HIGH LEVEL KEY 

4877
03:38:58,245 --> 03:39:01,381
POINTS AND HIGH LEVEL REVIEW 

4878
03:39:01,381 --> 03:39:02,883
WITHIN THE SLIDES TO REALLY 

4879
03:39:02,883 --> 03:39:06,787
ORIENT THE COMMITTEE OF WHAT HAS

4880
03:39:06,787 --> 03:39:08,655
BEEN, WHERE WE'RE GOING BUILDING

4881
03:39:08,655 --> 03:39:10,624
ON JANET'S POINT AND WHERE WE 

4882
03:39:10,624 --> 03:39:12,125
NEED TO BE.

4883
03:39:12,125 --> 03:39:14,828
WE HAVE THE FINAL MEETING IN 

4884
03:39:14,828 --> 03:39:17,898
OCTOBER 21 AND 22 AND THEN WE'RE

4885
03:39:17,898 --> 03:39:19,666
SUBMITTING THE REPORT TO THE 

4886
03:39:19,666 --> 03:39:22,702
SECRETARIES OF HHS AND USDA BY 

4887
03:39:22,702 --> 03:39:28,341
OCTOBER 31.

4888
03:39:28,341 --> 03:39:32,913
 THAT IS IN 2024 WHICH IS PRETTY

4889
03:39:32,913 --> 03:39:33,113
SCARY.

4890
03:39:33,113 --> 03:39:33,380
[LAUGHTER]

4891
03:39:33,380 --> 03:39:38,552
>> WE CAN DO IT.

4892
03:39:38,552 --> 03:39:40,287
>> WE WILL DO IT.

4893
03:39:40,287 --> 03:39:43,590
IF YOU RECALL THE CHARGE TO THE 

4894
03:39:43,590 --> 03:39:45,592
2025 DIETARY GUIDE LIPS ADVISORY

4895
03:39:45,592 --> 03:39:48,829
COMMITTEE WAS TO EXAMINE THE 

4896
03:39:48,829 --> 03:39:50,597
EVIDENCE ON NUTRITION AND HEALTH

4897
03:39:50,597 --> 03:39:52,699
ACROSS THE LIFE SPAN, DEVELOP A 

4898
03:39:52,699 --> 03:39:55,135
REPORT THAT OUTLINE OUR 

4899
03:39:55,135 --> 03:39:57,537
SCIENTIFIC FINDINGS AND CONTAINS

4900
03:39:57,537 --> 03:40:00,607
INDEPENDENT SCIENCE-BASED ADVICE

4901
03:40:00,607 --> 03:40:03,677
AND SUBMIT OUR REPORT TO THE 

4902
03:40:03,677 --> 03:40:06,680
SECRETARIES OF HHS AND USDA FOR 

4903
03:40:06,680 --> 03:40:09,182
CONSIDERATION AS THE DEPARTMENTS

4904
03:40:09,182 --> 03:40:12,486
DEVELOP THE NEXT EDITION OF THE 

4905
03:40:12,486 --> 03:40:13,420
DIETARY GUIDELINES.

4906
03:40:13,420 --> 03:40:20,694
SO IF YOU THINK ABOUT THE TO 

4907
03:40:20,694 --> 03:40:23,396
DATE, BEFORE I GO FORWARD I WANT

4908
03:40:23,396 --> 03:40:29,035
YOU TO GIVE YOURSELVES A HAND 

4909
03:40:29,035 --> 03:40:33,306
BECAUSE WE'VE GIVEN INDIVIDUAL 

4910
03:40:33,306 --> 03:40:35,408
KUDOS BUT THIS HAS BEEN 

4911
03:40:35,408 --> 03:40:38,345
PHENOMENAL WORK WITHIN THE 

4912
03:40:38,345 --> 03:40:40,313
SUBCOMMITTEES OF STAFF AND 

4913
03:40:40,313 --> 03:40:41,715
COMMITTEE MEMBERS.

4914
03:40:41,715 --> 03:40:43,850
AS FAR AS THE DATA ANALYSIS WE 

4915
03:40:43,850 --> 03:40:47,120
REVIEWED AND SYNTHESIZED THE 

4916
03:40:47,120 --> 03:40:48,855
ANALYTIC RESULTS FROM 45 

4917
03:40:48,855 --> 03:40:51,057
EXISTING DATA PUBLICATIONS.

4918
03:40:51,057 --> 03:40:54,327
I MEAN LIKE NUMEROUS PAGES AND 

4919
03:40:54,327 --> 03:40:58,632
SUPPLEMENTS, EVIDENCE SCAN ON 

4920
03:40:58,632 --> 03:41:02,235
DIETARY INTAKES DURING COVID, 

4921
03:41:02,235 --> 03:41:12,779
INCLUDING NOVEL EXAMINATIONS OF 

4922
03:41:15,682 --> 03:41:17,250
SOCIO ECONOMIC GROUPS AND 

4923
03:41:17,250 --> 03:41:19,452
LOOKING AT WHAT IS PRACTICAL AND

4924
03:41:19,452 --> 03:41:21,154
RELEVANT AND ACHIEVABLE.

4925
03:41:21,154 --> 03:41:23,089
REVIEWING THE EVIDENCE FOR MORE 

4926
03:41:23,089 --> 03:41:25,825
THAN 1,000 ARTICLES TO DEVELOP 

4927
03:41:25,825 --> 03:41:29,195
DOZENS OF CONCLUSION STATEMENTS 

4928
03:41:29,195 --> 03:41:30,630
AND 28 SYSTEMATIC REVIEW 

4929
03:41:30,630 --> 03:41:31,197
QUESTIONS INCLUDING 11 NEW 

4930
03:41:31,197 --> 03:41:37,237
QUESTIONS.

4931
03:41:37,237 --> 03:41:39,139
CONDUCTED A NOVEL EVIDENCE SCAN 

4932
03:41:39,139 --> 03:41:41,808
ON CULTURALLY TAILORED DIETARY 

4933
03:41:41,808 --> 03:41:43,610
INTERVENTIONS AND THE FOOD 

4934
03:41:43,610 --> 03:41:45,612
PATTERN MODELLING IS WILD.

4935
03:41:45,612 --> 03:41:47,113
WHEN YOU THINK OF THE ANALYSIS 

4936
03:41:47,113 --> 03:41:54,621
OF ALL THESE DATA POINTS AND 

4937
03:41:54,621 --> 03:41:57,924
2700 DIETS -- I MEAN 350,000 

4938
03:41:57,924 --> 03:42:00,193
DATA POINTS AND TONS OF DIETS.

4939
03:42:00,193 --> 03:42:01,728
I DON'T EVEN REMEMBER HOW MANY 

4940
03:42:01,728 --> 03:42:03,296
DIETS FROM 11 PROTOCOLS TO 

4941
03:42:03,296 --> 03:42:05,498
ANSWER THE OVERARCHING FOOD 

4942
03:42:05,498 --> 03:42:09,436
PATTERN MODELLING QUESTION AND 

4943
03:42:09,436 --> 03:42:10,070
CONDUCTING NOVEL ASSIMILATIONS 

4944
03:42:10,070 --> 03:42:12,839
TO TEST THE NUTRITIONAL ADEQUACY

4945
03:42:12,839 --> 03:42:14,741
OF A BROAD RANGE OF DIETARY 

4946
03:42:14,741 --> 03:42:17,410
INTAKES AND PILOT SIMULATION OF 

4947
03:42:17,410 --> 03:42:21,147
FOODS IDENTIFIED AS CONSUMED BY 

4948
03:42:21,147 --> 03:42:22,716
SELECT NATIVE AMERICAN AND 

4949
03:42:22,716 --> 03:42:28,822
NATIVE ALASKAN POPULATIONS.

4950
03:42:28,822 --> 03:42:31,124
SO WE'RE GOING TO HAVE A 

4951
03:42:31,124 --> 03:42:33,226
CONVERSATION ABOUT THE KEY 

4952
03:42:33,226 --> 03:42:33,760
INTEGRATION DELIVERABLES.

4953
03:42:33,760 --> 03:42:36,730
AND I FORGOT TO MENTION, WE'VE 

4954
03:42:36,730 --> 03:42:40,700
DONE ALL THIS AND KUDOS TO 

4955
03:42:40,700 --> 03:42:41,835
SAMEERA'S COMMITTEE WITH KEEPING

4956
03:42:41,835 --> 03:42:43,470
A HEALTH EQUITY LENS IN MIND.

4957
03:42:43,470 --> 03:42:47,407
SO WHEN WE THINK ABOUT THOSE KEY

4958
03:42:47,407 --> 03:42:51,144
INTEGRATION DELIVERABLES THIS IS

4959
03:42:51,144 --> 03:42:53,546
AN ITERATIVE PROCESS.

4960
03:42:53,546 --> 03:42:56,783
AN OVER ARCHING DIETARY PATTERN 

4961
03:42:56,783 --> 03:42:59,185
BASED ON SYSTEMIC REVIEWS 

4962
03:42:59,185 --> 03:42:59,886
INCLUDING CONSIDERATION FOR 

4963
03:42:59,886 --> 03:43:01,788
SPECIFIC LIFE STAGES AND 

4964
03:43:01,788 --> 03:43:02,822
POPULATIONS IN HEALTH EQUITY.

4965
03:43:02,822 --> 03:43:05,625
WE REALLY NEED TO CONTINUE TO 

4966
03:43:05,625 --> 03:43:06,793
REFLECT ON THIS WHEN WE THINK OF

4967
03:43:06,793 --> 03:43:09,562
THE INTEGRATION OF ALL THIS 

4968
03:43:09,562 --> 03:43:09,929
WORK.

4969
03:43:09,929 --> 03:43:15,135
I THINK JENNY SAID THE IDEA OF I

4970
03:43:15,135 --> 03:43:21,174
THINK YOU SAID IF WE TAKE 

4971
03:43:21,174 --> 03:43:21,675
EVERYTHING CONSIDERING 

4972
03:43:21,675 --> 03:43:26,012
EVERYTHING HOW DO WE THINK ABOUT

4973
03:43:26,012 --> 03:43:26,846
INTEGRATING THIS WORK WELL 

4974
03:43:26,846 --> 03:43:31,117
WITHIN THE REPORT?

4975
03:43:31,117 --> 03:43:32,519
CONSIDERATIONS FOR DIETARY 

4976
03:43:32,519 --> 03:43:34,688
ADVISED BASED ON PATTERNS AND 

4977
03:43:34,688 --> 03:43:38,825
FOOD SOURCES OF SATURATED FAT 

4978
03:43:38,825 --> 03:43:40,694
AND COMPLIMENTARY FEEDING WITH 

4979
03:43:40,694 --> 03:43:46,900
ATTENTION TO SPECIFIC LIFE 

4980
03:43:46,900 --> 03:43:49,135
STAGES AND FOOD PATTERN 

4981
03:43:49,135 --> 03:43:53,039
MODELLING ANALYSIS AND 

4982
03:43:53,039 --> 03:43:53,373
ASSIMILATIONS.

4983
03:43:53,373 --> 03:43:56,810
BUILD CONSENSUS ON PROPOSED 

4984
03:43:56,810 --> 03:43:57,911
DIETARY PATTERNS INCLUDING 

4985
03:43:57,911 --> 03:43:59,779
MODIFICATIONS OR FLEXIBILITIES 

4986
03:43:59,779 --> 03:44:03,116
BASED ON SYSTEMATIC REVIEWS AND 

4987
03:44:03,116 --> 03:44:04,117
FOOD PATTERN MODELLING THAT 

4988
03:44:04,117 --> 03:44:06,052
CONSIDER LIFE STAGES AND 

4989
03:44:06,052 --> 03:44:08,354
POPULATIONS IN HEALTH EQUITY AND

4990
03:44:08,354 --> 03:44:13,493
PREPARE RECOMMENDATIONS TO THE 

4991
03:44:13,493 --> 03:44:22,402
DEPARTMENT FOR DISCUSSION.

4992
03:44:22,402 --> 03:44:23,636
FROM CONCLUSION STATEMENT TO 

4993
03:44:23,636 --> 03:44:25,905
ADVICE THE COMMITTEE LOOKS 

4994
03:44:25,905 --> 03:44:28,007
ACROSS THE STATEMENTS AND 

4995
03:44:28,007 --> 03:44:29,042
TOTALITY TAKEN TOGETHER WHICH IS

4996
03:44:29,042 --> 03:44:33,113
SORT OF THIS IDEA THAT IS THE 

4997
03:44:33,113 --> 03:44:35,348
TOTALITY OF ALL OF THE WORK OF 

4998
03:44:35,348 --> 03:44:38,518
OUR SCIENTIFIC REVIEW TO DEVELOP

4999
03:44:38,518 --> 03:44:40,687
OVERARCHING ADVICE FOR HHS AND 

5000
03:44:40,687 --> 03:44:43,990
USDA TO CONSIDER AS DEPARTMENT 

5001
03:44:43,990 --> 03:44:46,693
AS DEVELOP THE DIETARY GUIDE 

5002
03:44:46,693 --> 03:44:46,893
LIPS.

5003
03:44:46,893 --> 03:44:57,337
THE 2025 TO 2030 DIETARY 

5004
03:44:58,037 --> 03:44:58,304
GUIDELINES.

5005
03:44:58,304 --> 03:45:04,110
SO THE 2025 DIETARY GUIDELINES 

5006
03:45:04,110 --> 03:45:06,279
REPORT WILL INCLUDE AN EXECUTIVE

5007
03:45:06,279 --> 03:45:07,647
SUMMARY AND THEMES AND 

5008
03:45:07,647 --> 03:45:12,085
METHODOLOGY AND ALL THE 

5009
03:45:12,085 --> 03:45:13,419
EXTENSIVE WORK THAT'S BEEN DONE 

5010
03:45:13,419 --> 03:45:14,854
THAT WE TALKED ABOUT TODAY AND 

5011
03:45:14,854 --> 03:45:16,990
IT'S BEEN DONE OVER THESE TWO 

5012
03:45:16,990 --> 03:45:17,190
YEARS.

5013
03:45:17,190 --> 03:45:18,725
EVIDENCE ON DIET AND HEALTH AND 

5014
03:45:18,725 --> 03:45:20,460
FUTURE DIRECTIONS AND THEN WE'LL

5015
03:45:20,460 --> 03:45:24,798
HAVE A LOT IN THE APPENDICES.

5016
03:45:24,798 --> 03:45:25,632
INCLUDING A HEALTH EQUITY 

5017
03:45:25,632 --> 03:45:28,334
CHAPTER AND I KNOW WE'VE BEEN 

5018
03:45:28,334 --> 03:45:31,371
WORKING ON THESE CHAPTERS TO 

5019
03:45:31,371 --> 03:45:32,806
INCORPORATE EACH OF THE THREE 

5020
03:45:32,806 --> 03:45:34,474
SCIENTIFIC APPROACHES THE 

5021
03:45:34,474 --> 03:45:37,310
COMMITTEE USED.

5022
03:45:37,310 --> 03:45:42,248
THE EVIDENCE THE COMMITTEE USED 

5023
03:45:42,248 --> 03:45:43,716
INCLUDING DATA ANALYSIS AND 

5024
03:45:43,716 --> 03:45:46,719
SYSTEMATIC REVIEWS AND FOOD 

5025
03:45:46,719 --> 03:45:48,121
PATTERN MODELLING.

5026
03:45:48,121 --> 03:45:50,089
SO PART D THE EVIDENCE ON DIET 

5027
03:45:50,089 --> 03:45:51,858
AND HEALTH, WHEN WE THINK ABOUT 

5028
03:45:51,858 --> 03:45:56,429
THIS CURRENT DIETARY INTAKES 

5029
03:45:56,429 --> 03:45:58,097
THROUGH THE LIFE COURSE.

5030
03:45:58,097 --> 03:46:01,734
SO CHAPTER ONE IS PREVALENCE OF 

5031
03:46:01,734 --> 03:46:02,435
NUTRITION RELATED CHRONIC 

5032
03:46:02,435 --> 03:46:03,803
CONDITIONS.

5033
03:46:03,803 --> 03:46:06,172
DIETARY PATTERNS AND SPECIFIC 

5034
03:46:06,172 --> 03:46:08,675
COMPONENTS ACROSS LIFE STAGES SO

5035
03:46:08,675 --> 03:46:12,645
CHAPTER 2, DIETARY PATTERNS AND 

5036
03:46:12,645 --> 03:46:15,782
THREE BEVERAGES AND 4 SOURCES OF

5037
03:46:15,782 --> 03:46:19,118
SATURATED FAT AND PRACTICES AND 

5038
03:46:19,118 --> 03:46:20,787
BEHAVIORS THROUGH ADOLESCENCE.

5039
03:46:20,787 --> 03:46:24,490
CHAPTER 5, COMPLIMENTARY FEEDING

5040
03:46:24,490 --> 03:46:25,658
AND PRACTICES DURING CHILDHOOD, 

5041
03:46:25,658 --> 03:46:28,695
STRATEGIES FOR INDIVIDUALS AND 

5042
03:46:28,695 --> 03:46:31,664
FAMILIES RELATED TO DIETARY 

5043
03:46:31,664 --> 03:46:34,367
QUALITY AND WEIGHT MANAGEMENT 

5044
03:46:34,367 --> 03:46:37,070
AND FREQUENCY OF MEALS AND 

5045
03:46:37,070 --> 03:46:39,138
SNACKING AND PORTION SIZE AND 

5046
03:46:39,138 --> 03:46:41,307
DIETARY INTERVENTIONS AND FOOD 

5047
03:46:41,307 --> 03:46:45,044
PATTERN MODELLING, 9, 10, 11 AND

5048
03:46:45,044 --> 03:46:48,448
12 AND THE NUTRIENT PROFILE 

5049
03:46:48,448 --> 03:46:49,949
DEVELOPMENT AND ANALYSIS AND 

5050
03:46:49,949 --> 03:46:50,583
DIET ASSIMILATIONS, PROPOSED 

5051
03:46:50,583 --> 03:47:00,894
DIETARY PATTERNS.

5052
03:47:02,295 --> 03:47:05,265
AND JANET MENTIONED WE'RE KIND 

5053
03:47:05,265 --> 03:47:10,003
OF PULLING EVERYTHING TOGETHER 

5054
03:47:10,003 --> 03:47:12,071
TO MAKE RECOMMENDATIONS, ADVISE 

5055
03:47:12,071 --> 03:47:12,639
TO HHS AND USDA.

5056
03:47:12,639 --> 03:47:17,443
I WANT US TO KEEP THAT IN MIND 

5057
03:47:17,443 --> 03:47:22,682
IN A BROADER SENSE AS WE MAKE 

5058
03:47:22,682 --> 03:47:23,116
RECOMMENDATIONS.

5059
03:47:23,116 --> 03:47:24,350
PEOPLE ALWAYS SAY YOU'RE GOING 

5060
03:47:24,350 --> 03:47:26,419
TO BE MAKING THE DIETARY 

5061
03:47:26,419 --> 03:47:28,521
GUIDEL

5062
03:47:28,521 --> 03:47:28,821
GUIDELINES.

5063
03:47:28,821 --> 03:47:29,756
WE'RE THE DIETARY GUIDELINES 

5064
03:47:29,756 --> 03:47:30,790
ADVISORY COMMITTEE.

5065
03:47:30,790 --> 03:47:32,358
WHEN WE THINK ABOUT OUR ROLE IN 

5066
03:47:32,358 --> 03:47:34,694
OTHER RECOMMENDATIONS THAT WE 

5067
03:47:34,694 --> 03:47:38,464
WANT TO MAKE AROUND RESEARCH OR 

5068
03:47:38,464 --> 03:47:39,065
RECOMMENDATIONS TO THE 

5069
03:47:39,065 --> 03:47:40,033
DEPARTMENT, NEXT STEPS, ALL 

5070
03:47:40,033 --> 03:47:42,468
THOSE THINGS ARE INCLUDED IN OUR

5071
03:47:42,468 --> 03:47:45,371
RESEARCH REPORT.

5072
03:47:45,371 --> 03:47:47,974
SO FUTURE DIRECTION, SUPPORT FOR

5073
03:47:47,974 --> 03:47:51,811
FEDERAL DATA AND DIETARY INTAKES

5074
03:47:51,811 --> 03:47:54,714
RELATED TO DIETARY GUIDELINES.

5075
03:47:54,714 --> 03:47:56,416
FUTURE DIRECTION FOR THE DIETARY

5076
03:47:56,416 --> 03:47:57,750
GUIDELINE PROCESS, RESEARCH 

5077
03:47:57,750 --> 03:47:58,618
RECOMMENDATIONS AND 

5078
03:47:58,618 --> 03:48:01,120
CONSIDERATIONS FOR FUTURE 

5079
03:48:01,120 --> 03:48:04,290
COMMITTEES RELATED TO SCIENTIFIC

5080
03:48:04,290 --> 03:48:10,997
QUESTIONS OVERARCHING METHOD OWE

5081
03:48:10,997 --> 03:48:13,199
LOGICAL CONSIDERATIONS AND THE 

5082
03:48:13,199 --> 03:48:15,034
SYSTEMIC REVIEWS AND QUESTIONS 

5083
03:48:15,034 --> 03:48:21,441
THAT WERE EXAMINED AND THE FOOD 

5084
03:48:21,441 --> 03:48:22,575
PATTERN MODELLING QUESTION THAT 

5085
03:48:22,575 --> 03:48:22,942
WAS EXAMINED.

