1 00:00:05,480 --> 00:00:09,120 >>GOOD MORNING AND WELCOME TO 2 00:00:09,120 --> 00:00:10,680 THE SECOND MEETING OF THE 2025 3 00:00:10,680 --> 00:00:12,520 DIETARY GUIDELINES ADVISORY 4 00:00:12,520 --> 00:00:15,680 COMMITTEE AND I'M JANET de JESUS 5 00:00:15,680 --> 00:00:17,280 FEDERAL OFFICER AND WE'RE HAPPY 6 00:00:17,280 --> 00:00:19,280 TO HAVE COMMITTEE MEMBERS TO 7 00:00:19,280 --> 00:00:20,040 GIVE UPDATES. 8 00:00:20,040 --> 00:00:21,640 AS ALWAYS WE THANK THE PUBLIC 9 00:00:21,640 --> 00:00:23,400 FOR YOUR PARTICIPATION AND 10 00:00:23,400 --> 00:00:24,720 ENGAGEMENT THROUGHOUT THE 11 00:00:24,720 --> 00:00:24,960 PROCESS. 12 00:00:24,960 --> 00:00:26,680 I'M HAPPY TO SHARE ALL OF OUR 13 00:00:26,680 --> 00:00:28,640 MEMBERS OF THE COMMITTEE ARE IN 14 00:00:28,640 --> 00:00:32,920 ATTENDANCE IN PERSON TODAY. 15 00:00:32,920 --> 00:00:34,600 JUST A REMINDER ON THE TIME 16 00:00:34,600 --> 00:00:37,680 LINE, THE COMMITTEE WILL HAVE 17 00:00:37,680 --> 00:00:39,000 SIX PUBLIC MEETINGS. 18 00:00:39,000 --> 00:00:41,040 TODAY IS OUR SECOND MEETING. 19 00:00:41,040 --> 00:00:42,080 MEETING THREE WILL BE IN 20 00:00:42,080 --> 00:00:44,760 SEPTEMBER AND THAT WILL INCLUDE 21 00:00:44,760 --> 00:00:45,440 AN OPPORTUNITY FOR ORAL COMMENTS 22 00:00:45,440 --> 00:00:47,080 FROM THE PUBLIC AND WE'LL 23 00:00:47,080 --> 00:00:47,720 PROVIDE MORE INFORMATION ON THAT 24 00:00:47,720 --> 00:00:50,800 SOON. 25 00:00:50,800 --> 00:00:52,480 MEETING SIX WILL INCLUDE THE 26 00:00:52,480 --> 00:00:53,640 COMMITTEE'S PRESENTATION ON 27 00:00:53,640 --> 00:00:55,160 THEIR DRAFT REPORT AND WE'VE 28 00:00:55,160 --> 00:00:59,320 ASKED THE COMMITTEE SUBMIT THEIR 29 00:00:59,320 --> 00:01:01,560 REPORT BY OCTOBER 2024. 30 00:01:01,560 --> 00:01:04,000 FOLLOWING THE RELEASE OF THE 31 00:01:04,000 --> 00:01:05,760 SCIENTIFIC REPORT HHS AND USDA 32 00:01:05,760 --> 00:01:07,000 WILL BEGIN THE PROCESS TO UPDATE 33 00:01:07,000 --> 00:01:08,840 THE DIETARY GUIDELINES. 34 00:01:08,840 --> 00:01:11,880 THAT WILL BE PUBLISHED IN 2025. 35 00:01:11,880 --> 00:01:13,680 HERE'S A BRIEF AGENDA FOR TODAY. 36 00:01:13,680 --> 00:01:15,400 WE'RE GOING TO START OFF WITH 37 00:01:15,400 --> 00:01:16,680 SOME OPENING REMARKS. 38 00:01:16,680 --> 00:01:19,360 WE'LL ALSO HAVE UPDATES ON 39 00:01:19,360 --> 00:01:22,280 PROJECTS RELATED TO THE DIETARY 40 00:01:22,280 --> 00:01:23,320 GUIDELINES. 41 00:01:23,320 --> 00:01:24,960 WE'LL HAVE REMARKS FROM OUR 42 00:01:24,960 --> 00:01:26,840 CHAIR AND VICE CHAIR OF THE 43 00:01:26,840 --> 00:01:30,760 COMMITTEE AND THEN MOST OF THE 44 00:01:30,760 --> 00:01:31,520 MEETING TODAY WILL BE 45 00:01:31,520 --> 00:01:34,040 SUBCOMMITTEE AND WORKING GROUP 46 00:01:34,040 --> 00:01:34,960 PRESENTATIONS PRESENTED TO THE 47 00:01:34,960 --> 00:01:35,560 ENTIRE COMMITTEE ON THEIR 48 00:01:35,560 --> 00:01:40,920 PROGRESS SINCE FEBRUARY. 49 00:01:40,920 --> 00:01:43,200 A REMINDER OF THE CHARGE OF THE 50 00:01:43,200 --> 00:01:43,600 COMMITTEE. 51 00:01:43,600 --> 00:01:45,760 THE COMMITTEE WILL EXAMINE THE 52 00:01:45,760 --> 00:01:46,880 EVIDENCE ON TOPICS AND 53 00:01:46,880 --> 00:01:48,120 SCIENTIFIC QUESTIONS IDENTIFIED 54 00:01:48,120 --> 00:01:49,640 BY THE DEPARTMENTS. 55 00:01:49,640 --> 00:01:51,640 THEY'LL DEVELOP A REPORT THAT 56 00:01:51,640 --> 00:01:56,320 OUTLINES THEIR SCIENCE-BASED 57 00:01:56,320 --> 00:01:57,480 REVIEW AND RECOMMENDATIONS WITH 58 00:01:57,480 --> 00:01:59,160 RATIONALE AND FINALLY SUBMIT 59 00:01:59,160 --> 00:02:03,040 THEIR REPORT TO THE SECRETARIES 60 00:02:03,040 --> 00:02:07,320 OF HHS AND USDA FOR 61 00:02:07,320 --> 00:02:08,440 CONSIDERATION AS WE DEVELOP THE 62 00:02:08,440 --> 00:02:09,600 NEXT DIETARY GUIDELINES. 63 00:02:09,600 --> 00:02:10,880 THE COMMITTEE HAS A VERY 64 00:02:10,880 --> 00:02:13,280 IMPORTANT ROLE TO DESCRIBE THE 65 00:02:13,280 --> 00:02:16,760 STATE OF CURRENT NUTRITION 66 00:02:16,760 --> 00:02:17,000 SCIENCE. 67 00:02:17,000 --> 00:02:19,040 SO EACH EDITION OF THE DIETARY 68 00:02:19,040 --> 00:02:20,840 GUIDELINES BUILDS ON THE 69 00:02:20,840 --> 00:02:22,600 PREVIOUS EDITION IN ADDITION TO 70 00:02:22,600 --> 00:02:24,640 THE SCIENTIFIC REPORT FROM THE 71 00:02:24,640 --> 00:02:26,880 COMMITTEE ALONG WITH INPUT FROM 72 00:02:26,880 --> 00:02:33,960 OUR FEDERAL AGENCIES AND PUBLIC. 73 00:02:33,960 --> 00:02:36,080 A REMINDER OF THE QUESTION 74 00:02:36,080 --> 00:02:36,680 DEVELOPMENT PROCESS. 75 00:02:36,680 --> 00:02:40,200 HHS AND USDA CONDUCTED A 76 00:02:40,200 --> 00:02:42,360 YEARLONG PROCESS TO GATHER 77 00:02:42,360 --> 00:02:44,960 INFORMATION, RECEIVE INPUT FROM 78 00:02:44,960 --> 00:02:46,440 FEDERAL EXPERTS AND DOCUMENT TO 79 00:02:46,440 --> 00:02:47,320 DEVELOP THE PROPOSED SCIENTIFIC 80 00:02:47,320 --> 00:02:51,920 QUESTIONS. 81 00:02:51,920 --> 00:02:55,320 THE LIST OF QUESTIONS PROVIDED 82 00:02:55,320 --> 00:02:57,560 INCLUDES QUESTIONS EXAMINED BY 83 00:02:57,560 --> 00:03:00,280 THE 2020 COMMITTEE AND NEWLY 84 00:03:00,280 --> 00:03:01,320 DEVELOPED QUESTIONS ADDRESSING 85 00:03:01,320 --> 00:03:02,720 DIET AND HEALTH. 86 00:03:02,720 --> 00:03:05,960 WE ALSO REVIEWED EXISTING 87 00:03:05,960 --> 00:03:07,920 FEDERAL RESOURCES THAT MAY 88 00:03:07,920 --> 00:03:16,280 INFORM THE DIETARY GUIDELINES. 89 00:03:16,280 --> 00:03:19,200 AND THERE'S A RANGE OF HEALTH 90 00:03:19,200 --> 00:03:21,320 OUTCOMES INCLUDING PREGNANCY AND 91 00:03:21,320 --> 00:03:25,480 INFANT HEALTH OUTCOMES, 92 00:03:25,480 --> 00:03:26,560 CARDIOVASCULAR DISEASE, TYPE 2 93 00:03:26,560 --> 00:03:28,440 DIABETES AND CANCER. 94 00:03:28,440 --> 00:03:32,080 THE PROPOSED QUESTIONS WILL BE 95 00:03:32,080 --> 00:03:34,680 EXAMINED USING SYSTEMATIC 96 00:03:34,680 --> 00:03:38,880 REVIEWS AND PATTERN MODELS. 97 00:03:38,880 --> 00:03:41,720 OUR COMMITTEE HAS A FINITE TIME 98 00:03:41,720 --> 00:03:42,640 IN MEMBERSHIP. 99 00:03:42,640 --> 00:03:45,440 A REMINDER WE HAVE A WIDE 100 00:03:45,440 --> 00:03:46,400 VARIETY OF FEDERAL GUIDANCE 101 00:03:46,400 --> 00:03:48,520 THAT'S AVAILABLE THAT WE CAN 102 00:03:48,520 --> 00:03:49,840 UTILIZE IN THE DIETARY 103 00:03:49,840 --> 00:03:50,160 GUIDELINES. 104 00:03:50,160 --> 00:03:54,200 SO THIS IS JUST A SHORT LIST BUT 105 00:03:54,200 --> 00:03:56,600 JUST TO SHARE SOME EXAMPLES, 106 00:03:56,600 --> 00:03:57,920 HEALTHY FOOD ENVIRONMENTS AS 107 00:03:57,920 --> 00:04:00,640 COVERED BY CDC, THE COMMUNITY 108 00:04:00,640 --> 00:04:02,240 PREVENTIVE TASK FORCE FINDINGS, 109 00:04:02,240 --> 00:04:04,480 ORAL HEALTH IS WELL COVERED BY 110 00:04:04,480 --> 00:04:06,920 CDC AND NIH. 111 00:04:06,920 --> 00:04:09,400 FOOD SAFETY, SPECIFIC 112 00:04:09,400 --> 00:04:10,120 RECOMMENDATIONS SUCH AS THE 113 00:04:10,120 --> 00:04:10,840 D.R.I.s. 114 00:04:10,840 --> 00:04:14,320 WORK ON HUMAN MILK, SEAFOOD, 115 00:04:14,320 --> 00:04:16,400 EATING DISORDERS AND PHYSICAL 116 00:04:16,400 --> 00:04:18,000 ACTIVITY FROM THE PHYSICAL 117 00:04:18,000 --> 00:04:18,520 ACTIVITY GUIDELINES FOR 118 00:04:18,520 --> 00:04:28,120 AMERICANS. 119 00:04:28,120 --> 00:04:30,240 YOU CAN FOLLOW ALONG ON THE 120 00:04:30,240 --> 00:04:32,560 COMMITTEE PROCESS ON DIETARY 121 00:04:32,560 --> 00:04:39,120 GUIDELINES.gov IF YOU CLICK WORK 122 00:04:39,120 --> 00:04:41,040 UNDERWAY YOU GET THE LATEST 123 00:04:41,040 --> 00:04:42,080 INFORMATION FROM THE COMMISSION. 124 00:04:42,080 --> 00:04:44,760 IT'S MY PLEASURE TO INTRODUCE 125 00:04:44,760 --> 00:04:45,800 REAR ADMIRAL PAUL REED WHO WILL 126 00:04:45,800 --> 00:04:49,400 BE GIVING OPENING REMARKS. 127 00:04:49,400 --> 00:04:50,520 THE DEPUTY ASSISTANT SECRETARY 128 00:04:50,520 --> 00:04:51,560 FOR HEALTH AND THE DIRECTOR OF 129 00:04:51,560 --> 00:04:54,920 MY OFFICE, THE OFFICE OF DISEASE 130 00:04:54,920 --> 00:04:56,280 PREVENTION AND HEALTH PROMOTION 131 00:04:56,280 --> 00:04:59,360 IN THE OFFICE OF THE ASSISTANT 132 00:04:59,360 --> 00:05:00,840 SECRETARY FOR HEALTH AT HHS. 133 00:05:00,840 --> 00:05:02,800 HIS PRIMARY RESPONSIBILITY IS TO 134 00:05:02,800 --> 00:05:03,800 ADVISE THE ASSIST AND THE 135 00:05:03,800 --> 00:05:05,720 SECRETARY FOR HEALTH ON DISEASE, 136 00:05:05,720 --> 00:05:08,160 PREVENTION AND HEALTH PROMOTION 137 00:05:08,160 --> 00:05:10,760 PROGRAMS AND POLICIES. 138 00:05:10,760 --> 00:05:11,720 ADDITIONALLY HE PROVIDES 139 00:05:11,720 --> 00:05:13,880 DIRECTION AND OVERSIGHT FOR 140 00:05:13,880 --> 00:05:15,360 NATIONAL INITIATIVES SUCH AS 141 00:05:15,360 --> 00:05:17,680 HEALTHY PEOPLE 2030, DIETARY 142 00:05:17,680 --> 00:05:19,320 GUIDELINES FOR AMERICANS, 143 00:05:19,320 --> 00:05:21,560 PHYSICAL ACTIVITY GUIDELINES AND 144 00:05:21,560 --> 00:05:22,920 THE PRESIDENT'S COUNCIL ON 145 00:05:22,920 --> 00:05:24,680 SPORTS FITNESS AND NUTRITION. 146 00:05:24,680 --> 00:05:26,320 IN ADDITION HE CHAMPIONS AND IS 147 00:05:26,320 --> 00:05:28,560 CHAMPIONING THE IMPLEMENTATION 148 00:05:28,560 --> 00:05:31,080 OF A FEDERAL PLAN FOR EQUITABLE 149 00:05:31,080 --> 00:05:32,840 LONG-TERM RECOVERY AND 150 00:05:32,840 --> 00:05:35,320 RESILIENCE WHICH LAYS OUT A 151 00:05:35,320 --> 00:05:36,200 GOVERNMENT-WIDE APPROACH FOR 152 00:05:36,200 --> 00:05:38,480 FEDERAL AGENCIES TO STRENGTHEN 153 00:05:38,480 --> 00:05:40,880 THE CONDITIONS NECESSARY FOR I 154 00:05:40,880 --> 00:05:42,480 AM PROVING INDIVIDUAL AND 155 00:05:42,480 --> 00:05:43,040 COMMUNITY AND WELL BEING 156 00:05:43,040 --> 00:05:45,880 NATIONWIDE. 157 00:05:45,880 --> 00:05:48,120 HE'S HELD NUMEROUS LEADERSHIP 158 00:05:48,120 --> 00:05:50,520 ROLES WITHIN HHS BEFORE COMING 159 00:05:50,520 --> 00:05:52,600 TO ODPHP AND SO GLAD HE JOINED 160 00:05:52,600 --> 00:05:54,160 US. 161 00:05:54,160 --> 00:05:58,520 HE BEGAN HIS CAREER AS A UNIFORM 162 00:05:58,520 --> 00:06:00,680 OFFICER IN THE NAVY AFTER 163 00:06:00,680 --> 00:06:01,320 GRADUATING FROM BOSTON 164 00:06:01,320 --> 00:06:02,480 UNIVERSITY SCHOOL OF MEDICINE 165 00:06:02,480 --> 00:06:04,360 AND IS A PEDIATRICIAN. 166 00:06:04,360 --> 00:06:08,760 IT'S MY HONOR TO INVITE REAR 167 00:06:08,760 --> 00:06:09,720 ADMIRAL REED TO THE COMMITTEE 168 00:06:09,720 --> 00:06:16,160 AND KICK OFF OUR MEETING TODAY. 169 00:06:16,160 --> 00:06:19,360 >>GOOD MORNING, EVERYBODY. 170 00:06:19,360 --> 00:06:20,720 IT'S MY PLEASURE TO BE WITH YOU 171 00:06:20,720 --> 00:06:22,880 TODAY AND I APOLOGIZE FOR NOT 172 00:06:22,880 --> 00:06:24,280 HAVING BEEN HERE FOR THE FIRST 173 00:06:24,280 --> 00:06:25,960 MEETING SOMETHING THAT TOOK ME 174 00:06:25,960 --> 00:06:28,000 AWAY AS IS OFTEN THE CASE AND 175 00:06:28,000 --> 00:06:30,640 GREAT TO BE WITH YOU ALL TODAY. 176 00:06:30,640 --> 00:06:33,360 WE'RE EXCITED TO WELCOME BACK 177 00:06:33,360 --> 00:06:35,480 THE 2025 DIETARY GUIDELINE 178 00:06:35,480 --> 00:06:36,720 COMMITTEE FOR THEIR SECOND 179 00:06:36,720 --> 00:06:37,840 MEETING TODAY. 180 00:06:37,840 --> 00:06:39,480 TO OPEN THE DIALOGUE I'D FIRST 181 00:06:39,480 --> 00:06:40,920 LIKE TO SAY AT THE OFFICE OF 182 00:06:40,920 --> 00:06:42,200 DISEASE PREVENTION AND HEALTH 183 00:06:42,200 --> 00:06:44,400 PROMOTION OUR MISSION IS TO 184 00:06:44,400 --> 00:06:46,720 ENCOURAGE ALL AMERICANS TO LEAD 185 00:06:46,720 --> 00:06:48,360 HEALTHY AND ACTIVE LIVES. 186 00:06:48,360 --> 00:06:49,480 ONE OF THE MOST IMPORTANT THINGS 187 00:06:49,480 --> 00:06:53,040 WE CAN DO AT OUR HEALTH IS TO 188 00:06:53,040 --> 00:06:54,080 ROUTINELY EAT A NUTRITIOUS DIET. 189 00:06:54,080 --> 00:06:56,880 THAT'S WHY THE WORK OF THIS 190 00:06:56,880 --> 00:06:57,960 COMMITTEE IS VITALLY IMPORTANT 191 00:06:57,960 --> 00:07:01,560 TO UPDATE THE DIETARY GUIDELINES 192 00:07:01,560 --> 00:07:02,920 FOR AMERICANS OF COURSE AND MORE 193 00:07:02,920 --> 00:07:04,320 BROADLY IN ADVANCING THE HEALTH 194 00:07:04,320 --> 00:07:05,880 AND WELL BEING OF THE AMERICAN 195 00:07:05,880 --> 00:07:06,360 PUBLIC. 196 00:07:06,360 --> 00:07:06,960 SOMETHING WE TAKE VERY VERY 197 00:07:06,960 --> 00:07:09,960 SERIOUSLY. 198 00:07:09,960 --> 00:07:10,640 AS YOU KNOW THE WHITE HOUSE 199 00:07:10,640 --> 00:07:12,960 CONFERENCE ON HUNGER, NUTRITION 200 00:07:12,960 --> 00:07:15,280 AND HEALTH HELD LAST SEPTEMBER 201 00:07:15,280 --> 00:07:16,720 RENEWED NATIONAL ATTENTION AND 202 00:07:16,720 --> 00:07:18,720 ISSUED THE CALL TO ACTION TO END 203 00:07:18,720 --> 00:07:23,000 HUNGER AND REDUCE THE PREVALENCE 204 00:07:23,000 --> 00:07:26,960 OF HUNGER BY 2030 AND OUTLINES 205 00:07:26,960 --> 00:07:30,920 NUMEROUS ACTIVITY THE GOVERNMENT 206 00:07:30,920 --> 00:07:32,360 WILL UNDERTAKE INCLUDING ACCESS 207 00:07:32,360 --> 00:07:34,640 AND AFFORDABILITY, INTEGRATING 208 00:07:34,640 --> 00:07:36,680 NUTRITION AND HEALTH, EMPOWERING 209 00:07:36,680 --> 00:07:38,120 ALL CONSUMER TO MAKE AND HAVE 210 00:07:38,120 --> 00:07:40,760 ACCESS TO HEALTHY CHOICES AND 211 00:07:40,760 --> 00:07:42,000 ENHANCING FOOD AND NUTRITION 212 00:07:42,000 --> 00:07:43,480 SECURITY RESEARCH ALL ACTIONS 213 00:07:43,480 --> 00:07:44,800 DESIGN TO INCREASE HEALTHY 214 00:07:44,800 --> 00:07:46,040 LIVING AND HEALTHY EATING BY 215 00:07:46,040 --> 00:07:48,960 2030. 216 00:07:48,960 --> 00:07:51,080 NOW, UNDER PINNING MANY OF THESE 217 00:07:51,080 --> 00:07:51,800 ACTIONS IN THE NATIONAL 218 00:07:51,800 --> 00:07:53,840 TECHNOLOGY IS OF COURSE THE 219 00:07:53,840 --> 00:07:55,840 DIETARY GUIDELINES MORE 220 00:07:55,840 --> 00:07:56,680 AMERICANS. 221 00:07:56,680 --> 00:07:58,560 THE GUIDELINES TRANSLATE SCIENCE 222 00:07:58,560 --> 00:08:01,320 TO POLICY AND GUIDANCE AND 223 00:08:01,320 --> 00:08:03,480 PROVIDE ADVICE ON DIETARY INTAKE 224 00:08:03,480 --> 00:08:05,080 TO PROMOTE HEALTH AND PREVENT 225 00:08:05,080 --> 00:08:08,760 DISEASE. 226 00:08:08,760 --> 00:08:10,680 I THINK AS JANET ALLUDED TO IN 227 00:08:10,680 --> 00:08:15,160 THE WORK WE DO AND I'VE HAD THE 228 00:08:15,160 --> 00:08:16,160 PLEASURE OF OFFERING GUIDANCE 229 00:08:16,160 --> 00:08:17,920 AROUND BEYOND THE DIRECT 230 00:08:17,920 --> 00:08:18,920 IMPLICATIONS OF IMPROVED HEALTH 231 00:08:18,920 --> 00:08:21,680 WE LOOK AHEAD TO HOW THE DIETARY 232 00:08:21,680 --> 00:08:23,040 GUIDELINES FOR AMERICANS AND 233 00:08:23,040 --> 00:08:24,320 SUPPORT IMPROVED OVER ALL WELL 234 00:08:24,320 --> 00:08:26,240 BEING, EQUITY AND ENHANCED 235 00:08:26,240 --> 00:08:27,800 RESILIENCE FOR INDIVIDUALS AND 236 00:08:27,800 --> 00:08:30,400 COMMUNITIES ACROSS THE COUNTRY. 237 00:08:30,400 --> 00:08:33,360 FOCUSSING EFFORTS SUCH AS THE 238 00:08:33,360 --> 00:08:34,480 DIETARY GUIDELINES FOR AMERICANS 239 00:08:34,480 --> 00:08:36,080 NOT ONLY AFFORDS HEALTH BUT THE 240 00:08:36,080 --> 00:08:38,280 BROADER CONCEPTS OF IMPROVED 241 00:08:38,280 --> 00:08:40,240 WELL BEING, OPPORTUNITIES TO 242 00:08:40,240 --> 00:08:42,400 THRIVE AND ULTIMATELY ENHANCED 243 00:08:42,400 --> 00:08:45,720 RESILIENCE IS IMPERATIVE AS 244 00:08:45,720 --> 00:08:48,880 EVIDENCE BY WHAT HAS BEEN 245 00:08:48,880 --> 00:08:51,240 BLATANT THE PAST SELF YEARS. 246 00:08:51,240 --> 00:08:53,720 WE'LL HEAR FROM YOU ON THE WORK 247 00:08:53,720 --> 00:08:55,680 DONE SINCE JANUARY AND THE 248 00:08:55,680 --> 00:08:56,440 PROPOSED SCIENTIFIC QUESTIONS 249 00:08:56,440 --> 00:08:58,600 AND THE DEVELOPMENT OF DRAFT 250 00:08:58,600 --> 00:09:00,320 PROTOCOLS FOR YOUR REVIEW OF THE 251 00:09:00,320 --> 00:09:00,600 EVIDENCE. 252 00:09:00,600 --> 00:09:02,760 YOUR THOUGHTFUL WORK REVIEWING 253 00:09:02,760 --> 00:09:03,920 THE SCIENTIFIC EVIDENCE ON 254 00:09:03,920 --> 00:09:06,000 NUTRITION AND HEALTH ENSURES THE 255 00:09:06,000 --> 00:09:10,280 NEXT EDITION OF THE DIETARY BIDE 256 00:09:10,280 --> 00:09:10,800 LIN 257 00:09:10,800 --> 00:09:11,960 -- GUIDELINES IS BASED ON 258 00:09:11,960 --> 00:09:13,080 EVIDENCE AND YOU SUPPORT THE 259 00:09:13,080 --> 00:09:19,080 WORK OF THE DIETARY GUIDELINES 260 00:09:19,080 --> 00:09:20,560 OF PROMOTING HEALTH AND 261 00:09:20,560 --> 00:09:22,040 RESILIENCE AND WELL BEING FOR 262 00:09:22,040 --> 00:09:22,960 ALL AMERICANS AND STRIVING FOR 263 00:09:22,960 --> 00:09:25,800 THIS FOR ALL MUST BE A PRIORITY. 264 00:09:25,800 --> 00:09:27,640 EQUITY ENSURES EVERYONE HAS THE 265 00:09:27,640 --> 00:09:28,400 FULLEST AND FAIREST 266 00:09:28,400 --> 00:09:29,400 OPPORTUNITIES AND CONDITIONS TO 267 00:09:29,400 --> 00:09:29,800 THRIVE. 268 00:09:29,800 --> 00:09:33,000 IT ALLOWS FOR RESOURCE 269 00:09:33,000 --> 00:09:34,880 ALLOCATION BASED ON AND 270 00:09:34,880 --> 00:09:36,640 COMMENSURATE TO NEED REGARDLESS 271 00:09:36,640 --> 00:09:37,160 OF CIRCUMSTANCE. 272 00:09:37,160 --> 00:09:38,360 TODAY WE WILL ALSO HEAR ABOUT 273 00:09:38,360 --> 00:09:39,840 THE COMMITTEE'S WORK SINCE YOUR 274 00:09:39,840 --> 00:09:41,480 FIRST MEETING TO DEVELOP AND 275 00:09:41,480 --> 00:09:43,400 APPLY A HEALTH EQUITY LENS TO 276 00:09:43,400 --> 00:09:44,720 YOUR REVIEW OF THE EVIDENCE. 277 00:09:44,720 --> 00:09:47,160 BY INCORPORATING HEALTH 278 00:09:47,160 --> 00:09:49,120 EQUITIENCE INTO EACH STEP OF 279 00:09:49,120 --> 00:09:53,680 YOUR WORK, IT ENSURES ITS 280 00:09:53,680 --> 00:09:57,280 COMMITMENT ALL PEOPLE CAN 281 00:09:57,280 --> 00:09:58,920 CONTINUOUSLY THRIVE A GOAL 282 00:09:58,920 --> 00:10:00,880 SHARED BY POLICY AND PROMOTION 283 00:10:00,880 --> 00:10:03,400 AT THE USDA AND GUIDING 284 00:10:03,400 --> 00:10:05,200 PRINCIPLE OF THE EQUITABLE PLAN 285 00:10:05,200 --> 00:10:06,600 FOR LONG-TERM RECOVERY AND 286 00:10:06,600 --> 00:10:08,680 RESILIENCE AND HEALTHY PEOPLE 287 00:10:08,680 --> 00:10:09,080 2030. 288 00:10:09,080 --> 00:10:11,440 HHS WORKS HAND IN HAND WITH USDA 289 00:10:11,440 --> 00:10:13,080 TO DEVELOP THE DIETARY 290 00:10:13,080 --> 00:10:13,640 GUIDELINES FOR AMERICANS. 291 00:10:13,640 --> 00:10:15,800 I THINK WE GAVE A FEW HIGH FIVES 292 00:10:15,800 --> 00:10:19,160 TO EACH OTHER THIS MORNING AND 293 00:10:19,160 --> 00:10:20,920 WORKED TOGETHER COLLABORATELY 294 00:10:20,920 --> 00:10:22,320 DATING BACK TO 1980 ON THE 295 00:10:22,320 --> 00:10:23,400 GUIDELINES WHEN THE FIRST 296 00:10:23,400 --> 00:10:26,920 EDITION WERE RELEASED THOUGH I 297 00:10:26,920 --> 00:10:28,680 DOUBT ANY OF US WERE HERE AT THE 298 00:10:28,680 --> 00:10:30,000 TIME. 299 00:10:30,000 --> 00:10:31,400 I'D LIKE TO EMPHASIZE MY THANKS 300 00:10:31,400 --> 00:10:33,240 AT THOSE PARTNERS HERE FOR THE 301 00:10:33,240 --> 00:10:34,960 WORK FOR DIETARY GUIDELINES FOR 302 00:10:34,960 --> 00:10:37,000 AMERICANS AND LOOK FORWARD TO 303 00:10:37,000 --> 00:10:39,320 OUR CONTINUED COLLABORATION IN 304 00:10:39,320 --> 00:10:39,800 THE COMING YEARS. 305 00:10:39,800 --> 00:10:42,760 THANK YOU, JACKIE AND THE WHOLE 306 00:10:42,760 --> 00:10:43,120 TEAM. 307 00:10:43,120 --> 00:10:46,640 AND NOW IMPORTANTLY, IT'S ALSO 308 00:10:46,640 --> 00:10:48,480 I'D LIKE TO EMPHASIZE WE GREATLY 309 00:10:48,480 --> 00:10:49,920 RELY ON FEEDBACK FROM 310 00:10:49,920 --> 00:10:52,680 RESEARCHERS, PUBLIC HEALTH 311 00:10:52,680 --> 00:10:53,480 ORGANIZATIONS HEALTH CARE 312 00:10:53,480 --> 00:10:54,920 PROVIDERS AND VARIOUS OTHER 313 00:10:54,920 --> 00:10:56,000 ORGANIZATIONS AND PROGRAMS TO 314 00:10:56,000 --> 00:10:59,320 CONTRIBUTE THEIR KNOWLEDGE AND 315 00:10:59,320 --> 00:10:59,920 EXPERIENCE TO THIS EFFORT AS 316 00:10:59,920 --> 00:11:00,120 WELL. 317 00:11:00,120 --> 00:11:01,960 THAT'S WHY LAST WEEK HHS AND 318 00:11:01,960 --> 00:11:05,400 USDA RELEASED A CALL TO ACTION 319 00:11:05,400 --> 00:11:06,280 PUBLISHED IN THE AMERICAN 320 00:11:06,280 --> 00:11:07,320 JOURNAL OF NUTRITION ENCOURAGING 321 00:11:07,320 --> 00:11:08,840 THE PUBLIC TO PLAY AN ACTIVE 322 00:11:08,840 --> 00:11:10,560 ROLE IN THE DEVELOPMENT OF THE 323 00:11:10,560 --> 00:11:13,360 NEXT ITERATION OF THE DIETARY 324 00:11:13,360 --> 00:11:14,120 GUIDELINES. 325 00:11:14,120 --> 00:11:15,320 TODAY THE COMMITTEE WILL DEVELOP 326 00:11:15,320 --> 00:11:15,960 PROTOCOLS DEVELOPED SINCE THE 327 00:11:15,960 --> 00:11:19,800 MEETING IN JANUARY AND PUBLIC 328 00:11:19,800 --> 00:11:21,640 COMMENTS TO THE COMMITTEE ARE 329 00:11:21,640 --> 00:11:23,320 WELCOME AND WE ASK YOU SUBMIT 330 00:11:23,320 --> 00:11:25,400 THEM BY THE END OF JUNE TO BE 331 00:11:25,400 --> 00:11:28,840 MOST USEFUL. 332 00:11:28,840 --> 00:11:30,480 WE ENCOURAGE PUBLIC COMMENT AND 333 00:11:30,480 --> 00:11:36,040 ALL COMMENTS WILL BE TAKEN INTO 334 00:11:36,040 --> 00:11:36,760 CONSIDERATION BY THE COMMITTEE 335 00:11:36,760 --> 00:11:38,400 AND ENCOURAGE THE PUBLIC TO 336 00:11:38,400 --> 00:11:39,760 LEARN ABOUT THE PROCESS, 337 00:11:39,760 --> 00:11:40,840 PARTICIPATE IN THE PUBLIC 338 00:11:40,840 --> 00:11:43,120 MEETINGS AND ENCOURAGE OTHERS TO 339 00:11:43,120 --> 00:11:44,720 DO THE SAME. 340 00:11:44,720 --> 00:11:47,240 TO WRAP UP, AND TO MOVE ALONG TO 341 00:11:47,240 --> 00:11:49,240 THE MEAT OF THE WORK, I WANT TO 342 00:11:49,240 --> 00:11:50,960 THANK AGAIN THE DEDICATED 343 00:11:50,960 --> 00:11:52,040 FEDERAL STAFF WHO LEAD THE 344 00:11:52,040 --> 00:11:54,000 DIETARY GUIDELINES PROCESS. 345 00:11:54,000 --> 00:12:00,840 I'M GOING ASK THEM ALL TO STAND 346 00:12:00,840 --> 00:12:03,240 UP. 347 00:12:03,240 --> 00:12:11,160 LET'S RECOGNIZE YOU GUYS. 348 00:12:11,160 --> 00:12:12,240 THANK YOU VERY MUCH. 349 00:12:12,240 --> 00:12:14,040 I THINK IT GOES WITHOUT SAYING 350 00:12:14,040 --> 00:12:16,120 THEY PUT IN EXTRAORDINARY TIME 351 00:12:16,120 --> 00:12:18,400 AND THE BREADTH OF EXPERTISE IS 352 00:12:18,400 --> 00:12:19,360 INCOMPARABLE AND I'D LIKE TO 353 00:12:19,360 --> 00:12:20,560 THANK THE PUBLIC FOR 354 00:12:20,560 --> 00:12:21,800 PARTICIPATING IN TODAY'S MEETING 355 00:12:21,800 --> 00:12:23,600 AND MOST IMPORTANTLY OUR 356 00:12:23,600 --> 00:12:25,320 ESTEEMED COMMITTEE MEMBERS FOR 357 00:12:25,320 --> 00:12:27,680 YOUR WORK AND YOUR COMMITMENT TO 358 00:12:27,680 --> 00:12:31,600 THIS VERY VERY IMPORTANT WORK. 359 00:12:31,600 --> 00:12:41,000 THANK YOU. 360 00:12:41,000 --> 00:12:43,760 >>THANK YOU, REAR ADMIRAL REED. 361 00:12:43,760 --> 00:12:45,760 WHAT WE THOUGHT WE'D DO BEFORE 362 00:12:45,760 --> 00:12:49,400 WE TURN IT OVER TO THE COMMITTEE 363 00:12:49,400 --> 00:12:51,240 IS WE HAVE SOME QUESTIONS FOR 364 00:12:51,240 --> 00:12:52,400 MEMBERS OF THE COMMITTEE AND 365 00:12:52,400 --> 00:12:57,360 SOME QUESTIONS FROM STAKEHOLDERS 366 00:12:57,360 --> 00:13:03,920 AS WELL AS REAR ADMIRAL REED 367 00:13:03,920 --> 00:13:05,680 QUICK COMMENTS AND YOU'LL NOTICE 368 00:13:05,680 --> 00:13:09,000 SOME TOPICS FROM THE PUBLIC 369 00:13:09,000 --> 00:13:09,720 COMMENT AREN'T ADDRESSED IN THE 370 00:13:09,720 --> 00:13:11,360 COMMITTEE'S WORK BUT WE WANT TO 371 00:13:11,360 --> 00:13:13,080 ACKNOWLEDGE THERE'S OTHER WORK 372 00:13:13,080 --> 00:13:16,840 HAPPENING IN PARALLEL TO THE 373 00:13:16,840 --> 00:13:18,160 COMMITTEE'S WORK THAT ADDRESSES 374 00:13:18,160 --> 00:13:19,560 THE NUMBER OF COMMENTS THAT HAVE 375 00:13:19,560 --> 00:13:20,160 BEEN RECEIVED. 376 00:13:20,160 --> 00:13:23,400 SO I'M GOING TO GIVE UPDATES ON 377 00:13:23,400 --> 00:13:25,680 FIVE DIFFERENT PROJECTS. 378 00:13:25,680 --> 00:13:28,800 THE HEALTHY EATING INDEX, 379 00:13:28,800 --> 00:13:33,840 ALCOHO 380 00:13:33,840 --> 00:13:34,480 ALCOHO 381 00:13:34,480 --> 00:13:36,240 ALCOHOLIC BEVERAGES AND HEALTH 382 00:13:36,240 --> 00:13:41,920 AND DIETARY REFERENCE INTAKE AND 383 00:13:41,920 --> 00:13:44,680 SUSTAINABILITY AND NUTRITION. 384 00:13:44,680 --> 00:13:47,000 THE FIRST IS HEALTHY EATING 385 00:13:47,000 --> 00:13:49,160 INDEX, HEI. 386 00:13:49,160 --> 00:13:51,280 IT'S DESIGN TO EVALUATE HOW WELL 387 00:13:51,280 --> 00:13:53,520 A SET OF FRUITS AND BEVERAGES 388 00:13:53,520 --> 00:13:54,360 ALIGN WITH THE RECOMMENDATIONS 389 00:13:54,360 --> 00:13:58,040 IN THE DIETARY GUIDELINES. 390 00:13:58,040 --> 00:13:59,800 THE HEALTHY EATING INDEX IS 391 00:13:59,800 --> 00:14:02,320 DEVELOPED IN PARTNERSHIP BETWEEN 392 00:14:02,320 --> 00:14:03,600 USDA CENTER FOR NUTRITION POLICY 393 00:14:03,600 --> 00:14:06,840 AND PROMOTION AND HHS'S NATIONAL 394 00:14:06,840 --> 00:14:08,720 CANCER INSTITUTE. 395 00:14:08,720 --> 00:14:16,520 THE HEI2015 SCORES RECOMMEND 396 00:14:16,520 --> 00:14:17,360 RECOMMENDATIONS IN THE DIETARY 397 00:14:17,360 --> 00:14:17,680 GUIDELINES. 398 00:14:17,680 --> 00:14:22,640 WE HAVE BEEN WORKING ON THE 399 00:14:22,640 --> 00:14:23,280 HEI2020. 400 00:14:23,280 --> 00:14:27,680 THE HEI 2015 IT THE MOST 401 00:14:27,680 --> 00:14:33,800 REFERENCED ARTICLE IN JAND AND 402 00:14:33,800 --> 00:14:35,720 THERE'S QUESTIONS WHEN THE NEW 403 00:14:35,720 --> 00:14:37,240 ONE WILL BE OUT AND IT WILL 404 00:14:37,240 --> 00:14:40,000 PUBLISHED IN JAND AND EXPECTED 405 00:14:40,000 --> 00:14:41,280 TO BE PUBLISHED THIS SEPTEMBER. 406 00:14:41,280 --> 00:14:48,040 WE'LL HAVE TWO HEIs IN HEI 2020 407 00:14:48,040 --> 00:14:51,520 AND IT HAS A NEW NAME BUT SAME 408 00:14:51,520 --> 00:14:53,520 13 COMPONENTS BECAUSE THE CORE 409 00:14:53,520 --> 00:14:55,040 RECOMMENDATIONS IN THE DIETARY 410 00:14:55,040 --> 00:14:56,520 GUIDELINES FOR AGES TWO YEARS 411 00:14:56,520 --> 00:14:58,120 AND OLDER DIDN'T CHANGE SO IT 412 00:14:58,120 --> 00:15:00,720 WILL HAVE A NEW NAME BUT THE 413 00:15:00,720 --> 00:15:03,160 SAME GENERAL COMPONENTS. 414 00:15:03,160 --> 00:15:07,960 HOWEVER, WE HAVE A NEW HEI FOR 415 00:15:07,960 --> 00:15:08,720 TODDLERS 2020. 416 00:15:08,720 --> 00:15:10,840 THAT WILL BE A NEW TOOL THAT 417 00:15:10,840 --> 00:15:12,400 WILL REFLECT NEW GUIDANCE IN THE 418 00:15:12,400 --> 00:15:15,040 DIETARY GUIDELINES FOR AGES 12 419 00:15:15,040 --> 00:15:16,720 TO 23 MONTHS. 420 00:15:16,720 --> 00:15:18,400 WE'RE EXCITED TO HAVE THOSE 421 00:15:18,400 --> 00:15:23,040 TOOLS FINALLY NEAR THE FINISH 422 00:15:23,040 --> 00:15:23,240 LINE. 423 00:15:23,240 --> 00:15:26,360 WE ARE CREATING A PUBLIC WEBINAR 424 00:15:26,360 --> 00:15:27,720 LIKELY IN SEPTEMBER TO TALK MORE 425 00:15:27,720 --> 00:15:29,720 ABOUT THE TOOLS AND THOSE WILL 426 00:15:29,720 --> 00:15:36,800 BE CROSS-PROMOTED FOR LISTENERS. 427 00:15:36,800 --> 00:15:37,880 THOSE INTERESTED WE'LL MAKE SURE 428 00:15:37,880 --> 00:15:39,640 THAT INFORMATION IS SHARED. 429 00:15:39,640 --> 00:15:45,720 NEXT TOPIC IS ALCOHOLIC 430 00:15:45,720 --> 00:15:47,160 BEVERAGES AND HEALTH AND WHEN WE 431 00:15:47,160 --> 00:15:49,200 POST THE TOPICS AND QUESTIONS 432 00:15:49,200 --> 00:15:51,680 FOR PUBLIC COMMENT IT INCLUDED 433 00:15:51,680 --> 00:15:52,720 GUIDANCE FOR ALCOHOLIC BEVERAGES 434 00:15:52,720 --> 00:15:54,720 SINCE THE FIRST EDITION BUT IT'S 435 00:15:54,720 --> 00:15:58,760 A UNIQUE ASPECT OF THE DIET AND 436 00:15:58,760 --> 00:15:59,880 REQUIRES SPECIFIC EXPERTISE AND 437 00:15:59,880 --> 00:16:02,040 WE FELT LIKE IT WAS TIME TO HAVE 438 00:16:02,040 --> 00:16:04,520 A FOCUS REVIEW WITH A NUMBER OF 439 00:16:04,520 --> 00:16:06,240 EXPERTISE BROUGHT TOGETHER -- A 440 00:16:06,240 --> 00:16:07,360 NUMBER OF EXPERTS BROUGHT 441 00:16:07,360 --> 00:16:08,520 TOGETHER SPECIFICALLY FOR THAT 442 00:16:08,520 --> 00:16:09,080 TOPIC. 443 00:16:09,080 --> 00:16:11,400 SO WE MADE A DECISION PRIOR TO 444 00:16:11,400 --> 00:16:13,000 DEVELOPING THE TOPICS IN 445 00:16:13,000 --> 00:16:15,440 QUESTION THAT THAT WOULD BE 446 00:16:15,440 --> 00:16:17,480 HANDLED IN A SEPARATE EFFORT 447 00:16:17,480 --> 00:16:20,560 FROM THE DIETARY GUIDELINES 448 00:16:20,560 --> 00:16:21,480 SCIENTIFIC COMMITTEE REVIEW. 449 00:16:21,480 --> 00:16:27,320 WE HAVE BEEN WORKING WITH THE 450 00:16:27,320 --> 00:16:29,360 HHS STANDING COMMITTEE WITHIN 451 00:16:29,360 --> 00:16:34,400 HHS'S SAMHSA AND THEIR PLAN IS 452 00:16:34,400 --> 00:16:36,280 TO DEVELOP A TECHNICAL COMMITTEE 453 00:16:36,280 --> 00:16:40,760 TO HAVE EXPERTISE IN ADULT 454 00:16:40,760 --> 00:16:42,320 ALCOHOLIC BEVERAGES AND MAKE 455 00:16:42,320 --> 00:16:44,200 RECOMMENDATIONS ON ADULT ALCOHOL 456 00:16:44,200 --> 00:16:45,520 CONSUMPTION. 457 00:16:45,520 --> 00:16:47,960 THAT WILL BE HANDLED IN A 458 00:16:47,960 --> 00:16:49,640 SEPARATE EFFORT LED BY SAMHSA. 459 00:16:49,640 --> 00:16:54,640 THEY PLAN TO PREPARE A 460 00:16:54,640 --> 00:16:56,200 SUBCOMMITTEE REPORT TO BE 461 00:16:56,200 --> 00:16:56,960 PUBLISHED AND AVAILABLE TO THE 462 00:16:56,960 --> 00:16:58,720 PUBLIC IN 2025 AND THE GOAL STO 463 00:16:58,720 --> 00:17:00,760 HAVE THE DIETARY GUIDELINES 464 00:17:00,760 --> 00:17:03,040 RELEASED BY END OF 2025. 465 00:17:03,040 --> 00:17:04,880 THAT WORK WILL BE PRIOR TO AND 466 00:17:04,880 --> 00:17:06,000 CAN INFORM THE DEVELOPMENT OF 467 00:17:06,000 --> 00:17:06,520 THE NEXT EDITION OF THE 468 00:17:06,520 --> 00:17:10,760 GUIDELINES. 469 00:17:10,760 --> 00:17:14,000 ADDITIONALLY, THE 2023 470 00:17:14,000 --> 00:17:15,320 APPROPRIATIONS ACT MANDATED USDA 471 00:17:15,320 --> 00:17:17,400 TO ENTER INTO A CONTRACT WITH 472 00:17:17,400 --> 00:17:19,840 THE NATIONAL ACADEMIES TO 473 00:17:19,840 --> 00:17:22,040 CONDUCT A SERIES OF SYSTEMIC 474 00:17:22,040 --> 00:17:24,440 REVIEWS OF ALCOHOLIC BEVERAGES 475 00:17:24,440 --> 00:17:25,280 AND HEALTH. 476 00:17:25,280 --> 00:17:27,320 I WANT TO NOTE THE CONTACT 477 00:17:27,320 --> 00:17:28,840 PROCESS HAS BEEN INITIATED 478 00:17:28,840 --> 00:17:31,880 THROUGH THE CENTER FOR NUTRITION 479 00:17:31,880 --> 00:17:33,080 POLICY AND PROMOTION AND 480 00:17:33,080 --> 00:17:36,160 EXPECTED TO BEGIN THIS SUMMER. 481 00:17:36,160 --> 00:17:37,440 WE'RE NEARING GETTING THAT WORK 482 00:17:37,440 --> 00:17:39,000 UNDERWAY. 483 00:17:39,000 --> 00:17:42,320 THE FINDINGS FROM THAT STUDY 484 00:17:42,320 --> 00:17:44,160 WILL BE CONSIDERED BY THE SAMHSA 485 00:17:44,160 --> 00:17:45,280 SUBCOMMITTEE IN DEVELOPING 486 00:17:45,280 --> 00:17:46,080 ALCOHOL RECOMMENDATIONS. 487 00:17:46,080 --> 00:17:51,320 THAT IS AN UPDATE ON THAT TOPIC 488 00:17:51,320 --> 00:17:54,000 FOR YOU. 489 00:17:54,000 --> 00:17:54,360 OKAY. 490 00:17:54,360 --> 00:17:54,720 SYSTEM SCIENCE. 491 00:17:54,720 --> 00:17:56,960 AS MANY PEOPLE ARE AWARE, THERE 492 00:17:56,960 --> 00:17:59,160 WAS A STUDY CONDUCTED BY THE 493 00:17:59,160 --> 00:18:02,280 NATIONAL ACADEMIES IN 2016, 2017 494 00:18:02,280 --> 00:18:03,640 ABOUT THE PROCESS WE USE TO 495 00:18:03,640 --> 00:18:05,560 DEVELOP THE DIETARY GUIDELINES. 496 00:18:05,560 --> 00:18:07,520 THAT RESULTS IN A SERIES OF 497 00:18:07,520 --> 00:18:07,920 RECOMMENDATIONS. 498 00:18:07,920 --> 00:18:12,120 THERE WAS A SUBSEQUENT STUDY 499 00:18:12,120 --> 00:18:19,320 THAT BY NASEM AND LOOKED AT THE 500 00:18:19,320 --> 00:18:22,400 IMPLEMENTATIONS OF THE 501 00:18:22,400 --> 00:18:22,720 GUIDELINES. 502 00:18:22,720 --> 00:18:25,040 IN BOTH STUDIES THE NATIONAL 503 00:18:25,040 --> 00:18:27,080 ACADEMIES COMMITTEES 504 00:18:27,080 --> 00:18:28,240 ACKNOWLEDGED AN IMPORTANT STEP 505 00:18:28,240 --> 00:18:30,560 FOR CONTINUING TO MOVE THE 506 00:18:30,560 --> 00:18:34,360 PROCESS FORWARD IN DEVELOPMENT 507 00:18:34,360 --> 00:18:35,760 WAS TO CONSIDER SYSTEM SCIENCE. 508 00:18:35,760 --> 00:18:37,560 SYSTEM SCIENCE APPROACHES IN 509 00:18:37,560 --> 00:18:38,080 INFORMING THE DIETARY 510 00:18:38,080 --> 00:18:39,680 GUIDELINES. 511 00:18:39,680 --> 00:18:40,920 SO WE HAVE A NUMBER OF 512 00:18:40,920 --> 00:18:43,480 ACTIVITIES THAT ARE UNDERWAY IN 513 00:18:43,480 --> 00:18:45,400 REGARDS TO THIS, FOR EXAMPLE 514 00:18:45,400 --> 00:18:47,320 WITH OUR PATTERN MODELLING THAT 515 00:18:47,320 --> 00:18:50,960 DR. TAYLOR WILL TALK ABOUT LATER 516 00:18:50,960 --> 00:18:52,960 TODAY. 517 00:18:52,960 --> 00:18:58,160 SIMULATED DIETS WE'RE GOING TO 518 00:18:58,160 --> 00:18:59,960 SIMULATE DIETS PART MUCH THE 519 00:18:59,960 --> 00:19:01,120 RECOMMENDATION IN REGARDS TO 520 00:19:01,120 --> 00:19:02,080 SYSTEMS SCIENCE. 521 00:19:02,080 --> 00:19:04,640 WE'RE IMPLEMENTING ADDRESSING 522 00:19:04,640 --> 00:19:06,040 THAT RECOMMENDATION THROUGH THAT 523 00:19:06,040 --> 00:19:06,440 AVENUE. 524 00:19:06,440 --> 00:19:11,360 IN ADDITION, OUR OFFICE HAS A 525 00:19:11,360 --> 00:19:14,560 CONTRACT UNDERWAY WITH THE GOAL 526 00:19:14,560 --> 00:19:16,920 TO GAIN INSIGHT FROM FEDERAL AND 527 00:19:16,920 --> 00:19:18,720 NON-FEDERAL EXPERTS ON THE 528 00:19:18,720 --> 00:19:19,920 APPLICABLE OF SYSTEMS MAPPING 529 00:19:19,920 --> 00:19:22,120 AND MODELLING, BEFORE, DURING 530 00:19:22,120 --> 00:19:24,560 AND AFTER THE DIETARY GUIDELINES 531 00:19:24,560 --> 00:19:25,920 DEVELOPMENT PROCESS. 532 00:19:25,920 --> 00:19:26,880 SO FOR EXAMPLE IN INFORMING THE 533 00:19:26,880 --> 00:19:28,440 RESEARCH THAT INFORMS THE 534 00:19:28,440 --> 00:19:31,040 GUIDELINES IN OUR ACTUAL 535 00:19:31,040 --> 00:19:32,840 GUIDELINE EVIDENCE REVIEW 536 00:19:32,840 --> 00:19:34,120 PROCESS AS WELL AS 537 00:19:34,120 --> 00:19:36,640 IMPLEMENTATION OF THE DIETARY 538 00:19:36,640 --> 00:19:36,960 GUIDELINES. 539 00:19:36,960 --> 00:19:40,720 WE ACTUALLY HELD AN IN-PERSON 540 00:19:40,720 --> 00:19:41,480 WORKSHOP IN WASHINGTON, D.C. 541 00:19:41,480 --> 00:19:43,320 THIS PAST MARCH AND OUR 542 00:19:43,320 --> 00:19:45,600 CONTRACTOR IS WORKING ON A 543 00:19:45,600 --> 00:19:47,440 REPORT THAT WILL DISCUSS OPTIONS 544 00:19:47,440 --> 00:19:50,720 FOR MOVING FORWARD IN REGARDS TO 545 00:19:50,720 --> 00:19:51,840 SYSTEMIC REVIEWS AND EXPECT THAT 546 00:19:51,840 --> 00:19:58,680 BY THE END OF THIS YEAR. 547 00:19:58,680 --> 00:20:00,640 OKAY, THE DIETARY REFERENCE 548 00:20:00,640 --> 00:20:02,160 INTAKES. 549 00:20:02,160 --> 00:20:04,080 AS WE HAVE TALKED ABOUT IN THE 550 00:20:04,080 --> 00:20:06,600 GUIDELINES AT THE LAST PUBLIC 551 00:20:06,600 --> 00:20:10,000 MEETING, THE DRI HAS IMPORTANT 552 00:20:10,000 --> 00:20:11,320 INPUT INTO THE DEVELOPMENT OF 553 00:20:11,320 --> 00:20:12,680 THE GUIDELINES. 554 00:20:12,680 --> 00:20:14,120 THEY PROVIDE NUTRIENT 555 00:20:14,120 --> 00:20:15,280 RECOMMENDATIONS AND PROVIDE 556 00:20:15,280 --> 00:20:17,440 FOOD-BASED RECOMMENDATIONS AND 557 00:20:17,440 --> 00:20:18,680 WE DON'T DUPLICATE EFFORTS. 558 00:20:18,680 --> 00:20:23,120 THE INTENT IS TO CARRY FORWARD 559 00:20:23,120 --> 00:20:24,800 THOSE NUTRIENT RECOMMENDATIONS 560 00:20:24,800 --> 00:20:26,320 DEVELOPED IN THE DRI PROCESS. 561 00:20:26,320 --> 00:20:30,160 THE DRIs ARE ESTABLISHED BY THE 562 00:20:30,160 --> 00:20:31,360 NATIONAL ACADEMIES HOWEVER, THEY 563 00:20:31,360 --> 00:20:33,560 ARE INFORMED BY A FEDERAL 564 00:20:33,560 --> 00:20:37,480 WORKING GROUP AND THAT IS THE 565 00:20:37,480 --> 00:20:43,920 JOINT U.S.-CANADIAN D.R.I. 566 00:20:43,920 --> 00:20:45,400 WORKING GROUP AND HAS MEMBERS 567 00:20:45,400 --> 00:20:46,800 FROM HHS AND DEPARTMENT OF 568 00:20:46,800 --> 00:20:48,160 DEFENSE AND CANADA AND THE 569 00:20:48,160 --> 00:20:49,440 WORKING GROUP PRIORITIZED THE 570 00:20:49,440 --> 00:20:52,080 REVIEW AT THE D.R.I. VALUES FOR 571 00:20:52,080 --> 00:20:54,880 ENERGY AND MACRO NUTRIENTS LAST 572 00:20:54,880 --> 00:20:56,120 UPDATES IN THE 2000s. 573 00:20:56,120 --> 00:20:59,920 A FEW UPDATES IN REGARDS TO THAT 574 00:20:59,920 --> 00:21:00,160 WORK. 575 00:21:00,160 --> 00:21:02,880 NEW D.R.I.s FOR ENERGY ARE NOW 576 00:21:02,880 --> 00:21:04,000 VALUABLE AND NO WILL INFORM THE 577 00:21:04,000 --> 00:21:06,360 WORK OF THE COMMITTEE 578 00:21:06,360 --> 00:21:07,800 PARTICULARLY RELATED TO 579 00:21:07,800 --> 00:21:10,000 FOOD-PATTERN MODELLING AND 580 00:21:10,000 --> 00:21:11,320 POTENTIALLY IN RELATION TO SOME 581 00:21:11,320 --> 00:21:14,200 OF OUR DATA ANALYSIS WORK. 582 00:21:14,200 --> 00:21:17,240 WE ALSO WANT TO UPDATE WE HAVE 583 00:21:17,240 --> 00:21:19,520 COMMISSIONED SYSTEMIC REVIEWS TO 584 00:21:19,520 --> 00:21:21,960 INFORM SUBSEQUENT D.R.I.s FOR 585 00:21:21,960 --> 00:21:24,480 PROTEIN AND CARBOHYDRATES. 586 00:21:24,480 --> 00:21:25,920 WE'LL DO ADDITIONAL SYSTEMIC 587 00:21:25,920 --> 00:21:28,800 REVIEWS BUT HAVE TWO PACKAGES OF 588 00:21:28,800 --> 00:21:30,040 REVIEWS THAT HAVE BEEN FUNDED 589 00:21:30,040 --> 00:21:34,480 AND IT WILL BE COMPLETED THROUGH 590 00:21:34,480 --> 00:21:36,240 HHSs AGENCY FOR HEALTH CARE 591 00:21:36,240 --> 00:21:36,800 QUALITY OR ARP. 592 00:21:36,800 --> 00:21:38,960 THE FIRST ARE IN DIETARY PROTEIN 593 00:21:38,960 --> 00:21:40,560 AND THOSE ARE A LITTLE BIT 594 00:21:40,560 --> 00:21:43,760 FURTHER ALONG AND ARC WILL POST 595 00:21:43,760 --> 00:21:45,040 PROTOCOL FOR THE SYSTEMATIC 596 00:21:45,040 --> 00:21:45,680 REVIEWS ON THEIR WEBSITE THIS 597 00:21:45,680 --> 00:21:47,200 SUMMER. 598 00:21:47,200 --> 00:21:49,840 AND THEN WE HAVE MORE RECENTLY 599 00:21:49,840 --> 00:21:52,240 FUNDED ANOTHER SET OF SYSTEMIC 600 00:21:52,240 --> 00:21:54,400 REVIEWS ON DIGESTIBLE 601 00:21:54,400 --> 00:21:55,520 CARBOHYDRATES AND THOSE WILL BE 602 00:21:55,520 --> 00:21:57,200 FOLLOWING SHORTLY AFTER PROTEIN. 603 00:21:57,200 --> 00:21:59,880 OF COURSE WE HAVE GOTTEN A 604 00:21:59,880 --> 00:22:02,880 NUMBER OF COMMENTS ON 605 00:22:02,880 --> 00:22:04,280 CARBOHYDRATE DIETS AND FEEL IT 606 00:22:04,280 --> 00:22:06,680 ALL BEGINS WITH THE D.R.I.s AND 607 00:22:06,680 --> 00:22:08,160 THINKING ABOUT THAT. 608 00:22:08,160 --> 00:22:10,360 THE WORK IS UNDERWAY AND WE'LL 609 00:22:10,360 --> 00:22:13,040 BEGIN WITH THE SYSTEMATIC REVIEW 610 00:22:13,040 --> 00:22:14,600 AND NASEM WILL ESTABLISH 611 00:22:14,600 --> 00:22:17,280 COMMITTEE TO WORK ON THOSE 612 00:22:17,280 --> 00:22:18,160 SUBSEQUENT D.R.I.s. 613 00:22:18,160 --> 00:22:20,120 SO IF YOU'RE INTERESTED IN THAT 614 00:22:20,120 --> 00:22:23,320 WORK I ENCOURAGE FOLLOWING THE 615 00:22:23,320 --> 00:22:32,880 WORK ON H.R.Q.s WEBSITE. 616 00:22:32,880 --> 00:22:37,480 THE FINAL TOPIC IS ON 617 00:22:37,480 --> 00:22:39,960 SUSTAINABILITY AND NUTRITION. 618 00:22:39,960 --> 00:22:41,480 THERE'S IMPORTANT TOPICS ACROSS 619 00:22:41,480 --> 00:22:41,960 BOTH DEPARTMENTS. 620 00:22:41,960 --> 00:22:44,560 AND WE HAVE ACTIVITIES UNDERWAY 621 00:22:44,560 --> 00:22:46,000 IN BOTH DEPARTMENTS TO INFORM 622 00:22:46,000 --> 00:22:46,560 OUR WORK. 623 00:22:46,560 --> 00:22:48,680 WE JUST WANTED TO HIGHLIGHT A 624 00:22:48,680 --> 00:22:51,360 COUPLE OF ACTIVITIES THAT WERE 625 00:22:51,360 --> 00:22:52,800 RECENTLY UNDERWAY. 626 00:22:52,800 --> 00:22:59,320 THE FIRST IS A PROJECT CALLED 627 00:22:59,320 --> 00:22:59,760 ADVANTAGE. 628 00:22:59,760 --> 00:23:01,000 IT IS LED BY NICHD AND HHS. 629 00:23:01,000 --> 00:23:02,960 THEY HAVE FIVE WORKING GROUPS 630 00:23:02,960 --> 00:23:05,080 THAT ARE EXPLORING RESEARCH TO 631 00:23:05,080 --> 00:23:06,680 BETTER UNDERSTAND THE 632 00:23:06,680 --> 00:23:08,320 INTERSECTION OF FOOD SYSTEMS, 633 00:23:08,320 --> 00:23:10,400 DIET, NUTRITION AND HEALTH IN A 634 00:23:10,400 --> 00:23:11,600 CHANGING ENVIRONMENT. 635 00:23:11,600 --> 00:23:13,000 THEY HAVE A VIRTUAL MEETINGS 636 00:23:13,000 --> 00:23:17,280 THAT ARE OPEN TO THE PUBLIC AND 637 00:23:17,280 --> 00:23:19,240 WE INCLUDED THE LINK AND IF 638 00:23:19,240 --> 00:23:20,280 THERE'S INTERESTED IN FOLLOWING 639 00:23:20,280 --> 00:23:20,960 THAT WORK YOU CAN LEARN MORE 640 00:23:20,960 --> 00:23:27,440 THROUGH THAT LINK. 641 00:23:27,440 --> 00:23:31,640 AND THERE WILL BE A FEDERAL WORK 642 00:23:31,640 --> 00:23:33,440 GROUP THAT LOOKS AT PATHWAYS TO 643 00:23:33,440 --> 00:23:35,280 CONSIDER INTEGRATING 644 00:23:35,280 --> 00:23:36,280 SUSTAINABILITY INTO FUTURE 645 00:23:36,280 --> 00:23:39,080 EDITIONS OF THE DIETARY 646 00:23:39,080 --> 00:23:39,480 GUIDELINES. 647 00:23:39,480 --> 00:23:41,000 AT THAT COMMITTEE WILL BE 648 00:23:41,000 --> 00:23:44,000 ESTABLISHED THROUGH -- WE HAVE 649 00:23:44,000 --> 00:23:45,320 AN INTERAGENCY COMMITTEE ON 650 00:23:45,320 --> 00:23:46,800 HUMAN NUTRITION RESEARCH AND 651 00:23:46,800 --> 00:23:47,680 PUBLIC MEETINGS WILL BE HELD TO 652 00:23:47,680 --> 00:23:50,880 DISCUSS THAT TOPIC AND THE WORK 653 00:23:50,880 --> 00:23:51,560 GROUP WILL DEVELOP 654 00:23:51,560 --> 00:23:55,440 RECOMMENDATIONS FOR MOVING 655 00:23:55,440 --> 00:23:57,120 FORWARD AND THOSE RECOMMENDED 656 00:23:57,120 --> 00:23:59,320 APPROACHES WILL BE RELEASED 657 00:23:59,320 --> 00:24:02,880 QUICKLY. 658 00:24:02,880 --> 00:24:06,160 AND WE HAVE A SECTION ON OUR 659 00:24:06,160 --> 00:24:08,080 WEBSITE CALLED RELATED PROJECTS 660 00:24:08,080 --> 00:24:09,800 THAT GIVES UPDATES AND FOR THOSE 661 00:24:09,800 --> 00:24:11,280 THINGS THAT WE HAVE PROVIDED 662 00:24:11,280 --> 00:24:12,880 UPDATES ON TODAY WE'RE GOING TO 663 00:24:12,880 --> 00:24:15,320 TRY TO DO SOME UPDATES ON THE 664 00:24:15,320 --> 00:24:17,000 WEBSITE TODAY TO CARRY FORWARD 665 00:24:17,000 --> 00:24:18,200 THIS INFORMATION BUT AS YOU CAN 666 00:24:18,200 --> 00:24:20,400 SEE THERE'S A NUMBER OF 667 00:24:20,400 --> 00:24:22,040 DIFFERENT ADDITIONAL TOPICS WE 668 00:24:22,040 --> 00:24:26,360 ADDRESS ON THE WEBSITE AND FOR 669 00:24:26,360 --> 00:24:27,200 THOSE INTERESTED AND MORE FOLLOW 670 00:24:27,200 --> 00:24:28,920 THAT WORK AND WE'LL TRY TO KEEP 671 00:24:28,920 --> 00:24:29,680 THAT UPDATED FOR FUTURE 672 00:24:29,680 --> 00:24:31,960 REFERENCE. 673 00:24:31,960 --> 00:24:35,040 >>SO BEFORE WE TURN IT OVER TO 674 00:24:35,040 --> 00:24:37,760 THE COMMITTEE I WANTED TO TAKE 675 00:24:37,760 --> 00:24:39,440 ONE SECOND TO ACKNOWLEDGE A 676 00:24:39,440 --> 00:24:45,280 MEMBER OF OUR TEAM THAT IS 677 00:24:45,280 --> 00:24:46,280 RETIRING. 678 00:24:46,280 --> 00:24:49,720 JOANNE SPON I THINK SHE'S IN THE 679 00:24:49,720 --> 00:24:52,520 OVERFLOW ROOM BUT SHE'S BEEN 680 00:24:52,520 --> 00:24:56,440 WITH CPP 15 YEARS AND HAS BEEN 681 00:24:56,440 --> 00:24:59,000 INSTRUMENTAL IN DEVELOPING THE 682 00:24:59,000 --> 00:25:01,800 METHODS FOR NUTRITION INDEX 683 00:25:01,800 --> 00:25:03,400 LIBRARY NOW IN THE MEDICAL 684 00:25:03,400 --> 00:25:04,280 REVIEW BRANCH. 685 00:25:04,280 --> 00:25:09,440 SHE'S BEEN WITH US ALMOST SINCE 686 00:25:09,440 --> 00:25:12,760 DAY ONE. 687 00:25:12,760 --> 00:25:13,160 CONGRATULATIONS. 688 00:25:13,160 --> 00:25:16,560 THIS IS HER FOURTH COMMITTEE 689 00:25:16,560 --> 00:25:18,280 SHE'S SUPPORTED AND SHE WILL BE 690 00:25:18,280 --> 00:25:19,840 STAYING WITH US THROUGH THE 691 00:25:19,840 --> 00:25:21,640 SUMMER BUT THIS IS HER LAST 692 00:25:21,640 --> 00:25:23,120 PUBLIC MEETING I JUST WANTED TO 693 00:25:23,120 --> 00:25:25,320 SAY THANK YOU FOR YOUR 694 00:25:25,320 --> 00:25:28,280 CONTRIBUTIONS AND BEST OF LUCK 695 00:25:28,280 --> 00:25:29,560 AS YOU SAIL OFF TO RETIREMENT. 696 00:25:29,560 --> 00:25:35,320 IN ADDITION TO THE 15 YEARS WITH 697 00:25:35,320 --> 00:25:40,840 US SHE HAD 23 YEARS HERE. 698 00:25:40,840 --> 00:25:44,240 WITH THAT WE WILL -- FIRST, I'LL 699 00:25:44,240 --> 00:25:47,280 NOTE ARE THERE ANY QUESTIONS -- 700 00:25:47,280 --> 00:25:47,640 THERE SHE IS. 701 00:25:47,640 --> 00:25:57,920 THERE'S JOANNE. 