5086
03:48:22,942 --> 03:48:27,447
SO WE HAVE A COUPLE OF PROMPTS 

5087
03:48:27,447 --> 03:48:29,816
FOR DISCUSSION AS WE THINK MORE 

5088
03:48:29,816 --> 03:48:36,389
ABOUT THIS INTEGRATION AND ALSO 

5089
03:48:36,389 --> 03:48:38,958
RECOMMENDATIONS TO THE 

5090
03:48:38,958 --> 03:48:39,993
COMMITTEE'S RECOMMENDATIONS TO 

5091
03:48:39,993 --> 03:48:41,127
THE AGENCIES.

5092
03:48:41,127 --> 03:48:43,930
THE FIRST QUESTION IS REFLECTED 

5093
03:48:43,930 --> 03:48:46,399
ON THE WORK SHARED BETWEEN 

5094
03:48:46,399 --> 03:48:47,867
YESTERDAY AND THIS MORNING GOING

5095
03:48:47,867 --> 03:48:50,169
INTO THE AFTERNOON.

5096
03:48:50,169 --> 03:48:52,138
WHAT ARE THE IMPORTANT 

5097
03:48:52,138 --> 03:48:54,907
CONSIDERATIONS AND THEMES WHEN 

5098
03:48:54,907 --> 03:48:56,776
WE THINK ABOUT THOSE KEY 

5099
03:48:56,776 --> 03:48:58,711
INTEGRATION DELIVERABLES AND 

5100
03:48:58,711 --> 03:49:00,246
WE'RE GOING TO START THERE BUT I

5101
03:49:00,246 --> 03:49:01,781
DON'T KNOW IF THE SECOND 

5102
03:49:01,781 --> 03:49:12,291
QUESTION IS ON THE SLIDE TOO.

5103
03:49:14,627 --> 03:49:17,230
ANY OTHER THOUGHTS YOU HAVE 

5104
03:49:17,230 --> 03:49:18,865
BECAUSE WE ALSO SHOULD CHAT AS 

5105
03:49:18,865 --> 03:49:23,136
WE GO INTO THE LAST MEETING 

5106
03:49:23,136 --> 03:49:25,938
ABOUT THOSE RECOMMENDATIONS THAT

5107
03:49:25,938 --> 03:49:30,777
MAYBE AS IT RELATES TO THOSE 

5108
03:49:30,777 --> 03:49:31,544
AREAS.

5109
03:49:31,544 --> 03:49:35,815
WHEN WE THINK OF PART E, SO 

5110
03:49:35,815 --> 03:49:41,888
FUTURE DIRECTIONS, ETCETERA AS 

5111
03:49:41,888 --> 03:49:48,895
WE MAKE 

5112
03:49:48,895 --> 03:49:52,532
>> ONE THING THAT CAME UP
IN THE

5113
03:49:52,532 --> 03:49:53,166
SYSTEMATIC REVIEWS WAS A LACK OF

5114
03:49:53,166 --> 03:50:03,342
DIVERSITY.

5115
03:50:04,610 --> 03:50:05,178
MORE DIVERSE SAMPLES THAN THE 

5116
03:50:05,178 --> 03:50:08,881
RESEARCH WE DO.

5117
03:50:08,881 --> 03:50:14,287
>> THAT WOULD BE FUNDING.

5118
03:50:14,287 --> 03:50:16,589
>> CAN I ASK FOR POINT OF 

5119
03:50:16,589 --> 03:50:21,594
CLARIFICATION, MY APOLOGIES FOR 

5120
03:50:21,594 --> 03:50:22,328
JUMPING IN.

5121
03:50:22,328 --> 03:50:23,496
I THINK IT'S AN IMPORTANT ISSUE 

5122
03:50:23,496 --> 03:50:25,131
AND WE DISCUSSED IT BUT I 

5123
03:50:25,131 --> 03:50:27,133
WONDERED PARTICULARLY FOR FUTURE

5124
03:50:27,133 --> 03:50:33,473
DIRECTION, I THINK WE NEED MORE 

5125
03:50:33,473 --> 03:50:33,773
GRANULARITY.

5126
03:50:33,773 --> 03:50:34,340
TALK ME THROUGH IT.

5127
03:50:34,340 --> 03:50:37,443
>> I THINK INCLUSION OF
MORE 

5128
03:50:37,443 --> 03:50:42,949
RACIAL ETHNIC GROUPS BECAUSE WE 

5129
03:50:42,949 --> 03:50:44,917
DIDN'T SEE THAT AND HAVING MORE 

5130
03:50:44,917 --> 03:50:47,120
U.S. COHORTS BECAUSE THE COHORTS

5131
03:50:47,120 --> 03:50:49,455
WE WERE LOOKING AT WE TEND TO 

5132
03:50:49,455 --> 03:50:52,592
RELY ON THOSE FROM OTHER 

5133
03:50:52,592 --> 03:50:54,660
COUNTRIES AND I THINK MORE CHILD

5134
03:50:54,660 --> 03:50:57,196
AND ADOLESCENT DATA AND AGAIN 

5135
03:50:57,196 --> 03:51:03,102
WITH THE DIVERSITY IN TERMS OF 

5136
03:51:03,102 --> 03:51:06,239
RACIAL ETHNIC MAYBE EVEN 

5137
03:51:06,239 --> 03:51:07,940
REGIONAL SEEMS LIKE WE KNOW 

5138
03:51:07,940 --> 03:51:09,775
CHRONIC DISEASE IS WORSE IN THE 

5139
03:51:09,775 --> 03:51:11,544
SOUTH PART OF THE U.S. AND SEEMS

5140
03:51:11,544 --> 03:51:12,278
LIKE YOU DON'T HAVE AS MUCH AS 

5141
03:51:12,278 --> 03:51:15,815
GOING ON THERE AS YOU HAVE OTHER

5142
03:51:15,815 --> 03:51:16,048
PLACES.

5143
03:51:16,048 --> 03:51:20,686
SO I THINK THERE'S A OF VARIETY 

5144
03:51:20,686 --> 03:51:22,121
OF PARAMETERS IN TERMS OF 

5145
03:51:22,121 --> 03:51:22,555
DIVERSITY.

5146
03:51:22,555 --> 03:51:28,794
>> THANK YOU, CAN I ADD 

5147
03:51:28,794 --> 03:51:29,795
PREGNANCY?

5148
03:51:29,795 --> 03:51:34,167
WE ARE MISSING POSTPARTUM 

5149
03:51:34,167 --> 03:51:34,400
PERIOD.

5150
03:51:34,400 --> 03:51:40,806
>> FATIMA.

5151
03:51:40,806 --> 03:51:43,910
>> WREN WE ALL APPLY FOR
OUR 

5152
03:51:43,910 --> 03:51:46,279
FEDERALLY FUNDED GRANT IN 

5153
03:51:46,279 --> 03:51:47,246
TALKING ABOUT CULTURALLY 

5154
03:51:47,246 --> 03:51:48,514
TAILORED FOODS A LOT OF THOSE 

5155
03:51:48,514 --> 03:51:50,683
STUDIES WERE FEDERALLY FUNDED WE

5156
03:51:50,683 --> 03:51:53,085
HAVE TO INCLUDE FOR WOMEN IN THE

5157
03:51:53,085 --> 03:51:53,553
STUDIES.

5158
03:51:53,553 --> 03:51:55,421
WE DON'T TYPICALLY HAVE TO 

5159
03:51:55,421 --> 03:51:57,390
OUTLINE A PLAN FOR OUR INCLUSION

5160
03:51:57,390 --> 03:52:00,226
OF ETHNIC AND DIVERSE 

5161
03:52:00,226 --> 03:52:00,760
POPULATIONS.

5162
03:52:00,760 --> 03:52:03,663
THAT SHOULD BE INCLUDED TO HAVE 

5163
03:52:03,663 --> 03:52:05,865
A REPRESENTATIVE SAMPLE THAT 

5164
03:52:05,865 --> 03:52:06,832
REFLECTS THE HETEROGENEITY OF 

5165
03:52:06,832 --> 03:52:07,466
THE POPULATION IN THE UNITED 

5166
03:52:07,466 --> 03:52:10,069
STATES TO HAVE A SAMPLE THAT 

5167
03:52:10,069 --> 03:52:12,205
REFLECTS WHAT WE SEE AMONGST THE

5168
03:52:12,205 --> 03:52:14,774
POPULATION SO WE CAN HAVE A 

5169
03:52:14,774 --> 03:52:15,074
DISCUSSION.

5170
03:52:15,074 --> 03:52:17,410
ONE OF THE KEY THEMES WE SAW 

5171
03:52:17,410 --> 03:52:18,644
ACROSS THE POPULATION AND ACROSS

5172
03:52:18,644 --> 03:52:22,715
THE WORK WE'VE DONE HERE WITH 

5173
03:52:22,715 --> 03:52:24,450
OUR SPECIFIC ADVISORY COMMITTEE 

5174
03:52:24,450 --> 03:52:26,519
IS THIS THEME OF EQUITY.

5175
03:52:26,519 --> 03:52:27,853
THE REASONABLE WE COULDN'T GET 

5176
03:52:27,853 --> 03:52:29,755
TO THE EQUITY PIECE WE WANTED TO

5177
03:52:29,755 --> 03:52:30,957
IS WE KEPT RUNNING INTO THE 

5178
03:52:30,957 --> 03:52:33,226
ISSUE OF NOT HAVING STUDIES THAT

5179
03:52:33,226 --> 03:52:34,360
REFLECTED WHAT WE WANTED TO GET 

5180
03:52:34,360 --> 03:52:35,528
TO IN OUR QUESTIONS.

5181
03:52:35,528 --> 03:52:38,798
SO WE KEPT RUNNING INTO A BRICK 

5182
03:52:38,798 --> 03:52:39,966
WALL BECAUSE WE KEPT FINDING 

5183
03:52:39,966 --> 03:52:43,135
THAT THE DATA WAS NOT THERE TO 

5184
03:52:43,135 --> 03:52:45,071
REFLECT WHAT WE NEEDED BECAUSE 

5185
03:52:45,071 --> 03:52:49,742
THE DATA DIDN'T REFLECT WHAT WAS

5186
03:52:49,742 --> 03:52:50,710
BEING ASKED OF.

5187
03:52:50,710 --> 03:52:52,211
PEOPLE WEREN'T REQUIRED AND THE 

5188
03:52:52,211 --> 03:52:53,346
INDIVIDUALS BEING FUNDED WEREN'T

5189
03:52:53,346 --> 03:52:55,314
SEEKING TO REALLY STUDY THESE 

5190
03:52:55,314 --> 03:52:56,682
POPULATIONS WITH ANY VIGOR.

5191
03:52:56,682 --> 03:52:59,118
I THINK THIS NEEDS TO BE 

5192
03:52:59,118 --> 03:53:02,421
OUTLINED SPECIFICALLY WITHIN OUR

5193
03:53:02,421 --> 03:53:03,089
FUTURE RECOMMENDATIONS THAT THIS

5194
03:53:03,089 --> 03:53:05,258
SHOULD BE JUST LIKE WE DO FOR 

5195
03:53:05,258 --> 03:53:05,825
WOMEN.

5196
03:53:05,825 --> 03:53:08,461
WHAT IS YOUR PLAN FOR STUDYING 

5197
03:53:08,461 --> 03:53:10,596
WOMEN AND INCLUDING THEM JUST 

5198
03:53:10,596 --> 03:53:13,899
LIKE MENTIONED WHAT IS YOUR 

5199
03:53:13,899 --> 03:53:15,601
INCLUSION FOR STUDIES THE 

5200
03:53:15,601 --> 03:53:16,535
POSTPARTUM PERIOD THAT ARE 

5201
03:53:16,535 --> 03:53:18,771
PREGNANT, ETCETERA, CAN WE 

5202
03:53:18,771 --> 03:53:19,939
OUTLINE THOSE SO WE MAKE SURE 

5203
03:53:19,939 --> 03:53:22,208
THESE POPULATION INCLUDED TO 

5204
03:53:22,208 --> 03:53:22,908
ACTUALLY HAVE RECOMMENDATIONS 

5205
03:53:22,908 --> 03:53:33,419
THAT REFLECT THE POPULATIONS.

5206
03:53:33,953 --> 03:53:37,690
>> POINT OF CLARIFICATION.

5207
03:53:37,690 --> 03:53:39,558
WOULD YOU LIKE US TO GIVE YOU 

5208
03:53:39,558 --> 03:53:41,260
ALL THE THINGS WE'RE THINKING 

5209
03:53:41,260 --> 03:53:44,230
ABOUT OR BECAUSE I HAVE NINE.

5210
03:53:44,230 --> 03:53:47,133
>> I WAS THINKING THAT
MAYBE I 

5211
03:53:47,133 --> 03:53:51,737
KNOW WE JUMPED TO RESEARCH 

5212
03:53:51,737 --> 03:53:52,705
RECOMMENDATIONS BUT THERE ARE 

5213
03:53:52,705 --> 03:53:53,939
RECOMMENDATIONS WHEN WE THINK OF

5214
03:53:53,939 --> 03:53:56,275
KEY CONSIDERATIONS ACROSS THE 

5215
03:53:56,275 --> 03:53:56,475
WORK.

5216
03:53:56,475 --> 03:53:58,077
I'M THINKING WE SHOULD START 

5217
03:53:58,077 --> 03:53:58,277
THERE.

5218
03:53:58,277 --> 03:54:01,781
SO WHEN WE THINK ABOUT THE KEY 

5219
03:54:01,781 --> 03:54:04,550
CONSIDERATIONS FOR INTEGRATION 

5220
03:54:04,550 --> 03:54:06,152
AND I'D SAY GO BACK AND THINK 

5221
03:54:06,152 --> 03:54:08,454
MUCH KEY CONSIDERATIONS I THINK 

5222
03:54:08,454 --> 03:54:10,222
THAT'S ALSO GOING TO HAVE AN 

5223
03:54:10,222 --> 03:54:11,791
IMPACT ON WHEN WE THINK ABOUT 

5224
03:54:11,791 --> 03:54:15,027
THE RECOMMENDATIONS RELATED TO 

5225
03:54:15,027 --> 03:54:19,131
THE PROCESS, THE COMMITTEE, 

5226
03:54:19,131 --> 03:54:22,702
METHODOLOGY, ETCETERA.

5227
03:54:22,702 --> 03:54:24,170
YOU CAN GIVE ALL NINE BUT WE'LL 

5228
03:54:24,170 --> 03:54:26,005
START WITH THINKING ABOUT SOME 

5229
03:54:26,005 --> 03:54:28,441
OF THOSE THINGS LIKE WHAT MIGHT 

5230
03:54:28,441 --> 03:54:30,276
BE THE KEY CONSIDERATIONS ACROSS

5231
03:54:30,276 --> 03:54:40,486
ALL THE WORK THAT'S HAPPENED.

5232
03:54:40,486 --> 03:54:42,688
>> START WITH WHAT YOU
HAVE AND 

5233
03:54:42,688 --> 03:54:45,091
THIS IS A COMMITTEE-WIDE 

5234
03:54:45,091 --> 03:54:47,626
DISCUS

5235
03:54:47,626 --> 03:54:47,927
DISCUSSION.

5236
03:54:47,927 --> 03:54:49,929
WE HAVE THIS UNIQUE OPPORTUNITY.

5237
03:54:49,929 --> 03:54:52,098
SHERYL, I WOULD SAY START AND 

5238
03:54:52,098 --> 03:54:55,134
PEOPLE FEEL FREE TO JUMP IN IS 

5239
03:54:55,134 --> 03:54:59,872
HOW I WOULD DO IT.

5240
03:54:59,872 --> 03:55:04,377
>> HERE'S THE TOP LINE.

5241
03:55:04,377 --> 03:55:06,312
IF YOU GO FOR 20 MINUTES WE'LL 

5242
03:55:06,312 --> 03:55:06,846
CUT YOU.

5243
03:55:06,846 --> 03:55:09,348
>> I CAN'T STAND TO HEAR
MYSELF 

5244
03:55:09,348 --> 03:55:10,649
TALK FOR TWO MINUTES.

5245
03:55:10,649 --> 03:55:12,685
ONE IS ACROSS ALL THE WORK THAT 

5246
03:55:12,685 --> 03:55:15,788
WE'RE DOING I THINK WE SHOULD 

5247
03:55:15,788 --> 03:55:18,224
KEEP TOP OF MIND THAT THE 

5248
03:55:18,224 --> 03:55:19,925
MAJORITY OF THE U.S. POPULATION 

5249
03:55:19,925 --> 03:55:21,627
IS ACTUALLY NOT MEETING THE 

5250
03:55:21,627 --> 03:55:22,728
RECOMMENDATIONS FOR DIETARY 

5251
03:55:22,728 --> 03:55:27,199
PATTERNS AND THAT SEEMS TO BE A 

5252
03:55:27,199 --> 03:55:31,137
THEME THROUGH EVERYTHING.

5253
03:55:31,137 --> 03:55:32,004
NE 

5254
03:55:34,306 --> 03:55:35,708
THE OTHER THING IS WHEN WE TRY 

5255
03:55:35,708 --> 03:55:37,810
TO MAKE ADJUSTMENTS AROUND THE 

5256
03:55:37,810 --> 03:55:39,512
PATTERN WE USUALLY FIND 

5257
03:55:39,512 --> 03:55:42,548
OURSELVES WITH LESS THAN IDEAL 

5258
03:55:42,548 --> 03:55:46,619
OUTCOMES FOR THE POPULATION AND 

5259
03:55:46,619 --> 03:55:47,486
THAT AGAIN GOES ACROSS THE 

5260
03:55:47,486 --> 03:55:52,124
VARIOUS WORK.

5261
03:55:52,124 --> 03:55:55,127
I ALSO THINK THAT IN THINKING 

5262
03:55:55,127 --> 03:55:58,798
ABOUT ADHERENCE TO THE HEALTHY 

5263
03:55:58,798 --> 03:56:01,233
PATTERNS, A GREAT DEAL OF MEAL 

5264
03:56:01,233 --> 03:56:01,901
PLANNING IS REQUIRED AND WHETHER

5265
03:56:01,901 --> 03:56:04,203
WE'RE LOOKING AT IT FROM THE 

5266
03:56:04,203 --> 03:56:09,408
STATE IT IDEOLOGICAL COMPONENTS 

5267
03:56:09,408 --> 03:56:11,744
OR MODELS OR PRACTICES AND 

5268
03:56:11,744 --> 03:56:18,818
WHETHER IT'S FEEDING OR 

5269
03:56:18,818 --> 03:56:19,084
CAREGIVER.

5270
03:56:19,084 --> 03:56:22,154
TOOLS AND HUMAN RESOURCES LIKE 

5271
03:56:22,154 --> 03:56:27,059
DIETATIONS ARE IMPORTANT PARTS 

5272
03:56:27,059 --> 03:56:32,364
OF THOSE CONVERSATIONS.

5273
03:56:32,364 --> 03:56:34,700
ALSO THE VARIOUS COMPONENTS 

5274
03:56:34,700 --> 03:56:37,002
WHETHER NUTRIENT OUTCOMES OR 

5275
03:56:37,002 --> 03:56:38,938
BEHAVIORAL OUTCOMES, MORE 

5276
03:56:38,938 --> 03:56:40,706
MODELLING THAT WE'VE GOT TO 

5277
03:56:40,706 --> 03:56:44,276
THINK ABOUT THE INDIVIDUAL IN A 

5278
03:56:44,276 --> 03:56:48,047
GREATER CONTEXT WHETHER FEDERAL 

5279
03:56:48,047 --> 03:56:49,815
AGENCIES ARE PLAYING A ROLE WITH

5280
03:56:49,815 --> 03:56:54,954
THE OTHER STRATIFICATION 

5281
03:56:54,954 --> 03:56:59,625
VARIABLES THAT WE'RE USING AND 

5282
03:56:59,625 --> 03:57:01,560
THE ROLE OF AGENCY BEHAVIOR IS 

5283
03:57:01,560 --> 03:57:02,628
SOMETHING WE SHOULD BE THINKING 

5284
03:57:02,628 --> 03:57:02,928
THROUGH.

5285
03:57:02,928 --> 03:57:05,731
>> CAN I JUMP IN THERE,
SHERYL 

5286
03:57:05,731 --> 03:57:07,132
FOR A SECOND.

5287
03:57:07,132 --> 03:57:13,339
I LOVE THIS CONCEPT OF ASKING WE

5288
03:57:13,339 --> 03:57:15,140
TALK ABOUT WHAT PEOPLE SHOULD 

5289
03:57:15,140 --> 03:57:18,777
EAT BUT WE DON'T ASK THE 

5290
03:57:18,777 --> 03:57:22,248
QUESTIONS AROUND WHY DO PEOPLE 

5291
03:57:22,248 --> 03:57:23,782
EAT WHAT THEY DO.

5292
03:57:23,782 --> 03:57:30,556
I'M GOING TO GIVE YOU A BREAK.

5293
03:57:30,556 --> 03:57:33,759
I'M EXCITED TO HEAR OTHER'S 

5294
03:57:33,759 --> 03:57:35,561
SUGGESTIONS BUT I WOULD LOVE TO 

5295
03:57:35,561 --> 03:57:37,029
THROW THE CONVERSATION TO JENNY 

5296
03:57:37,029 --> 03:57:38,831
TO START TALKING ABOUT BEHAVIOR 

5297
03:57:38,831 --> 03:57:41,700
BECAUSE I THINK YOU RAISED A 

5298
03:57:41,700 --> 03:57:44,203
REALLY IMPORTANT CONSIDERATION.

5299
03:57:44,203 --> 03:57:51,110
JENNY, WOULD YOU LIKE TO 

5300
03:57:51,110 --> 03:57:52,244
COMMENT?

5301
03:57:52,244 --> 03:57:56,148
>> I THINK YOU HAVE AN
IDEA.