702 00:25:59,640 --> 00:26:00,120 THANK YOU. 703 00:26:00,120 --> 00:26:02,640 SO ANY QUESTIONS ON ANYTHING 704 00:26:02,640 --> 00:26:03,680 THAT JANET AND I CAN ADDRESS 705 00:26:03,680 --> 00:26:08,480 BEFORE WE TURN IT OVER TO ALL OF 706 00:26:08,480 --> 00:26:08,640 YOU? 707 00:26:08,640 --> 00:26:08,960 ALL RIGHT. 708 00:26:08,960 --> 00:26:10,480 SO WITH THAT WE'LL TURN IT OVER 709 00:26:10,480 --> 00:26:10,880 TO THE COMMITTEE. 710 00:26:10,880 --> 00:26:16,040 THANK YOU. 711 00:26:16,040 --> 00:26:16,600 >>THANK YOU. 712 00:26:16,600 --> 00:26:23,880 ON BEHALF OF THE TEAM, 2025, 713 00:26:23,880 --> 00:26:26,040 DGAC, FIRST, THANK YOU REAR 714 00:26:26,040 --> 00:26:26,760 ADMIRAL REED FOR YOUR SUPPORT 715 00:26:26,760 --> 00:26:29,440 AND INSPIRING WORK AND WE 716 00:26:29,440 --> 00:26:31,400 COMPLETELY CONCUR WITH YOU, THIS 717 00:26:31,400 --> 00:26:36,040 IS AN AMAZING FEDERAL STAFF SO I 718 00:26:36,040 --> 00:26:36,640 WOULD LIKE ANOTHER ROUND OF 719 00:26:36,640 --> 00:26:43,960 APPLAUSE. 720 00:26:43,960 --> 00:26:49,520 WE'RE VERY ENTHUSIASTIC HERE. 721 00:26:49,520 --> 00:26:52,640 THE GOAL OF THIS PUBLIC MEETING 722 00:26:52,640 --> 00:26:54,160 IS FOR THE INDIVIDUAL 723 00:26:54,160 --> 00:26:56,960 SUBCOMMITTEES AND WORKING GROUPS 724 00:26:56,960 --> 00:26:58,400 TO SHARE THEIR UPDATES, THEIR 725 00:26:58,400 --> 00:27:01,000 HARD WORK WITH THE FULL 726 00:27:01,000 --> 00:27:01,280 COMMITTEE. 727 00:27:01,280 --> 00:27:04,640 IT'S A DAUNTING ENDEAVOR AS 728 00:27:04,640 --> 00:27:08,400 WE -- AS MANY OF US HAVE BEEN 729 00:27:08,400 --> 00:27:10,000 DISCUSSING SO THE COMMITTEE HAS 730 00:27:10,000 --> 00:27:11,600 DIVIDED UP THE IMPORTANT TASK AT 731 00:27:11,600 --> 00:27:15,320 HAND AND THE STRUCTURE WHICH MY 732 00:27:15,320 --> 00:27:18,360 COLLEAGUE, DR. ANGELA 733 00:27:18,360 --> 00:27:20,400 ODOMS-YOUNG AND I WILL BE 734 00:27:20,400 --> 00:27:21,160 SUMMARIZING. 735 00:27:21,160 --> 00:27:23,720 AS MENTIONED BY BOTH JANET AND 736 00:27:23,720 --> 00:27:26,520 BY EVE, WE SIMPLY CANNOT ADDRESS 737 00:27:26,520 --> 00:27:28,920 ALL THE SCIENTIFIC QUESTIONS AT 738 00:27:28,920 --> 00:27:31,800 HAND WITH GIVEN THE TIME AND 739 00:27:31,800 --> 00:27:32,080 RESOURCES. 740 00:27:32,080 --> 00:27:35,520 SO WE WILL DISCUSS HOW WE HAVE 741 00:27:35,520 --> 00:27:38,360 REFINED AND PRIORITIZED 742 00:27:38,360 --> 00:27:42,720 SCIENTIFIC QUESTIONS DRAWING ON 743 00:27:42,720 --> 00:27:48,240 TEAM 2025s DGAC'S EXPERTISE AND 744 00:27:48,240 --> 00:27:50,280 THAT'S WHAT THE CRUX OF TODAY'S 745 00:27:50,280 --> 00:27:53,000 MEETING IS EACH OF THE 746 00:27:53,000 --> 00:27:53,600 COMMUNICATE CHAIRS DESCRIBE 747 00:27:53,600 --> 00:27:56,000 THEIR QUESTION REFINEMENT AND 748 00:27:56,000 --> 00:27:57,200 PRIORITIZATION CRITERIA. 749 00:27:57,200 --> 00:27:59,240 WE'RE REALLY EXCITED TO DESCRIBE 750 00:27:59,240 --> 00:28:02,960 THE PROTOCOLS THAT HAVE BEEN 751 00:28:02,960 --> 00:28:07,280 DEVELOPED AND FINALLY TO ECHO 752 00:28:07,280 --> 00:28:08,360 WHAT REAR ADMIRAL REED MENTIONED 753 00:28:08,360 --> 00:28:10,440 AND JANET AND EVE, WE ENCOURAGE 754 00:28:10,440 --> 00:28:12,720 THE PUBLIC TO STAY ENGAGED WITH 755 00:28:12,720 --> 00:28:13,960 THE PROCESS. 756 00:28:13,960 --> 00:28:16,160 YOU'RE INPUT IS GREATLY VALUED 757 00:28:16,160 --> 00:28:26,400 BY THIS TEAM. 758 00:28:30,360 --> 00:28:36,760 OKAY, DISCLOSURES. 759 00:28:36,760 --> 00:28:40,320 SO AS THE COMMITTEE KNOWS WHEN 760 00:28:40,320 --> 00:28:43,160 WE WERE FIRST REVIEWED PART OF 761 00:28:43,160 --> 00:28:47,160 OUR VETTING PROCESS ABOVE AND 762 00:28:47,160 --> 00:28:48,640 BEYOND OUR SCIENTIFIC EXPERTISE 763 00:28:48,640 --> 00:28:49,960 WAS A BACKGROUND CHECK. 764 00:28:49,960 --> 00:28:51,240 BY BACKGROUND CHECK BY HEALTH 765 00:28:51,240 --> 00:28:52,960 AND HUMAN SERVICES TO DETERMINE 766 00:28:52,960 --> 00:28:57,120 IF ANY OF THE CANDIDATES HAVE A 767 00:28:57,120 --> 00:28:59,120 FINANCIAL, ETHICAL, LEGAL AND/OR 768 00:28:59,120 --> 00:29:02,640 CRIMINAL CONFLICT OF INTEREST. 769 00:29:02,640 --> 00:29:11,280 AND WE ALL WORKED WITH THE HHS 770 00:29:11,280 --> 00:29:13,920 ETHICS COMMITTEE. 771 00:29:13,920 --> 00:29:17,760 WE REVIEWED OUR DISCLOSURES NOW, 772 00:29:17,760 --> 00:29:19,960 WHAT IS VERY UNIQUE ABOUT THIS 773 00:29:19,960 --> 00:29:22,960 COMMITTEE BECAUSE WE REALLY 774 00:29:22,960 --> 00:29:25,520 VALUE TRANSPARENCY, THE 775 00:29:25,520 --> 00:29:28,200 COMMITTEE DECIDED THAT IN 776 00:29:28,200 --> 00:29:30,120 ADDITION TO THE COMPLIANCE WITH 777 00:29:30,120 --> 00:29:33,640 THE FEDERAL ETHIC LAWS AND 778 00:29:33,640 --> 00:29:34,680 REGULATIONS THAT GOVERN CONFLICT 779 00:29:34,680 --> 00:29:37,200 OF INTEREST WE'D DO SOMETHING 780 00:29:37,200 --> 00:29:37,760 MORE. 781 00:29:37,760 --> 00:29:39,800 WE WERE GOING TO VOLUNTARILY 782 00:29:39,800 --> 00:29:44,720 DISCLOSE ANY RELATIONSHIPS, 783 00:29:44,720 --> 00:29:46,320 ACTIVITIES THAT COULD 784 00:29:46,320 --> 00:29:48,920 POTENTIALLY BE RELATED TO THIS 785 00:29:48,920 --> 00:29:51,040 SCIENTIFIC REVIEW AND WE 786 00:29:51,040 --> 00:29:52,680 COLLECTED THEM AND WE COLLATED 787 00:29:52,680 --> 00:29:55,800 THEM IN ACCORDANCE TO THE 788 00:29:55,800 --> 00:29:59,280 HIGHEST STANDARD OF JOURNALS THE 789 00:29:59,280 --> 00:30:00,080 INTERNATIONAL COMMUNITY OF 790 00:30:00,080 --> 00:30:02,800 JOURNAL EDITORS AND COMPLIED ALL 791 00:30:02,800 --> 00:30:05,560 OUR DISCLOSURES. 792 00:30:05,560 --> 00:30:08,680 NOW, RELATED MEANS ANY RELATION 793 00:30:08,680 --> 00:30:12,560 WITH A FOR PROFIT OR NOT FOR 794 00:30:12,560 --> 00:30:13,720 PROFIT THIRD PARTY WHOSE 795 00:30:13,720 --> 00:30:15,320 INTERESTS MAY BE AT ALL AFFECTED 796 00:30:15,320 --> 00:30:17,680 BY THE CONTENT. 797 00:30:17,680 --> 00:30:20,720 THESE DISCLOSURES HAVE BEEN 798 00:30:20,720 --> 00:30:24,720 POSTED ON DIETARY GUIDELINES.gov 799 00:30:24,720 --> 00:30:28,120 AND I THINK SPEAKING PERSONALLY, 800 00:30:28,120 --> 00:30:29,960 MY PERSONAL OPINION, I THINK WE 801 00:30:29,960 --> 00:30:31,960 ALL SHOULD BE SO PROUD OF 802 00:30:31,960 --> 00:30:36,040 OURSELVES FOR OUR COMMITMENT TO 803 00:30:36,040 --> 00:30:37,160 TRANSPARENCY AND I THINK ALSO 804 00:30:37,160 --> 00:30:40,600 WHEN YOU LOOK AT OUR COLLECTIVE 805 00:30:40,600 --> 00:30:44,840 DISCLOSURES WHICH INCLUDES ALL 806 00:30:44,840 --> 00:30:46,840 OUR FUNDING AND PROFESSIONAL 807 00:30:46,840 --> 00:30:47,240 RESPONSIBILITIES. 808 00:30:47,240 --> 00:30:49,680 WE ROCK, WE ARE AMAZING. 809 00:30:49,680 --> 00:30:54,120 WE HAVE SO MUCH ENGAGEMENT IN 810 00:30:54,120 --> 00:30:55,520 THE SCIENCE WHICH IS THE VERY 811 00:30:55,520 --> 00:30:58,840 REASON EACH AND EVERY ONE OF US 812 00:30:58,840 --> 00:31:00,880 WAS CHOSEN TO BE ON THIS 813 00:31:00,880 --> 00:31:01,120 COMMITTEE. 814 00:31:01,120 --> 00:31:02,200 BUT I ALSO WANT TO EMPHASIZE 815 00:31:02,200 --> 00:31:04,160 THERE'S NOT A SINGLE DECISION 816 00:31:04,160 --> 00:31:06,480 THAT IS RELATED TO AN 817 00:31:06,480 --> 00:31:06,760 INDIVIDUAL. 818 00:31:06,760 --> 00:31:11,880 THIS IS A TEAM. 819 00:31:11,880 --> 00:31:14,760 THIS IS A COMMITTEE, WE WORK 820 00:31:14,760 --> 00:31:15,640 TOGETHER AND DEBATE AND DISCUSS 821 00:31:15,640 --> 00:31:17,840 AND ENGAGE AND COME TOGETHER AND 822 00:31:17,840 --> 00:31:19,680 THAT FINAL SCIENTIFIC REPORT IS 823 00:31:19,680 --> 00:31:27,080 A REFLECTION OF ONE ENTITY. 824 00:31:27,080 --> 00:31:28,400 THIS COMMITTEE NOT AN 825 00:31:28,400 --> 00:31:28,720 INDIVIDUAL. 826 00:31:28,720 --> 00:31:33,720 FROM ANY PERSPECTIVE, THANK YOU 827 00:31:33,720 --> 00:31:36,440 ALL I COMMEND EVERYONE TO THEIR 828 00:31:36,440 --> 00:31:38,120 LEVEL OF TRANSPARENCY AND 829 00:31:38,120 --> 00:31:43,360 HIGHEST LEVEL OF ETHICS AND 830 00:31:43,360 --> 00:31:44,760 THANK YOU VERY MUCH FOR THAT. 831 00:31:44,760 --> 00:31:54,040 PROGRESS SINCE LAST MEETING. 832 00:31:54,040 --> 00:31:57,560 AS WE SAID THIS IS A WELL OIL 833 00:31:57,560 --> 00:31:58,600 MACHINE AND THE AMOUNT OF WORK 834 00:31:58,600 --> 00:32:05,400 WE HAVE AHEAD OF SUS -- US IS 835 00:32:05,400 --> 00:32:05,920 DAUNTING. 836 00:32:05,920 --> 00:32:07,760 INITIALLY THEY WERE WORK GROUPS 837 00:32:07,760 --> 00:32:09,760 WITH THE EXPECTATION THERE WOULD 838 00:32:09,760 --> 00:32:15,360 BE REORGANIZATION BASED ON HOW 839 00:32:15,360 --> 00:32:18,160 THE TOPICS PLAYED OUT AND 840 00:32:18,160 --> 00:32:19,920 PRIORITIZATION AND EXPERTISE. 841 00:32:19,920 --> 00:32:22,040 HOWEVER, FEDERAL STAFF WERE SO 842 00:32:22,040 --> 00:32:25,840 HAD SO MUCH WISDOM AND FORESIGHT 843 00:32:25,840 --> 00:32:29,760 THAT OUR WORKING GROUPS BECAME 844 00:32:29,760 --> 00:32:30,560 AUR SUBCOMMITTEE. 845 00:32:30,560 --> 00:32:32,880 WE HAD MINOR SHIFTS IN 846 00:32:32,880 --> 00:32:34,840 MEMBERSHIP AND IT MEANS 847 00:32:34,840 --> 00:32:38,200 CONTINUITY FOR EVERY COMMITTEE 848 00:32:38,200 --> 00:32:39,560 TO ANOTHER SUBCOMMITTEE AND 849 00:32:39,560 --> 00:32:41,920 THERE'S CONTINUITY WITH THE 850 00:32:41,920 --> 00:32:43,280 WORKING GROUPS. 851 00:32:43,280 --> 00:32:46,080 SO THE WORKING GROUPS ZRUFD THE 852 00:32:46,080 --> 00:32:47,960 SCIENTIFIC QUESTIONS RELATED TO 853 00:32:47,960 --> 00:32:50,520 THE TOPIC AREAS. 854 00:32:50,520 --> 00:32:52,560 THEY REFINE AND PRIORITIZE THE 855 00:32:52,560 --> 00:32:55,000 QUESTIONS AND IMPORTANTLY 856 00:32:55,000 --> 00:32:58,720 IDENTIFY THE ORDER IN WHICH -- 857 00:32:58,720 --> 00:33:00,440 WE WILL DEVELOP THE PROTOCOLS. 858 00:33:00,440 --> 00:33:02,560 WE'RE NOT DOING THIS ALL AT 859 00:33:02,560 --> 00:33:02,760 ONCE. 860 00:33:02,760 --> 00:33:04,880 AS I SAY IT'S A WELL OILED 861 00:33:04,880 --> 00:33:06,680 MACHINE AND SPEAKS TO THE 862 00:33:06,680 --> 00:33:07,320 HIGHEST LEVEL OF ORGANIZATIONAL 863 00:33:07,320 --> 00:33:10,800 PRINCIPLES. 864 00:33:10,800 --> 00:33:12,360 WE HAVE TWO REALLY EXCITING NEW 865 00:33:12,360 --> 00:33:13,320 WORKING GROUPS. 866 00:33:13,320 --> 00:33:17,000 ONE IS THE HEALTH EQUITY WORKING 867 00:33:17,000 --> 00:33:19,080 GROUP WHICH WE WILL BE HEARING 868 00:33:19,080 --> 00:33:21,520 MORE ABOUT LATER AND THIS WAS 869 00:33:21,520 --> 00:33:24,200 FORMED TO DISCUSS HOW TO 870 00:33:24,200 --> 00:33:26,440 INCORPORATE PRINCIPLES OF HEALTH 871 00:33:26,440 --> 00:33:29,840 EQUITY ACROSS ALL THE 872 00:33:29,840 --> 00:33:30,160 SUBCOMMITTEES. 873 00:33:30,160 --> 00:33:32,560 WE ALSO HAVE A BRAND NEW 874 00:33:32,560 --> 00:33:34,000 META-ANALYSIS WORKING GROUP 875 00:33:34,000 --> 00:33:36,040 WORKING CLOSELY WITH THE 876 00:33:36,040 --> 00:33:37,920 SYSTEMATIC REVIEW TEAM TO REFINE 877 00:33:37,920 --> 00:33:40,200 PROTOCOLS FOR A LIMITED NUMBER 878 00:33:40,200 --> 00:33:41,280 OF QUESTIONS. 879 00:33:41,280 --> 00:33:44,200 AS JANET SAID WE HAVE A FINITE 880 00:33:44,200 --> 00:33:45,720 TIME OF MEMBERSHIP AND WE'RE 881 00:33:45,720 --> 00:33:48,400 GOING TO BE LOOKING AT A FINITE 882 00:33:48,400 --> 00:33:51,560 NUMBER OF QUESTIONS WITHIN THE 883 00:33:51,560 --> 00:33:53,120 SYSTEMATIC REVIEWS AND AS WE 884 00:33:53,120 --> 00:33:57,800 WILL BE TALKING ABOUT MORE 885 00:33:57,800 --> 00:34:00,120 TODAY, WE PRIORITIZED QUESTIONS 886 00:34:00,120 --> 00:34:02,040 AND DRAFTED PROTOCOLS. 887 00:34:02,040 --> 00:34:03,480 FOR ANYBODY LISTENING IN WHO IS 888 00:34:03,480 --> 00:34:08,080 NOT FAMILIAR WITH THIS PROCESS, 889 00:34:08,080 --> 00:34:10,840 THIS GROUP HAS BEEN MEETING 890 00:34:10,840 --> 00:34:14,040 EVERY -- EACH SUBCOMMITTEE HAS 891 00:34:14,040 --> 00:34:14,880 BEEN MEETING EVERY WEEK. 892 00:34:14,880 --> 00:34:16,800 EVERY SINGLE MEMBER OF THIS 893 00:34:16,800 --> 00:34:20,720 COMMITTEE HAS BEEN PARTICIPATING 894 00:34:20,720 --> 00:34:24,080 IN MULTIPLE ZOOM CALLS JUST TO 895 00:34:24,080 --> 00:34:26,160 REVIEW AND PRIORITIZE AND MOVE 896 00:34:26,160 --> 00:34:26,640 THE WORK. 897 00:34:26,640 --> 00:34:28,720 WE HAVE HAD PEOPLE CALL FROM 898 00:34:28,720 --> 00:34:32,760 HOTEL ROOMS, CONFERENCES, AND 899 00:34:32,760 --> 00:34:35,680 IT'S AN ENGAGED GROUP SO THANK 900 00:34:35,680 --> 00:34:37,360 YOU. 901 00:34:37,360 --> 00:34:40,480 NEXT SLIDE. 902 00:34:40,480 --> 00:34:43,400 I WOULD NOT ASK YOU TO READ 903 00:34:43,400 --> 00:34:43,600 THIS. 904 00:34:43,600 --> 00:34:45,920 I THINK THE IMPORTANT STRUCTURE 905 00:34:45,920 --> 00:34:48,440 HERE THE IMPORTANT MESSAGE HERE 906 00:34:48,440 --> 00:34:53,240 IS WE HAVE FOUR SUBCOMMITTEES. 907 00:34:53,240 --> 00:34:55,320 DIETARY PATTERNS AND SPECIFIC 908 00:34:55,320 --> 00:34:56,680 DIETARY PATTERNS ACROSS THE LIFE 909 00:34:56,680 --> 00:34:59,560 STAGES AND WE HAVE PREGNANCY AND 910 00:34:59,560 --> 00:35:03,160 BIRTH FOR ADOLESCENCE FOOD 911 00:35:03,160 --> 00:35:04,640 PATTERNING AND DATA ANALYSIS AND 912 00:35:04,640 --> 00:35:06,800 STRATEGY FOR FAMILIES RELATED TO 913 00:35:06,800 --> 00:35:11,640 DATA QUALITY MANAGEMENT. 914 00:35:11,640 --> 00:35:13,400 EACH OF THOSE SUBCOMMITTEE 915 00:35:13,400 --> 00:35:15,880 CHAIRS WILL HAVE THEIR PROTOCOLS 916 00:35:15,880 --> 00:35:17,760 AND PRIORITIZIZATION TODAY. 917 00:35:17,760 --> 00:35:20,360 WE LOOK FORWARD TO THE 918 00:35:20,360 --> 00:35:21,680 DISCUSSION. 919 00:35:21,680 --> 00:35:23,680 OVERRIDING THE WORKING GROUP IS 920 00:35:23,680 --> 00:35:25,080 THE HEALTH EQUITY WITH THE 921 00:35:25,080 --> 00:35:27,240 INTENT OF LOOKING AT EACH OF THE 922 00:35:27,240 --> 00:35:28,800 SUBCOMMITTEES TRUE THE LENS OF 923 00:35:28,800 --> 00:35:31,360 HEALTH EQUITY AND THEN WE ALSO 924 00:35:31,360 --> 00:35:32,000 HAVE THE META-ANALYSIS WORKING 925 00:35:32,000 --> 00:35:42,120 GROUP. 926 00:35:46,360 --> 00:35:47,560 THERE'S THREE APPROACHES FOR 927 00:35:47,560 --> 00:35:48,600 EXAMINING THE EVIDENCE. 928 00:35:48,600 --> 00:35:50,920 WE HAVE THE SYSTEMIC REVIEWS AND 929 00:35:50,920 --> 00:35:56,800 FOOD PATTERN MODELLING AND THEN 930 00:35:56,800 --> 00:36:02,240 THE DATA ANALYSIS. 931 00:36:02,240 --> 00:36:03,920 THE GROUP BEEN FOCUSSING 932 00:36:03,920 --> 00:36:05,560 PRIMARILY ON THE FOOD PATTERN 933 00:36:05,560 --> 00:36:06,960 MODELLING AND THERE'S NOW WORK 934 00:36:06,960 --> 00:36:11,320 COMING UP WITH THE DATA ANALYSIS 935 00:36:11,320 --> 00:36:15,200 AND AGAIN THESE WILL BE 936 00:36:15,200 --> 00:36:16,560 DISCUSSED BY OUR COMMITTEE 937 00:36:16,560 --> 00:36:18,640 CHAIRS WORKING GROUP AND THE 938 00:36:18,640 --> 00:36:19,640 META-ANALYSIS WILL FALL UNDER 939 00:36:19,640 --> 00:36:29,440 THE SYSTEMIC REVIEW APPROACH. 940 00:36:29,440 --> 00:36:32,040 THE COMMITTEE USES THE SAME 941 00:36:32,040 --> 00:36:36,680 CRITERIA AS HEALTH AND HUMAN 942 00:36:36,680 --> 00:36:37,360 SERVICES IN THE U.S. DEPARTMENT 943 00:36:37,360 --> 00:36:42,520 OF AGRICULTURE IN THEIR 944 00:36:42,520 --> 00:36:48,160 REFINEMENT AND -- WE HAVE A MIX 945 00:36:48,160 --> 00:36:49,560 THERE BUT THAT'S OKAY. 946 00:36:49,560 --> 00:36:50,880 WE HAVE A COVERAGE OF THE TOPICS 947 00:36:50,880 --> 00:36:51,840 IN THE COMMITTEE REVIEW. 948 00:36:51,840 --> 00:36:53,240 IT'S REALLY IMPORTANT TO 949 00:36:53,240 --> 00:36:55,440 CONSIDER THE WORK OF THE GROUP 950 00:36:55,440 --> 00:36:59,600 COLLECTIVELY SO WE KNOW WE TALK 951 00:36:59,600 --> 00:37:01,360 ABOUT INDIVIDUAL QUESTIONS BUT 952 00:37:01,360 --> 00:37:04,720 THEY MAY NOT BE IN ISOLATION IN 953 00:37:04,720 --> 00:37:06,040 TERMS OF THE COMMUNICATES OR 954 00:37:06,040 --> 00:37:06,320 QUESTIONS. 955 00:37:06,320 --> 00:37:08,640 FOR EXAMPLE WHEN WE TALK ABOUT 956 00:37:08,640 --> 00:37:09,280 DIETARY PATTERNS IT'S GOING TO 957 00:37:09,280 --> 00:37:12,240 BE COVERED BY MORE THAN ONE 958 00:37:12,240 --> 00:37:13,800 SUBCOMMITTEE TO ENCOMPASS 959 00:37:13,800 --> 00:37:15,400 MULTIPLE LIFE STAGES. 960 00:37:15,400 --> 00:37:18,120 SO FOR EXAMPLE, DIETARY PATTERNS 961 00:37:18,120 --> 00:37:20,200 IN SUBCOMMITTEES ONE, TWO AND 962 00:37:20,200 --> 00:37:23,880 THREE, OLDER ADULTS ARE INCLUDED 963 00:37:23,880 --> 00:37:25,200 IN REVIEWS ACROSS SUBCOMMITTEE 964 00:37:25,200 --> 00:37:30,560 ONE, THREE AND FOUR. 965 00:37:30,560 --> 00:37:32,960 THE FLIP IS THAT SOME TOPICS MAY 966 00:37:32,960 --> 00:37:34,440 NOT BE COVERED IN THE 967 00:37:34,440 --> 00:37:36,720 SUBCOMMITTEE BUT MAY BE IN 968 00:37:36,720 --> 00:37:37,280 ANOTHER. 969 00:37:37,280 --> 00:37:41,920 SO FOR EXAMPLE THE DIETARY 970 00:37:41,920 --> 00:37:43,400 PATTERNS GROUP SUBCOMMITTEE ONE 971 00:37:43,400 --> 00:37:47,360 IS GOING TO BE EXAMINING THE 972 00:37:47,360 --> 00:37:53,440 AMOUNTS OF ALL ULTRAPROCESSED 973 00:37:53,440 --> 00:37:55,520 FOODS AND FOODS WITH ADDED 974 00:37:55,520 --> 00:37:58,080 SUGARS WILL BE ADDRESSED IN THE 975 00:37:58,080 --> 00:38:00,400 QUESTIONS ON BEVERAGES IN 976 00:38:00,400 --> 00:38:03,280 SUBCOMMITTEE ONE AND IN THE FOOD 977 00:38:03,280 --> 00:38:04,640 PATTERN MODELS AND DATA ANALYSIS 978 00:38:04,640 --> 00:38:09,120 AND SUBCOMMITTEE THREE.BEVERAGE 979 00:38:09,120 --> 00:38:09,760 AND IN THE FOOD PATTERN MODELS 980 00:38:09,760 --> 00:38:10,240 AND DATA ANALYSIS AND 981 00:38:10,240 --> 00:38:11,680 SUBCOMMITTEE THREE. 982 00:38:11,680 --> 00:38:13,200 THESE ARE EXAMPLES TO HIGHLIGHT 983 00:38:13,200 --> 00:38:14,720 TO THE PUBLIC WE VALUE YOUR 984 00:38:14,720 --> 00:38:18,160 INPUT AND THESE WERE TOPICS 985 00:38:18,160 --> 00:38:19,400 RAISED IN THE PUBLIC COMMENTS 986 00:38:19,400 --> 00:38:22,280 AND WE'RE MAKING EVERY EFFORT TO 987 00:38:22,280 --> 00:38:30,640 ADDRESS THESE IF NOT IN ALL 988 00:38:30,640 --> 00:38:37,480 COMMITTEES AT LEAST ONE. 989 00:38:37,480 --> 00:38:38,880 THE COMMITTEE USE THE SAME 990 00:38:38,880 --> 00:38:40,600 CRITERIA AS HEALTH AND HUMAN 991 00:38:40,600 --> 00:38:42,240 SERVICES IN THE U.S. DEPARTMENT 992 00:38:42,240 --> 00:38:44,800 OF AGRICULTURE IN REFINING THE 993 00:38:44,800 --> 00:38:46,160 QUESTIONS BUT ALSO PRIORITIZING 994 00:38:46,160 --> 00:38:46,360 THEM. 995 00:38:46,360 --> 00:38:49,880 WE JUST REALLY WANT TO EMPHASIZE 996 00:38:49,880 --> 00:38:50,960 PRIORITIZATION WAS NOT TAKEN 997 00:38:50,960 --> 00:38:56,720 LIGHTLY. 998 00:38:56,720 --> 00:38:58,360 WE HAVE ONLY SO MUCH TIME AND 999 00:38:58,360 --> 00:38:58,600 RESOURCES. 1000 00:38:58,600 --> 00:39:01,600 THIS GROUP MADE A CONCERTED 1001 00:39:01,600 --> 00:39:04,120 EFFORT AND PASSIONATE EFFORT TO 1002 00:39:04,120 --> 00:39:05,560 PRIORITIZE WHAT WOULD BE 1003 00:39:05,560 --> 00:39:06,760 REASONABLY ACHIEVED THAT WOULD 1004 00:39:06,760 --> 00:39:11,280 HAVE THE MAXIMUM BENEFIT FOR THE 1005 00:39:11,280 --> 00:39:13,560 AMERICAN PEOPLE. 1006 00:39:13,560 --> 00:39:21,000 SO WE HAVE IN TERMS OF RELEVANCE 1007 00:39:21,000 --> 00:39:22,560 THE QUESTIONS WE DISCUSSED HAVE 1008 00:39:22,560 --> 00:39:24,680 TO BE WITHIN THE SCOPE OF THE 1009 00:39:24,680 --> 00:39:26,400 DIETARY GUIDELINES AND IT'S 1010 00:39:26,400 --> 00:39:27,840 FOCUSSED ON FOOD-BASED 1011 00:39:27,840 --> 00:39:28,240 RECOMMENDATIONS. 1012 00:39:28,240 --> 00:39:34,440 SO WE JUST WANT TO EMPHASIZE WE 1013 00:39:34,440 --> 00:39:36,400 DO NOT PRIORITIZE WE DO NOT 1014 00:39:36,400 --> 00:39:39,240 TACKLE CLINICAL GUIDELINES FOR 1015 00:39:39,240 --> 00:39:39,680 MEDICAL TREATMENT. 1016 00:39:39,680 --> 00:39:48,320 WE ADDRESS QUESTIONS THAT ARE 1017 00:39:48,320 --> 00:39:50,560 ADDRESS PUBLIC HEALTH CONCERN OR 1018 00:39:50,560 --> 00:39:51,240 UNCERTAINTY. 1019 00:39:51,240 --> 00:39:52,120 IMPORTANCE IS SOMETHING WE 1020 00:39:52,120 --> 00:39:54,960 DISCUSS A GREAT DEAL IN OUR 1021 00:39:54,960 --> 00:39:55,320 PRIORITIZATION. 1022 00:39:55,320 --> 00:39:57,000 THERE'S HAS TO BE A HIGH 1023 00:39:57,000 --> 00:40:01,200 PROBABILITY THE QUESTIONS WE 1024 00:40:01,200 --> 00:40:03,320 ADDRESS WILL PROVIDE THE 1025 00:40:03,320 --> 00:40:05,120 SCIENTIFIC FOUNDATION FOR 1026 00:40:05,120 --> 00:40:06,600 GUIDANCE THAT WILL INFORM THE 1027 00:40:06,600 --> 00:40:07,200 FEDERAL FOOD AND NUTRITION 1028 00:40:07,200 --> 00:40:17,600 POLICIES AND PROGRAMS. 1029 00:40:22,080 --> 00:40:23,840 I APPRECIATE THE REVIEWING AND 1030 00:40:23,840 --> 00:40:26,800 WE'RE NOT ADDRESSING WHAT CAN BE 1031 00:40:26,800 --> 00:40:28,000 ADDRESSED THROUGH PLANNED 1032 00:40:28,000 --> 00:40:29,160 EVIDENCE BASE OR FEDERAL 1033 00:40:29,160 --> 00:40:31,160 GUIDANCE OTHER THAN THE DIETARY 1034 00:40:31,160 --> 00:40:38,800 GUIDELINES FOR EXISTING ONES. 1035 00:40:38,800 --> 00:40:40,880 THERE'S A CONCERTED EFFORT TO 1036 00:40:40,880 --> 00:40:42,320 COMPLEMENT EACH OTHER'S 1037 00:40:42,320 --> 00:40:44,480 ACTIVITIES BUT KEEP EACH OTHER 1038 00:40:44,480 --> 00:40:45,160 INFORMED. 1039 00:40:45,160 --> 00:40:46,440 FINALLY, RESEARCH RELIABILITY 1040 00:40:46,440 --> 00:40:52,160 AND AS A PLEA TO EARLIER STAGE 1041 00:40:52,160 --> 00:40:54,000 INVESTIGATORS OUT THERE TAKE 1042 00:40:54,000 --> 00:40:59,320 NOTE WHERE THE IS AND WHY THE 1043 00:40:59,320 --> 00:41:03,080 GAPS IS. 1044 00:41:03,080 --> 00:41:05,160 IT'S A TOUGH ISSUE. 1045 00:41:05,160 --> 00:41:06,360 WHEN WE LOOK AT THE WE HAVE TO 1046 00:41:06,360 --> 00:41:08,160 LOOK AT THE AVAILABILITY OF THE 1047 00:41:08,160 --> 00:41:13,080 EVIDENCE FOR THE PROPOSED 1048 00:41:13,080 --> 00:41:13,600 QUEST 1049 00:41:13,600 --> 00:41:18,040 QUESTIONS WE HAVE TO DETERMINE 1050 00:41:18,040 --> 00:41:18,800 IF THERE'S SUFFICIENT EVIDENCE 1051 00:41:18,800 --> 00:41:20,480 TO UPDATE AN EXISTING VIEW. 1052 00:41:20,480 --> 00:41:23,800 WE MAY BE PASSIONATE ABOUT AN 1053 00:41:23,800 --> 00:41:24,960 EMERGING TOPIC BUT IF WE DON'T 1054 00:41:24,960 --> 00:41:30,400 HAVE THE RESEARCH, THE QUESTION 1055 00:41:30,400 --> 00:41:33,320 IS GOING TO BE IDENTIFIED AN 1056 00:41:33,320 --> 00:41:35,240 AREA AS NEEDING MORE RESEARCH TO 1057 00:41:35,240 --> 00:41:36,400 A PLEA TO EARLIER STAGE 1058 00:41:36,400 --> 00:41:37,360 INVESTIGATORS AND PEOPLE 1059 00:41:37,360 --> 00:41:38,600 INSPIRED IN THE RESEARCH DOMAIN, 1060 00:41:38,600 --> 00:41:40,160 THIS IS WHERE YOU CAN SEE 1061 00:41:40,160 --> 00:41:46,800 THERE'S REALLY IMPORTANT PUBLIC 1062 00:41:46,800 --> 00:41:48,680 HEALTH QUESTIONS WHERE WE DON'T 1063 00:41:48,680 --> 00:41:49,360 HAVE ENOUGH EFFORT TO DRAW 1064 00:41:49,360 --> 00:41:54,840 CONCLUSIONS. 1065 00:41:54,840 --> 00:41:57,360 WITH THAT I'LL HAND IT OVER TO 1066 00:41:57,360 --> 00:41:59,040 MY COLLEAGUE DR. ODOMS-YOUNG. 1067 00:41:59,040 --> 00:42:00,440 >>THANK YOU SO MUCH. 1068 00:42:00,440 --> 00:42:04,240 AND I JUST WANT TO REITERATE 1069 00:42:04,240 --> 00:42:06,840 JUST THE POSITIVE ENERGY OF THE 1070 00:42:06,840 --> 00:42:10,760 COMMITTEE, THE GREAT WORK OF THE 1071 00:42:10,760 --> 00:42:11,200 SUBCOMMITTEES. 1072 00:42:11,200 --> 00:42:14,440 THERE ARE A FEW THINGS THAT HAVE 1073 00:42:14,440 --> 00:42:15,160 COME UP. 1074 00:42:15,160 --> 00:42:18,640 ONE SORT OF CROSS-CUTTING 1075 00:42:18,640 --> 00:42:20,800 OUTCOMES THAT HAVE BEEN REFINED 1076 00:42:20,800 --> 00:42:24,200 RELATED ACROSS QUESTIONS. 1077 00:42:24,200 --> 00:42:27,240 ONE OF THOSE IS GROWTH SIZE BODY 1078 00:42:27,240 --> 00:42:29,000 COMPOSITION AND RISK OF OBESITY 1079 00:42:29,000 --> 00:42:30,480 AND WEIGHT LOSS AND MAINTENANCE. 1080 00:42:30,480 --> 00:42:33,280 SEVERAL QUESTIONS WERE PROPOSED 1081 00:42:33,280 --> 00:42:34,320 TO THE COMMITTEE WITH THE 1082 00:42:34,320 --> 00:42:37,080 OUTCOME OF GROWTH SIZE, BODY 1083 00:42:37,080 --> 00:42:38,640 COMPOSITION AND RISK OF 1084 00:42:38,640 --> 00:42:39,360 OVERWEIGHT AND OBESITY AND 1085 00:42:39,360 --> 00:42:41,720 WEIGHT LOSS AND MAINTENANCE. 1086 00:42:41,720 --> 00:42:43,120 ACROSS QUESTION THE WORDING OF 1087 00:42:43,120 --> 00:42:45,560 THIS OUTCOME HAS BEEN REFINED TO 1088 00:42:45,560 --> 00:42:48,160 GROWTH BODY COMPOSITION AND RISK 1089 00:42:48,160 --> 00:42:49,800 FOR OVERWEIGHT. 1090 00:42:49,800 --> 00:42:52,560 THE ORIGINAL WORDING IS THE 1091 00:42:52,560 --> 00:42:55,080 RELATIONSHIP BETWEEN DIETARY 1092 00:42:55,080 --> 00:42:56,800 PATTERNS CONSUME AND GROWTH SIZE 1093 00:42:56,800 --> 00:42:59,040 AND RISK OF OVERWEIGHT AND 1094 00:42:59,040 --> 00:43:00,960 OBESITY AND WEIGHT LOSS 1095 00:43:00,960 --> 00:43:01,240 MAINTENANCE. 1096 00:43:01,240 --> 00:43:05,280 THE NEW WORDING REFINES THAT 1097 00:43:05,280 --> 00:43:07,080 QUESTION IN THE OUTCOME ACROSS 1098 00:43:07,080 --> 00:43:08,680 QUESTIONS TO BE WHAT IS THE 1099 00:43:08,680 --> 00:43:11,320 RELATIONSHIP BETWEEN DIETARY 1100 00:43:11,320 --> 00:43:14,120 PATTERNS CONSUMED, GROWTH, BODY 1101 00:43:14,120 --> 00:43:15,400 COMPOSITION AND RISK FOR 1102 00:43:15,400 --> 00:43:15,840 OBESITY. 1103 00:43:15,840 --> 00:43:17,960 THE RATIONALE FOR THE CHANGE AND 1104 00:43:17,960 --> 00:43:20,720 THIS YOU WILL SEE AS YOU GO 1105 00:43:20,720 --> 00:43:22,040 THROUGH THE SUBCOMMITTEES IS 1106 00:43:22,040 --> 00:43:26,720 CLARITY AND CONSISTENCY. 1107 00:43:26,720 --> 00:43:28,680 SO THE IDEA OF HAVING CLARITY 1108 00:43:28,680 --> 00:43:31,760 AND CONSISTENCY ACROSS THE 1109 00:43:31,760 --> 00:43:35,600 QUESTIONS AS IT RELATES TO THE 1110 00:43:35,600 --> 00:43:37,120 REFINEMENT AND PRIORITIZATION TO 1111 00:43:37,120 --> 00:43:39,760 MAKE SURE THAT WE HAVE SORT OF 1112 00:43:39,760 --> 00:43:42,120 THE FULL RANGE AND CONSISTENCY 1113 00:43:42,120 --> 00:43:45,640 AS WE CONSIDER RECOMMENDATIONS 1114 00:43:45,640 --> 00:43:46,760 ACROSS THE LIFE STAGES. 1115 00:43:46,760 --> 00:43:48,080 SO IT STILL INCLUDES A FULL 1116 00:43:48,080 --> 00:43:50,560 RANGE OF RELATED OUTCOMES. 1117 00:43:50,560 --> 00:43:53,240 THEY WILL BE ADDRESSED SO GROWTH 1118 00:43:53,240 --> 00:43:55,320 SIZE, GROWTH AND SIZE FOR 1119 00:43:55,320 --> 00:43:57,840 INFANTS, TODDLERS, CHILDREN AND 1120 00:43:57,840 --> 00:43:59,560 ADOLESCENT AND HEIGHT AND AGE 1121 00:43:59,560 --> 00:44:02,200 AND BODY COMPOSITION AND RISK 1122 00:44:02,200 --> 00:44:07,400 FOR OVERWEIGHT -- SORRY, RISK 1123 00:44:07,400 --> 00:44:10,280 FOR OBESITY AND RISK IN ADULTS 1124 00:44:10,280 --> 00:44:12,480 AND PREGNANCY AND POSTPARTUM 1125 00:44:12,480 --> 00:44:13,880 WHICH IS A CRITICAL CHANGE 1126 00:44:13,880 --> 00:44:17,520 RELATED TO WEIGHT CHANGE. 1127 00:44:17,520 --> 00:44:20,080 SO WHEN WE THINK ABOUT WHAT IS 1128 00:44:20,080 --> 00:44:24,040 GUIDING THE WORK, WHAT IS OUR 1129 00:44:24,040 --> 00:44:24,280 PLAN. 1130 00:44:24,280 --> 00:44:30,800 A PROTOCOL IS A PLAN AND THIS IS 1131 00:44:30,800 --> 00:44:32,880 ESSENTIAL GIVEN THE STAGE WE'RE 1132 00:44:32,880 --> 00:44:43,640 AT AND FOOD PATTERN MODEL ILING 1133 00:44:46,520 --> 00:44:48,760 AND COMMITTEES EXCEPT FOR THREE. 1134 00:44:48,760 --> 00:44:51,920 CHRIS IS GOING TO DIG DEEP IN 1135 00:44:51,920 --> 00:44:54,440 FULL PATTERN MODELLING. 1136 00:44:54,440 --> 00:44:56,480 AND OVER ALL A PROTOCOL IS A 1137 00:44:56,480 --> 00:44:58,720 PLAN FOR HOW THE SCIENTIFIC 1138 00:44:58,720 --> 00:44:59,920 APPROACH WILL BE USED TO EXAMINE 1139 00:44:59,920 --> 00:45:02,960 THE EVIDENCE RELATED TO EACH 1140 00:45:02,960 --> 00:45:03,240 QUESTION. 1141 00:45:03,240 --> 00:45:06,080 SO PROTOCOLS WERE CREATED FOR 1142 00:45:06,080 --> 00:45:07,520 EACH QUESTION BEFORE THE 1143 00:45:07,520 --> 00:45:09,680 COMMITTEE EXAMINES ANY EVIDENCE 1144 00:45:09,680 --> 00:45:14,080 AND SO DRAFT PROTOCOLS WILL BE 1145 00:45:14,080 --> 00:45:16,080 DISCUSSED BY EACH SUBCOMMITTEE 1146 00:45:16,080 --> 00:45:20,560 AND REFINED. 1147 00:45:20,560 --> 00:45:24,560 AS WE TALK TODAY AND THE 1148 00:45:24,560 --> 00:45:29,240 PROTOCOLS ARE POSTED ONLINE FOR 1149 00:45:29,240 --> 00:45:30,840 PEOPLE TO REVIEW TO UNDERSTAND 1150 00:45:30,840 --> 00:45:31,640 THE APPROACH USED TO ANSWER THE 1151 00:45:31,640 --> 00:45:33,200 SCIENTIFIC QUESTIONS. 1152 00:45:33,200 --> 00:45:35,320 A DRAFT PROTOCOLS ARE EXPECTED 1153 00:45:35,320 --> 00:45:40,840 TO BE POSTED ON DIETARY 1154 00:45:40,840 --> 00:45:47,720 GUIDELINES.gov AND ON NESR, AND 1155 00:45:47,720 --> 00:45:57,200 KUDOS, PHENOMENAL WORK. 1156 00:45:57,200 --> 00:46:06,440 THIS PRESPECIFIED PLAN FOR HOW 1157 00:46:06,440 --> 00:46:16,840 NESR AND THINGS LIKE POPULATION, 1158 00:46:16,840 --> 00:46:18,000 INTERVENTION AND EXPOSURE 1159 00:46:18,000 --> 00:46:20,480 COMPARATORS, OUTCOMES, WHAT ARE 1160 00:46:20,480 --> 00:46:23,160 THOSE KEY CONFOUNDERS AND 1161 00:46:23,160 --> 00:46:24,600 DEFINITIONS OF KEY TERMS. 1162 00:46:24,600 --> 00:46:26,320 SO A SYNTHESIS PLAN THAT 1163 00:46:26,320 --> 00:46:28,440 OUTLINES HOW THIS EVIDENCE WILL 1164 00:46:28,440 --> 00:46:29,720 BE ORGANIZED WILL BE PRESENTED 1165 00:46:29,720 --> 00:46:30,760 AND THEN I WANT TO TALK A LITTLE 1166 00:46:30,760 --> 00:46:33,120 BIT ABOUT THE INCLUSION AND 1167 00:46:33,120 --> 00:46:35,320 EXCLUSION CRITERIA THAT WILL BE 1168 00:46:35,320 --> 00:46:36,760 USED TO DETERMINE WHICH ARTICLES 1169 00:46:36,760 --> 00:46:39,760 WILL BE INCLUDED IN EACH REVIEW. 1170 00:46:39,760 --> 00:46:41,440 SO THE PROTOCOLS DISCUSSED TODAY 1171 00:46:41,440 --> 00:46:44,800 AGAIN WILL BE POSTED ONLINE TO 1172 00:46:44,800 --> 00:46:47,320 PROVIDE TRANSPARENCY AND I THINK 1173 00:46:47,320 --> 00:46:50,040 THEY ALSO SERVE AS A MODEL WHEN 1174 00:46:50,040 --> 00:46:53,720 WE THINK ABOUT APPROACHES FOR 1175 00:46:53,720 --> 00:46:55,080 SYSTEMIC REVIEWS. 1176 00:46:55,080 --> 00:46:56,760 THEY CAN PROVIDE IMPORTANT 1177 00:46:56,760 --> 00:47:01,280 INSIGHT WITHIN THE FIELD OVER 1178 00:47:01,280 --> 00:47:05,840 ALL SO THAT TRANSPARENCY TO 1179 00:47:05,840 --> 00:47:06,880 PROTECT AGAIN SELECTIVE 1180 00:47:06,880 --> 00:47:10,080 REPORTING AND FACILITATE PUBLIC 1181 00:47:10,080 --> 00:47:11,080 COMMENTS BECAUSE YOU CAN'T 1182 00:47:11,080 --> 00:47:15,120 COMMENT ON THE PROTE -- YOU CAN 1183 00:47:15,120 --> 00:47:21,800 COMMENT ON THE PROTOCOLS AT 1184 00:47:21,800 --> 00:47:23,800 NESR@FDA.gov AND IT'S APPLIED 1185 00:47:23,800 --> 00:47:26,640 ACROSS COMMITTEE REVIEWS AND IN 1186 00:47:26,640 --> 00:47:28,360 SOME CASES FOR SPECIFIC 1187 00:47:28,360 --> 00:47:29,280 QUESTIONS AND LIFE STAGES THERE 1188 00:47:29,280 --> 00:47:30,120 WILL BE SOME TAILORING FOR EACH 1189 00:47:30,120 --> 00:47:35,680 QUESTION. 1190 00:47:35,680 --> 00:47:37,080 AS A GENERAL OVERARCHING 1191 00:47:37,080 --> 00:47:40,120 PERSPECTIVE WHEN IT COMES TO 1192 00:47:40,120 --> 00:47:44,800 STUDY DESIGN, RCTs ARE INCLUDED, 1193 00:47:44,800 --> 00:47:45,600 NON-RANDOMIZED CONTROL TRIALS 1194 00:47:45,600 --> 00:47:48,440 AND QUASI-EXPERIMENTAL STUDIES, 1195 00:47:48,440 --> 00:47:52,200 PERSPECTIVE COHORT STUDIES AND 1196 00:47:52,200 --> 00:47:55,800 RETROSPECTIVE STUDIES AND CASE 1197 00:47:55,800 --> 00:48:01,000 CONTROL STUDIES AND THERE'S 1198 00:48:01,000 --> 00:48:03,480 UNCONTROLLED STUDIES AND 1199 00:48:03,480 --> 00:48:05,200 ECOLOGICAL STUDIES AND NARRATIVE 1200 00:48:05,200 --> 00:48:07,280 REVIEWS AND SYSTEMIC REVIEWS AND 1201 00:48:07,280 --> 00:48:08,560 META-ANALYSIS ARE EXCLUDED. 1202 00:48:08,560 --> 00:48:09,320 ONLY HUMANS. 1203 00:48:09,320 --> 00:48:10,840 THE DIETARY GUIDELINES IS 1204 00:48:10,840 --> 00:48:13,640 FOCUSSED ON HUMAN STUDIES NOT 1205 00:48:13,640 --> 00:48:13,920 NON-HUMANS. 1206 00:48:13,920 --> 00:48:16,880 AND WE ARE LOOKING AT THE PEER 1207 00:48:16,880 --> 00:48:18,760 REVIEW ARTICLES PUBLISHED IN 1208 00:48:18,760 --> 00:48:21,400 RESEARCH JOURNALS. 1209 00:48:21,400 --> 00:48:23,920 TO THE POINT THAT IF IT'S NOT IN 1210 00:48:23,920 --> 00:48:25,680 THE EVIDENCE IT'S NOT INCLUDED 1211 00:48:25,680 --> 00:48:28,160 FOR CONSIDERATION IN THE 1212 00:48:28,160 --> 00:48:29,520 PROTOCOLS SO IT'S ESSENTIAL THAT 1213 00:48:29,520 --> 00:48:31,440 THAT PEER-REVIEWED EVIDENCE 1214 00:48:31,440 --> 00:48:34,120 CONTINUES TO GROW WHEN WE LOOK 1215 00:48:34,120 --> 00:48:35,120 AT SOME OF THESE ISSUES. 1216 00:48:35,120 --> 00:48:39,360 SO AGAIN I WANT TO SAY THAT IT'S 1217 00:48:39,360 --> 00:48:44,640 NOT OPINION IT'S INCLUDED IN 1218 00:48:44,640 --> 00:48:46,480 THOSE SYSTEMIC REVIEWS OR PEER 1219 00:48:46,480 --> 00:48:48,240 REVIEWED ARTICLES PUBLISHED IN 1220 00:48:48,240 --> 00:48:49,840 RESEARCH JOURNALS. 1221 00:48:49,840 --> 00:48:51,480 PUBLISHED IN ENGLISH, NOT 1222 00:48:51,480 --> 00:48:52,360 PUBLISHED IN ENGLISH ARE 1223 00:48:52,360 --> 00:48:54,520 INCLUDED AND STUDIES CONDUCTED 1224 00:48:54,520 --> 00:48:56,680 IN COUNTRIES CLASSIFIED AS HIGH 1225 00:48:56,680 --> 00:48:59,560 OR VERY HIGH ON THE HUMAN 1226 00:48:59,560 --> 00:49:00,960 DEVELOPMENT INDEX. 1227 00:49:00,960 --> 00:49:02,040 THE YEARS THE INTERVENTION OR 1228 00:49:02,040 --> 00:49:05,960 EXPOSURE DATA WAS COLLECTED. 1229 00:49:05,960 --> 00:49:08,440 SO AS I MENTIONED THE CRITERIA 1230 00:49:08,440 --> 00:49:12,360 HAS BEEN TAILORED TO EACH 1231 00:49:12,360 --> 00:49:14,600 QUESTION TO ENSURE IT'S 1232 00:49:14,600 --> 00:49:16,080 APPLICABILITY ACROSS THE LIFE 1233 00:49:16,080 --> 00:49:18,920 STAGES OF INTEREST. 1234 00:49:18,920 --> 00:49:20,800 INCLUSION CRITERIA ARE 1235 00:49:20,800 --> 00:49:23,960 EXCLUSIVELY STUDIES THAT ENROLL 1236 00:49:23,960 --> 00:49:25,320 PARTICIPANTS NOT DIAGNOSED WITH 1237 00:49:25,320 --> 00:49:27,360 A DISEASE BUT INCLUDED ARE 1238 00:49:27,360 --> 00:49:28,880 STUDIES THAT ENROLL SOME 1239 00:49:28,880 --> 00:49:30,760 PARTICIPANTS THAT ARE DIAGNOSED 1240 00:49:30,760 --> 00:49:32,600 WITH A DISEASE OR A DISORDER 1241 00:49:32,600 --> 00:49:36,200 THAT AFFECTS FEEDING AND EATING, 1242 00:49:36,200 --> 00:49:39,040 SEVERE UNDER NUTRITION, FAILURE 1243 00:49:39,040 --> 00:49:39,960 TO THRIVE. 1244 00:49:39,960 --> 00:49:42,880 THOUGH STUDIES THAT EXCLUSIVELY 1245 00:49:42,880 --> 00:49:44,040 ENROLL PARTICIPANTS WITH A 1246 00:49:44,040 --> 00:49:47,120 DISEASE ARE NOT INCLUDED BUT 1247 00:49:47,120 --> 00:49:49,040 STUDIES THAT ENROLL SOME 1248 00:49:49,040 --> 00:49:50,280 PARTICIPANTS THAT ARE DIAGNOSED 1249 00:49:50,280 --> 00:49:51,320 WITH A DISEASE AND OTHER 1250 00:49:51,320 --> 00:49:53,880 CRITERIA IS INCLUDED THERE. 1251 00:49:53,880 --> 00:49:56,200 AND THEN EXCLUSION CRITERIA ARE 1252 00:49:56,200 --> 00:49:57,560 STUDIES THAT EXCLUSIVELY ENROLL 1253 00:49:57,560 --> 00:49:59,920 PARTICIPANT ARE DIAGNOSED WITH A 1254 00:49:59,920 --> 00:50:01,880 DISEASE, DIAGNOSED WITH A 1255 00:50:01,880 --> 00:50:04,080 DISORDER THAT AFFECTS FEEDING OR 1256 00:50:04,080 --> 00:50:07,560 EATING ETCETERA, UNDER 1257 00:50:07,560 --> 00:50:10,040 NUTRITION, BORN PRE TERM 1258 00:50:10,040 --> 00:50:12,680 ETCETERA AS YOU LOOK AT THE 1259 00:50:12,680 --> 00:50:13,320 EXCLUSION CRITERIA AND AGAIN 1260 00:50:13,320 --> 00:50:16,200 THIS WILL BE POSTED FOR REVIEW 1261 00:50:16,200 --> 00:50:17,680 AND PUBLIC COMMENT AT THE 1262 00:50:17,680 --> 00:50:25,640 DIETARY GUIDELINES.gov. 1263 00:50:25,640 --> 00:50:28,040 SO THE COMMITTEE HAS RECEIVED 1264 00:50:28,040 --> 00:50:29,920 APPROXIMATELY 300 WRITTEN 1265 00:50:29,920 --> 00:50:30,960 COMMENTS SINCE JANUARY. 1266 00:50:30,960 --> 00:50:35,760 WE APPRECIATE YOUR INPUT AND 1267 00:50:35,760 --> 00:50:36,520 ENGAGEMENT IN THIS PROCESS. 1268 00:50:36,520 --> 00:50:38,600 IT'S SO IMPORTANT TO UNDERSTAND 1269 00:50:38,600 --> 00:50:40,200 THAT VOICE FROM THE PUBLIC. 1270 00:50:40,200 --> 00:50:44,520 AND SO IT'S GREAT WE'RE GETTING 1271 00:50:44,520 --> 00:50:45,840 MORE PUBLIC COMMENTS. 1272 00:50:45,840 --> 00:50:47,240 COMMENTS ON PROTOCOLS DISCUSSED 1273 00:50:47,240 --> 00:50:49,760 TODAY ARE WELCOMED AS WAS 1274 00:50:49,760 --> 00:50:50,880 MENTIONED AND PLEASE SUBMIT THE 1275 00:50:50,880 --> 00:50:51,520 COMMENTS TO THE COMMITTEE BY THE 1276 00:50:51,520 --> 00:50:54,080 END OF JUNE. 1277 00:50:54,080 --> 00:50:55,800 THE WRITTEN COMMENT PERIOD WILL 1278 00:50:55,800 --> 00:50:57,480 REMAIN OPEN THROUGHOUT THE 1279 00:50:57,480 --> 00:50:59,720 COMMITTEE'S WORK AND IN THE FALL 1280 00:50:59,720 --> 00:51:00,440 OF 2024. 1281 00:51:00,440 --> 00:51:02,720 SO WE WANT TO HEAR FROM YOU AS 1282 00:51:02,720 --> 00:51:05,640 IT SAYS WRITE ON THE SLIDE. 1283 00:51:05,640 --> 00:51:08,280 SO PLEASE SUBMIT YOUR COMMENT. 1284 00:51:08,280 --> 00:51:09,560 PLEASE SUBMIT COMMENTS AND 1285 00:51:09,560 --> 00:51:10,360 PARTICULARLY THOSE WITH THE 1286 00:51:10,360 --> 00:51:10,880 LIVED EXPERIENCE. 1287 00:51:10,880 --> 00:51:13,200 WE WANT TO HEAR FROM PEOPLE. 1288 00:51:13,200 --> 00:51:18,480 WE WANT TO HEAR FROM AMERICANS 1289 00:51:18,480 --> 00:51:19,800 THAT THIS WILL INFORM THE DIETS 1290 00:51:19,800 --> 00:51:22,440 OF. 1291 00:51:22,440 --> 00:51:24,240 SO I'M GOING TO TURN IT OVER TO 1292 00:51:24,240 --> 00:51:27,680 THE HEALTH EQUITY WORKING GROUP 1293 00:51:27,680 --> 00:51:29,360 TODAY'S AGENDA WHERE WE WILL 1294 00:51:29,360 --> 00:51:31,800 HEAR FROM THE HEALTH EQUITY 1295 00:51:31,800 --> 00:51:33,280 WORKING GROUP SUBCOMMITTEE ONE 1296 00:51:33,280 --> 00:51:34,600 DIETARY PATTERNS AND SPECIFIC 1297 00:51:34,600 --> 00:51:38,080 DIETARY COMPONENTS ACROSS THE 1298 00:51:38,080 --> 00:51:38,600 LIFE STAGES. 1299 00:51:38,600 --> 00:51:40,160 COMMITTEE TWO DIET AND PREGNANCY 1300 00:51:40,160 --> 00:51:42,000 AND BIRTH THROUGH ADOLESCENCE 1301 00:51:42,000 --> 00:51:44,760 AND THEN WE'LL BREAK FOR LUNCH 1302 00:51:44,760 --> 00:51:46,200 AND THEN SUBCOMMITTEE FOUR WILL 1303 00:51:46,200 --> 00:51:47,960 GO NEXT TO TALK ABOUT STRATEGIES 1304 00:51:47,960 --> 00:51:50,680 FOR INDIVIDUALS AND FAMILIES 1305 00:51:50,680 --> 00:51:51,440 RELATED TO DIET QUALITY AND 1306 00:51:51,440 --> 00:51:54,720 WEIGHT MANAGEMENT AND THEN WE'LL 1307 00:51:54,720 --> 00:51:56,160 HEAR FROM SUBCOMMITTEE THREE WHO 1308 00:51:56,160 --> 00:52:01,120 PATTERN MODELLING AND DATA 1309 00:52:01,120 --> 00:52:03,080 ANALYSIS AND THEN WE'LL OPEN FOR 1310 00:52:03,080 --> 00:52:04,560 DISCUSSION AND ADJOURN AT 3:30. 1311 00:52:04,560 --> 00:52:06,320 I'LL TURN IT OVER TO THE HEALTH 1312 00:52:06,320 --> 00:52:07,040 EQUITY SUBCOMMITTEE. 1313 00:52:07,040 --> 00:52:09,280 >>THANK YOU, GOOD MORNING. 1314 00:52:09,280 --> 00:52:11,320 I'M SAMEERA TALEGAWKAR AND I 1315 00:52:11,320 --> 00:52:16,000 CHAIR THE HEALTH EQUITY WORKING 1316 00:52:16,000 --> 00:52:16,280 GROUP. 1317 00:52:16,280 --> 00:52:17,880 I WOULD LIKE TO THANK ALL THE 1318 00:52:17,880 --> 00:52:19,240 HEALTH EQUITY WORKING GROUP 1319 00:52:19,240 --> 00:52:21,280 MEMBERS FOR THEIR INSIGHT AND 1320 00:52:21,280 --> 00:52:22,520 DISCUSSIONS AND THE FEEDBACK AT 1321 00:52:22,520 --> 00:52:25,520 THE WORKING GROUP MEETINGS. 1322 00:52:25,520 --> 00:52:29,120 WE WOULD LIKE TO THANK THE 1323 00:52:29,120 --> 00:52:30,160 WONDERFUL USDA AND HHS STAFF FOR 1324 00:52:30,160 --> 00:52:31,320 THEIR SUPPORT AND ASSISTANCE AS 1325 00:52:31,320 --> 00:52:32,440 WE CONDUCT OUR MEETINGS. 1326 00:52:32,440 --> 00:52:37,840 WE'RE LOOKING FORWARD TO 1327 00:52:37,840 --> 00:52:39,880 DISCUSSING THE TOPIC AND AT THE 1328 00:52:39,880 --> 00:52:42,320 OUTSET WE'D LIKE TO STATE THE 1329 00:52:42,320 --> 00:52:44,920 DEFINITIONS AND CONCEPTS OF THE 1330 00:52:44,920 --> 00:52:45,680 WORKING GROUP WE'RE PRESENTING 1331 00:52:45,680 --> 00:52:48,880 ARE NOT FINAL THEY'LL BE FURTHER 1332 00:52:48,880 --> 00:52:51,080 REF 1333 00:52:51,080 --> 00:52:51,320 REFINED. 1334 00:52:51,320 --> 00:52:53,720 WE WELCOME FEEDBACK AND INPUT AS 1335 00:52:53,720 --> 00:52:55,320 WE INFORM THIS IMPORTANT WORK. 1336 00:52:55,320 --> 00:52:57,200 THE DIETARY GUIDELINES FOR 1337 00:52:57,200 --> 00:52:57,960 AMERICANS PROVIDES ADVICE ON 1338 00:52:57,960 --> 00:53:00,200 WHAT TO EAT AND DRINK TO MEET 1339 00:53:00,200 --> 00:53:02,400 NUTRIENT NEEDS, PROMOTE HEALTH 1340 00:53:02,400 --> 00:53:04,040 AND PREVENT DISEASE. 1341 00:53:04,040 --> 00:53:07,280 IT PROVIDES A FRAMEWORK FOR 1342 00:53:07,280 --> 00:53:11,320 HEALTHY EATING THAT CAN BE 1343 00:53:11,320 --> 00:53:17,120 TAILORED TO MEET PREFERENCES. 1344 00:53:17,120 --> 00:53:22,040 HISTORICALLY AND THERE IS NOW A 1345 00:53:22,040 --> 00:53:22,920 RENEWED SENSE OF URGENCY AND 1346 00:53:22,920 --> 00:53:24,440 IMPORTANCE FOR THE WORK. 1347 00:53:24,440 --> 00:53:25,240 THE ADVISORY COMMITTEE WAS 1348 00:53:25,240 --> 00:53:27,320 THEREFORE CHARGED WITH ENSURING 1349 00:53:27,320 --> 00:53:30,120 ALL THE SCIENTIFIC QUESTIONS 1350 00:53:30,120 --> 00:53:31,880 THAT WOULD BE REVIEWED WOULD BE 1351 00:53:31,880 --> 00:53:34,640 REVIEWED FOR THE HEALTH EQUITY 1352 00:53:34,640 --> 00:53:38,680 LENS TO ENSURE THE UPDATE IS 1353 00:53:38,680 --> 00:53:40,320 RELEVANT TO PEOPLE WITH DIVERSE 1354 00:53:40,320 --> 00:53:41,720 ETHNIC AND SOCIO ECONOMIC AND 1355 00:53:41,720 --> 00:53:42,480 CULTURAL BACKGROUNDS. 1356 00:53:42,480 --> 00:53:44,360 TO ENSURE THIS THE HEALTH AND 1357 00:53:44,360 --> 00:53:47,320 HUMAN SERVICES AND THE USDA IS 1358 00:53:47,320 --> 00:53:48,720 SUPPORTING THE COMMITTEE TO 1359 00:53:48,720 --> 00:53:50,640 DESCRIBE AND CONSIDER FACTORS 1360 00:53:50,640 --> 00:53:52,920 SUCH AS SOCIO ECONOMIC POSITION, 1361 00:53:52,920 --> 00:53:54,800 RACE, ETHNICITY AND CULTURE TO 1362 00:53:54,800 --> 00:53:57,640 THE GREATEST EXTENT POSSIBLE 1363 00:53:57,640 --> 00:54:00,080 BASED ON THE INFORMATION 1364 00:54:00,080 --> 00:54:01,000 PROVIDED IN THE SCIENTIFIC 1365 00:54:01,000 --> 00:54:02,000 LITERATURE AND DATA. 1366 00:54:02,000 --> 00:54:03,800 IT'S IMPORTANT TO NOTE THIS IS 1367 00:54:03,800 --> 00:54:07,240 AN ALIGNMENT WITH NEW STRATEGIES 1368 00:54:07,240 --> 00:54:08,160 TO ADVANCE EQUITY IN THE UNITED 1369 00:54:08,160 --> 00:54:09,880 STATES THAT THE HEALTH AND HUMAN 1370 00:54:09,880 --> 00:54:13,360 SERVICES AND THE USDA HAVE 1371 00:54:13,360 --> 00:54:14,600 INVOLVED PURSUANT TO THE 1372 00:54:14,600 --> 00:54:16,760 EXECUTIVE ORDER 13985 DATED 1373 00:54:16,760 --> 00:54:19,680 JANUARY 20 OF 2021 ON ADVANCING 1374 00:54:19,680 --> 00:54:20,920 RACIAL EQUITY AND SUPPORT FOR 1375 00:54:20,920 --> 00:54:23,880 UNDER SERVED COMMITTEE 1376 00:54:23,880 --> 00:54:24,440 THROUGHOUT THE FEDERAL 1377 00:54:24,440 --> 00:54:25,160 GOVERNMENT. 1378 00:54:25,160 --> 00:54:26,160 -- THROUGH THE FEDERAL 1379 00:54:26,160 --> 00:54:27,080 GOVERNMENT. 1380 00:54:27,080 --> 00:54:28,520 THE HEALTH EQUITY WORKING GROUP 1381 00:54:28,520 --> 00:54:31,040 EXAMINED VARIOUS DEFINITIONS 1382 00:54:31,040 --> 00:54:32,800 CONCEPTS AND FRAMEWORKS 1383 00:54:32,800 --> 00:54:34,840 INCLUDING THOSE PUT FORTH BY THE 1384 00:54:34,840 --> 00:54:35,800 WHITE HOUSE HEALTH EQUITY TASK 1385 00:54:35,800 --> 00:54:38,840 FORCE, THE CDC AND USDA AMONG 1386 00:54:38,840 --> 00:54:39,080 OTHERS. 1387 00:54:39,080 --> 00:54:40,720 IT'S ADAPTING ACROSS ALL THESE 1388 00:54:40,720 --> 00:54:42,400 TO COME UP WITH ITS OWN 1389 00:54:42,400 --> 00:54:44,280 DEFINITION OF HEALTH EQUITY AND 1390 00:54:44,280 --> 00:54:45,400 THE NEXT THREE SLIDES WILL 1391 00:54:45,400 --> 00:54:46,440 SUMMARIZE THE DEFINITIONS. 1392 00:54:46,440 --> 00:54:48,480 WE NOTE AT THE BOTTOM OF EACH OF 1393 00:54:48,480 --> 00:54:52,320 THE SLIDES WHERE THE DEFINITIONS 1394 00:54:52,320 --> 00:54:53,720 HAVE BEEN ADAPTED FROM. 1395 00:54:53,720 --> 00:54:56,600 THE HEALTH EQUITY WORKING GROUP 1396 00:54:56,600 --> 00:54:58,440 BELIEVES THAT EQUITY IS THE 1397 00:54:58,440 --> 00:54:59,800 CONSISTENT AND SYSTEMATIC 1398 00:54:59,800 --> 00:55:01,520 TREATMENT OF ALL INDIVIDUALS IN 1399 00:55:01,520 --> 00:55:04,200 A FAIR, JUST AND IMPARTIAL 1400 00:55:04,200 --> 00:55:05,080 MANNER INCLUDING INDIVIDUALS WHO 1401 00:55:05,080 --> 00:55:08,040 BELONG TO COMMUNITIES THAT HAVE 1402 00:55:08,040 --> 00:55:10,600 BEEN -- OFTEN DENIED SUCH 1403 00:55:10,600 --> 00:55:13,080 TREATMENT SUCH AS BLACK, LATINO, 1404 00:55:13,080 --> 00:55:14,240 INDIGENOUS AND NATIVE AMERICAN 1405 00:55:14,240 --> 00:55:17,240 AND ASIAN AMERICAN, NATIVE 1406 00:55:17,240 --> 00:55:18,560 HAWAIIAN AND PACIFIC ISLANDER 1407 00:55:18,560 --> 00:55:18,800 PERSONS. 1408 00:55:18,800 --> 00:55:22,560 AND OTHER PERSONS OF COLOR. 1409 00:55:22,560 --> 00:55:25,000 MEMBERS OF VARIOUS MINORITIES, 1410 00:55:25,000 --> 00:55:31,600 WOMEN'S AND GIRLS, LGBTQ I + 1411 00:55:31,600 --> 00:55:36,080 PERSONS AND PERSONS WHO LIVE IN 1412 00:55:36,080 --> 00:55:40,440 RURAL AREAS OR STIGMA HEALTH 1413 00:55:40,440 --> 00:55:41,680 CONDITIONS OR FACED WITH 1414 00:55:41,680 --> 00:55:45,640 INEQUALITY AND DEFORMITY OR 1415 00:55:45,640 --> 00:55:47,240 BELONG TO SUCH COMMUNITY. 1416 00:55:47,240 --> 00:55:49,400 WE BELIEVE THIS MEANS 1417 00:55:49,400 --> 00:55:50,800 RECOGNIZING THAT PEOPLE'S 1418 00:55:50,800 --> 00:55:51,720 FRUSTRATIONS RUN DEEP AND ARE 1419 00:55:51,720 --> 00:55:54,280 ROOTED IN THEIR OWN DAILY 1420 00:55:54,280 --> 00:56:00,360 BATTLES TO MAKE ENDS MEET TO 1421 00:56:00,360 --> 00:56:03,560 PRACTICE AND PRIORITIZE AT THE 1422 00:56:03,560 --> 00:56:05,880 HEALTH SELECTION TO PUT FOOT ON 1423 00:56:05,880 --> 00:56:08,160 THEIR TABLES AND GIVE THEM A 1424 00:56:08,160 --> 00:56:09,320 SHOT AT ECONOMIC OPPORTUNITY AND 1425 00:56:09,320 --> 00:56:11,480 RECOGNIZING THE ABILITY TO 1426 00:56:11,480 --> 00:56:14,040 SELECT FRUITS AND BEVERAGES IS 1427 00:56:14,040 --> 00:56:18,720 LIMITED BY INCOME AND 1428 00:56:18,720 --> 00:56:19,360 ENVIRONMENTAL CONSTRAINS NOT IN 1429 00:56:19,360 --> 00:56:21,440 THE INDIVIDUAL'S CONTROL 1430 00:56:21,440 --> 00:56:24,280 PROMOTING EQUITY MEANS PROMOTING 1431 00:56:24,280 --> 00:56:25,240 HEALTHY SELECTION FOR 1432 00:56:25,240 --> 00:56:26,280 INDIVIDUALS, ORGANIZATIONS AND 1433 00:56:26,280 --> 00:56:28,080 ENVIRONMENTS FOCUSSING ON GROUPS 1434 00:56:28,080 --> 00:56:30,000 AND CONTEXT WHERE HELPFUL 1435 00:56:30,000 --> 00:56:31,320 DIETARY SELECTION IS MOST 1436 00:56:31,320 --> 00:56:32,640 LIMITED. 1437 00:56:32,640 --> 00:56:34,680 LASTLY, WE BELIEVE HEALTH EQUITY 1438 00:56:34,680 --> 00:56:36,040 SHOULD BE CONSIDERED AS THE 1439 00:56:36,040 --> 00:56:37,800 STATE IN WHICH EVERYONE HAS A 1440 00:56:37,800 --> 00:56:39,160 FAIR SHARE AND JUST OPPORTUNITY 1441 00:56:39,160 --> 00:56:41,640 TO ATTAIN THE HIGHEST LEVEL OF 1442 00:56:41,640 --> 00:56:42,520 HEALTH. 1443 00:56:42,520 --> 00:56:44,480 ACHIEVING THIS REQUIRES ONGOING 1444 00:56:44,480 --> 00:56:46,080 SOCIETAL EFFORT TO ADDRESS 1445 00:56:46,080 --> 00:56:48,320 HISTORICAL AND CONTEMPORARY 1446 00:56:48,320 --> 00:56:49,800 INJUSTICES TO REMOVE ECONOMIC 1447 00:56:49,800 --> 00:56:52,920 SOCIAL AND OTHER OBSTACLES TO 1448 00:56:52,920 --> 00:56:54,360 FOOD ACCESS, HEALTH AND HEALTH 1449 00:56:54,360 --> 00:56:58,960 CARE SUCH AS POVERTY, 1450 00:56:58,960 --> 00:57:00,040 DISCRIMINATION AND THEIR 1451 00:57:00,040 --> 00:57:02,320 CONSEQUENCES AND POURLESSNESS 1452 00:57:02,320 --> 00:57:05,920 AND ACCESS TO GOOD JOBS WITH 1453 00:57:05,920 --> 00:57:06,720 THERAPY AND SAFE ENVIRONMENTS 1454 00:57:06,720 --> 00:57:07,680 AND HEALTH CARE. 1455 00:57:07,680 --> 00:57:11,360 AND TO ELIMINATE PREVENTIBLE 1456 00:57:11,360 --> 00:57:14,760 HEALTH DISPARITIES. 1457 00:57:14,760 --> 00:57:16,520 WE WILL NOW DISCUSS THE 1458 00:57:16,520 --> 00:57:17,840 COMMITTEE CONSIDER APPLYING 1459 00:57:17,840 --> 00:57:19,240 HEALTH EQUITY LENS THROUGH THE 1460 00:57:19,240 --> 00:57:22,800 THREE APPROACHES USED TO EXAMINE 1461 00:57:22,800 --> 00:57:24,240 THE EVIDENCE FOR THE GUIDELINES. 1462 00:57:24,240 --> 00:57:25,440 AS WE KNOW AND HAS BEEN 1463 00:57:25,440 --> 00:57:27,480 DISCUSSED THE THREE APPROACHES 1464 00:57:27,480 --> 00:57:30,160 ARE THE SYSTEMIC REVIEWS AND 1465 00:57:30,160 --> 00:57:31,720 FOOD PATTERN MODELLING AN DATA 1466 00:57:31,720 --> 00:57:32,000 ANALYSIS. 1467 00:57:32,000 --> 00:57:36,840 EACH APPROACHES HAVE ITS OWN 1468 00:57:36,840 --> 00:57:39,120 RIGOROUS PROTOCOL AND PLAYS A 1469 00:57:39,120 --> 00:57:43,760 UNIQUE AND COMPLIMENTARY ROLE IN 1470 00:57:43,760 --> 00:57:45,360 EXAMINING THE EVIDENCE. 1471 00:57:45,360 --> 00:57:46,440 SUBSEQUENT SUBCOMMITTEE 1472 00:57:46,440 --> 00:57:47,520 PRESENTATIONS WILL DISCUSS 1473 00:57:47,520 --> 00:57:49,400 PROTOCOLS IN DETAIL BUT THE 1474 00:57:49,400 --> 00:57:50,680 HEALTH WHY THE WORKING GROUP 1475 00:57:50,680 --> 00:57:54,640 WILL LIKE TO PROVIDE CONTEXT ON 1476 00:57:54,640 --> 00:57:55,600 HOW HEALTH EQUITY IS CONSIDERED 1477 00:57:55,600 --> 00:58:00,040 IN THE PROTOCOLS AS THEY'RE 1478 00:58:00,040 --> 00:58:01,960 BEING DEVELOPED AND CONSIDERED. 1479 00:58:01,960 --> 00:58:03,320 THE FIRST IS THE SYSTEMIC 1480 00:58:03,320 --> 00:58:06,040 REVIEWS WHICH IS SUPPORTED BY 1481 00:58:06,040 --> 00:58:07,200 USDA TEAM. 1482 00:58:07,200 --> 00:58:09,360 DURING THE PROTOCOL DEVELOPMENT 1483 00:58:09,360 --> 00:58:12,320 PROCESS THE SYSTEMIC REVIEW 1484 00:58:12,320 --> 00:58:13,280 SUBCOMMITTEE WILL IDENTIFY KEY 1485 00:58:13,280 --> 00:58:14,640 VARIABLES OF INTEREST RELATED TO 1486 00:58:14,640 --> 00:58:15,480 HEALTH EQUITY TO CONSIDER 1487 00:58:15,480 --> 00:58:18,520 THROUGHOUT THE REVIEW PROCESS. 1488 00:58:18,520 --> 00:58:20,800 IN THE DATA EXTRACTION AND 1489 00:58:20,800 --> 00:58:23,960 ASSESSMENT OF RISK BY STEPS THE 1490 00:58:23,960 --> 00:58:25,560 PROTOCOL WILL EXTRACT 1491 00:58:25,560 --> 00:58:26,760 DESCRIPTIVE DATA FOR VARIABLES 1492 00:58:26,760 --> 00:58:29,800 TO THE EXTENT POSSIBLE AND 1493 00:58:29,800 --> 00:58:31,040 ADDRESS HEALTH EQUITY KEY 1494 00:58:31,040 --> 00:58:32,160 CONFOUNDERS AND OTHER VARIABLES 1495 00:58:32,160 --> 00:58:33,600 IN THE RISK OF BIAS ASSESSMENT. 1496 00:58:33,600 --> 00:58:37,920 FOR THE NEXT SET OF PROTOCOL 1497 00:58:37,920 --> 00:58:40,040 STEPS DEVELOPING CONCLUSION 1498 00:58:40,040 --> 00:58:41,320 STATEMENTS AND READING THE 1499 00:58:41,320 --> 00:58:43,720 STRENGTH OF THE EVIDENCE A 1500 00:58:43,720 --> 00:58:45,880 HEALTH EQUITY LENS WILL BE 1501 00:58:45,880 --> 00:58:51,120 APPLIED BY CONSIDERING SPECIFIC 1502 00:58:51,120 --> 00:58:58,280 SUB GROUPS WHEN SYNTHESIZING THE 1503 00:58:58,280 --> 00:59:00,000 EVIDENCE AND DOCUMENTING 1504 00:59:00,000 --> 00:59:00,880 RESEARCH RECOMMENDATIONS THAT 1505 00:59:00,880 --> 00:59:04,560 ADDRESS GAPS AND LIMITATIONS. 1506 00:59:04,560 --> 00:59:06,400 THE NEXT APPROACH IS FOOD 1507 00:59:06,400 --> 00:59:07,800 PATTERN MODELLING. 1508 00:59:07,800 --> 00:59:10,680 NOW, VARIATIONS IN DIETARY 1509 00:59:10,680 --> 00:59:12,080 PRACTICES INCLUDING FOODS AND 1510 00:59:12,080 --> 00:59:13,400 TRADITIONS WILL BE DISCUSSED AND 1511 00:59:13,400 --> 00:59:15,640 CONSIDERED IN MANY OF THE 1512 00:59:15,640 --> 00:59:17,520 PRIORITIZED ANALYSIS FOR FOOD 1513 00:59:17,520 --> 00:59:20,320 PATTERN MODELLING. 1514 00:59:20,320 --> 00:59:21,920 EXAMPLES INCLUDE FLEXIBILITY FOR 1515 00:59:21,920 --> 00:59:23,320 THOSE WHO HAVE LACTOSE IN 1516 00:59:23,320 --> 00:59:28,240 TOLERANCE OR DO NOT CONSUME MILK 1517 00:59:28,240 --> 00:59:32,120 PRODUCTS AND LOOKING AT 1518 00:59:32,120 --> 00:59:33,800 CARBOHYDRATES SUCH AS THOSE WHO 1519 00:59:33,800 --> 00:59:37,280 CONSUME STARCHY VEGETABLES BUT 1520 00:59:37,280 --> 00:59:38,640 LESS GRAINS AND THOSE WHO 1521 00:59:38,640 --> 00:59:39,960 CONSUME PLANT BASED VERSUS 1522 00:59:39,960 --> 00:59:41,240 ANIMAL PROTEINS AND TO THE 1523 00:59:41,240 --> 00:59:42,840 MODELLING WORKING GROUP IS 1524 00:59:42,840 --> 00:59:45,960 EXPLORING A NEW METHODOLOGY AND 1525 00:59:45,960 --> 00:59:47,600 MODELLING THAT TEST THE 1526 00:59:47,600 --> 00:59:49,240 APPLICABILITY OF DIETARY 1527 00:59:49,240 --> 00:59:50,720 PATTERNS ACROSS CULTURES AND 1528 00:59:50,720 --> 00:59:53,000 CONSIDERS REFINEMENTS NEEDED TO 1529 00:59:53,000 --> 00:59:55,680 THE DIETARY PATTERNS TO IMPROVE 1530 00:59:55,680 --> 00:59:56,760 CULTURAL INCLUSION. 1531 00:59:56,760 --> 00:59:58,960 LASTLY WE HAVE THE DATA ANALYSIS 1532 00:59:58,960 --> 01:00:01,400 WHICH IS A COLLECTION OF ALL THE 1533 01:00:01,400 --> 01:00:02,480 ANALYSIS THAT USE NATIONAL DATA 1534 01:00:02,480 --> 01:00:04,360 SETS TO DESCRIBE THE PATTERNS OF 1535 01:00:04,360 --> 01:00:06,120 HEALTH AND DIETARY INTAKES IN 1536 01:00:06,120 --> 01:00:07,320 THE UNITED STATES. 1537 01:00:07,320 --> 01:00:09,440 NOW, DATA ANALYSIS IS LED BY THE 1538 01:00:09,440 --> 01:00:11,320 FEDERAL STAFF AND DELIVERED TO 1539 01:00:11,320 --> 01:00:12,880 THE COMMITTEE. 1540 01:00:12,880 --> 01:00:15,800 THE 2020 COMMITTEE EXAMINED 1541 01:00:15,800 --> 01:00:16,880 DEMOGRAPHIC GROUPS INCLUDING 1542 01:00:16,880 --> 01:00:19,200 SEX, RACE AND ETHNICITY, SOCIO 1543 01:00:19,200 --> 01:00:20,960 ECONOMIC STATUS INCLUDING FAMILY 1544 01:00:20,960 --> 01:00:23,200 INCOME, INCOME TO POVERTY RATIO 1545 01:00:23,200 --> 01:00:25,320 AND EDUCATION AS WELL AS AGE AND 1546 01:00:25,320 --> 01:00:26,440 LIFE STAGE. 1547 01:00:26,440 --> 01:00:29,400 HOWEVER, WE KNOW THE 1548 01:00:29,400 --> 01:00:31,280 DEMOGRAPHICS ARE ONLY ONE PIECE 1549 01:00:31,280 --> 01:00:34,000 OF THE HEALTH EQUITY AND WE 1550 01:00:34,000 --> 01:00:36,360 WANTED TO EXPLORE THE USE OF THE 1551 01:00:36,360 --> 01:00:37,200 ADDITIONAL DATA ANALYSIS 1552 01:00:37,200 --> 01:00:38,680 VARIABLES TO ALIGN WITH THE 1553 01:00:38,680 --> 01:00:40,200 WORKING GROUP CONVERSATIONS WE 1554 01:00:40,200 --> 01:00:40,880 ARE HAVING. 1555 01:00:40,880 --> 01:00:42,800 IN PROPOSING THESE NEW VARIABLES 1556 01:00:42,800 --> 01:00:44,520 TO EXAMINE THERE MAY BE A NEED 1557 01:00:44,520 --> 01:00:46,600 TO PRIORITIZE WHICH OF THESE 1558 01:00:46,600 --> 01:00:48,280 WOULD BE MOST IMPACTFUL 1559 01:00:48,280 --> 01:00:50,760 ANSWERING THE RESEARCH QUESTIONS 1560 01:00:50,760 --> 01:00:51,960 AND SUPPORTING WHICHEVER HEALTH 1561 01:00:51,960 --> 01:00:53,240 EQUITY FRAMEWORK WE DECIDE TO GO 1562 01:00:53,240 --> 01:00:55,080 WITH AS A WORKING GROUP. 1563 01:00:55,080 --> 01:00:57,720 TWO IMPORTANT FACTORS IN THESE 1564 01:00:57,720 --> 01:00:58,720 DISCUSSIONS WILL BE THE 1565 01:00:58,720 --> 01:01:01,040 GENERALIZABILITY OF THE PROPOSED 1566 01:01:01,040 --> 01:01:02,840 VARIABLES AND IF THERE'S 1567 01:01:02,840 --> 01:01:03,520 SUFFICIENT SAMPLE SIZE FOR 1568 01:01:03,520 --> 01:01:06,160 ANALYSIS AND WE ALREADY STARTED 1569 01:01:06,160 --> 01:01:07,000 INITIAL CONVERSATIONS WITH OUR 1570 01:01:07,000 --> 01:01:08,360 FEDERAL DATA ANALYSTS TO GET A 1571 01:01:08,360 --> 01:01:11,000 SENSE FOR WHAT IS POSSIBLE. 1572 01:01:11,000 --> 01:01:18,480 WE PROPOSE ANY NEW ANALYSIS OR 1573 01:01:18,480 --> 01:01:20,800 VARIABLES TO THE DATA IN THE 1574 01:01:20,800 --> 01:01:22,680 ANALYSTS AND THERE'S AN 1575 01:01:22,680 --> 01:01:23,600 OPPORTUNITY TO FRAME 1576 01:01:23,600 --> 01:01:25,760 RECOMMENDATIONS FOR FUTURE 1577 01:01:25,760 --> 01:01:26,160 RESEARCH. 1578 01:01:26,160 --> 01:01:27,840 THIS SLIDE LIST THE ADDITIONAL 1579 01:01:27,840 --> 01:01:29,240 VARIABLES WE STARTED EXPLORING. 1580 01:01:29,240 --> 01:01:31,640 YOU MIGHT SEE THERE'S A STRIKE 1581 01:01:31,640 --> 01:01:33,280 THROUGH SOME VARIABLES AND THE 1582 01:01:33,280 --> 01:01:35,600 REASON IS THAT WE MIGHT NOT HAVE 1583 01:01:35,600 --> 01:01:38,240 SUFFICIENT SAMPLE SIZE AND NO 1584 01:01:38,240 --> 01:01:39,760 LONGER CONSIDERED TO BE FEASIBLE 1585 01:01:39,760 --> 01:01:41,720 FOR DATA ANALYSIS AND WE'LL 1586 01:01:41,720 --> 01:01:43,160 CONTINUE TO REFINE THESE AS WE 1587 01:01:43,160 --> 01:01:44,120 WORK WITH THE FEDERAL TEAM AND 1588 01:01:44,120 --> 01:01:47,840 THE WORKING GROUP AS WELL. 1589 01:01:47,840 --> 01:01:50,560 AND THEN NOW LASTLY WE CONCLUDE 1590 01:01:50,560 --> 01:01:52,720 THE DESCRIPTION OF THE WORK DONE 1591 01:01:52,720 --> 01:01:54,160 SO FAR. 1592 01:01:54,160 --> 01:01:56,880 OUR NEXT STEPS ARE TO CONTINUE 1593 01:01:56,880 --> 01:02:00,080 TO REFINE THE VARIABLES FOR 1594 01:02:00,080 --> 01:02:01,040 HEALTH EQUITY TO BE CONSIDERED 1595 01:02:01,040 --> 01:02:01,920 BY THE COMMITTEE DURING THE 1596 01:02:01,920 --> 01:02:04,120 REVIEW OF THE EVIDENCE TO 1597 01:02:04,120 --> 01:02:05,720 INCORPORATE CONSIDERATIONS INTO 1598 01:02:05,720 --> 01:02:08,080 THE REVIEW OF THE SCIENTIFIC 1599 01:02:08,080 --> 01:02:08,840 EVIDENCE AND TO DEVELOP AND 1600 01:02:08,840 --> 01:02:11,480 OUTLINE FOR INCORPORATING HEALTH 1601 01:02:11,480 --> 01:02:12,520 EQUITY INTO SCIENTIFIC REPORT. 1602 01:02:12,520 --> 01:02:14,040 I WOULD LIKE TO END THE 1603 01:02:14,040 --> 01:02:15,080 PRESENTATION BY ACKNOWLEDGING 1604 01:02:15,080 --> 01:02:18,560 AGAIN OUR WORKING GROUP AND THE 1605 01:02:18,560 --> 01:02:21,160 WONDERFUL USDA AND HHS STAFF, 1606 01:02:21,160 --> 01:02:22,680 OUR WORKING GROUP IS HAPPY TO 1607 01:02:22,680 --> 01:02:23,400 TAKE QUESTION OR COMMENTS YOU 1608 01:02:23,400 --> 01:02:23,640 MAY HAVE. 1609 01:02:23,640 --> 01:02:33,520 THANK YOU. 1610 01:02:33,520 --> 01:02:36,200 >>MAY I JUST START BY SAYING 1611 01:02:36,200 --> 01:02:39,920 THANK YOU SAMEERA FOR CHAIRING 1612 01:02:39,920 --> 01:02:42,000 THIS REALLY IMPORTANT INNOVATIVE 1613 01:02:42,000 --> 01:02:44,440 WORKING GROUP. 1614 01:02:44,440 --> 01:02:44,960 THANK YOU FOR A WONDERFUL 1615 01:02:44,960 --> 01:02:55,200 PRESENTATION. 1616 01:02:59,320 --> 01:03:00,400 WE HAVEN'T HAD ENOUGH COFFEE I 1617 01:03:00,400 --> 01:03:00,680 DON'T THINK. 1618 01:03:00,680 --> 01:03:02,120 ANY COMMENTS OR QUESTIONS ON THE 1619 01:03:02,120 --> 01:03:03,320 HEALTH EQUITY WORKING GROUP? 1620 01:03:03,320 --> 01:03:05,480 OKAY. 1621 01:03:05,480 --> 01:03:10,760 WE'VE GOT A THUMBS UP FROM 1622 01:03:10,760 --> 01:03:11,360 CHRISTOPHER. 1623 01:03:11,360 --> 01:03:14,520 OKAY, THANK YOU, SAMEERA AGAIN 1624 01:03:14,520 --> 01:03:17,440 AND FOR EVERYONE ON THE 1625 01:03:17,440 --> 01:03:18,080 COMMITTEE. 1626 01:03:18,080 --> 01:03:21,560 IT'S BEEN A REALLY INFORMED 1627 01:03:21,560 --> 01:03:25,080 DISCUSSION UP TO NOW AND I 1628 01:03:25,080 --> 01:03:25,800 APPRECIATE THE EVIDENCE PEOPLE 1629 01:03:25,800 --> 01:03:27,320 ARE BRINGING TO THE TABLE. 1630 01:03:27,320 --> 01:03:32,360 SO THANK YOU. 1631 01:03:32,360 --> 01:03:36,640 SO I DO BELIEVE OUR NEXT 1632 01:03:36,640 --> 01:03:37,760 PRESENTATION IS SUBCOMMITTEE 1633 01:03:37,760 --> 01:03:40,680 ONE, DEANNA, TAKE IT AWAY. 1634 01:03:40,680 --> 01:03:42,880 >>THANK YOU, DR. BOOTH. 1635 01:03:42,880 --> 01:03:44,120 I AM GOING TO PRESENT SOME OF 1636 01:03:44,120 --> 01:03:49,120 THE WORK THAT WE'VE BEEN DOING 1637 01:03:49,120 --> 01:03:50,520 IN SUBCOMMITTEE ONE AND I WILL 1638 01:03:50,520 --> 01:03:52,600 BE JOINED BY MY FELLOW COMMITTEE 1639 01:03:52,600 --> 01:04:00,120 MEMBERS DOCTORS TOBIAS, 1640 01:04:00,120 --> 01:04:03,120 GIOVANNUCCI AND RAYNOR. 1641 01:04:03,120 --> 01:04:04,440 THIS SAY RATHER LENGTHY 1642 01:04:04,440 --> 01:04:05,280 PRESENTATION BECAUSE WE HAVE A 1643 01:04:05,280 --> 01:04:06,040 RATHER LARGE AGENDA. 1644 01:04:06,040 --> 01:04:08,120 TO LET YOU KNOW WE'LL GO THROUGH 1645 01:04:08,120 --> 01:04:10,520 APPROXIMATELY A THIRD OF IT AND 1646 01:04:10,520 --> 01:04:13,960 HAVE A PAUSE FOR DISCUSSIONS AND 1647 01:04:13,960 --> 01:04:15,360 QUESTIONS AND ANOTHER THIRD, 1648 01:04:15,360 --> 01:04:16,560 ANOTHER PAUSE AND THEN QUESTIONS 1649 01:04:16,560 --> 01:04:17,160 AT THE END. 1650 01:04:17,160 --> 01:04:18,240 JUST WANTED TO LET YOU KNOW THE 1651 01:04:18,240 --> 01:04:23,120 LAYOUT. 1652 01:04:23,120 --> 01:04:25,120 SO THIS AS WITH PREVIOUS 1653 01:04:25,120 --> 01:04:26,360 COMMITTEES I WOULD LIKE TO 1654 01:04:26,360 --> 01:04:27,480 ACKNOWLEDGE THE HARD WORK THE 1655 01:04:27,480 --> 01:04:28,520 COMMITTEE HAS DONE. 1656 01:04:28,520 --> 01:04:32,600 IT'S BEEN A TEAM EFFORT AND WE 1657 01:04:32,600 --> 01:04:34,000 HAVE EXCELLENT SXETS ON THIS 1658 01:04:34,000 --> 01:04:34,280 COMMITTEE. 1659 01:04:34,280 --> 01:04:40,920 AND I'D LIKE TO ACKNOWLEDGE OUR 1660 01:04:40,920 --> 01:04:41,760 SUPPORT STAFF. 1661 01:04:41,760 --> 01:04:45,480 WE'VE BEEN OVERJOYED TO THEM 1662 01:04:45,480 --> 01:04:47,480 WORK WITH US AND APPRECIATED OUR 1663 01:04:47,480 --> 01:04:49,040 EXPERTISE AND HAVE DONE A LOT TO 1664 01:04:49,040 --> 01:04:51,240 HELP GUIDE US THROUGH THE 1665 01:04:51,240 --> 01:04:51,480 PROCESS. 1666 01:04:51,480 --> 01:04:53,360 FIRST I'M GOING TO DISCUSS THE 1667 01:04:53,360 --> 01:04:54,680 SCIENTIFIC QUESTION REFINEMENT 1668 01:04:54,680 --> 01:05:03,400 AND PRIORITIZATION. 1669 01:05:03,400 --> 01:05:05,400 WE DEAL MOSTLY WITH SYSTEMIC 1670 01:05:05,400 --> 01:05:08,520 REVIEWS AND AS I GO THROUGH THE 1671 01:05:08,520 --> 01:05:10,840 PROTOCOLS THERE'S A LOT OF 1672 01:05:10,840 --> 01:05:12,640 REDUNDANCY IN THE PROTOCOLS. 1673 01:05:12,640 --> 01:05:15,840 SO I WILL SHOW THOSE AND POINT 1674 01:05:15,840 --> 01:05:18,080 OUT AREAS THAT ARE NEW. 1675 01:05:18,080 --> 01:05:19,160 I'LL HIGHLIGHT THOSE. 1676 01:05:19,160 --> 01:05:20,320 I WON'T SPEND A LOT OF TIME 1677 01:05:20,320 --> 01:05:22,360 READING THROUGH THE SLIDES ONCE 1678 01:05:22,360 --> 01:05:23,920 WE GO THROUGH THEM THE FIRST 1679 01:05:23,920 --> 01:05:24,120 TIME. 1680 01:05:24,120 --> 01:05:28,240 I WANTED TO ORIENT YOU TO THAT. 1681 01:05:28,240 --> 01:05:29,720 SO OUR PRIORITIZED SCIENTIFIC 1682 01:05:29,720 --> 01:05:31,560 QUESTIONS THE FIRST GROUP HAS TO 1683 01:05:31,560 --> 01:05:34,160 DEAL WITH DIETARY PATTERNS. 1684 01:05:34,160 --> 01:05:36,600 AND SO THESE WERE QUESTIONS THAT 1685 01:05:36,600 --> 01:05:40,920 WERE OPPOSED TO US BY HHS, USDA. 1686 01:05:40,920 --> 01:05:42,000 THERE IS ONE ADDITIONAL QUESTION 1687 01:05:42,000 --> 01:05:45,440 THAT WE HAVE ON HERE THAT WAS 1688 01:05:45,440 --> 01:05:47,240 PROPOSED BY SUBCOMMITTEE ONE FOR 1689 01:05:47,240 --> 01:05:48,560 RISK OF DEPRESSION. 1690 01:05:48,560 --> 01:05:51,480 THE REASON THAT WE DID THIS IS 1691 01:05:51,480 --> 01:05:54,120 BECAUSE OF FEDERAL STAKEHOLDER 1692 01:05:54,120 --> 01:05:57,880 AND PUBLIC COMMENT INTEREST IN 1693 01:05:57,880 --> 01:05:58,720 THIS AREA AS WELL AS NEW 1694 01:05:58,720 --> 01:06:00,040 EVIDENCE IS AVAILABLE. 1695 01:06:00,040 --> 01:06:03,320 IT HASN'T BEEN UPDATED SINCE THE 1696 01:06:03,320 --> 01:06:05,400 2015 DIETARY GUIDELINES ADVISORY 1697 01:06:05,400 --> 01:06:06,200 COMMITTEE REPORT. 1698 01:06:06,200 --> 01:06:07,480 THERE'S A POSSIBILITY OF FINDING 1699 01:06:07,480 --> 01:06:11,080 A DIFFERENT RESULT. 1700 01:06:11,080 --> 01:06:12,800 THE PRIORITIZATION QUESTIONS 1701 01:06:12,800 --> 01:06:14,400 I'LL GO THROUGH ARE LISTED IN 1702 01:06:14,400 --> 01:06:16,960 THE ORDER IN WHICH WE HAVE 1703 01:06:16,960 --> 01:06:20,040 PRIORITIZED THEM. 1704 01:06:20,040 --> 01:06:22,040 SO BASED ON THE COMMITTEE 1705 01:06:22,040 --> 01:06:22,640 ENGAGED IN THE PRIORITIZATION 1706 01:06:22,640 --> 01:06:27,040 PROCESS. 1707 01:06:27,040 --> 01:06:28,280 HOW MANY WE GET THROUGH DEPENDS 1708 01:06:28,280 --> 01:06:29,880 ON THE EFFICIENCY OF THE 1709 01:06:29,880 --> 01:06:30,120 REVIEWS. 1710 01:06:30,120 --> 01:06:33,040 SO THE ONES TOWARDS THE END MAY 1711 01:06:33,040 --> 01:06:34,280 NOT BE COMPLETED. 1712 01:06:34,280 --> 01:06:35,320 SO IT DEPENDS ON HOW THE REVIEWS 1713 01:06:35,320 --> 01:06:41,680 GO. 1714 01:06:41,680 --> 01:06:43,360 WE ALSO HAVE PROPOSED SCIENTIFIC 1715 01:06:43,360 --> 01:06:43,760 QUESTIONS. 1716 01:06:43,760 --> 01:06:45,240 THE PREVIOUS ONES WERE ON 1717 01:06:45,240 --> 01:06:46,600 DIETARY PATTERNS. 1718 01:06:46,600 --> 01:06:50,280 THESE ARE ON SPECIFIC DIETARY 1719 01:06:50,280 --> 01:06:50,600 COMPONENTS. 1720 01:06:50,600 --> 01:06:53,440 SO THE FIRST ONE HAS TO DO WITH 1721 01:06:53,440 --> 01:06:55,840 THE RELATIONSHIP BETWEEN BENCH 1722 01:06:55,840 --> 01:06:58,880 CONSUMPTION AND GROWTH BODY COMP 1723 01:06:58,880 --> 01:07:01,080 AND RISK OF OBESITY. 1724 01:07:01,080 --> 01:07:02,920 WE'RE LOOKING AT DIFFERENT 1725 01:07:02,920 --> 01:07:04,720 BEVERAGE TYPES PRIORITIZED FOR 1726 01:07:04,720 --> 01:07:05,120 REVIEW. 1727 01:07:05,120 --> 01:07:06,320 TWO ARE NEW. 1728 01:07:06,320 --> 01:07:08,480 THE BEVERAGE PATTERNS AND THE 1729 01:07:08,480 --> 01:07:11,160 COFFEE AND TEA ARE NEW. 1730 01:07:11,160 --> 01:07:13,440 ONE OF THE QUESTIONS I FORGOT TO 1731 01:07:13,440 --> 01:07:15,600 MENTION THAT'S NEW ON THE 1732 01:07:15,600 --> 01:07:19,200 DIETARY PATTERNS IS ABOUT ULTRA 1733 01:07:19,200 --> 01:07:19,680 PROCESSED FOODS. 1734 01:07:19,680 --> 01:07:21,200 WE'LL TALK MORE ABOUT THAT LATER 1735 01:07:21,200 --> 01:07:21,600 AS WELL. 1736 01:07:21,600 --> 01:07:25,440 THE SECOND GROUP THE 1737 01:07:25,440 --> 01:07:28,240 RELATIONSHIP BETWEEN BEVERAGE 1738 01:07:28,240 --> 01:07:31,320 CONSUMPTION AND RISK OF TYPE II 1739 01:07:31,320 --> 01:07:32,280 DIABETES THE BEVERAGE TYPES 1740 01:07:32,280 --> 01:07:35,320 PRIORITIZED FOR REVIEW THE 1741 01:07:35,320 --> 01:07:39,920 QUESTION IS NEW. 1742 01:07:39,920 --> 01:07:46,840 THE RISK OF OUTCOME AND THEN THE 1743 01:07:46,840 --> 01:07:48,960 LAST QUESTION IS A NEW ONE AS 1744 01:07:48,960 --> 01:07:51,400 WELL WHAT IS THE RELATIONSHIP 1745 01:07:51,400 --> 01:07:53,240 BETWEEN FOOD SOURCES OF 1746 01:07:53,240 --> 01:07:56,120 SATURATED FAT CONSUMED AND RISK 1747 01:07:56,120 --> 01:07:57,480 OF CARDIOVASCULAR DISEASE. 1748 01:07:57,480 --> 01:07:59,720 SO THESE ARE GOING ALONG IN 1749 01:07:59,720 --> 01:08:02,080 PARALLEL WITH THE DIETARY 1750 01:08:02,080 --> 01:08:04,280 PATTERNS SYSTEMIC REVIEW. 1751 01:08:04,280 --> 01:08:05,120 THEY'LL BOTH BE HAPPENING AT THE 1752 01:08:05,120 --> 01:08:08,600 SAME TIME. 1753 01:08:08,600 --> 01:08:11,000 ONE OF THE THINGS I WANTED TO 1754 01:08:11,000 --> 01:08:12,920 SAY WITH THE PREVIOUS SLIDE AND 1755 01:08:12,920 --> 01:08:14,280 I FORGOT WITH THE DIETARY 1756 01:08:14,280 --> 01:08:16,120 PATTERNS, THANK YOU, IF YOU LOOK 1757 01:08:16,120 --> 01:08:22,360 AT THE TOP ONES, THOSE ALL HAVE 1758 01:08:22,360 --> 01:08:25,400 STRONG STATEMENTS, STRONG 1759 01:08:25,400 --> 01:08:25,720 ASSOCIATIONS. 1760 01:08:25,720 --> 01:08:28,600 WE ARE LOOKING AT THEM THOUGH 1761 01:08:28,600 --> 01:08:30,800 BECAUSE WHAT SAMEERA POINTED OUT 1762 01:08:30,800 --> 01:08:32,480 IN TERMS OF HEALTH EQUITY SO 1763 01:08:32,480 --> 01:08:33,760 THERE'S NEW DATA PRESENTED ON 1764 01:08:33,760 --> 01:08:36,440 THIS AND SO WE REALLY WANTED TO 1765 01:08:36,440 --> 01:08:38,920 KIND OF BE UP WITH THAT. 1766 01:08:38,920 --> 01:08:40,880 THE OTHER THING THAT I DID WANT 1767 01:08:40,880 --> 01:08:44,400 TO POINT OUT IS ONE OF THE 1768 01:08:44,400 --> 01:08:45,560 QUESTIONS THAT WE DEPRIORITIZED 1769 01:08:45,560 --> 01:08:48,280 AND DON'T HAVE ON THE LIST IS 1770 01:08:48,280 --> 01:08:50,120 FOR ALL CAUSE MORTALITY. 1771 01:08:50,120 --> 01:08:52,560 AND THE REASON WHY EVEN THOUGH 1772 01:08:52,560 --> 01:08:55,960 THERE'S A ROBUST BODY OF 1773 01:08:55,960 --> 01:08:58,480 LITERATURE IN THE AREA, THE 1774 01:08:58,480 --> 01:08:59,920 STATEMENTS ARE VERY STRONG 1775 01:08:59,920 --> 01:09:01,240 REGARDING DIET AND ALL CAUSE 1776 01:09:01,240 --> 01:09:04,520 MORTALITY AND WE THOUGHT SOME OF 1777 01:09:04,520 --> 01:09:12,680 THESE WERE HIGHER PRIORITY. 1778 01:09:12,680 --> 01:09:13,800 SO THERE WERE SEVERAL QUESTIONS 1779 01:09:13,800 --> 01:09:14,920 NOT PRIORITIZED FOR REVIEW. 1780 01:09:14,920 --> 01:09:16,880 ONE OF THOSE ON HERE IS THE 1781 01:09:16,880 --> 01:09:20,920 DIETARY PATTERNS AND ALL-CAUSE 1782 01:09:20,920 --> 01:09:21,200 MORTALITY. 1783 01:09:21,200 --> 01:09:23,440 MOST OF THESE OTHERS WERE NOT 1784 01:09:23,440 --> 01:09:26,560 PRIORITIZED BECAUSE OF A LACK OF 1785 01:09:26,560 --> 01:09:28,560 RESEARCH. 1786 01:09:28,560 --> 01:09:32,840 SO NESR HAS CONTINUING EXISTING 1787 01:09:32,840 --> 01:09:33,080 REVIEWS. 1788 01:09:33,080 --> 01:09:33,800 THEY CONTINUALLY MONITOR THE 1789 01:09:33,800 --> 01:09:44,200 EVIDENCE. 1790 01:09:44,200 --> 01:09:45,680 A LOT OF THESE HAVE LACK OF 1791 01:09:45,680 --> 01:09:48,280 RESEARCH AVAILABLE SO DECIDED 1792 01:09:48,280 --> 01:09:49,520 THEY WEREN'T PRIORITY FOR THIS 1793 01:09:49,520 --> 01:09:51,600 AND THERE WERE ISSUES ASSOCIATED 1794 01:09:51,600 --> 01:09:51,960 WITH THEM. 1795 01:09:51,960 --> 01:09:57,320 FOR EXAMPLE THE FOOD SOURCES OF 1796 01:09:57,320 --> 01:09:59,880 ADDED SUGARS AND GROWTH AND BODY 1797 01:09:59,880 --> 01:10:02,240 COMP AND RISK OF OBESITY AND 1798 01:10:02,240 --> 01:10:04,680 RISK OF TYPE 2 DIABETES THERE 1799 01:10:04,680 --> 01:10:05,960 WERE OTHER EXISTING SYSTEMIC 1800 01:10:05,960 --> 01:10:08,600 REVIEWS AND THEY POINTED TO 1801 01:10:08,600 --> 01:10:12,120 LOOKING AT SUGAR-SWEETENED 1802 01:10:12,120 --> 01:10:12,400 BEVERAGES. 1803 01:10:12,400 --> 01:10:14,440 YOU'LL HEAR MORE WHEN WE TALK 1804 01:10:14,440 --> 01:10:15,360 ABOUT THE BEVERAGE QUESTION SO 1805 01:10:15,360 --> 01:10:20,760 WE WILL ADDRESS THAT. 1806 01:10:20,760 --> 01:10:21,640 ALL RIGHT. 1807 01:10:21,640 --> 01:10:23,760 SO WE'RE GOING TO BEGIN THE 1808 01:10:23,760 --> 01:10:27,520 DRAFT PROTOCOLS. 1809 01:10:27,520 --> 01:10:30,280 SO THE DRAFT PROTOCOLS FOR 1810 01:10:30,280 --> 01:10:31,560 COMMITTEE REVIEW TODAY INCLUDE 1811 01:10:31,560 --> 01:10:34,440 THE DIETARY PATTERNS AND GROWTH 1812 01:10:34,440 --> 01:10:39,200 BODY COMP AND RISK OF OBESITY. 1813 01:10:39,200 --> 01:10:41,120 THE RISK OF CARDIOVASCULAR 1814 01:10:41,120 --> 01:10:43,080 DISEASE AND CERTAIN TYPES OF 1815 01:10:43,080 --> 01:10:45,240 CANCER, BREAST, COLORECTAL AND 1816 01:10:45,240 --> 01:10:45,880 PROSTATE. 1817 01:10:45,880 --> 01:10:48,720 AGAIN WE'RE NOT LOOKING AT LUNG 1818 01:10:48,720 --> 01:10:50,440 CANCER BECAUSE OF THE 1819 01:10:50,440 --> 01:10:51,200 CONFOUNDING WITH SMOKING AND 1820 01:10:51,200 --> 01:10:53,320 RISK OF DEPRESSION. 1821 01:10:53,320 --> 01:10:55,320 THE DIETARY PATTERNS WITH 1822 01:10:55,320 --> 01:10:59,760 VARYING AMOUNTS OF 1823 01:10:59,760 --> 01:11:02,440 ULTRAPROCESSED FOOD AND RISK OF 1824 01:11:02,440 --> 01:11:04,800 OBESITY AND BEVERAGES IN GROWTH 1825 01:11:04,800 --> 01:11:07,320 BODY COMPOSITION AND RISK OF 1826 01:11:07,320 --> 01:11:11,320 OBESITY AND RISK OF TYPE 2 1827 01:11:11,320 --> 01:11:13,160 DIABETES. 1828 01:11:13,160 --> 01:11:15,400 SO AS WITH WHAT DR. ODOMS-YOUNG 1829 01:11:15,400 --> 01:11:17,400 SAID WE'RE FOLLOWING THE 1830 01:11:17,400 --> 01:11:18,440 STANDARD INCLUSION AND EXCLUSION 1831 01:11:18,440 --> 01:11:18,720 CRITERIA. 1832 01:11:18,720 --> 01:11:20,120 SO I'M NOT GOING TO REVIEW THOSE 1833 01:11:20,120 --> 01:11:26,440 AGAIN. 1834 01:11:26,440 --> 01:11:28,200 TO BEGIN I THINK IT'S IMPORTANT 1835 01:11:28,200 --> 01:11:30,880 TO TALK ABOUT WHAT WE MEAN BY 1836 01:11:30,880 --> 01:11:31,680 DIETARY PATTERNS. 1837 01:11:31,680 --> 01:11:35,320 SO DIETARY PATTERNS THE 1838 01:11:35,320 --> 01:11:37,960 DEFINITION IS THE QUANTITIES, 1839 01:11:37,960 --> 01:11:39,560 PROPORTIONS, VARIETY OR 1840 01:11:39,560 --> 01:11:42,280 COMBINATION OF DIFFERENT FOODS, 1841 01:11:42,280 --> 01:11:44,280 DRINKS AND NUTRIENTS WHEN 1842 01:11:44,280 --> 01:11:48,120 AVAILABLE IN DIETS AND THE 1843 01:11:48,120 --> 01:11:49,680 FREQUENCY WITH WHICH THEY'RE 1844 01:11:49,680 --> 01:11:51,920 HABITUALLY CONSUMED. 1845 01:11:51,920 --> 01:11:53,360 THE NEXT SLIDE GETS A LITTLE 1846 01:11:53,360 --> 01:11:55,680 MORE GRANULAR IN WHAT WE'RE 1847 01:11:55,680 --> 01:11:58,000 LOOKING AT. 1848 01:11:58,000 --> 01:11:59,280 SPECIFICALLY THE INTERVENTION 1849 01:11:59,280 --> 01:12:02,680 EXPOSURE FOR DIETARY PATTERNS 1850 01:12:02,680 --> 01:12:04,520 ARE STUDIES THAT EXAMINE THE 1851 01:12:04,520 --> 01:12:08,520 CONSUMPTION OR ADHERENCE TO 1852 01:12:08,520 --> 01:12:08,960 DIETARY PATTERNS. 1853 01:12:08,960 --> 01:12:11,320 FOR INCLUSION IN THE SYSTEMIC 1854 01:12:11,320 --> 01:12:13,480 REVIEW THERE HAS TO BE A CLEAR 1855 01:12:13,480 --> 01:12:16,960 DESCRIPTION OF WHAT'S CONSUMED. 1856 01:12:16,960 --> 01:12:19,160 IN TERMS OF FOODS ARE NUTRIENTS. 1857 01:12:19,160 --> 01:12:21,800 IF THEY LIST A SPECIFIC TYPE OF 1858 01:12:21,800 --> 01:12:23,520 DIET THEY DON'T GIVE ANY 1859 01:12:23,520 --> 01:12:25,680 INFORMATION ABOUT IT THAT WOULD 1860 01:12:25,680 --> 01:12:29,480 NOT BE INCLUDED IN THE REVIEW. 1861 01:12:29,480 --> 01:12:32,800 THEY ALSO ARE -- WE ALSO ARE 1862 01:12:32,800 --> 01:12:34,680 LOOKING AT MULTI-COMPONENT 1863 01:12:34,680 --> 01:12:37,960 INTERVENTIONS WHERE THE ISOLATED 1864 01:12:37,960 --> 01:12:39,640 INTERVENTION OF INTEREST IS THE 1865 01:12:39,640 --> 01:12:41,240 OUTCOME ON THE OUTCOMES OF 1866 01:12:41,240 --> 01:12:44,480 INTEREST IS PROVIDED OR CAN BE 1867 01:12:44,480 --> 01:12:45,760 DETERMINED DESPITE MULTIPLE 1868 01:12:45,760 --> 01:12:46,520 COMPONENTS. 1869 01:12:46,520 --> 01:12:48,360 JUST TO LET YOU KNOW WITH THE 1870 01:12:48,360 --> 01:12:51,320 OUTCOME WE NEED TO HAVE THAT 1871 01:12:51,320 --> 01:12:53,360 OUTCOME CLEARLY DEFINED. 1872 01:12:53,360 --> 01:12:56,600 SO THE COMPARATOR HERE IS EITHER 1873 01:12:56,600 --> 01:12:59,040 CONSUMPTION OF OR ADHERENCE TO A 1874 01:12:59,040 --> 01:13:00,960 DIFFERENT DIETARY PATTERN. 1875 01:13:00,960 --> 01:13:01,800 SO YOU MIGHT BE COMPARING ONE TO 1876 01:13:01,800 --> 01:13:04,320 ANOTHER. 1877 01:13:04,320 --> 01:13:05,800 OR DIFFERENT LEVELS OF 1878 01:13:05,800 --> 01:13:07,480 CONSUMPTION OF AND/OR ADHERENCE 1879 01:13:07,480 --> 01:13:10,160 TO A DIETARY PATTERN. 1880 01:13:10,160 --> 01:13:13,200 SO FOR EXAMPLE IF YOU WERE 1881 01:13:13,200 --> 01:13:18,160 LOOKING AT QUINTILES OF 1882 01:13:18,160 --> 01:13:25,840 ADHERENCE TO A CERTAIN GUIDE. 1883 01:13:25,840 --> 01:13:28,440 THE PROTOCOLS ALL LOOK LIKE 1884 01:13:28,440 --> 01:13:28,720 THIS. 1885 01:13:28,720 --> 01:13:30,560 THIS IS A BUSY SLIDE. 1886 01:13:30,560 --> 01:13:33,040 I'LL BE GOING THROUGH IT ONE AT 1887 01:13:33,040 --> 01:13:35,320 A TIME THE COLUMNS TO SHOW YOU 1888 01:13:35,320 --> 01:13:39,760 THE PICO ELEMENTS AS WE GOOD 1889 01:13:39,760 --> 01:13:40,000 THROUGH. 1890 01:13:40,000 --> 01:13:43,240 SO WITH THIS PARTICULAR ANALYTIC 1891 01:13:43,240 --> 01:13:44,240 FRAMEWORK FOR THIS QUESTION THE 1892 01:13:44,240 --> 01:13:48,840 QUESTION IS WHAT IS THE 1893 01:13:48,840 --> 01:13:50,480 RELATIONSHIP IN BODY COMP AND 1894 01:13:50,480 --> 01:13:52,080 RISK OF OBESITY AND THE APPROACH 1895 01:13:52,080 --> 01:13:56,400 WILL BE AN UPDATE TO AN EXISTING 1896 01:13:56,400 --> 01:13:58,840 NESR SYSTEMATIC REVIEW AND HAVE 1897 01:13:58,840 --> 01:14:01,600 A REVIEW WE'RE UPDATING NOW. 1898 01:14:01,600 --> 01:14:04,080 THE POPULATIONS ARE DIVIDED BY 1899 01:14:04,080 --> 01:14:05,240 LIFE CYCLE. 1900 01:14:05,240 --> 01:14:09,360 YOU HAVE INFANTS AND TODDLERS 1901 01:14:09,360 --> 01:14:11,880 AND CHILDREN AND ADOLESCENTS 2 1902 01:14:11,880 --> 01:14:15,280 TO 19 MONTHS AND ADULTS AND 1903 01:14:15,280 --> 01:14:17,080 OLDER ADULTS 19 YEARS AND OLDER 1904 01:14:17,080 --> 01:14:18,520 AND INDIVIDUALS DURING PREGNANCY 1905 01:14:18,520 --> 01:14:19,920 AND POSTPARTUM. 1906 01:14:19,920 --> 01:14:23,320 ONE THING TO POINT OUT HERE IS 1907 01:14:23,320 --> 01:14:28,000 IT MAY BE -- WE MAY BE ABLE TO 1908 01:14:28,000 --> 01:14:30,680 DEFINE THIS A LITTLE BIT MORE 1909 01:14:30,680 --> 01:14:31,960 GRANULARLY. 1910 01:14:31,960 --> 01:14:33,400 FOR EXAMPLE CHILDREN AND 1911 01:14:33,400 --> 01:14:36,000 ADOLESCENCE WE MAY BE ABLE TO 1912 01:14:36,000 --> 01:14:37,400 DIVIDE INTO CHILDREN AND 1913 01:14:37,400 --> 01:14:38,280 ADOLESCENCE INTO WHAT THE 1914 01:14:38,280 --> 01:14:39,920 RESEARCH IS OR MAY BE ABLE TO 1915 01:14:39,920 --> 01:14:42,360 PULL OUT OLDER ADULTS. 1916 01:14:42,360 --> 01:14:44,680 THAT KIND OF DEPENDS ON WHAT IS 1917 01:14:44,680 --> 01:14:48,520 FOUND WITH THE SYSTEMIC REVIEW. 1918 01:14:48,520 --> 01:14:50,680 THE NEXT COUPLE OF COLUMNS TALK 1919 01:14:50,680 --> 01:14:52,720 ABOUT THE INTERVENTION OR THE 1920 01:14:52,720 --> 01:14:54,160 EXPOSURE AND HERE IT'S 1921 01:14:54,160 --> 01:14:56,120 CONSUMPTION OF A CERTAIN DIETARY 1922 01:14:56,120 --> 01:14:56,560 PATTERN. 1923 01:14:56,560 --> 01:14:59,120 AND THEN THE COMPARATOR AS I 1924 01:14:59,120 --> 01:15:00,840 MENTIONED BEFORE IS EITHER 1925 01:15:00,840 --> 01:15:02,320 DIFFERENT PATTERNS OR ADHERENCE 1926 01:15:02,320 --> 01:15:07,360 OR CONSUMPTION TO THE SAME 1927 01:15:07,360 --> 01:15:07,720 DIETARY PATTERN. 1928 01:15:07,720 --> 01:15:09,400 SO THE NEXT COLUMN TALKS ABOUT 1929 01:15:09,400 --> 01:15:12,040 THE OUTCOMES. 1930 01:15:12,040 --> 01:15:14,120 AND SO DR. ODOMS-YOUNG WENT OVER 1931 01:15:14,120 --> 01:15:15,800 SOME OF THIS IN WHAT SHE 1932 01:15:15,800 --> 01:15:18,040 PRESENTED EARLIER BUT IF YOU 1933 01:15:18,040 --> 01:15:19,920 NOTICE THE OUTCOMES CORRESPOND 1934 01:15:19,920 --> 01:15:21,680 TO THE AGE GROUPS. 1935 01:15:21,680 --> 01:15:24,360 SO FOR INSTANCE FOR INFANTS AND 1936 01:15:24,360 --> 01:15:27,000 TODDLERS WE WOULD LOOK AT 1937 01:15:27,000 --> 01:15:28,600 OUTCOMES IN GROWTH AND THEY'RE 1938 01:15:28,600 --> 01:15:29,240 LISTED THERE. 1939 01:15:29,240 --> 01:15:31,560 THEY'RE APPROPRIATE FOR THAT AGE 1940 01:15:31,560 --> 01:15:33,440 GROUP AND THEN WE'LL ALSO LOOK 1941 01:15:33,440 --> 01:15:35,720 AT BODY COMPOSITION IF THEY'RE 1942 01:15:35,720 --> 01:15:37,120 FOLLOWED LATER IN LIFE. 1943 01:15:37,120 --> 01:15:39,680 AND THAT INCLUDES INFANTS, 1944 01:15:39,680 --> 01:15:41,720 TODDLERS, CHILDREN, ADOLESCENCE 1945 01:15:41,720 --> 01:15:45,040 ADULTS AND OLDER ADULTS AND FOR 1946 01:15:45,040 --> 01:15:47,400 BODY COMPOSITION FOR THAT YOU 1947 01:15:47,400 --> 01:15:49,640 CAN SEE THE MEASURES THERE SKIN 1948 01:15:49,640 --> 01:15:54,440 FOLD, THICKNESS, FAT MASS, 1949 01:15:54,440 --> 01:15:58,080 ECTOPIC MASS AND WAIST 1950 01:15:58,080 --> 01:15:58,400 CIRCUMFERENCE. 1951 01:15:58,400 --> 01:16:01,560 FOR CHILDREN AND ADOLESCENCE 1952 01:16:01,560 --> 01:16:04,960 WE'LL ASSESS OUTCOMES AS GROWTH, 1953 01:16:04,960 --> 01:16:08,040 BODY COMPOSITION AND RISK OF 1954 01:16:08,040 --> 01:16:10,840 OBESITY BOTH IN CHILDHOOD, 1955 01:16:10,840 --> 01:16:12,600 ADOLESCENCE AND ADULTS AND OLDER 1956 01:16:12,600 --> 01:16:14,280 ADULTS AND LATER IN LIFE AS 1957 01:16:14,280 --> 01:16:14,680 WELL. 1958 01:16:14,680 --> 01:16:17,840 FOR ADULTS AND OLDER ADULTS, WE 1959 01:16:17,840 --> 01:16:19,360 WILL LOOK AT BODY COMPOSITION. 1960 01:16:19,360 --> 01:16:22,960 THOSE WITH A LIST OF OUTCOMES 1961 01:16:22,960 --> 01:16:23,880 STATED ABOVE AS WELL AS RISK OF 1962 01:16:23,880 --> 01:16:27,800 OBESITY AND HERE WE'LL LOOK AT 1963 01:16:27,800 --> 01:16:29,920 WEIGHT LOSS AND WEIGHT 1964 01:16:29,920 --> 01:16:30,240 MAINTENANCE. 1965 01:16:30,240 --> 01:16:32,360 AND FINALLY FOR INDIVIDUALS 1966 01:16:32,360 --> 01:16:35,760 DURING PREGNANCY AND DURING 1967 01:16:35,760 --> 01:16:38,200 POSTPARTUM WE'LL LOOK AT 1968 01:16:38,200 --> 01:16:39,920 GESTATIONAL WEIGHT GAIN AND 1969 01:16:39,920 --> 01:16:44,880 POSTPARTUM WEIGHT GAIN DURING 1970 01:16:44,880 --> 01:16:45,200 POSTPARTUM. 1971 01:16:45,200 --> 01:16:47,960 THE LAST COLUMN DELINEATES ALL 1972 01:16:47,960 --> 01:16:49,160 THE KEY CONFOUNDERS. 1973 01:16:49,160 --> 01:16:51,440 THE KEY CONFOUNDERS ARE USED TO 1974 01:16:51,440 --> 01:16:53,040 ASSESS RISK OF BIAS. 1975 01:16:53,040 --> 01:16:55,920 AND SO THESE ARE GOING TO BE 1976 01:16:55,920 --> 01:16:58,840 STANDARD ACROSS MANY OF THE 1977 01:16:58,840 --> 01:16:59,960 PROTOCOLS THAT YOU'LL SEE. 1978 01:16:59,960 --> 01:17:03,160 BUT THEY INCLUDE SEX, AGE, 1979 01:17:03,160 --> 01:17:13,480 PHYSICAL ACTIVITY, ANTHROPOMETRY 1980 01:17:13,480 --> 01:17:14,760 AND WE'RE USING THOSE MEASURES 1981 01:17:14,760 --> 01:17:17,560 AT BASELINE, RACE, ETHNICITY, 1982 01:17:17,560 --> 01:17:19,240 SOCIO ECONOMIC POSITION, 1983 01:17:19,240 --> 01:17:22,920 SMOKING, ONLY FOR ADULTS, OLDER 1984 01:17:22,920 --> 01:17:25,880 ADULTS AND DURING PREGNANCY. 1985 01:17:25,880 --> 01:17:28,280 ALCOHOL INTAKE FOR ADULTS AND 1986 01:17:28,280 --> 01:17:31,840 OLDER ADULTS AND PREGNANCY FOR 1987 01:17:31,840 --> 01:17:33,480 POSTPARTUM AND DIABETES IN 1988 01:17:33,480 --> 01:17:37,240 CURRENT PREGNANCY FOR PREGNANCY, 1989 01:17:37,240 --> 01:17:37,880 HYPERTENSIVE DISORDERS IN THE 1990 01:17:37,880 --> 01:17:40,440 CURRENT PREGNANCY FOR PREGNANCY 1991 01:17:40,440 --> 01:17:42,520 AND IN HUMAN MILK AND 1992 01:17:42,520 --> 01:17:42,840 POSTPARTUM. 1993 01:17:42,840 --> 01:17:44,120 I WON'T REPEAT THOSE AGAIN. 1994 01:17:44,120 --> 01:17:45,800 I JUST WANTED TO GO THROUGH THE 1995 01:17:45,800 --> 01:17:47,320 LIST TO GET AN IDEA OF WHAT THEY 1996 01:17:47,320 --> 01:17:54,920 WERE. 1997 01:17:54,920 --> 01:17:56,960 SO FOR THE INCLUSION AND 1998 01:17:56,960 --> 01:17:58,040 EXCLUSION CRITERIA AND THE 1999 01:17:58,040 --> 01:18:00,440 RELATIONSHIP BETWEEN DIETARY 2000 01:18:00,440 --> 01:18:02,280 PATTERNS AND GROWTH BODY COMP 2001 01:18:02,280 --> 01:18:04,240 AND RISK OF OBESITY THE 2002 01:18:04,240 --> 01:18:06,720 PUBLICATION DATE IS JANUARY 1980 2003 01:18:06,720 --> 01:18:07,520 TO THE PRESENT. 2004 01:18:07,520 --> 01:18:10,000 THE INTERVENTION LINK IS SET AT 2005 01:18:10,000 --> 01:18:11,480 12 WEEKS OR MORE. 2006 01:18:11,480 --> 01:18:15,320 SO 12 WEEKS WAS SET BECAUSE 2007 01:18:15,320 --> 01:18:17,320 THAT'S DETERMINED TO BE MORE 2008 01:18:17,320 --> 01:18:19,400 HABITUAL CONSUMPTION RATHER THAN 2009 01:18:19,400 --> 01:18:21,960 A SHORTER FEEDING STAY FOR 2010 01:18:21,960 --> 01:18:22,160 EXAMPLE. 2011 01:18:22,160 --> 01:18:24,320 AND THE FOLLOW-UP DURATION HERE 2012 01:18:24,320 --> 01:18:26,440 FOR WEIGHT LOSS WAS CONSIDERED 2013 01:18:26,440 --> 01:18:27,400 SIX MONTHS OR MORE. 2014 01:18:27,400 --> 01:18:29,720 THE FOLLOW-UP DURATION FOR 2015 01:18:29,720 --> 01:18:30,480 WEIGHT MAINTENANCE WAS 12 MONTHS 2016 01:18:30,480 --> 01:18:32,840 OR MORE. 2017 01:18:32,840 --> 01:18:38,320 AND THEN THE SIZE OF THE STUDY 2018 01:18:38,320 --> 01:18:42,240 GROUPS JUST TO NOTE FOR 2019 01:18:42,240 --> 01:18:44,080 INTERVENTION STUDIES THERE NEEDS 2020 01:18:44,080 --> 01:18:47,320 TO BE 30 OR MORE PARTICIPANTS 2021 01:18:47,320 --> 01:18:48,560 PER STUDY GROUP FOR BETWEEN 2022 01:18:48,560 --> 01:18:50,360 SUBJECT ANALYSES OR POWER 2023 01:18:50,360 --> 01:18:51,800 CALCULATION INDICATING THE STUDY 2024 01:18:51,800 --> 01:18:52,840 IS APPROPRIATELY POWERED FOR THE 2025 01:18:52,840 --> 01:18:56,360 OUTCOME OF INTEREST. 2026 01:18:56,360 --> 01:19:00,200 FOR OBSERVATIONAL STUDIES, 2027 01:19:00,200 --> 01:19:01,520 ANALYTIC SAMPLE SIZE OF 1,000 OR 2028 01:19:01,520 --> 01:19:02,400 MORE PARTICIPANTS IS REQUIRED 2029 01:19:02,400 --> 01:19:07,320 AND THIS IS ONLY FOR ADULTS AND 2030 01:19:07,320 --> 01:19:11,720 OLDER ADULTS. 2031 01:19:11,720 --> 01:19:12,000 OKAY. 2032 01:19:12,000 --> 01:19:15,120 SO WE'RE ON TO THE SECOND 2033 01:19:15,120 --> 01:19:15,680 QUESTION. 2034 01:19:15,680 --> 01:19:16,840 AGAIN, THIS WILL BE A LITTLE 2035 01:19:16,840 --> 01:19:19,840 SHORTER, I WON'T REPEAT A LOT OF 2036 01:19:19,840 --> 01:19:22,360 THIS BUT WHAT IS THE 2037 01:19:22,360 --> 01:19:23,320 RELATIONSHIP BETWEEN DIETARY 2038 01:19:23,320 --> 01:19:24,720 PATTERNS CONSUMED AND RISK OF 2039 01:19:24,720 --> 01:19:25,440 CARDIOVASCULAR DISEASE. 2040 01:19:25,440 --> 01:19:29,360 SO ONCE AGAIN THIS IS AN UPDATE 2041 01:19:29,360 --> 01:19:32,240 TO AN EXISTING NESR SYSTEMIC 2042 01:19:32,240 --> 01:19:32,480 REVIEW. 2043 01:19:32,480 --> 01:19:34,200 IF YOU LOOK AT THE POPULATION WE 2044 01:19:34,200 --> 01:19:36,760 DO NOT HAVE PREGNANCY OR 2045 01:19:36,760 --> 01:19:37,200 POSTPARTUM HERE. 2046 01:19:37,200 --> 01:19:38,680 THAT'S SOMETHING DIFFERENT THAN 2047 01:19:38,680 --> 01:19:39,840 WHAT WE SAW BEFORE. 2048 01:19:39,840 --> 01:19:41,640 SOME OF THIS WILL BE ADDRESSED 2049 01:19:41,640 --> 01:19:43,640 IN SUBCOMMITTEE TWO. 2050 01:19:43,640 --> 01:19:45,360 THE INTERVENTION EXPOSURE AND 2051 01:19:45,360 --> 01:19:47,240 COMPARATOR ARE THE SAME AS 2052 01:19:47,240 --> 01:19:48,680 PREVIOUSLY MENTIONED. 2053 01:19:48,680 --> 01:19:52,680 THE OUTCOMES HERE ARE FOCUSSED 2054 01:19:52,680 --> 01:19:54,640 ON CARDIOVASCULAR DISEASE. 2055 01:19:54,640 --> 01:19:59,320 SO INCLUDE BLOOD LIPID LEVELS, 2056 01:19:59,320 --> 01:20:02,720 BLOOD PRESSURE, HYPERTENSION, 2057 01:20:02,720 --> 01:20:04,760 CARDIOVASCULAR DISEASE, 2058 01:20:04,760 --> 01:20:05,480 MORBIDITY, STROKE AND 2059 01:20:05,480 --> 01:20:07,320 CARDIOVASCULAR DISEASE RELATED 2060 01:20:07,320 --> 01:20:09,320 MORTALITY. 2061 01:20:09,320 --> 01:20:11,440 IN TERMS OF KEY CONFOUNDERS, A 2062 01:20:11,440 --> 01:20:12,960 LOT OF THE CONFOUNDERS THAT WERE 2063 01:20:12,960 --> 01:20:16,040 ASSOCIATED WITH PREGNANCY AND 2064 01:20:16,040 --> 01:20:18,240 POSTPARTUM ARE NOT HERE AS I 2065 01:20:18,240 --> 01:20:18,680 MENTIONED. 2066 01:20:18,680 --> 01:20:21,080 SMOKING IS APPLIED TO ADULTS AND 2067 01:20:21,080 --> 01:20:22,960 OLDER ADULTS AND THEN ALCOHOL 2068 01:20:22,960 --> 01:20:24,280 INTAKE IS FOR ADULTS AND OLDER 2069 01:20:24,280 --> 01:20:27,720 ADULTS. 2070 01:20:27,720 --> 01:20:30,320 OTHERWISE THE KEY CONFOUNDERS 2071 01:20:30,320 --> 01:20:33,720 ARE FAIRLY THE SAME. 2072 01:20:33,720 --> 01:20:42,520 ONE DIFFERENCE IS ANTHROPOMETRY 2073 01:20:42,520 --> 01:20:45,000 IS SEEN AS A MORE GENERAL 2074 01:20:45,000 --> 01:20:45,640 ASSESSMENT AND RISK OF OBESITY 2075 01:20:45,640 --> 01:20:55,800 OUTCOMES. 2076 01:21:10,440 --> 01:21:12,120 AND THIS IS SIMILAR TO WHAT A 2077 01:21:12,120 --> 01:21:12,640 PRESENTED EARLIER. 2078 01:21:12,640 --> 01:21:15,080 NOW I'D LIKE TO TURN IT OVER TO 2079 01:21:15,080 --> 01:21:16,320 DR. TOBIAS. 2080 01:21:16,320 --> 01:21:18,720 >>THANK YOU VERY MUCH. 2081 01:21:18,720 --> 01:21:19,520 SO THIS IS FOLLOWING 2082 01:21:19,520 --> 01:21:20,080 CARDIOVASCULAR DISEASE AND 2083 01:21:20,080 --> 01:21:22,440 YOU'LL SEE THE PROTOCOLS ARE 2084 01:21:22,440 --> 01:21:22,720 SIMILAR. 2085 01:21:22,720 --> 01:21:25,680 I'M GOING TO POINT OUT SOME KEY 2086 01:21:25,680 --> 01:21:26,080 DIFFERENCES. 