5302
03:57:56,148 --> 03:57:58,317
>> I JUST WANT TO HEAR YOU
TALK 

5303
03:57:58,317 --> 03:58:00,152
MORE ABOUT BEHAVIOR.

5304
03:58:00,152 --> 03:58:02,187
>> THE WHYs I FEEL IN OUR 

5305
03:58:02,187 --> 03:58:04,723
DISCUSSION ABOUT HEALTH EQUITY 

5306
03:58:04,723 --> 03:58:06,425
THAT'S ONE PIECE IN THE FUTURE 

5307
03:58:06,425 --> 03:58:10,529
THAT IS IMPORTANT TO CONSIDER.

5308
03:58:10,529 --> 03:58:13,065
WE TALKED ABOUT SOCIAL 

5309
03:58:13,065 --> 03:58:15,768
DETERMINATES BUT WHAT DO WE KNOW

5310
03:58:15,768 --> 03:58:18,370
HOW HAS OUR SCIENTIFIC WORK 

5311
03:58:18,370 --> 03:58:22,107
HELPED US UNDERSTAND THE FACTORS

5312
03:58:22,107 --> 03:58:26,145
SHAPE THE ABILITY TO ENGAGE 

5313
03:58:26,145 --> 03:58:28,047
INDICT WE THINK ARE HEALTHY 

5314
03:58:28,047 --> 03:58:29,582
WHATEVER THAT LOOKS LIKE.

5315
03:58:29,582 --> 03:58:31,650
I SEE THAT AS A BIG OPPORTUNITY 

5316
03:58:31,650 --> 03:58:34,653
FOR THE FUTURE TO REALLY BRING 

5317
03:58:34,653 --> 03:58:39,792
THAT SCIENCE TOGETHER AS PART OF

5318
03:58:39,792 --> 03:58:42,094
THE PROCESS TO INFORM THE WAY WE

5319
03:58:42,094 --> 03:58:43,495
THINK ABOUT WHAT HAPPENS NEXT.

5320
03:58:43,495 --> 03:58:53,906
THAT'S WHAT I WOULD SAY.

5321
03:58:55,007 --> 03:58:55,708
>> THAT'S GREAT.

5322
03:58:55,708 --> 03:58:56,875
DOES ANYBODY ELSE WANT TO 

5323
03:58:56,875 --> 03:58:57,743
COMMENT ON BEHAVIOR?

5324
03:58:57,743 --> 03:59:05,017
I DON'T WANT TO LOSE BEHAVIOR?

5325
03:59:05,017 --> 03:59:10,456
>> IN THINKING OF WHAT WE 

5326
03:59:10,456 --> 03:59:13,258
DISCUSSED EARLIER ABOUT WE'RE 

5327
03:59:13,258 --> 03:59:15,127
DEPENDENT TO MEET NUTRIENT NEEDS

5328
03:59:15,127 --> 03:59:18,030
AND THINKING ABOUT FLEXIBILITY 

5329
03:59:18,030 --> 03:59:21,233
AND OTHER THINGS FOR GRAINS AND 

5330
03:59:21,233 --> 03:59:22,701
WONDERING IF AS THE EARLY 

5331
03:59:22,701 --> 03:59:27,473
CHILDHOOD BEHAVIOR IF YOU CAN 

5332
03:59:27,473 --> 03:59:30,175
GET LITTLE KIDS TO ACCEPT EATING

5333
03:59:30,175 --> 03:59:32,211
TONS OF FRUITS AND VEGETABLES 

5334
03:59:32,211 --> 03:59:34,713
AND WHOLE GRAINS THEN WE CAN GET

5335
03:59:34,713 --> 03:59:39,418
TO A WORLD IN WHICH WE'RE LESS 

5336
03:59:39,418 --> 03:59:42,388
DEPENDENT ON FORTIFICATION AND 

5337
03:59:42,388 --> 03:59:46,725
THE DATA ANALYSIS NUMBERS WOULD 

5338
03:59:46,725 --> 03:59:51,497
LOOK BETTER.

5339
03:59:51,497 --> 03:59:56,935
AND WHAT WE'LL SEE IN OUR 

5340
03:59:56,935 --> 03:59:58,437
ANALYSIS OF CHRONIC DISEASES AND

5341
03:59:58,437 --> 04:00:01,874
SO ON AND SO FORM.

5342
04:00:01,874 --> 04:00:04,243
>> I THINK CAROL WANTED TO
SAY.

5343
04:00:04,243 --> 04:00:06,178
>> ONE THING WE NEED TO
KNOW 

5344
04:00:06,178 --> 04:00:07,980
MORE ABOUT IS THE ENVIRONMENT.

5345
04:00:07,980 --> 04:00:10,649
WE LIVE UP A LOT OF 

5346
04:00:10,649 --> 04:00:10,983
ENVIRONMENTS.

5347
04:00:10,983 --> 04:00:13,052
OUR HOME, OUR COMMUNITY AND THEN

5348
04:00:13,052 --> 04:00:15,120
THE POLICY ENVIRONMENT OF THE 

5349
04:00:15,120 --> 04:00:16,989
FEDERAL LEVEL FOR EXAMPLE AND I 

5350
04:00:16,989 --> 04:00:18,157
THINK OUR UNDERSTANDING -- I 

5351
04:00:18,157 --> 04:00:20,059
THINK WE ALL AGREED THE 

5352
04:00:20,059 --> 04:00:21,393
ENVIRONMENTS DO HAVE AFFECTS ON 

5353
04:00:21,393 --> 04:00:23,128
OUR BEHAVIOR AND THE CHOICES 

5354
04:00:23,128 --> 04:00:28,233
THAT WE MAKE BUT WE DON'T 

5355
04:00:28,233 --> 04:00:29,768
UNDERSTAND HOW THOSE 

5356
04:00:29,768 --> 04:00:31,170
ENVIRONMENTS ARE REALLY 

5357
04:00:31,170 --> 04:00:33,005
AFFECTING US.

5358
04:00:33,005 --> 04:00:36,341
THINKING OF A SOCIAL, ECOLOGICAL

5359
04:00:36,341 --> 04:00:37,743
MODEL, ORGANIZATION, HOW DOES 

5360
04:00:37,743 --> 04:00:38,811
THAT COMMUNITY, THE UNITED 

5361
04:00:38,811 --> 04:00:40,713
STATES HOW DO WE FUNCTION IN 

5362
04:00:40,713 --> 04:00:43,115
THOSE ENVIRONMENTS AND THE 

5363
04:00:43,115 --> 04:00:53,492
CHOICES THAT WE MAKE?

5364
04:00:58,764 --> 04:01:00,499
>> DIANA, I THINK HEALTH 

5365
04:01:00,499 --> 04:01:02,367
COMMUNICATIONS WOULD BE A GOOD 

5366
04:01:02,367 --> 04:01:04,837
PLACE TO GO BECAUSE I KNOW WHEN 

5367
04:01:04,837 --> 04:01:06,705
YOU LOOK AT DIFFERENT 

5368
04:01:06,705 --> 04:01:10,542
POPULATIONS THE MESSAGING IS 

5369
04:01:10,542 --> 04:01:11,877
VERY DIFFERENT.

5370
04:01:11,877 --> 04:01:13,045
SO WE'VE DONE SOME MORE ON THAT 

5371
04:01:13,045 --> 04:01:18,250
IN TEXAS AND IT'S REALLY 

5372
04:01:18,250 --> 04:01:19,785
INTERESTING TO SEE WHAT MIGHT 

5373
04:01:19,785 --> 04:01:21,987
SET PEOPLE OFF AND WHAT DOESN'T 

5374
04:01:21,987 --> 04:01:24,523
AND HOW WE LOOK THAT IN IN TERMS

5375
04:01:24,523 --> 04:01:31,530
OF DIET WOULD BE INTERESTING.

5376
04:01:31,530 --> 04:01:34,133
>> VALERIE.

5377
04:01:34,133 --> 04:01:36,769
>> I DO A LOT OF WORK IN
POLICY 

5378
04:01:36,769 --> 04:01:38,837
SYSTEMS AND ENVIRONMENTS THAT'S 

5379
04:01:38,837 --> 04:01:44,510
REALLY BEEN A FOCUS OF MY 

5380
04:01:44,510 --> 04:01:44,743
CAREER.

5381
04:01:44,743 --> 04:01:46,044
I EMPHASIZE THAT BECAUSE I THINK

5382
04:01:46,044 --> 04:01:48,814
WE TO THE SO MUCH MORE THAN WE 

5383
04:01:48,814 --> 04:01:55,120
GIVE OURSELVES CREDIT FOR.

5384
04:01:55,120 --> 04:02:01,593
WE HAVE A LOT OF KNOWLEDGE AND 

5385
04:02:01,593 --> 04:02:03,695
LACK THE POLITICAL WILL TO PUT 

5386
04:02:03,695 --> 04:02:05,430
IN PLACE THE SCIENCE WE SPENT 

5387
04:02:05,430 --> 04:02:12,070
THE LAST SEVERAL DECADES 

5388
04:02:12,070 --> 04:02:12,371
COLLECTING.

5389
04:02:12,371 --> 04:02:14,139
THERE'S LARGE POPULATION GROUPS 

5390
04:02:14,139 --> 04:02:17,709
NOT INCLUDED IN THE SCIENCE, 

5391
04:02:17,709 --> 04:02:19,411
AMERICAN INDIAN AND ALASKAN 

5392
04:02:19,411 --> 04:02:21,180
NATIVES AND TESTING THE DIETARY 

5393
04:02:21,180 --> 04:02:22,247
GUIDELINES WITHIN THE 

5394
04:02:22,247 --> 04:02:24,516
POPULATIONS BUT I THINK THE DATA

5395
04:02:24,516 --> 04:02:26,418
POINT US OVER AND OVER TO THE 

5396
04:02:26,418 --> 04:02:31,123
FACT THAT NOBODY CAN MEET THESE 

5397
04:02:31,123 --> 04:02:31,423
GUIDELINES.

5398
04:02:31,423 --> 04:02:33,792
AND I THINK 3% OR WHATEVER THE 

5399
04:02:33,792 --> 04:02:40,799
VERY LOW PERCENTAGE IS THAT 

5400
04:02:40,799 --> 04:02:44,069
MEETING THE GUIDELINE MAY BE A 

5401
04:02:44,069 --> 04:02:45,170
WORTHWHILE ENDEAVOR TO STUDY HOW

5402
04:02:45,170 --> 04:02:47,372
THEY ARE PLAY BE DIFFERENT.

5403
04:02:47,372 --> 04:02:50,242
I THINK IT WOULD BE -- IT POINTS

5404
04:02:50,242 --> 04:02:52,244
TO LARGE STRUCTURAL AND SYSTEMS 

5405
04:02:52,244 --> 04:02:54,346
CHANGES THAT NEED TO BE MADE.

5406
04:02:54,346 --> 04:02:57,716
SO IF WE'RE INVESTING IN FUTURE 

5407
04:02:57,716 --> 04:02:58,650
RESEARCH AND REALLY ADVOCATE 

5408
04:02:58,650 --> 04:02:59,952
THAT WE LOOK AT THESE DIETARY 

5409
04:02:59,952 --> 04:03:02,621
GOOD LINES IN REAL WORLD 

5410
04:03:02,621 --> 04:03:04,690
SETTINGS -- GUIDELINES IN REAL 

5411
04:03:04,690 --> 04:03:06,191
WORLD SETTINGS AND INCLUDE 

5412
04:03:06,191 --> 04:03:08,894
PEOPLE FROM THESE COMMUNITIES ON

5413
04:03:08,894 --> 04:03:09,461
THE COMMITTEE.

5414
04:03:09,461 --> 04:03:11,563
WE REALLY NEED MORE DIVERSITY ON

5415
04:03:11,563 --> 04:03:13,098
THIS COMMITTEE.

5416
04:03:13,098 --> 04:03:15,133
WE NEED TO MAKE SPACE FOR 

5417
04:03:15,133 --> 04:03:18,070
DIVERSE VOICES SO WE CAN REALLY 

5418
04:03:18,070 --> 04:03:20,672
HEAR WHAT THE PROBLEMS ON THE 

5419
04:03:20,672 --> 04:03:26,111
GROUND ARE AND WE NEED TO BE 

5420
04:03:26,111 --> 04:03:28,714
PRETTY CANDID IN OUR PUSH FOR 

5421
04:03:28,714 --> 04:03:34,186
STRUCTURAL AND SYSTEMS CHANGES.

5422
04:03:34,186 --> 04:03:35,387
>> THANK YOU, VALERIE.

5423
04:03:35,387 --> 04:03:37,456
ANYBODY ELSE OR WE CAN GO BACK 

5424
04:03:37,456 --> 04:03:39,758
TO SHERYL.

5425
04:03:39,758 --> 04:03:40,692
CHRIST

5426
04:03:40,692 --> 04:03:41,793
CHRISTINE.

5427
04:03:41,793 --> 04:03:46,999
>> MY COMMENT IS MORE
PRACTICAL 

5428
04:03:46,999 --> 04:03:47,232
COMMENT.

5429
04:03:47,232 --> 04:03:48,433
SO I THINK MANY OF OUR 

5430
04:03:48,433 --> 04:03:51,970
CONCLUSION STATEMENTS WE HAVE TO

5431
04:03:51,970 --> 04:03:53,038
STOP BECAUSE WE DIDN'T HAVE THE 

5432
04:03:53,038 --> 04:03:56,875
DATA AVAILABLE IN THE PUBLISHED 

5433
04:03:56,875 --> 04:03:57,075
WORK.

5434
04:03:57,075 --> 04:03:58,010
THERE'S SO MUCH MORE THAT GETS 

5435
04:03:58,010 --> 04:03:58,710
DONE IN THE BACK END.

5436
04:03:58,710 --> 04:04:03,048
I THINK THERE'S A CALL FOR 

5437
04:04:03,048 --> 04:04:04,783
RESEARCHERS TO AND WE DIDN'T 

5438
04:04:04,783 --> 04:04:07,953
MENTION THIS YESTERDAY OR THIS 

5439
04:04:07,953 --> 04:04:08,954
MORNING TO WRITE MORE ABOUT THE 

5440
04:04:08,954 --> 04:04:11,990
THINGS THAT GO IN THE BACK END.

5441
04:04:11,990 --> 04:04:15,127
WE PROBABLY HAVE ALL THESE 

5442
04:04:15,127 --> 04:04:16,094
BEHAVIOR INTERVENTIONS WE BASE 

5443
04:04:16,094 --> 04:04:18,630
OUR INTERVENTIONS ON BUT DON'T 

5444
04:04:18,630 --> 04:04:20,299
ASK THE INDIVIDUALS OR MAYBE WE 

5445
04:04:20,299 --> 04:04:22,701
DO BUT DON'T PUBLISH THEM ON 

5446
04:04:22,701 --> 04:04:23,969
FROM ALL THOSE THINGS WHAT 

5447
04:04:23,969 --> 04:04:25,203
REALLY WORKED FOR THEM.

5448
04:04:25,203 --> 04:04:28,006
WHAT HELPED THEM MAKE THE 

5449
04:04:28,006 --> 04:04:28,240
CHANGES.

5450
04:04:28,240 --> 04:04:30,208
AND SO I THINK MORE GRANULARITY 

5451
04:04:30,208 --> 04:04:33,278
OF HOW PEOPLE ARE MAKING THOSE 

5452
04:04:33,278 --> 04:04:35,380
CHANGES AND MAYBE WE ARE 

5453
04:04:35,380 --> 04:04:38,784
GATHERING SOME INFORMATION FROM 

5454
04:04:38,784 --> 04:04:40,686
QUALITATIVE WORK PICKED UP IN 

5455
04:04:40,686 --> 04:04:42,421
OUR SYSTEMATIC REVIEWS.

5456
04:04:42,421 --> 04:04:43,855
I THINK THERE IS QUALITATIVE 

5457
04:04:43,855 --> 04:04:46,091
WORK SHOWING HOW PEOPLE ARE 

5458
04:04:46,091 --> 04:04:46,758
MAKING THOSE CHANGES.

5459
04:04:46,758 --> 04:04:50,028
MAYBE WE HAVE TO INCORPORATE 

5460
04:04:50,028 --> 04:04:52,497
SOME OF THOSE SYSTEMATIC REVIEWS

5461
04:04:52,497 --> 04:04:54,800
AND QUALITATIVE WORK HOW PEOPLE 

5462
04:04:54,800 --> 04:04:56,101
ARE MAKING THOSE CHANGES.

5463
04:04:56,101 --> 04:04:58,136
THERE'S MANY INTERVENTIONS OUT 

5464
04:04:58,136 --> 04:05:01,006
THERE SHOWING EFFECTIVE CHANGES 

5465
04:05:01,006 --> 04:05:02,507
TO IMPROVING SOME COMPONENTS AND

5466
04:05:02,507 --> 04:05:03,775
MAYBE NOT EVERYTHING BUT AT 

5467
04:05:03,775 --> 04:05:05,377
LEAST SOME COMPONENTS OF FRUITS 

5468
04:05:05,377 --> 04:05:07,713
AND VEGETABLES AND MAYBE HAVING 

5469
04:05:07,713 --> 04:05:09,181
THAT MORE GRANULARITY, HAVE THEY

5470
04:05:09,181 --> 04:05:11,683
DONE THAT WORK AND HOW THEY MAKE

5471
04:05:11,683 --> 04:05:15,120
THE CHANGE WILL INFORM FUTURE 

5472
04:05:15,120 --> 04:05:25,330
GUIDELINES.

5473
04:05:29,368 --> 04:05:30,836
>> I DON'T KNOW HOW MUCH
HAS 

5474
04:05:30,836 --> 04:05:33,905
BEEN LOOKED AT IN THE PAST BUT 

5475
04:05:33,905 --> 04:05:38,210
THINKING ABOUT THE PEOPLE AND 

5476
04:05:38,210 --> 04:05:42,748
HOW THEY GET WORK AND YOU SEE 

5477
04:05:42,748 --> 04:05:46,818
RELIANCE ON OTHER INDIVIDUALS, 

5478
04:05:46,818 --> 04:05:47,686
CAREGIVERS, OTHER SUPPORT 

5479
04:05:47,686 --> 04:05:51,490
SYSTEMS IN THINKING HOW THOSE 

5480
04:05:51,490 --> 04:05:53,759
PEOPLE ALSO SHAPE THE FOOD 

5481
04:05:53,759 --> 04:06:01,733
ENVIRONMENT AND ACCESSIBILITY.

5482
04:06:01,733 --> 04:06:02,834
>> I THINK THAT'S
IMPORTANT 

5483
04:06:02,834 --> 04:06:04,136
BECAUSE WE HAVE A LOT OF THE 

5484
04:06:04,136 --> 04:06:04,603
DATA.

5485
04:06:04,603 --> 04:06:07,105
WHAT WOULD BE THE PROCESS FOR 

5486
04:06:07,105 --> 04:06:09,341
INCLUDING A LOT OF THESE 

5487
04:06:09,341 --> 04:06:10,375
QUESTIONS IN THE QUESTION WITHIN

5488
04:06:10,375 --> 04:06:20,752
THE DIETARY GUIDELINE?

5489
04:06:23,188 --> 04:06:33,632
>> IN PRESENTING THE
CULTURAL 

5490
04:06:37,936 --> 04:06:45,310
BELIEFS AND WHEN YOU MOVE TO THE

5491
04:06:45,310 --> 04:06:48,513
UNITED STATES ARE THEY 

5492
04:06:48,513 --> 04:06:50,682
ASSIMILATING OR STAYING TOGETHER

5493
04:06:50,682 --> 04:06:51,950
TO THEIR BELIEFS AND EATING A 

5494
04:06:51,950 --> 04:06:55,087
CERTAIN WAY AND HOW DOES THAT 

5495
04:06:55,087 --> 04:06:55,754
INFLUENCE OVER ALL HEALTH.

5496
04:06:55,754 --> 04:06:57,789
MAYBE THAT WAS TRYING TO GET AT 

5497
04:06:57,789 --> 04:07:04,463
THE EVERYDAY BUT NOT QUITE 

5498
04:07:04,463 --> 04:07:07,466
THERE.

5499
04:07:07,466 --> 04:07:10,702
>> CAN YOU CLARIFY, ARE WE
ON 

5500
04:07:10,702 --> 04:07:13,205
THE QUESTION THAT'S ON THE 

5501
04:07:13,205 --> 04:07:15,407
SCREEN PROMPT FOR DISCUSSION OR 

5502
04:07:15,407 --> 04:07:17,242
FUTURE DIRECTION SECTION E?

5503
04:07:17,242 --> 04:07:17,843
WHICH CONVERSATION ARE WE 

5504
04:07:17,843 --> 04:07:25,517
ALLOWED TO BE IN?

5505
04:07:25,517 --> 04:07:27,452
>> I THINK WE'RE STARTING
WITH 

5506
04:07:27,452 --> 04:07:29,921
THE KEY INTEGRATION BUT IF YOU 

5507
04:07:29,921 --> 04:07:31,123
HAVE COMMENT ABOUT EITHER I 

5508
04:07:31,123 --> 04:07:32,958
THINK IT'S PERMISSIBLE.

5509
04:07:32,958 --> 04:07:35,127
>> MINE IS NOT FOR FUTURE 

5510
04:07:35,127 --> 04:07:37,429
DIRECTIONS BUT THINKING NOW 

5511
04:07:37,429 --> 04:07:43,135
RELATING TO THE DISCUSSION OF 

5512
04:07:43,135 --> 04:07:52,844
ENVIRONMENT I AGREE WITH VALERIE

5513
04:07:52,844 --> 04:07:57,549
THERE'S MASSIVE DATA AND 

5514
04:07:57,549 --> 04:08:00,352
BEHAVIORAL INTEGRATIONS ARE 

5515
04:08:00,352 --> 04:08:01,253
FIGHTING THE ENVIRONMENT.

5516
04:08:01,253 --> 04:08:02,320
YOU'RE TRYING TO PREPARE PEOPLE 

5517
04:08:02,320 --> 04:08:06,691
TO STEP OUT INTO A REALLY 

5518
04:08:06,691 --> 04:08:09,094
UNHEALTHY FOOD CONTEXT AND IT'S 

5519
04:08:09,094 --> 04:08:10,128
NOT SO MUCH ABOUT CHOOSING 

5520
04:08:10,128 --> 04:08:13,665
FRUITS AND VEGETABLES AS IT'S 

5521
04:08:13,665 --> 04:08:16,268
COMBATTING THE NOISE AROUND IT.

5522
04:08:16,268 --> 04:08:19,104
BRINGING IN THE FOOD PATTERN 

5523
04:08:19,104 --> 04:08:21,773
MODELLING THIS MORNING THE 

5524
04:08:21,773 --> 04:08:24,776
HEALTHY FOOD PATTERN WHEN WE 

5525
04:08:24,776 --> 04:08:27,312
MODEL OUR NUTRIENT DENSE IDEAL 

5526
04:08:27,312 --> 04:08:32,684
FOODS WITHIN EACH OF OUR FOOD 

5527
04:08:32,684 --> 04:08:40,692
GROUPS AND NON IDEAL FOODS WERE 

5528
04:08:40,692 --> 04:08:43,128
INTRODUCED FROM LESS NUTRIENT 

5529
04:08:43,128 --> 04:08:44,930
DENSE VERSIONS EVERYTHING GOT 

5530
04:08:44,930 --> 04:08:45,664
WORSE BUT THAT'S STILL WITHIN 

5531
04:08:45,664 --> 04:08:49,100
THE CONTEXT OF THE HUSS JUST 

5532
04:08:49,100 --> 04:08:51,636
USING THE ACTUAL FOODS CONSUMED.

5533
04:08:51,636 --> 04:08:55,106
AND TO ME THIS IS NOT A BEHAVIOR

5534
04:08:55,106 --> 04:08:57,209
BECAUSE EVEN IF YOU FOLLOWED 

5535
04:08:57,209 --> 04:09:00,478
HUSS TO THE T IN TERMS OF 

5536
04:09:00,478 --> 04:09:05,650
QUANTITY, WHAT'S AVAILABLE ARE 

5537
04:09:05,650 --> 04:09:08,853
VERSIONS THAT DOESN'T FEEL 

5538
04:09:08,853 --> 04:09:09,254
RIGHT.

5539
04:09:09,254 --> 04:09:10,989
IF YOU'RE PULLING THE GUIDELINES

5540
04:09:10,989 --> 04:09:13,091
YOU SHOULDN'T HAVE SATURATED 

5541
04:09:13,091 --> 04:09:21,299
FAT, ADDED SUGAR AND CALORIES 

5542
04:09:21,299 --> 04:09:25,870
ABOVE LIMITS AND  MICRO 

5543
04:09:25,870 --> 04:09:27,505
NUTRIENTS GOT WORSE AND WHY IS 

5544
04:09:27,505 --> 04:09:31,109
THERE A GAP BETWEEN AVAILABILITY

5545
04:09:31,109 --> 04:09:32,244
AND THE DENSE VERSION.

5546
04:09:32,244 --> 04:09:35,080
THIS IS QUALITY.

5547
04:09:35,080 --> 04:09:36,248
THIS IS DIETARY QUALITY.

5548
04:09:36,248 --> 04:09:39,985
I DON'T KNOW HOW TO CAPTURE THAT

5549
04:09:39,985 --> 04:09:43,221
BUT IT HAS TO BE PART OF THE 

5550
04:09:43,221 --> 04:09:43,521
DISCUSSION.

5551
04:09:43,521 --> 04:09:46,758
EVEN FOODS AND NUTRIENTS HAVE A 

5552
04:09:46,758 --> 04:09:55,100
VERY WIDE RANGE OF QUALITY.

5553
04:09:55,100 --> 04:09:56,434
INTEGRATING FINDINGS WITH WHAT 

5554
04:09:56,434 --> 04:09:58,703
WE ALSO KNOW AND MASSIVE 

5555
04:09:58,703 --> 04:10:01,740
EVIDENCE OF QUALITY IN THAT 

5556
04:10:01,740 --> 04:10:03,575
PATTERN IS IMPORTANT TO KEEP IN 

5557
04:10:03,575 --> 04:10:05,543
MIND AND BEYOND MICRO NUTRIENTS 

5558
04:10:05,543 --> 04:10:07,112
AND VITAMINS AND MINERALS AND 

5559
04:10:07,112 --> 04:10:09,714
FATS AND SUGARS THERE'S A 

5560
04:10:09,714 --> 04:10:12,984
MASSIVE GAP IN THE AVAILABILITY 

5561
04:10:12,984 --> 04:10:16,087
OF WHAT WE HAVE AROUND AND 

5562
04:10:16,087 --> 04:10:18,189
SELECT FROM EVEN FROM WHAT WE'RE

5563
04:10:18,189 --> 04:10:19,357
HEARING AND THAT'S CONCERNING 

5564
04:10:19,357 --> 04:10:20,625
AND THAT'S ENVIRONMENTAL.

5565
04:10:20,625 --> 04:10:22,727
THAT'S CHOOSING TO FOLLOW THE 

5566
04:10:22,727 --> 04:10:25,430
GUIDELINES WOULD BE BAD.

5567
04:10:25,430 --> 04:10:26,965
>> THANKS, DIDI.

5568
04:10:26,965 --> 04:10:27,999
CHRIS OR HEATHER DO YOU WANT TO 

5569
04:10:27,999 --> 04:10:28,967
MAKE A COMMENT IN RELATION TO 

5570
04:10:28,967 --> 04:10:39,077
THAT?

5571
04:10:43,548 --> 04:10:45,317
>> OUR WORK IS DIRECTLY
RELEVANT

5572
04:10:45,317 --> 04:10:46,117
BUT WE DON'T ADDRESS THAT.

5573
04:10:46,117 --> 04:10:51,122
I FEEL LIKE WE HAVE TO -- WHEN 

5574
04:10:51,122 --> 04:10:52,590
WE'RE THINKING ABOUT INTEGRATION

5575
04:10:52,590 --> 04:10:56,194
OF THE IDEAS WE CAME UP WITH WE 

5576
04:10:56,194 --> 04:10:58,463
DO HAVE TO INCORPORATE THAT 

5577
04:10:58,463 --> 04:11:04,703
BACKGROUND OR MAKE SURE WE DON'T

5578
04:11:04,703 --> 04:11:10,909
DISREGARD IT AND ADDING TO WHAT 

5579
04:11:10,909 --> 04:11:12,077
DIDI SAID I WORK WITH BEHAVIOR 

5580
04:11:12,077 --> 04:11:15,113
AND PSYCHOLOGISTS BEFORE AND I 

5581
04:11:15,113 --> 04:11:16,715
REMEMBER HEARING THEM SAY LOW 

5582
04:11:16,715 --> 04:11:22,554
POWER IS A LIMITED RESOURCE WE 

5583
04:11:22,554 --> 04:11:25,990
HAVE AND THE MORE THAT GETS 

5584
04:11:25,990 --> 04:11:27,392
TESTED THE MORE IT GETS USED UP 

5585
04:11:27,392 --> 04:11:31,496
AND IN THE CONTEXT OF ALL THE 

5586
04:11:31,496 --> 04:11:34,733
ENVIRONMENTS YOU'RE IN WHERE 

5587
04:11:34,733 --> 04:11:39,537
THERE'S DISCRETIONARY CALORIES I

5588
04:11:39,537 --> 04:11:42,540
THINK IT DOES BECOME UNREALISTIC

5589
04:11:42,540 --> 04:11:50,915
FOR ALL OF US PRETTY MUCH TO NOT

5590
04:11:50,915 --> 04:11:51,516
HAVE THOSE UNNUTRIENT DENSE 

5591
04:11:51,516 --> 04:12:01,626
FOODS.

5592
04:12:05,263 --> 04:12:11,736
I DON'T KNOW BUT ARE SO 

5593
04:12:11,736 --> 04:12:14,005
RECOGNIZE THAT.

5594
04:12:14,005 --> 04:12:16,040
>> THERE ARE CERTAIN
SECTIONS IN

5595
04:12:16,040 --> 04:12:17,409
THE REPORT WE CAN TALK ABOUT 

5596
04:12:17,409 --> 04:12:18,109
CONTEXT.

5597
04:12:18,109 --> 04:12:20,845
IF YOU LOOK AT THE PREVIOUS 

5598
04:12:20,845 --> 04:12:22,213
REPORT THERE'S AN ENTIRE 

5599
04:12:22,213 --> 04:12:28,887
DISCUSSION OF CONTEXT AS IT 

5600
04:12:28,887 --> 04:12:29,387
RELATES.

5601
04:12:29,387 --> 04:12:32,390
I THINK THOSE IMPORTANT POINTS 

5602
04:12:32,390 --> 04:12:34,392
IF YOU LOOK RAT THE CHARGE AND 

5603
04:12:34,392 --> 04:12:37,128
WHAT WE'RE PROVIDING IT DOESN'T 

5604
04:12:37,128 --> 04:12:39,130
LIMIT US IN THE FUTURE 

5605
04:12:39,130 --> 04:12:41,065
DIRECTIONS SECTION TO TALK ABOUT

5606
04:12:41,065 --> 04:12:45,236
INFORMATION THAT COULD BE 

5607
04:12:45,236 --> 04:12:46,738
INCORPORATED THAT MIGHT PUT A 

5608
04:12:46,738 --> 04:12:48,706
BROADER OR DIFFERENT LIGHT ON 

5609
04:12:48,706 --> 04:12:52,710
SOME OF THESE ANALYSES OR EVEN 

5610
04:12:52,710 --> 04:12:54,245
METHODO

5611
04:12:54,245 --> 04:12:54,546
METHODOLOGY.

5612
04:12:54,546 --> 04:12:59,884
AS WE GO THROUGH I THINK WE CAN 

5613
04:12:59,884 --> 04:13:01,886
THINK ABOUT CONCRETE THOUGHTS OF

5614
04:13:01,886 --> 04:13:03,655
WHAT COULD BE INCLUDED TO BRING 

5615
04:13:03,655 --> 04:13:04,722
THE BROADER PERSPECTIVE.

5616
04:13:04,722 --> 04:13:08,426
CHRIS AND THEN STEVE.

5617
04:13:08,426 --> 04:13:10,195
>> I THINK WHAT THIS
BRINGS 

5618
04:13:10,195 --> 04:13:13,531
FORWARD ESPECIALLY WITH THIS 

5619
04:13:13,531 --> 04:13:17,869
CONVERSATION IS I THINK THERE'S 

5620
04:13:17,869 --> 04:13:19,103
AN ASSUMPTION NUTRITION RESEARCH

5621
04:13:19,103 --> 04:13:21,272
AND SCIENCE IS EASY BECAUSE IT'S

5622
04:13:21,272 --> 04:13:24,275
BEHAVIOR CHANGE AND MAKING 

5623
04:13:24,275 --> 04:13:26,110
RECOMMENDATIONS AND PEOPLE WILL 

5624
04:13:26,110 --> 04:13:27,345
EAT BETTER.

5625
04:13:27,345 --> 04:13:29,314
WE ALREADY KNOW EATING WELL 

5626
04:13:29,314 --> 04:13:31,182
LEADS TO BETTER CHRONIC DISEASE 

5627
04:13:31,182 --> 04:13:33,117
OUTCOMES SO WHY DO WE INVEST IN 

5628
04:13:33,117 --> 04:13:33,284
IT?

5629
04:13:33,284 --> 04:13:37,021
WE ALREADY KNOW THAT BUT WE'RE 

5630
04:13:37,021 --> 04:13:39,123
ALREADY SEEING A HUGE CHASM.

5631
04:13:39,123 --> 04:13:39,958
FOOD IS SOCIAL.

5632
04:13:39,958 --> 04:13:45,129
FOOD IS CULTURAL.

5633
04:13:45,129 --> 04:13:53,471
FOOD IS NOURISHMENT IT'S DRIVEN 

5634
04:13:53,471 --> 04:13:57,208
BY ACCESSIBILITY IN THE MIDST OF

5635
04:13:57,208 --> 04:13:57,709
OTHER DEMANDS.

5636
04:13:57,709 --> 04:14:00,178
THE COMPLEX NATURE TO GETTING TO

5637
04:14:00,178 --> 04:14:02,680
THE HEALTHY U.S. STYLE PATTERN 

5638
04:14:02,680 --> 04:14:04,282
LEAD TO A LOT OF CHALLENGES THAT

5639
04:14:04,282 --> 04:14:05,483
HAVE TO BE OVERCOME.

5640
04:14:05,483 --> 04:14:08,219
I THINK THE EVIDENCE WE'RE 

5641
04:14:08,219 --> 04:14:11,556
SEEING IS THERE ARE A LOT OF 

5642
04:14:11,556 --> 04:14:13,091
FACTORS AND I THINK SODIUM 

5643
04:14:13,091 --> 04:14:16,528
COMING OUT IN THE SIMULATIONS IS

5644
04:14:16,528 --> 04:14:18,129
ONE PRIME EXAMPLE.

5645
04:14:18,129 --> 04:14:22,600
WE CAN CONTINUE TO PUSH FOR 

5646
04:14:22,600 --> 04:14:23,268
COMBATTING HYPERTENSION IN THE 

5647
04:14:23,268 --> 04:14:24,102
HEALTH CARE SYSTEM BUT WITHOUT 

5648
04:14:24,102 --> 04:14:30,108
THE EVIDENCE WE'RE GETTING THAT 

5649
04:14:30,108 --> 04:14:32,076
SAYING IF WE TRY TO LIMIT FOODS 

5650
04:14:32,076 --> 04:14:35,413
WITH SODIUM IT'S GOING TO BE 

5651
04:14:35,413 --> 04:14:37,482
HIGH BECAUSE IT'S UBIQUITOUS IN 

5652
04:14:37,482 --> 04:14:41,686
OUR FOOD SUPPLY BUT WITHOUT THE 

5653
04:14:41,686 --> 04:14:42,720
EVIDENCE IT WILL CONTINUE TO BE 

5654
04:14:42,720 --> 04:14:44,556
MAYBE KICK THE CAN DOWN THE ROAD

5655
04:14:44,556 --> 04:14:46,724
AND NOW WE HAVE KEY ASPECTS FROM

5656
04:14:46,724 --> 04:14:51,029
THE EVIDENCE TO MAKE THE 

5657
04:14:51,029 --> 04:14:51,296
ARGUMENT.

5658
04:14:51,296 --> 04:14:56,034
>> STEVE AND THEN I THINK
TERESA

5659
04:14:56,034 --> 04:14:57,068
HAD HER HAND UP.

5660
04:14:57,068 --> 04:15:00,371
>> IT'S BASED ON LIFE
CYCLE.

5661
04:15:00,371 --> 04:15:03,374
LIFE CYCLE IS WHERE PEOPLE BUY 

5662
04:15:03,374 --> 04:15:06,311
FOOD FOR FAMILY AND WE HAVE TO 

5663
04:15:06,311 --> 04:15:08,713
CONSIDER -- AN EXAMPLE IS LOW 

5664
04:15:08,713 --> 04:15:12,417
FAT VERSUS HIGH FAT MILK.

5665
04:15:12,417 --> 04:15:17,589
1 YEAR OLDS GET FULL FAT AND 

5666
04:15:17,589 --> 04:15:19,657
ADULTS MAY GO SKIM MILK.

5667
04:15:19,657 --> 04:15:22,594
PEOPLE DON'T WANT TO WASTE FOOD.

5668
04:15:22,594 --> 04:15:24,462
THEY PURCHASE FOOD AS A FAMILY 

5669
04:15:24,462 --> 04:15:26,898
AND WE HAVE TO LOOK AT THE 

5670
04:15:26,898 --> 04:15:28,266
FLEXIBILITY AND THE PATTERNS 

5671
04:15:28,266 --> 04:15:31,302
THAT ALLOW US TO OPERATE FOOD 

5672
04:15:31,302 --> 04:15:33,771
PURCHASING AS A FAMILY 

5673
04:15:33,771 --> 04:15:34,739
FINANCIALLY EFFICIENT AND MEETS 

5674
04:15:34,739 --> 04:15:36,908
THE NEEDS OF THE FAMILY AS WELL 

5675
04:15:36,908 --> 04:15:39,110
AS TRYING TO MEET THE CHILDREN'S

5676
04:15:39,110 --> 04:15:40,044
REQUIREMENT.

5677
04:15:40,044 --> 04:15:42,246
AS LONG AS WE CONTINUE TO LOOK 

5678
04:15:42,246 --> 04:15:46,718
AT EVERYTHING BY AN AGE CYCLE WE

5679
04:15:46,718 --> 04:15:48,252
MAY LOSE PEOPLE EATING TOGETHER 

5680
04:15:48,252 --> 04:15:51,055
AS THE A FAMILY AND MAKE FOOD 

5681
04:15:51,055 --> 04:15:56,828
CHOICES AS A FAMILY.

5682
04:15:56,828 --> 04:16:03,101
>> IN RESPONSE TO
SAMEERA'S FOOD

5683
04:16:03,101 --> 04:16:05,670
EQUITY POINT HOW THEY ASSIMILATE

5684
04:16:05,670 --> 04:16:09,240
TO THE U.S. DATA THAT MAY NOT 

5685
04:16:09,240 --> 04:16:11,109
COME FROM QUANTITATIVE DATA IT 

5686
04:16:11,109 --> 04:16:12,977
MAY COME FROM QUALITATIVE DATA 

5687
04:16:12,977 --> 04:16:14,345
TO UNDERSTAND WHAT PEOPLE ARE 

5688
04:16:14,345 --> 04:16:19,617
DOING IN BEHAVIOR AND SOME WAY 

5689
04:16:19,617 --> 04:16:26,758
TO HARNESS THE DATA AND USED 

5690
04:16:26,758 --> 04:16:34,932
QUALITATIVE DATA WOULD BE GREAT.

5691
04:16:34,932 --> 04:16:39,070
>> FATIMA.

5692
04:16:39,070 --> 04:16:42,206
>> AND AS SOMEONE WHO
TREATS 

5693
04:16:42,206 --> 04:16:46,878
PEOPLE FROM TWINKLE TO WRINKLE 

5694
04:16:46,878 --> 04:16:48,479
IT'S IMPORTANT TO THINK ABOUT 

5695
04:16:48,479 --> 04:16:49,814
THE DIETARY PATTERN ACROSS THE 

5696
04:16:49,814 --> 04:16:50,181
LIFE SPAN.

5697
04:16:50,181 --> 04:16:53,885
AS HUMANS WE DON'T REALLY THINK 

5698
04:16:53,885 --> 04:16:56,054
IN CONCRETE AND SOMEONE WHO 

5699
04:16:56,054 --> 04:16:58,489
TREATS PATIENTS I DON'T THINK 

5700
04:16:58,489 --> 04:17:00,324
ABOUT MY 2-YEAR-OLD WHERE THIS 

5701
04:17:00,324 --> 04:17:03,861
IS JUST THE 2-YEAR-OLD AND 

5702
04:17:03,861 --> 04:17:05,630
10-YEAR-OLD OR 20 OR 50 OR 

5703
04:17:05,630 --> 04:17:05,930
90-YEAR-OLD.

5704
04:17:05,930 --> 04:17:08,299
THESE PATIENTS ARE COMING TO ME 

5705
04:17:08,299 --> 04:17:10,501
ACROSS THE LIFE SPAN AND I HAVE 

5706
04:17:10,501 --> 04:17:12,236
TO THINK ABOUT THE HUMAN IN 

5707
04:17:12,236 --> 04:17:16,941
FRONT OF ME AND THE CONTEXT OF 

5708
04:17:16,941 --> 04:17:18,910
THEM IN THAT FAMILY.

5709
04:17:18,910 --> 04:17:21,579
YOU'RE RIGHT THEY'RE FROT JUST 

5710
04:17:21,579 --> 04:17:22,447
BUYING ONE THING FOR ONE PERSON 

5711
04:17:22,447 --> 04:17:24,082
IN THE HOUSEHOLD BUT FOR THE 

5712
04:17:24,082 --> 04:17:24,315
FAMILY.

5713
04:17:24,315 --> 04:17:26,017
AS WE THINK ABOUT THIS FROM AN 

5714
04:17:26,017 --> 04:17:28,019
INTEGRATION MODEL WE DO HAVE TO 

5715
04:17:28,019 --> 04:17:30,955
THINK ABOUT THIS ACROSS THE 

5716
04:17:30,955 --> 04:17:34,726
SPECTRUM, ACROSS THE LIFE COURSE

5717
04:17:34,726 --> 04:17:36,561
AND I LOVE THE TWINKLE TO 

5718
04:17:36,561 --> 04:17:37,895
WRINKLE CONCEPT OF THINKING HOW 

5719
04:17:37,895 --> 04:17:41,833
ARE WE GOING TO INTEGRATE THIS 

5720
04:17:41,833 --> 04:17:45,103
FROM A HEALTH EQUITY PERSPECTIVE

5721
04:17:45,103 --> 04:17:46,604
ACROSS THE LIFE SPAN AND MEET 

5722
04:17:46,604 --> 04:17:48,639
THE NEEDS OF THE AMERICAN PUBLIC

5723
04:17:48,639 --> 04:17:51,109
FROM ALL OF OUR DIVERSE LENSES 

5724
04:17:51,109 --> 04:17:55,113
ACROSS THAT LIFE SPAN.