2087 01:21:26,080 --> 01:21:30,360 FOR TYPE 2 DIABETES WE SIMILARLY 2088 01:21:30,360 --> 01:21:32,800 DO NOT INCLUDE PREGNANT WOMEN 2089 01:21:32,800 --> 01:21:35,040 BUT NOTE THERE IS A PROJECT 2090 01:21:35,040 --> 01:21:36,880 WITHIN SUBCOMMITTEE TWO LOOKING 2091 01:21:36,880 --> 01:21:39,480 AT DIABETES AND PREGNANCY 2092 01:21:39,480 --> 01:21:41,360 INCLUDING GESTATIONAL DIABETES 2093 01:21:41,360 --> 01:21:42,720 SO THAT WILL BE COVERED THERE. 2094 01:21:42,720 --> 01:21:44,400 WE HAVE DIFFERENCES IN OUTCOMES 2095 01:21:44,400 --> 01:21:47,560 ACROSS THE LIFE SPAN 2096 01:21:47,560 --> 01:21:50,200 ACKNOWLEDGING TYPE 2 DIABETES 2097 01:21:50,200 --> 01:21:51,840 WOULD BE LESS PREVALENT IN 2098 01:21:51,840 --> 01:21:54,600 CHILDREN AND TODDLERS AND 2099 01:21:54,600 --> 01:21:59,320 ADOLESCENTS BUT WE'LL INCLUDE 2100 01:21:59,320 --> 01:22:04,480 THOSE AS WELL AS THE GLYCEMIC 2101 01:22:04,480 --> 01:22:05,320 TRAIT BIOMARKERS. 2102 01:22:05,320 --> 01:22:07,120 KEY CONFOUNDERS THAT WE 2103 01:22:07,120 --> 01:22:13,080 PRIORITIZE ARE THE SAME FOR 2104 01:22:13,080 --> 01:22:14,200 CARDIOVASCULAR DISEASE. 2105 01:22:14,200 --> 01:22:19,000 SO BUILDING ON THE PREVIOUS NESR 2106 01:22:19,000 --> 01:22:21,080 SYSTEMIC REVIEW WE'LL BE 2107 01:22:21,080 --> 01:22:22,640 EVALUATING LITERATURE INCLUDING 2108 01:22:22,640 --> 01:22:25,800 THE DATA PUBLISHED SINCE 1980 2109 01:22:25,800 --> 01:22:28,040 INTERVENTION LENGTH AND OTHER 2110 01:22:28,040 --> 01:22:31,040 STUDIES AND CONSIDERATIONS ARE 2111 01:22:31,040 --> 01:22:33,200 THE SAME AS THE OTHER CRITERIA 2112 01:22:33,200 --> 01:22:41,320 FOR CARDIOVASCULAR DISEASE. 2113 01:22:41,320 --> 01:22:44,320 >>SO NOW WE'D LIKE TO OPEN THE 2114 01:22:44,320 --> 01:22:45,760 FLOOR FOR COMMITTEE DISCUSSION. 2115 01:22:45,760 --> 01:22:50,320 SO DOES ANYONE HAVE ANY 2116 01:22:50,320 --> 01:22:50,880 QUESTIONS FOR THE COMMITTEE? 2117 01:22:50,880 --> 01:22:55,320 COMMENTS? 2118 01:22:55,320 --> 01:23:02,600 >>I HAVE A COMMENT AS ONE WHO 2119 01:23:02,600 --> 01:23:04,360 ALWAYS HAS AN OPINION. 2120 01:23:04,360 --> 01:23:06,280 I WAS REALLY STRUCK, FIRST, 2121 01:23:06,280 --> 01:23:10,480 THANK YOU, DEANNA FOR TALKING 2122 01:23:10,480 --> 01:23:15,520 ABOUT TYPE 2 AND SUBCOMMITTEE 2123 01:23:15,520 --> 01:23:17,120 ONE AND TYPE 2 DIABETES AND WHAT 2124 01:23:17,120 --> 01:23:20,240 STRIKES ME IS WHAT THE CRITERIA 2125 01:23:20,240 --> 01:23:22,560 IS FOR INCLUSION AND EXCLUSION. 2126 01:23:22,560 --> 01:23:24,360 AND I WAS SIGNATURE HERE 2127 01:23:24,360 --> 01:23:27,040 THINKING, HMM, IMAGINE IF YOU 2128 01:23:27,040 --> 01:23:28,920 DID A SPECTACULAR PROJECT BUT 2129 01:23:28,920 --> 01:23:31,480 YOU OMITTED TO DESCRIBE THE 2130 01:23:31,480 --> 01:23:33,360 DETAILS OF YOUR DIETARY PATTERNS 2131 01:23:33,360 --> 01:23:35,480 SO IT WAS EXCLUDED. 2132 01:23:35,480 --> 01:23:41,000 SO I THINK THAT WE AS A 2133 01:23:41,000 --> 01:23:41,960 COMMITTEE WHEN WE COME TO 2134 01:23:41,960 --> 01:23:45,120 WRITING UP OUR REPORT WE NEED TO 2135 01:23:45,120 --> 01:23:47,960 EMPHASIZE THE NEED FOR RIGOROUS 2136 01:23:47,960 --> 01:23:49,880 METHODOLOGY SO THAT ALL THAT 2137 01:23:49,880 --> 01:23:52,080 RESEARCH BEING CONDUCTED CAN BE 2138 01:23:52,080 --> 01:23:54,600 INCLUDED IN ACTIVITIES SUCH AS 2139 01:23:54,600 --> 01:23:55,280 HERE. 2140 01:23:55,280 --> 01:23:58,800 SO I JUST WANT TO COMMEND THE 2141 01:23:58,800 --> 01:23:59,760 COMMITTEE -- SUBCOMMITTEE 2142 01:23:59,760 --> 01:24:01,440 BECAUSE SEEING THE EXCLUSION I 2143 01:24:01,440 --> 01:24:02,760 THINK IS AS POWERFUL AS SEEING 2144 01:24:02,760 --> 01:24:05,840 WHAT STE INCLUSION IS SO THANK 2145 01:24:05,840 --> 01:24:09,040 YOU VERY MUCH. 2146 01:24:09,040 --> 01:24:10,640 JUST TO REMIND EVERYONE TO BRING 2147 01:24:10,640 --> 01:24:11,880 THE MICROPHONE CLOSE SO WE CAN 2148 01:24:11,880 --> 01:24:12,160 HEAR YOU. 2149 01:24:12,160 --> 01:24:16,880 THANK YOU. 2150 01:24:16,880 --> 01:24:19,240 >>I HAD A QUESTION IN 2151 01:24:19,240 --> 01:24:20,120 RELATIONSHIP BETWEEN DIETARY 2152 01:24:20,120 --> 01:24:25,640 PATTERN CONSUMED AND THE RISK OF 2153 01:24:25,640 --> 01:24:30,240 TYPE 2 DIABETES I SEE HISTORY OF 2154 01:24:30,240 --> 01:24:31,360 DIABETES AND I DON'T SEE 2155 01:24:31,360 --> 01:24:33,080 GESTATIONAL DIABETES FOR THE 2156 01:24:33,080 --> 01:24:34,520 ADULTS AND WONDERING WHAT WAS 2157 01:24:34,520 --> 01:24:35,080 THE COMMITTEE DISCUSSION ON 2158 01:24:35,080 --> 01:24:44,920 THAT. 2159 01:24:44,920 --> 01:24:48,480 HISTORY OF THE CONFOUNDERS OR 2160 01:24:48,480 --> 01:24:58,760 SUBSEQUENT TYPE 2. 2161 01:25:01,240 --> 01:25:01,960 >>I AGREE. 2162 01:25:01,960 --> 01:25:02,440 WE CAN BRING THAT BACK. 2163 01:25:02,440 --> 01:25:06,600 THANK YOU. 2164 01:25:06,600 --> 01:25:08,600 >>I'M WONDERING IF YOU'LL TALK 2165 01:25:08,600 --> 01:25:11,840 ABOUT YOUR CRITERIA YOU SET FOR 2166 01:25:11,840 --> 01:25:12,440 SAMPLE SIZE AND INTERVENTION 2167 01:25:12,440 --> 01:25:21,960 LINK. 2168 01:25:21,960 --> 01:25:25,760 >>I CAN ADDRESS THE 2169 01:25:25,760 --> 01:25:27,920 INTERVENTION LINK. 2170 01:25:27,920 --> 01:25:29,320 INTERVENTION LINK WAS DETERMINED 2171 01:25:29,320 --> 01:25:34,240 BY PREVIOUS REVIEWS TO BE ABOUT 2172 01:25:34,240 --> 01:25:35,320 THE AMOUNT OF TIME FOR TYPICAL 2173 01:25:35,320 --> 01:25:41,840 DIET. 2174 01:25:41,840 --> 01:25:52,120 AND THE BEST -- 2175 01:25:52,480 --> 01:25:56,200 >>CAN I ADD AN ADDITIONAL 2176 01:25:56,200 --> 01:25:58,280 COMMENT FOR THE DIABETES REALM 2177 01:25:58,280 --> 01:25:59,400 THE THREE-MONTH TIME PERIOD IS 2178 01:25:59,400 --> 01:26:03,440 WHERE YOU WOULD SEE A CHANGE FOR 2179 01:26:03,440 --> 01:26:07,360 EXAMPLE IN HEMOGLOBIN A1C. 2180 01:26:07,360 --> 01:26:09,040 >>THANK YOU, OTHER COMMITTEE 2181 01:26:09,040 --> 01:26:11,720 MEMBERS WANT TO COMMENT ON THAT? 2182 01:26:11,720 --> 01:26:14,800 >>I'M ON THE COMMITTEE SO I'M 2183 01:26:14,800 --> 01:26:19,440 EMBARRASSED TO ASK THIS BECAUSE 2184 01:26:19,440 --> 01:26:20,520 LIPIDS AND BLOOD PRESSURE CAN 2185 01:26:20,520 --> 01:26:24,400 CHANGE IN FOUR WEEKS AND I CAN'T 2186 01:26:24,400 --> 01:26:27,280 REMEMBER WHY WE KEPT IT AT 12 2187 01:26:27,280 --> 01:26:29,480 AND IT CHANGES IN TWO WEEKS FOR 2188 01:26:29,480 --> 01:26:33,080 SOME OF THOSE RISK FACTORS IN 2189 01:26:33,080 --> 01:26:34,280 FOUR WEEKS AND HOLDING SOME AND 2190 01:26:34,280 --> 01:26:39,920 I PROPOSE THE STUDY TO 12 WEEKS 2191 01:26:39,920 --> 01:26:41,760 UNNECESSARY AND SOME OF MY OWN 2192 01:26:41,760 --> 01:26:43,080 STUDIES WOULD PROBABLY BE 2193 01:26:43,080 --> 01:26:47,320 EXCLUDED FOR THAT REASON. 2194 01:26:47,320 --> 01:26:49,600 I WOULD BE SAD. 2195 01:26:49,600 --> 01:26:52,840 >>I THINK WE LOOKED AT IT AND 2196 01:26:52,840 --> 01:26:56,600 MADE THE PERIOD OF TIME TO BE 2197 01:26:56,600 --> 01:26:57,960 CONSISTENT WITH THE OTHER 2198 01:26:57,960 --> 01:26:59,720 STUDIES THAT HAVE LOOKED AT THAT 2199 01:26:59,720 --> 01:27:01,600 AND WHAT'S BEEN DONE IN THE 2200 01:27:01,600 --> 01:27:02,960 PAST. 2201 01:27:02,960 --> 01:27:06,200 AND THEN WE HAVE THAT WHOLE LIST 2202 01:27:06,200 --> 01:27:11,120 OF OTHER CBD OUTCOMES THERE. 2203 01:27:11,120 --> 01:27:13,280 >>I CAN SEE FOR THE OTHER ONES 2204 01:27:13,280 --> 01:27:15,160 BUT MAYBE NOT FOR LIPIDS AND 2205 01:27:15,160 --> 01:27:15,760 BLOOD PRESSURE. 2206 01:27:15,760 --> 01:27:17,960 IT MAY BE THE LITERATURE IS 2207 01:27:17,960 --> 01:27:19,240 OVERWHELMING AND WE DON'T NEED 2208 01:27:19,240 --> 01:27:23,120 IT BUT I'D BE AFRAID WE CUT OFF 2209 01:27:23,120 --> 01:27:24,080 VALUABLE TRIALS. 2210 01:27:24,080 --> 01:27:25,880 MAYBE WE CAN KEEP THAT IN THE 2211 01:27:25,880 --> 01:27:26,280 KNOWS. 2212 01:27:26,280 --> 01:27:27,960 >>PART OF THE CONSIDERATION WAS 2213 01:27:27,960 --> 01:27:30,000 RELATED TO THE DIETARY EXPOSURE 2214 01:27:30,000 --> 01:27:34,720 BEING REFLECTIVE OF THE MORE 2215 01:27:34,720 --> 01:27:35,080 HABITUAL INTAKE. 2216 01:27:35,080 --> 01:27:42,400 >>BECAUSE IT'S A DIETARY AND A 2217 01:27:42,400 --> 01:27:44,480 NEW THING WE'LL FIND IN STUDIES 2218 01:27:44,480 --> 01:27:46,160 IS THE NEW FOOD DELIVERY 2219 01:27:46,160 --> 01:27:46,520 STUDIES. 2220 01:27:46,520 --> 01:27:48,760 YOU GET ADHERENCE QUITE QUICKLY 2221 01:27:48,760 --> 01:27:51,560 IF YOU SIGN SOMEONE UP FOR FOOD 2222 01:27:51,560 --> 01:27:52,560 DELIVERY BECAUSE WE'VE BEEN 2223 01:27:52,560 --> 01:27:54,720 DOING THAT MORE OFTEN NOW. 2224 01:27:54,720 --> 01:27:56,400 INSTANT ADHERENCE. 2225 01:27:56,400 --> 01:27:59,760 >>WE ALSO HAVE REALLY CLASSIC 2226 01:27:59,760 --> 01:28:02,800 GREAT STUDIES THAT SHOW YOU 2227 01:28:02,800 --> 01:28:04,680 COULD TAKE PEOPLE FROM HABITUAL 2228 01:28:04,680 --> 01:28:07,280 INTAKE AND PUT THEM ON A GREAT 2229 01:28:07,280 --> 01:28:11,280 DIETARY PATTERN. 2230 01:28:11,280 --> 01:28:14,280 AND YOU'RE RIGHT, THE LIPIDS AND 2231 01:28:14,280 --> 01:28:16,440 BLOOD PRESSURE WILL SHIFT IN TWO 2232 01:28:16,440 --> 01:28:17,800 WEEKS IMMEDIATELY. 2233 01:28:17,800 --> 01:28:19,640 I DO THINK THIS DESERVES 2234 01:28:19,640 --> 01:28:28,800 REFINING. 2235 01:28:28,800 --> 01:28:32,160 AND NESR HAS IDENTIFY A LARGE 2236 01:28:32,160 --> 01:28:34,640 BODY OF EVIDENCE FOR THIS 2237 01:28:34,640 --> 01:28:37,200 PARTICULAR QUESTION FOLLOWING 2238 01:28:37,200 --> 01:28:39,440 THOSE INCLUSION/EXCLUSION 2239 01:28:39,440 --> 01:28:41,280 CRITERIA SO THERE MIGHT BE AN YM 2240 01:28:41,280 --> 01:28:50,240 OF IMPACT ON WORK LOAD. 2241 01:28:50,240 --> 01:28:54,960 I DID WANT TO CLARIFY ONE POINT 2242 01:28:54,960 --> 01:28:59,640 AS WELL IS I TALKED ABOUT 2243 01:28:59,640 --> 01:29:01,400 DEPRIORITIZING MORE ALL-CAUSE 2244 01:29:01,400 --> 01:29:03,840 MORBIDITY, MORTALITY. 2245 01:29:03,840 --> 01:29:05,280 I MEANT ALL CAUSE 2246 01:29:05,280 --> 01:29:05,880 MORBIDITY/MORTALITY BECAUSE 2247 01:29:05,880 --> 01:29:08,000 WE'RE LOOKING AT IT FOR CVB. 2248 01:29:08,000 --> 01:29:18,520 I WANTED TO CLARIFY THAT POINT. 2249 01:29:19,560 --> 01:29:20,520 >>ANY OTHER QUESTIONS? 2250 01:29:20,520 --> 01:29:21,040 THANK YOU. 2251 01:29:21,040 --> 01:29:21,600 GOOD POINTS. 2252 01:29:21,600 --> 01:29:26,160 DR. GIOVANNUCCI. 2253 01:29:26,160 --> 01:29:31,800 >>THANK YOU, DEANNE. 2254 01:29:31,800 --> 01:29:34,560 I'LL TALK ABOUT CANCER AS 2255 01:29:34,560 --> 01:29:36,600 MENTIONED CONSIDERING BREAST, 2256 01:29:36,600 --> 01:29:39,320 COLORECTAL AND PROSTATE CANCER. 2257 01:29:39,320 --> 01:29:40,840 I'LL NOTE THE REVIEWS WILL 2258 01:29:40,840 --> 01:29:43,600 EXAMINE INCIDENT CASES NOT 2259 01:29:43,600 --> 01:29:46,600 MORTALITY, SURVIVORSHIP OR 2260 01:29:46,600 --> 01:29:47,880 OCCURRENCE THOUGH THEY MAY BE 2261 01:29:47,880 --> 01:29:49,840 POSSIBLE TOPICS OF INTEREST IN 2262 01:29:49,840 --> 01:29:50,320 THE FUTURE. 2263 01:29:50,320 --> 01:29:54,680 SO THE FRAMEWORKS WILL BE 2264 01:29:54,680 --> 01:29:58,920 PRESENTED SEPARATELY FOR BREAST 2265 01:29:58,920 --> 01:30:01,960 AND COLORECTAL AND PROSTATE 2266 01:30:01,960 --> 01:30:03,920 CANCER AND YOU'LL PROBABLY 2267 01:30:03,920 --> 01:30:07,000 GETTING USED TO THESE NOW AND 2268 01:30:07,000 --> 01:30:08,520 I'LL HIGHLIGHT THE MAJOR POINTS. 2269 01:30:08,520 --> 01:30:10,560 THERE'S INFANTS THROUGH OLDER 2270 01:30:10,560 --> 01:30:12,360 ADULTS AT THE INTERVENTION 2271 01:30:12,360 --> 01:30:12,640 EXPOSURE. 2272 01:30:12,640 --> 01:30:16,440 THE OUTCOME OF INTEREST IS 2273 01:30:16,440 --> 01:30:20,200 INCIDENT BREAST CANCER, WE WILL 2274 01:30:20,200 --> 01:30:22,640 NOT CONSIDER IN SITU. 2275 01:30:22,640 --> 01:30:25,600 THE CONFOUNDERS PROBABLY LOOK 2276 01:30:25,600 --> 01:30:26,600 SIMILAR TO YOU. 2277 01:30:26,600 --> 01:30:29,640 I'LL HIGHLIGHT THE KEY 2278 01:30:29,640 --> 01:30:30,000 DIFFERENCES. 2279 01:30:30,000 --> 01:30:31,240 WE NOW CONSIDER SCREENING AND 2280 01:30:31,240 --> 01:30:35,480 THIS IS WILL BE FOR ALL CANCERS 2281 01:30:35,480 --> 01:30:39,320 AS A KEY CONFOUNDERS AND FOR 2282 01:30:39,320 --> 01:30:42,720 BREAST CANCER, POST MENOPAUSAL 2283 01:30:42,720 --> 01:30:43,960 HORMONAL THERAPY. 2284 01:30:43,960 --> 01:30:45,560 THE COMMITTEE ALSO DECIDED TO 2285 01:30:45,560 --> 01:30:49,040 REMOVE FAMILY HISTORY AS A KEY 2286 01:30:49,040 --> 01:30:49,440 CONFOUNDER. 2287 01:30:49,440 --> 01:30:51,640 THIS IS AN IMPORTANT RISK FACTOR 2288 01:30:51,640 --> 01:30:54,800 FOR CANCER BUT IT'S NOT RELATED 2289 01:30:54,800 --> 01:30:56,280 TO THE EXPOSURE SO BY DEFINITION 2290 01:30:56,280 --> 01:30:59,120 IT'S NOT A CONFOUNDER. 2291 01:30:59,120 --> 01:31:06,080 WE ALSO PROPOSE TO REMOVE ORAL 2292 01:31:06,080 --> 01:31:12,920 CONTRACEPTIVE USE AND I'LL 2293 01:31:12,920 --> 01:31:13,880 HIGHLIGHT A LITTLE BIT OF THE 2294 01:31:13,880 --> 01:31:14,720 SYNTHESIS PLAN. 2295 01:31:14,720 --> 01:31:17,000 THE EVIDENCE WILL FIRST BE 2296 01:31:17,000 --> 01:31:20,960 SYNTHESIZED BY POPULATION, 2297 01:31:20,960 --> 01:31:24,640 MENOPAUSAL STATUS IS IMPORTANT 2298 01:31:24,640 --> 01:31:26,560 STRATIFICATION AND WE ALSO WILL 2299 01:31:26,560 --> 01:31:28,680 CONSIDER THE OUTCOME BASED ON 2300 01:31:28,680 --> 01:31:31,200 ESTROGEN RECEPTOR STATUS ALONE 2301 01:31:31,200 --> 01:31:34,680 OR IN COMBINATION WITH 2302 01:31:34,680 --> 01:31:38,800 PROGESTERONE RECEPTOR AND HR2 2303 01:31:38,800 --> 01:31:43,240 STATUS AND WE ALSO DECIDED TO 2304 01:31:43,240 --> 01:31:46,040 INCLUDE CANCER STAGE AND 2305 01:31:46,040 --> 01:31:49,080 DIAGNOSIS FOR ALL CANCERS. 2306 01:31:49,080 --> 01:31:52,400 THIS IS THE ANALYTIC FRAMEWORK 2307 01:31:52,400 --> 01:31:55,400 OF DIETARY PATTERNS COLORECTAL 2308 01:31:55,400 --> 01:31:55,800 CANCER. 2309 01:31:55,800 --> 01:32:00,640 VERY SIMILAR TO BREAST CANCER. 2310 01:32:00,640 --> 01:32:05,920 THE KEY CONFOUNDERS ARE LISTED 2311 01:32:05,920 --> 01:32:09,200 IN THE SLIDE AND THE SCREENING 2312 01:32:09,200 --> 01:32:11,760 IS A NEW KEY CONFOUNDER. 2313 01:32:11,760 --> 01:32:13,360 THERE'S MULTIPLE TYPES OF 2314 01:32:13,360 --> 01:32:16,440 SCREENING TESTS FOR COLORECTAL 2315 01:32:16,440 --> 01:32:19,320 CANCER AND AS I MENTIONED WE 2316 01:32:19,320 --> 01:32:20,360 WILL NOT CONSIDER FAMILY HISTORY 2317 01:32:20,360 --> 01:32:22,960 AS A KEY CONFOUNDER. 2318 01:32:22,960 --> 01:32:28,720 JUST A FEW HIGHLIGHTS OF THE 2319 01:32:28,720 --> 01:32:30,040 SYNTHESIS PLAN. 2320 01:32:30,040 --> 01:32:36,720 THE EVIDENCE -- FIRST WE 2321 01:32:36,720 --> 01:32:38,120 SYNTHESIZE BY POPULATION AND 2322 01:32:38,120 --> 01:32:40,680 TUMOR LOCATION AND THERE'S DATA 2323 01:32:40,680 --> 01:32:43,000 ON COLORECTAL AND DISTAL AND 2324 01:32:43,000 --> 01:32:46,640 PROXIMAL COLON AND RISK FACTORS 2325 01:32:46,640 --> 01:32:50,760 INCLUDING DIET AND VARY BY THE 2326 01:32:50,760 --> 01:32:52,800 SUBSITE OF CANCER AND WE'LL LOOK 2327 01:32:52,800 --> 01:32:56,120 AT THAT AS THE DATA'S AVAILABLE. 2328 01:32:56,120 --> 01:33:01,680 WE WON'T CONSIDER MOLECULAR SUB 2329 01:33:01,680 --> 01:33:06,440 SITE SUCH AS MICROSATELLITE AND 2330 01:33:06,440 --> 01:33:07,880 THERE'S LIKELY TO BE DATA 2331 01:33:07,880 --> 01:33:10,800 AVAILABLE OR SUFFICIENT DATA. 2332 01:33:10,800 --> 01:33:13,960 ANOTHER KEY POINT IS CONSIDERED 2333 01:33:13,960 --> 01:33:15,080 WHETHER TO INCLUDE INFLAMMATORY 2334 01:33:15,080 --> 01:33:18,880 BOWEL DISEASE OR POLYPS AS KEY 2335 01:33:18,880 --> 01:33:19,560 CONFOUNDERS AND WE WON'T INCLUDE 2336 01:33:19,560 --> 01:33:21,040 THOSE AS KEY CONFOUNDERS. 2337 01:33:21,040 --> 01:33:25,040 THOSE ARE VARIABLES OF INTEREST 2338 01:33:25,040 --> 01:33:29,040 BUT AT LEAST FOR POLYPS THE 2339 01:33:29,040 --> 01:33:31,480 INFORMATION IS PROBABLY 2340 01:33:31,480 --> 01:33:34,120 CONFOUNDING FROM THE SCREENING 2341 01:33:34,120 --> 01:33:36,040 AS POLYPS ARE REALLY ONLY 2342 01:33:36,040 --> 01:33:39,440 USUALLY DIAGNOSED THROUGH 2343 01:33:39,440 --> 01:33:43,400 SCREENING COLONOSCOPY AND 2344 01:33:43,400 --> 01:33:45,600 INFLAMMATORY BOWEL DISEASE IS A 2345 01:33:45,600 --> 01:33:49,440 PERSPECTIVE OF COLORECTAL CANCER 2346 01:33:49,440 --> 01:33:51,480 AND MOST EXCLUDE THE INDIVIDUALS 2347 01:33:51,480 --> 01:33:53,120 AND REPRESENT A SMALL AMOUNT OF 2348 01:33:53,120 --> 01:33:55,760 CASES FOR COLORECTAL CANCER. 2349 01:33:55,760 --> 01:33:56,160 OKAY. 2350 01:33:56,160 --> 01:33:59,120 GOING ON TO THE NEXT SLIDE 2351 01:33:59,120 --> 01:34:02,200 PLEASE AND PROSTATE CANCER. 2352 01:34:02,200 --> 01:34:04,200 AGAIN, QUITE SIMILAR. 2353 01:34:04,200 --> 01:34:08,560 MAIN CHANGES FOR KEY CONFOUNDERS 2354 01:34:08,560 --> 01:34:11,200 INCLUDING SCREENING FOR PROSTATE 2355 01:34:11,200 --> 01:34:14,320 CANCER WHICH IS TYPICALLY PSA 2356 01:34:14,320 --> 01:34:15,400 SCREENING. 2357 01:34:15,400 --> 01:34:19,720 PSA SCREENING HAS HAD A DRAMATIC 2358 01:34:19,720 --> 01:34:22,040 EFFECT ON THE EPIDEMIOLOGY OF 2359 01:34:22,040 --> 01:34:24,920 PROSTATE CANCER AND DETECTS MANY 2360 01:34:24,920 --> 01:34:27,320 MORE CANCERS THAN PREVIOUSLY AND 2361 01:34:27,320 --> 01:34:27,960 AT AN EARLIER STAGE. 2362 01:34:27,960 --> 01:34:31,480 IT'S OFTEN RELATED TO EXPOSURE 2363 01:34:31,480 --> 01:34:33,400 OF DIET AND DEFINITELY RELATED 2364 01:34:33,400 --> 01:34:34,000 TO OUTCOME. 2365 01:34:34,000 --> 01:34:39,760 IT CAN BE A KEY CONFOUNDER. 2366 01:34:39,760 --> 01:34:41,720 THE OTHER THING I WANT TO 2367 01:34:41,720 --> 01:34:44,840 HIGHLIGHT THAT'S QUITE IMPORTANT 2368 01:34:44,840 --> 01:34:48,320 FOR PROSTATE CANCER IS FOR THE 2369 01:34:48,320 --> 01:34:55,320 OUTCOME BESIDES INCIDENT 2370 01:34:55,320 --> 01:34:55,880 PROSTATE CANCER WILL ALSO 2371 01:34:55,880 --> 01:34:57,600 CONSIDER ADVANCE STAGE BY GRADE 2372 01:34:57,600 --> 01:35:00,880 AND FATAL AND LETHAL AND THAT'S 2373 01:35:00,880 --> 01:35:03,800 USUALLY METASTATIC PROSTATE 2374 01:35:03,800 --> 01:35:04,080 CANCER. 2375 01:35:04,080 --> 01:35:07,280 THE MEMBERS OF THE COMMITTEE 2376 01:35:07,280 --> 01:35:09,800 NOTED DIFFERENCES IN 2377 01:35:09,800 --> 01:35:10,800 AGGRESSIVENESS OF PROSTATE 2378 01:35:10,800 --> 01:35:12,520 CANCER SUBTYPES AND THERE'S 2379 01:35:12,520 --> 01:35:13,800 EVIDENCE OF SOME SUBTYPES. 2380 01:35:13,800 --> 01:35:16,120 THE SUBTYPES THAT ARE MORE 2381 01:35:16,120 --> 01:35:19,000 AGGRESSIVE TEND TO HAVE STRONGER 2382 01:35:19,000 --> 01:35:21,120 ASSOCIATION WITH DIET. 2383 01:35:21,120 --> 01:35:22,840 ALSO LOOKING AT AGGRESSIVE 2384 01:35:22,840 --> 01:35:26,520 SUBTYPES MAY REDUCE SOME 2385 01:35:26,520 --> 01:35:33,040 DETECTION BIAS BY PSA SCREENING. 2386 01:35:33,040 --> 01:35:36,920 THIS IS THE INCLUSION/EXCLUSION 2387 01:35:36,920 --> 01:35:37,160 CRITERIA. 2388 01:35:37,160 --> 01:35:39,360 THERE'S STUDIES THE REVIEW WILL 2389 01:35:39,360 --> 01:35:42,680 INCLUDE STUDIES PUBLISHED 2390 01:35:42,680 --> 01:35:44,800 BETWEEN JANUARY 2000 TO PRESENT. 2391 01:35:44,800 --> 01:35:49,840 THE STUDY DURATION CRITERIA 2392 01:35:49,840 --> 01:35:51,200 CONSISTENT WITH THE PREVIOUSLY 2393 01:35:51,200 --> 01:35:54,040 PRESENTED PROTOCOL AND THERE'S 2394 01:35:54,040 --> 01:35:55,680 NO CRITERIA FOR THESE QUESTIONS. 2395 01:35:55,680 --> 01:36:03,520 THANK YOU. 2396 01:36:03,520 --> 01:36:06,640 >>THANK YOU, ED. 2397 01:36:06,640 --> 01:36:09,080 THE ANALYTIC FRAMEWORK THAT I'M 2398 01:36:09,080 --> 01:36:11,120 GOING TO PRESENT NOW IS FOR 2399 01:36:11,120 --> 01:36:12,280 DIETARY PATTERNS CONSUMED AND 2400 01:36:12,280 --> 01:36:13,720 RISK OF DEPRESSION. 2401 01:36:13,720 --> 01:36:17,040 AND SO THIS IS AN UPDATE TO AN 2402 01:36:17,040 --> 01:36:19,440 EXISTING NESR SYSTEMIC REVIEW 2403 01:36:19,440 --> 01:36:23,560 UNLIKE THE REVIEWS TO DATE THEY 2404 01:36:23,560 --> 01:36:27,280 WERE UPDATED FOR THE 2020 2405 01:36:27,280 --> 01:36:28,080 GUIDELINES REPORT. 2406 01:36:28,080 --> 01:36:34,040 THIS WAS NOT -- LAST UPDATED IN 2407 01:36:34,040 --> 01:36:37,480 2015 THIS HAS A LONGER TIME. 2408 01:36:37,480 --> 01:36:38,960 THE POPULATION IS ADULTS AND 2409 01:36:38,960 --> 01:36:41,760 OLDER ADULTS, 19 YEARS AND OLDER 2410 01:36:41,760 --> 01:36:46,600 INCLUDING INDIVIDUALS DURING 2411 01:36:46,600 --> 01:36:47,280 PREGNANCY. 2412 01:36:47,280 --> 01:36:51,240 ONE OF THE THINGS WE DID DISCUSS 2413 01:36:51,240 --> 01:36:52,800 WAS ADDING ADOLESCENCE TO THIS 2414 01:36:52,800 --> 01:36:57,040 AND FOR THE TIME BEING WE'RE NOT 2415 01:36:57,040 --> 01:36:58,000 GOING TO ADD ADOLESCENCE. 2416 01:36:58,000 --> 01:36:59,320 THAT WILL BE IN OUR 2417 01:36:59,320 --> 01:37:00,400 RECOMMENDATION FOR THE 2030 2418 01:37:00,400 --> 01:37:02,080 DIETARY GUIDELINES. 2419 01:37:02,080 --> 01:37:05,280 SO WE DO UNDERSTAND THAT THIS IS 2420 01:37:05,280 --> 01:37:06,080 AN EMERGING ISSUE IN ADOLESCENCE 2421 01:37:06,080 --> 01:37:09,440 RIGHT NOW. 2422 01:37:09,440 --> 01:37:12,120 THE INTERVENTION EXPOSURE AND 2423 01:37:12,120 --> 01:37:13,520 COMPARATOR ARE SIMILAR TO WHAT 2424 01:37:13,520 --> 01:37:14,560 WE'VE SEEN BEFORE. 2425 01:37:14,560 --> 01:37:16,240 THE OUTCOME IS DEPRESSION IN 2426 01:37:16,240 --> 01:37:19,040 ADULTS AND OLDER ADULTS AND THEN 2427 01:37:19,040 --> 01:37:19,800 POSTPARTUM DEPRESSION. 2428 01:37:19,800 --> 01:37:26,000 DURING POSTPARTUM. 2429 01:37:26,000 --> 01:37:27,760 THE POPULATION -- IN TERMS OF 2430 01:37:27,760 --> 01:37:30,160 KEY CONFOUNDERS, WE'RE ALSO 2431 01:37:30,160 --> 01:37:33,440 ADDING A HISTORY OF DEPRESSIVE 2432 01:37:33,440 --> 01:37:35,680 SYMPTOMS BECAUSE WE KNOW THAT 2433 01:37:35,680 --> 01:37:39,680 DEPRESSION CAN KIND OF ABATE AND 2434 01:37:39,680 --> 01:37:41,080 THEN RETURN SO WE'RE REALLY 2435 01:37:41,080 --> 01:37:43,520 LOOKING AT THAT AS PART OF THAT. 2436 01:37:43,520 --> 01:37:47,360 A FEW OTHER THINGS TO NOTE. 2437 01:37:47,360 --> 01:37:50,320 STUDIES WHERE 100% OF 2438 01:37:50,320 --> 01:37:51,440 PARTICIPANTS HAVE DEPRESSION AT 2439 01:37:51,440 --> 01:37:53,560 BASELINE WOULD BE EXCLUDED BUT 2440 01:37:53,560 --> 01:37:55,680 IF SOME OF THE POPULATION HAS 2441 01:37:55,680 --> 01:37:59,880 DEPRESSION AT BASELINE THEY WILL 2442 01:37:59,880 --> 01:38:01,040 BE INCLUDED. 2443 01:38:01,040 --> 01:38:07,880 STUDIES SOMEEXAMINING SCORES OF 2444 01:38:07,880 --> 01:38:09,600 DEPRESSION CAN BE INCLUDED 2445 01:38:09,600 --> 01:38:14,440 SEPARATELY IN THE SYNTHESIS. 2446 01:38:14,440 --> 01:38:17,640 SO THE INCLUSION/EXCLUSION 2447 01:38:17,640 --> 01:38:21,880 CRITERIA INCLUDE THE SAME AS 2448 01:38:21,880 --> 01:38:26,000 PREVIOUSLY STATED JANUARY 1980 2449 01:38:26,000 --> 01:38:26,520 TO THE PRESENT. 2450 01:38:26,520 --> 01:38:27,680 THE 12 WEEK INTERVENTION LINK 2451 01:38:27,680 --> 01:38:30,040 AND FOR INTERVENTION STUDIES 2452 01:38:30,040 --> 01:38:32,400 THAT'S THE SAME AS WHAT WE HAD 2453 01:38:32,400 --> 01:38:34,440 TALKED ABOUT PREVIOUSLY. 2454 01:38:34,440 --> 01:38:36,920 THERE WILL NOT BE ADDITIONAL 2455 01:38:36,920 --> 01:38:37,480 CRITERIA FOR OBSERVATIONAL 2456 01:38:37,480 --> 01:38:44,040 STUDIES. 2457 01:38:44,040 --> 01:38:48,920 SO THIS IS A NEW NESR SYSTEMIC 2458 01:38:48,920 --> 01:38:49,160 REVIEW. 2459 01:38:49,160 --> 01:38:51,760 THIS IS THE RELATIONSHIP BETWEEN 2460 01:38:51,760 --> 01:38:54,360 DIETARY PATTERNS WITH VARYING 2461 01:38:54,360 --> 01:38:59,240 AMOUNTS ULTRAPROCESSED FOODS AND 2462 01:38:59,240 --> 01:39:02,120 BODY COMPOSITION AND RISK OF 2463 01:39:02,120 --> 01:39:02,400 OBESITY. 2464 01:39:02,400 --> 01:39:05,400 THIS IS A TOPIC WE RECEIVED A 2465 01:39:05,400 --> 01:39:07,320 LOT OF COMMENTS ABOUT AND 2466 01:39:07,320 --> 01:39:08,520 THERE'S A LOT OF PUBLIC INTEREST 2467 01:39:08,520 --> 01:39:08,800 IN. 2468 01:39:08,800 --> 01:39:14,640 SO WE'RE VERY EXCITED TO BE 2469 01:39:14,640 --> 01:39:15,720 INITIATING THIS. 2470 01:39:15,720 --> 01:39:18,640 SO JUST A LITTLE BIT ABOUT THE 2471 01:39:18,640 --> 01:39:19,800 INTERVENTION EXPOSURE. 2472 01:39:19,800 --> 01:39:23,600 THERE'S CURRENTLY SEVEN EXISTING 2473 01:39:23,600 --> 01:39:25,600 FOOD CLASSIFICATION SYSTEMS FOR 2474 01:39:25,600 --> 01:39:26,560 ULTRAPROCESSED FOODS. 2475 01:39:26,560 --> 01:39:30,800 RATHER THAN GOING IN WITH A 2476 01:39:30,800 --> 01:39:32,120 DEFINITION WE'RE LOOKING AT ALL 2477 01:39:32,120 --> 01:39:34,280 OF THOSE AND HOW IT'S DEFINED BY 2478 01:39:34,280 --> 01:39:34,640 THE LITERATURE. 2479 01:39:34,640 --> 01:39:37,960 I JUST WANTED TO MAKE THAT POINT 2480 01:39:37,960 --> 01:39:39,560 BECAUSE RIGHT NOW THERE'S A LOT 2481 01:39:39,560 --> 01:39:42,560 OF DIFFERENT DEFINITIONS. 2482 01:39:42,560 --> 01:39:45,520 SO THE COMPARATOR IS A DIFFERENT 2483 01:39:45,520 --> 01:39:48,000 DIETARY PATTERN OR COULD BE 2484 01:39:48,000 --> 01:39:49,680 DIFFERENT ADHERENCE OR 2485 01:39:49,680 --> 01:39:51,160 CONSUMPTION LEVELS TO THE SAME 2486 01:39:51,160 --> 01:39:52,280 DIETARY PATTERN. 2487 01:39:52,280 --> 01:39:54,600 AGAIN LOOKING AT SOMETHING LIKE 2488 01:39:54,600 --> 01:39:57,480 QUINTILES OR QUARTILES OF 2489 01:39:57,480 --> 01:39:59,360 CONSUMPTION OF ULTRA-PROCESSED 2490 01:39:59,360 --> 01:39:59,920 FOODS. 2491 01:39:59,920 --> 01:40:01,600 SO THE OUTCOMES ARE CONSISTENT 2492 01:40:01,600 --> 01:40:03,760 WITH WHAT I MENTIONED BEFORE FOR 2493 01:40:03,760 --> 01:40:05,760 GROWTH BODY COMPOSITION AND RISK 2494 01:40:05,760 --> 01:40:07,400 OF OBESITY. 2495 01:40:07,400 --> 01:40:10,800 WE ARE LOOKING AT ALL AGES FOR 2496 01:40:10,800 --> 01:40:12,360 THIS INCLUDING INDIVIDUALS 2497 01:40:12,360 --> 01:40:15,120 DURING PREGNANCY AND DURING 2498 01:40:15,120 --> 01:40:17,040 POSTPARTUM AND THEN THE KEY 2499 01:40:17,040 --> 01:40:18,880 CONFOUNDERS ARE SIMILAR TO WHAT 2500 01:40:18,880 --> 01:40:20,880 WE HAD WITH OUR FIRST QUESTION 2501 01:40:20,880 --> 01:40:25,160 ON GROWTH BODY COMPOSITION. 2502 01:40:25,160 --> 01:40:28,720 RISK OF OBESITY. 2503 01:40:28,720 --> 01:40:30,720 SO THE INCLUSION CRITERIA, THESE 2504 01:40:30,720 --> 01:40:31,400 ARE A LITTLE BIT DIFFERENT 2505 01:40:31,400 --> 01:40:35,320 BECAUSE THIS IS A NEW REVIEW. 2506 01:40:35,320 --> 01:40:37,280 SO THIS IS JANUARY 2000 TO THE 2507 01:40:37,280 --> 01:40:39,880 PRESENT AND THE INTERVENTION 2508 01:40:39,880 --> 01:40:41,720 EXPOSURE IS DIETARY PATTERNS 2509 01:40:41,720 --> 01:40:44,520 WITH VARYING AMOUNTS OF ALL TRA 2510 01:40:44,520 --> 01:40:45,560 PROCESSED FOODS. 2511 01:40:45,560 --> 01:40:49,080 SO WE WILL BE LOOKING AT THAT 2512 01:40:49,080 --> 01:40:57,160 WITH VARYING AMOUNTS OF ULT 2513 01:40:57,160 --> 01:40:58,240 ULTRA-PROCESSED FOOD AND WITH 2514 01:40:58,240 --> 01:41:00,240 BODY COMPOSITION AND RISK OF 2515 01:41:00,240 --> 01:41:02,320 OBESITY IT COULD BE A 2516 01:41:02,320 --> 01:41:02,960 MULTI-COMPONENT INTERVENTION 2517 01:41:02,960 --> 01:41:04,720 WHERE YOU CAN LOOK AT THE 2518 01:41:04,720 --> 01:41:05,680 OUTCOME OF INTEREST. 2519 01:41:05,680 --> 01:41:07,720 THE STUDY DURATIONS ARE THE SAME 2520 01:41:07,720 --> 01:41:10,040 AS WHAT I MENTIONED PREVIOUSLY. 2521 01:41:10,040 --> 01:41:12,520 AND THEN THE SIZE OF THE STUDY 2522 01:41:12,520 --> 01:41:14,160 GROUPS IS THE SAME AS WHAT I 2523 01:41:14,160 --> 01:41:24,480 MENTIONED PREVIOUSLY. 2524 01:41:24,480 --> 01:41:27,080 SO WE WANTED TO OPEN IT UP ONCE 2525 01:41:27,080 --> 01:41:28,280 AGAIN FOR COMMITTEE DISCUSSION. 2526 01:41:28,280 --> 01:41:31,520 DISCUSSING THE CANCER PROTOCOLS, 2527 01:41:31,520 --> 01:41:37,040 THE DEPRESSION AND THE 2528 01:41:37,040 --> 01:41:41,040 ULTRA-PROCESSED FOODS. 2529 01:41:41,040 --> 01:41:44,360 ARE YOU LOOKING FOR HOMEMADE 2530 01:41:44,360 --> 01:41:47,320 BABY FOODS VERSUS COMMERCIAL 2531 01:41:47,320 --> 01:41:48,640 PROCESSED BABY FOODS? 2532 01:41:48,640 --> 01:41:50,360 YOU WENT TO INFANT AND NOT SURE 2533 01:41:50,360 --> 01:41:54,840 WHAT YOU'LL FIND IN THE FIRST 2534 01:41:54,840 --> 01:41:56,320 YEAR OF LIFE UNLESS YOU LOOK AT 2535 01:41:56,320 --> 01:41:57,360 PROCESSED BABY FOODS. 2536 01:41:57,360 --> 01:42:03,280 >>THAT'S A VERY GOOD QUESTION. 2537 01:42:03,280 --> 01:42:05,880 THE EASIEST ANSWER TO THAT IS 2538 01:42:05,880 --> 01:42:08,880 THE STUDY WILL DEFINE IT. 2539 01:42:08,880 --> 01:42:11,320 I WOULD IMAGINE IN THAT CASE THE 2540 01:42:11,320 --> 01:42:14,120 STUDY MIGHT DEFINE IT AS FORMULA 2541 01:42:14,120 --> 01:42:14,760 VERSUS BREAST FEEDING. 2542 01:42:14,760 --> 01:42:16,720 I DON'T KNOW IF THE OTHER 2543 01:42:16,720 --> 01:42:17,840 COMMITTEE MEMBERS WANT TO ANSWER 2544 01:42:17,840 --> 01:42:19,600 THAT OR HAVE A COMMENT ABOUT 2545 01:42:19,600 --> 01:42:23,760 THAT. 2546 01:42:23,760 --> 01:42:26,000 >>THIS CAST A WIDE NET TO MAKE 2547 01:42:26,000 --> 01:42:31,040 SURE WE CAPTURED THE EVIDENCE IN 2548 01:42:31,040 --> 01:42:32,040 THE AGE GROUP. 2549 01:42:32,040 --> 01:42:35,480 [INDISCERNIBLE] WE CAN ALWAYS 2550 01:42:35,480 --> 01:42:37,520 DECIDE TO DO WITH THE EVIDENCE 2551 01:42:37,520 --> 01:42:39,080 AND DECIDE IF THERE'S SUFFICIENT 2552 01:42:39,080 --> 01:42:47,440 EVIDENCE [INDISCERNIBLE]. 2553 01:42:47,440 --> 01:42:52,680 >>I DON'T DISAGREE WITH THAT. 2554 01:42:52,680 --> 01:42:55,560 1 TO 2 YEARS MAY BE DIFFICULT 2555 01:42:55,560 --> 01:43:01,840 AND THE INTRODUCTION TO SOLID 2556 01:43:01,840 --> 01:43:04,840 FOO 2557 01:43:04,840 --> 01:43:05,040 FOODS. 2558 01:43:05,040 --> 01:43:05,680 >>THANK YOU VERY GOOD COMMENT. 2559 01:43:05,680 --> 01:43:09,600 I APPRECIATE THAT. 2560 01:43:09,600 --> 01:43:10,400 OTHER COMMENTS? 2561 01:43:10,400 --> 01:43:14,160 >>I WOULD AGREE WITH THE PRIOR 2562 01:43:14,160 --> 01:43:14,520 COMMENT. 2563 01:43:14,520 --> 01:43:19,120 I WAS WONDERING HOW WILL YOU 2564 01:43:19,120 --> 01:43:20,880 CONSIDER THE FIRST POINTS FOR 2565 01:43:20,880 --> 01:43:22,240 ULTRA PROCESSED FOODS IF THERE'S 2566 01:43:22,240 --> 01:43:31,720 NO CLEAR DEFINITION AND 2567 01:43:31,720 --> 01:43:33,440 THEREFORE WILL BE VARIABILITY 2568 01:43:33,440 --> 01:43:34,640 DUE TO THE CLASSIFICATION USE IN 2569 01:43:34,640 --> 01:43:35,520 THE STUDY. 2570 01:43:35,520 --> 01:43:37,680 I WAS WONDERING HOW MAYBE THE 2571 01:43:37,680 --> 01:43:41,280 SYNTHESIS WILL TAKE CARE OF THAT 2572 01:43:41,280 --> 01:43:43,360 OR HOW DO YOU APPROACH THAT? 2573 01:43:43,360 --> 01:43:49,000 >>I THINK YOU CAN -- IT'S AN 2574 01:43:49,000 --> 01:43:51,400 LOUSE SITUATION TO THE PATTERNS. 2575 01:43:51,400 --> 01:43:56,760 WE'RE NOT LOOKING AT 2576 01:43:56,760 --> 01:43:59,080 MEDITERRANEAN VERSUS VEGETARIAN 2577 01:43:59,080 --> 01:44:00,600 AND WHAT'S DEFINED AND THEN WHEN 2578 01:44:00,600 --> 01:44:01,760 WE GATHER THE DATA. 2579 01:44:01,760 --> 01:44:03,320 IT WILL BE SIMILAR. 2580 01:44:03,320 --> 01:44:07,120 THIS IS THE FIRST TIME THAT THIS 2581 01:44:07,120 --> 01:44:08,640 HAS BEEN DONE SO AGAIN TO 2582 01:44:08,640 --> 01:44:12,640 DR. FUNG'S COMMENT WE WANT TO 2583 01:44:12,640 --> 01:44:15,240 CAST A WIDER NET AND THEN WE'LL 2584 01:44:15,240 --> 01:44:17,560 LOOK AT IT ON THE SYNTHESIS 2585 01:44:17,560 --> 01:44:17,840 SIDE. 2586 01:44:17,840 --> 01:44:19,600 >>I'LL ALSO SAY WE DID HAVE 2587 01:44:19,600 --> 01:44:20,800 QUITE A BIT OF DISCUSSION 2588 01:44:20,800 --> 01:44:22,520 SURROUNDING THE POINT ACTUALLY. 2589 01:44:22,520 --> 01:44:25,520 A LENGTHY DISCUSSION BECAUSE OF 2590 01:44:25,520 --> 01:44:28,960 ISSUES WITH REGARDS TO HOW WE 2591 01:44:28,960 --> 01:44:30,520 DEFINE ULTRA PROCESSED FOODS AND 2592 01:44:30,520 --> 01:44:33,000 THE EVOLVING DEFINITION OF 2593 01:44:33,000 --> 01:44:33,400 CONSIDERING THIS. 2594 01:44:33,400 --> 01:44:34,760 THAT WILL BE PART OF OUR 2595 01:44:34,760 --> 01:44:37,760 DISCUSSION SINCE IT WAS SO 2596 01:44:37,760 --> 01:44:39,520 ROBUST WITHIN THE COMMITTEE AND 2597 01:44:39,520 --> 01:44:40,440 WE THOUGHT ABOUT AND CONSIDERED 2598 01:44:40,440 --> 01:44:44,400 IN THE PARTICULAR QUESTION. 2599 01:44:44,400 --> 01:44:49,800 >>THANK YOU. 2600 01:44:49,800 --> 01:44:51,840 >>I HAD ONE QUESTION ABOUT THE 2601 01:44:51,840 --> 01:44:52,680 EXCLUSION OF ADOLESCENCE ABOUT 2602 01:44:52,680 --> 01:44:54,320 THE RISK OF DEPRESSION. 2603 01:44:54,320 --> 01:44:57,120 AND THE COMMITTEE'S THINKING 2604 01:44:57,120 --> 01:44:58,360 AROUND EXCLUDING THAT FOR NOW 2605 01:44:58,360 --> 01:44:59,400 AND THINKING ABOUT THAT AS 2606 01:44:59,400 --> 01:45:05,400 CONSIDERATION FOR LATER. 2607 01:45:05,400 --> 01:45:06,800 >>I THINK THE MONITORING THAT'S 2608 01:45:06,800 --> 01:45:12,200 BEEN DONE WAS IN ADULTS. 2609 01:45:12,200 --> 01:45:13,440 SO AND THERE'S SOME RESEARCH 2610 01:45:13,440 --> 01:45:15,760 THERE IN THAT AREA SO WE'RE 2611 01:45:15,760 --> 01:45:18,840 THINKING THAT THAT MIGHT MOVE 2612 01:45:18,840 --> 01:45:24,560 THINGS FORWARD SO THE 2613 01:45:24,560 --> 01:45:27,120 ADOLESCENCE WOULD PRESENT 2614 01:45:27,120 --> 01:45:28,680 ADDITIONAL WORK LOAD AND DECIDED 2615 01:45:28,680 --> 01:45:33,120 AGAINST IT FOR THIS GO-ROUND. 2616 01:45:33,120 --> 01:45:35,760 >>TO ADD TO THAT A DISCUSSION 2617 01:45:35,760 --> 01:45:37,240 SURROUNDING THIS IS THE EVIDENCE 2618 01:45:37,240 --> 01:45:40,200 IS BECOMING MORE ROBUST IN THE 2619 01:45:40,200 --> 01:45:41,960 POST COVID-19 ERA SO WHILE THERE 2620 01:45:41,960 --> 01:45:44,000 ARE STUDIES ONGOING THEY'RE 2621 01:45:44,000 --> 01:45:45,600 GOING TO BE MORE ROBUST AND 2622 01:45:45,600 --> 01:45:48,040 AVAILABLE FOR THE 2030 GROUP AND 2623 01:45:48,040 --> 01:45:49,800 THAT WAS PART OF OUR DISCUSSION 2624 01:45:49,800 --> 01:45:51,240 SURROUNDING THAT SPECIFIC ISSUE. 2625 01:45:51,240 --> 01:45:52,640 >>THANKS. 2626 01:45:52,640 --> 01:45:54,480 THAT WAS GOING TO BE MY NEXT 2627 01:45:54,480 --> 01:45:56,440 FOLLOW-UP SO THANK YOU FOR THAT. 2628 01:45:56,440 --> 01:45:59,600 THANK YOU FOR THAT 2629 01:45:59,600 --> 01:45:59,920 CLARIFICATION. 2630 01:45:59,920 --> 01:46:02,680 >>WE ACTUALLY DID HAVE QUITE A 2631 01:46:02,680 --> 01:46:07,320 BIT OF DISCUSSION ABOUT THIS AND 2632 01:46:07,320 --> 01:46:09,040 WENT AROUND ABOUT IT. 2633 01:46:09,040 --> 01:46:19,520 OTHER QUESTIONS OR CONCERNS? 2634 01:46:21,640 --> 01:46:24,600 >>THANK YOU VERY MUCH. 2635 01:46:24,600 --> 01:46:26,520 >>OH, WE'RE NOT FINISHED. 2636 01:46:26,520 --> 01:46:30,040 WE'RE TWO-THIRDS. 2637 01:46:30,040 --> 01:46:30,400 OKAY. 2638 01:46:30,400 --> 01:46:32,640 SO I'M GOING IT TURN IT OVER TO 2639 01:46:32,640 --> 01:46:34,080 DR. RAYNOR. 2640 01:46:34,080 --> 01:46:35,320 >>THANK YOU VERY MUCH. 2641 01:46:35,320 --> 01:46:37,480 I WILL ACTUALLY BE DISCUSSING 2642 01:46:37,480 --> 01:46:41,760 THE PROPOSED PROTOCOLS FOR 2643 01:46:41,760 --> 01:46:44,000 QUESTIONS WITH BEVERAGES AS THE 2644 01:46:44,000 --> 01:46:44,560 EXPOSURE. 2645 01:46:44,560 --> 01:46:46,920 SO WE HAVE ONE BEVERAGE PATTERN 2646 01:46:46,920 --> 01:46:49,080 QUESTION AND THIS IS DEFINED 2647 01:46:49,080 --> 01:46:51,800 SIMILARLY TO THE DIETARY 2648 01:46:51,800 --> 01:46:52,200 PATTERNS QUESTION. 2649 01:46:52,200 --> 01:46:57,120 SO BEVERAGE PATTERNS ARE THE 2650 01:46:57,120 --> 01:46:58,880 QUANTITIES OR PROPORTION OR 2651 01:46:58,880 --> 01:47:00,560 COMBINATION OF DIFFERENT 2652 01:47:00,560 --> 01:47:07,120 BEVERAGES INDICT -- UP DIETS AND 2653 01:47:07,120 --> 01:47:08,880 THE HABITUAL NATURE IN WHICH 2654 01:47:08,880 --> 01:47:10,400 THEY'RE CONSUMED. 2655 01:47:10,400 --> 01:47:12,240 IN REGARD TO THE FIRST QUESTION 2656 01:47:12,240 --> 01:47:16,640 OF OVER ALL BEVERAGE PATTERNS 2657 01:47:16,640 --> 01:47:19,360 AND GROWTH BODY COMPOSITION AND 2658 01:47:19,360 --> 01:47:20,560 RISK OF OBESITY AS WELL AS 2659 01:47:20,560 --> 01:47:22,800 INDIVIDUAL BEVERAGE QUESTIONS IN 2660 01:47:22,800 --> 01:47:23,840 THE AREA THE BEVERAGE TYPES 2661 01:47:23,840 --> 01:47:26,600 WE'LL EXAMINE ARE LISTED IN THE 2662 01:47:26,600 --> 01:47:28,080 INCLUSION CRITERIA AND THIS 2663 01:47:28,080 --> 01:47:30,520 INCLUDES DAIRY MILK AND MILK 2664 01:47:30,520 --> 01:47:33,560 ALTERNATIVES, 100% JUICE, LOW OR 2665 01:47:33,560 --> 01:47:40,240 NO-CALORIE SWEETENED BEVERAGE, 2666 01:47:40,240 --> 01:47:41,000 SUGAR-SWEETENED BEVERAGE AND 2667 01:47:41,000 --> 01:47:43,120 COUGH AND/OR TEA AND I'LL 2668 01:47:43,120 --> 01:47:44,920 PRESENT A FRAMEWORK FOR EACH 2669 01:47:44,920 --> 01:47:46,240 BEVERAGE TYPE IN RELATION TO THE 2670 01:47:46,240 --> 01:47:49,080 TWO OUTCOMES BEING ASSESSED FOR 2671 01:47:49,080 --> 01:47:51,320 BEVERAGES SO THE GROWTH BODY 2672 01:47:51,320 --> 01:47:53,240 COMPOSITION AND RISK OF OBESITY 2673 01:47:53,240 --> 01:47:55,840 AS WELL AS THE RISK OF TYPE 2 2674 01:47:55,840 --> 01:47:56,120 DIABETES. 2675 01:47:56,120 --> 01:47:58,160 ON THIS SLIDE WE ALSO HAVE 2676 01:47:58,160 --> 01:48:01,400 EXCLUDED INTERVENTIONS OR 2677 01:48:01,400 --> 01:48:08,560 EXPOSURES SO WE WILL NOT BE 2678 01:48:08,560 --> 01:48:11,400 EXAMINING TODDLER FORMULA OR 2679 01:48:11,400 --> 01:48:11,640 MILKS. 2680 01:48:11,640 --> 01:48:14,000 OTHER BEVERAGE TYPES INCLUDING 2681 01:48:14,000 --> 01:48:16,280 NUTRITIONAL BEVERAGES, STUDIES 2682 01:48:16,280 --> 01:48:18,320 FOCUSSING ON SPECIFIC NUTRIENTS, 2683 01:48:18,320 --> 01:48:19,960 ADDITIVE BEVERAGES INSTEAD OF A 2684 01:48:19,960 --> 01:48:21,280 BEVERAGE AS A WHOLE. 2685 01:48:21,280 --> 01:48:23,640 BEVERAGES THAT ARE NOT 2686 01:48:23,640 --> 01:48:29,440 COMMERCIALLY AVAILABLE, 2687 01:48:29,440 --> 01:48:32,120 SUPPLEMENTS AND ALCOHOL AND THE 2688 01:48:32,120 --> 01:48:35,000 COMPARE TORS ARE LISTED ON THE 2689 01:48:35,000 --> 01:48:35,240 SLIDE. 2690 01:48:35,240 --> 01:48:37,440 FOR BEVERAGE PATTERNS STUDIES 2691 01:48:37,440 --> 01:48:39,080 EXAMINING CONSUMPTION OF OR 2692 01:48:39,080 --> 01:48:41,280 ADHERENCE TO A DIFFERENT 2693 01:48:41,280 --> 01:48:42,880 BEVERAGE PATTERN OR DIFFERENT 2694 01:48:42,880 --> 01:48:45,320 LEVELS OF CONSUMPTION OR 2695 01:48:45,320 --> 01:48:48,200 ADHERENCE TO BEVERAGE PATTERN 2696 01:48:48,200 --> 01:48:49,360 WILL BE INCLUDED SIMILARLY TO 2697 01:48:49,360 --> 01:48:53,320 THE DIETARY PATTERNS. 2698 01:48:53,320 --> 01:48:59,000 FOR ALL BEVERAGE TYPES 2699 01:48:59,000 --> 01:49:03,200 COMPARATORS WILL INCLUDE NO 2700 01:49:03,200 --> 01:49:04,520 CONSTITUTION AND VERSIONS 2701 01:49:04,520 --> 01:49:06,200 DILUTED WITH WATER AND 2702 01:49:06,200 --> 01:49:07,680 CONSUMPTION OF THE BEVERAGE 2703 01:49:07,680 --> 01:49:11,080 TYPES EXAMINED VERSUS WATER. 2704 01:49:11,080 --> 01:49:13,760 WE ALSO IDENTIFIED SPECIFIC 2705 01:49:13,760 --> 01:49:14,680 COMPARISONS OF INTEREST BASED ON 2706 01:49:14,680 --> 01:49:18,760 THE CRITERIA PRESENTED THIS 2707 01:49:18,760 --> 01:49:20,040 MORNING AND WE'LL HIGHLIGHT 2708 01:49:20,040 --> 01:49:21,520 THESE ON EACH ANALYTIC FRAMEWORK 2709 01:49:21,520 --> 01:49:27,280 AS WE GO THROUGH THEM. 2710 01:49:27,280 --> 01:49:28,960 WE'LL LOOK AT THE DIFFERENCES IN 2711 01:49:28,960 --> 01:49:30,920 THIS ANALYTIC FRAMEWORK COMPARED 2712 01:49:30,920 --> 01:49:32,880 TO OUR EARLIER ANALYTIC 2713 01:49:32,880 --> 01:49:33,200 FRAMEWORKS. 2714 01:49:33,200 --> 01:49:35,840 THIS SLIDE SHOWS THE PROPOSED 2715 01:49:35,840 --> 01:49:37,200 FRAMEWORK FOR BEVERAGE PATTERNS 2716 01:49:37,200 --> 01:49:39,880 AND GROWTH BODY COMPOSITION AND 2717 01:49:39,880 --> 01:49:41,160 RISK OF OBESITY. 2718 01:49:41,160 --> 01:49:43,240 WE PLAN TO EXAMINE THE 2719 01:49:43,240 --> 01:49:44,840 RELATIONSHIP BETWEEN BEVERAGE 2720 01:49:44,840 --> 01:49:47,160 COMPOSITION AND GROWTH BODY 2721 01:49:47,160 --> 01:49:48,760 COMPOSITION AND RISK OF OBESITY 2722 01:49:48,760 --> 01:49:50,920 FOR BEVERAGE PATTERNS AND FIVE 2723 01:49:50,920 --> 01:49:53,120 ADDITIONAL BEVERAGE TYPES I'LL 2724 01:49:53,120 --> 01:49:53,480 DESCRIBE. 2725 01:49:53,480 --> 01:49:55,840 STUDIES THAT HAVE CONSUMPTION OF 2726 01:49:55,840 --> 01:50:03,000 A BEVERAGE PATTERN IN CHILDREN, 2727 01:50:03,000 --> 01:50:05,640 ADOLESCENTS AND THOSE INCLUDED 2728 01:50:05,640 --> 01:50:06,160 IN THE REVIEW. 2729 01:50:06,160 --> 01:50:08,680 A SET OF OUTCOMES FOR THE 2730 01:50:08,680 --> 01:50:10,880 OUTCOMES AS SIMILAR AS PRESENTED 2731 01:50:10,880 --> 01:50:12,560 SIMILAR FOR OTHER QUESTIONS WITH 2732 01:50:12,560 --> 01:50:14,640 GROWTH, BODY COMPOSITION AND 2733 01:50:14,640 --> 01:50:16,840 RISK OF OBESITY OUTCOME EXCEPT 2734 01:50:16,840 --> 01:50:18,760 OUTCOME SPECIFIC TO INFANTS AND 2735 01:50:18,760 --> 01:50:20,240 TODDLERS ARE NOT INCLUDED AND 2736 01:50:20,240 --> 01:50:23,040 THE KEY CONFOUNDERS WHICH WE 2737 01:50:23,040 --> 01:50:23,640 DESCRIBED PREVIOUSLY ARE ALSO 2738 01:50:23,640 --> 01:50:29,120 LISTED ON THE SLIDE. 2739 01:50:29,120 --> 01:50:32,560 THIS SLIDE SHOWS THE PROPOSED 2740 01:50:32,560 --> 01:50:33,880 ANALYTIC FRAMEWORK FOR DAIRY 2741 01:50:33,880 --> 01:50:36,240 MILK AND MILK ALTERNATIVES AND 2742 01:50:36,240 --> 01:50:37,600 GROWTH BODY COMPOSITION AND RISK 2743 01:50:37,600 --> 01:50:40,360 OF OBESITY. 2744 01:50:40,360 --> 01:50:44,560 IN TERMS OF OUR COMPARATOR, 2745 01:50:44,560 --> 01:50:46,440 DAIRY MILK AND MILK AN TERN TIFS 2746 01:50:46,440 --> 01:50:49,840 WITH DIFFERENT AMOUNTS FATS AND 2747 01:50:49,840 --> 01:50:52,240 WHOLE MILK AND SWEETENERS 2748 01:50:52,240 --> 01:50:55,680 FLAVORED VERSUS UNFLAVORED MILK 2749 01:50:55,680 --> 01:50:59,760 WILL BE INCLUDED AS A COMPARATOR 2750 01:50:59,760 --> 01:51:01,920 AND OUTCOMES AND KEY CONFOUNDERS 2751 01:51:01,920 --> 01:51:03,560 FOR THE REVIEW ARE THE SAME AS 2752 01:51:03,560 --> 01:51:04,200 FOR THE BEVERAGE PATTERNS 2753 01:51:04,200 --> 01:51:08,680 REVIEW. 2754 01:51:08,680 --> 01:51:12,960 THIS SLIDE SHOWS THE PROPOSED 2755 01:51:12,960 --> 01:51:15,320 ANALYTIC FRAMEWORK AND GROWTH 2756 01:51:15,320 --> 01:51:20,000 BODY COMPOSITION AND RISK OF 2757 01:51:20,000 --> 01:51:20,240 OBESITY. 2758 01:51:20,240 --> 01:51:23,280 FOR THE COMPARATOR 100% JUICE 2759 01:51:23,280 --> 01:51:27,000 VERSUS SOLID AND JUICE VERSUS 2760 01:51:27,000 --> 01:51:31,280 WHOLE FRUIT FOR EXAMPLE AND THIS 2761 01:51:31,280 --> 01:51:38,600 QUESTION ALSO HAS AND INCLUDING 2762 01:51:38,600 --> 01:51:41,840 FOR INFANTS AND TODDLERS. 2763 01:51:41,840 --> 01:51:46,360 MEMBERS FOR SUBCOMMITTEE ONE AND 2764 01:51:46,360 --> 01:51:47,160 SUBCOMMITTEE TWO WILL 2765 01:51:47,160 --> 01:51:49,040 COLLABORATE ON THE SYNTHESIS FOR 2766 01:51:49,040 --> 01:51:50,360 INFANTS AND TODDLERS AN BECAUSE 2767 01:51:50,360 --> 01:51:52,200 OF THIS OUTCOMES AND KEY 2768 01:51:52,200 --> 01:51:54,280 CONFOUNDERS SPECIFIC TO INFANTS 2769 01:51:54,280 --> 01:51:56,520 AND TODDLERS ARE ALSO LISTED ON 2770 01:51:56,520 --> 01:52:01,480 THE SLIDE. 2771 01:52:01,480 --> 01:52:05,560 THIS SLIDE SHOWS A PROPOSED 2772 01:52:05,560 --> 01:52:09,680 ANALYTIC FRAMEWORK FOR 2773 01:52:09,680 --> 01:52:11,320 SUGAR-SWEETENED BEVERAGES AND 2774 01:52:11,320 --> 01:52:13,760 RISK OF OBESITY AND 2775 01:52:13,760 --> 01:52:15,320 SUGAR-SWEETENED BEVERAGES VERSUS 2776 01:52:15,320 --> 01:52:18,960 LOW AND NO-CALORIE BEVERAGES 2777 01:52:18,960 --> 01:52:21,360 WILL BE USED AS A COMPARATOR AND 2778 01:52:21,360 --> 01:52:22,800 HAS BEEN PRIORITIZED FOR 2779 01:52:22,800 --> 01:52:24,280 SYSTEMIC REVIEW FOR 2780 01:52:24,280 --> 01:52:25,800 META-ANALYSIS ACROSS THE ENTIRE 2781 01:52:25,800 --> 01:52:30,520 LIFE SPAN INCLUDING INFANTS AND 2782 01:52:30,520 --> 01:52:30,800 TODDLERS. 