5725
04:17:55,113 --> 04:17:56,380
THANKS SO MUCH FOR BRINGING THAT

5726
04:17:56,380 --> 04:18:01,419
UP AND ALLOWING MY COMMUNITY 

5727
04:18:01,419 --> 04:18:02,353
MEMBERS TO ALLOW ME TO INTEGRATE

5728
04:18:02,353 --> 04:18:02,787
THAT TOGETHER.

5729
04:18:02,787 --> 04:18:04,889
>> WE MENTIONED THE LIFE
SPAN.

5730
04:18:04,889 --> 04:18:06,891
I WANT TO BRING FORWARD TO THE 

5731
04:18:06,891 --> 04:18:08,359
COMMITTEE WE HAD ONLY ONE 

5732
04:18:08,359 --> 04:18:10,728
SPECIFIC QUESTION RELATED TO 

5733
04:18:10,728 --> 04:18:14,732
OLDER ADULT -- WE HAD ONE 

5734
04:18:14,732 --> 04:18:18,169
SPECIFIC AND I THINK THAT'S KIND

5735
04:18:18,169 --> 04:18:20,004
OF PROBLEMATIC BECAUSE WE DID 

5736
04:18:20,004 --> 04:18:23,674
LOOK AT SARCOPENIA, FRAILTY AND 

5737
04:18:23,674 --> 04:18:27,812
REALIZE WE DIDN'T HAVE DATA OR 

5738
04:18:27,812 --> 04:18:29,580
WHICH WEREN'T ENOUGH STUDIES AND

5739
04:18:29,580 --> 04:18:32,817
DIDN'T DO SYSTEMATIC REVIEW ON 

5740
04:18:32,817 --> 04:18:32,984
IT.

5741
04:18:32,984 --> 04:18:33,551
THAT'S THE POPULATION FAST 

5742
04:18:33,551 --> 04:18:34,685
GROWING AND WE'RE NOT LOOKING AT

5743
04:18:34,685 --> 04:18:39,123
THAT AT ALL.

5744
04:18:39,123 --> 04:18:49,567
I THINK THAT'S A HUGE -- 

5745
04:18:52,603 --> 04:18:55,106
>> THANK YOU FOR RAISING
THAT.

5746
04:18:55,106 --> 04:18:57,675
THE DATA SUGGESTS IN 20 YEARS 

5747
04:18:57,675 --> 04:19:00,111
FROM NOW THERE'LL BE MORE PEOPLE

5748
04:19:00,111 --> 04:19:03,080
65 AND OLDER THAN 18 AND YOUNGER

5749
04:19:03,080 --> 04:19:05,483
AND THE FASTEST DEMOGRAPHIC 

5750
04:19:05,483 --> 04:19:12,089
GROUP IS 85 YEARS AND OLDER.

5751
04:19:12,089 --> 04:19:14,358
SO I HAVE STRUGGLED A BIT WITH 

5752
04:19:14,358 --> 04:19:16,727
UNDERSTANDING HOW WE DEFINE 

5753
04:19:16,727 --> 04:19:20,798
HEALTH IN OUR QUESTIONS WHEN 

5754
04:19:20,798 --> 04:19:22,033
LOOKING THROUGH THE LENS OF THE 

5755
04:19:22,033 --> 04:19:31,108
EVIDENCE FOR OLDER ADULTS 

5756
04:19:31,108 --> 04:19:33,778
BECAUSE THERE'S CHRONIC DISEASE 

5757
04:19:33,778 --> 04:19:34,912
PREVENTION AND THAT'S CRITICAL.

5758
04:19:34,912 --> 04:19:37,248
THE REALITY IS PEOPLE ARE LIVING

5759
04:19:37,248 --> 04:19:42,253
LONGER RAND THEY'RE INDEPENDENT 

5760
04:19:42,253 --> 04:19:43,688
AND ARE LIVING WITH CHRONIC 

5761
04:19:43,688 --> 04:19:48,326
DISEASES AND WE SHOULD BE 

5762
04:19:48,326 --> 04:19:49,961
THINKING ABOUT THE EVIDENCE OF 

5763
04:19:49,961 --> 04:19:51,762
WHAT PEOPLE SHOULD BE EATING IN 

5764
04:19:51,762 --> 04:19:56,300
THEIR 70s AND 80s TO EXTEND THE 

5765
04:19:56,300 --> 04:19:57,468
HEALTH STAN.

5766
04:19:57,468 --> 04:20:00,371
WE LOOK AT LONGEVITY CONSIDERED 

5767
04:20:00,371 --> 04:20:01,239
LIFE SPAN BUT IT'S HEALTH SPAN 

5768
04:20:01,239 --> 04:20:04,208
AND I THINK IT'S REALLY 

5769
04:20:04,208 --> 04:20:07,778
IMPORTANT THAT YOU CAN'T TELL A 

5770
04:20:07,778 --> 04:20:10,715
7-YEAR-OLD WELL YOU SHOULD HAVE 

5771
04:20:10,715 --> 04:20:12,049
BEEN EATING FRUITS AND 

5772
04:20:12,049 --> 04:20:15,820
VEGETABLES AT THE TIME YOU WERE 

5773
04:20:15,820 --> 04:20:15,953
2.

5774
04:20:15,953 --> 04:20:17,421
SHERYL YOU ARTICULATED IT SO 

5775
04:20:17,421 --> 04:20:20,791
WELL, THIS IS FOR ALL THE PEOPLE

5776
04:20:20,791 --> 04:20:21,225
IN THE U.S.

5777
04:20:21,225 --> 04:20:24,095
SO I THINK THESE ARE REALLY 

5778
04:20:24,095 --> 04:20:24,729
IMPORTANT CONSIDERATIONS AND I 

5779
04:20:24,729 --> 04:20:29,066
THINK THE DEFINITION OF HEALTH I

5780
04:20:29,066 --> 04:20:31,903
WOULD RECOMMEND FOR THE NEXT 

5781
04:20:31,903 --> 04:20:33,838
SETS OF QUESTIONS GENERATED FOR 

5782
04:20:33,838 --> 04:20:36,874
FUTURE COMMITTEES LIKE REALLY 

5783
04:20:36,874 --> 04:20:38,509
THINK ABOUT WHAT IS THE ACTUAL 

5784
04:20:38,509 --> 04:20:45,783
HOW YOU'RE DEFINING HEALTH.

5785
04:20:45,783 --> 04:20:52,890
THANK YOU.

5786
04:20:52,890 --> 04:20:55,493
>> THIS ECHOS THE SAME
THOUGHTS 

5787
04:20:55,493 --> 04:21:03,701
AND THIS IS JUST THINKING OUT 

5788
04:21:03,701 --> 04:21:05,903
LOUD AND THERE'S MANY ISSUES OF 

5789
04:21:05,903 --> 04:21:10,675
HEALTH ARE FUNDAMENTALLY TIED TO

5790
04:21:10,675 --> 04:21:11,876
DEVELOPMENT AND THE COGNITIVE 

5791
04:21:11,876 --> 04:21:14,679
AND SOCIAL DEVELOPMENT AND I 

5792
04:21:14,679 --> 04:21:19,116
COULDN'T HELP BUT THINK IN 

5793
04:21:19,116 --> 04:21:22,186
DIETARY PATTERN CONVERSATIONS 

5794
04:21:22,186 --> 04:21:26,057
CHRONIC DISEASE AND IT'S 

5795
04:21:26,057 --> 04:21:34,332
CHILDREN AND THINK ONE OF THE 

5796
04:21:34,332 --> 04:21:35,800
OPPORTUNITIES HERE FOR FUTURE 

5797
04:21:35,800 --> 04:21:37,635
COMMITTEES IS TO BUILD ON THE 

5798
04:21:37,635 --> 04:21:43,674
MOMENTUM OF THINKING OF LIFE 

5799
04:21:43,674 --> 04:21:49,547
STAGE AND LOOK AT GOALS TO ALLOW

5800
04:21:49,547 --> 04:21:52,116
TO YOU ASK QUESTIONS AND FRAME 

5801
04:21:52,116 --> 04:21:54,719
HEALTH MAYBE IN WAYS THAT WERE 

5802
04:21:54,719 --> 04:21:56,053
UNIQUE TO LIFE STAGE.

5803
04:21:56,053 --> 04:21:59,056
SO IT'S MORE OF A CONCEPTUAL 

5804
04:21:59,056 --> 04:22:03,127
IDEA BUT IT COULD DRIVE THE 

5805
04:22:03,127 --> 04:22:04,895
QUESTIONS AND WE ONLY GET THE 

5806
04:22:04,895 --> 04:22:07,565
ANSWERS FROM THE QUESTIONS WE 

5807
04:22:07,565 --> 04:22:07,732
ASK.

5808
04:22:07,732 --> 04:22:09,900
I'M WITH YOU IT WOULD BE A GREAT

5809
04:22:09,900 --> 04:22:12,737
DIRECTION TO TRY TO ARTICULATE 

5810
04:22:12,737 --> 04:22:19,944
WHAT THAT WOULD LOOK LIKE.

5811
04:22:19,944 --> 04:22:22,013
>> IN TERMS OF
ENVIRONMENT, SOME

5812
04:22:22,013 --> 04:22:23,381
THINGS WE SHOULD DO IS BUILD ON 

5813
04:22:23,381 --> 04:22:24,548
WHAT'S ALREADY HAPPENING.

5814
04:22:24,548 --> 04:22:27,852
SO IN TERMS OF THE ENVIRONMENT 

5815
04:22:27,852 --> 04:22:30,021
AND POLICY CHILD NUTRITION 

5816
04:22:30,021 --> 04:22:31,789
RE-AUTHORIZATION HASN'T HAPPENED

5817
04:22:31,789 --> 04:22:32,423
FOR YEARS.

5818
04:22:32,423 --> 04:22:33,424
CAN WE MAKE RECOMMENDATIONS FOR 

5819
04:22:33,424 --> 04:22:39,497
THAT BASED ON WHAT WE FOUND.

5820
04:22:39,497 --> 04:22:43,634
CACFP PART OF THAT ARE PLACES 

5821
04:22:43,634 --> 04:22:45,770
WHERE WE CAN CONTROL FOR 

5822
04:22:45,770 --> 04:22:46,070
ENVIRONMENT.

5823
04:22:46,070 --> 04:22:48,606
ANOTHER THING IS WE REALLY NEED 

5824
04:22:48,606 --> 04:22:51,675
TO LOOK AT THE FOOD AS MEDICINE 

5825
04:22:51,675 --> 04:22:54,512
WHAT'S GOING ON THERE AND HOW 

5826
04:22:54,512 --> 04:22:59,750
CAN OUR RECOMMENDATIONS FIT INTO

5827
04:22:59,750 --> 04:23:05,156
THERE AND HOW DO YOU FEED AN 

5828
04:23:05,156 --> 04:23:06,991
OLDER PERSON YOU'RE BRINGING 

5829
04:23:06,991 --> 04:23:08,793
FOOD TO.

5830
04:23:08,793 --> 04:23:11,762
THOSE ARE ALL THINGS AND 

5831
04:23:11,762 --> 04:23:12,696
REQUIREMENT -- THERE'S 

5832
04:23:12,696 --> 04:23:14,632
RECOMMENDATIONS FOR CHARITABLE 

5833
04:23:14,632 --> 04:23:17,001
FOOD SYSTEMS, WHAT CAN WE TWO 

5834
04:23:17,001 --> 04:23:17,301
THERE.

5835
04:23:17,301 --> 04:23:19,637
HOW CAN WE BUILD ON WHAT'S 

5836
04:23:19,637 --> 04:23:22,706
ALREADY OUT THERE AND INSERT THE

5837
04:23:22,706 --> 04:23:31,115
DIETARY GUIDELINES.

5838
04:23:31,115 --> 04:23:34,285
>> SO GOING BACK TO THE
QUESTION

5839
04:23:34,285 --> 04:23:35,719
AND WHAT PEOPLE ARE PURCHASING 

5840
04:23:35,719 --> 04:23:40,724
AS A FAMILY WOULD WE HAVE THE 

5841
04:23:40,724 --> 04:23:44,929
HUSS THE MODIFICATIONS OF 

5842
04:23:44,929 --> 04:23:47,131
PORTION SIZE AND HAVE THE 

5843
04:23:47,131 --> 04:23:48,432
PORTION COMPONENT SOLVED OF 

5844
04:23:48,432 --> 04:23:49,333
CERTAIN FOODS.

5845
04:23:49,333 --> 04:23:50,768
I THINK WE SAW IT AS A LIFE 

5846
04:23:50,768 --> 04:23:55,940
STAGE BUT NOW WE HAVE THE 

5847
04:23:55,940 --> 04:23:57,241
OPPORTUNITY OF THE HUSS ACROSS 

5848
04:23:57,241 --> 04:24:01,312
THE LIFE STAGES AND PORTION SIZE

5849
04:24:01,312 --> 04:24:07,685
AND CULTURALLY TAILORED FOODS.

5850
04:24:07,685 --> 04:24:10,621
I THINK THERE'S INTEGRATION 

5851
04:24:10,621 --> 04:24:12,857
DELIVERABLES WE CAN TAKE FROM 

5852
04:24:12,857 --> 04:24:14,325
HERE THOUGH WE TOOK THE LIFE 

5853
04:24:14,325 --> 04:24:17,995
SPAN AND HAVE ALL THE THINGS 

5854
04:24:17,995 --> 04:24:19,597
ACROSS AND PARTICULAR 

5855
04:24:19,597 --> 04:24:22,500
INTERVENTIONS TO HELP MEET THOSE

5856
04:24:22,500 --> 04:24:25,169
AMOUNTS THAT ARE RECOMMENDATIONS

5857
04:24:25,169 --> 04:24:27,538
IN THE HUSS BY LIMITING PORTION 

5858
04:24:27,538 --> 04:24:29,306
SIZE THEN TAILORED TO THE AGE 

5859
04:24:29,306 --> 04:24:31,342
GROUP YOU'RE WORKING WITH 

5860
04:24:31,342 --> 04:24:32,543
BECAUSE IT CANNOT SERVE 

5861
04:24:32,543 --> 04:24:34,211
EVERYBODY THE SAME AMOUNT OF 

5862
04:24:34,211 --> 04:24:34,411
MEALS.

5863
04:24:34,411 --> 04:24:35,646
THOUGH YOU'RE PURCHASING FOR THE

5864
04:24:35,646 --> 04:24:37,915
ENTIRE FAMILY YOU HAVE TO LOWER 

5865
04:24:37,915 --> 04:24:41,118
THE PORTIONS AND HAVE SMALLER 

5866
04:24:41,118 --> 04:24:43,254
PORTION SIZES FOR CHILDREN, 

5867
04:24:43,254 --> 04:24:46,724
LARGER FOR OTHER INDIVIDUALS IN 

5868
04:24:46,724 --> 04:24:48,092
THE FAMILY AND HAVE TO MODIFY 

5869
04:24:48,092 --> 04:24:52,730
THE AMOUNT.

5870
04:24:52,730 --> 04:24:55,099
INTEGRATING THAT I THINK IS 

5871
04:24:55,099 --> 04:25:03,073
IMPORTANT.

5872
04:25:03,073 --> 04:25:04,475
>> THREE MORE THINGS.

5873
04:25:04,475 --> 04:25:08,012
ACROSS EACH SECTION I WOULD 

5874
04:25:08,012 --> 04:25:09,046
THINK ABOUT STUDY DESIGN.

5875
04:25:09,046 --> 04:25:13,350
WE SAW SOME OF THE ISSUES AROUND

5876
04:25:13,350 --> 04:25:15,119
EXPOSURE ASSESSMENT AND OUTCOMES

5877
04:25:15,119 --> 04:25:17,054
ASSESSMENT AND THE INTERMEDIATE 

5878
04:25:17,054 --> 04:25:17,855
VARIABLES AND HOW THEY'RE 

5879
04:25:17,855 --> 04:25:20,224
MEASURED, IF THEY'RE MEASURED, 

5880
04:25:20,224 --> 04:25:21,292
HOW THAT IMPACTS EVERYTHING 

5881
04:25:21,292 --> 04:25:22,092
WE'RE DOING.

5882
04:25:22,092 --> 04:25:25,029
THE OTHER IN ADDITION TO WHAT 

5883
04:25:25,029 --> 04:25:26,964
DIDI RAISED ABOUT DIET QUALITY 

5884
04:25:26,964 --> 04:25:28,732
THINKING ABOUT BIO AVAILABILITY 

5885
04:25:28,732 --> 04:25:32,636
OF NUTRIENTS IN EACH PARTS OF 

5886
04:25:32,636 --> 04:25:36,807
OUR REPORT AND THEN LASTLY THE 

5887
04:25:36,807 --> 04:25:40,411
IDEA THAT WE HAVE NUTRIENTS OF 

5888
04:25:40,411 --> 04:25:41,378
SPECIAL CONSIDERATION BECAUSE AS

5889
04:25:41,378 --> 04:25:43,113
WE DO THAT FIRST PART OF THE 

5890
04:25:43,113 --> 04:25:44,782
REPORT WHERE WE'RE THINKING 

5891
04:25:44,782 --> 04:25:50,554
ABOUT IDEOLOGIC RELATIONSHIPS WE

5892
04:25:50,554 --> 04:25:54,091
DON'T YET LOOK AT 

5893
04:25:54,091 --> 04:25:55,426
OVERCONSUMPTION AND UNDER 

5894
04:25:55,426 --> 04:25:56,627
CONSUMPTION AND THERE'S A BUCKET

5895
04:25:56,627 --> 04:25:58,729
SITTING SOMEWHERE OF THINGS THAT

5896
04:25:58,729 --> 04:26:00,064
ARE SPECIAL CONSIDERATIONS AND 

5897
04:26:00,064 --> 04:26:01,899
PULLING THAT THROUGH AND NOT 

5898
04:26:01,899 --> 04:26:02,466
FORGETTING TO STRING THOSE 

5899
04:26:02,466 --> 04:26:12,576
ALONG.

5900
04:26:19,683 --> 04:26:21,418
>> FOR ME INTEGRATION
WOULD BE 

5901
04:26:21,418 --> 04:26:24,188
ALSO WHAT WOULD BE THE TOP 

5902
04:26:24,188 --> 04:26:30,995
PRIORITY FOR THE HIGHEST IMPACT 

5903
04:26:30,995 --> 04:26:32,663
ON TAKING CURRENT INTAKE AND 

5904
04:26:32,663 --> 04:26:33,163
RAISING THEM CLOSER TO THE 

5905
04:26:36,166 --> 04:26:36,300
 DGA.

5906
04:26:36,300 --> 04:26:39,103
WE TALK ABOUT THE IDEAL HUSS 

5907
04:26:39,103 --> 04:26:41,639
WE'RE REALLY FAR.

5908
04:26:41,639 --> 04:26:43,741
SO WHAT ARE THE STEPS TO MOVE 

5909
04:26:43,741 --> 04:26:49,680
THE NEEDLE THE MOST CONSIDERING 

5910
04:26:49,680 --> 04:26:51,882
RESOURCES ARE LIMITED 

5911
04:26:51,882 --> 04:26:53,384
CONSIDERING THERE'S MER 

5912
04:26:53,384 --> 04:26:58,722
KNOWLEDGE THAN EVEN THE 

5913
04:26:58,722 --> 04:27:00,124
COMMITTEE IS BRINGING LIKE 

5914
04:27:00,124 --> 04:27:02,726
VALERIE WAS TALKING ABOUT AND 

5915
04:27:02,726 --> 04:27:06,530
CAN WE PRIORITIZE SO THERE MAY 

5916
04:27:06,530 --> 04:27:13,971
BE MORE REWARDS ON THE GAPS THAT

5917
04:27:13,971 --> 04:27:17,241
WOULD BE FUELED BY PRIORITIZING 

5918
04:27:17,241 --> 04:27:18,375
OUR RECOMMENDATIONS TO 

5919
04:27:18,375 --> 04:27:19,109
PRIORITIZE THOSE STEPS IF THAT 

5920
04:27:19,109 --> 04:27:22,713
MAKES ANY SENSE.

5921
04:27:22,713 --> 04:27:24,915
>> CAN I COMMENT ON THAT?

5922
04:27:24,915 --> 04:27:28,719
JUST A REMINDER OF HOW BAD IT IS

5923
04:27:28,719 --> 04:27:31,388
AND HOW MUCH ROOM THERE IS TO 

5924
04:27:31,388 --> 04:27:31,588
GROW.

5925
04:27:31,588 --> 04:27:35,459
WE CAN ONLY GROW FROM HERE, 

5926
04:27:35,459 --> 04:27:36,393
HOPEFULLY.

5927
04:27:36,393 --> 04:27:38,095
LIKE EVEN WITHIN A SIX-POINT 

5928
04:27:38,095 --> 04:27:40,764
DIFFERENCE IS CLINICALLY 

5929
04:27:40,764 --> 04:27:41,065
MEANINGFUL.

5930
04:27:41,065 --> 04:27:44,968
SO A 10, 20-POINT INCREASE 

5931
04:27:44,968 --> 04:27:46,003
POPULATION WIDE NOT JUST THOSE 

5932
04:27:46,003 --> 04:27:48,539
WHO CAN AFFORD OR ACCESS 

5933
04:27:48,539 --> 04:27:51,141
WHATEVER IT IS AND INTERVENING 

5934
04:27:51,141 --> 04:27:52,609
TO INCREASE THAT.