2783 01:52:30,800 --> 01:52:31,800 SIMILARLY TO THE PREVIOUS SLIDE 2784 01:52:31,800 --> 01:52:34,120 SUBCOMMITTEE ONE AND TWO WILL 2785 01:52:34,120 --> 01:52:37,480 COLLABORATE ON THE SYNTHESIS FOR 2786 01:52:37,480 --> 01:52:41,360 INFANTS AND TODDLERS. 2787 01:52:41,360 --> 01:52:44,440 THIS SLIDE SHOWS THE ANALYTIC 2788 01:52:44,440 --> 01:52:48,160 FRAMEWORK FOR LOW OR NO-CALORIE 2789 01:52:48,160 --> 01:52:50,120 BEVERAGE CONSUMPTION AND RISK OF 2790 01:52:50,120 --> 01:52:50,480 OBESITY. 2791 01:52:50,480 --> 01:52:52,520 IT'S CONSISTENT WITH THE 2792 01:52:52,520 --> 01:52:54,280 BEVERAGE PATTERNS PROTOCOL 2793 01:52:54,280 --> 01:53:01,720 PREVIOUSLY PRESENTED. 2794 01:53:01,720 --> 01:53:04,240 THIS SLIDE SHOWS THE ANALYTIC 2795 01:53:04,240 --> 01:53:07,280 FRAMEWORK FOR THE RELATIONSHIP 2796 01:53:07,280 --> 01:53:10,000 BETWEEN COFFEE AND TEA. 2797 01:53:10,000 --> 01:53:12,680 COFFEE AND/OR TEA CONSUMPTION 2798 01:53:12,680 --> 01:53:16,680 AND BODY COMPOSITION AND RISK OF 2799 01:53:16,680 --> 01:53:16,920 OBESITY. 2800 01:53:16,920 --> 01:53:18,920 OUR SUBCOMMITTEE DECIDED TO 2801 01:53:18,920 --> 01:53:20,640 COMBINE COFFEE AND TEA SINCE 2802 01:53:20,640 --> 01:53:22,160 THEY'RE OFTEN REPORTED TOGETHER 2803 01:53:22,160 --> 01:53:24,200 IN STUDIES HOWEVER, IF WE ARE 2804 01:53:24,200 --> 01:53:26,880 ABLE TO SYNTHESIZE COFFEE AND 2805 01:53:26,880 --> 01:53:27,880 TEA SEPARATELY AND DRAW SEPARATE 2806 01:53:27,880 --> 01:53:30,800 CONCLUSIONS WE WILL DO SO. 2807 01:53:30,800 --> 01:53:32,960 COFFEE AND/OR TEA WITH VARYING 2808 01:53:32,960 --> 01:53:35,360 LEVELS OF FAT OR SWEETENERS ARE 2809 01:53:35,360 --> 01:53:37,360 INCLUDED AS A COMPARATOR IN THIS 2810 01:53:37,360 --> 01:53:45,160 ANALYTIC FRAMEWORK. 2811 01:53:45,160 --> 01:53:47,320 WHAT IS THE RELATIONSHIP BETWEEN 2812 01:53:47,320 --> 01:53:49,360 BEVERAGE CONSUMPTION AND GROWTH 2813 01:53:49,360 --> 01:53:50,760 BODY COMPOSITION AND RISK OF 2814 01:53:50,760 --> 01:53:51,120 OBESITY? 2815 01:53:51,120 --> 01:53:54,200 WHAT WE HAVE HERE IN TERMS OF 2816 01:53:54,200 --> 01:53:56,560 TIME FRAME WE WILL BE LOOKING AT 2817 01:53:56,560 --> 01:53:58,080 THE SIMILARLY TO PREVIOUS 2818 01:53:58,080 --> 01:54:00,080 ANALYTIC FRAMEWORK STUDIES 2819 01:54:00,080 --> 01:54:01,880 PUBLISHED FROM JANUARY 2000 TO 2820 01:54:01,880 --> 01:54:04,520 PRESENT AND WE HAVE A SIMILAR 2821 01:54:04,520 --> 01:54:06,360 STUDY DURATION FOR THE OTHER 2822 01:54:06,360 --> 01:54:08,200 GROWTH BODY COMPOSITION AND RISK 2823 01:54:08,200 --> 01:54:14,280 OF OBESITY FRAMEWORKS. 2824 01:54:14,280 --> 01:54:15,960 SO I'M TRANSITIONING. 2825 01:54:15,960 --> 01:54:19,760 THIS NOW I'LL BE GOING OVER THE 2826 01:54:19,760 --> 01:54:22,120 ANALYTIC FRAMEWORK FOR BEVERAGE 2827 01:54:22,120 --> 01:54:22,960 TYPES. 2828 01:54:22,960 --> 01:54:25,280 AND THE RISK OF TYPE 2 DIABETES. 2829 01:54:25,280 --> 01:54:27,760 THIS SLIDE IS FOR DAIRY MILK AND 2830 01:54:27,760 --> 01:54:30,480 MILK ALTERNATIVES. 2831 01:54:30,480 --> 01:54:33,040 THESE REVIEWS WILL INCLUDE 2832 01:54:33,040 --> 01:54:34,960 STUDIES THAT ASSESS BEVERAGE 2833 01:54:34,960 --> 01:54:36,720 CONSUMPTION IN INFANTS, 2834 01:54:36,720 --> 01:54:39,880 TODDLERS, ADOLESCENTS AND ADULTS 2835 01:54:39,880 --> 01:54:42,640 AND OLDER ADULTS AND ENDPOINT 2836 01:54:42,640 --> 01:54:44,080 OUTCOMES WILL BE ASSESSED ACROSS 2837 01:54:44,080 --> 01:54:45,560 THE LIFE SPAN AND SHOWN ON THE 2838 01:54:45,560 --> 01:54:45,840 SLIDE. 2839 01:54:45,840 --> 01:54:49,080 IN ADDITION TO THE KEY 2840 01:54:49,080 --> 01:54:50,320 CONFOUNDERS FOR BEVERAGES AND 2841 01:54:50,320 --> 01:54:52,040 GROWTH BODY COMPOSITION AND RISK 2842 01:54:52,040 --> 01:54:54,600 OF OBESITY QUESTIONS WE HAVE 2843 01:54:54,600 --> 01:54:55,520 INCLUDED FAMILY HISTORY OF 2844 01:54:55,520 --> 01:54:58,120 DIABETES AND ALCOHOL INTAKE AS 2845 01:54:58,120 --> 01:54:59,360 KEY CONFOUNDERS. 2846 01:54:59,360 --> 01:55:00,720 DIET QUALITY IS NOT INCLUDED AS 2847 01:55:00,720 --> 01:55:04,360 A KEY CONFOUNDER FOR BEVERAGES 2848 01:55:04,360 --> 01:55:06,160 AND RISK OF TYPE 2 DIABETES 2849 01:55:06,160 --> 01:55:06,560 QUESTIONS. 2850 01:55:06,560 --> 01:55:09,480 GIVEN OUR PREVIOUS CONVERSATION 2851 01:55:09,480 --> 01:55:13,480 WE MIGHT WANT TO BRING IN A 2852 01:55:13,480 --> 01:55:15,960 HISTORY OF GESTATIONAL DIABETES. 2853 01:55:15,960 --> 01:55:18,440 THIS SLIDE SHOWS THE ANALYTIC 2854 01:55:18,440 --> 01:55:21,040 FRAMEWORK FOR 100% JUICE AND 2855 01:55:21,040 --> 01:55:22,800 RISK OF TYPE 2 DIABETES AND 2856 01:55:22,800 --> 01:55:23,600 CONSISTENT WITH WHAT HAS BEEN 2857 01:55:23,600 --> 01:55:29,800 PRESENTED SO FAR. 2858 01:55:29,800 --> 01:55:32,840 THIS SLIDE SHOWS THE ANALYTIC 2859 01:55:32,840 --> 01:55:34,960 FRAMEWORK FOR SUGAR-SWEETENED 2860 01:55:34,960 --> 01:55:36,400 BEVERAGES AND TYPE 2 DIABETES 2861 01:55:36,400 --> 01:55:37,960 AND ALSO CONSISTENT WITH WHAT 2862 01:55:37,960 --> 01:55:42,400 HAS BEEN PRESENTED SO FAR. 2863 01:55:42,400 --> 01:55:45,400 THIS SLIDE SHOWS THE ANALYTIC 2864 01:55:45,400 --> 01:55:48,200 FRAMEWORK FOR LOW OR NO-CALORIE 2865 01:55:48,200 --> 01:55:50,320 SWEETENED CONSUMPTION AND RISK 2866 01:55:50,320 --> 01:55:52,520 OF TYPE 2 DIABETES AND ALSO 2867 01:55:52,520 --> 01:55:55,280 SIMILAR TO THE PREVIOUS 2868 01:55:55,280 --> 01:55:56,440 FRAMEWORKS. 2869 01:55:56,440 --> 01:56:00,240 AND THIS IS OUR LAST PROPOSED 2870 01:56:00,240 --> 01:56:01,600 FRAMEWORK. 2871 01:56:01,600 --> 01:56:03,200 SHOWS THE FRAMEWORK FOR COFFEE 2872 01:56:03,200 --> 01:56:05,320 AND/OR TEA CONSUMPTION AND RISK 2873 01:56:05,320 --> 01:56:07,320 OF TYPE 2 DIABETES AND ALSO 2874 01:56:07,320 --> 01:56:11,280 SIMILAR TO WHAT IS PRESENTED 2875 01:56:11,280 --> 01:56:11,960 PREVIOUSLY. 2876 01:56:11,960 --> 01:56:14,280 AND FOR THE PROPOSED BEVERAGE 2877 01:56:14,280 --> 01:56:16,600 CONSUMPTION AND RISK OF TYPE 2 2878 01:56:16,600 --> 01:56:19,080 DIABETES QUESTIONS SIMILARLY TO 2879 01:56:19,080 --> 01:56:20,800 WHAT HAS BEEN DESCRIBED 2880 01:56:20,800 --> 01:56:23,280 PREVIOUSLY STUDIES PUBLISHED 2881 01:56:23,280 --> 01:56:25,480 FROM JANUARY 2000 TO PRESENT 2882 01:56:25,480 --> 01:56:27,040 WILL BE INCLUDED. 2883 01:56:27,040 --> 01:56:29,480 THE HEALTH STATUS CRITERIA ARE 2884 01:56:29,480 --> 01:56:30,880 CONSISTENT WITH WHAT WE HAVE 2885 01:56:30,880 --> 01:56:33,680 DESCRIBED PREVIOUSLY AND AGAIN 2886 01:56:33,680 --> 01:56:35,320 THE INTERVENTION LINKS ARE AT 2887 01:56:35,320 --> 01:56:45,280 LEAST 12 WEEKS AND THIS IS FOR 2888 01:56:45,280 --> 01:56:53,720 HEMOGLOBIN AND TRIALS OF FOUR 2889 01:56:53,720 --> 01:56:57,360 WEEKS MAY BE AFFORDED. 2890 01:56:57,360 --> 01:57:03,640 AND I'LL TURN IT BACK OVER. 2891 01:57:03,640 --> 01:57:05,760 >>THANK YOU, DR. RAYNOR. 2892 01:57:05,760 --> 01:57:09,040 AS YOU CAN SEE THERE'S A LOT OF 2893 01:57:09,040 --> 01:57:10,920 WORK HERE IN ADDITION TO WORKING 2894 01:57:10,920 --> 01:57:13,240 THROUGH THE PROTOCOLS, MEMBERS 2895 01:57:13,240 --> 01:57:17,240 HAVE ALSO BEEN GOING ONLINE AND 2896 01:57:17,240 --> 01:57:19,920 MAKING CHANGES TO THESE. 2897 01:57:19,920 --> 01:57:21,240 SOME QUITE LATE AT NIGHT. 2898 01:57:21,240 --> 01:57:24,880 SO OUR NEXT STEPS ARE TO DEVELOP 2899 01:57:24,880 --> 01:57:26,040 PROTOCOLS FOR THE REMAINING 2900 01:57:26,040 --> 01:57:26,920 QUESTIONS. 2901 01:57:26,920 --> 01:57:28,720 THEY INCLUDE THE DIETARY 2902 01:57:28,720 --> 01:57:33,960 PATTERNS AND RISK OF COGNITIVE 2903 01:57:33,960 --> 01:57:36,720 DECLINE MILD COGNITIVE 2904 01:57:36,720 --> 01:57:37,360 IMPAIRMENT AND ALZHEIMER'S 2905 01:57:37,360 --> 01:57:39,280 DISEASE AND DIETARY PATTERNS IN 2906 01:57:39,280 --> 01:57:42,920 BONE HEALTH AND THE NEW PROTOCOL 2907 01:57:42,920 --> 01:57:44,040 FOR RISK OF CARDIOVASCULAR 2908 01:57:44,040 --> 01:57:44,720 DISEASE. 2909 01:57:44,720 --> 01:57:47,080 WE'VE BEGUN OUR DISCUSSIONS ON 2910 01:57:47,080 --> 01:57:48,800 THAT AND WE'LL CONTINUE THOSE. 2911 01:57:48,800 --> 01:57:51,240 WE WILL REFINE AND IMPLEMENT 2912 01:57:51,240 --> 01:57:52,880 PROTOCOLS FOR THE QUESTIONS THAT 2913 01:57:52,880 --> 01:57:56,600 WE JUST REVIEWED HERE TODAY. 2914 01:57:56,600 --> 01:57:58,720 WE HAVE DONE QUITE A BIT OF WORK 2915 01:57:58,720 --> 01:58:00,000 AND STILL HAVE QUITE A BIT OF 2916 01:58:00,000 --> 01:58:02,440 WORK TO DO AS YOU CAN SEE. 2917 01:58:02,440 --> 01:58:06,600 SO THANK YOU AGAIN TO THE 2918 01:58:06,600 --> 01:58:07,160 COMMITTEE MEMBERS AND THE 2919 01:58:07,160 --> 01:58:17,120 FLOOR'S OPEN FOR QUESTIONS. 2920 01:58:17,120 --> 01:58:17,360 HEATHER. 2921 01:58:17,360 --> 01:58:18,600 >>THANK YOU. 2922 01:58:18,600 --> 01:58:22,040 THAT WAS AN INTERESTING QUESTION 2923 01:58:22,040 --> 01:58:24,240 AND I HAVE AN QUESTION FOR HOLLY 2924 01:58:24,240 --> 01:58:26,760 FOR ALL OF YOU ABOUT THE 2925 01:58:26,760 --> 01:58:28,080 BEVERAGE QUESTIONS THAT WILL BE 2926 01:58:28,080 --> 01:58:28,280 ASKED. 2927 01:58:28,280 --> 01:58:34,520 DIET IS NOTORIOUSLY DIFFICULT TO 2928 01:58:34,520 --> 01:58:36,760 MEASURE AND MEASURING BEVERAGES 2929 01:58:36,760 --> 01:58:38,640 CAN BE MORE DIFFICULT BECAUSE OF 2930 01:58:38,640 --> 01:58:39,840 THE WAY WE MAY CONSUME THEM 2931 01:58:39,840 --> 01:58:41,480 THROUGHOUT THE DAY NOT JUST AT 2932 01:58:41,480 --> 01:58:44,280 ONE OCCASION OR A FEW OCCASIONS 2933 01:58:44,280 --> 01:58:46,880 IN A DAY BUT THROUGHOUT AND I'M 2934 01:58:46,880 --> 01:58:49,400 WONDERING WHAT THE COMMITTEE 2935 01:58:49,400 --> 01:58:51,920 MIGHT HAVE DISCUSSED REGARDING 2936 01:58:51,920 --> 01:58:58,640 QUANTIFYING OR LABELLING WHO IS 2937 01:58:58,640 --> 01:58:59,560 DRINKING A CERTAIN BEVERAGE. 2938 01:58:59,560 --> 01:59:02,280 I'M SURE ALL THE STUDIES HAVE 2939 01:59:02,280 --> 01:59:05,120 DEFINED THAT IN DIFFERENT WAYS 2940 01:59:05,120 --> 01:59:09,600 AND SO I JUST WONDER IF THERE'S 2941 01:59:09,600 --> 01:59:14,120 ANY CRITERIA FOR THAT YOU MAY 2942 01:59:14,120 --> 01:59:20,560 HAVE DISCUSSED FOR QUANTIFYING 2943 01:59:20,560 --> 01:59:23,520 DRINKING FRUIT AND BEVERAGES OR 2944 01:59:23,520 --> 01:59:26,440 FOR THE BEVERAGES YOU JUST. 2945 01:59:26,440 --> 01:59:29,760 >>I'D SAY SIMILAR TO WHAT WAS 2946 01:59:29,760 --> 01:59:30,440 DESCRIBED SIMILARLY. 2947 01:59:30,440 --> 01:59:31,320 FOR EXAMPLE IN THE PATTERNS 2948 01:59:31,320 --> 01:59:32,960 QUESTION WOULD BE SIMILAR TO 2949 01:59:32,960 --> 01:59:34,600 WHAT WE DESCRIBED FOR THE 2950 01:59:34,600 --> 01:59:38,080 DIETARY PATTERNS AND LL BE 2951 01:59:38,080 --> 01:59:40,320 WHAT'S REPORTED IN THE STUDIES. 2952 01:59:40,320 --> 01:59:42,960 HOWEVER, I THINK WHAT YOU BRING 2953 01:59:42,960 --> 01:59:44,640 UP THINKING AHEAD TO OUR REPORT 2954 01:59:44,640 --> 01:59:47,720 AND ESPECIALLY AS OUR DIETARY 2955 01:59:47,720 --> 01:59:48,920 ASSESSMENT TECHNOLOGY CHANGES 2956 01:59:48,920 --> 01:59:53,160 OVER TIME I THINK IT WOULD BE AN 2957 01:59:53,160 --> 01:59:55,000 IMPORTANT COMPONENT TO DESCRIBE 2958 01:59:55,000 --> 01:59:55,720 IN THE REPORT. 2959 01:59:55,720 --> 02:00:00,560 WE'LL BE TALKING ABOUT OTHER 2960 02:00:00,560 --> 02:00:02,160 QUESTIONS THAT TRADITIONALLY 2961 02:00:02,160 --> 02:00:03,080 POTENTIALLY WE'VE HAD MORE 2962 02:00:03,080 --> 02:00:04,120 PROBLEMS THAN OTHER WORKING 2963 02:00:04,120 --> 02:00:06,320 GROUPS AND SOME OF OUR 2964 02:00:06,320 --> 02:00:07,120 QUESTIONS, MORE PROBLEMS IN THE 2965 02:00:07,120 --> 02:00:10,600 DIETARY ASSESSMENT AREA AND I 2966 02:00:10,600 --> 02:00:11,880 THINK ADDING BEING ABLE TO BRING 2967 02:00:11,880 --> 02:00:15,280 THIS FORWARD AND AGAIN THINKING 2968 02:00:15,280 --> 02:00:16,680 ABOUT OUR NEWER TECHNOLOGIES AND 2969 02:00:16,680 --> 02:00:17,840 WHAT DOES THAT MEAN FOR RESEARCH 2970 02:00:17,840 --> 02:00:19,840 AND WHAT WE NEED TO REPORT ON 2971 02:00:19,840 --> 02:00:23,280 WOULD BE AN IMPORTANT 2972 02:00:23,280 --> 02:00:24,520 CONTRIBUTION TO THE LITERATURE. 2973 02:00:24,520 --> 02:00:25,080 >>CHRIS. 2974 02:00:25,080 --> 02:00:28,040 >>I THINK IT'S AN IMPORTANT 2975 02:00:28,040 --> 02:00:30,800 OVERARCHING THEME FOR EVERYTHING 2976 02:00:30,800 --> 02:00:33,720 WE TALKED ABOUT FOR COMMITTEE 2977 02:00:33,720 --> 02:00:35,920 ONE AND GO INTO COMMITTEE TWO 2978 02:00:35,920 --> 02:00:37,680 AND FOUR FOR THE NESR REVIEW IS 2979 02:00:37,680 --> 02:00:41,000 THE DETAIL AND THE FUNDAMENTALS 2980 02:00:41,000 --> 02:00:45,400 OF THE DESIGN, THE INTERVENTION, 2981 02:00:45,400 --> 02:00:47,280 WHAT IT IS AND WHAT IT ISN'T, 2982 02:00:47,280 --> 02:00:54,320 THE COMPOSITION, HOW WE'RE 2983 02:00:54,320 --> 02:00:55,880 MEASURING IT AND RIGOR AND 2984 02:00:55,880 --> 02:00:57,760 DETAIL OF THE DATA WE GET OUT. 2985 02:00:57,760 --> 02:00:58,920 THAT'S GOING TO BE THE 2986 02:00:58,920 --> 02:01:00,280 UNDERLYING THEME WE HAVE TO READ 2987 02:01:00,280 --> 02:01:02,560 ACROSS ALL OF THE STUDIES TO BE 2988 02:01:02,560 --> 02:01:03,080 ABLE TO MAKE CONSISTENT 2989 02:01:03,080 --> 02:01:05,520 RECOMMENDATIONS. 2990 02:01:05,520 --> 02:01:09,040 AND WHEN WE HAVE CHALLENGES AND 2991 02:01:09,040 --> 02:01:13,000 DESCRIPTIONS OF INTERVENTIONS, 2992 02:01:13,000 --> 02:01:15,720 DEPLOYMENT, FIDELITY AND 2993 02:01:15,720 --> 02:01:17,320 MEASUREMENT AFTER THAT EVERY ONE 2994 02:01:17,320 --> 02:01:18,400 OF THOSE ERRORS COMPOUNDS 2995 02:01:18,400 --> 02:01:21,640 LOOKING AT IT FROM A SYSTEMS 2996 02:01:21,640 --> 02:01:21,960 EVALUATION. 2997 02:01:21,960 --> 02:01:24,040 THAT WILL BE REALLY IMPORTANT AS 2998 02:01:24,040 --> 02:01:28,480 WE'RE EVALUATING EVERY STUDY HOW 2999 02:01:28,480 --> 02:01:29,640 IT HELPS GAUGE SYNTHESIS. 3000 02:01:29,640 --> 02:01:32,320 >>THANK YOU. 3001 02:01:32,320 --> 02:01:33,960 I DO WANT TO RESPOND HEATHER TO 3002 02:01:33,960 --> 02:01:36,520 ONE OF YOUR QUESTIONS WE DECIDED 3003 02:01:36,520 --> 02:01:38,920 NOT TO INCLUDE WATER AND PART OF 3004 02:01:38,920 --> 02:01:40,280 THAT IS THE PROBLEMS WITH 3005 02:01:40,280 --> 02:01:46,600 MEASURING WATER INTAKE. 3006 02:01:46,600 --> 02:01:48,640 IT'S KIND OF COMPOUNDED THE 3007 02:01:48,640 --> 02:01:51,040 ISSUES YOU BROUGHT UP AND IT'S 3008 02:01:51,040 --> 02:01:54,840 OFTEN USED AS A COMPARATOR IN A 3009 02:01:54,840 --> 02:01:56,320 LOT OF THE RCTs SO WE DECIDED 3010 02:01:56,320 --> 02:01:58,840 NOT TO INCLUDE IT AND I THINK 3011 02:01:58,840 --> 02:02:01,480 THAT HAS SOME RELEVANCE TO WHAT 3012 02:02:01,480 --> 02:02:04,080 YOU WERE ASKING ABOUT. 3013 02:02:04,080 --> 02:02:07,920 >>WHEN WE USE NDSR WE ARE 3014 02:02:07,920 --> 02:02:08,840 ALWAYS PROBING FOR FREQUENCY 3015 02:02:08,840 --> 02:02:10,120 TIME OF DAY. 3016 02:02:10,120 --> 02:02:12,320 IT'S NOT A MEAL ORIENTED DAY IN 3017 02:02:12,320 --> 02:02:14,200 THE FIVE-PASS SYSTEM WE'RE 3018 02:02:14,200 --> 02:02:16,680 ALWAYS SAYING FOR A SNACK ARE 3019 02:02:16,680 --> 02:02:19,400 YOU SURE YOU DIDN'T HAVE 3020 02:02:19,400 --> 02:02:22,720 SOMETHING AND TIME OF DAY IS 3021 02:02:22,720 --> 02:02:23,000 RECORDED. 3022 02:02:23,000 --> 02:02:23,720 AT LEAST THAT ASSESSMENT 3023 02:02:23,720 --> 02:02:34,160 APPROACH CAN CAPTURE THAT. 3024 02:02:34,680 --> 02:02:37,200 >>MY QUESTION IS ABOUT COFFEE 3025 02:02:37,200 --> 02:02:39,520 AND TEA OFTEN COMBINED WITH 3026 02:02:39,520 --> 02:02:41,320 OTHER BEVERAGES MILK AND OTHER. 3027 02:02:41,320 --> 02:02:43,520 HOW DO YOU TEASE OUT THE EFFECTS 3028 02:02:43,520 --> 02:02:47,760 OF ALL THE BEVERAGES INCLUDED. 3029 02:02:47,760 --> 02:02:51,160 >>WE'LL BE LOOKING AT THAT. 3030 02:02:51,160 --> 02:02:53,640 WE HOPE IT TEASE A PART IF 3031 02:02:53,640 --> 02:02:55,200 POSSIBLE COFFEE AND TEA AND THE 3032 02:02:55,200 --> 02:03:00,880 ADDITIONS TO COFFEE AND TEA 3033 02:03:00,880 --> 02:03:07,160 WHICH WOULD BE DAIRY PRODUCTS, 3034 02:03:07,160 --> 02:03:08,840 SUGAR/SWEETENER AND ARE HOPING 3035 02:03:08,840 --> 02:03:11,280 TO TEASE THAT A PART WITH WHAT 3036 02:03:11,280 --> 02:03:16,760 WE SPEEP -- WE SEE. 3037 02:03:16,760 --> 02:03:26,800 >>THAT WOULD BE THE MOCHA 3038 02:03:26,800 --> 02:03:28,000 CRAPOCCINO EFFECT. 3039 02:03:28,000 --> 02:03:31,840 >>SOME HAVE DATA ON DECAF AND 3040 02:03:31,840 --> 02:03:33,040 REGULAR TEA AS WELL. 3041 02:03:33,040 --> 02:03:34,440 DEPENDING ON HOW MUCH DATA IS 3042 02:03:34,440 --> 02:03:36,560 AVAILABLE [INDISCERNIBLE]. 3043 02:03:36,560 --> 02:03:38,320 >>YOU CAN TELL THERE'S SOME 3044 02:03:38,320 --> 02:03:38,960 QUESTIONS WE'RE REALLY EXCITED 3045 02:03:38,960 --> 02:03:44,880 ABOUT. 3046 02:03:44,880 --> 02:03:51,400 ANY OTHER COMMENTS? 3047 02:03:51,400 --> 02:03:52,120 THANK YOU AGAIN FOR THE 3048 02:03:52,120 --> 02:03:54,920 COMMITTEE MEMBERS AND ALL THE 3049 02:03:54,920 --> 02:03:57,280 MEMBERS AND FOR ASSISTANCE WITH 3050 02:03:57,280 --> 02:03:57,520 NESR. 3051 02:03:57,520 --> 02:03:59,000 WE HAD GREAT STAFF SUPPORT SO I 3052 02:03:59,000 --> 02:03:59,560 REALLY APPRECIATE ALL THAT. 3053 02:03:59,560 --> 02:04:00,960 THANK YOU. 3054 02:04:00,960 --> 02:04:07,680 >>AND GREAT LEADERSHIP. 3055 02:04:07,680 --> 02:04:10,440 >>I ECHO CHRISTOPHER'S COMMENT. 3056 02:04:10,440 --> 02:04:11,440 GREAT LEADERSHIP. 3057 02:04:11,440 --> 02:04:15,280 THANK YOU, ED, THANK YOU, HOLLY 3058 02:04:15,280 --> 02:04:19,080 AND DEANNE FOR MEMBERS OF THE 3059 02:04:19,080 --> 02:04:19,720 SUBCOMMITTEE AND THANK YOU FOR 3060 02:04:19,720 --> 02:04:22,760 THE BROADER COMMITTEE AND ALL 3061 02:04:22,760 --> 02:04:24,560 THE GREAT SUGGESTIONS BECAUSE I 3062 02:04:24,560 --> 02:04:26,520 KNOW SUBCOMMITTEE ONE WILL GO 3063 02:04:26,520 --> 02:04:31,160 BACK AND HAVE ANOTHER VERY 3064 02:04:31,160 --> 02:04:31,760 PASSIONATE DISCUSSION ABOUT YOUR 3065 02:04:31,760 --> 02:04:34,400 COMMENTS. 3066 02:04:34,400 --> 02:04:35,400 10-MINUTE BREAK. 3067 02:04:35,400 --> 02:04:37,360 HOW ABOUT THAT? 3068 02:04:37,360 --> 02:04:39,480 IT'S RIGHT NOW 11:04. 3069 02:04:39,480 --> 02:04:43,160 LET'S BE BACK AT 11:14 BECAUSE 3070 02:04:43,160 --> 02:04:47,280 THEN WE ARE GOING TO DRUM ROLL, 3071 02:04:47,280 --> 02:04:48,160 SUBCOMMITTEE TWO LED BIENY. 3072 02:04:48,160 --> 02:04:50,440 THANK YOU. 3073 02:04:50,440 --> 02:04:50,680 -- JENNY. 3074 02:04:50,680 --> 02:04:59,840 THANK YOU. 3075 02:04:59,840 --> 02:05:02,520 SO EVERYBODY IS SO ENTHUSIASTIC 3076 02:05:02,520 --> 02:05:04,920 ABOUT TALKING ABOUT THE LAST 3077 02:05:04,920 --> 02:05:07,640 PRESENTATION AND THEY'RE ALL 3078 02:05:07,640 --> 02:05:10,440 EXCITED BUT TIME IS APPRECIATION 3079 02:05:10,440 --> 02:05:14,280 SO WERE NOW GOING OVER TO 3080 02:05:14,280 --> 02:05:18,720 SUBCOMMITTEE TWO LED BY JENNIFER 3081 02:05:18,720 --> 02:05:19,040 FISHER. 3082 02:05:19,040 --> 02:05:19,800 GO AHEAD. 3083 02:05:19,800 --> 02:05:22,760 >>I'M DELIGHTED TO REPORT BACK 3084 02:05:22,760 --> 02:05:25,960 THE WORK OUR SUBCOMMITTEE HAS 3085 02:05:25,960 --> 02:05:27,360 UNDERTAKEN TO EVALUATE THE 3086 02:05:27,360 --> 02:05:29,160 SCIENTIFIC EVIDENCE ON DIET AND 3087 02:05:29,160 --> 02:05:31,400 PREGNANCY AND BIRTH THROUGH 3088 02:05:31,400 --> 02:05:31,720 ADOLESCENCE. 3089 02:05:31,720 --> 02:05:35,960 AND PLEASED TO SAY I'LL BE 3090 02:05:35,960 --> 02:05:37,800 JOINED IN PRESENTING OUR 3091 02:05:37,800 --> 02:05:39,120 SYSTEMIC REVIEW PROTOCOLS. 3092 02:05:39,120 --> 02:05:40,520 BEFORE WE GET STARTED I WANTED 3093 02:05:40,520 --> 02:05:43,680 TO ACKNOWLEDGE THE CONTRIBUTIONS 3094 02:05:43,680 --> 02:05:46,160 OF OUR SCIENTIFIC MEMBERS. 3095 02:05:46,160 --> 02:05:47,520 OUR SUBCOMMITTEE BRINGS TOGETHER 3096 02:05:47,520 --> 02:05:51,720 A TALENTED AND PASSIONATE GROUP 3097 02:05:51,720 --> 02:06:00,440 OF SCIENTISTS, CLINICIANS AND 3098 02:06:00,440 --> 02:06:03,040 PUBLIC HEALTH EXPERTS AND HUGE 3099 02:06:03,040 --> 02:06:05,080 THANKS TO THE FEDERAL SUPPORT 3100 02:06:05,080 --> 02:06:05,360 STAFF. 3101 02:06:05,360 --> 02:06:10,160 WE WOULD NOT HAVE MUCH TO 3102 02:06:10,160 --> 02:06:13,600 DELIBERATE, SYNTHESIZE WITHOUT 3103 02:06:13,600 --> 02:06:15,680 THE WORK SO THANK YOU SO NESR 3104 02:06:15,680 --> 02:06:26,360 STAFF WITH FEDERAL LIAISONS SO 3105 02:06:28,640 --> 02:06:30,120 THANK YOU. 3106 02:06:30,120 --> 02:06:31,120 WE PRIORITIZED EIGHT QUESTIONS 3107 02:06:31,120 --> 02:06:35,440 THAT SPAN THE WIDE LIFE STAGES 3108 02:06:35,440 --> 02:06:39,800 FROM PREGNANCY, INFANCY, 3109 02:06:39,800 --> 02:06:41,000 TODDLERHOOD AND EARLY AND MIDDLE 3110 02:06:41,000 --> 02:06:42,480 CHILDHOOD THROUGH ADOLESCENCE. 3111 02:06:42,480 --> 02:06:45,080 IF YOU WORK IN THIS AREA YOU 3112 02:06:45,080 --> 02:06:46,240 KNOW IS SIGNIFICANT. 3113 02:06:46,240 --> 02:06:48,800 IF YOU REMEMBER YOUR CHILDHOOD 3114 02:06:48,800 --> 02:06:49,880 IT'S SIGNIFICANT AND IF YOU 3115 02:06:49,880 --> 02:06:50,520 CARED FOR CHILDREN YOU KNOW 3116 02:06:50,520 --> 02:06:55,040 THIS. 3117 02:06:55,040 --> 02:06:59,400 IT'S A WIDE RANGE. 3118 02:06:59,400 --> 02:07:03,240 WE SHARE COMMON INTERVENTION 3119 02:07:03,240 --> 02:07:05,640 EXPOSURE OF DIETARY PATTERNS AND 3120 02:07:05,640 --> 02:07:11,160 HAVE UNIQUE MATERNAL AND HEALTH 3121 02:07:11,160 --> 02:07:15,920 OUTCOMES. 3122 02:07:15,920 --> 02:07:21,320 AND WE LOOK AT GESTATIONAL AGE 3123 02:07:21,320 --> 02:07:26,760 AT BIRTH AND BIRTH WEIGHT AND 3124 02:07:26,760 --> 02:07:37,440 LOOK AT QUESTIONS AND WE LOOK AT 3125 02:07:44,000 --> 02:07:47,400 RISK OF OBESITY OUTCOMES AND THE 3126 02:07:47,400 --> 02:07:49,560 REMAINING QUESTIONS REPRESENT A 3127 02:07:49,560 --> 02:07:54,760 FIRST IN DIETARY GUIDELINES 3128 02:07:54,760 --> 02:07:57,560 ADVISORY COMMITTEE HISTORY. 3129 02:07:57,560 --> 02:08:02,640 AND CONSIDER THE FEEDING OF 3130 02:08:02,640 --> 02:08:03,920 CHILDREN AND THESE QUESTIONS HAD 3131 02:08:03,920 --> 02:08:08,240 THE GOAL OF SUPPORTING 3132 02:08:08,240 --> 02:08:09,600 CAREGIVERS BY OFFERING EVIDENCE 3133 02:08:09,600 --> 02:08:12,000 BASED STRATEGY TO HELP PROMOTE 3134 02:08:12,000 --> 02:08:13,560 HELPFUL PATTERNS OF FOOD 3135 02:08:13,560 --> 02:08:16,960 ACCEPTANCE AND DIETARY INTAKE 3136 02:08:16,960 --> 02:08:18,720 AND GROWTH AMONG YOUNG CHILDREN. 3137 02:08:18,720 --> 02:08:22,360 ONE SHORT AND PERSONAL NOTE IS 3138 02:08:22,360 --> 02:08:26,440 THAT MY GRADUATE ADVISER A 3139 02:08:26,440 --> 02:08:27,400 RENOWN DEVELOPMENTAL 3140 02:08:27,400 --> 02:08:30,280 PSYCHOLOGIST AND WIDELY 3141 02:08:30,280 --> 02:08:33,200 REGARDING THE FIELD OF STUDY 3142 02:08:33,200 --> 02:08:34,240 AROUND CHILDREN'S FEEDING 3143 02:08:34,240 --> 02:08:39,400 BEHAVIORS AND PASSED IN 2019. 3144 02:08:39,400 --> 02:08:41,080 I KNOW WITHOUT A DOUBT SHE WOULD 3145 02:08:41,080 --> 02:08:43,080 BE SO PLEASED WITH THE 3146 02:08:43,080 --> 02:08:49,480 SIGNIFICANCE OF MOVING THIS WORK 3147 02:08:49,480 --> 02:08:51,520 FORWARD IN BETTERING THE 3148 02:08:51,520 --> 02:08:54,440 INTEREST OF HEALTH OF FAMILIES. 3149 02:08:54,440 --> 02:08:58,720 AND MOVING FORWARD ONE OF OUR 3150 02:08:58,720 --> 02:09:00,440 QUESTIONS ON COMPLIMENTARY 3151 02:09:00,440 --> 02:09:01,800 FEEDING AND IRON AND ZINC STATUS 3152 02:09:01,800 --> 02:09:05,920 WAS NOT PRIORITIZED DUE TO LACK 3153 02:09:05,920 --> 02:09:07,200 OF RESEARCH. 3154 02:09:07,200 --> 02:09:10,480 SINCE A RELATIVELY RECENT NESR 3155 02:09:10,480 --> 02:09:16,120 REON -- RECENT REVIEW AND I'LL 3156 02:09:16,120 --> 02:09:16,960 TAKE A LITTLE BIT MORE ON 3157 02:09:16,960 --> 02:09:17,400 SUBSEQUENT SLIDES. 3158 02:09:17,400 --> 02:09:19,160 WE'LL LOOK AT THE DEVELOPMENT OF 3159 02:09:19,160 --> 02:09:21,120 OUR DRAFT PROTOCOLS. 3160 02:09:21,120 --> 02:09:23,240 I'M PLEASED TO SAY OUR 3161 02:09:23,240 --> 02:09:24,480 SUBCOMMITTEE WAS ABLE TO DRAFT 3162 02:09:24,480 --> 02:09:26,280 SYSTEMIC REVIEW PROTOCOLS FOR 3163 02:09:26,280 --> 02:09:30,240 ALL THE EIGHT PRIORITIZED 3164 02:09:30,240 --> 02:09:32,960 QUESTIONS AND THOSE WILL SOON BE 3165 02:09:32,960 --> 02:09:37,640 POSTED TO DIETARY GUIDELINES.gov 3166 02:09:37,640 --> 02:09:40,160 ALL BUT ONE ARE UPDATES TO 3167 02:09:40,160 --> 02:09:42,040 EXISTING NESR REVIEWS AS PART OF 3168 02:09:42,040 --> 02:09:44,280 THE PREGNANCY AND BIRTH TO 24 3169 02:09:44,280 --> 02:09:48,200 MONTHS INITIATIVE TO INFORM THE 3170 02:09:48,200 --> 02:09:49,920 2020 GUIDELINES. 3171 02:09:49,920 --> 02:09:53,040 WHEN COMPREHENSIVE GUIDANCE FOR 3172 02:09:53,040 --> 02:09:54,160 PREGNANCY AND LACTATION LIFE 3173 02:09:54,160 --> 02:09:58,520 STAGES WERE INCLUDED IN THE 3174 02:09:58,520 --> 02:09:59,480 GUIDELINES FOR THE FIRST TIME 3175 02:09:59,480 --> 02:10:02,200 FOR THE SIGNIFICANT UNDERTAKING 3176 02:10:02,200 --> 02:10:03,960 THAT INVOLVED YESTERDAY. 3177 02:10:03,960 --> 02:10:06,640 THE NESR B24 REVIEWS WERE 3178 02:10:06,640 --> 02:10:08,560 PUBLISHED IN 2019. 3179 02:10:08,560 --> 02:10:10,000 THEY'RE RELATIVELY RECENT. 3180 02:10:10,000 --> 02:10:12,080 SO OUR SUBCOMMITTEE WILL UPDATE 3181 02:10:12,080 --> 02:10:14,320 THOSE REVIEWS CERTAINLY TO 3182 02:10:14,320 --> 02:10:15,520 CAPTURE NEW EVIDENCE THAT'S COME 3183 02:10:15,520 --> 02:10:19,000 OUT SINCE THOSE HAVE BEEN 3184 02:10:19,000 --> 02:10:19,280 PUBLISHED. 3185 02:10:19,280 --> 02:10:21,720 WE'LL ALSO EXPAND THOSE REVIEWS 3186 02:10:21,720 --> 02:10:23,680 TO INCLUDE OLDER CHILDREN SINCE 3187 02:10:23,680 --> 02:10:26,400 THOSE REVIEWS ARE PUBLISHED ON 3188 02:10:26,400 --> 02:10:26,920 B24. 3189 02:10:26,920 --> 02:10:37,440 ADDITIONALLY WE ADDED A NEW AND 3190 02:10:37,800 --> 02:10:39,240 DIETARY GUIDELINE FOR AMERICANS. 3191 02:10:39,240 --> 02:10:42,240 EACH OF THE EIGHT QUESTIONS WE 3192 02:10:42,240 --> 02:10:43,640 HAVE PRIORITIZED WILL EMPLOYEE 3193 02:10:43,640 --> 02:10:46,440 THE NESR INCLUSION AND EXCLUSION 3194 02:10:46,440 --> 02:10:47,760 CRITERIA PREVIOUSLY DESCRIBED. 3195 02:10:47,760 --> 02:10:48,400 I WON'T SAY MUCH MORE ABOUT 3196 02:10:48,400 --> 02:10:53,720 THAT. 3197 02:10:53,720 --> 02:10:59,160 AT THIS POINT I'LL TURN IT OVER 3198 02:10:59,160 --> 02:11:02,560 TO DR. DEIERLEIN FOR PROTOCOLS 3199 02:11:02,560 --> 02:11:03,200 RELATED TO DIETARY PATTERNS 3200 02:11:03,200 --> 02:11:06,120 REGARDING PREGNANCY. 3201 02:11:06,120 --> 02:11:08,000 >>THANK YOU. 3202 02:11:08,000 --> 02:11:09,880 SO SUBCOMMITTEE TWO IS ALSO 3203 02:11:09,880 --> 02:11:12,000 REVIEWING DIETARY PATTERNS AND 3204 02:11:12,000 --> 02:11:13,360 WILL BE USING THE SAME KEY 3205 02:11:13,360 --> 02:11:14,520 DEFINITION FOR DIETARY PATTERNS 3206 02:11:14,520 --> 02:11:17,960 AS THE OTHER SUBCOMMITTEES. 3207 02:11:17,960 --> 02:11:19,480 THIS DEFINITION APPLIES TO ALL 3208 02:11:19,480 --> 02:11:23,080 FOUR PREGNANCY QUESTIONS. 3209 02:11:23,080 --> 02:11:26,480 SO REGARDING THE INCLUSION AND 3210 02:11:26,480 --> 02:11:27,480 EXCLUSION CRITERIA, THEY'RE THE 3211 02:11:27,480 --> 02:11:30,520 SAME AS WHAT WAS OUTLINED BY 3212 02:11:30,520 --> 02:11:31,320 SUBCOMMITTEE ONE REGARDING 3213 02:11:31,320 --> 02:11:32,880 DIETARY PATTERNS AND THEY APPLY 3214 02:11:32,880 --> 02:11:35,160 TO ALL FOUR PREGNANCY QUESTIONS. 3215 02:11:35,160 --> 02:11:38,760 THE SAME DEFINITIONS WILL BE 3216 02:11:38,760 --> 02:11:40,880 USED ACROSS SUBCOMMITTEES. 3217 02:11:40,880 --> 02:11:43,120 SO FOR THE FOUR QUESTIONS WE ARE 3218 02:11:43,120 --> 02:11:45,240 TAKE TO PREGNANCY WHICH WILL BE 3219 02:11:45,240 --> 02:11:46,560 PRESENTED ON THIS SLIDE AND THE 3220 02:11:46,560 --> 02:11:47,920 FOLLOWING THREE SLIDES THE 3221 02:11:47,920 --> 02:11:50,640 POPULATION IS ALWAYS GOING TO BE 3222 02:11:50,640 --> 02:11:52,120 INDIVIDUALS DURING PREGNANCY AND 3223 02:11:52,120 --> 02:11:56,080 THE INTERVENTION, EXPOSURE AND 3224 02:11:56,080 --> 02:11:57,240 COMPARATOR OF DIETARY PATTERNS. 3225 02:11:57,240 --> 02:12:00,320 FOR THE QUESTION ON THIS SLIDE 3226 02:12:00,320 --> 02:12:02,000 WHAT IS THE RELATIONSHIP FOR 3227 02:12:02,000 --> 02:12:03,360 DIETARY PATTERNS CONSUMED DURING 3228 02:12:03,360 --> 02:12:04,880 PREGNANCY AND THE RISK OF 3229 02:12:04,880 --> 02:12:05,840 HYPERTENSIVE DISORDERS AND THE 3230 02:12:05,840 --> 02:12:08,040 OUTCOMES WE'RE LOOKING AT ARE 3231 02:12:08,040 --> 02:12:10,360 BLOOD PRESSURE, PROTEIN IN THE 3232 02:12:10,360 --> 02:12:14,560 URINE, ECLAMPSIA AND 3233 02:12:14,560 --> 02:12:16,600 PREECLAMPSIA AND HYPERTENSION 3234 02:12:16,600 --> 02:12:20,240 AND WE LOOKED AT SOCIO ECONOMIC 3235 02:12:20,240 --> 02:12:22,480 POSITION AND ANTHROPOMETRY AND 3236 02:12:22,480 --> 02:12:25,200 SMOKING AND DIABETES IN THE 3237 02:12:25,200 --> 02:12:26,600 PREGNANCY AND HISTORY OF 3238 02:12:26,600 --> 02:12:28,400 HYPERTENSIVE DISORDERS DURING 3239 02:12:28,400 --> 02:12:28,880 PREGNAN 3240 02:12:28,880 --> 02:12:32,000 PREGNANCY. 3241 02:12:32,000 --> 02:12:34,440 FOR THE QUESTION WHAT IS THE 3242 02:12:34,440 --> 02:12:35,760 RELATIONSHIP FOR DIETARY 3243 02:12:35,760 --> 02:12:39,160 PATTERNS DURING PREGNANCY AND 3244 02:12:39,160 --> 02:12:44,040 GESTATIONAL DIABETES MALITIS WE 3245 02:12:44,040 --> 02:12:46,200 LOOKED AT FASTING BLOOD GUE 3246 02:12:46,200 --> 02:12:49,240 CLOSE OR INSULIN RESISTANCE AND 3247 02:12:49,240 --> 02:12:49,720 GESTATIONAL DIABETES. 3248 02:12:49,720 --> 02:12:52,600 THE KEY CONFOUNDERS ARE THE SAME 3249 02:12:52,600 --> 02:12:59,880 AS FOR THE PREVIOUS QUESTION AND 3250 02:12:59,880 --> 02:13:01,280 LOOKING THE HISTORY OF GDM FOR 3251 02:13:01,280 --> 02:13:02,200 KEY CONFOUNDER. 3252 02:13:02,200 --> 02:13:04,080 FOR THE QUESTION WHAT IS THE 3253 02:13:04,080 --> 02:13:05,360 RELATIONSHIP BETWEEN DIETARY 3254 02:13:05,360 --> 02:13:06,720 PATTERNS CONSUMED DURING 3255 02:13:06,720 --> 02:13:09,520 PREGNANCY AND GESTATIONAL AGE AT 3256 02:13:09,520 --> 02:13:11,280 BIRTH THE OUTCOME WILL BE 3257 02:13:11,280 --> 02:13:12,040 GESTATIONAL AGE AT BIRTH AND THE 3258 02:13:12,040 --> 02:13:15,680 KEY CONFOUNDERS ARE THE SAME FOR 3259 02:13:15,680 --> 02:13:18,760 AGE THROUGH PARITY AND INCLUDING 3260 02:13:18,760 --> 02:13:21,920 DIABETES IN THE CURRENT 3261 02:13:21,920 --> 02:13:23,800 PREGNANCY AS WELL AS 3262 02:13:23,800 --> 02:13:25,040 HYPERTENSIVE DISORDERS IN THE 3263 02:13:25,040 --> 02:13:25,880 CURRENT PREGNANCY. 3264 02:13:25,880 --> 02:13:27,960 FOR THE LAST QUESTION WHAT IS 3265 02:13:27,960 --> 02:13:30,320 THE RELATIONSHIP BETWEEN DIETARY 3266 02:13:30,320 --> 02:13:32,280 PATTERNS BETWEEN PREGNANCY AND 3267 02:13:32,280 --> 02:13:35,760 BIRTH WEIGHT WE'LL LOOK AT 3268 02:13:35,760 --> 02:13:43,160 OUTCOMES SO INTRAUTERINE GROWTH 3269 02:13:43,160 --> 02:13:44,560 AND KEY CONFOUNDERS ARE THOSE 3270 02:13:44,560 --> 02:13:45,160 THE SAME AS FOR THE PREVIOUS 3271 02:13:45,160 --> 02:13:54,600 QUESTION. 3272 02:13:54,600 --> 02:13:57,000 AND EXISTING AND THE PUBLICATION 3273 02:13:57,000 --> 02:13:59,240 DATES WILL BE BEGIN IN 1980 AND 3274 02:13:59,240 --> 02:13:59,920 UPDATES MADE TO THESE EXISTING 3275 02:13:59,920 --> 02:14:03,880 REVIEWS. 3276 02:14:03,880 --> 02:14:04,440 I'LL PAUSE FOR COMMITTEE 3277 02:14:04,440 --> 02:14:14,640 DISCUSSION. 3278 02:14:18,000 --> 02:14:28,440 >>THANK YOU FOR THE OVERVAU. 3279 02:14:43,320 --> 02:14:45,800 >>I ASSUME THAT'S WHAT'S IN 3280 02:14:45,800 --> 02:14:47,920 THE -- OVERVIEW AND LUKE AT THE 3281 02:14:47,920 --> 02:14:52,640 LITERATURE. 3282 02:14:52,640 --> 02:14:53,480 >>MAYBE THE NESR TEAM CAN LOOK 3283 02:14:53,480 --> 02:15:02,840 AT THAT. 3284 02:15:02,840 --> 02:15:07,840 >>ANY OTHER QUESTIONS? 3285 02:15:07,840 --> 02:15:12,600 >>OKAY. 3286 02:15:12,600 --> 02:15:12,920 CONTINUE. 3287 02:15:12,920 --> 02:15:16,200 >>THANK YOU. 3288 02:15:16,200 --> 02:15:21,440 >>NOW WE'LL GO TO COMPLIMENTARY 3289 02:15:21,440 --> 02:15:21,680 FEEDING. 3290 02:15:21,680 --> 02:15:23,720 SO THIS PROTOCOL PERTAINS TO 3291 02:15:23,720 --> 02:15:24,960 COMPLIMENTARY FEEDING WHICH USE 3292 02:15:24,960 --> 02:15:26,520 THE FOLLOWING DEFINITION. 3293 02:15:26,520 --> 02:15:28,280 SO IT'S THE PROCESS THAT STARTS 3294 02:15:28,280 --> 02:15:31,960 WHEN HUMAN MILK OR INFANT 3295 02:15:31,960 --> 02:15:35,200 FORMULA IS COMPLIMENT OTHER 3296 02:15:35,200 --> 02:15:36,800 FOODS AND BEVERAGES. 3297 02:15:36,800 --> 02:15:39,320 IT CONTINUES TO 24 MONTHS AS THE 3298 02:15:39,320 --> 02:15:41,920 YOUNG CHILD TRANSITION TO FAMILY 3299 02:15:41,920 --> 02:15:42,160 FOODS 3300 02:15:42,160 --> 02:15:45,840 AND FOODS AND BEVERAGE DEFINED 3301 02:15:45,840 --> 02:15:47,600 AS FOODS AND BEVERAGES PROVIDED 3302 02:15:47,600 --> 02:15:50,480 TO AN INFANT OR YOUNG CHILD TO 3303 02:15:50,480 --> 02:15:53,480 PROVIDE NUTRIENTS AND ENERGY. 3304 02:15:53,480 --> 02:15:56,120 SO THIS IS THE ANALYTIC 3305 02:15:56,120 --> 02:15:58,120 FRAMEWORK FOR OUR QUESTION WHICH 3306 02:15:58,120 --> 02:16:00,960 IS WHAT IS THE RELATIONSHIP 3307 02:16:00,960 --> 02:16:01,960 BETWEEN COMPLIMENTARY FEEDING 3308 02:16:01,960 --> 02:16:03,960 AND GROWTH BODY COMPOSITION AND 3309 02:16:03,960 --> 02:16:06,680 RISK OF OBESITY WHICH UPDATES AN 3310 02:16:06,680 --> 02:16:08,280 EXISTING NESR SYSTEMATIC REVIEW 3311 02:16:08,280 --> 02:16:10,440 DURING THE PREGNANCY AND BIRTH 3312 02:16:10,440 --> 02:16:13,680 24 MONTHS PROJECT MENTIONED. 3313 02:16:13,680 --> 02:16:15,160 AND AS MENTIONED EARLIER IN THE 3314 02:16:15,160 --> 02:16:16,560 PRESENTATIONS THE ORIGINAL 3315 02:16:16,560 --> 02:16:18,240 WORDING OF THIS QUESTION WAS 3316 02:16:18,240 --> 02:16:20,400 WHAT IS THE RELATIONSHIP BETWEEN 3317 02:16:20,400 --> 02:16:22,640 TIMING OF INTRODUCTION AND TYPES 3318 02:16:22,640 --> 02:16:24,080 AND AMOUNTS OF COMPLIMENTARY 3319 02:16:24,080 --> 02:16:29,000 FOODS AND BEVERAGES AND BROTHER 3320 02:16:29,000 --> 02:16:33,680 SIZE, BODY XOIGS AND RI -- 3321 02:16:33,680 --> 02:16:36,320 COMPOSITION AND RISK OF OBESITY 3322 02:16:36,320 --> 02:16:39,600 AND THIS WAS SIMPLIFIED WHILE 3323 02:16:39,600 --> 02:16:42,400 LOOKING AT ASPECTS OF 3324 02:16:42,400 --> 02:16:43,240 COMPLIMENTARY FEEDING AND DOES 3325 02:16:43,240 --> 02:16:45,000 NOT CHANGE THE SCOPE OF THE 3326 02:16:45,000 --> 02:16:45,360 REVIEW. 3327 02:16:45,360 --> 02:16:46,520 THE POPULATION AT EXPOSURE FOR 3328 02:16:46,520 --> 02:16:49,640 THE REVIEW IS INFANTS AND 3329 02:16:49,640 --> 02:16:54,960 TODDLERS FROM BIRTH UP TO 24 3330 02:16:54,960 --> 02:16:59,480 MONTHS AND SUBDIVIDED TO 3331 02:16:59,480 --> 02:16:59,920 CATEGORIES. 3332 02:16:59,920 --> 02:17:01,720 FIRST TIMING OF THE FIRST 3333 02:17:01,720 --> 02:17:03,040 INTRODUCTION OF ANY 3334 02:17:03,040 --> 02:17:04,720 COMPLIMENTARY FOOD OR BEVERAGE 3335 02:17:04,720 --> 02:17:06,280 WHICH WILL BE COMPARED TO A 3336 02:17:06,280 --> 02:17:08,000 DIFFERENT TIMING OF THE 3337 02:17:08,000 --> 02:17:11,160 INTRODUCTION OF ANY 3338 02:17:11,160 --> 02:17:11,800 COMPLIMENTARY FOOD OR BEVERAGE 3339 02:17:11,800 --> 02:17:12,920 AND SECOND IS TIMING OF THE 3340 02:17:12,920 --> 02:17:15,000 FIRST INTRODUCTION OF A SPECIFIC 3341 02:17:15,000 --> 02:17:16,400 TYPE OF COMPLIMENTARY FOOD OR 3342 02:17:16,400 --> 02:17:21,840 BEVERAGE WHICH IS GOING TO BE 3343 02:17:21,840 --> 02:17:29,960 COMPARED TO THE COMPLIMENTARY 3344 02:17:29,960 --> 02:17:32,080 FOOD OR BEVERAGE. 3345 02:17:32,080 --> 02:17:35,360 THIRD TYPES OF FOOD AND 3346 02:17:35,360 --> 02:17:36,280 BEVERAGES COMPARED TO A 3347 02:17:36,280 --> 02:17:38,400 DIFFERENT AMOUNT OF THE SAME 3348 02:17:38,400 --> 02:17:40,040 COMPLIMENTARY FOOD OR BEVERAGE 3349 02:17:40,040 --> 02:17:41,560 OR TYPE OF COMPLIMENTARY FOOD OR 3350 02:17:41,560 --> 02:17:41,800 BEVERAGE. 3351 02:17:41,800 --> 02:17:47,440 FOR THE TIMING OF THE FIRST 3352 02:17:47,440 --> 02:17:57,880 INTRODUCTION AND SYSTEMIC 3353 02:18:10,320 --> 02:18:11,040 REVIEWS WITH META-ANALYSIS WILL 3354 02:18:11,040 --> 02:18:13,760 BE CONDUCTED ON THE 3355 02:18:13,760 --> 02:18:24,400 RELATIONSHIPS BETWEEN ING A 3356 02:18:24,400 --> 02:18:27,440 SUGAR-SWEETENED FOODS AND 3357 02:18:27,440 --> 02:18:28,840 INFANTS AND TODDLERS WILL BE 3358 02:18:28,840 --> 02:18:29,080 INCLUDE. 3359 02:18:29,080 --> 02:18:30,800 FOR THE OUTCOMES WE'LL BE 3360 02:18:30,800 --> 02:18:32,880 EXAMINING GROWTH IN INFANTS AND 3361 02:18:32,880 --> 02:18:35,080 TODDLERS AND CHILDREN AND 3362 02:18:35,080 --> 02:18:36,520 ADOLESCENTS, BODY COMPOSITION IN 3363 02:18:36,520 --> 02:18:39,360 INFANTS AND TODDLERS, CHILDREN 3364 02:18:39,360 --> 02:18:41,120 AND ADOLESCENTS AND ADULTS AND 3365 02:18:41,120 --> 02:18:43,720 OLDER ADULTS AND RISK OF OBESITY 3366 02:18:43,720 --> 02:18:45,400 IN CHILDREN AND ADOLESCENTS AND 3367 02:18:45,400 --> 02:18:49,040 ADULTS AND OLDER ADULTS. 3368 02:18:49,040 --> 02:18:50,280 THE SPECIFIC OUTCOMES ARE THE 3369 02:18:50,280 --> 02:18:52,040 SAME AS PREVIOUSLY DESCRIBED BY 3370 02:18:52,040 --> 02:18:53,840 SUBCOMMITTEE ONE AND THE KEY 3371 02:18:53,840 --> 02:18:56,720 CONFOUNDERS ARE SOCIO ECONOMIC 3372 02:18:56,720 --> 02:18:58,840 POSITION, SEX, INTERNAL AGE, 3373 02:18:58,840 --> 02:19:02,440 RACE AND ETHNICITY, MILK FEEDING 3374 02:19:02,440 --> 02:19:06,640 PRACTICES AND GESTATIONAL AGE. 3375 02:19:06,640 --> 02:19:08,720 AS DESCRIBED IN THE ANALYTIC 3376 02:19:08,720 --> 02:19:10,280 FRAMEWORK THE INCLUSION CRITERIA 3377 02:19:10,280 --> 02:19:11,920 FOR THE INTERVENTION EXPOSURE 3378 02:19:11,920 --> 02:19:13,440 ARE TIMING OF THE FIRST 3379 02:19:13,440 --> 02:19:14,840 INTRODUCTION OF ANY 3380 02:19:14,840 --> 02:19:15,720 COMPLIMENTARY FOOD OR BEVERAGE, 3381 02:19:15,720 --> 02:19:17,360 TIMING OF THE FIRST INTRODUCTION 3382 02:19:17,360 --> 02:19:19,720 OF A SPECIFIC TYPE OF 3383 02:19:19,720 --> 02:19:20,400 COMPLIMENTARY FOOD OR BEVERAGE 3384 02:19:20,400 --> 02:19:23,560 OR TYPES AND AMOUNTS OF 3385 02:19:23,560 --> 02:19:25,360 COMPLIMENTARY FOODS OR 3386 02:19:25,360 --> 02:19:25,760 BEVERAGES. 3387 02:19:25,760 --> 02:19:27,400 THE EXCLUSION CRITERIA FOR THE 3388 02:19:27,400 --> 02:19:28,600 INTERVENTION EXPOSURE ARE 3389 02:19:28,600 --> 02:19:31,640 ISOLATED CONSUMPTION OF HUMAN 3390 02:19:31,640 --> 02:19:35,960 MILK, INFANT FORMULAS OR FOR 3391 02:19:35,960 --> 02:19:38,040 TIMING OF THE SPECIFIC TYPE OF 3392 02:19:38,040 --> 02:19:38,720 COMPLIMENTARY FOOD OF BEVERAGE 3393 02:19:38,720 --> 02:19:42,160 AND TYPES AND AMOUNTS OF FOODS 3394 02:19:42,160 --> 02:19:44,000 OR BEVERAGES THE EXCLUSION 3395 02:19:44,000 --> 02:19:45,480 CRITERIA ARE EXAMINING DIETARY 3396 02:19:45,480 --> 02:19:46,920 PATTERNS AND NOT DESCRIBING THE 3397 02:19:46,920 --> 02:19:48,720 AMOUNT OR TYPE OF FOOD OR 3398 02:19:48,720 --> 02:19:49,920 BEVERAGE AS DESCRIBED IN THE 3399 02:19:49,920 --> 02:19:51,560 ANALYTIC FRAMEWORK THE INCLUSION 3400 02:19:51,560 --> 02:19:54,240 CRITERIA FOR THE INTERVENTION 3401 02:19:54,240 --> 02:19:55,960 EXPOSURE ARE DIFFERENT TIMING OF 3402 02:19:55,960 --> 02:19:58,680 THE FIRST INTRODUCTION OF ANY 3403 02:19:58,680 --> 02:20:00,160 COMPLIMENTARY FOOD OR BEVERAGE, 3404 02:20:00,160 --> 02:20:01,360 DIFFERENT TIMING OF THE FIRST 3405 02:20:01,360 --> 02:20:02,920 INTRODUCTION OF A SPECIFIC TYPE 3406 02:20:02,920 --> 02:20:04,800 OF COMPLIMENTARY FOOD OR 3407 02:20:04,800 --> 02:20:06,280 BEVERAGE AND DIFFERENT TYPES AND 3408 02:20:06,280 --> 02:20:08,280 AMOUNTS OF COMPLIMENTARY FOODS 3409 02:20:08,280 --> 02:20:09,600 OR BEVERAGES INCLUDING 3410 02:20:09,600 --> 02:20:11,440 CONSUMPTION OF A DIFFERENT 3411 02:20:11,440 --> 02:20:12,680 AMOUNT OF THE SAME COMPLIMENTARY 3412 02:20:12,680 --> 02:20:14,480 FOOD OR BEVERAGE AND CONSUMPTION 3413 02:20:14,480 --> 02:20:16,200 OF A DIFFERENT TYPE OF 3414 02:20:16,200 --> 02:20:17,680 COMPLIMENTARY FOOD OR BEVERAGE. 3415 02:20:17,680 --> 02:20:20,320 SO STUDIES WITHOUT A COMPARATOR 3416 02:20:20,320 --> 02:20:28,960 WILL BE EXCLUDED. 3417 02:20:28,960 --> 02:20:32,600 IN REGARD TO THE PUBLICATION 3418 02:20:32,600 --> 02:20:35,040 DATES PUBLISHED FROM 1980 TO 3419 02:20:35,040 --> 02:20:36,800 PRESENT WHILE STUDIES PUBLISHED 3420 02:20:36,800 --> 02:20:39,480 BEFORE JANUARY 1980 ARE EXCLUDED 3421 02:20:39,480 --> 02:20:42,040 PER LIFE STAGE AND INTERVENTION 3422 02:20:42,040 --> 02:20:44,240 OR EXPOSURE THE INCLUSION 3423 02:20:44,240 --> 02:20:45,960 CRITERIA ARE INFANTS AND 3424 02:20:45,960 --> 02:20:48,920 TODDLERS FROM BIRTH TO 24 3425 02:20:48,920 --> 02:20:49,480 MONTHS. 3426 02:20:49,480 --> 02:20:51,760 THE EXCLUSION CRITERIA ARE 3427 02:20:51,760 --> 02:20:55,120 CHILDREN AND ADOLESCENTS AND 3428 02:20:55,120 --> 02:20:57,040 ADULTS AND OLDER ADULTS 19 YEARS 3429 02:20:57,040 --> 02:20:58,880 AND OLDER FOR LIFE STAGE 3430 02:20:58,880 --> 02:21:00,320 OUTCOMES PARTICIPANTS OF ALL 3431 02:21:00,320 --> 02:21:07,040 STAGES WILL BE INCLUDED. 3432 02:21:07,040 --> 02:21:08,960 >>THANK YOU, ANDREA. 3433 02:21:08,960 --> 02:21:12,120 NOW WE'LL MOVE BACK TO THE LAST 3434 02:21:12,120 --> 02:21:15,280 SCIENTIFIC QUESTIONS PERTAINING 3435 02:21:15,280 --> 02:21:16,320 TO THE HOW'S OF FEEDING YOUNG 3436 02:21:16,320 --> 02:21:19,120 CHILDREN AND START WITH A DRAFT 3437 02:21:19,120 --> 02:21:20,280 PROTOCOL USED TO EVALUATE THE 3438 02:21:20,280 --> 02:21:23,880 EVIDENCE ON REPEATED EXPOSURE 3439 02:21:23,880 --> 02:21:25,880 AND FOOD ACCEPTANCE AMONG 3440 02:21:25,880 --> 02:21:26,160 CHILDREN. 3441 02:21:26,160 --> 02:21:28,840 WHAT IS REPEATED EXPOSURE? 3442 02:21:28,840 --> 02:21:31,000 IT'S IN THE CONTEXT OF THIS 3443 02:21:31,000 --> 02:21:33,960 REVIEW WILL REFER TO THE NUMBER, 3444 02:21:33,960 --> 02:21:35,560 DURATION AND FREQUENCY WITH 3445 02:21:35,560 --> 02:21:38,040 WHICH FOODS ARE OFFERED TO 3446 02:21:38,040 --> 02:21:41,480 DOWNCHILDREN IN THE INTEREST -- 3447 02:21:41,480 --> 02:21:43,400 TO YOUNG CHILDREN IN THE 3448 02:21:43,400 --> 02:21:49,240 INTEREST OF PROMOTING OR FOOD 3449 02:21:49,240 --> 02:21:51,360 ACCEPTANCE AND THERE'S A COUPLE. 3450 02:21:51,360 --> 02:21:53,480 TASTE EXPOSURE AND CONSUMING 3451 02:21:53,480 --> 02:21:55,720 TARGET FOODS, PRETTY 3452 02:21:55,720 --> 02:21:56,560 STRAIGHTFORWARD AND THERE'S 3453 02:21:56,560 --> 02:21:59,160 ANOTHER BODY OF LITERATURE THAT 3454 02:21:59,160 --> 02:22:00,600 CONSIDERS NON-TASTE EXPOSURE. 3455 02:22:00,600 --> 02:22:01,600 WHAT IS THAT? 3456 02:22:01,600 --> 02:22:04,000 THAT REFERS TO THE PROVISION OF 3457 02:22:04,000 --> 02:22:06,760 OTHER SENSORY EXPOSURE TO FOODS 3458 02:22:06,760 --> 02:22:09,160 SUCH AS VISUAL, TACTILE AND 3459 02:22:09,160 --> 02:22:10,400 OLFACTORY EXPOSURES. 3460 02:22:10,400 --> 02:22:12,000 THIS COULD BE THING LIKE SITTING 3461 02:22:12,000 --> 02:22:13,920 DOWN WITH CHILDREN AND READING 3462 02:22:13,920 --> 02:22:16,800 PICTURE BOOKS WITH VEGETABLES. 3463 02:22:16,800 --> 02:22:18,360 IT COULD HAVE CHILDREN USE 3464 02:22:18,360 --> 02:22:22,440 FRUITS TO CREATE AN ART PROJECT. 