5935
04:27:52,609 --> 04:27:54,745
I THINK IF EVERYONE WALKED OUT 

5936
04:27:54,745 --> 04:27:56,180
THE DOOR TOMORROW MORNING, I'M 

5937
04:27:56,180 --> 04:27:59,149
GOING TO FOLLOW THE DIETARY 

5938
04:27:59,149 --> 04:28:00,818
GUIDELINES IS THE FOOD SUPPLY 

5939
04:28:00,818 --> 04:28:02,286
EVEN AMPLE TO HANDLE THAT?

5940
04:28:02,286 --> 04:28:06,423
I DON'T KNOW THE AVAILABILITY IS

5941
04:28:06,423 --> 04:28:06,623
THERE.

5942
04:28:06,623 --> 04:28:09,360
HAVING THE ULTRA PROCESSED FOODS

5943
04:28:09,360 --> 04:28:14,331
I DON'T KNOW MOVE TOWARDS THE 

5944
04:28:14,331 --> 04:28:16,033
GUIDELINES RATHER THAN AWAY IF 

5945
04:28:16,033 --> 04:28:17,301
THEY'RE HERE TO STAY AND TO WHAT

5946
04:28:17,301 --> 04:28:19,970
EXTENT THEY ARE, I DON'T KNOW 

5947
04:28:19,970 --> 04:28:22,773
BUT THEIR HOPEFULNESS IS NOT 

5948
04:28:22,773 --> 04:28:27,144
HELPING.

5949
04:28:27,144 --> 04:28:28,545
ACCOMMODATING THE FACT THAT 

5950
04:28:28,545 --> 04:28:30,013
SOCIETY'S CHANGED THOUGH DIET 

5951
04:28:30,013 --> 04:28:31,415
HAS BEEN VERY STABLE OVER THE 

5952
04:28:31,415 --> 04:28:34,885
LAST COUPLE DECADES LOOKING AT 

5953
04:28:34,885 --> 04:28:37,621
PROPORTION OF DIFFERENT FOOD 

5954
04:28:37,621 --> 04:28:38,455
GROUPS IT'S BEEN FAIRLY STAGNANT

5955
04:28:38,455 --> 04:28:41,425
BUT THE FOODS HAVE CHANGED A 

5956
04:28:41,425 --> 04:28:42,259
LOT.

5957
04:28:42,259 --> 04:28:44,395
IF ANYTHING IT SAYS IT'S 

5958
04:28:44,395 --> 04:28:47,131
MODIFIABLE TO GO BACK IN SOME 

5959
04:28:47,131 --> 04:28:48,866
WAY OR ADDRESS SUGARS AND SODIUM

5960
04:28:48,866 --> 04:28:50,033
AND SATURATED FAT.

5961
04:28:50,033 --> 04:28:53,570
IF YOU MAKE A CHANGE AT THE 

5962
04:28:53,570 --> 04:28:55,139
POPULATION LEVEL IT BENEFIT 

5963
04:28:55,139 --> 04:28:56,407
EVERYONE BECAUSE WE'RE ALL AT 

5964
04:28:56,407 --> 04:28:57,307
THE BOTTOM OF THE SCORE AND NOT 

5965
04:28:57,307 --> 04:29:03,814
DOING WELL.

5966
04:29:03,814 --> 04:29:06,350
FOR BEHAVIOR CHANGE IT'S GREAT.

5967
04:29:06,350 --> 04:29:08,619
WE WANT PEOPLE EATING MORE 

5968
04:29:08,619 --> 04:29:10,454
FRUITS AND VEGETABLES BUT THE 

5969
04:29:10,454 --> 04:29:12,356
FOODS OUT THERE NEED TO GET 

5970
04:29:12,356 --> 04:29:15,125
BETTER AND HAVE A MORE IMMEDIATE

5971
04:29:15,125 --> 04:29:15,726
WIDESPREAD IMPACT AT THE 

5972
04:29:15,726 --> 04:29:26,103
POPULATION LEVEL TOO.

5973
04:29:32,943 --> 04:29:37,981
>> FROM A LARGE
PERSPECTIVE I 

5974
04:29:37,981 --> 04:29:43,787
SEE TWO THINGS A LITTLE BIT 

5975
04:29:43,787 --> 04:29:47,124
INCONGRUOUS CLEARLY MOST OF US 

5976
04:29:47,124 --> 04:29:51,929
WOULD AGREE, MAYBE ALL OF US 

5977
04:29:51,929 --> 04:29:53,897
THAT DIET QUALITY IS POOR IN THE

5978
04:29:53,897 --> 04:29:57,234
U.S. AND IF WE IMPROVED IT 

5979
04:29:57,234 --> 04:29:58,769
UNDOUBTEDLY WE'D HAVE BETTER 

5980
04:29:58,769 --> 04:30:05,075
HEALTH OUTCOMES.

5981
04:30:05,075 --> 04:30:08,545
ON THE OTHER HAND THE WORK WE'VE

5982
04:30:08,545 --> 04:30:10,781
BEEN DOING THE LAST TWO YEARS 

5983
04:30:10,781 --> 04:30:14,284
AND A LOT OF TOPICS WE LOOKED AT

5984
04:30:14,284 --> 04:30:18,288
WE ARE HAPPY WHEN WE GET LIMITED

5985
04:30:18,288 --> 04:30:21,024
CONCLUSIONS INSTEAD OF DATA NOT 

5986
04:30:21,024 --> 04:30:25,929
AVAILABLE FOR ANY CONCLUSION.

5987
04:30:25,929 --> 04:30:28,065
I THINK TO ME THEY SEEM 

5988
04:30:28,065 --> 04:30:30,868
DIFFERENT LIKE OUTCOMES.

5989
04:30:30,868 --> 04:30:32,970
ONE YEAH, DIET CAN DEFINITELY 

5990
04:30:32,970 --> 04:30:36,006
BEING IMPROVED WITHOUT A DOUBT 

5991
04:30:36,006 --> 04:30:37,407
AND SOME DISEASE WOULD BE 

5992
04:30:37,407 --> 04:30:42,045
REDUCED BUT WHEN YOU LOOK AT 

5993
04:30:42,045 --> 04:30:43,280
THINGS LIKE COGNITIVE FUNCTION 

5994
04:30:43,280 --> 04:30:45,215
THERE ARE LARGE BODIES OF 

5995
04:30:45,215 --> 04:30:46,783
CANCERS.

5996
04:30:46,783 --> 04:30:50,554
WE JUST TOUCHED A LITTLE BIT ON 

5997
04:30:50,554 --> 04:30:52,189
TWO CANCERS AND EVEN 

5998
04:30:52,189 --> 04:30:54,558
PREMENOPAUSAL WE HAVE NO 

5999
04:30:54,558 --> 04:30:57,160
CONCLUSION OF PRE-MENOPAUSAL 

6000
04:30:57,160 --> 04:30:57,995
BREAST CANCER.

6001
04:30:57,995 --> 04:31:03,033
THERE'S A LOT WE HAVE TO LEARN 

6002
04:31:03,033 --> 04:31:04,768
A

6003
04:31:04,768 --> 04:31:06,937
AND WE DEFINITELY NEED BETTER 

6004
04:31:06,937 --> 04:31:10,774
STUDY DESIGNS.

6005
04:31:10,774 --> 04:31:13,010
THAT'S KIND OF A VERY BROAD 

6006
04:31:13,010 --> 04:31:14,678
RECOMMENDATION.

6007
04:31:14,678 --> 04:31:18,415
I DON'T KNOW IF IT WILL GET 

6008
04:31:18,415 --> 04:31:19,516
IMPLEMENTED AND HOW AND WHO 

6009
04:31:19,516 --> 04:31:22,786
DECIDES WHAT A GOOD STUDY DESIGN

6010
04:31:22,786 --> 04:31:23,120
IS.

6011
04:31:23,120 --> 04:31:24,988
SOME PEOPLE ONLY ACCEPT 

6012
04:31:24,988 --> 04:31:28,659
RANDOMIZED TRIALS WHICH ARE 

6013
04:31:28,659 --> 04:31:30,694
INFEASIBLE SO THERE'S STILL A 

6014
04:31:30,694 --> 04:31:31,962
LOT TO THINK ABOUT.

6015
04:31:31,962 --> 04:31:32,296
>> THANKS, ED.

6016
04:31:32,296 --> 04:31:41,104
HEATHER.

6017
04:31:41,104 --> 04:31:43,507
>> IN THINKING WHAT WE CAN

6018
04:31:43,507 --> 04:31:46,877
HIGHLIGHT FOR INTEGRATION, I 

6019
04:31:46,877 --> 04:31:50,380
HOPE WE DON'T LOSE -- WE KNOW 

6020
04:31:50,380 --> 04:31:54,351
THERE'S A STORY TO TELL THERE'S 

6021
04:31:54,351 --> 04:31:57,287
A LOT OF POOR DIETS BUT DON'T 

6022
04:31:57,287 --> 04:31:59,156
WANT TO LOSE THE SUCCESSES WE 

6023
04:31:59,156 --> 04:32:00,958
SAW AND BUILDING ON THE 

6024
04:32:00,958 --> 04:32:02,726
STRENGTHS OF SOME OF THE WINS WE

6025
04:32:02,726 --> 04:32:05,929
SAW ARE REALLY IMPORTANT TO 

6026
04:32:05,929 --> 04:32:06,263
REMEMBER.

6027
04:32:06,263 --> 04:32:10,767
WE SAW THE WATER INTAKE TWO UP 

6028
04:32:10,767 --> 04:32:12,102
IN THE POPULATION SO WHY DID 

6029
04:32:12,102 --> 04:32:13,737
THAT HAPPEN, HOW DID THAT HAPPEN

6030
04:32:13,737 --> 04:32:18,742
AND HOW CAN WE BUILD ON THAT AND

6031
04:32:18,742 --> 04:32:21,678
THEN IN THE SUBCOMMITTEE TOO WE 

6032
04:32:21,678 --> 04:32:23,146
SAW STRATEGIES THAT HELP IMPROVE

6033
04:32:23,146 --> 04:32:25,882
VEGETABLE INTAKE.

6034
04:32:25,882 --> 04:32:27,017
THAT'S GREAT.

6035
04:32:27,017 --> 04:32:32,689
HOW CAN WE MAKE SURE THAT'S 

6036
04:32:32,689 --> 04:32:34,658
HIGHLIGHTED AND BUILD ON THAT 

6037
04:32:34,658 --> 04:32:35,626
BECAUSE THAT'S DEFINITELY 

6038
04:32:35,626 --> 04:32:36,326
SOMETHING LOOKING AT THE INTAKE 

6039
04:32:36,326 --> 04:32:42,933
WE NEED TO INCREASE.

6040
04:32:42,933 --> 04:32:45,602
I JUST WANT TO LIFT THOSE UP.

6041
04:32:45,602 --> 04:32:46,770
>> THANK YOU, HEATHER.

6042
04:32:46,770 --> 04:32:49,306
I LIKE POSITIVES.

6043
04:32:49,306 --> 04:32:52,009
CAN I GO BACK AND FOLLOW UP ON 

6044
04:32:52,009 --> 04:32:55,145
ED'S COMMENT BECAUSE I'VE HEARD 

6045
04:32:55,145 --> 04:32:58,815
TODAY AND ALSO I'VE HEARD 

6046
04:32:58,815 --> 04:33:06,790
THROUGH OUR VARIOUS COMMITTEE 

6047
04:33:06,790 --> 04:33:08,492
MEETINGS WE NEED SMARTER STUDIES

6048
04:33:08,492 --> 04:33:10,794
WHEN WE TALK ABOUT STUDY 

6049
04:33:10,794 --> 04:33:18,301
DESIGNS, FOR EXAMPLE.

6050
04:33:18,301 --> 04:33:20,904
THERE WERE ISSUES RAISED ABOUT 

6051
04:33:20,904 --> 04:33:23,473
THIS IS THE QUESTION WE CAN'T 

6052
04:33:23,473 --> 04:33:24,608
ANSWER THE QUESTION WITH THE 

6053
04:33:24,608 --> 04:33:27,144
DATA AT HAND.

6054
04:33:27,144 --> 04:33:32,215
I'M NOT SUBJECTING THAT THE PRUR

6055
04:33:32,215 --> 04:33:33,784
RESEARCH IS WRONG OR INFERIOR 

6056
04:33:33,784 --> 04:33:39,122
BUT I THINK WHAT WE NEED TO 

6057
04:33:39,122 --> 04:33:43,560
REALLY THINK ABOUT CRITICALLY IS

6058
04:33:43,560 --> 04:33:45,062
WITH THE EVOLVING KNOWLEDGE 

6059
04:33:45,062 --> 04:33:49,032
WHERE SHOULD FUTURE STUDIES BE 

6060
04:33:49,032 --> 04:33:49,332
PRIORITIZED?

6061
04:33:49,332 --> 04:33:55,138
I THINK THERE'S ALSO I LIKED THE

6062
04:33:55,138 --> 04:33:57,841
DIVE DEEP RECOMMENDATION FA TEE 

6063
04:33:57,841 --> 04:33:58,141
PLA.

6064
04:33:58,141 --> 04:33:59,943
IT'S GOING TO BE OUR FEDERAL 

6065
04:33:59,943 --> 04:34:01,511
AGENCIES US AS ADVOCATORS.

6066
04:34:01,511 --> 04:34:06,650
IT'S GOING TO BE PEOPLE WHO ARE 

6067
04:34:06,650 --> 04:34:07,884
FUNDING THE STUDIES.

6068
04:34:07,884 --> 04:34:12,122
CREATE THE FRAMEWORKS SUCH AS WE

6069
04:34:12,122 --> 04:34:16,893
NOW HAVE TO JUSTIFY OR EXPLAIN 

6070
04:34:16,893 --> 04:34:18,295
HOW WE INCLUDE WOMEN IN OUR 

6071
04:34:18,295 --> 04:34:20,697
RESEARCH FOR CERTAIN FUNDING 

6072
04:34:20,697 --> 04:34:20,964
AGENCIES.

6073
04:34:20,964 --> 04:34:25,936
SHOULD WE TAKE IT FURTHER.

6074
04:34:25,936 --> 04:34:27,904
THE OTHER POINT I KEPT HEARING 

6075
04:34:27,904 --> 04:34:31,141
IS WHAT WE HAVE AVAILABLE TO US 

6076
04:34:31,141 --> 04:34:40,317
THROUGH THE PUBLICATIONS.

6077
04:34:40,317 --> 04:34:42,185
I WOULD LIKE TO SUGGEST WE STEP 

6078
04:34:42,185 --> 04:34:43,854
BACK AND LOOK AT THE OVER ALL 

6079
04:34:43,854 --> 04:34:49,326
SYSTEM BECAUSE THERE'S A LOT OF 

6080
04:34:49,326 --> 04:34:55,098
GRANULARITY WE NEED AND DON'T 

6081
04:34:55,098 --> 04:34:55,966
GET BECAUSE OF THE SPACE 

6082
04:34:55,966 --> 04:34:56,800
REQUIREMENTS, ETCETERA.

6083
04:34:56,800 --> 04:35:02,706
WE SHOULD BE THINKING ABOUT THAT

6084
04:35:02,706 --> 04:35:02,939
AS WELL.

6085
04:35:02,939 --> 04:35:04,207
I'M JUST THINKING ABOUT OUR 

6086
04:35:04,207 --> 04:35:04,441
REPORT.

6087
04:35:04,441 --> 04:35:09,279
WE'RE WRITING OUR REPORT BUT 

6088
04:35:09,279 --> 04:35:11,081
WE'RE GOING TO HAVE SO MANY 

6089
04:35:11,081 --> 04:35:14,084
PAGES MUCH DATA AND HAVE 

6090
04:35:14,084 --> 04:35:16,419
EXTENSIVE DETAILS THANKS TO OUR 

6091
04:35:16,419 --> 04:35:18,488
VERY GIFTED STAFF ON 

6092
04:35:18,488 --> 04:35:18,822
METHODOLOGY.

6093
04:35:18,822 --> 04:35:20,257
PEOPLE CAN GO BACK AND LOOK 

6094
04:35:20,257 --> 04:35:22,125
EXACTLY WHAT WE DID AND THE RAW 

6095
04:35:22,125 --> 04:35:27,364
DATA BUT WE DON'T GET THAT WITH 

6096
04:35:27,364 --> 04:35:30,567
OUR PEERS.

6097
04:35:30,567 --> 04:35:33,103
I THINK WE NEED TO THINK ABOUT 

6098
04:35:33,103 --> 04:35:34,638
WHAT WE'RE DOING AND HOW WE'RE 

6099
04:35:34,638 --> 04:35:35,205
FRAMING OUR RESEARCH MOVING 

6100
04:35:35,205 --> 04:35:37,140
FORWARD.

6101
04:35:37,140 --> 04:35:43,947
SO THANK YOU.

6102
04:35:43,947 --> 04:35:45,649
>> CONTINUING WITH THE
GOOD NEWS

6103
04:35:45,649 --> 04:35:50,787
WE HAVE GREAT THINGS TO REMIND 

6104
04:35:50,787 --> 04:35:53,523
EVERYBODY WE SAW REGULAR 

6105
04:35:53,523 --> 04:35:54,524
BREAKFAST CONSUMPTION WAS 

6106
04:35:54,524 --> 04:35:56,026
ASSOCIATED WITH GOOD OUTCOMES 

6107
04:35:56,026 --> 04:35:58,795
AND HAVING GREATER NUMBER OF 

6108
04:35:58,795 --> 04:36:03,300
EATING OCCASIONS AS WELL.

6109
04:36:03,300 --> 04:36:13,543
INTEGRATE

6110
04:36:19,216 --> 04:36:22,786
INTEGRATING -- 

6111
04:36:22,786 --> 04:36:33,096
[AUDIO DIGITIZING]

6112
04:36:38,835 --> 04:36:43,139
IN TERMS OF BEHAVIOR CHANGE.

6113
04:36:43,139 --> 04:36:47,143
CONTINUING WITH THE UPLIFTING 

6114
04:36:47,143 --> 04:36:47,577
INFORMATION.

6115
04:36:47,577 --> 04:36:49,880
>> SHERYL AND THEN TERESA.

6116
04:36:49,880 --> 04:36:50,881
>> SOMETHING THAT OCCURRED
TO ME

6117
04:36:50,881 --> 04:36:55,652
AS CHRISTINA WAS TALKING ABOUT 

6118
04:36:55,652 --> 04:36:56,887
THE GOOD NEWS, I WONDER 

6119
04:36:56,887 --> 04:37:00,056
THROUGHOUT EACH OF OUR SECTIONS 

6120
04:37:00,056 --> 04:37:02,359
WE WANT TO THINK THROUGH 

6121
04:37:02,359 --> 04:37:04,327
CONTEMPORARY PRACTICES IN THE 

6122
04:37:04,327 --> 04:37:06,763
COUNTRY THAT MIGHT BE IMPACTING 

6123
04:37:06,763 --> 04:37:10,767
WHAT WE'RE FINDING ACROSS THE 

6124
04:37:10,767 --> 04:37:11,001
REPORT.

6125
04:37:11,001 --> 04:37:13,503
SO FOR EXAMPLE WE DIDN'T 

6126
04:37:13,503 --> 04:37:15,438
PRIORITIZE THESE TWO ISSUES THAT

6127
04:37:15,438 --> 04:37:17,741
I'M GOING TO RAISE AS QUESTIONS 

6128
04:37:17,741 --> 04:37:20,877
TO MOVE FORWARD BUT I DO WONDER 

6129
04:37:20,877 --> 04:37:25,181
IF THE AMERICAN PUBLIC MIGHT 

6130
04:37:25,181 --> 04:37:28,952
THINK WE ARE OUT OF TOUCH OR OUT

6131
04:37:28,952 --> 04:37:32,489
TO LUNCH, PUN INTENDED, GIVEN IF

6132
04:37:32,489 --> 04:37:34,524
WE DECIDE TO LEAVE THESE OUT OF 

6133
04:37:34,524 --> 04:37:35,859
THE REPORT MEANING THESE ARE 

6134
04:37:35,859 --> 04:37:39,129
THINGS THAT WE'RE THINKING ABOUT

6135
04:37:39,129 --> 04:37:42,999
MAYBE SOME INTEGRATION 

6136
04:37:42,999 --> 04:37:43,633
DISCUSSION AROUND.

6137
04:37:43,633 --> 04:37:49,673
ONE IS FROING  -- GROWING BODY 

6138
04:37:49,673 --> 04:37:52,042
OF LITERATURE AROUND FASTING AND

6139
04:37:52,042 --> 04:37:53,476
INTERMITTENT FASTING MOVING FROM

6140
04:37:53,476 --> 04:37:55,145
ANIMAL TO HUMAN STUDIES.

6141
04:37:55,145 --> 04:38:00,650
THERE'S BEEN A FEW REVIEWS IN 

6142
04:38:00,650 --> 04:38:02,953
WELL RESPECTED NUTRITION 

6143
04:38:02,953 --> 04:38:07,257
JOURNALS AND I THINK IT'S 

6144
04:38:07,257 --> 04:38:09,292
PLAYING ON NOT THE NOISE BUT THE

6145
04:38:09,292 --> 04:38:12,529
BACKGROUND AND IMPACTING 

6146
04:38:12,529 --> 04:38:16,399
PEOPLE'S DIETARY PRACTICES.

6147
04:38:16,399 --> 04:38:22,005
THE OTHER ONE IS ELIMINATIONS 

6148
04:38:22,005 --> 04:38:23,873
FOR HEALTH CONDITIONS SO IF YOU 

6149
04:38:23,873 --> 04:38:28,111
LOOK IN OUR GROCERY STORES IT'S 

6150
04:38:28,111 --> 04:38:29,679
UNMISTAKABLE AFTER ELIMINATION 

6151
04:38:29,679 --> 04:38:33,650
EXERCISES MANY AMERICANS HAVE 

6152
04:38:33,650 --> 04:38:43,727
DECIDED TO LEAVE GLUTEN OUT OF 

6153
04:38:43,727 --> 04:38:46,796
THEIR DIETS AND SEE IT IN 

6154
04:38:46,796 --> 04:38:48,565
RESTAURANTS AND WHAT IT'S DOING 

6155
04:38:48,565 --> 04:38:51,735
TO SHIFT PRACTICE I DON'T THINK 

6156
04:38:51,735 --> 04:38:54,104
WE KNOW BUT I DON'T US TO SEEM 

6157
04:38:54,104 --> 04:38:59,542
TONE DEAF TO THAT AND THERE'S A 

6158
04:38:59,542 --> 04:39:01,244
GROWING MOVEMENT TOWARDS NIGHT 

6159
04:39:01,244 --> 04:39:10,387
SHADES BECAUSE OF THE ALKALOID 

6160
04:39:10,387 --> 04:39:13,857
AND PAIN THEY PERCEIVE FOR 

6161
04:39:13,857 --> 04:39:14,657
INFLAMMATION AND THROWING IT OUT

6162
04:39:14,657 --> 04:39:17,427
AS WE THINK ABOUT INTEGRATING.

6163
04:39:17,427 --> 04:39:20,163
>> CAN I ASK YOU TO EXPAND
A 

6164
04:39:20,163 --> 04:39:20,463
LITTLE BIT.

6165
04:39:20,463 --> 04:39:22,732
HOW DO YOU SEE IT WOULD BE 

6166
04:39:22,732 --> 04:39:23,133
INTEGRATED?

6167
04:39:23,133 --> 04:39:28,038
>> FOR EXAMPLE, WHEN WE
THINK 

6168
04:39:28,038 --> 04:39:28,805
ABOUT THE WORK THROUGHOUT 

6169
04:39:28,805 --> 04:39:30,006
SUBCOMMITTEE 1 AND 3, AS WE'RE 

6170
04:39:30,006 --> 04:39:33,710
LOOKING AT WHAT ARE THE DIETARY 

6171
04:39:33,710 --> 04:39:40,583
PATTERNS THAT HAVE IDEOLOGICAL 

6172
04:39:40,583 --> 04:39:41,284
RELATIONSHIP WITH HEALTH 

6173
04:39:41,284 --> 04:39:42,218
OUTCOMES YOU THINK WE'RE BOUND 

6174
04:39:42,218 --> 04:39:44,254
BY THE QUESTIONS WE PRIORITIZE 

6175
04:39:44,254 --> 04:39:46,056
AND BOUND BY THE AVAILABILITY OF

6176
04:39:46,056 --> 04:39:48,324
DATA TO SUPPORTS THE QUESTIONS 

6177
04:39:48,324 --> 04:39:50,960
THAT WE PRIORITIZE.

6178
04:39:50,960 --> 04:39:52,796
HOWEVER RELATED TO THOSE 

6179
04:39:52,796 --> 04:39:55,131
QUESTIONS ARE THESE ISSUES FOR 

6180
04:39:55,131 --> 04:39:58,768
WHICH THERE ARE EMERGING DATA.

6181
04:39:58,768 --> 04:40:00,403
FOR EXAMPLE CHRISTINA MENTIONED 

6182
04:40:00,403 --> 04:40:02,372
THE IMPORTANCE OF EATING 

6183
04:40:02,372 --> 04:40:03,106
BREAKFAST.

6184
04:40:03,106 --> 04:40:04,274
I WOULD IMAGINE THE PUBLIC WHO 

6185
04:40:04,274 --> 04:40:11,147
ARE LISTENING TO US RIGHT NOW 

6186
04:40:11,147 --> 04:40:15,218
PROBA

6187
04:40:15,218 --> 04:40:18,088
PROBABLY FLINCHED BECAUSE IF I 

6188
04:40:18,088 --> 04:40:20,523
BREAK MY FAST AT 2:00 IN THE 

6189
04:40:20,523 --> 04:40:22,625
AFTERNOON METABOLIC CONDITIONS 

6190
04:40:22,625 --> 04:40:23,126
RESOLVE.

6191
04:40:23,126 --> 04:40:31,134
I'M ASSUMING SOME PORTION OF THE

6192
04:40:31,134 --> 04:40:36,406
POPULATION IS FLINCHING AT THAT.

6193
04:40:36,406 --> 04:40:37,974
>> WE ONLY SAW THAT IN
CHILDREN.

6194
04:40:37,974 --> 04:40:41,811
>> THANK YOU FOR
QUALIFYING 

6195
04:40:41,811 --> 04:40:42,011
THAT.

6196
04:40:42,011 --> 04:40:45,648
A NOD TO EMERGING DATA IN THAT 

6197
04:40:45,648 --> 04:40:46,783
AREA FOR EXAMPLE SUBCOMMITTEE 

6198
04:40:46,783 --> 04:40:49,919
1'S WORK MAY BE IMPORTANT AND 

6199
04:40:49,919 --> 04:40:52,522
SWITCHING TO SUBCOMMITTEE 3 IS 

6200
04:40:52,522 --> 04:40:53,590
WE'RE MODELLING FROM CERTAIN 

6201
04:40:53,590 --> 04:40:55,125
JUMP OFF POINTS AND OFTEN THOSE 

6202
04:40:55,125 --> 04:40:58,795
ARE THE THINGS WE WERE HANDED 

6203
04:40:58,795 --> 04:41:08,972
FROM 2020.

6204
04:41:10,140 --> 04:41:13,176
NOW WHEN 2030 COMES THEY'RE 

6205
04:41:13,176 --> 04:41:14,344
GOING TO BE JUMPING OFF FROM 

6206
04:41:14,344 --> 04:41:15,945
WHERE WE LEFT.

6207
04:41:15,945 --> 04:41:20,683
I THINK SOME NOD TO THE EMERGING

6208
04:41:20,683 --> 04:41:22,051
TRENDS AROUND WHETHER IT'S 

6209
04:41:22,051 --> 04:41:25,121
INTERMITTENT FASTING, WHETHER 

6210
04:41:25,121 --> 04:41:30,059
IT'S GLUTEN FREE OR NIGHT SHADE 

6211
04:41:30,059 --> 04:41:31,761
ELIMINATION BECAUSE GLUTEN FREE 

6212
04:41:31,761 --> 04:41:34,797
WILL IMPACT WHOLE GRAINS AND 

6213
04:41:34,797 --> 04:41:37,400
NIGHT SHADES WILL IMPACT 

6214
04:41:37,400 --> 04:41:40,637
VEGETABLES AND FRUITS.

6215
04:41:40,637 --> 04:41:42,572
AGAIN, BASICALLY GIVING A NOD TO

6216
04:41:42,572 --> 04:41:46,576
THE FACT WE'RE NOT LIVING IN A 

6217
04:41:46,576 --> 04:41:46,809
BUBBLE.

6218
04:41:46,809 --> 04:41:48,378
WE'RE BOUND ONLY TO THE 

6219
04:41:48,378 --> 04:41:51,147
QUESTIONS WE PRIORITIZE AND 

6220
04:41:51,147 --> 04:41:55,685
REALIZE THE NUTRITIONAL WORLD IS

6221
04:41:55,685 --> 04:41:57,687
MOVING ALONG WHILE WE'RE IN THIS

6222
04:41:57,687 --> 04:41:58,254
TWO-YEAR PROCESS.

6223
04:41:58,254 --> 04:42:00,890
>> THIS SPEAKS TO EVEN A 

6224
04:42:00,890 --> 04:42:04,794
BROADER -- I'M SURE PREVIOUS 

6225
04:42:04,794 --> 04:42:05,728
COMMITTEES BECAUSE THESE AREN'T 

6226
04:42:05,728 --> 04:42:07,997
THE ONLY DIETARY PATTERNS THAT 

6227
04:42:07,997 --> 04:42:08,798
HAVE EMERGED.

6228
04:42:08,798 --> 04:42:10,233
THEY'VE BEEN EMERGING THE LAST 

6229
04:42:10,233 --> 04:42:13,536
50 YEARS OR LONGER.

6230
04:42:13,536 --> 04:42:15,138
I'M WONDERING WITHIN THE PROCESS

6231
04:42:15,138 --> 04:42:18,308
WHEN YOU THINK OF PRIORITIZING 

6232
04:42:18,308 --> 04:42:20,009
QUESTIONS WHAT RECOMMENDATION WE

6233
04:42:20,009 --> 04:42:23,112
COULD MAKE IN THE PROCESS FOR 

6234
04:42:23,112 --> 04:42:24,013
BEING ABLE TO UNDERSTAND WHAT 

6235
04:42:24,013 --> 04:42:26,649
THESE THINGS ARE AND HOW THEY 

6236
04:42:26,649 --> 04:42:28,184
GET INCORPORATED INTO QUESTIONS 

6237
04:42:28,184 --> 04:42:30,019
BECAUSE THAT SEEMS TO ME TO BE A

6238
04:42:30,019 --> 04:42:32,322
LONG STANDING ISSUE.

6239
04:42:32,322 --> 04:42:34,524
I'M SURE PREVIOUS COMMITTEES HAD

6240
04:42:34,524 --> 04:42:37,193
TO CONSIDER IT BUT ALSO PART OF 

6241
04:42:37,193 --> 04:42:40,797
HOW THE QUESTIONS GET DEVELOPED 

6242
04:42:40,797 --> 04:42:43,032
IS SOMEWHAT INTEREST WHAT PEOPLE

6243
04:42:43,032 --> 04:42:44,734
HERE AND FROM THE PUBLIC.

6244
04:42:44,734 --> 04:42:47,537
I THINK PART IN THINKING ABOUT 

6245
04:42:47,537 --> 04:42:51,140
THE PROCESS AND PRIORITIZATION 

6246
04:42:51,140 --> 04:42:52,575
THAT MAY BE A RECOMMENDATION TO 

6247
04:42:52,575 --> 04:42:56,846
THE ACTIONS TO CONSIDER THAT.

6248
04:42:56,846 --> 04:42:59,382
THOSE ARE SPECIFIC THINGS NOT 

6249
04:42:59,382 --> 04:43:02,118
THAT I DON'T THINK THEY MAY BE 

6250
04:43:02,118 --> 04:43:03,886
IMPORTANT BUT THERE'S PROBABLY 

6251
04:43:03,886 --> 04:43:05,488
WE ONLY KNOW ABOUT MAYBE THESE 

6252
04:43:05,488 --> 04:43:08,258
THINGS BUT THERE'S PROBABLY 

6253
04:43:08,258 --> 04:43:10,793
EMERGING EVERY DECADE THINGS 

6254
04:43:10,793 --> 04:43:11,694
EMERGING.

6255
04:43:11,694 --> 04:43:13,997
THEY HAVE TO BE ABLE TO TO BE 

6256
04:43:13,997 --> 04:43:18,968
CONSIDERED SOMEHOW IN THIS 

6257
04:43:18,968 --> 04:43:19,202
PROCESS.

6258
04:43:19,202 --> 04:43:21,771
I'M NOT SURE AND THAT MAY BE A 

6259
04:43:21,771 --> 04:43:22,805
RECOMMENDATION HOW YOU CONSIDER 

6260
04:43:22,805 --> 04:43:28,077
THE PATTERNS THAT HAPPEN WITH 

6261
04:43:28,077 --> 04:43:30,647
THE U.S. POPULATION.

6262
04:43:30,647 --> 04:43:34,217
>> I THINK OF ONE EXAMPLE
FROM 

6263
04:43:34,217 --> 04:43:36,052
2020, THEY PUNTED TO US TO SAY 

6264
04:43:36,052 --> 04:43:39,122
WE'RE NOT GOING TO REVIEW 

6265
04:43:39,122 --> 04:43:40,657
DIETARY PATTERNS AND CVB BUT 

6266
04:43:40,657 --> 04:43:42,792
NEXT TIME THAT SHOULD HAVE A 

6267
04:43:42,792 --> 04:43:43,793
NEXT DIVE BECAUSE THINGS WOULD 

6268
04:43:43,793 --> 04:43:53,536
HAVE LIKELY MATURE D.

6269
04:43:53,536 --> 04:43:55,638
MAYBE IT'S WITHIN SUBCOMMITTEE 1

6270
04:43:55,638 --> 04:43:58,808
DELIBERATIONS.

6271
04:43:58,808 --> 04:44:02,845
WE'RE AWARE OF THE POTENTIAL 

6272
04:44:02,845 --> 04:44:07,116
TRENDS WITHIN SUBCOMMITTEE 3 

6273
04:44:07,116 --> 04:44:07,817
WHERE 2030 STARTS.

6274
04:44:07,817 --> 04:44:09,319
>> THIS IS GREAT.

6275
04:44:09,319 --> 04:44:12,889
CAN I JUST ASK EVE AND/OR JANET 

6276
04:44:12,889 --> 04:44:16,326
JUST TO REMIND US HOW THE 

6277
04:44:16,326 --> 04:44:17,794
QUESTIONS ARE CHOSEN BECAUSE I 

6278
04:44:17,794 --> 04:44:23,599
THINK IS REALLY IMPORTANT IN 

6279
04:44:23,599 --> 04:44:26,269
THIS CONTEXT.

6280
04:44:26,269 --> 04:44:28,805
>> ABSOLUTELY.

6281
04:44:28,805 --> 04:44:30,373
THE QUESTIONS ARE IDENTIFIED 

6282
04:44:30,373 --> 04:44:33,409
FIRST WE WORKED IN A FEDERAL 

6283
04:44:33,409 --> 04:44:35,445
PROCESS TALKING TO OUR FEDERAL 

6284
04:44:35,445 --> 04:44:35,945
PARTNERS.

6285
04:44:35,945 --> 04:44:39,115
AND WE CONSIDERED THE PREVIOUS 

6286
04:44:39,115 --> 04:44:43,119
ADVISORY COMMITTEE'S WORK AND SO

6287
04:44:43,119 --> 04:44:45,188
FOR EXAMPLE MOST THE QUESTIONS 

6288
04:44:45,188 --> 04:44:47,724
YOU LOOKED AT WERE CONSIDERED BY

6289
04:44:47,724 --> 04:44:49,625
THE 2020 COMMITTEE AND MANY 

6290
04:44:49,625 --> 04:44:53,863
CONSIDERED BY THE 2015 COMMITTEE

6291
04:44:53,863 --> 04:44:55,998
AND WE LOOKED AT PREVIOUS 

6292
04:44:55,998 --> 04:44:57,934
COMMITTEE'S REPORT AND WHAT THEY

6293
04:44:57,934 --> 04:45:00,570
ARE RECOMMEND FOR THE NEXT 

6294
04:45:00,570 --> 04:45:01,871
COMMITTEE AND THEY'RE 

6295
04:45:01,871 --> 04:45:03,139
PRIORITIZED BASED ON RELEVANCE, 

6296
04:45:03,139 --> 04:45:04,807
IMPORTANCE, POTENTIAL IMPACT TO 

6297
04:45:04,807 --> 04:45:07,143
FEDERAL PROGRAMS AND AVOIDING 

6298
04:45:07,143 --> 04:45:07,443
DUPLICATION.

6299
04:45:07,443 --> 04:45:09,712
SO TO SOME OF AS THE TOPICS 

6300
04:45:09,712 --> 04:45:11,814
YOU'RE RISING I THINK THEY'VE 

6301
04:45:11,814 --> 04:45:13,983
BEEN DISCUSSED BUT THERE'S BEEN 

6302
04:45:13,983 --> 04:45:15,952
THIS QUESTION WHAT'S THERE -- 

6303
04:45:15,952 --> 04:45:18,988
ARE THEY OF BROAD PUBLIC -- IS 

6304
04:45:18,988 --> 04:45:20,056
IT SOMETHING A LOT OF PEOPLE ARE

6305
04:45:20,056 --> 04:45:21,624
DOING OR A GROUP OR HOW TO 

6306
04:45:21,624 --> 04:45:24,360
HANDLE THAT PIECE OF IT?

6307
04:45:24,360 --> 04:45:26,329
SO THAT'S KIND OF THE FIRST STEP

6308
04:45:26,329 --> 04:45:29,232
TO WORK WITHIN OUR FEDERAL 

6309
04:45:29,232 --> 04:45:31,134
FAMILY AND THEN WE POSE THEM FOR

6310
04:45:31,134 --> 04:45:32,702
PUBLIC COMMENT.

6311
04:45:32,702 --> 04:45:37,039
WE THEN CONSIDER THOSE FOUR 

6312
04:45:37,039 --> 04:45:39,842
CRITERIA ACROSS THOSE COMMENTS 

6313
04:45:39,842 --> 04:45:42,845
RECEIVED AND WITH THIS COMMITTEE

6314
04:45:42,845 --> 04:45:45,348
WE DID PROPOSE THE QUESTIONS TO 

6315
04:45:45,348 --> 04:45:49,118
YOU AND YOU HAD THE OPTION TO 

6316
04:45:49,118 --> 04:45:51,821
REFINE, ADD, RENEWED QUESTION AT

6317
04:45:51,821 --> 04:45:53,656
HIGH LEVEL THERE'S A PROCESS AND

6318
04:45:53,656 --> 04:45:57,160
SOME OF THESE TOPICS THAT HAVE 

6319
04:45:57,160 --> 04:45:58,628
COME UP IN THE PAST FOR SURE AND

6320
04:45:58,628 --> 04:46:02,231
HOW BIG OF A TOPIC IS THIS AND 

6321
04:46:02,231 --> 04:46:04,600
IN ALL THIS YOU LOVE THE 

6322
04:46:04,600 --> 04:46:05,735
CONVERSATION ABOUT DEFINING WHAT

6323
04:46:05,735 --> 04:46:14,343
LEATH  -- HEALTH IS IF YOU HAVE 

6324
04:46:14,343 --> 04:46:15,845
THOUGHTS ON AREAS THAT DON'T 

6325
04:46:15,845 --> 04:46:23,586
NEED TO BE RE-EXAMINED ARE SUPER

6326
04:46:23,586 --> 04:46:24,754
HELPFUL AND WE'RE CHATTING LIKE 

6327
04:46:24,754 --> 04:46:28,825
YOU DON'T KNOW AT THE BEGINNING 

6328
04:46:28,825 --> 04:46:32,962
MANY QUESTIONS AND HOW MUCH WORK

6329
04:46:32,962 --> 04:46:35,498
AND I THINK IF Y'ALL WERE TO 

6330
04:46:35,498 --> 04:46:37,733
COME IN AND ADDED ADDITIONAL 

6331
04:46:37,733 --> 04:46:38,935
QUESTIONS THINKING ABOUT THE 

6332
04:46:38,935 --> 04:46:41,471
GIVE AND TAKE AND IF THERE ISN'T

6333
04:46:41,471 --> 04:46:44,207
ANYTHING WE SHOULD ADD WELCOME 

6334
04:46:44,207 --> 04:46:46,142
TO HEAR IF THERE'S THINGS YOU 

6335
04:46:46,142 --> 04:46:48,711
THINK ARE LOWER PRIORITY.

6336
04:46:48,711 --> 04:46:50,813
WE WOULDN'T NECESSARY RECOMMEND 

6337
04:46:50,813 --> 04:46:55,685
THAT FOR A FUTURE EXPLORATION.

6338
04:46:55,685 --> 04:46:57,954
>> THANK YOU FOR THAT.

6339
04:46:57,954 --> 04:47:04,260
TERESA AND FATIMA AND DIANNE.

6340
04:47:04,260 --> 04:47:06,195
>> WHAT I'M HEARING IN
WHAT 

6341
04:47:06,195 --> 04:47:08,531
WE'VE BEEN DOING IN PREVIOUS 

6342
04:47:08,531 --> 04:47:09,699
COMMITTEES THE DIETARY GUIDELINE

6343
04:47:09,699 --> 04:47:16,839
HAS FOCUSSED ON WHAT TO EAT AND 

6344
04:47:16,839 --> 04:47:21,444
I HEARD VALERIE AS WELL AS DIDI 

6345
04:47:21,444 --> 04:47:22,211
MENTIONING THE FOOD ENVIRONMENT 

6346
04:47:22,211 --> 04:47:23,112
DETERMINING WHETHER PEOPLE CAN 

6347
04:47:23,112 --> 04:47:25,915
EAT WHAT WE RECOMMEND TO EAT AND

6348
04:47:25,915 --> 04:47:30,987
ONE COMPONENT HAS NOT BEEN 

6349
04:47:30,987 --> 04:47:32,822
EXPLORED BROUGHT UP BY CHRISTIE 

6350
04:47:32,822 --> 04:47:34,323
IN AND SHERYL HOW WE'RE EATING 

6351
04:47:34,323 --> 04:47:35,558
AND TIMING AND HOW MUCH WE EAT 

6352
04:47:35,558 --> 04:47:38,327
EN ONE MEAL IS ALSO PART OF THE 

6353
04:47:38,327 --> 04:47:40,830
HOW WE ARE EATING.

6354
04:47:40,830 --> 04:47:43,666
WHAT WE'RE EATING WITH ALL THE 

6355
04:47:43,666 --> 04:47:44,934
PORTIONS IN THE HOUSE WE CAN 

6356
04:47:44,934 --> 04:47:46,802
SPACE OUT 24 HOURS IN MANY 

6357
04:47:46,802 --> 04:47:48,704
DIFFERENT WAYS AND SO MAYBE IN 

6358
04:47:48,704 --> 04:47:52,041
THE FUTURE COMMITTEES THOSE ARE 

6359
04:47:52,041 --> 04:47:55,845
ALSO HAVE THE NUTRITION PART MAY

6360
04:47:55,845 --> 04:47:58,648
HAVE INFLUENCE AND SCIENCE MAY 

6361
04:47:58,648 --> 04:48:01,651
NEED TO LOOK AT THE FOOD 

6362
04:48:01,651 --> 04:48:03,085
ENVIRONMENT AND OTHER TYPES OF 

6363
04:48:03,085 --> 04:48:09,225
EATING BEHAVIORS BESIDES WHAT IS

6364
04:48:09,225 --> 04:48:09,725
BEING EATEN.