3465 02:22:22,440 --> 02:22:24,720 NON-TASTE SENSORY EXPOSURE. 3466 02:22:24,720 --> 02:22:27,320 AND I'LL BE REFERRING TO THAT 3467 02:22:27,320 --> 02:22:28,480 THROUGHOUT THE PROTOCOL. 3468 02:22:28,480 --> 02:22:30,320 THIS SLIDE SHOWS YOU THE 3469 02:22:30,320 --> 02:22:32,200 ANALYTIC FRAMEWORK THAT WILL BE 3470 02:22:32,200 --> 02:22:34,920 USED TO EVALUATE THE EVIDENCE ON 3471 02:22:34,920 --> 02:22:38,560 REPEATED EXPOSURE AND FOOD 3472 02:22:38,560 --> 02:22:39,520 ACCEPTANCE AND CHILDREN FROM 3473 02:22:39,520 --> 02:22:42,200 BIRTH TO 12 YEARS OF AGE 3474 02:22:42,200 --> 02:22:43,360 CATEGORIZED IN THREE SEPARATE 3475 02:22:43,360 --> 02:22:44,200 DEVELOPMENT STAGES. 3476 02:22:44,200 --> 02:22:47,120 INFANTS AND TODDLERS, YOUNG 3477 02:22:47,120 --> 02:22:48,600 CHILDREN AND SCHOOL AGE 3478 02:22:48,600 --> 02:22:48,880 CHILDREN. 3479 02:22:48,880 --> 02:22:52,480 IN EACH CASE THE INTERVENTION OR 3480 02:22:52,480 --> 02:22:53,600 EXPOSURE WILL BE REPEATED 3481 02:22:53,600 --> 02:22:55,320 EXPOSURE TO A PARTICULAR FOOD OR 3482 02:22:55,320 --> 02:22:57,520 TYPE OF FOODS ON OCCASION. 3483 02:22:57,520 --> 02:23:03,280 THE COMPARATORS WILL BE PRE TO 3484 02:23:03,280 --> 02:23:04,440 POST-TEST CHANGE WITHIN SUBJECT 3485 02:23:04,440 --> 02:23:07,120 DESIGN AND EXPOSURE VERSUS NO 3486 02:23:07,120 --> 02:23:08,520 EXPOSURE BETWEEN SUBJECT'S 3487 02:23:08,520 --> 02:23:10,720 DESIGNS AND TASTE VERSUS 3488 02:23:10,720 --> 02:23:12,480 NON-SAFETY EXPOSURE. 3489 02:23:12,480 --> 02:23:13,920 THERE ARE A VARIETY OF DIFFERENT 3490 02:23:13,920 --> 02:23:15,440 INDICATORS OF FOOD ACCEPTANCE IN 3491 02:23:15,440 --> 02:23:19,440 THE LITERATURE AND WE'RE GOING 3492 02:23:19,440 --> 02:23:21,200 TO BE INCLUSIVE AS POSSIBLE. 3493 02:23:21,200 --> 02:23:22,720 THOSE INCLUDE THE AMOUNT, THE 3494 02:23:22,720 --> 02:23:27,640 RATE OR THE LENGTH OF INTAKE OR 3495 02:23:27,640 --> 02:23:29,400 FEED SPECIFICALLY IN INFANT 3496 02:23:29,400 --> 02:23:31,040 LITERATURE, FACIAL OR BODY 3497 02:23:31,040 --> 02:23:32,080 EXPRESSIONS MADE WHILE EATING 3498 02:23:32,080 --> 02:23:35,280 THE TARGET OR TARGET FOODS, 3499 02:23:35,280 --> 02:23:37,840 VERBAL COMMENTS, YUM, YUCK, 3500 02:23:37,840 --> 02:23:39,040 CAREGIVER PERCEPTION OF THE 3501 02:23:39,040 --> 02:23:41,720 CHILD'S LIKING AND CHILDREN'S 3502 02:23:41,720 --> 02:23:42,240 WILLINGNESS TO TRY AND 3503 02:23:42,240 --> 02:23:46,560 RESPONSES. 3504 02:23:46,560 --> 02:23:49,200 KEY CONFOUNDERS WILL BE 3505 02:23:49,200 --> 02:23:51,840 CAREGIVER RACE AND ETHNICITY AS 3506 02:23:51,840 --> 02:23:55,360 WELL AS SOCIO ECONOMIC POSITION. 3507 02:23:55,360 --> 02:23:57,000 THE TYPE OF EXPOSURE WILL 3508 02:23:57,000 --> 02:23:59,920 INCLUDE TASTE AND NON-TASTE 3509 02:23:59,920 --> 02:24:01,640 EXPOSURES AS WELL AS EXPOSURE TO 3510 02:24:01,640 --> 02:24:03,640 SINGLE AND MULTIPLE FOODS AS 3511 02:24:03,640 --> 02:24:03,840 SAID. 3512 02:24:03,840 --> 02:24:06,800 BUT IMPORTANTLY WE WILL INCLUDE 3513 02:24:06,800 --> 02:24:10,200 MULTI-COMPONENT INTERVENTIONS 3514 02:24:10,200 --> 02:24:13,400 ONLY WHEN THOSE INTERVENTIONS 3515 02:24:13,400 --> 02:24:14,480 CAN ISOLATE THE EFFECT OF 3516 02:24:14,480 --> 02:24:15,720 ROUTINE EXPOSURE. 3517 02:24:15,720 --> 02:24:20,400 THIS REVIEW AND THE EXCLUSION I 3518 02:24:20,400 --> 02:24:22,720 THINK ARE IMPORTANT IF YOU WORK 3519 02:24:22,720 --> 02:24:23,440 IN THE FIELD. 3520 02:24:23,440 --> 02:24:26,320 THE REVIEW WILL NOT INCLUDE 3521 02:24:26,320 --> 02:24:29,280 STUDIES OF FOOD OR FLAVOR 3522 02:24:29,280 --> 02:24:33,040 EXPOSURE IN UTERO OR DURING 3523 02:24:33,040 --> 02:24:35,440 HUMAN MILK FEEDING BECAUSE WE'RE 3524 02:24:35,440 --> 02:24:38,080 INTERESTED IN THE EXPOSURES ON 3525 02:24:38,080 --> 02:24:38,600 FOOD ACCEPTANCE FROM 3526 02:24:38,600 --> 02:24:39,800 COMPLEMENTARY FEEDING ONWARD. 3527 02:24:39,800 --> 02:24:41,760 IN SOME SENSE THE REVIEW WILL 3528 02:24:41,760 --> 02:24:44,680 NOT INCLUDE STUDIES OF TASTE 3529 02:24:44,680 --> 02:24:47,240 EXPOSURE AND EXPOSURE TO 3530 02:24:47,240 --> 02:24:48,240 SWEETNESS AND FLAVOR EXPOSURE 3531 02:24:48,240 --> 02:24:50,280 LIKE CARROTS OPPOSED TO FOOD 3532 02:24:50,280 --> 02:24:52,640 EXPOSURE AND FINALLY AGAIN WITH 3533 02:24:52,640 --> 02:24:55,400 OUR EMPHASIS ON ACCEPTANCE 3534 02:24:55,400 --> 02:24:57,120 STUDIES IN WHICH THE OUTCOME AND 3535 02:24:57,120 --> 02:24:59,640 THE NUTRIENT INTAKE OR SODIUM 3536 02:24:59,640 --> 02:25:02,800 INTAKE OPPOSED TO FOOD INTAKE OR 3537 02:25:02,800 --> 02:25:07,320 LIKING WILL BE EXCLUDED. 3538 02:25:07,320 --> 02:25:08,280 ALL RIGHT. 3539 02:25:08,280 --> 02:25:11,040 INCLUDED AND EXCLUDED OUTCOMES 3540 02:25:11,040 --> 02:25:14,560 ARE DETAILED AND REFLECTING THE 3541 02:25:14,560 --> 02:25:17,280 2019 NESR REVIEW AMONG INFANTS 3542 02:25:17,280 --> 02:25:21,120 AND TODDLERS AND THE PUBLICATION 3543 02:25:21,120 --> 02:25:22,720 RATES IN THAT POPULATION ARE 3544 02:25:22,720 --> 02:25:25,040 1980 TO PRESENT AND OLDER 3545 02:25:25,040 --> 02:25:26,800 CHILDREN WILL INCLUDE STUDIES 3546 02:25:26,800 --> 02:25:29,720 PUBLISHED 2000 TO PRESENT. 3547 02:25:29,720 --> 02:25:32,160 LIFE STAGES AT INTERVENTION AND 3548 02:25:32,160 --> 02:25:32,960 EXPOSURE WILL BE THOSE 3549 02:25:32,960 --> 02:25:36,000 PREVIOUSLY DESCRIBED IN THE 3550 02:25:36,000 --> 02:25:37,800 ANALYTIC FRAMEWORK AND WILL BE 3551 02:25:37,800 --> 02:25:40,200 INCLUDED ADOLESCENTS AND 3552 02:25:40,200 --> 02:25:40,440 OUTCOMES. 3553 02:25:40,440 --> 02:25:45,200 THAT BRINGS ME TO THE END OF 3554 02:25:45,200 --> 02:25:46,360 THIS DRAFT PROTOCOL AND THAT 3555 02:25:46,360 --> 02:25:49,080 BRINGS US TO OUR LAST TWO 3556 02:25:49,080 --> 02:25:51,600 QUESTIONS WHICH REALLY BRING 3557 02:25:51,600 --> 02:25:54,080 TOGETHER WIDE DISCIPLINARY 3558 02:25:54,080 --> 02:25:56,280 PERSPECTIVES ON PARENTING, 3559 02:25:56,280 --> 02:25:57,720 DEVELOPMENT PSYCHOLOGY AND 3560 02:25:57,720 --> 02:25:58,720 DEVELOPMENT NUTRITION TO 3561 02:25:58,720 --> 02:26:00,720 EVALUATE ASSOCIATIONS OF 3562 02:26:00,720 --> 02:26:03,680 CAREGIVER FEEDING STYLES AND 3563 02:26:03,680 --> 02:26:04,760 PRACTICES WHICH WE'LL TALK A BIT 3564 02:26:04,760 --> 02:26:07,480 ABOUT IN A SECOND WITH CHILD 3565 02:26:07,480 --> 02:26:08,280 DIETARY PATTERNS AND IMPROVE 3566 02:26:08,280 --> 02:26:11,040 OUTCOMES. 3567 02:26:11,040 --> 02:26:15,000 AGAIN WE'LL START WITH 3568 02:26:15,000 --> 02:26:15,840 DEFINITIONS AND IN THIS 3569 02:26:15,840 --> 02:26:16,480 LITERATURE IT'S IMPORTANT WE 3570 02:26:16,480 --> 02:26:19,160 JOKE THERE'S PROBABLY AS MANY 3571 02:26:19,160 --> 02:26:21,480 TERMS AS THERE ARE DATA SO LET'S 3572 02:26:21,480 --> 02:26:24,240 START BY MAKING SURE WE'RE ALL 3573 02:26:24,240 --> 02:26:25,200 ON THE SAME PAGE. 3574 02:26:25,200 --> 02:26:26,920 SO FIRST IN TERMS OF THE 3575 02:26:26,920 --> 02:26:29,920 DEFINITION OF CAREGIVER, THIS 3576 02:26:29,920 --> 02:26:35,000 REVIEW WILL PERTAIN TO PARENTS, 3577 02:26:35,000 --> 02:26:37,240 GRANDPARENTS AND GUARDIANS AND 3578 02:26:37,240 --> 02:26:40,280 THOSE WHO PROVIDE DIRECT CARE IN 3579 02:26:40,280 --> 02:26:44,760 THE HOME AND POINT TO CAREGIVING 3580 02:26:44,760 --> 02:26:47,440 SUCH AS CHILDREN ROUTINE EATING 3581 02:26:47,440 --> 02:26:49,640 IN SCHOOLS AND CAREGIVING 3582 02:26:49,640 --> 02:26:50,480 SETTINGS AND IS WITHIN THE SCOPE 3583 02:26:50,480 --> 02:26:53,040 OF THE FIRST REVIEW. 3584 02:26:53,040 --> 02:26:55,320 SECOND, EATING PRACTICES AND 3585 02:26:55,320 --> 02:26:56,800 INFANTS AND TODDLERS. 3586 02:26:56,800 --> 02:26:58,960 IN GENERAL, THE LITERATURE ON 3587 02:26:58,960 --> 02:27:01,840 INFANTS AND TODDLERS IS SOMEWHAT 3588 02:27:01,840 --> 02:27:04,160 DISTINCT FROM THE SAME TOPICS OF 3589 02:27:04,160 --> 02:27:05,680 OLDER CHILDREN AGAIN IN GENERAL 3590 02:27:05,680 --> 02:27:09,000 DURING THE INFANCY AND 3591 02:27:09,000 --> 02:27:11,680 TODDLERHOOD STUDIES OF HUMAN 3592 02:27:11,680 --> 02:27:13,600 MILK AND COMPLEMENTARY FEEDING 3593 02:27:13,600 --> 02:27:16,280 TENDED TO FOCUS ON CAREGIVER'S 3594 02:27:16,280 --> 02:27:18,160 RECOGNITION AND RESPONSIVENESS 3595 02:27:18,160 --> 02:27:23,480 TO HUNGER AND WELLNESS CUES AND 3596 02:27:23,480 --> 02:27:28,280 DEVELOPMENTALLY APPROPRIATE 3597 02:27:28,280 --> 02:27:31,960 CONTINGENT AND THIS AND REFLECT 3598 02:27:31,960 --> 02:27:34,480 A LACK OF RECIPROCITY BETWEEN 3599 02:27:34,480 --> 02:27:38,160 CAREGIVER AND CHILD AND SOME 3600 02:27:38,160 --> 02:27:39,640 PRACTICES AND EVALUATED IN OLDER 3601 02:27:39,640 --> 02:27:43,240 CHILDREN LIKE PRESSURE TO EAT IN 3602 02:27:43,240 --> 02:27:45,400 RESTRICTION WHERE OTHERS ARE 3603 02:27:45,400 --> 02:27:47,640 DEVELOPMENTALLY SITUATED LIKE 3604 02:27:47,640 --> 02:27:52,080 FEEDING TO SOOTH A DISTRESSED 3605 02:27:52,080 --> 02:27:52,520 INF 3606 02:27:52,520 --> 02:27:52,960 INFANT. 3607 02:27:52,960 --> 02:27:55,160 THOSE ARE THE KEY DEFINITION FOR 3608 02:27:55,160 --> 02:27:56,560 INFANTS AND TODDLERS. 3609 02:27:56,560 --> 02:27:57,920 FOOD PARENTING STYLES AND 3610 02:27:57,920 --> 02:27:59,440 PRACTICES INVOLVING OLDER 3611 02:27:59,440 --> 02:28:01,480 CHILDREN AS YOU MIGHT EXPECT 3612 02:28:01,480 --> 02:28:03,240 REFLECT MORE COMPLEX GOALS 3613 02:28:03,240 --> 02:28:06,080 RELATED TO SOCIALIZATION AND 3614 02:28:06,080 --> 02:28:07,560 CHILD DEVELOPMENT AND 3615 02:28:07,560 --> 02:28:10,320 PARENT-CHILD RELATIONSHIP AND 3616 02:28:10,320 --> 02:28:13,240 NUTRITIONAL EATING GOALS. 3617 02:28:13,240 --> 02:28:16,280 IN GENERAL THIS MAKES 3618 02:28:16,280 --> 02:28:17,920 DISTINCTION BETWEEN PRACTICES 3619 02:28:17,920 --> 02:28:19,560 AND DRAWN FROM LITERATURE ON 3620 02:28:19,560 --> 02:28:21,360 PARENTING TO CHARACTERIZE THE 3621 02:28:21,360 --> 02:28:23,840 OVER ALL ATTITUDE AND EMOTIONAL 3622 02:28:23,840 --> 02:28:25,760 CLIMATE SURROUNDING FEEDING AND 3623 02:28:25,760 --> 02:28:28,440 IMPORTANTLY IN ADDITION TO 3624 02:28:28,440 --> 02:28:29,600 RESPONSIVENESS, FEEDING STYLES 3625 02:28:29,600 --> 02:28:31,600 ALSO REFLECT CAREGIVER DEMAND 3626 02:28:31,600 --> 02:28:34,080 AND EXPECTATIONS FOR THE CHILD'S 3627 02:28:34,080 --> 02:28:34,320 BEHAVIORS. 3628 02:28:34,320 --> 02:28:37,600 SO BOTH OF THOSE DIMENSIONS 3629 02:28:37,600 --> 02:28:39,800 DEMANDING RESPONSIVENESS ARE 3630 02:28:39,800 --> 02:28:42,320 TYPICALLY USED TO CATEGORIZE THE 3631 02:28:42,320 --> 02:28:44,560 FEEDING STYLES LISTED ON THE 3632 02:28:44,560 --> 02:28:44,880 SLIDE. 3633 02:28:44,880 --> 02:28:46,800 ALTERNATIVELY WHEN WE TALK ABOUT 3634 02:28:46,800 --> 02:28:49,560 PRACTICES THESE REFER TO A VERY 3635 02:28:49,560 --> 02:28:51,840 WIDE RANGE OF GOAL-DIRECTED 3636 02:28:51,840 --> 02:28:55,880 BEHAVIORS THAT CAREGIVERS USE TO 3637 02:28:55,880 --> 02:28:57,040 DIRECT CHILDREN'S EATING FROM 3638 02:28:57,040 --> 02:28:58,520 PRAISING CHILDREN TO PRESSURING 3639 02:28:58,520 --> 02:29:01,080 CHILDREN TO EAT TO PROVIDING 3640 02:29:01,080 --> 02:29:05,440 GUIDED CHOICES TO MAKING FOODS 3641 02:29:05,440 --> 02:29:06,960 AVAILABLE IN THE HOME. 3642 02:29:06,960 --> 02:29:08,280 AND WE TALKED ABOUT THIS 3643 02:29:08,280 --> 02:29:09,920 YESTERDAY IN SUBCOMMITTEE FOUR. 3644 02:29:09,920 --> 02:29:11,640 THE CURRENT THINKING IS THE WIDE 3645 02:29:11,640 --> 02:29:13,600 RANGE OF PRACTICES REFLECT 3646 02:29:13,600 --> 02:29:15,760 HIGHER ORDER DIMENSIONS OF 3647 02:29:15,760 --> 02:29:18,960 COERCIVE CONTROL, AUTONOMY 3648 02:29:18,960 --> 02:29:23,000 SUPPORT AND STRUCTURE THE LATTER 3649 02:29:23,000 --> 02:29:24,280 TWO LEAD TO THE SUPPORTIVE 3650 02:29:24,280 --> 02:29:34,680 INTEREST IN OUR REVIEW. 3651 02:29:40,360 --> 02:29:43,840 AND THERE'S STUDIES INCLUDING 3652 02:29:43,840 --> 02:29:48,200 MOMENTARY ASSESSMENT AND 3653 02:29:48,200 --> 02:29:48,920 PROTOCOLS WILL ONLY INVOLVE 3654 02:29:48,920 --> 02:29:50,320 MULTI-COMPONENT INTERVENTIONS 3655 02:29:50,320 --> 02:29:51,520 WHERE THE STYLES AND PRACTICES 3656 02:29:51,520 --> 02:29:53,120 COULD BE ISOLATED. 3657 02:29:53,120 --> 02:29:56,560 IN CONTRAST STUDIES INVOLVING 3658 02:29:56,560 --> 02:29:58,240 CHILDCARE AND SCHOOL-BASED 3659 02:29:58,240 --> 02:29:59,480 EXPOSURE WHERE'S FEEDING EFFECTS 3660 02:29:59,480 --> 02:30:00,280 CANNOT BE ISOLATED WILL BE 3661 02:30:00,280 --> 02:30:02,200 EXCLUDED. 3662 02:30:02,200 --> 02:30:06,080 SO IN THIS CASE IN THESE 3663 02:30:06,080 --> 02:30:08,240 PROTOCOLS THE COMPARATOR WILL 3664 02:30:08,240 --> 02:30:10,560 EITHER BE DIFFERENT DEGREES OF 3665 02:30:10,560 --> 02:30:14,680 USE OF A PARTICULAR PRACTICE 3666 02:30:14,680 --> 02:30:16,280 MORE OR LESS PRESSURE TO EAT FOR 3667 02:30:16,280 --> 02:30:16,960 INSTANCE OR DIFFERENT TYPES OF 3668 02:30:16,960 --> 02:30:19,800 STYLES AND PRACTICES. 3669 02:30:19,800 --> 02:30:21,040 ALL RIGHT. 3670 02:30:21,040 --> 02:30:25,080 WE HAVE TWO MORE SLIDES OR 3671 02:30:25,080 --> 02:30:26,120 SEVERAL MORE AND THESE PRESENT 3672 02:30:26,120 --> 02:30:29,760 THE ANALYTIC FRAMEWORK FOR THE 3673 02:30:29,760 --> 02:30:30,840 PROTOCOL EVALUATING CHILD 3674 02:30:30,840 --> 02:30:33,120 GROWTH, BODY COMPOSITION AND 3675 02:30:33,120 --> 02:30:35,680 RISK OF OBESITY OUTCOMES AND 3676 02:30:35,680 --> 02:30:36,640 HERE THE POPULATION ARE CHILDREN 3677 02:30:36,640 --> 02:30:40,360 FROM BIRTH TO 19 YEARS OF AGE 3678 02:30:40,360 --> 02:30:41,640 GROUPED IN FOUR DISTINCT DEVELOP 3679 02:30:41,640 --> 02:30:43,440 STAGES AND INFANTS AND TODDLERS 3680 02:30:43,440 --> 02:30:48,840 WERE INCLUDED IN THE B24 IN AS 3681 02:30:48,840 --> 02:30:50,880 NESR REVIEW AND EVIDENCE ON 3682 02:30:50,880 --> 02:30:52,280 OLDER CHILDREN WILL CONSTITUTE 3683 02:30:52,280 --> 02:30:53,600 DIFFERENT ASPECTS OF THE 3684 02:30:53,600 --> 02:30:56,280 SYSTEMIC REVIEWS AND THE 3685 02:30:56,280 --> 02:31:00,280 EXPOSURES AND COMPARATORS AND 3686 02:31:00,280 --> 02:31:04,880 USING THE CATEGORIZATION 3687 02:31:04,880 --> 02:31:07,800 DESCRIBED BY OUR CHAIRS IN OTHER 3688 02:31:07,800 --> 02:31:09,640 SUBCOMMITTEES AND THE KEY 3689 02:31:09,640 --> 02:31:13,480 CONFOUNDERS ARE RACE AND 3690 02:31:13,480 --> 02:31:17,560 ETHNICITY AND SOCIO ECONOMIC 3691 02:31:17,560 --> 02:31:19,720 COMPOSITION AND ANTHROPOMETRY AT 3692 02:31:19,720 --> 02:31:22,040 BASELINE AND THE FINAL FRAME 3693 02:31:22,040 --> 02:31:26,720 WORK FOR THE NEW SYSTEMIC REVIEW 3694 02:31:26,720 --> 02:31:29,720 LOOKING AT DIETARY OUTCOMES AND 3695 02:31:29,720 --> 02:31:32,760 THE COMPARATORS ARE THE SAME AS 3696 02:31:32,760 --> 02:31:34,440 IN THE PREVIOUS PROTOCOLS. 3697 02:31:34,440 --> 02:31:38,760 THE OUTCOME ALIGN WITH THE DGA 3698 02:31:38,760 --> 02:31:42,680 AS INDICATED BY THE HEALTHY 3699 02:31:42,680 --> 02:31:43,680 EATING INDEX HOWEVER, OUR 3700 02:31:43,680 --> 02:31:44,280 SUBCOMMITTEE HAD DISCUSSION 3701 02:31:44,280 --> 02:31:47,080 AROUND THE OUTCOMES AND ALSO 3702 02:31:47,080 --> 02:31:48,720 PROPOSED TO INCLUDE SEVERAL 3703 02:31:48,720 --> 02:31:52,240 SPECIFIC GROUPS THAT ARE WELL 3704 02:31:52,240 --> 02:31:53,680 REPRESENTED IN THE LITERATURE ON 3705 02:31:53,680 --> 02:31:55,560 FOOD PARENTING AND THOSE ARE 3706 02:31:55,560 --> 02:31:58,520 FRUIT AND VEGETABLES, WHOLE 3707 02:31:58,520 --> 02:32:01,040 GRAINS AND SUGAR-SWEETENED 3708 02:32:01,040 --> 02:32:01,480 BEVERAGES. 3709 02:32:01,480 --> 02:32:04,720 WE CHOSE TO INCLUDE THESE 3710 02:32:04,720 --> 02:32:08,440 BECAUSE WE ALSO ACKNOWLEDGE 3711 02:32:08,440 --> 02:32:11,360 THESE GROUPS IN PARTICULAR ARE 3712 02:32:11,360 --> 02:32:12,360 ASSOCIATED WITH CONSUMPTION OF 3713 02:32:12,360 --> 02:32:14,760 OVER CONSUMING DRINKS IN THE 3714 02:32:14,760 --> 02:32:18,400 SIDEWAYS OF SUGAR-SWEETENED 3715 02:32:18,400 --> 02:32:18,640 BEVERAGES. 3716 02:32:18,640 --> 02:32:24,880 THE SAME CONFOUNDER IS THE SAME 3717 02:32:24,880 --> 02:32:30,120 AS THE PREVIOUS FRAMEWORK EXCEPT 3718 02:32:30,120 --> 02:32:31,160 SOME OUTCOMES. 3719 02:32:31,160 --> 02:32:33,640 THE PUBLICATION DATES AND 3720 02:32:33,640 --> 02:32:34,640 POPULATION EXCLUSION CRITERIA 3721 02:32:34,640 --> 02:32:38,680 FOR THESE PROTOCOLS VARIES 3722 02:32:38,680 --> 02:32:44,720 SLIGHTLY BASED ON PROTOCOL 3723 02:32:44,720 --> 02:32:45,040 OUTCOME. 3724 02:32:45,040 --> 02:32:46,280 PUBLICATION DATE LOOKING AT 3725 02:32:46,280 --> 02:32:48,400 GROWTH, BODY COMPOSITION AND 3726 02:32:48,400 --> 02:32:51,000 RISK OF OBESITY OUTCOMES IN 3727 02:32:51,000 --> 02:32:52,240 CHILDREN BIRTH TO 24 MONTHS 3728 02:32:52,240 --> 02:32:53,840 REACH BACK TO 1980 GIVEN THE 3729 02:32:53,840 --> 02:32:55,880 PORTION OF THE REVIEW UPDATES 3730 02:32:55,880 --> 02:32:58,440 THE 2019 NESR REVIEW. 3731 02:32:58,440 --> 02:33:00,760 WHILE THE REVIEW OF EVIDENCE 2 3732 02:33:00,760 --> 02:33:03,880 TO 19 YEARS OF AGE IS PUBLISHED 3733 02:33:03,880 --> 02:33:07,320 FROM 2000 TO PRESENT. 3734 02:33:07,320 --> 02:33:08,880 POPULATION LIFE STAGES INCLUDE 3735 02:33:08,880 --> 02:33:10,520 INFANTS AND TODDLERS AND 3736 02:33:10,520 --> 02:33:12,200 BASELINE AT INTERVENTION 3737 02:33:12,200 --> 02:33:14,280 HOWEVER, THE PROTOCOL WILL 3738 02:33:14,280 --> 02:33:15,280 INCLUDE OUTCOMES ASSESSED ACROSS 3739 02:33:15,280 --> 02:33:16,600 THE LIFE SPAN. 3740 02:33:16,600 --> 02:33:20,600 AND FINALLY, GIVEN THE NEW 3741 02:33:20,600 --> 02:33:23,480 REVIEW LOOKING AT FOOD PARENTING 3742 02:33:23,480 --> 02:33:26,000 AND DIETARY OUTCOMES IS ENTIRELY 3743 02:33:26,000 --> 02:33:28,160 NEW IT WILL INCLUDE STUDIES 3744 02:33:28,160 --> 02:33:31,200 PUBLISHED FROM 2000 TO PRESENT. 3745 02:33:31,200 --> 02:33:31,880 THE POPULATION LIFE STAGES 3746 02:33:31,880 --> 02:33:33,920 INCLUDE TODDLERS, 12 TO 24 3747 02:33:33,920 --> 02:33:35,880 MONTHS AND CHILDREN OF 3748 02:33:35,880 --> 02:33:36,680 ADOLESCENTS AT BASELINE 3749 02:33:36,680 --> 02:33:37,960 INTERVENTION AND I WANTED TO 3750 02:33:37,960 --> 02:33:40,920 POINT OUT WITH THIS PROTOCOL WE 3751 02:33:40,920 --> 02:33:43,040 ARE NOT INCLUDING INFANTS SINCE 3752 02:33:43,040 --> 02:33:44,600 WE ACKNOWLEDGE THE COMMITTEE HAD 3753 02:33:44,600 --> 02:33:46,760 DISCUSSION AROUND DIETARY 3754 02:33:46,760 --> 02:33:48,160 PATTERNS OF INFANTS LOOK QUITE 3755 02:33:48,160 --> 02:33:51,040 DIFFERENT THAN THOSE OF OLDER 3756 02:33:51,040 --> 02:33:56,200 CHILDREN AND DR. ABRAMS MADE THE 3757 02:33:56,200 --> 02:33:57,240 POINT IT'S BASED ON CONSUMPTION 3758 02:33:57,240 --> 02:34:00,240 OF MILK AND FORMULA AND 3759 02:34:00,240 --> 02:34:03,640 INTRODUCTION OF COMPLIMENTARY 3760 02:34:03,640 --> 02:34:06,200 FOOD AND BEVERAGES PROVIDING 3761 02:34:06,200 --> 02:34:06,880 LIMITED ENERGY UNTIL CLOSER TO 3762 02:34:06,880 --> 02:34:07,520 THE ENDS OF THE FIRST YEAR OF 3763 02:34:07,520 --> 02:34:09,800 LIFE. 3764 02:34:09,800 --> 02:34:11,040 ALL RIGHT. 3765 02:34:11,040 --> 02:34:13,160 I THINK THAT CONCLUDES THE 3766 02:34:13,160 --> 02:34:15,760 DESCRIPTION OF OUR DRAFT 3767 02:34:15,760 --> 02:34:16,840 PROTOCOLS FOR THE EIGHT 3768 02:34:16,840 --> 02:34:18,720 SCIENTIFIC QUESTIONS WE 3769 02:34:18,720 --> 02:34:19,040 PRIORITIZED. 3770 02:34:19,040 --> 02:34:20,480 LIKE OTHER SUBCOMMITTEES THE 3771 02:34:20,480 --> 02:34:22,720 NEXT STEP ARE RELATED TO REFINE 3772 02:34:22,720 --> 02:34:23,760 THE PROTOCOLS BASED ON 3773 02:34:23,760 --> 02:34:24,960 DISCUSSION AND FEEDBACK AS WELL 3774 02:34:24,960 --> 02:34:27,000 AS PUBLIC COMMENTS AND THEN TO 3775 02:34:27,000 --> 02:34:29,400 GET TO THE BUSINESS OF 3776 02:34:29,400 --> 02:34:31,600 IMPLEMENTING PROTOCOLS SO THANK 3777 02:34:31,600 --> 02:34:32,560 YOU TO THE SUBCOMMITTEE AND THE 3778 02:34:32,560 --> 02:34:33,960 LARGER COMMITTEE FOR YOUR 3779 02:34:33,960 --> 02:34:37,400 ATTENTION AND WE CERTAINLY 3780 02:34:37,400 --> 02:34:38,080 WELCOME YOUR THOUGHTS OR 3781 02:34:38,080 --> 02:34:41,000 QUESTIONS. 3782 02:34:41,000 --> 02:34:43,240 >>THANK YOU SO MUCH FOR 3783 02:34:43,240 --> 02:34:43,520 PRESENTING. 3784 02:34:43,520 --> 02:34:45,600 I HAVE A QUESTION FOR THE 3785 02:34:45,600 --> 02:34:46,560 CONFOUNDER AND COMPLIMENTARY 3786 02:34:46,560 --> 02:34:48,400 FEEDING PRACTICE FOR INFANTS AND 3787 02:34:48,400 --> 02:34:49,640 COMING BACK TO THE CAREGIVER 3788 02:34:49,640 --> 02:34:50,880 FEEDING STYLE AND PRACTICES. 3789 02:34:50,880 --> 02:34:54,600 I DIDN'T SEE MATERNAL AND 3790 02:34:54,600 --> 02:34:56,560 PATERNAL OBESITY CONSIDERED, 3791 02:34:56,560 --> 02:34:57,960 WEIGHT STATUS OF THE PARENTS IS 3792 02:34:57,960 --> 02:35:00,280 OF SIGNIFICANT CONCERN 3793 02:35:00,280 --> 02:35:03,280 PARTICULARLY THROUGHOUT THE 3794 02:35:03,280 --> 02:35:05,160 CHILDHOOD PROCESS SO I WAS 3795 02:35:05,160 --> 02:35:05,800 WONDERING IF YOU GUYS CONSIDERED 3796 02:35:05,800 --> 02:35:08,600 THAT AS A KEY CONFOUNDER IN 3797 02:35:08,600 --> 02:35:10,800 THOSE AREAS AND IF NOT WHY. 3798 02:35:10,800 --> 02:35:16,120 >>I THINK THAT'S A GREAT 3799 02:35:16,120 --> 02:35:18,280 QUESTION AND ONE THE 3800 02:35:18,280 --> 02:35:19,480 SUBCOMMITTEE SPENT AN OF TIME 3801 02:35:19,480 --> 02:35:20,160 TALKING ABOUT FOR THE REASONS 3802 02:35:20,160 --> 02:35:21,440 YOU OUTLINED. 3803 02:35:21,440 --> 02:35:23,760 AND FOR THOSE ON THE 3804 02:35:23,760 --> 02:35:25,360 SUBCOMMITTEE PLEASE FEEL FREE TO 3805 02:35:25,360 --> 02:35:26,280 JUMP IN. 3806 02:35:26,280 --> 02:35:30,400 I THINK ULTIMATELY BASED ON THE 3807 02:35:30,400 --> 02:35:34,600 NESR DEFINITION OF KEY 3808 02:35:34,600 --> 02:35:36,160 CONFOUNDERS WHILE WE RECOGNIZE 3809 02:35:36,160 --> 02:35:38,480 THAT MATERNAL BMI MAY HAVE 3810 02:35:38,480 --> 02:35:40,840 STRONG ASSOCIATION WITH CHILD 3811 02:35:40,840 --> 02:35:43,360 PATTERNS OF GROWTH WE DID NOT 3812 02:35:43,360 --> 02:35:45,160 BELIEVE THE EVIDENCE ROSE TO THE 3813 02:35:45,160 --> 02:35:47,160 LEVEL THAT WOULD BE APPROPRIATE 3814 02:35:47,160 --> 02:35:49,880 TO INCLUDE AS A KEY CONFOUNDER 3815 02:35:49,880 --> 02:35:52,560 IN TERMS OF THE BODY SIZE 3816 02:35:52,560 --> 02:35:53,200 PREDICTS CERTAIN WAYS OF FEEDING 3817 02:35:53,200 --> 02:35:55,080 CHILDREN. 3818 02:35:55,080 --> 02:35:59,080 SO I THINK THE EVIDENCE IS 3819 02:35:59,080 --> 02:36:00,400 LACKING A LITTLE BIT IN THAT 3820 02:36:00,400 --> 02:36:00,680 AREA. 3821 02:36:00,680 --> 02:36:03,000 IN FACT THERE'S SOME STUDIES 3822 02:36:03,000 --> 02:36:06,280 WHICH SUGGEST THE ALTERNATIVE 3823 02:36:06,280 --> 02:36:07,400 SIZE AND THERE'S NOT A 3824 02:36:07,400 --> 02:36:09,720 PARTICULAR APPROACH OR PATTERN 3825 02:36:09,720 --> 02:36:12,000 AND TYPES OF PRACTICES THAT IS 3826 02:36:12,000 --> 02:36:14,480 GOVERNED BASED ON PERSON'S BODY 3827 02:36:14,480 --> 02:36:15,120 SIZE. 3828 02:36:15,120 --> 02:36:17,040 I THINK WE WENT AROUND AND 3829 02:36:17,040 --> 02:36:18,880 AROUND ABOUT IT BECAUSE YOU'RE 3830 02:36:18,880 --> 02:36:21,280 RIGHT AND I FEEL LIKE IN MOST 3831 02:36:21,280 --> 02:36:26,560 THE RESEARCH THAT NEEDS TO BE 3832 02:36:26,560 --> 02:36:28,000 TAKEN INTO CONSIDERATION BUT FOR 3833 02:36:28,000 --> 02:36:29,600 OUR GUIDING PRINCIPLES FOR THE 3834 02:36:29,600 --> 02:36:32,280 KEY CONFOUNDERS I THINK WE CAME 3835 02:36:32,280 --> 02:36:35,720 TO THAT CONCLUSION BASED ON THE 3836 02:36:35,720 --> 02:36:36,280 PREDICTOR SIDE. 3837 02:36:36,280 --> 02:36:38,160 DOES ANYONE HAVE ANYTHING TO 3838 02:36:38,160 --> 02:36:38,760 ADD? 3839 02:36:38,760 --> 02:36:38,960 OKAY. 3840 02:36:38,960 --> 02:36:41,440 >>I THINK MAYBE TO CONSIDER IN 3841 02:36:41,440 --> 02:36:44,120 THE REPORT IS THAT YOU EVALUATED 3842 02:36:44,120 --> 02:36:49,640 LIKE NOT NECESSARILY AS A KEY 3843 02:36:49,640 --> 02:36:53,800 CONFOUNDER BUT MATERNAL AND 3844 02:36:53,800 --> 02:36:58,880 PATERNAL BMI BECAUSE IT AN 3845 02:36:58,880 --> 02:36:59,960 INFLUENCE EATING PRACTICES AND 3846 02:36:59,960 --> 02:37:02,200 THE DESIRE TO ENSURE THEY'RE 3847 02:37:02,200 --> 02:37:04,280 FEEDING IN A SIMILAR PATTERN 3848 02:37:04,280 --> 02:37:06,440 THAT FITS THEIR OWN. 3849 02:37:06,440 --> 02:37:08,000 JUST SOMETHING CONSIDER. 3850 02:37:08,000 --> 02:37:10,760 >>YES, THANK YOU FOR THAT 3851 02:37:10,760 --> 02:37:11,160 FEEDBACK. 3852 02:37:11,160 --> 02:37:12,560 WE'LL BRING THAT BACK FOR 3853 02:37:12,560 --> 02:37:12,880 DISCUSSION. 3854 02:37:12,880 --> 02:37:16,120 >>I ALSO HAVE A QUESTION ABOUT 3855 02:37:16,120 --> 02:37:16,560 CONFOUNDERS. 3856 02:37:16,560 --> 02:37:20,120 THIS IS WITH REGARDS TO THE 3857 02:37:20,120 --> 02:37:21,560 REPEATED EXPOSURE TO FOOD 3858 02:37:21,560 --> 02:37:22,200 ACCEPTANCE. 3859 02:37:22,200 --> 02:37:25,040 I'M CURIOUS ABOUT CAREGIVER 3860 02:37:25,040 --> 02:37:27,320 AGEP, THE RELATIONSHIP OF THE 3861 02:37:27,320 --> 02:37:28,800 CAREGIVER TO THE CHILD AS WELL 3862 02:37:28,800 --> 02:37:32,080 AS THE FEEDING SETTING. 3863 02:37:32,080 --> 02:37:34,280 AND SINCE YOU DID SUCH A 3864 02:37:34,280 --> 02:37:38,560 BEAUTIFUL JOB IN TALKING ABOUT 3865 02:37:38,560 --> 02:37:41,160 FEEDING STYLE IT MAY COME INTO 3866 02:37:41,160 --> 02:37:41,560 PLAY. 3867 02:37:41,560 --> 02:37:42,880 CAN WE HAVE INFORMATION ABOUT 3868 02:37:42,880 --> 02:37:48,200 HOW THOSE THINGS WERE DETERMINED 3869 02:37:48,200 --> 02:37:53,840 WITHIN THE CONVERSATIONS? 3870 02:37:53,840 --> 02:37:59,280 I THINK THOSE ARE GREAT 3871 02:37:59,280 --> 02:38:00,720 QUESTIONS. 3872 02:38:00,720 --> 02:38:03,640 YOU'RE RIGHT YOU CANNOT CONSIDER 3873 02:38:03,640 --> 02:38:05,120 THE PRACTICE OUTSIDE THE CONTEXT 3874 02:38:05,120 --> 02:38:06,280 AND IT'S SO IMPORTANT TO ALL OF 3875 02:38:06,280 --> 02:38:08,520 OUR DISCUSSIONS. 3876 02:38:08,520 --> 02:38:11,520 I WOULD SAY THAT SO THE FIRST 3877 02:38:11,520 --> 02:38:14,120 QUESTION WAS REPEATED EXPOSURE 3878 02:38:14,120 --> 02:38:16,240 AND AGE OF THE CAREGIVER. 3879 02:38:16,240 --> 02:38:17,800 >>THE CONFOUNDING WITH FOOD 3880 02:38:17,800 --> 02:38:21,080 ACCEPT AN 3881 02:38:21,080 --> 02:38:21,480 ACCEPTANCE. 3882 02:38:21,480 --> 02:38:26,080 >>WE HAD A LOT OF DISCUSSION 3883 02:38:26,080 --> 02:38:27,520 ABOUT POTENTIAL CONFOUNDERS AND 3884 02:38:27,520 --> 02:38:30,840 I THINK THERE WERE A NUMBER 3885 02:38:30,840 --> 02:38:33,520 WHERE CONCEPTUALLY WE IDENTIFIED 3886 02:38:33,520 --> 02:38:35,520 INFLUENCES THAT WE THOUGHT COULD 3887 02:38:35,520 --> 02:38:38,280 BE IMPORTANT BUT WHEN IT DOWN TO 3888 02:38:38,280 --> 02:38:40,400 REALLY THINKING ABOUT GRADING 3889 02:38:40,400 --> 02:38:43,760 POTENTIAL BIAS IN THE WORK AND 3890 02:38:43,760 --> 02:38:48,560 GIVEN WHAT WE KNOW OF THE 3891 02:38:48,560 --> 02:38:50,960 LITERATURE WE DIDN'T -- I THINK 3892 02:38:50,960 --> 02:38:54,400 IN THOSE CASES AS A GREAT 3893 02:38:54,400 --> 02:38:56,000 EXAMPLE THAT CONCEPTUALLY COULD 3894 02:38:56,000 --> 02:38:57,120 IMAGINE WOULD BE QUITE IMPORTANT 3895 02:38:57,120 --> 02:38:58,200 BUT I DON'T THINK THERE'S 3896 02:38:58,200 --> 02:39:00,000 EVIDENCE TO SUPPORT THE 3897 02:39:00,000 --> 02:39:03,440 INCLUSION IF WE'RE USING 3898 02:39:03,440 --> 02:39:06,200 EVIDENCE TO DRIVE THE INCLUSION 3899 02:39:06,200 --> 02:39:08,120 OF THESE KEY CONFOUNDERS. 3900 02:39:08,120 --> 02:39:09,480 IT'S A GREAT EXAMPLE OF CASE 3901 02:39:09,480 --> 02:39:12,560 WHERE'S I DON'T KNOW IF OTHER 3902 02:39:12,560 --> 02:39:14,520 SUBCOMMITTEES WRESTLED WITH THIS 3903 02:39:14,520 --> 02:39:15,720 WHERE WE'RE ON THE FENCE ABOUT 3904 02:39:15,720 --> 02:39:19,520 HOW TO LOOK AT KEY CONFOUNDERS 3905 02:39:19,520 --> 02:39:20,600 AND WHERE THOSE LINES ARE DRAWN 3906 02:39:20,600 --> 02:39:21,960 AND WHAT THE IMPLICATIONS ARE 3907 02:39:21,960 --> 02:39:24,280 FOR HOW WE THINK ABOUT THE 3908 02:39:24,280 --> 02:39:25,160 STRENGTH OF THE EVIDENCE OR 3909 02:39:25,160 --> 02:39:31,000 STRENGTH OF THE LITERATURE. 3910 02:39:31,000 --> 02:39:34,480 >>IN SUBCOMMITTEES ONE AND FOUR 3911 02:39:34,480 --> 02:39:36,040 IT FEELS LIKE THAT'S ALL WE TALK 3912 02:39:36,040 --> 02:39:40,000 ABOUT IS CONFOUNDING BUT WE DO 3913 02:39:40,000 --> 02:39:43,280 HAVE THIS SORT OF NORTH STAR 3914 02:39:43,280 --> 02:39:45,480 AROUND HOW WE THINK OF A 3915 02:39:45,480 --> 02:39:49,040 CONFOUNDER TRADITIONALLY AND 3916 02:39:49,040 --> 02:39:52,280 THEN YOU'RE RIGHT I THINK THE 3917 02:39:52,280 --> 02:39:54,400 NEXT STEP IS DO YOU DOWNGRADE 3918 02:39:54,400 --> 02:39:55,920 THE EVIDENCE BECAUSE THIS IS 3919 02:39:55,920 --> 02:39:58,200 DETERMINED TO BE KEY? 3920 02:39:58,200 --> 02:40:00,560 I WAS JUST CURIOUS AS TO WHETHER 3921 02:40:00,560 --> 02:40:02,560 OR NOT THESE THINGS MADE THEIR 3922 02:40:02,560 --> 02:40:04,640 WAY TO THE TABLE FOR 3923 02:40:04,640 --> 02:40:06,800 CONVERSATION AND PERHAPS YOU 3924 02:40:06,800 --> 02:40:09,280 COULD IDENTIFY THEM AS POTENTIAL 3925 02:40:09,280 --> 02:40:10,240 CONFOUNDERS BUT IN THE CONTEXT 3926 02:40:10,240 --> 02:40:11,560 OF THESE QUESTIONS THEY'RE NOT 3927 02:40:11,560 --> 02:40:14,240 GOING TO BE KEY CONFOUNDERS 3928 02:40:14,240 --> 02:40:16,760 WHERE YOU FEEL CONFIDENCE IN 3929 02:40:16,760 --> 02:40:17,680 DOWNGRADING THE EVIDENCE BECAUSE 3930 02:40:17,680 --> 02:40:18,600 IT'S ABSENT. 3931 02:40:18,600 --> 02:40:20,640 >>THANK YOU FOR THAT FEEDBACK 3932 02:40:20,640 --> 02:40:23,120 AND THAT'S AN EXCELLENT POINT. 3933 02:40:23,120 --> 02:40:27,720 IN EACH OF THE FRAMEWORKS -- I 3934 02:40:27,720 --> 02:40:28,840 SHOULDN'T SAY I DON'T KNOW IF 3935 02:40:28,840 --> 02:40:31,160 THAT'S THE CASE IN PREGNANCY BUT 3936 02:40:31,160 --> 02:40:33,440 CERTAINLY FOR THE FRAMEWORKS 3937 02:40:33,440 --> 02:40:36,240 WITH OLDER KIDS WE TALKED ABOUT 3938 02:40:36,240 --> 02:40:39,120 THE VARIABLES WE NEED TO 3939 02:40:39,120 --> 02:40:41,120 CONSIDER IMPORTANT AS SHOULD 3940 02:40:41,120 --> 02:40:42,480 TAKE INTO CONSIDERATION THE 3941 02:40:42,480 --> 02:40:44,280 EVIDENCE BUT MAYBE WOULDN'T BE 3942 02:40:44,280 --> 02:40:46,520 INCLUDED AS KEY CONFOUNDERS. 3943 02:40:46,520 --> 02:40:47,080 THANK YOU. 3944 02:40:47,080 --> 02:40:48,360 >>DOES ANYONE HAVE ANYTHING TO 3945 02:40:48,360 --> 02:40:54,520 ADD? 3946 02:40:54,520 --> 02:40:58,320 >>WE HAVE ONE ADDITIONAL 3947 02:40:58,320 --> 02:40:58,680 QUESTION. 3948 02:40:58,680 --> 02:41:01,240 WITH REPEATED EXPOSURE WOULD YOU 3949 02:41:01,240 --> 02:41:02,280 CONSIDER PULLING OUT MATERNAL 3950 02:41:02,280 --> 02:41:03,800 EDUCATION SEPARATE FROM THE 3951 02:41:03,800 --> 02:41:08,320 SOCIO ECONOMIC POSITION BECAUSE 3952 02:41:08,320 --> 02:41:10,840 THAT MIGHT -- AGAIN, 3953 02:41:10,840 --> 02:41:11,240 [INDISCERNIBLE] 3954 02:41:11,240 --> 02:41:14,920 >>I'M MAKING EYE CONTACT WITH 3955 02:41:14,920 --> 02:41:16,600 OTHER SUBCOMMITTEE MEMBERS ONLY 3956 02:41:16,600 --> 02:41:19,080 BECAUSE WE SPENT A LOT OF TIME 3957 02:41:19,080 --> 02:41:21,000 TALKING ABOUT ALL THESE GENERAL 3958 02:41:21,000 --> 02:41:21,240 ISSUES. 3959 02:41:21,240 --> 02:41:23,520 SO YES, WE TALKED AT LENGTH AT 3960 02:41:23,520 --> 02:41:26,880 LEAST IN ONE OF THE FRAMEWORKS 3961 02:41:26,880 --> 02:41:29,640 ABOUT WHETHER OR NOT TO 3962 02:41:29,640 --> 02:41:31,240 SEPARATELY EVALUATE AND PULL OUT 3963 02:41:31,240 --> 02:41:34,760 INTERNAL EDUCATION BECAUSE WE 3964 02:41:34,760 --> 02:41:36,320 ACKNOWLEDGE THAT EDUCATION IS 3965 02:41:36,320 --> 02:41:39,320 NOT CONCEPTUALLY AND COULD BE 3966 02:41:39,320 --> 02:41:40,160 DISTINCT FROM SOCIO ECONOMIC 3967 02:41:40,160 --> 02:41:44,400 DECISION AND OTHER INDICATORS. 3968 02:41:44,400 --> 02:41:47,440 I THINK AND PLEASE, AGAIN, 3969 02:41:47,440 --> 02:41:48,720 SUBCOMMITTEE MEMBERS CORRECT ME 3970 02:41:48,720 --> 02:41:49,920 IF YOU HAVE A DIFFERENT VIEW BUT 3971 02:41:49,920 --> 02:41:52,240 I THINK WHAT WE CAME AROUND TO 3972 02:41:52,240 --> 02:41:56,280 IS CERTAINLY WE WANTED TO BE 3973 02:41:56,280 --> 02:41:57,680 CONSISTENT AND LOOK TO THE 3974 02:41:57,680 --> 02:41:59,320 HEALTH EQUITY GROUP TO GUIDE THE 3975 02:41:59,320 --> 02:42:01,600 DECISIONS AND I KNOW THE HEALTH 3976 02:42:01,600 --> 02:42:03,160 EQUITY GROUP HAS GIVEN GENERAL 3977 02:42:03,160 --> 02:42:05,360 GUIDANCE BUT REALLY PUT IT BACK 3978 02:42:05,360 --> 02:42:08,240 TO THE SUBCOMMITTEES TO THINK 3979 02:42:08,240 --> 02:42:08,920 ABOUT WHAT THAT MEANS. 3980 02:42:08,920 --> 02:42:10,960 SO I'LL LEAD TO THE LAST POINT 3981 02:42:10,960 --> 02:42:17,000 WHICH IS WE ULTIMATELY DECIDED 3982 02:42:17,000 --> 02:42:18,400 TO INCLUDE MATERNAL EDUCATION 3983 02:42:18,400 --> 02:42:22,200 STILL UNDER THE UMBRELLA OF 3984 02:42:22,200 --> 02:42:23,040 SOCIO ECONOMIC POSITION. 3985 02:42:23,040 --> 02:42:26,840 WITH THE IDEA THAT A LOT OF THE 3986 02:42:26,840 --> 02:42:28,240 INDICATORS ARE NOT EQUAL TO ONE 3987 02:42:28,240 --> 02:42:32,400 ANOTHER AND THAT ALL SHOULD BE 3988 02:42:32,400 --> 02:42:34,760 CONSIDERED AND AGAIN I'M LOOKING 3989 02:42:34,760 --> 02:42:38,560 AROUND, ARE THERE OTHER ASPECTS 3990 02:42:38,560 --> 02:42:47,720 OF OUR CONVERSATION? 3991 02:42:47,720 --> 02:42:50,160 >>I THOUGHT ONE THING WE SAID 3992 02:42:50,160 --> 02:42:55,720 WAS WE WANTED TO EXTRACT ALL 3993 02:42:55,720 --> 02:42:57,240 THESE THINGS BUT ONLY REQUIRES 3994 02:42:57,240 --> 02:42:58,440 ONE SOCIO ECONOMIC INDICATOR AND 3995 02:42:58,440 --> 02:43:08,720 NOT ALL OF THEM. 3996 02:43:24,000 --> 02:43:25,560 AND IT'S IMPOSSIBLE TO MEASURE 3997 02:43:25,560 --> 02:43:27,640 AT CERTAIN AGE GROUPS AND 3998 02:43:27,640 --> 02:43:30,560 CONSIDERED OTHER DIETARY 3999 02:43:30,560 --> 02:43:34,240 EXPOSURES SO THE THAT GOES ALONG 4000 02:43:34,240 --> 02:43:35,640 WITH PROVIDING SUGARY BEVERAGES 4001 02:43:35,640 --> 02:43:45,240 FOR EXAMPLE. 4002 02:43:45,240 --> 02:43:46,440 >>ANOTHER QUESTION. 4003 02:43:46,440 --> 02:43:48,920 AND PHYSICAL ACTIVITY WAS 4004 02:43:48,920 --> 02:43:52,240 INCLUDED IN THE PROTOCOLS THAT 4005 02:43:52,240 --> 02:43:54,800 WE INITIALLY WERE PRESENTED WITH 4006 02:43:54,800 --> 02:43:56,600 FOR THE PROJECT AND AGAIN I 4007 02:43:56,600 --> 02:43:59,760 THINK I DON'T KNOW WHETHER OUR 4008 02:43:59,760 --> 02:44:05,120 COMMITTEE REALLY JUST WRESTLED 4009 02:44:05,120 --> 02:44:13,000 WITH THE CONFOUND EERS BUT ANOTR 4010 02:44:13,000 --> 02:44:20,920 EXAMPLE OF WHERE AND LOOKED AT 4011 02:44:20,920 --> 02:44:22,880 THE PRECISION TO PROVIDE REPEAT 4012 02:44:22,880 --> 02:44:24,880 EXPOSURE AND DIDN'T FEEL THERE 4013 02:44:24,880 --> 02:44:28,960 WAS AN EMPIRICAL BASIS TO 4014 02:44:28,960 --> 02:44:32,400 JUSTIFY THE INCLUSION IN THE 4015 02:44:32,400 --> 02:44:33,240 TRADITIONAL REQUIREMENTS OR WAYS 4016 02:44:33,240 --> 02:44:36,000 OF THINKING ABOUT CONFOUNDERS 4017 02:44:36,000 --> 02:44:39,560 BUT RELATED TO THE EXPOSURE AND 4018 02:44:39,560 --> 02:44:41,520 THE OUTCOMES. 4019 02:44:41,520 --> 02:44:43,760 AND AGAIN, I THINK CONCEPTUALLY 4020 02:44:43,760 --> 02:44:47,680 ALL OF US WOULD AGREE THESE ARE 4021 02:44:47,680 --> 02:44:51,040 IMPORTANT AND HOPEFULLY THESE 4022 02:44:51,040 --> 02:44:54,680 COMMENTS WILL BRING US BACK TO A 4023 02:44:54,680 --> 02:44:55,960 LARGER DISCUSSION HOW TO ADDRESS 4024 02:44:55,960 --> 02:45:00,360 SOME FACTORS BOTH WHEN WE 4025 02:45:00,360 --> 02:45:01,880 EXTRACT THE INFORMATION AS WELL 4026 02:45:01,880 --> 02:45:06,480 AS MOVE TO INTERPRETING THE 4027 02:45:06,480 --> 02:45:07,360 EVIDENCE BECAUSE I THINK THEY'RE 4028 02:45:07,360 --> 02:45:07,880 EXCELLENT WHERE KIDS ARE 4029 02:45:07,880 --> 02:45:15,360 CONCERNING. 4030 02:45:15,360 --> 02:45:17,640 AND ONE OF OUR KEY CHALLENGES 4031 02:45:17,640 --> 02:45:20,200 AND GOALS IS TO PROVIDE FEEDBACK 4032 02:45:20,200 --> 02:45:24,000 THAT WILL SUPPORT CAREGIVERS AND 4033 02:45:24,000 --> 02:45:29,640 IN THEIR EFFORTS TO PROMOTE 4034 02:45:29,640 --> 02:45:30,920 HELPFUL EATING AND IT'S AN 4035 02:45:30,920 --> 02:45:36,080 INTERPRETED TO BE JUDGMENT 4036 02:45:36,080 --> 02:45:37,680 ORIENTED AND HISTORICALLY AND 4037 02:45:37,680 --> 02:45:40,560 THE WORK FIRST STARTED IN THE 4038 02:45:40,560 --> 02:45:43,360 CONTEXT OF OBESITY RISK AND ALL 4039 02:45:43,360 --> 02:45:49,000 THIS BACK TO SAY I THINK WE WANT 4040 02:45:49,000 --> 02:45:53,400 TO TAKE SPECIAL CARE TO SHOW 4041 02:45:53,400 --> 02:45:55,320 THIS IN ALL THE EVIDENCE IN 4042 02:45:55,320 --> 02:45:56,680 DETERMINING HOW A CAREGIVER 4043 02:45:56,680 --> 02:46:01,160 MIGHT APPROACH FEEDING OR HOW 4044 02:46:01,160 --> 02:46:01,960 CHILDREN MIGHT EAT. 4045 02:46:01,960 --> 02:46:12,440 THOSE DISCUSSIONS ARE ONGOING. 4046 02:46:13,000 --> 02:46:16,240 >>BUILDING ON THAT PERHAPS DID 4047 02:46:16,240 --> 02:46:18,400 YOU ALL CONSIDER PHYSICAL 4048 02:46:18,400 --> 02:46:21,000 ACTIVITY WITH THE DIETARY 4049 02:46:21,000 --> 02:46:23,720 PATTERNS CONSUMED DURING 4050 02:46:23,720 --> 02:46:25,920 PREGNANCY AND RISK OF 4051 02:46:25,920 --> 02:46:30,560 HYPERTENSIVE DISORDERS OR 4052 02:46:30,560 --> 02:46:31,040 GESTATIONAL DIABETES? 4053 02:46:31,040 --> 02:46:33,680 >>I LOOK BACK AND I WAS MAKING 4054 02:46:33,680 --> 02:46:35,400 A MENTAL NOTE THAT WE SHOULD GO 4055 02:46:35,400 --> 02:46:36,240 BACK AND HAVE FURTHER DISCUSSION 4056 02:46:36,240 --> 02:46:46,160 ABOUT IT. 4057 02:46:46,160 --> 02:46:47,520 >>ANY MORE QUESTIONS? 4058 02:46:47,520 --> 02:46:48,960 UNFORTUNATELY WE CANNOT SEE A 4059 02:46:48,960 --> 02:46:55,080 LOT OF THE MICROPHONES HERE. 4060 02:46:55,080 --> 02:46:56,520 ANY MORE QUESTIONS? 4061 02:46:56,520 --> 02:47:02,320 THANK YOU GROUP TWO FOR A GREAT 4062 02:47:02,320 --> 02:47:05,800 SET OF PRESENTATION. 4063 02:47:05,800 --> 02:47:08,400 AND TO SOUND LIKE A BROKEN 4064 02:47:08,400 --> 02:47:11,280 RECORD, THANK YOU EVERYONE FOR 4065 02:47:11,280 --> 02:47:12,640 SUCH THOUGHTFUL COMMENTS. 4066 02:47:12,640 --> 02:47:14,560 THIS WILL COLLECTIVELY 4067 02:47:14,560 --> 02:47:16,360 CONTRIBUTE TO STRONGER 4068 02:47:16,360 --> 02:47:17,600 PROTOCOLS. 4069 02:47:17,600 --> 02:47:20,800 I HATE TO BE THE TASK MASTER BUT 4070 02:47:20,800 --> 02:47:22,920 IT IS 12:00 NOON AND WE ARE 4071 02:47:22,920 --> 02:47:24,400 GOING TO BREAK FOR LUNCH. 4072 02:47:24,400 --> 02:47:26,360 I AM SORRY, COMMITTEE MEMBERS, 4073 02:47:26,360 --> 02:47:29,280 WE'RE COMING BACK AT 12:30. 4074 02:47:29,280 --> 02:47:30,680 SO ENJOY YOUR LUNCH. 4075 02:47:30,680 --> 02:47:34,800 THANK YOU VERY MUCH EVERYONE. 4076 02:47:34,800 --> 02:47:39,360 THANK YOU, EVERYONE, I KNOW THAT 4077 02:47:39,360 --> 02:47:40,680 WAS A SHORT LUNCH AND WE HAVE 4078 02:47:40,680 --> 02:47:42,280 GREAT DISCUSSION AND WANT TO 4079 02:47:42,280 --> 02:47:44,560 MAKE SURE EVERY SUBCOMMITTEE HAS 4080 02:47:44,560 --> 02:47:46,320 AN OPPORTUNITY TO PRESENT THEIR 4081 02:47:46,320 --> 02:47:48,480 WORK AND WE ENCOURAGE ACTIVE 4082 02:47:48,480 --> 02:47:52,640 FEEDBACK SO OUR NEXT COMMITTEE 4083 02:47:52,640 --> 02:47:55,480 IS SUBCOMMITTEE FOUR, AND NO, WE 4084 02:47:55,480 --> 02:47:56,600 DO KNOW HOW TO COUNT. 4085 02:47:56,600 --> 02:47:59,440 AS IT JUST THAT ONE, TWO AND 4086 02:47:59,440 --> 02:48:02,880 FOUR ARE ALL FOCUSSED ON 4087 02:48:02,880 --> 02:48:04,520 SYSTEMIC REVIEWS AND THE DATA 4088 02:48:04,520 --> 02:48:08,960 ANALYSIS AND FOOD MODELLING 4089 02:48:08,960 --> 02:48:09,720 UNDER SUBCOMMITTEE THREE WILL 4090 02:48:09,720 --> 02:48:12,360 THEN COME AFTER THIS ONE. 4091 02:48:12,360 --> 02:48:15,560 SO WITH THAT I WOULD LIKE TO 4092 02:48:15,560 --> 02:48:18,640 HAND OVER THE PODIUM TO CHRI 4093 02:48:18,640 --> 02:48:25,120 CHRISTINA TO DISCUSS 4094 02:48:25,120 --> 02:48:25,920 SUBCOMMITTEE FOUR. 4095 02:48:25,920 --> 02:48:26,200 THANK YOU. 4096 02:48:26,200 --> 02:48:28,760 >>I'LL BE PRESENTING WITH 4097 02:48:28,760 --> 02:48:30,920 CHERYL ANDERSON THE RESULTS OF 4098 02:48:30,920 --> 02:48:35,560 WHAT WE HAVE DONE IN 4099 02:48:35,560 --> 02:48:36,880 SUBCOMMITTEE USE FOR RELATED TO 4100 02:48:36,880 --> 02:48:42,400 DIET QUALITY IN WEIGHT 4101 02:48:42,400 --> 02:48:44,800 MANAGEMENT. 4102 02:48:44,800 --> 02:48:47,680 BEFORE GETTING TO THIS 4103 02:48:47,680 --> 02:48:49,920 SUBCOMMITTEE FOUR WORK I WANTED 4104 02:48:49,920 --> 02:48:52,320 TO POINT OUT ALL THE QUESTIONS 4105 02:48:52,320 --> 02:48:57,600 THAT WE'LL BE DISCUSSING AND 4106 02:48:57,600 --> 02:49:02,200 PROTOCOLS WE HAVE NOTHING FROM 4107 02:49:02,200 --> 02:49:02,440 BEFORE. 4108 02:49:02,440 --> 02:49:06,440 WE HAD DISCUSSION TO REALLY 4109 02:49:06,440 --> 02:49:08,120 PRIORITIZE THE STRATEGIES THAT 4110 02:49:08,120 --> 02:49:09,880 WILL HELP THE AMERICAN PUBLIC 4111 02:49:09,880 --> 02:49:11,600 TAKING INTO ACCOUNT WHAT WE 4112 02:49:11,600 --> 02:49:16,680 HEARD THIS MORNING ABOUT HEALTH 4113 02:49:16,680 --> 02:49:21,360 EQUITY AND WHAT WILL BE THE AND 4114 02:49:21,360 --> 02:49:27,360 WHAT IS AVAILABLE. 4115 02:49:27,360 --> 02:49:33,600 I WOULD LIKE TO ACKNOWLEDGE OUR 4116 02:49:33,600 --> 02:49:35,480 AMAZING TEAM AND THANK YOU FOR 4117 02:49:35,480 --> 02:49:37,440 THE VERY RICH CONVERSATIONS THAT 4118 02:49:37,440 --> 02:49:41,680 WE'VE HAD AROUND THIS TOPIC. 4119 02:49:41,680 --> 02:49:44,960 I WOULD ALSO LIKE TO ACKNOWLEDGE 4120 02:49:44,960 --> 02:49:46,160 OUR AMAZING SUPPORT STAFF THAT 4121 02:49:46,160 --> 02:49:47,520 HAVE GUIDED US THROUGH THE 4122 02:49:47,520 --> 02:49:49,000 PROCESS. 4123 02:49:49,000 --> 02:49:50,920 YOU PROBABLY ARE SEEING A LOT OF 4124 02:49:50,920 --> 02:49:54,080 OVERLAP AND THAT HAS BETWEEN THE 4125 02:49:54,080 --> 02:49:55,720 SUBCOMMITTEES AND THAT HAS 4126 02:49:55,720 --> 02:49:57,760 HELPED A BIT IN TERMS OF MAKING 4127 02:49:57,760 --> 02:49:58,800 SURE WE HAVE CONSISTENCY 4128 02:49:58,800 --> 02:50:01,400 THROUGHOUT DIFFERENT PROTOCOLS 4129 02:50:01,400 --> 02:50:02,800 AND BRINGING NEW ISSUES TO THE 4130 02:50:02,800 --> 02:50:12,880 TABLE. 4131 02:50:15,200 --> 02:50:17,360 AND WE HAVE QUESTIONS PROVIDED 4132 02:50:17,360 --> 02:50:21,840 TO US INITIALLY. 4133 02:50:21,840 --> 02:50:23,720 THIS IS WHAT WE WERE GIVEN WHEN 4134 02:50:23,720 --> 02:50:24,920 WE STARTED HERE. 4135 02:50:24,920 --> 02:50:29,400 THESE QUESTIONS ARE UNIQUE 4136 02:50:29,400 --> 02:50:32,680 BECAUSE THEY'RE NEW AND WE HAVE 4137 02:50:32,680 --> 02:50:34,080 A DIFFERENT VARIETY OF OPTIONS 4138 02:50:34,080 --> 02:50:36,240 TO CONSIDER FOR OUR EXPOSURES. 4139 02:50:36,240 --> 02:50:38,520 WE HAVE TWO MAIN QUESTIONS. 4140 02:50:38,520 --> 02:50:41,720 WHAT IS THE RELATIONSHIP BETWEEN 4141 02:50:41,720 --> 02:50:46,080 TIMING OF EATING LOCATIONS SUCH 4142 02:50:46,080 --> 02:50:49,880 AS BREAKFAST AND LATE AT NIGHT 4143 02:50:49,880 --> 02:50:52,800 AND OUTCOMES WE HAVE HEARD 4144 02:50:52,800 --> 02:50:53,640 THROUGHOUT THE MORNING SO I 4145 02:50:53,640 --> 02:50:57,960 WON'T REPEAT THEM AND RELATED TO 4146 02:50:57,960 --> 02:51:00,080 THE FOOD-BASED STRATEGIES 4147 02:51:00,080 --> 02:51:01,360 BETWEEN EDIBLE AND THIS OUTCOME 4148 02:51:01,360 --> 02:51:05,600 WE HAVE DISCUSSED. 