6365
04:48:09,725 --> 04:48:12,361
>> I THINK THE
IMPLICATIONS 

6366
04:48:12,361 --> 04:48:13,829
BEHIND SHERYL'S COMMENTS ARE 

6367
04:48:13,829 --> 04:48:14,430
REALLY IMPORTANT.

6368
04:48:14,430 --> 04:48:16,299
THINGS LIKE INTERMITTENT FASTING

6369
04:48:16,299 --> 04:48:20,236
WHICH WE KNOW CAN LEAD TO WEIGHT

6370
04:48:20,236 --> 04:48:24,774
SIZING WHICH LEADS TO HIGHER 

6371
04:48:24,774 --> 04:48:26,576
RATES OF OBESITY ARE NOT SMALL 

6372
04:48:26,576 --> 04:48:27,376
TRENDS, THEY'RE LARGE TRENDS 

6373
04:48:27,376 --> 04:48:28,411
ACROSS THE POPULATION YOU SEE 

6374
04:48:28,411 --> 04:48:31,247
THIS INFILTRATING THINGS LIKE 

6375
04:48:31,247 --> 04:48:32,815
SOCIAL MEDIA AND THE VOLUME OF 

6376
04:48:32,815 --> 04:48:34,550
HITS AND WHAT WE'RE SEEING IN 

6377
04:48:34,550 --> 04:48:37,486
THE CLINIC SIDE FOR LARGE TRENDS

6378
04:48:37,486 --> 04:48:40,656
THAT PEOPLE ARE USING AND ACROSS

6379
04:48:40,656 --> 04:48:41,824
THE POPULATION THAT VARIOUS LIFE

6380
04:48:41,824 --> 04:48:42,058
STAGES.

6381
04:48:42,058 --> 04:48:44,327
SO I DO THINK THIS IS IMPORTANT 

6382
04:48:44,327 --> 04:48:46,195
FOR US TO THINK ABOUT WHAT WE'RE

6383
04:48:46,195 --> 04:48:47,930
GOING TO BE SEEING IN THE NEXT 

6384
04:48:47,930 --> 04:48:49,999
FIVE YEARS IS HARD TO KNOW 

6385
04:48:49,999 --> 04:48:51,534
BECAUSE THE TRENDS ARE CHANGING 

6386
04:48:51,534 --> 04:48:54,103
SO QUICKLY PARTICULARLY IN THIS 

6387
04:48:54,103 --> 04:48:55,938
AGE OF SOCIAL MEDIA AND A.I., 

6388
04:48:55,938 --> 04:48:57,873
ETCETERA AND WHAT'S INFLUENCING 

6389
04:48:57,873 --> 04:49:00,142
WHAT PRACTICES ARE BEING DONE.

6390
04:49:00,142 --> 04:49:01,978
THINGS LIKE INTERMITTENT 

6391
04:49:01,978 --> 04:49:05,748
FASTING, HIGH PROTEIN AND 

6392
04:49:05,748 --> 04:49:07,116
ELIMINATION DIETS ARE POPULAR 

6393
04:49:07,116 --> 04:49:07,850
AMONGST THE POPULATION 

6394
04:49:07,850 --> 04:49:09,185
PARTICULARLY ON THE CLINICAL 

6395
04:49:09,185 --> 04:49:09,685
SIDE.

6396
04:49:09,685 --> 04:49:12,154
I DO THINK WE NEED TO PAY 

6397
04:49:12,154 --> 04:49:13,422
CREDENCE TO THIS.

6398
04:49:13,422 --> 04:49:14,957
THE DATA DOES SHOW HOWEVER, WITH

6399
04:49:14,957 --> 04:49:18,694
MANY OF THESE THINGS 

6400
04:49:18,694 --> 04:49:19,929
UNFORTUNATELY PEOPLE DO THEM IN 

6401
04:49:19,929 --> 04:49:25,134
SHORT TERM DURATION BUT LEAD TO 

6402
04:49:25,134 --> 04:49:34,844
TYPICALLY GREATER ADIPOSITY.

6403
04:49:34,844 --> 04:49:37,013
>> WHEN CHRISTINA WAS
TALKING I 

6404
04:49:37,013 --> 04:49:40,383
WAS THINKING ABOUT AN 

6405
04:49:40,383 --> 04:49:41,384
INTEGRATION OPPONENT TALKING 

6406
04:49:41,384 --> 04:49:42,418
ABOUT BREAKFAST FOR KIDS AND 

6407
04:49:42,418 --> 04:49:44,387
WHEN WE THINK OF EATING 

6408
04:49:44,387 --> 04:49:46,822
OCCASIONS, ONE OF THE PROBLEMS I

6409
04:49:46,822 --> 04:49:50,526
HAVE WITH THAT IS KID SNACK A 

6410
04:49:50,526 --> 04:49:53,229
LOT.

6411
04:49:53,229 --> 04:49:54,864
SHERYL PRESENTED THE DATA THAT 

6412
04:49:54,864 --> 04:49:56,866
SHED MOST OF WHAT THEY ARE GET 

6413
04:49:56,866 --> 04:49:58,334
FROM -- SHOWED MOST OF WHAT THEY

6414
04:49:58,334 --> 04:50:00,736
ARE GET FROM SNACKS IS NOT 

6415
04:50:00,736 --> 04:50:02,471
HEALTHY AND DIDI WAS TALKING 

6416
04:50:02,471 --> 04:50:04,173
ABOUT HOW PARENTS ARE IN A HURRY

6417
04:50:04,173 --> 04:50:08,444
AND IF YOU CAN'T GET IT IN A 

6418
04:50:08,444 --> 04:50:12,448
PACKAGE -- WE DID A STUDY AND 

6419
04:50:12,448 --> 04:50:15,518
THEY INCREASED PACKING VEGETABLE

6420
04:50:15,518 --> 04:50:19,121
AND THEY PUT BABY CARROTS IN 

6421
04:50:19,121 --> 04:50:22,758
BECAUSE THEY'RE EASY TO PACK SO 

6422
04:50:22,758 --> 04:50:25,194
IT DEPENDS ON THE FOOD SYSTEM 

6423
04:50:25,194 --> 04:50:26,996
AND YOU CAN BRING THAT IN AND 

6424
04:50:26,996 --> 04:50:28,831
TALK ABOUT CHRIS'S ANALYSIS 

6425
04:50:28,831 --> 04:50:33,069
WHERE YOU IF YOU HAVE HIGH 

6426
04:50:33,069 --> 04:50:36,605
SATURATED FAT FOODS OR FOOD OF 

6427
04:50:36,605 --> 04:50:39,842
KNNUTRITIONAL VALUE THAT CAN 

6428
04:50:39,842 --> 04:50:41,444
CONTRIBUTE TO NOT MEETING THE 

6429
04:50:41,444 --> 04:50:41,877
GUIDELINES.

6430
04:50:41,877 --> 04:50:49,385
THEN YOU CAN BRING IT IN TO THE 

6431
04:50:49,385 --> 04:50:50,152
SCHOOL LUNCH PROGRAM.

6432
04:50:50,152 --> 04:50:52,855
THIS IS GUIDANCE WE CAN GIVE 

6433
04:50:52,855 --> 04:50:55,891
THEM IN TERMS OF THAT.

6434
04:50:55,891 --> 04:50:57,893
SO IT KINDS OF BRINGS IN ALL THE

6435
04:50:57,893 --> 04:50:58,461
COMMITTEES WITH THOSE GUIDE 

6436
04:50:58,461 --> 04:51:08,571
HINES.

6437
04:51:09,038 --> 04:51:10,973
>> MOST AMERICANS DON'T
MEET THE

6438
04:51:10,973 --> 04:51:11,874
GUIDELINES.

6439
04:51:11,874 --> 04:51:13,609
THEY'RE OFTEN USED FOR SAFETY 

6440
04:51:13,609 --> 04:51:14,110
NET PROGRAMS.

6441
04:51:14,110 --> 04:51:16,178
THEY HAVE TO FOLLOW THE 

6442
04:51:16,178 --> 04:51:16,479
GUIDELINES.

6443
04:51:16,479 --> 04:51:18,114
IT WILL BE INTERESTING TO THINK 

6444
04:51:18,114 --> 04:51:19,882
MORE OF SCHOOL LUNCH AND SCHOOL 

6445
04:51:19,882 --> 04:51:22,818
BREAKFAST WHICH HAVE TO FOLLOW 

6446
04:51:22,818 --> 04:51:23,819
THESE.

6447
04:51:23,819 --> 04:51:25,221
UNIVERSAL SCHOOL LUNCH APPROVED 

6448
04:51:25,221 --> 04:51:25,821
ACROSS THE BOARD.

6449
04:51:25,821 --> 04:51:28,324
THEY'RE NOT SERVING HEALTHY 

6450
04:51:28,324 --> 04:51:32,194
MEALS BUT WHAT KIND OF DPAP 

6451
04:51:32,194 --> 04:51:34,497
COULD WE FILL THERE -- GAP COULD

6452
04:51:34,497 --> 04:51:39,802
WE FILL THERE IN TERMS OF 

6453
04:51:39,802 --> 04:51:45,107
PROGRAMS AND SUGAR SWEETENED 

6454
04:51:45,107 --> 04:51:45,808
BEVERAGES AND THERE'S WHERE 

6455
04:51:45,808 --> 04:51:46,609
GENERAL AMERICANS AREN'T 

6456
04:51:46,609 --> 04:51:48,878
FOLLOWING THE GUIDELINES BUT THE

6457
04:51:48,878 --> 04:51:52,314
SAFETY NET PROGRAMS HAVE TO.

6458
04:51:52,314 --> 04:51:54,416
WAS THERE ANYTHING WE CAM UP 

6459
04:51:54,416 --> 04:51:56,819
WITH IN THE LAST ROUND WE JUST 

6460
04:51:56,819 --> 04:51:59,088
FINISHED HELP MODIFY THE SAFETY 

6461
04:51:59,088 --> 04:51:59,722
NET PROGRAMS?

6462
04:51:59,722 --> 04:52:06,295
>> I'LL ADD TO THAT.

6463
04:52:06,295 --> 04:52:08,998
THE ISSUE ON MEETING GUIDELINES 

6464
04:52:08,998 --> 04:52:12,234
AND HOW THE DETAILS I WOULDN'T 

6465
04:52:12,234 --> 04:52:13,269
NECESSARILY MAKE A STATEMENT TO 

6466
04:52:13,269 --> 04:52:14,136
SAY THE PROGRAMS ARE NOT MEETING

6467
04:52:14,136 --> 04:52:24,413
THE GUIDELINES.

6468
04:52:25,748 --> 04:52:30,719
WHEN THE GUIDELINES GET 

6469
04:52:30,719 --> 04:52:31,654
INCORPORATED IN THE PROGRAMS 

6470
04:52:31,654 --> 04:52:34,757
THERE'S MONITORING BUT WE KIND 

6471
04:52:34,757 --> 04:52:37,226
OF VIEW RESEARCH AS VERY 

6472
04:52:37,226 --> 04:52:39,161
SEPARATE THEN SURVEILLANCE AND 

6473
04:52:39,161 --> 04:52:40,629
MONITORING IN THESE PROCESSES.

6474
04:52:40,629 --> 04:52:43,299
MAYBE BECAUSE THEY'RE NOT 

6475
04:52:43,299 --> 04:52:44,533
CONTROLLED IN A WAY.

6476
04:52:44,533 --> 04:52:49,605
I LEAR STATEMENTS PEOPLE MAKE 

6477
04:52:49,605 --> 04:52:54,743
ABOUT FEDERAL PROGRAMS WITHOUT 

6478
04:52:54,743 --> 04:52:56,445
DATA.

6479
04:52:56,445 --> 04:53:03,118
THEY HAVE SENDA 1, 2 AND 3 ABOUT

6480
04:53:03,118 --> 04:53:04,820
HOW THE FEDERAL PROGRAMS MIGHT 

6481
04:53:04,820 --> 04:53:07,990
HELP PEOPLE AND WHAT IS OFFERED.

6482
04:53:07,990 --> 04:53:10,459
WE PROBABLY COULD HAVE MORE 

6483
04:53:10,459 --> 04:53:10,826
DATA.

6484
04:53:10,826 --> 04:53:15,664
WE HAVEN'T BEEN LOOKING AT DATA 

6485
04:53:15,664 --> 04:53:17,466
REALIZATION DATA, FEDERAL 

6486
04:53:17,466 --> 04:53:19,201
REPORTS, REALIZATION REPORTS.

6487
04:53:19,201 --> 04:53:21,704
WE TALKED ABOUT QUALITATIVE 

6488
04:53:21,704 --> 04:53:21,971
RESEARCH.

6489
04:53:21,971 --> 04:53:24,173
THERE MAY BE OTHER SOURCES OF 

6490
04:53:24,173 --> 04:53:27,142
DATA WHICH GETS INCORPORATED IN 

6491
04:53:27,142 --> 04:53:28,177
SOME WAY AFTER THE OUTSIDE OUR 

6492
04:53:28,177 --> 04:53:30,713
PROCESS.

6493
04:53:30,713 --> 04:53:34,650
IT HAPPENS WHEN THE GUIDELINES 

6494
04:53:34,650 --> 04:53:35,117
ARE MADE.

6495
04:53:35,117 --> 04:53:37,887
WE PROBABLY COULD HAVE MORE DATA

6496
04:53:37,887 --> 04:53:43,125
THAT GETS INCORPORATED INTO THIS

6497
04:53:43,125 --> 04:53:45,094
PROCESS LINKED TO SURVEILLANCE 

6498
04:53:45,094 --> 04:53:47,863
THAT MAYBE GOES BOTH WAYS AS YOU

6499
04:53:47,863 --> 04:53:48,297
SAID.

6500
04:53:48,297 --> 04:53:49,565
BECAUSE WE ARE NOT LOOKING AT 

6501
04:53:49,565 --> 04:53:51,934
THAT DATA UNLESS IT'S IN THE 

6502
04:53:51,934 --> 04:53:57,840
PUBLISHED ALL RIGHT  -- 

6503
04:53:57,840 --> 04:53:58,874
LITERATURE AND THINK MORE OF 

6504
04:53:58,874 --> 04:53:59,508
WHAT'S HAPPENING IN THE FEDERAL 

6505
04:53:59,508 --> 04:54:07,082
PROGRAMS.

6506
04:54:07,082 --> 04:54:09,051
>> WE'LL TAKE HEATHER AND 

6507
04:54:09,051 --> 04:54:10,586
CHRISTINA AND THEN WRAP UP.

6508
04:54:10,586 --> 04:54:12,821
>> I ALSO WANTED TO SAY
ONE 

6509
04:54:12,821 --> 04:54:15,190
THING WITH REGARD TO THAT 

6510
04:54:15,190 --> 04:54:16,859
COMMENT ABOUT SNAP.

6511
04:54:16,859 --> 04:54:19,695
WHEN WE THINK ABOUT THE 

6512
04:54:19,695 --> 04:54:22,431
ENVIRONMENT OF INDIVIDUALS THAT 

6513
04:54:22,431 --> 04:54:24,166
LIVE IN HOUSEHOLDS WITH LOW 

6514
04:54:24,166 --> 04:54:27,036
INCOMES THAT MAY BE MORE 

6515
04:54:27,036 --> 04:54:27,336
CONSTRAINED.

6516
04:54:27,336 --> 04:54:29,972
I THINK THAT'S ALSO IMPORTANT TO

6517
04:54:29,972 --> 04:54:32,474
CONSIDER WHEN WE'RE TALKING 

6518
04:54:32,474 --> 04:54:34,843
ABOUT HOW WE'RE GOING TO 

6519
04:54:34,843 --> 04:54:36,278
IMPLEMENT GUIDELINES THROUGH 

6520
04:54:36,278 --> 04:54:37,947
PROGRAMS BECAUSE WE DON'T WANT 

6521
04:54:37,947 --> 04:54:40,783
TO MAKE IT EVEN MORE DIFFICULT 

6522
04:54:40,783 --> 04:54:43,118
FOR PEOPLE TO FULFILL 

6523
04:54:43,118 --> 04:54:45,387
GUIDELINES.

6524
04:54:45,387 --> 04:54:49,158
SO I THINK WE NEED TO 

6525
04:54:49,158 --> 04:54:52,528
INCORPORATE THE ENVIRONMENT 

6526
04:54:52,528 --> 04:54:53,028
ASPECT ALL THROUGHOUT.

6527
04:54:53,028 --> 04:54:57,099
>> I NO WE HAVE TO CLOSE
BUT TO 

6528
04:54:57,099 --> 04:54:59,134
ADD TO CHRIS' POINT THE 

6529
04:54:59,134 --> 04:55:00,669
MODELLING WE COULD DO USING THE 

6530
04:55:00,669 --> 04:55:03,038
DIETARY GUIDELINES TO THINK HOW 

6531
04:55:03,038 --> 04:55:05,641
CAN PEOPLE MEET THE GUIDELINES 

6532
04:55:05,641 --> 04:55:08,744
WITHIN THE FEDERAL PROGRAMS.

6533
04:55:08,744 --> 04:55:10,879
MAYBE AN INTERESTING PERSPECTIVE

6534
04:55:10,879 --> 04:55:11,113
AS WELL.

6535
04:55:11,113 --> 04:55:15,117
>> CHRISTINA, LAST
COMMENT.

6536
04:55:15,117 --> 04:55:18,187
>> THIS IS JUST
RECOMMENDATIONS 

6537
04:55:18,187 --> 04:55:24,860
TO ADDING OUR SCIENTIFIC REPORT.

6538
04:55:24,860 --> 04:55:27,963
AS EVE MENTIONED HOW QUESTIONS 

6539
04:55:27,963 --> 04:55:29,131
HAVE DEVELOPED MAYBE QUESTIONS 

6540
04:55:29,131 --> 04:55:32,468
WE THINK RESEARCHERS SHOULD TAKE

6541
04:55:32,468 --> 04:55:34,069
INTO ACCOUNT TO PICK UP IN THE 

6542
04:55:34,069 --> 04:55:37,573
NEXT ROUND OF GUIDELINES AND I'M

6543
04:55:37,573 --> 04:55:41,944
PRETTY SURE MANY RESEARCHERS 

6544
04:55:41,944 --> 04:55:42,711
HAVE THAT INFORMATION BUT 

6545
04:55:42,711 --> 04:55:44,446
HAVEN'T PUBLISHED THE 

6546
04:55:44,446 --> 04:55:46,682
GRANULARITY OF FOODS AND SNACKS 

6547
04:55:46,682 --> 04:55:51,153
AND BREAKFAST WHAT THEY'RE 

6548
04:55:51,153 --> 04:55:54,523
EATING AND THE TYPES OF SNACKS 

6549
04:55:54,523 --> 04:55:56,992
WHERE WE WERE STUCK WITHOUT 

6550
04:55:56,992 --> 04:55:57,292
INFORMATION.

6551
04:55:57,292 --> 04:55:58,260
BEING VERY DETAILED ON ABOUT 

6552
04:55:58,260 --> 04:55:59,294
WHAT ARE THE THINGS WE WERE 

6553
04:55:59,294 --> 04:56:02,164
MISSING THAT WE CAN HAVE A CALL 

6554
04:56:02,164 --> 04:56:04,600
OUT ON TIME FOR RESEARCHERS TO 

6555
04:56:04,600 --> 04:56:08,637
START PUBLISHING THE DATA WE 

6556
04:56:08,637 --> 04:56:10,873
ALREADY HAVE SO THEY CAN BE PART

6557
04:56:10,873 --> 04:56:17,479
OF THE DATA NEXT TIME.

6558
04:56:17,479 --> 04:56:19,948
>> THIS HAS BEEN A
FANTASTIC 

6559
04:56:19,948 --> 04:56:20,416
DISCUSSION.

6560
04:56:20,416 --> 04:56:25,054
THIS HAS BEEN A FANTASTIC PUBLIC

6561
04:56:25,054 --> 04:56:25,521
MEETING.

6562
04:56:25,521 --> 04:56:28,524
AND WE HAVE A LOT OF WORK TO DO 

6563
04:56:28,524 --> 04:56:31,794
OVER THE NEXT MONTH BEFORE WE 

6564
04:56:31,794 --> 04:56:34,229
GET TO MEET AT OUR NEXT MEETING 

6565
04:56:34,229 --> 04:56:37,766
BUT I KNOW WE CAN DO IT BECAUSE 

6566
04:56:37,766 --> 04:56:48,110
GO TEAM, 2025, DGAC.

6567
04:56:49,445 --> 04:56:50,179
>> THANKS SO MUCH TO THE 

6568
04:56:50,179 --> 04:56:51,780
COMMITTEE AND STAFF AND PUBLIC 

6569
04:56:51,780 --> 04:56:52,815
FOR ATTENDING TODAY.

6570
04:56:52,815 --> 04:56:54,750
I REALLY APPRECIATE YOUR TIME 

6571
04:56:54,750 --> 04:56:55,784
AND WITH THAT I WILL CONCLUDE 

6572
04:56:55,784 --> 04:56:56,085
OUR MEETING.

6573
04:56:56,085 --> 04:56:56,151