4149 02:51:05,600 --> 02:51:07,720 AND WE HAVE TIMING OF EATING 4150 02:51:07,720 --> 02:51:09,480 LOCATIONS AND FOOD-BASED 4151 02:51:09,480 --> 02:51:10,320 STRATEGIES WE HAVE BEEN 4152 02:51:10,320 --> 02:51:12,640 DISCUSSING AND TRYING TO SELECT 4153 02:51:12,640 --> 02:51:14,400 THE BEST ONE THAT MORE ALIGN 4154 02:51:14,400 --> 02:51:18,840 WITH THE DIETARY GUIDELINES 4155 02:51:18,840 --> 02:51:21,480 TAKING INTO CONSIDERATION THE 4156 02:51:21,480 --> 02:51:24,280 PUBLIC HEALTH CONCERNS WE 4157 02:51:24,280 --> 02:51:25,840 GATHERED THROUGH THE COMMENTS 4158 02:51:25,840 --> 02:51:28,520 POTENTIAL TO IMPACT OF PROGRAMS, 4159 02:51:28,520 --> 02:51:33,920 AVOIDING DUPLICATION WITH OTHER 4160 02:51:33,920 --> 02:51:36,160 GUIDELINES OUT THERE AND 4161 02:51:36,160 --> 02:51:39,800 RESEARCH AND THE NEXT SLIDE 4162 02:51:39,800 --> 02:51:41,360 SHOWS THE SCIENTIFIC QUESTIONS 4163 02:51:41,360 --> 02:51:44,240 WE PRIORITIZED SO FAR AND WE'RE 4164 02:51:44,240 --> 02:51:46,040 STILL IN THE PROCESS. 4165 02:51:46,040 --> 02:51:48,160 THE FIRST IS RELATIONSHIP 4166 02:51:48,160 --> 02:51:49,800 BETWEEN FREQUENCY OF MEALS 4167 02:51:49,800 --> 02:51:52,640 AND/OR SNACKING THREE THREE 4168 02:51:52,640 --> 02:51:52,880 OUTCOMES. 4169 02:51:52,880 --> 02:51:57,040 I WANT IT POINT OUT A COUPLE 4170 02:51:57,040 --> 02:51:58,720 DIFFERENT THINGS. 4171 02:51:58,720 --> 02:52:01,920 WE FIND THE QUESTION OF TIMING 4172 02:52:01,920 --> 02:52:03,280 OF EATING TO FREQUENCY OF MEALS 4173 02:52:03,280 --> 02:52:09,240 AND/OR SNACKING. 4174 02:52:09,240 --> 02:52:12,880 WE HAD ORIGINALLY TWO OUTCOMES 4175 02:52:12,880 --> 02:52:14,560 AND BASED ON OUR DISCUSSION WE 4176 02:52:14,560 --> 02:52:17,480 ADDED THE ENERGY INTAKE BECAUSE 4177 02:52:17,480 --> 02:52:21,880 WE THOUGHT THAT WILL HELP US 4178 02:52:21,880 --> 02:52:23,320 UNDERSTAND HOW THIS INTERVENTION 4179 02:52:23,320 --> 02:52:25,520 EXPOSURE AFFECTED THE ENERGY 4180 02:52:25,520 --> 02:52:27,080 CONSUMED BY THE DIFFERENT 4181 02:52:27,080 --> 02:52:27,640 POPULATIONS. 4182 02:52:27,640 --> 02:52:29,560 THE SECOND QUESTION WAS IN 4183 02:52:29,560 --> 02:52:30,160 RELATIONSHIP BETWEEN PORTION 4184 02:52:30,160 --> 02:52:33,480 SIZE AND THIS IS THE FIRST 4185 02:52:33,480 --> 02:52:38,600 FOOD-BASED STRATEGY THAT WE 4186 02:52:38,600 --> 02:52:43,760 PRIORITIZED AND LOOKING AT THIS 4187 02:52:43,760 --> 02:52:46,360 WITH RISK OF OBESITY AND ENERGY 4188 02:52:46,360 --> 02:52:46,680 INTAKE. 4189 02:52:46,680 --> 02:52:49,240 OTHER TECHNOLOGIES ARE HOME FOOD 4190 02:52:49,240 --> 02:52:51,640 AVAILABILITY, CULTURE AND 4191 02:52:51,640 --> 02:52:56,280 TRADITION OF FOODS WE HAVE A LOT 4192 02:52:56,280 --> 02:52:58,320 OF DISCUSSION AROUND THOSE AND 4193 02:52:58,320 --> 02:53:01,200 WE'LL EXPLORE OTHER FOOD-BASED 4194 02:53:01,200 --> 02:53:02,040 STRATEGIES SO MORE TO COME 4195 02:53:02,040 --> 02:53:04,040 DURING OTHER PUBLIC MEETING. 4196 02:53:04,040 --> 02:53:06,160 NOW WE'LL GO INTO THE DETAILS OF 4197 02:53:06,160 --> 02:53:08,280 THE PROTOCOLS DRAFTED SO FAR. 4198 02:53:08,280 --> 02:53:11,160 WE'LL SHOW WE HAVE FIVE 4199 02:53:11,160 --> 02:53:12,440 PROTOCOLS TODAY. 4200 02:53:12,440 --> 02:53:18,240 THE FIRST YIN INTERVENTION AND 4201 02:53:18,240 --> 02:53:22,120 PORTION SIZE RELATED TO 4202 02:53:22,120 --> 02:53:23,040 OUTCOMES. 4203 02:53:23,040 --> 02:53:25,520 WE HEARD ABOUT THE STANDARD 4204 02:53:25,520 --> 02:53:26,360 INCLUSION, EXCLUSION CRITERIA 4205 02:53:26,360 --> 02:53:27,800 HAS BEEN THE SAME ONE USING ALL 4206 02:53:27,800 --> 02:53:28,080 MORNING. 4207 02:53:28,080 --> 02:53:35,080 I'M NOT GOING TO MENTION THOSE. 4208 02:53:35,080 --> 02:53:37,280 HERE FREQUENCY OF MEALS AND/OR 4209 02:53:37,280 --> 02:53:38,040 SNACKING, HOW WILL WE DEFINE THE 4210 02:53:38,040 --> 02:53:41,600 EXPOSURE? 4211 02:53:41,600 --> 02:53:49,920 BASICALLY WE DID NOT DEFINE THE 4212 02:53:49,920 --> 02:53:53,360 EXPOSURE WE ARE LOOKING INTO 4213 02:53:53,360 --> 02:53:56,920 BREAKFAST, SNACKING AND EATING 4214 02:53:56,920 --> 02:53:58,640 LOCATIONS BUT WILL MAKE A LIST 4215 02:53:58,640 --> 02:54:01,840 OF THE DEFINITIONS BASED ON THE 4216 02:54:01,840 --> 02:54:03,680 STUDIES THAT WE SELECT BECAUSE 4217 02:54:03,680 --> 02:54:11,280 IT WAS VERY DIFFICULT TO REALLY 4218 02:54:11,280 --> 02:54:12,360 POSE IT TO OUR SPECIFIC 4219 02:54:12,360 --> 02:54:15,960 DEFINITION AND HAVE IT OPEN TO 4220 02:54:15,960 --> 02:54:18,840 WHAT DIFFERENT AUTHORS THINK HOW 4221 02:54:18,840 --> 02:54:19,400 THEY DEFINE THIS EXPOSURE 4222 02:54:19,400 --> 02:54:26,360 INTERVENTION. 4223 02:54:26,360 --> 02:54:27,320 WE ARE NOT INCLUDING LOOKING AT 4224 02:54:27,320 --> 02:54:29,680 AT A SINGLE FOOD OR BEVERAGE OR 4225 02:54:29,680 --> 02:54:31,600 CATEGORY OF FOODS AND/OR 4226 02:54:31,600 --> 02:54:31,880 BEVERAGES. 4227 02:54:31,880 --> 02:54:34,480 WE'RE LOOKING AT TIMING AND 4228 02:54:34,480 --> 02:54:37,960 FREQUENCY OF THESE MEALS IN 4229 02:54:37,960 --> 02:54:41,600 SNACKING. 4230 02:54:41,600 --> 02:54:43,560 SO THIS IS WHAT WE HAVE SEEN 4231 02:54:43,560 --> 02:54:45,080 THIS MORNING FOR THE FIRST 4232 02:54:45,080 --> 02:54:45,880 QUESTION THE RELATIONSHIP 4233 02:54:45,880 --> 02:54:48,040 BETWEEN FREQUENCY OF MEALS 4234 02:54:48,040 --> 02:54:50,120 AND/OR SNACKING AND GROWTH BODY 4235 02:54:50,120 --> 02:54:52,240 COMPOSITION AND RISK OF OBESITY. 4236 02:54:52,240 --> 02:54:55,160 THIS IS A TOTALLY NEW PROTOCOL. 4237 02:54:55,160 --> 02:54:56,400 I'LL HIGHLIGHT THE POPULATION 4238 02:54:56,400 --> 02:54:58,040 WE'RE INCLUDING TO SAY WE ARE 4239 02:54:58,040 --> 02:55:03,160 FROM ONE YEAR OLD ALL THE WAY TO 4240 02:55:03,160 --> 02:55:05,800 ADULTS, OLDER ADULTS AND 4241 02:55:05,800 --> 02:55:07,600 PREGNANCY AND POSTPARTUM. 4242 02:55:07,600 --> 02:55:08,640 I MENTIONED THE FREQUENCY OF 4243 02:55:08,640 --> 02:55:09,880 EXPOSURE AND COMPARATOR. 4244 02:55:09,880 --> 02:55:12,280 THE OUTCOMES ARE THE SAME AS 4245 02:55:12,280 --> 02:55:13,680 HEARD THIS MORNING AND KEY 4246 02:55:13,680 --> 02:55:15,320 CONFOUNDERS I'LL LIST THE FIRST 4247 02:55:15,320 --> 02:55:16,480 TIME AND YOU'LL SEE THE REST. 4248 02:55:16,480 --> 02:55:18,760 WE HAVE SEX, AGE, PHYSICAL 4249 02:55:18,760 --> 02:55:21,840 ACTIVITY, RACE, ETHNICITY, SOCIO 4250 02:55:21,840 --> 02:55:25,000 ECONOMIC POSITION ANTHROPOMETRY 4251 02:55:25,000 --> 02:55:28,280 AT BASELINE AND DEPENDING ON THE 4252 02:55:28,280 --> 02:55:33,440 AGE GROUP, SMOKE, HYPERTENSIVE 4253 02:55:33,440 --> 02:55:35,200 DISORDERS DURING PREGNANCY AND 4254 02:55:35,200 --> 02:55:36,240 OTHERS AND THESE WILL BE 4255 02:55:36,240 --> 02:55:37,200 CONSISTENT THROUGH THE 4256 02:55:37,200 --> 02:55:37,640 PROTOCOLS. 4257 02:55:37,640 --> 02:55:40,320 I WILL NOT MENTION THEM AGAIN. 4258 02:55:40,320 --> 02:55:42,160 THIS WAS ALSO MENTIONED EARLIER 4259 02:55:42,160 --> 02:55:46,200 THIS MORNING IN TERMS OF STUDY 4260 02:55:46,200 --> 02:55:46,440 DURATION. 4261 02:55:46,440 --> 02:55:49,120 WE'LL SUES SIMILAR TO WHAT 4262 02:55:49,120 --> 02:55:50,240 DEANNA AND HER GROUP MENTIONED 4263 02:55:50,240 --> 02:55:52,160 THIS MORNING SO I WON'T MENTION 4264 02:55:52,160 --> 02:55:52,600 IT AGAIN. 4265 02:55:52,600 --> 02:55:53,160 IT'S THERE. 4266 02:55:53,160 --> 02:55:55,200 FOR THE SECOND QUESTION WHAT IS 4267 02:55:55,200 --> 02:55:57,520 THE RELATIONSHIP BETWEEN 4268 02:55:57,520 --> 02:55:59,200 FREQUENCY OF MEALS AND/OR SNACK 4269 02:55:59,200 --> 02:56:01,720 AND A DIETARY PATTERN ALIGNED 4270 02:56:01,720 --> 02:56:04,280 WITH THE DIETARY GUIDELINES. 4271 02:56:04,280 --> 02:56:05,440 HERE WE'LL USE THE SAME 4272 02:56:05,440 --> 02:56:06,560 POPULATION AND INTERVENTION AND 4273 02:56:06,560 --> 02:56:09,320 THE OUTCOME IS DIFFERENT WHICH 4274 02:56:09,320 --> 02:56:11,800 IS DIET QUALITY AS MEASURED BY 4275 02:56:11,800 --> 02:56:16,200 THE HEALTHY EATING INDEX. 4276 02:56:16,200 --> 02:56:18,200 CONFOUNDERS ARE THE SAME. 4277 02:56:18,200 --> 02:56:19,800 AND THE RELATIONSHIP BETWEEN 4278 02:56:19,800 --> 02:56:20,920 FREQUENCY OF MEALS AND/OR 4279 02:56:20,920 --> 02:56:22,280 SNACKING AND ENERGY INTAKE AND 4280 02:56:22,280 --> 02:56:24,680 AGAINST THIS IS A NEW PROTOCOL 4281 02:56:24,680 --> 02:56:26,760 AND THE ONLY DIFFERENCE HERE IS 4282 02:56:26,760 --> 02:56:37,240 THE OUTCOME OF ENERGY TAKE. 4283 02:56:42,480 --> 02:56:44,160 I'LL PAUSE HERE FOR QUESTIONS 4284 02:56:44,160 --> 02:56:44,760 AND COMMENTS. 4285 02:56:44,760 --> 02:56:47,920 >>FOR THE HEALTHY EATING INDEX 4286 02:56:47,920 --> 02:56:50,160 IT SAYS 2005, 2010, 2015. 4287 02:56:50,160 --> 02:56:51,960 WILL YOU INCLUDE THE NEW 2020 4288 02:56:51,960 --> 02:56:56,400 AND THE OTHER ONE? 4289 02:56:56,400 --> 02:56:58,520 YOU HAVE AGE ONE 19 AND 4290 02:56:58,520 --> 02:56:59,840 DIABETES. 4291 02:56:59,840 --> 02:57:01,880 >>IF THE STUDIES -- WE MAY NOT 4292 02:57:01,880 --> 02:57:03,720 BE ABLE TO CAPTURE THAT BECAUSE 4293 02:57:03,720 --> 02:57:05,440 THE STUDIES WILL BE PROBABLY 4294 02:57:05,440 --> 02:57:07,920 COMING LATER THIS YEAR OR NEXT 4295 02:57:07,920 --> 02:57:08,160 YEAR. 4296 02:57:08,160 --> 02:57:09,920 WE MAY NOT BE ABLE TO CAPTURE 4297 02:57:09,920 --> 02:57:11,720 THE STUDIES WITHIN THE SEARCH 4298 02:57:11,720 --> 02:57:12,520 WHICH WILL HAPPEN SOME TIME 4299 02:57:12,520 --> 02:57:22,840 DURING THE SUMMER. 4300 02:57:28,880 --> 02:57:30,280 >>WITH THE FREQUENCY WERE YOU 4301 02:57:30,280 --> 02:57:32,240 THINK OF THE TIME OF DAY TO 4302 02:57:32,240 --> 02:57:34,200 CAPTURE INFORMATION NIGHT OR 4303 02:57:34,200 --> 02:57:34,440 MORNING? 4304 02:57:34,440 --> 02:57:37,920 >>FREQUENCY AND TIME. 4305 02:57:37,920 --> 02:57:39,600 EACH EATING OCCASION CAPTURE 4306 02:57:39,600 --> 02:57:40,160 EATING AND SNACKING LATE AT 4307 02:57:40,160 --> 02:57:45,880 NIGHT. 4308 02:57:45,880 --> 02:57:46,080 OKAY. 4309 02:57:46,080 --> 02:57:49,160 NOW I'LL PASS IT ON TO CHERYL. 4310 02:57:49,160 --> 02:57:49,400 THANK YOU. 4311 02:57:49,400 --> 02:57:50,600 >>THANK YOU, CHRISTINA. 4312 02:57:50,600 --> 02:57:52,640 ALL RIGHT. 4313 02:57:52,640 --> 02:57:55,480 SO I WILL COVER OUR COMMITTEE'S 4314 02:57:55,480 --> 02:57:56,880 WORK ON PROPORTION SIZE 4315 02:57:56,880 --> 02:57:57,840 PROTOCOLS AND THERE ARE TWO I'LL 4316 02:57:57,840 --> 02:57:58,480 GO OVER. 4317 02:57:58,480 --> 02:58:01,600 THE FIRST IS RELATED TO PORTION 4318 02:58:01,600 --> 02:58:04,040 SIZE AND THAT'S BEING DEFINED AS 4319 02:58:04,040 --> 02:58:06,960 THE AMOUNT OF FOOD OR BEVERAGE 4320 02:58:06,960 --> 02:58:09,000 SERVED AT ONE TIME AND ONE 4321 02:58:09,000 --> 02:58:10,720 EATING OCCASION AND I'LL COVER 4322 02:58:10,720 --> 02:58:11,720 ENERGY DENSITY. 4323 02:58:11,720 --> 02:58:14,000 AND THAT'S DEFINED AS THE AMOUNT 4324 02:58:14,000 --> 02:58:17,560 OF CALORIES OR ENERGY IN A GIVEN 4325 02:58:17,560 --> 02:58:19,640 WEIGHT OF FOOD AND KEEPING IN 4326 02:58:19,640 --> 02:58:22,360 MIND THAT THESE ARE GOING TO BE 4327 02:58:22,360 --> 02:58:25,600 RELATED TO GROWTH, BODY 4328 02:58:25,600 --> 02:58:26,400 COMPOSITION AND OBESITY AS WELL 4329 02:58:26,400 --> 02:58:28,840 AS TO ENERGY INTAKE. 4330 02:58:28,840 --> 02:58:31,920 I'LL START FIRST COVERING THE 4331 02:58:31,920 --> 02:58:34,280 PICO FOR GROWTH BODY COMPOSITION 4332 02:58:34,280 --> 02:58:35,760 AND RISK OF OBESITY. 4333 02:58:35,760 --> 02:58:38,680 SO HERE LET'S FOCUS YOUR 4334 02:58:38,680 --> 02:58:40,080 ATTENTION ON THE FIRST THREE 4335 02:58:40,080 --> 02:58:40,920 COLUMNS, POPULATION, 4336 02:58:40,920 --> 02:58:45,360 INTERVENTION EXPOSURE AND THE 4337 02:58:45,360 --> 02:58:45,680 COMPARATOR. 4338 02:58:45,680 --> 02:58:46,400 WE WILL USE A POPULATION THAT 4339 02:58:46,400 --> 02:58:50,760 GOES ALL THE WAY DOWN TO AGE ONE 4340 02:58:50,760 --> 02:58:52,960 WITH REGARDS TO THE DEFINITION 4341 02:58:52,960 --> 02:58:55,920 OF PORTION SIZE YOU'LL SEE IT 4342 02:58:55,920 --> 02:58:57,400 CONSIDERS ENERGY DENSITY AS WELL 4343 02:58:57,400 --> 02:58:59,840 AS NUTRIENT DENSITY AND/OR THE 4344 02:58:59,840 --> 02:59:01,800 QUALITY OR TYPE OF FOOD THAT IS 4345 02:59:01,800 --> 02:59:05,280 SERVED OR CONSUMED. 4346 02:59:05,280 --> 02:59:08,000 WE'RE ALSO GOING TO BE INCLUDING 4347 02:59:08,000 --> 02:59:09,080 PREPORTIONED FOODS AND THEN WHEN 4348 02:59:09,080 --> 02:59:12,320 IT COMES TO THE COMPARATOR, WE 4349 02:59:12,320 --> 02:59:13,960 HAVE DIFFERENT PORTION SIZES 4350 02:59:13,960 --> 02:59:17,000 THAT IS SERVED OR CONSUMED 4351 02:59:17,000 --> 02:59:18,960 KEEPING IN MIND ON THIS SCREEN 4352 02:59:18,960 --> 02:59:20,680 EVERYTHING ON THE RIGHT SIDE 4353 02:59:20,680 --> 02:59:22,200 OUTCOMES, KEY CONFOUNDERS, 4354 02:59:22,200 --> 02:59:22,760 YOU'VE SEEN MULTIPLE TIMES 4355 02:59:22,760 --> 02:59:27,080 ALREADY. 4356 02:59:27,080 --> 02:59:28,880 WITH REGARDS TO INCLUSION AND 4357 02:59:28,880 --> 02:59:31,160 EXCLUSION CRITERIA, I JUST WANT 4358 02:59:31,160 --> 02:59:33,680 TO HIGHLIGHT HERE THE STUDY 4359 02:59:33,680 --> 02:59:34,800 DURATION WHICH WILL INCLUDE 4360 02:59:34,800 --> 02:59:37,240 THOSE THAT HAVE INTERVENTION 4361 02:59:37,240 --> 02:59:39,960 LENS THAT ARE GREATER THAN 12 OR 4362 02:59:39,960 --> 02:59:42,480 EQUAL THAN 12 WEEKS AND THE 4363 02:59:42,480 --> 02:59:44,200 FOLLOW UP DURATION GREATER THAN 4364 02:59:44,200 --> 02:59:45,320 SIX MONTHS WHEN IT COMES TO 4365 02:59:45,320 --> 02:59:47,640 WEIGHT LOSS AND MAINTENANCE AND 4366 02:59:47,640 --> 02:59:52,880 WE HAVE FOLLOW UP DURATION 4367 02:59:52,880 --> 02:59:58,560 GREATER OR EQUAL TO 12 MONTHS. 4368 02:59:58,560 --> 03:00:01,240 WOMEN OUR ENERGY INTAKE OUTCOME 4369 03:00:01,240 --> 03:00:02,880 WE'LL NOTE THIS IS GOING TO BE 4370 03:00:02,880 --> 03:00:08,040 WHATEVER THE STUDY AUTHORIZE 4371 03:00:08,040 --> 03:00:12,120 DECIDE 4372 03:00:12,120 --> 03:00:14,000 DECIDED HOW TO REVIEW THE 4373 03:00:14,000 --> 03:00:16,320 EVIDENCE BASED ON THE 4374 03:00:16,320 --> 03:00:24,040 DEFINITIONS. 4375 03:00:24,040 --> 03:00:25,320 THE COMMISSION DISCUSSION CAME A 4376 03:00:25,320 --> 03:00:26,120 LITTLE TOO EARLY. 4377 03:00:26,120 --> 03:00:27,560 THAT'S OKAY. 4378 03:00:27,560 --> 03:00:29,400 WE'LL GO BACKWARDS. 4379 03:00:29,400 --> 03:00:30,960 THERE ARE OFTEN MOMENTS IN THE 4380 03:00:30,960 --> 03:00:36,320 PROCESS THAT WILL HUMBLE A 4381 03:00:36,320 --> 03:00:40,520 PERSON AND ALSO MAKE US 4382 03:00:40,520 --> 03:00:41,960 APPRECIATE HOW MUCH WORK NEEDS 4383 03:00:41,960 --> 03:00:43,200 TO BE DONE IN THE FIELD AND 4384 03:00:43,200 --> 03:00:45,400 COMES UP OFTEN FOR THIS 4385 03:00:45,400 --> 03:00:46,840 SUBCOMMITTEE WHEN WE TALK ABOUT 4386 03:00:46,840 --> 03:00:50,440 HOME FOOD AVAILABILITY AND 4387 03:00:50,440 --> 03:00:53,720 TRADITIONAL FOODS AND WE HAVE 4388 03:00:53,720 --> 03:00:55,600 DISCUSSION LEFT TO DO IN THOSE 4389 03:00:55,600 --> 03:00:57,040 SPACES BUT KNOW AS WE THINK 4390 03:00:57,040 --> 03:01:00,440 ABOUT WHAT STRATEGIES THE 4391 03:01:00,440 --> 03:01:01,920 AMERICAN PUBLIC NEEDS AND THE 4392 03:01:01,920 --> 03:01:05,600 DIVERSITY WITHIN THE AMERICAN 4393 03:01:05,600 --> 03:01:07,240 PUBLIC WE'RE GOING TO BE GIVING 4394 03:01:07,240 --> 03:01:08,640 THIS QUITE A BIT OF THOUGHT AND 4395 03:01:08,640 --> 03:01:10,400 UPDATE YOU AT THE NEXT PUBLIC 4396 03:01:10,400 --> 03:01:11,800 MEETING AND WILL CONTINUE TO 4397 03:01:11,800 --> 03:01:14,200 REFINE PROTOCOLS DISCUSSED 4398 03:01:14,200 --> 03:01:16,080 AROUND FREQUENCY OF MEALS AND/OR 4399 03:01:16,080 --> 03:01:18,960 SNACKING WEDGE THE OUTCOMES 4400 03:01:18,960 --> 03:01:22,200 GROWTH BODY COMPOSITION AND RISK 4401 03:01:22,200 --> 03:01:24,560 OF OBESITY AND DIETARY PATTERNS 4402 03:01:24,560 --> 03:01:26,920 BETTER ALIGNED WITH THE DGAs AND 4403 03:01:26,920 --> 03:01:30,640 INTAKE AND PROTOCOLS AROUND 4404 03:01:30,640 --> 03:01:33,000 PORTION SIZE AND GROWTH BODY 4405 03:01:33,000 --> 03:01:34,320 COMPOSITION AND RISK OF OBESITY 4406 03:01:34,320 --> 03:01:35,280 AND ENERGY INTAKE. 4407 03:01:35,280 --> 03:01:42,720 WITH THAT WE'LL OPEN UP FOR 4408 03:01:42,720 --> 03:01:43,200 COMMITTEE DISCUSSION. 4409 03:01:43,200 --> 03:01:47,000 >>WHEN IT COMES TO THE TIMING 4410 03:01:47,000 --> 03:01:49,560 OF THE MEALS ARE YOU THINKING 4411 03:01:49,560 --> 03:01:53,880 FROM THE TIME RESTRICTED FEEDING 4412 03:01:53,880 --> 03:01:55,640 PERSPECTIVE THINKING ABOUT IF 4413 03:01:55,640 --> 03:01:57,240 SOMEBODY EATS FROM 6:00 A.M. TO 4414 03:01:57,240 --> 03:01:59,640 3:00 P.M. VERSUS SOMEONE WHO 4415 03:01:59,640 --> 03:02:02,720 EATS FROM 11:00 A.M. TO 8:00 4416 03:02:02,720 --> 03:02:03,080 P.M. 4417 03:02:03,080 --> 03:02:08,280 ARE YOU THINKING FROM THAT 4418 03:02:08,280 --> 03:02:09,800 PERSPECTIVE AS WELL? 4419 03:02:09,800 --> 03:02:15,400 BECAUSE I SEE THE OUTCOME IS ON 4420 03:02:15,400 --> 03:02:16,840 OBESITY AND GROWTH. 4421 03:02:16,840 --> 03:02:19,960 I PRESUME WHEN IT COMES TO 4422 03:02:19,960 --> 03:02:25,040 OBESITY WEIGHT CHANGE WILL BE 4423 03:02:25,040 --> 03:02:27,160 PART OF IT. 4424 03:02:27,160 --> 03:02:30,680 AND PART OF THE OUTCOME YOU'RE 4425 03:02:30,680 --> 03:02:33,880 CONSIDERING REGARDLESS OF THE 4426 03:02:33,880 --> 03:02:37,720 DIRECTION OF WEIGHT CHANGE. 4427 03:02:37,720 --> 03:02:41,040 THERE'S ALSO A THE TIME 4428 03:02:41,040 --> 03:02:42,040 RESTRICTED FEEDING LITERATURE 4429 03:02:42,040 --> 03:02:48,640 THERE'S ALSO SOME FOCUSSED ON 4430 03:02:48,640 --> 03:02:50,640 LIPIDS AND BLOOD PRESSURE 4431 03:02:50,640 --> 03:02:52,200 CONTROL AND WONDERING IF ANYONE 4432 03:02:52,200 --> 03:02:55,560 IN THE COMMITTEE IS CONSIDERING 4433 03:02:55,560 --> 03:02:58,000 THAT OR IF THERE'S A TOPIC WE 4434 03:02:58,000 --> 03:03:01,880 DECIDED NOT TO INCLUDE IN THIS 4435 03:03:01,880 --> 03:03:02,120 ROUND 4436 03:03:02,120 --> 03:03:03,720 >>YES. 4437 03:03:03,720 --> 03:03:05,880 SO THE FREQUENCY OF MEALS AND/OR 4438 03:03:05,880 --> 03:03:07,840 SNACKING DOESN'T INCLUDE 4439 03:03:07,840 --> 03:03:08,280 RESTRICTED EATING. 4440 03:03:08,280 --> 03:03:12,240 IT'S ONLY LOOKING AT THE 4441 03:03:12,240 --> 03:03:15,120 DIFFERENT NUMBER OF MEALS, 4442 03:03:15,120 --> 03:03:20,000 EATING PATTERNS THAT DIFFERENT 4443 03:03:20,000 --> 03:03:23,960 INDIVIDUALS ARE USING. 4444 03:03:23,960 --> 03:03:26,680 WE HAD A LONG LIST OF 4445 03:03:26,680 --> 03:03:27,480 INTERVENTIONS WE'RE LOOKING AT 4446 03:03:27,480 --> 03:03:29,440 MUMP THOSE ARE RESTRICTIVE 4447 03:03:29,440 --> 03:03:33,240 EATING. 4448 03:03:33,240 --> 03:03:43,760 THOSE WE'RE STILL REVIEWING AND 4449 03:03:46,640 --> 03:03:56,800 WE LOOKED AT CULTURAL FOODS BUT 4450 03:03:56,800 --> 03:04:02,280 AND WE LOOK AT SEVERAL THINGS 4451 03:04:02,280 --> 03:04:05,440 CHERYL MENTIONED ABOUT THE 4452 03:04:05,440 --> 03:04:06,240 AVAILABILITY OF CULTURE FOODS 4453 03:04:06,240 --> 03:04:07,040 AND RESEARCH. 4454 03:04:07,040 --> 03:04:09,880 WE MAY INCLUDE OTHERS DOWN THE 4455 03:04:09,880 --> 03:04:13,160 ROAD. 4456 03:04:13,160 --> 03:04:14,120 >>WE'LL HAVE MORE. 4457 03:04:14,120 --> 03:04:20,200 >>I WANT TO ADD A CLARIFYING 4458 03:04:20,200 --> 03:04:21,400 COMMENT WITH THE TIMING. 4459 03:04:21,400 --> 03:04:24,320 IN OUR PRIORITIZATION WE SET 4460 03:04:24,320 --> 03:04:24,640 THAT ASIDE. 4461 03:04:24,640 --> 03:04:28,360 THE VERY TIME RESTRICTED EATING 4462 03:04:28,360 --> 03:04:28,600 PARADIGMS. 4463 03:04:28,600 --> 03:04:30,480 WE WERE THINKING ABOUT TIMING 4464 03:04:30,480 --> 03:04:35,000 MORE IN TERMS OF THE PATTERN OF 4465 03:04:35,000 --> 03:04:36,880 MEALS AND SNACKS BEING AWARE 4466 03:04:36,880 --> 03:04:37,640 MEALS AND SNACKS MAY BE 4467 03:04:37,640 --> 03:04:41,880 OCCURRING AT DIFFERENT TIMES OF 4468 03:04:41,880 --> 03:04:45,360 THE DAY AND PULLING THAT 4469 03:04:45,360 --> 03:04:47,480 INFORMATION AND BEING ABLE TO 4470 03:04:47,480 --> 03:04:51,280 LOOK AT THAT RATHER THAN 8:00 TO 4471 03:04:51,280 --> 03:04:53,320 2:00 OR 10:00 TO 6:00 TYPE OF 4472 03:04:53,320 --> 03:05:03,080 QUESTION. 4473 03:05:03,080 --> 03:05:08,520 >>SKIPPING BREAKFAST AS THE 4474 03:05:08,520 --> 03:05:15,080 QUESTION FOR FOOD INSECURITY 4475 03:05:15,080 --> 03:05:22,520 ASSESSMENT AND SKIPPING MEALS. 4476 03:05:22,520 --> 03:05:29,000 >>DO YOU MEAN IN TERMS OF KEY 4477 03:05:29,000 --> 03:05:34,360 CONFOUNDER? 4478 03:05:34,360 --> 03:05:36,200 I'M THINKING MORE ON THE FOOD 4479 03:05:36,200 --> 03:05:38,800 INSECURITY SIDE WHERE QUESTIONS 4480 03:05:38,800 --> 03:05:40,560 ARE ASSESSING ALONG THE EXACT 4481 03:05:40,560 --> 03:05:42,440 SAME LINES LIKE DO YOU SKIP 4482 03:05:42,440 --> 03:05:45,040 MEALS FREQUENTLY OR FOR 4483 03:05:45,040 --> 03:05:45,760 DIFFERENT REASON? 4484 03:05:45,760 --> 03:05:47,920 >>I THANK WHAT YOU'RE PROBABLY 4485 03:05:47,920 --> 03:05:49,800 RAISING FOR US IS EFFECT 4486 03:05:49,800 --> 03:05:52,200 MODIFICATION BY STATUS OF FOOD 4487 03:05:52,200 --> 03:05:52,480 INSECURITY. 4488 03:05:52,480 --> 03:05:52,720 >>SURE. 4489 03:05:52,720 --> 03:06:02,960 ABSOLUTELY. 4490 03:06:04,480 --> 03:06:07,440 WE TALKED ABOUT WHETHER FACTORS 4491 03:06:07,440 --> 03:06:11,280 RESPONSIBLE FOR RELATIONSHIPS 4492 03:06:11,280 --> 03:06:12,800 AND WE DON'T YET HAVE I THINK WE 4493 03:06:12,800 --> 03:06:18,280 FIGURED OUT THE CONFOUNDER 4494 03:06:18,280 --> 03:06:22,560 STRATEGY FOR RIGHT NOW WE 4495 03:06:22,560 --> 03:06:25,440 HAVEN'T FIGURED OUT THE TOOLS OR 4496 03:06:25,440 --> 03:06:25,680 FACTORS. 4497 03:06:25,680 --> 03:06:29,360 I THINK WE CAN MAKE SOME 4498 03:06:29,360 --> 03:06:30,880 ANALYSIS OR IF WE HAVE ENOUGH 4499 03:06:30,880 --> 03:06:34,920 STUDIES THAT HAVE MENTIONED 4500 03:06:34,920 --> 03:06:35,800 SOMETHING LIKE THAT 4501 03:06:35,800 --> 03:06:41,560 >>AND IT MAY HAVE IMPLICATION 4502 03:06:41,560 --> 03:06:45,640 FOR THE SEARCH TERMS I DON'T 4503 03:06:45,640 --> 03:06:47,400 KNOW WHAT SCOPE WOULD BE 4504 03:06:47,400 --> 03:06:48,800 INCLUDED IF IF THERE'S NOR 4505 03:06:48,800 --> 03:06:51,400 QUESTIONS MA MAY HAVE THE TITLE 4506 03:06:51,400 --> 03:06:55,840 OF SKIPPING BREAKFAST OR MISSING 4507 03:06:55,840 --> 03:06:57,640 MEALS IN TERMS OF THE SEARCH 4508 03:06:57,640 --> 03:06:57,920 STRATEGY. 4509 03:06:57,920 --> 03:07:03,600 >>THAT'S THE NEXT PART OF THE 4510 03:07:03,600 --> 03:07:06,400 PROTOCOL AND IF IT'S NOT WE HAVE 4511 03:07:06,400 --> 03:07:08,960 LOOKED AT OTHER VARIABLES THAT 4512 03:07:08,960 --> 03:07:10,440 WILL BE INCLUDED AS JUST FOR 4513 03:07:10,440 --> 03:07:13,960 INFORMATION BUT NOT FOR KEY 4514 03:07:13,960 --> 03:07:16,360 CONFOUNDERS OR EXPOSURE. 4515 03:07:16,360 --> 03:07:19,680 WE COULD AS THOSE IF WE HAVE 4516 03:07:19,680 --> 03:07:21,040 INFORMATION THAT'S RECORDED. 4517 03:07:21,040 --> 03:07:25,880 >>WE'RE LOOKING AT SOCIO 4518 03:07:25,880 --> 03:07:27,920 ECONOMIC POSITION WHICH WILL BE 4519 03:07:27,920 --> 03:07:28,880 PROBABLY HIGHLY CORRELATED WITH 4520 03:07:28,880 --> 03:07:30,320 FOOD INSECURITY AND I THINK WE 4521 03:07:30,320 --> 03:07:33,880 TALKED ABOUT LOOKING AT THAT IN 4522 03:07:33,880 --> 03:07:35,200 SYNTHESIS FOOD INSECURITY 4523 03:07:35,200 --> 03:07:36,080 BECAUSE I KNOW IT WAS BROUGHT UP 4524 03:07:36,080 --> 03:07:44,480 DURING THE CONVERSATION. 4525 03:07:44,480 --> 03:07:47,120 >>A QUESTION QUESTIONS HOW YOUR 4526 03:07:47,120 --> 03:07:48,760 OPERATIONALIZING AND YOUR 4527 03:07:48,760 --> 03:07:50,680 DISCUSSIONS AROUND 4528 03:07:50,680 --> 03:07:51,560 OPERATIONALIZING MEALS AND 4529 03:07:51,560 --> 03:07:54,600 SNACKS AND HOW THAT'S PRESENTED 4530 03:07:54,600 --> 03:07:56,080 BECAUSE SOMEBODY HAS A COFFEE 4531 03:07:56,080 --> 03:07:58,160 AND DONUT ON THE CAR ON THE WAY 4532 03:07:58,160 --> 03:07:59,240 TO WORK AND IT'S BREAKFAST AND 4533 03:07:59,240 --> 03:08:01,960 THEY GET TO WORK AND HAVE 4534 03:08:01,960 --> 03:08:03,560 BREAKFAST VERSUS THE DID I CALL 4535 03:08:03,560 --> 03:08:10,000 THAT FIRST ONE A SNAM CK OR DOE 4536 03:08:10,000 --> 03:08:11,560 THEY CALL THAT A BREAKFAST AND 4537 03:08:11,560 --> 03:08:22,000 HOW THE DISCUSSIONS WENT. 4538 03:08:25,400 --> 03:08:31,800 >>AND WE FINED IT TO THE 4539 03:08:31,800 --> 03:08:32,840 ULTRAPROCESSED FOOD DEFINITION 4540 03:08:32,840 --> 03:08:34,880 BECAUSE IT'S DEPENDING ON HOW 4541 03:08:34,880 --> 03:08:35,920 IT'S PRESENTED. 4542 03:08:35,920 --> 03:08:42,320 SNACKS ARE HARD TO DEFINE AND 4543 03:08:42,320 --> 03:08:43,320 THE DIFFERENT RESEARCHERS WILL 4544 03:08:43,320 --> 03:08:44,800 DEFINE IT DIFFERENTLY AND HAVE A 4545 03:08:44,800 --> 03:08:47,600 LIST OF THE DEFINITIONS USED. 4546 03:08:47,600 --> 03:08:49,040 THAT WILL BE PROBABLY A 4547 03:08:49,040 --> 03:08:50,240 DIFFICULT TASK TO REALLY 4548 03:08:50,240 --> 03:08:51,040 PINPOINT AND MAKE SURE THAT 4549 03:08:51,040 --> 03:08:58,400 EVERYTHING IS THE SAME. 4550 03:08:58,400 --> 03:09:01,480 >>THE AMERICAN PUBLIC IS 4551 03:09:01,480 --> 03:09:02,520 FASCINATED WITH INTERMITTENT 4552 03:09:02,520 --> 03:09:02,760 FASTING. 4553 03:09:02,760 --> 03:09:07,040 I'M SORRY, I MISSED A LOT OF 4554 03:09:07,040 --> 03:09:08,760 MEETINGS BECAUSE I WAS TEACHING 4555 03:09:08,760 --> 03:09:12,120 BUT IT'S NOT TIME RESTRICTED 4556 03:09:12,120 --> 03:09:13,760 EATING BUT FIVE DAYS A MONTH OR 4557 03:09:13,760 --> 03:09:15,240 TWO DAYS A WEEK AND THE 4558 03:09:15,240 --> 03:09:18,200 LITERATURE IS LIMITED AND SPARSE 4559 03:09:18,200 --> 03:09:19,200 THERE AND ADHERENCE IS HARD TO 4560 03:09:19,200 --> 03:09:20,720 FIGURE OUT FOR SOME OF THESE. 4561 03:09:20,720 --> 03:09:25,200 THOUGH THE AMERICAN PUBLIC IS 4562 03:09:25,200 --> 03:09:26,840 FASCINATED, MY IMPRESSION UNLESS 4563 03:09:26,840 --> 03:09:29,400 I'M WRONG IS THE LITERATURE BASE 4564 03:09:29,400 --> 03:09:32,280 ISN'T THERE YET. 4565 03:09:32,280 --> 03:09:35,200 >>SOME OF THOSE MUCH LESS FOR 4566 03:09:35,200 --> 03:09:36,240 EXAMPLE SOME DAYS YOU EAT AND 4567 03:09:36,240 --> 03:09:38,120 DON'T EAT AND THAT BODY OF 4568 03:09:38,120 --> 03:09:41,880 LITERATURE IS MORE LIMITED AND 4569 03:09:41,880 --> 03:09:44,240 RELATIVELY SPEAKING THE BODY OF 4570 03:09:44,240 --> 03:09:49,880 LITERATURE ON TIMING OF DAY IS A 4571 03:09:49,880 --> 03:09:55,160 BIT MORE BUT I HAVE NOT DONE THE 4572 03:09:55,160 --> 03:09:56,960 COMPREHENSIVE SEARCH BUT -- 4573 03:09:56,960 --> 03:09:58,840 >>THERE WERE DISCUSSIONS ABOUT 4574 03:09:58,840 --> 03:10:01,360 THE FOOD-BASED STRATEGIES AND WE 4575 03:10:01,360 --> 03:10:04,360 HAD TEN OR MORE. 4576 03:10:04,360 --> 03:10:06,800 SO TAKING INTO ACCOUNT THIS IS A 4577 03:10:06,800 --> 03:10:08,840 LIMITED TIME, LIMITED RESOURCES, 4578 03:10:08,840 --> 03:10:12,680 WE HAD TO PRIORITIZE AND SOME 4579 03:10:12,680 --> 03:10:15,760 WERE PUT MORE TOWARDS LOWER END 4580 03:10:15,760 --> 03:10:17,600 BUT WE WILL STILL REVISE THOSE 4581 03:10:17,600 --> 03:10:19,800 BASED ON OUR RECENT DISCUSSIONS 4582 03:10:19,800 --> 03:10:22,320 ON LACK OF DATA FOR SOME OF HOME 4583 03:10:22,320 --> 03:10:24,320 BASED STRATEGIES WE HAD ALREADY 4584 03:10:24,320 --> 03:10:25,960 PRIORITIZED SO WE'LL HAVE TO GO 4585 03:10:25,960 --> 03:10:27,520 BACK TO OUR LIST AND MAYBE BRING 4586 03:10:27,520 --> 03:10:37,840 SOME OF THOSE BACK. 4587 03:10:48,600 --> 03:10:50,320 >>I WANTED TO BRING A 4588 03:10:50,320 --> 03:10:50,880 DISCUSSION BACK FROM THE 4589 03:10:50,880 --> 03:10:55,640 SUBCOMMITTEE TWO. 4590 03:10:55,640 --> 03:10:56,920 I KNOW WE ALL HAVE CHALLENGES 4591 03:10:56,920 --> 03:10:58,440 TRYING TO COME UP WITH THE 4592 03:10:58,440 --> 03:11:05,280 APPROPRIATE KEY CONFOUNDERS. 4593 03:11:05,280 --> 03:11:07,560 WE WERE THINKING ABOUT MORE WHEN 4594 03:11:07,560 --> 03:11:09,280 WE ARE DOING RESEARCH WITH 4595 03:11:09,280 --> 03:11:12,720 FAMILIES AND WITH SMALL INFANTS 4596 03:11:12,720 --> 03:11:15,840 IT'S WE HAVE REALLY LIMITED TIME 4597 03:11:15,840 --> 03:11:20,040 WITH THEM AND SO WE WERE KIND OF 4598 03:11:20,040 --> 03:11:24,920 GOING BACK TO ADDING MORE KEY 4599 03:11:24,920 --> 03:11:26,080 CONFOUNDERS AND AND BECAUSE WE 4600 03:11:26,080 --> 03:11:29,760 HAVE LIMITED TIME BEFORE THE 4601 03:11:29,760 --> 03:11:31,280 INFANTS ARE NOT WANTING TO BE 4602 03:11:31,280 --> 03:11:33,800 THERE MORE AND THE PARENTS GET 4603 03:11:33,800 --> 03:11:35,680 RESTLESS AND EVERYONE GETS 4604 03:11:35,680 --> 03:11:40,240 RESTLESS WE LIMIT THE TYPE OF 4605 03:11:40,240 --> 03:11:41,120 QUESTIONNAIRES, THE TYPE OF 4606 03:11:41,120 --> 03:11:51,640 OUTCOMES THAT WE'RE LOOKING FOR 4607 03:11:53,480 --> 03:11:56,680 AND KEY CONFOUNDERS WERE SHORTER 4608 03:11:56,680 --> 03:11:58,080 BASED ON THE EXPERIENCE OF BEING 4609 03:11:58,080 --> 03:12:00,400 IN CLINIC AND ASKING THE PARENTS 4610 03:12:00,400 --> 03:12:02,640 AND THE CHILD IS ASKING MOM TO 4611 03:12:02,640 --> 03:12:05,320 GIVE A SNAM OR -- THERE'S SO 4612 03:12:05,320 --> 03:12:07,520 MANY THINGS THAT HAPPEN WHEN YOU 4613 03:12:07,520 --> 03:12:09,760 LOOK AT PARENTS WITH SMALL 4614 03:12:09,760 --> 03:12:13,760 INFANTS USUALLY YOU REALLY AND 4615 03:12:13,760 --> 03:12:16,400 IRB WILL ALSO LOOK INTO THAT AND 4616 03:12:16,400 --> 03:12:19,200 MAKE SURE YOU ARE LOOKING AT THE 4617 03:12:19,200 --> 03:12:21,040 MOST IMPORTANT OUTCOME. 4618 03:12:21,040 --> 03:12:21,920 WE'LL BRING BACK TO THE TABLE 4619 03:12:21,920 --> 03:12:24,560 AND A WANTED TO BRING THAT UP 4620 03:12:24,560 --> 03:12:29,400 BECAUSE AS A RESEARCH IN THE 4621 03:12:29,400 --> 03:12:31,160 COMMUNITY WE OFTEN EXPERIENCE 4622 03:12:31,160 --> 03:12:33,440 THAT AND HAVE TO BE MINDFUL OF 4623 03:12:33,440 --> 03:12:34,920 THE THINGS WE CAN ADD AND THE 4624 03:12:34,920 --> 03:12:42,960 LITERATURE MAY REFLECT THAT TOO. 4625 03:12:42,960 --> 03:12:46,280 SAID IT BEAUTIFULLY BUT I 4626 03:12:46,280 --> 03:12:47,880 APPRECIATE THE DISCUSSION AFTER 4627 03:12:47,880 --> 03:12:49,080 THE SUBCOMMITTEE TWO 4628 03:12:49,080 --> 03:12:49,400 PRESENTATION. 4629 03:12:49,400 --> 03:12:52,800 YOU ALL RAISED REALLY GOOD AND 4630 03:12:52,800 --> 03:12:54,480 THOUGHTFUL POINTS ABOUT FACTORS 4631 03:12:54,480 --> 03:12:55,480 THAT COULD POTENTIALLY BE 4632 03:12:55,480 --> 03:12:56,040 IMPORTANT. 4633 03:12:56,040 --> 03:12:58,320 WE ARE TALKING DURING THE BREAK 4634 03:12:58,320 --> 03:13:02,920 ABOUT THE NEED FOR MAYBE A 4635 03:13:02,920 --> 03:13:04,120 LARGER CONVERSATION AND TENSION 4636 03:13:04,120 --> 03:13:08,200 THAT EXISTS BETWEEN THE RIGOROUS 4637 03:13:08,200 --> 03:13:13,560 EVIDENCE-BASED PROCESS OF HOW 4638 03:13:13,560 --> 03:13:17,920 WE'RE LOOKING AT AND LOOKING AT 4639 03:13:17,920 --> 03:13:19,080 CONCEPTUAL RATIONALES AND JUST 4640 03:13:19,080 --> 03:13:20,560 FICTIONS WE THINK ARE QUITE 4641 03:13:20,560 --> 03:13:23,400 COMPELLING AND HOW TO BALANCE 4642 03:13:23,400 --> 03:13:26,480 THOSE IN A WAY AS THE 4643 03:13:26,480 --> 03:13:28,000 APPROPRIATE THAT'S APPROPRIATE. 4644 03:13:28,000 --> 03:13:29,320 IN THE CASE OF LITERATURE WITH 4645 03:13:29,320 --> 03:13:30,920 KIDS ALL THE FACTORS YOU POINTED 4646 03:13:30,920 --> 03:13:38,760 OUT ARE CRITICAL AND IN REALITY 4647 03:13:38,760 --> 03:13:41,600 FEW STUDIES ASSESS THOSE AN 4648 03:13:41,600 --> 03:13:46,240 THOSE THINGS MATTER IN A WAY WE 4649 03:13:46,240 --> 03:13:48,320 PUT THEM IN IN KEY CONFOUNDERS 4650 03:13:48,320 --> 03:13:54,960 IN THE CONTEXT OF RIGOROUS 4651 03:13:54,960 --> 03:13:55,400 REVIEW. 4652 03:13:55,400 --> 03:13:58,760 THAT'S THE TENSION I FEEL WOULD 4653 03:13:58,760 --> 03:14:06,520 BE GREAT TO SORT THROUGH. 4654 03:14:06,520 --> 03:14:07,960 >>IT'S AN IMPORTANT POINT AND 4655 03:14:07,960 --> 03:14:09,880 CROSS CUTTING. 4656 03:14:09,880 --> 03:14:14,440 AT THE END OF THE DAY THE 4657 03:14:14,440 --> 03:14:15,520 ASSESSMENT OF INDIVIDUAL STUDIES 4658 03:14:15,520 --> 03:14:17,920 AND WE BELIEVE THE FINDING TO BE 4659 03:14:17,920 --> 03:14:21,000 VALID VERSUS REMAINING QUESTIONS 4660 03:14:21,000 --> 03:14:24,000 OR CONCERNS WE'LL BE ABLE TO 4661 03:14:24,000 --> 03:14:25,640 CROSS-LINK THE TOTALITIES ON 4662 03:14:25,640 --> 03:14:36,040 BREAKFAST AND WHATEVER. 4663 03:14:37,440 --> 03:14:40,240 AND IF YOU'RE STILL QUESTIONS IS 4664 03:14:40,240 --> 03:14:42,920 IT THE DIET EXPOSURE PER SE OR 4665 03:14:42,920 --> 03:14:44,480 IS IT SOMETHING ELSE THESE 4666 03:14:44,480 --> 03:14:45,600 PARTICIPANTS ARE ALSO DOING. 4667 03:14:45,600 --> 03:14:49,520 IF THAT DOUBT'S THERE THEN 4668 03:14:49,520 --> 03:14:50,400 DOWNGRADING SHOULD BE 4669 03:14:50,400 --> 03:14:50,720 APPROPRIATE. 4670 03:14:50,720 --> 03:14:54,520 THE KEY CONFOUNDER LIST ARE IF 4671 03:14:54,520 --> 03:14:57,560 IT DOESN'T JUST FOR RACE, 4672 03:14:57,560 --> 03:15:01,200 ETHNICITY OR SOCIO ECONOMIC P 4673 03:15:01,200 --> 03:15:05,000 POSZ -- POSITION WOULD I STILL 4674 03:15:05,000 --> 03:15:06,480 WANT THAT AND HAVE A LITTLE BIT 4675 03:15:06,480 --> 03:15:11,520 LESS RELIABILITY AND FINDING 4676 03:15:11,520 --> 03:15:14,720 BECAUSE I DON'T KNOW. 4677 03:15:14,720 --> 03:15:20,400 AND THERE'S KEY CONFOUNDERS AND 4678 03:15:20,400 --> 03:15:22,920 I DO THAT BY DESIGN ALL THE 4679 03:15:22,920 --> 03:15:26,120 MEASURED, KNOWN AND UNKNOWN AND 4680 03:15:26,120 --> 03:15:30,840 EVERYTHING. 4681 03:15:30,840 --> 03:15:32,680 AND TO HAVE CONSIDERATIONS YOU 4682 03:15:32,680 --> 03:15:34,720 DO HAVE TO BE SELECTIVE AND IF 4683 03:15:34,720 --> 03:15:36,640 YOU HAVE THE DATA AT THE TIME OF 4684 03:15:36,640 --> 03:15:37,520 ANALYSIS YOU HAVE TO BE 4685 03:15:37,520 --> 03:15:39,560 SELECTIVE OFTEN. 4686 03:15:39,560 --> 03:15:41,960 NOT TO SAY YOU WANT SOME BIG 4687 03:15:41,960 --> 03:15:43,240 LAUNDRY LIST THAT'S NOT 4688 03:15:43,240 --> 03:15:44,840 ACHIEVABLE BUT AT THE SAME TIME 4689 03:15:44,840 --> 03:15:46,520 YOU DO WANT IT TO REFLECT WHAT 4690 03:15:46,520 --> 03:15:48,600 YOU WOULD CONSIDER THE MOST 4691 03:15:48,600 --> 03:15:53,800 RIGOROUS EVEN IF MOST OF THE 4692 03:15:53,800 --> 03:15:59,520 STUDIES DON'T QUITE FIT THAT AND 4693 03:15:59,520 --> 03:16:01,720 THERE'S CONCERN OF A RISK OF 4694 03:16:01,720 --> 03:16:03,720 BIAS TO WHEN YOU LOOK ACROSS THE 4695 03:16:03,720 --> 03:16:04,960 LITERATURE MAYBE THERE'S A 4696 03:16:04,960 --> 03:16:07,280 SUBSET WHERE THEY DID MEET ALL 4697 03:16:07,280 --> 03:16:08,720 THE CRITERIA AND THE FINDINGS 4698 03:16:08,720 --> 03:16:16,880 ARE THE SAME AS OMITTED SOME KEY 4699 03:16:16,880 --> 03:16:17,320 CONFOUNDER. 4700 03:16:17,320 --> 03:16:22,320 THEY WEIGHS INTO THE EVIDENCE 4701 03:16:22,320 --> 03:16:28,320 A 4702 03:16:28,320 --> 03:16:30,120 AND THEY'RE OUTCOME SPECIFIC. 4703 03:16:30,120 --> 03:16:37,040 IT COMES DOWN TO OWNING IN ON 4704 03:16:37,040 --> 03:16:38,640 THAT. 4705 03:16:38,640 --> 03:16:40,560 >> I WANT TO EXPAND WHERE 4706 03:16:40,560 --> 03:16:42,560 YOU'RE GOING AT THIS STAGE 4707 03:16:42,560 --> 03:16:45,680 BECAUSE THE MAGNITUDE OF 4708 03:16:45,680 --> 03:16:46,600 ASSOCIATION WE SEE BETWEEN 4709 03:16:46,600 --> 03:16:52,400 WHATEVER EXPOSURE AND OUTCOME IS 4710 03:16:52,400 --> 03:16:57,080 ON THE TABLE FOR DISCUSSION VEND 4711 03:16:57,080 --> 03:16:59,240 THERE'S ESTIMATE OF ASSOCIATION 4712 03:16:59,240 --> 03:17:02,920 OR ONCE WE BEGIN TO LOOK AT THE 4713 03:17:02,920 --> 03:17:09,320 POTENTIALLY CONFOUNDERI II IING 4714 03:17:09,320 --> 03:17:10,240 CONFOUNDING FACTOR WE ADJUST 4715 03:17:10,240 --> 03:17:13,880 DOWNWARD THE MAGNITUDE OF 4716 03:17:13,880 --> 03:17:18,800 ASSOCIATION. 4717 03:17:18,800 --> 03:17:22,840 AND WE DON'T LOSE STUDIES AND 4718 03:17:22,840 --> 03:17:23,760 THE OPPORTUNITY TO GET SIGNAL 4719 03:17:23,760 --> 03:17:26,000 ABOUT WHAT'S HAPPENING IN A BODY 4720 03:17:26,000 --> 03:17:27,240 OF LITERATURE BY PUTTING THINGS 4721 03:17:27,240 --> 03:17:35,360 ON A KEY CONFOUNDER LIST STO THE 4722 03:17:35,360 --> 03:17:37,320 EARLIER POINT BEING MADE WE DO 4723 03:17:37,320 --> 03:17:38,480 NEED TO HAVE A CINCINNATI OF 4724 03:17:38,480 --> 03:17:44,440 WHAT IS THE MAGNITUDE OF THE 4725 03:17:44,440 --> 03:17:49,240 ASSOCIATION AND I DON'T THINK WE 4726 03:17:49,240 --> 03:17:56,880 CAN RELY -- I DON'T THINK WE CAN 4727 03:17:56,880 --> 03:17:58,080 THEY CAN MAKE THAT ASSESSMENT 4728 03:17:58,080 --> 03:18:01,600 PROPERLY WITHOUT HAVING THE 4729 03:18:01,600 --> 03:18:02,600 CONFOUNDERS EXAMINED. 4730 03:18:02,600 --> 03:18:05,360 I WOULD ENCOURAGE ALL OF US TO 4731 03:18:05,360 --> 03:18:06,240 THINK ABOUT DRIVING THE SCIENCE 4732 03:18:06,240 --> 03:18:08,280 INTO A PLACE WE CAN GET TO 4733 03:18:08,280 --> 03:18:12,520 EFFECT SIZES AND MAGNITUDES OF 4734 03:18:12,520 --> 03:18:16,320 ASSOCIATIONS WE TRUST AND THAT 4735 03:18:16,320 --> 03:18:19,040 WOULD INCLUDE DRIVING THE 4736 03:18:19,040 --> 03:18:20,560 THINKING OF OUR RESEARCH 4737 03:18:20,560 --> 03:18:22,960 COMMUNITY TOWARD GETTING 4738 03:18:22,960 --> 03:18:24,240 ADDITIONAL FACTORS WE THINK 4739 03:18:24,240 --> 03:18:25,600 COULD BE DISTORTING THE EFFECT 4740 03:18:25,600 --> 03:18:32,720 BETWEEN ANY TWO VARIABLES. 4741 03:18:32,720 --> 03:18:35,400 >>DEPENDING ON THE QUESTION, 4742 03:18:35,400 --> 03:18:38,160 SOME OF THESE ARE VERY WELL 4743 03:18:38,160 --> 03:18:38,480 ESTABLISHED. 4744 03:18:38,480 --> 03:18:39,520 THEY HAVE STRONG EVIDENCE. 4745 03:18:39,520 --> 03:18:43,120 THE DIETARY PATTERNS AND 4746 03:18:43,120 --> 03:18:43,880 CARDIOVASCULAR DISEASE FOR 4747 03:18:43,880 --> 03:18:45,040 EXAMPLE. 4748 03:18:45,040 --> 03:18:46,840 THE CONFOUNDERS ARE VERY WELL 4749 03:18:46,840 --> 03:18:47,720 ESTABLISHED AND OTHERS OF THESE 4750 03:18:47,720 --> 03:18:50,920 QUESTIONS NOT SO MUCH. 4751 03:18:50,920 --> 03:18:54,400 SO I JUST WANTED TO REMIND US 4752 03:18:54,400 --> 03:18:56,040 THAT IT'S GOING TO VARY 4753 03:18:56,040 --> 03:18:56,760 DEPENDING ON THE INDIVIDUAL 4754 03:18:56,760 --> 03:19:02,040 QUESTION AND THE BODY OF 4755 03:19:02,040 --> 03:19:02,960 LITERATURE AS CHERYL REFERRED 4756 03:19:02,960 --> 03:19:03,120 TO. 4757 03:19:03,120 --> 03:19:10,120 >>AND THE AGE GROUP. 4758 03:19:10,120 --> 03:19:12,280 YOU MAY NOT FIND THE EVIDENCE 4759 03:19:12,280 --> 03:19:16,160 FOR PHYSICAL ACTIVITY BEING 4760 03:19:16,160 --> 03:19:17,560 IMPORTANT OR PARENTAL WEIGHT BUT 4761 03:19:17,560 --> 03:19:21,920 FOR CERTAIN AGE GROUPS WE MAY 4762 03:19:21,920 --> 03:19:25,560 HAVE TO BE MORE INTO LOOKING TO 4763 03:19:25,560 --> 03:19:29,880 WHAT EXACTLY THE LITERATURE 4764 03:19:29,880 --> 03:19:30,080 SAYS. 4765 03:19:30,080 --> 03:19:32,080 WE'LL GO BACK AND LOOK BY AGE 4766 03:19:32,080 --> 03:19:33,200 GROUP AND QUESTION WHICH MAKES 4767 03:19:33,200 --> 03:19:35,160 SENSE IN TERMS OF THE EVIDENCE 4768 03:19:35,160 --> 03:19:39,920 BUT THANKS FOR THE POINTS. 4769 03:19:39,920 --> 03:19:43,480 I THINK THIS DISCUSSION VERY 4770 03:19:43,480 --> 03:19:45,160 FRUITFUL AND HELPS INFORM FUTURE 4771 03:19:45,160 --> 03:19:45,440 GUIDANCE. 4772 03:19:45,440 --> 03:19:46,400 >>THANK YOU. 4773 03:19:46,400 --> 03:19:47,760 I KNOW WE WENT A LITTLE OFF 4774 03:19:47,760 --> 03:19:50,520 SCHEDULE BUT I THINK THIS WAS A 4775 03:19:50,520 --> 03:19:52,280 REALLY IMPORTANT DISCUSSION TO 4776 03:19:52,280 --> 03:19:53,720 HAVE BECAUSE IT IS AS MENTIONED 4777 03:19:53,720 --> 03:19:59,480 A COMMON CROSS-CUTTING THEME. 4778 03:19:59,480 --> 03:20:00,840 SO THANK YOU AND I'M SURE WE'LL 4779 03:20:00,840 --> 03:20:01,440 BE REVISITING THE TOPIC MANY 4780 03:20:01,440 --> 03:20:04,680 TIMES. 4781 03:20:04,680 --> 03:20:10,880 SO LAST BUT NOT LEAST WE HAVE 4782 03:20:10,880 --> 03:20:11,480 SUBCOMMITTEE THREE. 4783 03:20:11,480 --> 03:20:14,160 I DO BELIEVE WE'LL HAVE HEATHER 4784 03:20:14,160 --> 03:20:15,840 PRESENT THE DATA ANALYSIS FIRST 4785 03:20:15,840 --> 03:20:18,000 FOLLOWED BY CHRIS WHO IS GOING 4786 03:20:18,000 --> 03:20:20,960 TO TALK ABOUT FOOD PATTERN 4787 03:20:20,960 --> 03:20:21,240 MODELLING. 4788 03:20:21,240 --> 03:20:25,000 TAKE IT AWAY, HEATHER. 4789 03:20:25,000 --> 03:20:26,920 >>THANK YOU VERY MUCH. 4790 03:20:26,920 --> 03:20:30,320 I'M HERE TO INTRODUCE OUR 4791 03:20:30,320 --> 03:20:33,880 SUBCOMMITTEE THREE FOOD PATTERN 4792 03:20:33,880 --> 03:20:36,120 MODELLING AND DATA ANALYSIS. 4793 03:20:36,120 --> 03:20:40,080 AND BEFORE I REALLY GET INTO IT 4794 03:20:40,080 --> 03:20:44,880 I WANT TO THANK AND ACKNOWLEDGE 4795 03:20:44,880 --> 03:20:46,040 ESPECIALLY THE GOVERNMENT STAFF 4796 03:20:46,040 --> 03:20:50,320 THAT HAVE BEEN SUPPORTING OUR 4797 03:20:50,320 --> 03:20:53,240 COMMITTEE ALL THROUGHOUT THIS. 4798 03:20:53,240 --> 03:20:56,520 THEIR EDUCATION TO US ON THE 4799 03:20:56,520 --> 03:21:02,000 PROCESS THEY'VE BEEN SO PATIENT 4800 03:21:02,000 --> 03:21:03,640 AND HELPING US LEARN THIS STUFF 4801 03:21:03,640 --> 03:21:05,160 ALONG THE WAY SO WE APPRECIATE 4802 03:21:05,160 --> 03:21:05,360 THAT. 4803 03:21:05,360 --> 03:21:07,640 I ALSO WANT TO THANK ALL OF OUR 4804 03:21:07,640 --> 03:21:13,440 MEMBERS WHO ARE STAYED EXTREMELY 4805 03:21:13,440 --> 03:21:15,600 ENGAGED THROUGHOUT THE WHOLE 4806 03:21:15,600 --> 03:21:16,720 PROCESS OF CATCHING UP ON THE 4807 03:21:16,720 --> 03:21:21,680 DETAILS OF THE DIFFERENT PIECES 4808 03:21:21,680 --> 03:21:22,920 OF THE PROCESS. 4809 03:21:22,920 --> 03:21:28,280 NOW I'LL GO AHEAD AND JUST 4810 03:21:28,280 --> 03:21:32,800 REMIND EVERYONE THAT THE THREE 4811 03:21:32,800 --> 03:21:34,240 APPROACHES ARE THE SYSTEMIC 4812 03:21:34,240 --> 03:21:35,520 REVIEWS WHICH WE SPENT THE 4813 03:21:35,520 --> 03:21:36,840 ENTIRE TIME TO NOW TALKING ABOUT 4814 03:21:36,840 --> 03:21:41,560 WHICH IS REALLY CRITICAL TO HELP 4815 03:21:41,560 --> 03:21:43,600 US UNDERSTAND THE LINK BETWEEN 4816 03:21:43,600 --> 03:21:46,600 HEALTH OUTCOMES AND DIET. 4817 03:21:46,600 --> 03:21:49,000 NORTH APPROACH THAT WE INTEGRATE 4818 03:21:49,000 --> 03:21:51,960 WITH THE SYSTEMIC REVIEWS IS THE 4819 03:21:51,960 --> 03:21:52,560 DATA ANALYSIS. 4820 03:21:52,560 --> 03:21:56,760 AND WE CAN KIND OF THINK OF THAT 4821 03:21:56,760 --> 03:21:59,160 AS THE BASELINE OF WHAT WE'RE 4822 03:21:59,160 --> 03:22:03,560 EATING AND WHAT OUR HEALTH 4823 03:22:03,560 --> 03:22:04,200 OUTCOMES IN THE UNITED STATES 4824 03:22:04,200 --> 03:22:05,920 LOOK LIKE THEN WE HAVE THE FOOD 4825 03:22:05,920 --> 03:22:07,640 PATTERN MODELLING THE THIRD 4826 03:22:07,640 --> 03:22:13,960 APPROACH THAT HELPS US TEST OUT 4827 03:22:13,960 --> 03:22:14,920 THE KIND OF RECOMMENDATIONS 4828 03:22:14,920 --> 03:22:19,600 WE'RE MAKING. 4829 03:22:19,600 --> 03:22:21,920 SO I'M JUST GOING TO THEY'RE 4830 03:22:21,920 --> 03:22:23,120 BRIEFLY ABOUT THE DATA ANALYSIS 4831 03:22:23,120 --> 03:22:28,640 APPROACH AND WHAT WE'VE BEEN 4832 03:22:28,640 --> 03:22:29,040 DOING. 4833 03:22:29,040 --> 03:22:30,840 WE COULD DEFINE DATA ANALYSIS AS 4834 03:22:30,840 --> 03:22:35,000 A COLLECTION OF ANALYSIS THAT 4835 03:22:35,000 --> 03:22:36,160 USES NATIONAL DATA SET TO 4836 03:22:36,160 --> 03:22:37,640 DESCRIBE THE CURRENT HEALTH AND 4837 03:22:37,640 --> 03:22:42,720 DIETARY INTAKES OF AMERICANS. 4838 03:22:42,720 --> 03:22:46,320 AND AGAIN THIS HELPS US CEASE 4839 03:22:46,320 --> 03:22:47,120 WHERE WE ARE. 4840 03:22:47,120 --> 03:22:52,600 WE HAVE TO KNOW THAT BEFORE WE 4841 03:22:52,600 --> 03:22:55,600 CAN THINK ABOUT HOW WE CHANGE TO 4842 03:22:55,600 --> 03:22:56,680 THINK ABOUT WHERE WE WANT TO BE 4843 03:22:56,680 --> 03:22:58,640 WITH OUR DIET AND HEALTH. 4844 03:22:58,640 --> 03:23:01,480 HAVING THESE SET OF ANALYSES 4845 03:23:01,480 --> 03:23:02,920 ACROSS THE POPULATION HELP US 4846 03:23:02,920 --> 03:23:05,240 REALLY MAKE THE DIETARY 4847 03:23:05,240 --> 03:23:07,760 GUIDELINES PRACTICAL, RELEVANT, 4848 03:23:07,760 --> 03:23:14,200 ACHIEVABLE AND ACTIONABLE. 4849 03:23:14,200 --> 03:23:17,480 SO COMPRISING THE DATA ANALYSIS, 4850 03:23:17,480 --> 03:23:20,720 THE QUESTIONS THAT WE'RE GOING 4851 03:23:20,720 --> 03:23:23,400 TO BE ADDRESSING ARE FIRST WHAT 4852 03:23:23,400 --> 03:23:25,120 ARE THE CURRENT PATTERNS OF FOOD 4853 03:23:25,120 --> 03:23:30,720 AND BEVERAGE INTAKE AND WE CAN 4854 03:23:30,720 --> 03:23:32,400 THINK ABOUT THAT AS ADDRESSING 4855 03:23:32,400 --> 03:23:34,520 DIETARY QUALITY AND THINK OF THE 4856 03:23:34,520 --> 03:23:38,280 HEALTHY EATING INDEX AND HOW WE 4857 03:23:38,280 --> 03:23:40,280 AS A POPULATION ARE MEETING THE 4858 03:23:40,280 --> 03:23:41,200 GOALS FOR THE DIETARY GUIDELINES 4859 03:23:41,200 --> 03:23:44,960 THERE. 4860 03:23:44,960 --> 03:23:46,560 THINKING ABOUT THE VARIETY. 4861 03:23:46,560 --> 03:23:50,760 THE SECOND QUESTION WOULD BE 4862 03:23:50,760 --> 03:23:52,840 DELVING INTO THE COMPONENTS OF 4863 03:23:52,840 --> 03:23:55,640 DIET A LITTLE FURTHER THINKING 4864 03:23:55,640 --> 03:23:57,040 HOW WELL WE'RE MEETING CURRENT 4865 03:23:57,040 --> 03:23:59,480 INTAKES OF FOOD GROUPS AND THEN 4866 03:23:59,480 --> 03:24:02,480 THE NUTRIENTS THAT ARE WITHIN 4867 03:24:02,480 --> 03:24:04,400 THOSE FOODS. 4868 03:24:04,400 --> 03:24:06,920 HOW WE'RE DOING THERE. 4869 03:24:06,920 --> 03:24:12,040 OTHER DIETARY COMPONENTS WE KNOW 4870 03:24:12,040 --> 03:24:13,600 ARE IMPORTANT. 4871 03:24:13,600 --> 03:24:19,600 AND THEN THEN THE THIRD PIECE, 4872 03:24:19,600 --> 03:24:21,360 QUESTION, IS ADDRESSING WHEN WE 4873 03:24:21,360 --> 03:24:22,760 THINK ABOUT THE INTAKES PERHAPS 4874 03:24:22,760 --> 03:24:24,960 OF THE COMPONENTS OF THE FOOD 4875 03:24:24,960 --> 03:24:28,880 GROUPS AND OF THE NUTRIENTS HOW 4876 03:24:28,880 --> 03:24:30,960 WE'RE DOING MEETING THE 4877 03:24:30,960 --> 03:24:31,320 RECOMMENDATIONS. 4878 03:24:31,320 --> 03:24:33,200 SO LIKE ARE WE UNDER CONSUMING 4879 03:24:33,200 --> 03:24:36,120 THOSE ARE WE OVER CONSUMING 4880 03:24:36,120 --> 03:24:37,440 CERTAIN THINGS WITHIN OUR DIET 4881 03:24:37,440 --> 03:24:40,720 THAT ULTIMATELY LEAD TO POOR 4882 03:24:40,720 --> 03:24:44,400 HEALTH OUTCOMES AND FINALLY TO 4883 03:24:44,400 --> 03:24:47,480 PUT THIS ALL INTO CONTEXT WE 4884 03:24:47,480 --> 03:24:49,920 NEED TO UNDERSTAND WHAT THOSE 4885 03:24:49,920 --> 03:24:51,040 HEALTH OUTCOMES IN THE 4886 03:24:51,040 --> 03:24:56,360 U.S. POPULATION ARE THAT WE ARE 4887 03:24:56,360 --> 03:25:01,560 TRYING TO PREVENT AND AGAIN AS A 4888 03:25:01,560 --> 03:25:03,640 REMINDER WITH THE DIETARY 4889 03:25:03,640 --> 03:25:06,560 GUIDELINES WE'RE DIRECTING THOSE 4890 03:25:06,560 --> 03:25:07,600 TOWARDS THE CHRONIC OUTCOMES 4891 03:25:07,600 --> 03:25:09,960 THAT ARE THE MAIN KILLERS OF 4892 03:25:09,960 --> 03:25:12,640 AMERICANS AND THE BIGGEST MOST 4893 03:25:12,640 --> 03:25:17,880 SERIOUS HEALTH PROBLEMS IN THE 4894 03:25:17,880 --> 03:25:18,880 U.S. 4895 03:25:18,880 --> 03:25:20,480 WE FIRST HAVE TO UNDERSTAND OUR 4896 03:25:20,480 --> 03:25:25,880 BASELINES AND UPDATE THAT. 4897 03:25:25,880 --> 03:25:30,920 MOVING ON, WE WILL USE SEVERAL 4898 03:25:30,920 --> 03:25:33,160 SEVERAL FEDERAL DATA SOURCES FOR 4899 03:25:33,160 --> 03:25:36,800 COMPLETING THE ANALYSIS. 4900 03:25:36,800 --> 03:25:39,480 THE FIRST SOURCE IS IS FROM THE 4901 03:25:39,480 --> 03:25:41,160 NUTRITION SURVEY AND WE'RE 4902 03:25:41,160 --> 03:25:45,840 FORTUNATE TO HAVE SUCH A SURVEY 4903 03:25:45,840 --> 03:25:50,080 IT'S AN ONGOING POPULATION LEVEL 4904 03:25:50,080 --> 03:25:54,040 SURVEY THAT CAN BE MADE 4905 03:25:54,040 --> 03:25:58,000 U.S. POPULATION AND ASSESSES 4906 03:25:58,000 --> 03:25:58,440 DIET. 4907 03:25:58,440 --> 03:26:01,920 THIS AND THIS IS CALLED WHAT WE 4908 03:26:01,920 --> 03:26:04,760 EAT IN AMERICA AND THERE'S 4909 03:26:04,760 --> 03:26:06,440 ADDITIONAL DATABASES THAT 4910 03:26:06,440 --> 03:26:09,280 SUPPORT THIS AND WE HAVE THE 4911 03:26:09,280 --> 03:26:15,120 USDA FOOD AND NUTRITION AND 4912 03:26:15,120 --> 03:26:16,960 THERE'S A FOOD COMPOSITION 4913 03:26:16,960 --> 03:26:17,480 DATABASE. 4914 03:26:17,480 --> 03:26:22,560 FOR EVERY FOOD THAT'S REPORTED 4915 03:26:22,560 --> 03:26:27,560 IN THE POPULATION WE HAVE AND 4916 03:26:27,560 --> 03:26:31,640 OTHER DIET COMPONENTS THAT ARE 4917 03:26:31,640 --> 03:26:33,360 PARTS OF THAT FOOD IN THE 4918 03:26:33,360 --> 03:26:33,960 DATABASE. 4919 03:26:33,960 --> 03:26:37,040 THE SECOND DATABASE IS THE USDA 4920 03:26:37,040 --> 03:26:43,080 FOOD PATTERN EQUIVALENTS 4921 03:26:43,080 --> 03:26:50,480 DATABASE WHICH BREAKS DOWN FOOD 4922 03:26:50,480 --> 03:26:52,600 AND THE VEGETABLE GROUP, FOOD 4923 03:26:52,600 --> 03:26:53,840 GROUP, ETCETERA. 4924 03:26:53,840 --> 03:26:58,400 -- FRUIT GROUP, ETCETERA. 4925 03:26:58,400 --> 03:27:00,920 THE DATABASE SUPPORTS US 4926 03:27:00,920 --> 03:27:01,600 UNDERSTANDING AND BEING ABLE TO 4927 03:27:01,600 --> 03:27:03,800 DO THAT. 4928 03:27:03,800 --> 03:27:07,520 THE THIRD OF THOSE DATABASES IS 4929 03:27:07,520 --> 03:27:10,560 WHAT WE EAT IN AMERICA FOOD 4930 03:27:10,560 --> 03:27:12,000 CATEGORIES. 4931 03:27:12,000 --> 03:27:22,560 THIS IS THE SYSTEMATIC CORE -- 4932 03:27:23,080 --> 03:27:25,200 CATEGORIZATION AND THEY'RE 4933 03:27:25,200 --> 03:27:27,720 NEEDED TO UTILIZE THAT N HANES 4934 03:27:27,720 --> 03:27:29,680 DATA AND BE ABLE TO MAKE 4935 03:27:29,680 --> 03:27:30,280 NATIONAL-LEVEL ESTIMATES OF 4936 03:27:30,280 --> 03:27:34,000 DIET. 4937 03:27:34,000 --> 03:27:37,040 OTHER SOURCES WE'LL BE DRAWING 4938 03:27:37,040 --> 03:27:41,640 FROM ARE THE NATIONAL HEALTH 4939 03:27:41,640 --> 03:27:45,000 INTERVIEW SURVEY. 4940 03:27:45,000 --> 03:27:53,600 THE SURVEILLANCE AND 4941 03:27:53,600 --> 03:27:55,360 OBSERVATIONAL SURVEY AND WILL 4942 03:27:55,360 --> 03:27:56,800 HELP UNDERSTAND THE HEALTH 4943 03:27:56,800 --> 03:27:58,040 OUTCOMES IN THE U.S. AT A 4944 03:27:58,040 --> 03:28:02,400 NATIONAL LEVEL. 4945 03:28:02,400 --> 03:28:07,280 MOVING ON, OUR PROGRESS. 4946 03:28:07,280 --> 03:28:12,440 OUR DATA ANALYSIS SO FAR HAS 4947 03:28:12,440 --> 03:28:22,960 BEEN TO USE THE NHANES AS DATA 4948 03:28:29,000 --> 03:28:38,080 AND WE'LL BE UPDATING ALL OF THE 4949 03:28:38,080 --> 03:28:43,800 DATA ANALYSIS FROM THE LAST DGA 4950 03:28:43,800 --> 03:28:46,080 AND CONSIDER INCORPORATING 4951 03:28:46,080 --> 03:28:46,800 ADDITIONAL VARIABLES TO THE 4952 03:28:46,800 --> 03:28:51,760 ANALYSIS HAS MENTIONED BY THE 4953 03:28:51,760 --> 03:28:56,920 HEALTH EQUITY HEALTH GROUP. 4954 03:28:56,920 --> 03:29:02,720 SO WE'RE THINKING ABOUT YOU WILL 4955 03:29:02,720 --> 03:29:05,640 ALL THE CONFOUNDERS WE WANT TO 4956 03:29:05,640 --> 03:29:06,560 STRATIFY ANALYSIS BY. 4957 03:29:06,560 --> 03:29:10,400 WE'LL WORK ON A FORMAL DATA 4958 03:29:10,400 --> 03:29:10,720 ANALYSIS PLAN. 4959 03:29:10,720 --> 03:29:15,240 THAT'S FORTHCOMING. 4960 03:29:15,240 --> 03:29:16,280 WE'RE ALSO CONSIDERING LOOKING 4961 03:29:16,280 --> 03:29:18,160 FOR DIETARY INTAKE DATA DURING 4962 03:29:18,160 --> 03:29:23,600 THE COVID-19 PANDEMIC. 4963 03:29:23,600 --> 03:29:26,600 FINALLY THIS IS THE WORK IN 4964 03:29:26,600 --> 03:29:27,160 PROGRESS. 4965 03:29:27,160 --> 03:29:28,000 WE HAVEN'T SPENT QUITE AS MUCH 4966 03:29:28,000 --> 03:29:29,400 AS TIME ON THE DATA ANALYSIS 4967 03:29:29,400 --> 03:29:33,520 WORKING UP TO NOW BECAUSE OF THE 4968 03:29:33,520 --> 03:29:35,560 MORE PRESSING NEEDS OF WORKING 4969 03:29:35,560 --> 03:29:36,520 THROUGH THE FOOD PATTERN 4970 03:29:36,520 --> 03:29:41,440 MODELLING PROTOCOLS. 4971 03:29:41,440 --> 03:29:43,880 SO WE WILL BE BRINGING YOU MORE 4972 03:29:43,880 --> 03:29:44,960 ON DATA ANALYSIS IN SOME OF OUR 4973 03:29:44,960 --> 03:29:49,680 NEXT MEETINGS. 4974 03:29:49,680 --> 03:29:54,920 SO AT THIS POINT I WILL GO AHEAD 4975 03:29:54,920 --> 03:30:01,720 AND TURN IT OVER TO CHRIS. 4976 03:30:01,720 --> 03:30:05,040 >>SO I'M NOW GOING TO MAKE THE 4977 03:30:05,040 --> 03:30:07,440 TRANSITION INTO SOMETHING 4978 03:30:07,440 --> 03:30:08,920 COMPLETELY DIFFERENT. 4979 03:30:08,920 --> 03:30:14,000 WE ARE IN TO FOOD PATTERN 4980 03:30:14,000 --> 03:30:16,240 MODELLING AND WE'VE GONE INTO 4981 03:30:16,240 --> 03:30:19,000 THE NESR REVIEWS AND EVALUATING 4982 03:30:19,000 --> 03:30:20,520 THE CURRENT SCIENCE AROUND 4983 03:30:20,520 --> 03:30:25,280 BEHAVIORS AND OUTCOMES AND HOW 4984 03:30:25,280 --> 03:30:26,240 DO WE THEN TAKE OUR 4985 03:30:26,240 --> 03:30:27,120 EVIDENCE-BASED APPROACH. 4986 03:30:27,120 --> 03:30:31,320 THIS IS WHERE WE TRANSLATE THESE 4987 03:30:31,320 --> 03:30:32,120 RECOMMENDATIONS, THESE FOOD 4988 03:30:32,120 --> 03:30:33,760 PATTERNS WE KEEP TALKING ABOUT 4989 03:30:33,760 --> 03:30:39,520 THE DIFFERENT DIETARY PATTERNS 4990 03:30:39,520 --> 03:30:41,880 AND FOODS WE PROMOTE IN 4991 03:30:41,880 --> 03:30:47,040 MODERATION AND HOW DOES THIS 4992 03:30:47,040 --> 03:30:49,040 TRANSLATE INTO NOT ONLY EATING A 4993 03:30:49,040 --> 03:30:55,040 DIVERSE DIET BUT ALSO EATING A 4994 03:30:55,040 --> 03:30:59,680 DIVERSE DIET WITH NUTRITIONAL 4995 03:30:59,680 --> 03:31:01,320 ADEQUACY IN MIND AND LOOKING AT 4996 03:31:01,320 --> 03:31:03,360 VARIOUS INTAKES THAT MAY BE 4997 03:31:03,360 --> 03:31:04,160 SPECIFIC TO VARIOUS HEALTH 4998 03:31:04,160 --> 03:31:05,960 OUTCOMES AND THE LENS WE'RE 4999 03:31:05,960 --> 03:31:08,160 LOOKING AT FOOD PATTERN 5000 03:31:08,160 --> 03:31:12,320 MODELLING IS HOW DO WE PROMOTE A 5001 03:31:12,320 --> 03:31:13,760 DIVERSITY OF FOOD INTAKES WHILE 5002 03:31:13,760 --> 03:31:14,840 ALSO MEETING THE NUTRIENT 5003 03:31:14,840 --> 03:31:21,560 INTAKES FROM THE DRIs. 5004 03:31:21,560 --> 03:31:23,720 THE FOOD PATTERN MODELLING IS A 5005 03:31:23,720 --> 03:31:26,480 WAY TO LOOK AT THE WHOLE DIETARY 5006 03:31:26,480 --> 03:31:28,000 PATTERN AND HOW DOES IT 5007 03:31:28,000 --> 03:31:29,880 TRANSLATE INTO THE NUTRIENT 5008 03:31:29,880 --> 03:31:40,160 NEEDS PER SE. 5009 03:31:40,480 --> 03:31:41,880 SO WE'LL GO THROUGH A COUPLE 5010 03:31:41,880 --> 03:31:42,760 SEGMENTS OF THE WORK WE'VE DONE. 5011 03:31:42,760 --> 03:31:44,560 THE FIRST PART WE DID WAS TO GO 5012 03:31:44,560 --> 03:31:49,280 THROUGH AND ACTUALLY REFINE THE 5013 03:31:49,280 --> 03:31:50,240 SCIENTIFIC QUESTIONS AS ALL IS 5014 03:31:50,240 --> 03:31:51,920 THE OTHER SUBCOMMITTEES HAVE HAD 5015 03:31:51,920 --> 03:31:53,280 TO DO AND HAD OUR SERIES OF 5016 03:31:53,280 --> 03:31:56,200 SCIENTIFIC QUESTIONS WE THEN HAD 5017 03:31:56,200 --> 03:32:00,560 TO TWEAK AND REFINE BASED ON THE 5018 03:32:00,560 --> 03:32:04,320 DATA WE HAVE AVAILABLE FROM THE 5019 03:32:04,320 --> 03:32:05,640 NHANES AMERICA DATABASE AND HAD 5020 03:32:05,640 --> 03:32:06,920 TO CREATE OUR PRIORITIZATION ON 5021 03:32:06,920 --> 03:32:07,880 WHAT SPECIFIC QUESTIONS WE WERE 5022 03:32:07,880 --> 03:32:11,760 GOING TO ADDRESS. 5023 03:32:11,760 --> 03:32:14,960 AND IN WHAT ORDER. 5024 03:32:14,960 --> 03:32:16,560 WHAT THIS DOESN'T SAY IS WE'RE 5025 03:32:16,560 --> 03:32:20,360 NOT CHANGING WHAT FOODS COUNT OR 5026 03:32:20,360 --> 03:32:22,640 FOOD GROUP INTAKES. 5027 03:32:22,640 --> 03:32:26,440 WE'RE NOT CHANGING THE FNDDS OR 5028 03:32:26,440 --> 03:32:28,640 DATABASE BUT WHAT WE'RE DOING IS 5029 03:32:28,640 --> 03:32:32,800 UTILIZING THIS DATA TO HELP US 5030 03:32:32,800 --> 03:32:33,760 UNDERSTAND WHAT ARE THE 5031 03:32:33,760 --> 03:32:36,920 IMPLICATIONS OF LOOKING AT WHAT 5032 03:32:36,920 --> 03:32:39,520 FOODS MAKE UP WHAT FOOD GROUPS, 5033 03:32:39,520 --> 03:32:40,160 HOW MUCH WOULD WE RECOMMEND 5034 03:32:40,160 --> 03:32:43,520 WITHIN EACH ONE OF THE DIETARY 5035 03:32:43,520 --> 03:32:45,160 PATTERNS AND WHAT'S THAT RESULT 5036 03:32:45,160 --> 03:32:49,560 IN NUTRIENT INTAKE AND WHAT DOES 5037 03:32:49,560 --> 03:32:52,520 THAT MAKE UP AS FAR AS WHAT 5038 03:32:52,520 --> 03:33:00,160 AMERICANS ARE EATING? 5039 03:33:00,160 --> 03:33:02,280 THIS IS IS THE POSED SCIENTIFIC 5040 03:33:02,280 --> 03:33:09,880 QUESTION SHOULD THE U.S. DIETARY 5041 03:33:09,880 --> 03:33:20,400 PATTERNS BE MODIFIED DUE TO THE 5042 03:33:21,440 --> 03:33:21,960 SYSTEMATIC PATTERNS AND THE 5043 03:33:21,960 --> 03:33:30,320 OTHER VARIOUS STEPS. 5044 03:33:30,320 --> 03:33:33,080 AT THE SAME TIME IT'S LOOKING AT 5045 03:33:33,080 --> 03:33:35,080 DIFFERENT CULTURAL FOOD WAYS AND 5046 03:33:35,080 --> 03:33:37,880 LIMITATIONS LIKE LACTOSE IN 5047 03:33:37,880 --> 03:33:41,520 TOLERANCE WE TALKED ABOUT THIS 5048 03:33:41,520 --> 03:33:44,120 MORNING HOW DO WE THEN 5049 03:33:44,120 --> 03:33:45,360 INCORPORATE THOSE CHANGES TO 5050 03:33:45,360 --> 03:33:46,280 MAKE CHANGES THROUGH FOOD 5051 03:33:46,280 --> 03:33:48,080 PATTERN MODELLING AND WHAT ARE 5052 03:33:48,080 --> 03:33:49,880 THE IMPLICATIONS OF CHANGES 5053 03:33:49,880 --> 03:33:59,120 WITHIN THAT? 5054 03:33:59,120 --> 03:34:03,400 IT MIGHT BE RECATEGORIZATION OF 5055 03:34:03,400 --> 03:34:05,640 FOODS OR SUB GROUPS AND 5056 03:34:05,640 --> 03:34:06,160 SUBSEQUENT CHANGES TO THE 5057 03:34:06,160 --> 03:34:11,280 CALORIE LEVELS. 5058 03:34:11,280 --> 03:34:12,960 ONE OF THE COMMENTS WAS ABOUT 5059 03:34:12,960 --> 03:34:14,400 THE CHANGE IN THE ENERGY D.R.I. 5060 03:34:14,400 --> 03:34:24,800 THAT CAME OUT RECENTLY. 5061 03:34:26,800 --> 03:34:27,840 WHEN WE LOOK AT STANDARDS OF 5062 03:34:27,840 --> 03:34:29,880 HEIGHT AND WEIGHT AND HOW DOES 5063 03:34:29,880 --> 03:34:33,040 THAT TRANSLATE TO CALORIC LEVEL 5064 03:34:33,040 --> 03:34:35,280 MODEL TO ENSURE INDIVIDUALS 5065 03:34:35,280 --> 03:34:39,840 ACROSS LIFE STAGES CAN MEET THE 5066 03:34:39,840 --> 03:34:41,880 NEEDS BASED ON THE CALORIC 5067 03:34:41,880 --> 03:34:42,600 LEVELS. 5068 03:34:42,600 --> 03:34:44,640 SO THE WORK WE'RE DOING IS 5069 03:34:44,640 --> 03:34:48,720 REALLY BASED IN TWO BIG PHASES. 5070 03:34:48,720 --> 03:34:50,040 ONE OF THEM IS THE HOW WE'RE 5071 03:34:50,040 --> 03:34:54,560 LOOKING AT WHAT THE DIETARY 5072 03:34:54,560 --> 03:34:56,000 PATTERNS ARE AND WILL REREVISE 5073 03:34:56,000 --> 03:35:00,560 ANY OF THESE PARTICULAR PATTERNS 5074 03:35:00,560 --> 03:35:05,960 TO ADDRESS THE QUESTIONS WE'LL 5075 03:35:05,960 --> 03:35:11,960 TALK ABOUT TESTING HOW THEY 5076 03:35:11,960 --> 03:35:13,880 MIGHT MEET NUTRIENT INDICATIONS 5077 03:35:13,880 --> 03:35:19,000 AND ANOTHER THING THAT WAS 5078 03:35:19,000 --> 03:35:25,080 MENTIONED IS WHERE WE CAN DO THE 5079 03:35:25,080 --> 03:35:27,120 SIMULATED DIETS AND IF WE PUT 5080 03:35:27,120 --> 03:35:28,400 THIS INTO PLACE HOW DOES IT 5081 03:35:28,400 --> 03:35:29,480 CHANGE THE OUTCOME? 5082 03:35:29,480 --> 03:35:32,960 HOW DO WE THEN TAKE 100 WAYS TO 5083 03:35:32,960 --> 03:35:34,200 ASSESS WHAT SOMEBODY MIGHT EAT 5084 03:35:34,200 --> 03:35:36,840 AND WHAT ARE IMPLICATIONS ON THE 5085 03:35:36,840 --> 03:35:38,560 NUTRIENT OUTCOMES AS WELL AS IF 5086 03:35:38,560 --> 03:35:42,040 WE MAKE CHANGES IN THE DIETARY 5087 03:35:42,040 --> 03:35:43,920 PATTERNS IN THE BEGINNING DOES 5088 03:35:43,920 --> 03:35:45,360 IT SHIFT THE NUMBER OF CALORIES 5089 03:35:45,360 --> 03:35:48,840 NEEDED FOR A FOUNDATIONAL DIET 5090 03:35:48,840 --> 03:35:50,880 BUT THEN PROVIDES MORE LATITUDE 5091 03:35:50,880 --> 03:35:58,400 WITHIN THE MEETING ENERGY NEEDS? 5092 03:35:58,400 --> 03:36:03,120 SO OUR FIRST PROTOCOL IS LOOKING 5093 03:36:03,120 --> 03:36:04,840 AT SHOULD FOODS AND BEVERAGES 5094 03:36:04,840 --> 03:36:07,720 WITH LOWER NUTRIENT DENSITY AND 5095 03:36:07,720 --> 03:36:09,560 FITTING WITHIN A FOOD CATEGORY 5096 03:36:09,560 --> 03:36:12,080 BUT BY THEIR NATURE HAVE HIGHER 5097 03:36:12,080 --> 03:36:13,880 ADDED SUGARS AND SATURATED FAT 5098 03:36:13,880 --> 03:36:16,400 AND SODIUM, SHOULD THEY 5099 03:36:16,400 --> 03:36:18,520 CONTRIBUTE TO THE ITEM CLUSTERS 5100 03:36:18,520 --> 03:36:19,440 AND REPRESENTATIVE FOODS AND 5101 03:36:19,440 --> 03:36:21,280 THEREFORE BE INCLUDED AS PART OF 5102 03:36:21,280 --> 03:36:25,720 THE FOOD GROUP OR WOULD WE 5103 03:36:25,720 --> 03:36:27,320 REMOVE THOSE AND TIGHTEN THE 5104 03:36:27,320 --> 03:36:28,640 NUTRIENT COMPOSITION THAT COMES 5105 03:36:28,640 --> 03:36:30,680 FROM THOSE AND THE CALORIC 5106 03:36:30,680 --> 03:36:31,040 CONTRIBUTION. 5107 03:36:31,040 --> 03:36:33,600 THAT WILL BE THE PROTOCOL THAT 5108 03:36:33,600 --> 03:36:39,280 WE'LL BE TALKING ABOUT TODAY. 5109 03:36:39,280 --> 03:36:42,760 SO FOLLOWING UP ON THAT THE 5110 03:36:42,760 --> 03:36:45,840 BASIS OF THE DIETARY PATTERNS 5111 03:36:45,840 --> 03:36:48,680 WAS OUR PRIORITIZATION PROCESS 5112 03:36:48,680 --> 03:36:50,440 IN TERMS OF WHICH OF THE SUB 5113 03:36:50,440 --> 03:36:54,840 ITEMS WERE WE GOING TO REVIEW 5114 03:36:54,840 --> 03:36:56,640 AND WHAT ARE THE DIFFERENT TYPES 5115 03:36:56,640 --> 03:36:59,400 OF FOOD GROUPS. 5116 03:36:59,400 --> 03:37:03,080 WHAT TYPES OF POTENTIAL 5117 03:37:03,080 --> 03:37:04,640 SUBSTITUTIONS, MODIFICATIONS FOR 5118 03:37:04,640 --> 03:37:06,440 PARTICULAR DIETARY PATTERNS 5119 03:37:06,440 --> 03:37:09,480 MIGHT HAVE AN IMPACT ON NUTRIENT 5120 03:37:09,480 --> 03:37:09,720 ADEQUACY. 5121 03:37:09,720 --> 03:37:13,040 SO I THINK IT'S IMPORTANT THINK 5122 03:37:13,040 --> 03:37:14,600 ABOUT JUST FUNDAMENTAL TO THE 5123 03:37:14,600 --> 03:37:16,400 FOOD PATTERN MODELLING PROCESS 5124 03:37:16,400 --> 03:37:20,160 IS THAT WE'RE TRYING TO GET TO 5125 03:37:20,160 --> 03:37:22,960 THE NUTRITIONAL ADEQUACY OF THE 5126 03:37:22,960 --> 03:37:25,120 DIET IN FOLLOWING THE PATTERN. 5127 03:37:25,120 --> 03:37:27,520 SO WE HAVE A LOT OF STUDIES THAT 5128 03:37:27,520 --> 03:37:29,440 ARE FOCUSSED ON VARIOUS PATTERNS 5129 03:37:29,440 --> 03:37:32,080 TOWARDS ONE OUTCOME, WEIGHT 5130 03:37:32,080 --> 03:37:33,480 MANAGEMENT, DIABETES, WHATEVER 5131 03:37:33,480 --> 03:37:34,840 THAT MIGHT BE. 5132 03:37:34,840 --> 03:37:36,840 BUT THE PRIMARY LENS THAT WE'RE 5133 03:37:36,840 --> 03:37:39,920 LOOKING AT FOR FOOD PATTERN 5134 03:37:39,920 --> 03:37:42,600 MODELLING IS THAT NUTRITIONAL 5135 03:37:42,600 --> 03:37:42,880 ADEQUACY. 5136 03:37:42,880 --> 03:37:45,800 SO IT'S REALLY THEN FOCUSSED ON 5137 03:37:45,800 --> 03:37:47,960 THAT COMPONENT AND HISTORICALLY 5138 03:37:47,960 --> 03:37:49,600 OUR FOODS HAVE BEEN GROUPED 5139 03:37:49,600 --> 03:37:51,800 TOGETHER INTO THEIR FOOD GROUPS 5140 03:37:51,800 --> 03:37:53,720 BASED ON ESSENTIALLY THEIR 5141 03:37:53,720 --> 03:37:56,640 SOURCE ORIGIN, ANIMAL PRODUCTS, 5142 03:37:56,640 --> 03:37:58,600 DAIRY, VEGETABLES, FRUIT, 5143 03:37:58,600 --> 03:38:00,040 GRAINS, FROM THE SOURCE THEY 5144 03:38:00,040 --> 03:38:01,960 COME FROM AND THEN ALSO THE 5145 03:38:01,960 --> 03:38:04,160 NUTRITIONAL COMPOSITION. 5146 03:38:04,160 --> 03:38:05,880 SO FOODS WITHIN A FOOD CATEGORY 5147 03:38:05,880 --> 03:38:09,880 ARE GOING TO HAVE A VERY SIMILAR 5148 03:38:09,880 --> 03:38:10,360 NUTRIENT COMPOSITION. 5149 03:38:10,360 --> 03:38:20,840 AND EVERY DIETARY CHANGE IS 5150 03:38:21,760 --> 03:38:24,560 NEWTONIAN SO THE FOOD PATTERN 5151 03:38:24,560 --> 03:38:26,400 MODELLING ALLOWS US TO LOOK 5152 03:38:26,400 --> 03:38:28,360 THROUGH THE QUESTIONS WE WERE 5153 03:38:28,360 --> 03:38:38,880 TRYING TO ASSESS AND OPPOSED AND 5154 03:38:41,640 --> 03:38:43,080 LOOKING AT CONCERN AND 5155 03:38:43,080 --> 03:38:45,880 MAINTAINING THE END POINT OF 5156 03:38:45,880 --> 03:38:47,160 NUTRITIONAL ADEQUACY. 5157 03:38:47,160 --> 03:38:51,000 AS WAS BROUGHT UP THIS MORNING, 5158 03:38:51,000 --> 03:38:52,200 ULTRA PROCESSED FOODS WAS ONE OF 5159 03:38:52,200 --> 03:38:57,640 THE PROPOSED AREAS ESPECIALLY 5160 03:38:57,640 --> 03:38:59,560 AROUND PUBLIC COMMENT AND CAME 5161 03:38:59,560 --> 03:39:00,560 FORWARD AS NOT PART OF THE 5162 03:39:00,560 --> 03:39:02,120 QUESTION BUT EIGHT OF SUPPORT IN 5163 03:39:02,120 --> 03:39:06,840 PUBLIC COMMENT AND AS MENTIONED 5164 03:39:06,840 --> 03:39:09,880 THIS MORNING THERE WERE A COUPLE 5165 03:39:09,880 --> 03:39:12,680 CHALLENGES BETWEEN TAKING THE 5166 03:39:12,680 --> 03:39:14,680 CURRENT LEVEL OF SCIENCE IN THIS 5167 03:39:14,680 --> 03:39:15,720 EMERGING FIELD AND WHAT'S THE 5168 03:39:15,720 --> 03:39:20,400 OPERATIONAL DEFINITION WE CAN 5169 03:39:20,400 --> 03:39:23,040 TAKE AND BE ABLE TO PUT IN TO 5170 03:39:23,040 --> 03:39:27,160 IDENTIFY A FOOD, A COMPOSITION 5171 03:39:27,160 --> 03:39:30,360 AND THE NUTRIENT PROFILE AND 5172 03:39:30,360 --> 03:39:32,040 OVERLAY THAT WITHIN THE NHANES 5173 03:39:32,040 --> 03:39:33,600 DATABASE WHICH MAY NOT BE ABLE 5174 03:39:33,600 --> 03:39:37,800 TO ADEQUATELY CAPTURE THE 5175 03:39:37,800 --> 03:39:39,560 NUANCES THAT HAPPEN WITHIN HOW 5176 03:39:39,560 --> 03:39:42,640 WE DEFINE ULTRA PROCESSED FOODS 5177 03:39:42,640 --> 03:39:45,480 BECAUSE IF THERE'S ONLY ONE 5178 03:39:45,480 --> 03:39:48,920 RECIPE FOR A PARTICULAR TYPE OF 5179 03:39:48,920 --> 03:39:51,160 FOOD IN SOME CASES IF IT'S 5180 03:39:51,160 --> 03:39:54,400 DEFINED AS HOMEMADE IT'S NOT 5181 03:39:54,400 --> 03:39:55,360 CONSIDERED ULTRA PROCESS BUT IF 5182 03:39:55,360 --> 03:39:57,520 IT WAS PURCHASED THAT WAY THEN 5183 03:39:57,520 --> 03:39:58,160 DEFINITIONS MAY VIEW THE SAME 5184 03:39:58,160 --> 03:40:05,000 FOOD DIFFERENTLY. 5185 03:40:05,000 --> 03:40:07,800 SOME OF THE CHALLENGES IS 5186 03:40:07,800 --> 03:40:09,880 OPERATIONALIZING THAT AND THE 5187 03:40:09,880 --> 03:40:12,040 DEFINITIONS USED MEANT WE FELT 5188 03:40:12,040 --> 03:40:14,640 IT WAS TOO EARLY TO TACKLE THIS 5189 03:40:14,640 --> 03:40:16,440 BEFORE WE HAD THE SYSTEMIC 5190 03:40:16,440 --> 03:40:17,880 REVIEW FROM NESR FROM THE 5191 03:40:17,880 --> 03:40:19,800 SUBCOMMITTEE ONE. 5192 03:40:19,800 --> 03:40:24,440 IT IS AN EMERGING AREA BUT WE 5193 03:40:24,440 --> 03:40:25,800 FELT WE WEREN'T GOING TO BE ABLE 5194 03:40:25,800 --> 03:40:28,400 TO MAKE THOSE DECISIONS TO HOW 5195 03:40:28,400 --> 03:40:31,200 TO PUT THAT INTO THE DATA TO BE 5196 03:40:31,200 --> 03:40:32,600 ABLE TO GET TO THE OUTCOMES 5197 03:40:32,600 --> 03:40:33,880 WE'RE LOOKING FOR. 5198 03:40:33,880 --> 03:40:36,200 THE NEXT QUESTION WAS FOOD GROUP 5199 03:40:36,200 --> 03:40:37,400 AND SUB GROUP MODIFICATIONS. 5200 03:40:37,400 --> 03:40:43,520 THIS IS ONE OF THOSE AREAS WHERE 5201 03:40:43,520 --> 03:40:47,920 WE CAN LOOK TO THE CULTURAL FOOD 5202 03:40:47,920 --> 03:40:51,560 WAYS COMING FROM THE NESR 5203 03:40:51,560 --> 03:40:53,360 REVIEWS AROUND FOOD PATTERN 5204 03:40:53,360 --> 03:40:57,680 MODELLING OR DIETARY PATTERNS 5205 03:40:57,680 --> 03:41:00,120 AND ARE THERE WAYS WE CAN MAKE 5206 03:41:00,120 --> 03:41:01,120 MODIFICATIONS TO THE DIFFERENT 5207 03:41:01,120 --> 03:41:07,160 SERVE PER SE OF EACH KIND OF 5208 03:41:07,160 --> 03:41:08,560 FOOD AND ADD ADDITIONAL 5209 03:41:08,560 --> 03:41:09,880 FLEXIBILITY WITHIN THE DIETARY 5210 03:41:09,880 --> 03:41:10,960 PATTERNS THEMSELVES. 5211 03:41:10,960 --> 03:41:13,880 THE THIRD ONE THAT CAME FORWARD 5212 03:41:13,880 --> 03:41:16,360 WAS AROUND STABLE CARBOHYDRATE 5213 03:41:16,360 --> 03:41:20,360 SOURCES WHICH MAY VARY 5214 03:41:20,360 --> 03:41:21,880 CONSIDERABLY ESPECIALLY AMONG 5215 03:41:21,880 --> 03:41:23,240 DIVERSE POPULATIONS AND 5216 03:41:23,240 --> 03:41:25,560 DIFFERENT CULTURAL FOOD WAYS 5217 03:41:25,560 --> 03:41:27,080 THAT MAY USELESS GRAIN 5218 03:41:32,000 --> 03:41:35,040 BASED FOODS BUT MAY USE STARCHY 5219 03:41:35,040 --> 03:41:35,320 VEGETABLES. 5220 03:41:35,320 --> 03:41:38,160 WHAT ARE WAYS TO LOOK AT STARCHY 5221 03:41:38,160 --> 03:41:39,720 CARBOHYDRATE FOODS AND BE 5222 03:41:39,720 --> 03:41:42,160 BROADER IN THE DEFINITION BEYOND 5223 03:41:42,160 --> 03:41:47,120 REFINED GRAINS AND WHOLE GRAINS 5224 03:41:47,120 --> 03:41:48,600 AND WHAT'S IT DO TO THE 5225 03:41:48,600 --> 03:41:50,640 NUTRITIONAL IMPLICATIONS IF WE 5226 03:41:50,640 --> 03:41:53,200 SHIFT THE FOODS AROUND TO HAVE 5227 03:41:53,200 --> 03:41:57,800 MORE VARIABILITY IN THEIR ROLE? 5228 03:41:57,800 --> 03:41:59,000 PROTEIN FOODS. 5229 03:41:59,000 --> 03:42:04,440 ANOTHER AREA WHERE WE'VE HAD A 5230 03:42:04,440 --> 03:42:08,040 LOT OF PUBLIC COMMENT AND WORK 5231 03:42:08,040 --> 03:42:10,920 THAT'S COME FORWARD FROM DGA 5232 03:42:10,920 --> 03:42:11,200 COMMITTEES. 5233 03:42:11,200 --> 03:42:15,160 THE FOCUS BETWEEN PLANT-BASED 5234 03:42:15,160 --> 03:42:17,880 AND PROMOTING PLANT-BASED 5235 03:42:17,880 --> 03:42:22,400 SOURCES OF PROTEIN INTAKES WHICH 5236 03:42:22,400 --> 03:42:24,840 GETS TO VARYING DEGREES AND 5237 03:42:24,840 --> 03:42:25,800 REASONS AROUND MAKING PROTEIN 5238 03:42:25,800 --> 03:42:26,560 FOOD CHOICES. 5239 03:42:26,560 --> 03:42:29,080 SO BEING ABLE TO GO IN AND 5240 03:42:29,080 --> 03:42:30,600 IDENTIFY WHAT ARE THE 5241 03:42:30,600 --> 03:42:36,120 IMPLICATIONS OF PLANT-BASED 5242 03:42:36,120 --> 03:42:38,640 SOURCES AND VARIABILITY OF 5243 03:42:38,640 --> 03:42:40,520 SOURCES AND WHAT IMPLICATIONS 5244 03:42:40,520 --> 03:42:42,920 THOSE HAVE. 5245 03:42:42,920 --> 03:42:45,880 AND FINALLY AS WE GO DOWN THE 5246 03:42:45,880 --> 03:42:48,160 LIST LOOKING AT INDIVIDUALS THAT 5247 03:42:48,160 --> 03:42:50,360 MAY NOT BE ABLE TO CONSUME 5248 03:42:50,360 --> 03:42:56,360 CERTAIN FOODS OR CHOOSE NOT TO 5249 03:42:56,360 --> 03:42:56,920 CONSUME CERTAIN FOODS FOR 5250 03:42:56,920 --> 03:42:59,240 EXAMPLE DAIRY IS AN IMPORTANT 5251 03:42:59,240 --> 03:43:02,720 SOURCE FOR SOME KEY NUTRIENTS 5252 03:43:02,720 --> 03:43:05,360 BUT THE GLOBAL PREVALENCE OF 5253 03:43:05,360 --> 03:43:09,840 LACTOSE INTOLERANCE AND LACTOSE 5254 03:43:09,840 --> 03:43:14,880 MALDIGESTION MEANS FOR SOME 5255 03:43:14,880 --> 03:43:21,880 INDIVIDUALS IT IS NOT A VIABLE 5256 03:43:21,880 --> 03:43:25,000 SOURCE AND HOW DO WE ROOK AT 5257 03:43:25,000 --> 03:43:25,880 PATTERNS FOR THOSE WHO CHOOSE 5258 03:43:25,880 --> 03:43:28,120 NOT TO CONSUME ANIMAL PRODUCT OR 5259 03:43:28,120 --> 03:43:29,880 DAIRY AND WHAT ARE THE 5260 03:43:29,880 --> 03:43:32,760 IMPLICATIONS IF WE WERE TO BUILD 5261 03:43:32,760 --> 03:43:34,680 A PROFILE ON NUTRIENT 5262 03:43:34,680 --> 03:43:35,160 INADEQUACY? 5263 03:43:35,160 --> 03:43:38,840 FINALLY LOW-CARBOHYDRATE DIETS 5264 03:43:38,840 --> 03:43:40,880 WAS ANOTHER AREA THAT'S HAD A 5265 03:43:40,880 --> 03:43:42,160 LOT OF PUBLIC COMMENT. 5266 03:43:42,160 --> 03:43:45,480 AND WE ADDED THIS ONE TO THE END 5267 03:43:45,480 --> 03:43:49,480 BECAUSE WE'RE HOPING TO HAVE THE 5268 03:43:49,480 --> 03:43:52,400 DRI DIGESTIBLE CARBOHYDRATE 5269 03:43:52,400 --> 03:44:02,680 REVIEW COMING FORWARD FROM 5270 03:44:02,680 --> 03:44:06,120 PRESENTATION TO GIVE US A BETTER 5271 03:44:06,120 --> 03:44:08,680 HANDLE ON WHAT THE DEFINITIONS 5272 03:44:08,680 --> 03:44:14,480 OF LOW CARBOHYDRATE MAY BE AND 5273 03:44:14,480 --> 03:44:17,880 LOOK AT THOSE WHO CHOOSE A LOW 5274 03:44:17,880 --> 03:44:20,760 CARBOHYDRATE INTAKE WHATEVER THE 5275 03:44:20,760 --> 03:44:23,040 THRESHOLD MAYBE AND THE 5276 03:44:23,040 --> 03:44:24,520 IMPLICATIONS OF SPREADING THE 5277 03:44:24,520 --> 03:44:27,680 CALORIES OUT ACROSS OTHER FOOD 5278 03:44:27,680 --> 03:44:28,400 CATEGORIES AND WHAT THOSE 5279 03:44:28,400 --> 03:44:38,720 INTAKES WOULD BE. 5280 03:44:39,360 --> 03:44:41,880 ON TO THE PHASE 2 ONCE WE 5281 03:44:41,880 --> 03:44:47,040 IDENTIFY POTENTIAL WAYS TO 5282 03:44:47,040 --> 03:44:48,280 EXPLORE DIVERSIFYING AND 5283 03:44:48,280 --> 03:44:51,200 REVIVING OUR DIETARY PATTERNS WE 5284 03:44:51,200 --> 03:44:51,760 HAVE. 5285 03:44:51,760 --> 03:44:55,320 WE'LL BE TAKING A LOT OF NOTES 5286 03:44:55,320 --> 03:44:57,040 AS WE GO THROUGH PROTOCOL ONE 5287 03:44:57,040 --> 03:44:59,640 THAT WILL INFLUENCE HOW WE WORK 5288 03:44:59,640 --> 03:45:05,000 THROUGH WITH PROTOCOL EIGHT 5289 03:45:05,000 --> 03:45:08,160 BECAUSE THE PREVIOUS COMMITTEE 5290 03:45:08,160 --> 03:45:09,280 AND THERE ARE CERTAIN FOOT IN 5291 03:45:09,280 --> 03:45:11,240 THE AMERICAN DIET NOT ASSOCIATED 5292 03:45:11,240 --> 03:45:13,680 WITH A PARTICULAR DIETARY 5293 03:45:13,680 --> 03:45:17,880 PATTERN BASED ON SATURATED FAT, 5294 03:45:17,880 --> 03:45:22,400 ADDED SUGAR AND COMPOSITION. 5295 03:45:22,400 --> 03:45:23,560 GENERALLY THEY HAVEN'T BEEN 5296 03:45:23,560 --> 03:45:25,880 INCLUDED IN SOME OF THE FOOD 5297 03:45:25,880 --> 03:45:27,800 PATTERNS THEMSELVES. 5298 03:45:27,800 --> 03:45:29,320 BUT THEY'RE APART OF THE 5299 03:45:29,320 --> 03:45:29,840 AMERICAN DIET. 5300 03:45:29,840 --> 03:45:35,640 IF WE LOOK AT REFINING THAT 5301 03:45:35,640 --> 03:45:41,880 NUTRIENT PROFILE AND LOOKING AT 5302 03:45:41,880 --> 03:45:43,840 THAT AND FOODS WITH HIGHER 5303 03:45:43,840 --> 03:45:45,240 NUTRIENT DENSITY WHAT 5304 03:45:45,240 --> 03:45:48,640 IMPLICATIONS DOES THAT HAVE IN 5305 03:45:48,640 --> 03:45:52,000 OPENING THE DOOR IN INCLUDING 5306 03:45:52,000 --> 03:45:53,360 THESE FOODS GENERALLY EXCLUDED 5307 03:45:53,360 --> 03:46:01,280 INTO THE DIETARY PATTERN. 5308 03:46:01,280 --> 03:46:04,320 AND FINALLY THE SIMULATED DIETS, 5309 03:46:04,320 --> 03:46:06,960 THIS IS THE NEW APPROACH THAT'S 5310 03:46:06,960 --> 03:46:09,880 COMING FORWARD AS WAS MENTIONED 5311 03:46:09,880 --> 03:46:11,520 THIS MORNING THIS WAS THE FUN 5312 03:46:11,520 --> 03:46:16,400 PLAYGROUND TO GET TO SEE WHAT 5313 03:46:16,400 --> 03:46:19,560 HAPPENS WHERE WE CAN TAKE A FOOD 5314 03:46:19,560 --> 03:46:24,200 WITH A PATTERN THAT SAY HAS 5315 03:46:24,200 --> 03:46:26,000 THREE VEGETABLES IN A DAY AND 5316 03:46:26,000 --> 03:46:28,160 HAVE THREE VEGETABLE CHOICES AND 5317 03:46:28,160 --> 03:46:30,760 WHEN YOU PUT THE DAYS OF FOOD 5318 03:46:30,760 --> 03:46:34,400 INTAKES WHAT ARE THE RESULTANT 5319 03:46:34,400 --> 03:46:36,640 NUTRIENT ADEQUACY PROFILES YOU 5320 03:46:36,640 --> 03:46:40,160 WERE TO EAT A VARIETY OF FOODS 5321 03:46:40,160 --> 03:46:40,880 WITHIN CATEGORIES PLAYING OUT IN 5322 03:46:40,880 --> 03:46:51,120 ACTIONABLE STRATEGY. 5323 03:46:51,120 --> 03:46:55,280 SO I'LL TAKE A QUICK DEEP BREATH 5324 03:46:55,280 --> 03:46:56,600 HERE AND ASK IF WE HAVE 5325 03:46:56,600 --> 03:47:01,920 QUESTIONS ON OUR PROCESS GOING 5326 03:47:01,920 --> 03:47:03,520 FORWARD BEFORE I START MELTING 5327 03:47:03,520 --> 03:47:04,680 MINDS. 5328 03:47:04,680 --> 03:47:05,000 CHRISTOPHER. 5329 03:47:05,000 --> 03:47:07,120 >>I WAS BLOWN AWAY WITH HOW 5330 03:47:07,120 --> 03:47:08,880 IMPRESSIVE THIS WAS YESTERDAY 5331 03:47:08,880 --> 03:47:11,640 BUT IT JUST OCCURRED TO ME I 5332 03:47:11,640 --> 03:47:15,320 DIDN'T HOW NUTRIENT ADEQUACY 5333 03:47:15,320 --> 03:47:18,120 WOULD BE OPERATIONALIZED. 5334 03:47:18,120 --> 03:47:19,240 WILL THAT BE IN THE SLIDES? 5335 03:47:19,240 --> 03:47:24,200 I'LL STOP AND HOLD. 5336 03:47:24,200 --> 03:47:28,800 >>THANK YOU, CHRIS. 5337 03:47:28,800 --> 03:47:30,320 THAT WAS HELPFUL AND LOOKING 5338 03:47:30,320 --> 03:47:32,000 BACK ON YOUR SLIDE ON HOW YOU 5339 03:47:32,000 --> 03:47:33,560 PRIORITIZE THE ANALYSES AND I 5340 03:47:33,560 --> 03:47:40,440 LOVED SEEING THE RATIONALE FOR 5341 03:47:40,440 --> 03:47:45,400 THEM HOUR IT RACES A QUESTION 5342 03:47:45,400 --> 03:47:48,760 AROUND STABLE FOODS AND THERE'S 5343 03:47:48,760 --> 03:47:52,400 A RATIONALE HERE FOR TESTING 5344 03:47:52,400 --> 03:47:54,280 FLEXIBILITIES RELATED TO SOURCES 5345 03:47:54,280 --> 03:47:57,840 OF CARBOHYDRATES WITH CULTURAL 5346 03:47:57,840 --> 03:48:00,240 RELEVANCE AND I WONDER ABOUT 5347 03:48:00,240 --> 03:48:01,840 OTHER ANALYSIS TOPICS AND 5348 03:48:01,840 --> 03:48:04,440 PARTICULARLY BEFORE WE GO OUT TO 5349 03:48:04,440 --> 03:48:05,880 THE PLAYGROUND THE THOUGHT 5350 03:48:05,880 --> 03:48:09,880 PROCESS AROUND CULTURAL 5351 03:48:09,880 --> 03:48:11,600 RELEVANCE AND WORKING WITHIN 5352 03:48:11,600 --> 03:48:13,440 ANALYSIS TOPICS TO MAKE SURE 5353 03:48:13,440 --> 03:48:15,840 WE'RE TESTING AND FLEXING AROUND 5354 03:48:15,840 --> 03:48:21,880 A VARIETY OF CULTURAL BRIDGES. 5355 03:48:29,440 --> 03:48:30,400 AT THE STABLE FOODS CAME FROM 5356 03:48:30,400 --> 03:48:33,640 PROGRAM STAFF AND REVIEWS AND 5357 03:48:33,640 --> 03:48:39,440 THAT ASPECT AROUND CREATE THAT 5358 03:48:39,440 --> 03:48:41,160 PARTICULAR PROFILE THE OTHER 5359 03:48:41,160 --> 03:48:44,040 CATEGORIES UNDERNEATH WERE MORE 5360 03:48:44,040 --> 03:48:47,120 SPECIFIC TO I'D SAY FOOD 5361 03:48:47,120 --> 03:48:47,480 CATEGORIES. 5362 03:48:47,480 --> 03:48:49,360 THE OTHER PART THAT FITS INTO 5363 03:48:49,360 --> 03:48:54,800 THIS WHICH IS KIND OF THE NEXT 5364 03:48:54,800 --> 03:48:57,880 STEP PART OF THIS IS BASED ON 5365 03:48:57,880 --> 03:49:01,840 THE DIETARY INTAKES FROM NHANES 5366 03:49:01,840 --> 03:49:04,360 TO GET A BROADER REPRESENTATION 5367 03:49:04,360 --> 03:49:06,600 OF FOOD GROUP OR INDIVIDUAL'S 5368 03:49:06,600 --> 03:49:07,960 INTAKES WITH THE SAME 5369 03:49:07,960 --> 03:49:10,320 LIMITATIONS WE TALKED ABOUT IN 5370 03:49:10,320 --> 03:49:15,040 THE FIRST MEETING AROUND WHAT 5371 03:49:15,040 --> 03:49:16,400 SOME OF THOSE SUB GROUPS THAT 5372 03:49:16,400 --> 03:49:21,040 MAY OR MAY NOT BE INCLUDED OR 5373 03:49:21,040 --> 03:49:23,440 INCLUDED IN THE LARGER ASPECT 5374 03:49:23,440 --> 03:49:25,600 AND THE SIMULATIONS BECOMES A 5375 03:49:25,600 --> 03:49:27,840 WAY TO REALLY THEN DIG 5376 03:49:27,840 --> 03:49:30,560 SPECIFICALLY INTO SOME OF THOSE 5377 03:49:30,560 --> 03:49:33,600 CULTURE FOOD WAYS, USE THOSE 5378 03:49:33,600 --> 03:49:35,400 PATTERNS OR USE THOSE FOODS AS A 5379 03:49:35,400 --> 03:49:38,880 WAY TO BUILD THAT AND SEE HOW 5380 03:49:38,880 --> 03:49:41,240 THAT CARRIES FORWARD SO THE 5381 03:49:41,240 --> 03:49:45,280 LITMUS TEST HOW WELL DOES IT 5382 03:49:45,280 --> 03:49:46,600 TRANSLATE LOOKING INTO DIFFERENT 5383 03:49:46,600 --> 03:49:48,480 CULTURE FOOD WAYS AND 5384 03:49:48,480 --> 03:49:49,320 TRANSLATING THAT OUT. 5385 03:49:49,320 --> 03:49:49,800 >>THANK YOU. 5386 03:49:49,800 --> 03:49:52,120 I WANT TO MAKE SURE I'M COMING 5387 03:49:52,120 --> 03:49:54,160 TO THE RIGHT PLACE IN MY HEAD 5388 03:49:54,160 --> 03:49:55,680 HERE. 5389 03:49:55,680 --> 03:50:00,640 FOR EXAMPLE, I CAN IMAGINE THERE 5390 03:50:00,640 --> 03:50:03,360 BEING CULTURE RELEVANCE TO 5391 03:50:03,360 --> 03:50:04,440 CONSUMPTION AND BIOLOGICAL AND 5392 03:50:04,440 --> 03:50:10,680 OTHERWISE. 5393 03:50:10,680 --> 03:50:11,920 ARE YOU SAYING THAT WOULD BE 5394 03:50:11,920 --> 03:50:15,840 INCLUDED AROUND THE ANALYSIS OF 5395 03:50:15,840 --> 03:50:17,880 DAIRY OR DONE MOSTLY DONE 5396 03:50:17,880 --> 03:50:21,880 THROUGH THE ANALYSIS OF STABLE 5397 03:50:21,880 --> 03:50:26,120 CARBOHYDRATES? 5398 03:50:26,120 --> 03:50:29,280 I'LL SAY YES AND NO PARTIALLY 5399 03:50:29,280 --> 03:50:33,760 BECAUSE THE NEXT STEP WILL HELP 5400 03:50:33,760 --> 03:50:34,560 START DISENTANGLE THE COMPONENTS 5401 03:50:34,560 --> 03:50:41,880 OF HOW WE GET THROUGH THE FOODS 5402 03:50:41,880 --> 03:50:43,400 THEMSELVES BECAUSE WE HAVE THE 5403 03:50:43,400 --> 03:50:46,440 AMERICAN FOOD CATEGORIES THAT 5404 03:50:46,440 --> 03:50:50,400 SAY THIS IS A MILK AND DAIRY AND 5405 03:50:50,400 --> 03:50:53,160 FLUID MILK AND THIS IS AN APPLE 5406 03:50:53,160 --> 03:50:56,280 OR BANANA. 5407 03:50:56,280 --> 03:51:01,400 IT CLASSIFIES THE FOODS REPORTED 5408 03:51:01,400 --> 03:51:03,760 INTO CATEGORIES WHAT I'LL TALK 5409 03:51:03,760 --> 03:51:05,360 ABOUT NEXT WE'RE DECONTSTRUCTING 5410 03:51:05,360 --> 03:51:07,520 FOODS NOW AND GETTING DOWN TO 5411 03:51:07,520 --> 03:51:10,320 THE FUNDAMENTAL ELEMENTS AND 5412 03:51:10,320 --> 03:51:13,360 THEN USING WHAT PEOPLE TYPICALLY 5413 03:51:13,360 --> 03:51:20,040 CONSUME FROM NHANES AS A WAY TO 5414 03:51:20,040 --> 03:51:21,080 SET THE DISTRIBUTION. 5415 03:51:21,080 --> 03:51:25,320 I THINK THE NEXT STEP WILL HELP 5416 03:51:25,320 --> 03:51:26,080 TO ADDRESS THAT. 5417 03:51:26,080 --> 03:51:29,560 WE HAVE SOME LIMITATIONS WITHIN 5418 03:51:29,560 --> 03:51:35,040 THE NHANES DATA ITSELF BUT WE'RE 5419 03:51:35,040 --> 03:51:37,960 GETTING DOWN TO NOT JUST THE 5420 03:51:37,960 --> 03:51:39,200 SANDWICH BUT WHAT'S IN IT. 5421 03:51:39,200 --> 03:51:41,160 AND I THINK THAT WILL BE ONE OF 5422 03:51:41,160 --> 03:51:42,240 THE WAYS WE CAN HELP ADDRESS 5423 03:51:42,240 --> 03:51:45,800 SOME OF THOSE AND THEN WE CAN 5424 03:51:45,800 --> 03:51:49,880 CARRY FORWARD WITH SOME OF THE 5425 03:51:49,880 --> 03:51:52,440 SIMULATED DIETS TO ADDRESS HOW 5426 03:51:52,440 --> 03:51:54,040 THOSE PLAY OUT WHEN YOU CREATE, 5427 03:51:54,040 --> 03:51:58,000 SAY, A MENU FOR THOSE FOOD 5428 03:51:58,000 --> 03:52:05,760 INTAKES. 5429 03:52:05,760 --> 03:52:08,800 >>THERE WAS A HEALTHY 5430 03:52:08,800 --> 03:52:10,120 VEGETARIAN PATTERN CONSIDERED 5431 03:52:10,120 --> 03:52:11,800 BUT I NOTICED THE COMMITTEE 5432 03:52:11,800 --> 03:52:13,320 INCLUDED VEGAN IN THE PROTOCOL 5433 03:52:13,320 --> 03:52:14,040 BUT NOT VEGETARIAN. 5434 03:52:14,040 --> 03:52:20,720 CAN YOU TALK MORE ABOUT THAT? 5435 03:52:20,720 --> 03:52:24,600 >>WE WERE BUILDING OFF THE 5436 03:52:24,600 --> 03:52:25,800 PREVIOUS HEALTHY VEGETARIAN 5437 03:52:25,800 --> 03:52:27,600 DIETARY PATTERN AND THE WORK 5438 03:52:27,600 --> 03:52:29,240 WE'RE DOING FOR PROTOCOL ONE IS 5439 03:52:29,240 --> 03:52:30,520 GOING TO BE BASED ON THE HEALTHY 5440 03:52:30,520 --> 03:52:36,400 U.S. STYLE SO WE HAVE ONE PLACE 5441 03:52:36,400 --> 03:52:44,320 OF TEST IING THE THEY WILL THE 5442 03:52:44,320 --> 03:52:44,960 VEGETARIAN STYLE HAD DIFFERENT 5443 03:52:44,960 --> 03:52:48,120 WAYS OF INCORPORATING AND 5444 03:52:48,120 --> 03:52:50,880 DEFINING VEGETARIAN BUT THERE 5445 03:52:50,880 --> 03:52:51,800 WERE PUBLIC COMMENTS THAT WERE 5446 03:52:51,800 --> 03:52:53,880 GOING ALL THE WAY TO THE LEVEL 5447 03:52:53,880 --> 03:52:57,320 OF MORE VEGAN STYLE OR NO ANIMAL 5448 03:52:57,320 --> 03:52:57,560 PRODUCT. 5449 03:52:57,560 --> 03:53:01,520 SO WE'RE GOING TO BUILD FROM 5450 03:53:01,520 --> 03:53:11,640 THAT AND TAKE THAT TO THE FINAL 5451 03:53:11,640 --> 03:53:13,320 >>WITH OUR CONSIDERATION OF THE 5452 03:53:13,320 --> 03:53:14,360 PROTEIN GROUP WE'LL BE ABLE TO 5453 03:53:14,360 --> 03:53:16,720 TEST OUT SOME OF THOSE THINGS 5454 03:53:16,720 --> 03:53:18,960 AND WITH A LOT OF THOSE THAT WE 5455 03:53:18,960 --> 03:53:24,800 LISTED THERE IS LIKE A CONTINUUM 5456 03:53:24,800 --> 03:53:26,360 OF DIFFERENT MORE OR LESS THINGS 5457 03:53:26,360 --> 03:53:28,520 WE CAN TRY OUT AND THAT'S WHAT 5458 03:53:28,520 --> 03:53:38,800 WE'LL BE DOING. 5459 03:53:43,360 --> 03:53:44,280 DO YOU THINK MODELLING 5460 03:53:44,280 --> 03:53:49,560 SIMULATION HAS POTENTIAL FOR 5461 03:53:49,560 --> 03:53:53,880 LOOKING AT EQUITY ISSUES AROUND 5462 03:53:53,880 --> 03:53:55,280 AFFORDABILITY AND FLEXIBILITIES 5463 03:53:55,280 --> 03:53:55,600 AROUND COST. 5464 03:53:55,600 --> 03:53:56,240 HAVE YOU HAD DISCUSSIONS AROUND 5465 03:53:56,240 --> 03:54:02,640 THAT? 5466 03:54:02,640 --> 03:54:03,840 I'VE HAD A LOT OF DISCUSSIONS 5467 03:54:03,840 --> 03:54:05,960 AROUND THAT. 5468 03:54:05,960 --> 03:54:09,000 THERE'S ONLY SO MANY THINGS BUT 5469 03:54:09,000 --> 03:54:11,480 ALSO I'M THINKING ESPECIALLY 5470 03:54:11,480 --> 03:54:13,560 WITH THE DATA ANALYSIS THERE'S 5471 03:54:13,560 --> 03:54:15,080 STEPS TO ADDRESS HOW THESE PLAY 5472 03:54:15,080 --> 03:54:20,880 OUT LOOKING AT WHAT MAKES UP THE 5473 03:54:20,880 --> 03:54:31,240 FOOD THE FOOD GROUPS. 5474 03:54:35,680 --> 03:54:39,320 >>WE TALKED ABOUT THE EXACT 5475 03:54:39,320 --> 03:54:41,920 ISSUE AND IT'S IMPORTANT AND 5476 03:54:41,920 --> 03:54:45,880 WE'RE TRYING TO CAPTURE ALL 5477 03:54:45,880 --> 03:54:49,080 THESE IMPORTANT ASPECTS OF 5478 03:54:49,080 --> 03:54:49,880 THINKING ABOUT THE FOODS PEOPLE 5479 03:54:49,880 --> 03:54:53,880 CAN EAT AND HAVE ACCESS TO AND 5480 03:54:53,880 --> 03:55:00,320 ARE ABLE TO INCLUDE IN THEIR 5481 03:55:00,320 --> 03:55:01,040 DIETS. 5482 03:55:01,040 --> 03:55:04,080 >>IF YOU CAN HEAR THE GEARS 5483 03:55:04,080 --> 03:55:05,440 WHIRRING IN MY AHEAD EVERY TIME 5484 03:55:05,440 --> 03:55:06,560 WE HAVE THE CONVERSATION IT 5485 03:55:06,560 --> 03:55:07,560 WOULD BE DEAFENING. 5486 03:55:07,560 --> 03:55:09,480 THAT'S WHERE THE WORK IS 5487 03:55:09,480 --> 03:55:12,000 EXCITING AND ACTIONABLE AND HAS 5488 03:55:12,000 --> 03:55:13,960 SO MANY APPLICATION STRATEGIES 5489 03:55:13,960 --> 03:55:16,440 NOT ONLY FROM JUST LOOKING AT 5490 03:55:16,440 --> 03:55:19,080 THE NUTRITIONAL SIDE BUT THE 5491 03:55:19,080 --> 03:55:19,720 IMPLICATIONS AROUND THE FOODS IT 5492 03:55:19,720 --> 03:55:23,360 CONTAINS AND SUCH. 5493 03:55:23,360 --> 03:55:29,040 WITH THAT MY NEXT THING I'M 5494 03:55:29,040 --> 03:55:31,600 GOING TO DO IS WALK THROUGH OUR 5495 03:55:31,600 --> 03:55:33,320 DRAFT PROTOCOL AND IN DOING THAT 5496 03:55:33,320 --> 03:55:41,520 OUR DRAFT PROTOCOL ONE IS AROUND 5497 03:55:41,520 --> 03:55:43,720 NOT INCLUDES FOODS WITH LOWER 5498 03:55:43,720 --> 03:55:44,720 NUTRIENT DENSITY WITH RELATION 5499 03:55:44,720 --> 03:55:48,040 TO SATURATED FAT, ADDED SUGAR 5500 03:55:48,040 --> 03:55:50,200 AND SODIUM BUT TO GET THERE YOU 5501 03:55:50,200 --> 03:55:54,640 KIND OF HAVE TO GET THE WHOLE 5502 03:55:54,640 --> 03:55:54,880 PROCESS. 5503 03:55:54,880 --> 03:55:57,240 I'M GOING TO WALK THROUGH IT FOR 5504 03:55:57,240 --> 03:56:00,960 THE FOOD PATTERN MODELLING 5505 03:56:00,960 --> 03:56:01,280 APPROACH. 5506 03:56:01,280 --> 03:56:05,880 HOW DO WE GET FROM FOODS AND 5507 03:56:05,880 --> 03:56:07,040 INTAKES DOWN TO ITEMS TO 5508 03:56:07,040 --> 03:56:09,840 REPRESENT THAT TO A PATTERN AND 5509 03:56:09,840 --> 03:56:16,080 BACK TO NUTRITIONAL ADEQUACY? 5510 03:56:16,080 --> 03:56:19,480 WE PROBABLY SHOULD HAVE MEASURED 5511 03:56:19,480 --> 03:56:21,640 D.O.T. MAX AT THE BEGINNING OF 5512 03:56:21,640 --> 03:56:27,080 OUR FIRST MEETING AND UP THE 5513 03:56:27,080 --> 03:56:35,880 STEEP LEARNING HILL AND IT STILL 5514 03:56:35,880 --> 03:56:38,200 BECOMES THE MIND BENDING STRETCH 5515 03:56:38,200 --> 03:56:39,440 FOR ME. 5516 03:56:39,440 --> 03:56:42,960 I'LL TRY TO HELP STILL DOWN HOW 5517 03:56:42,960 --> 03:56:45,600 WE'RE GETTING THERE AND HOW IT'S 5518 03:56:45,600 --> 03:56:46,600 DIFFERENT THAN JUST SAY DATA 5519 03:56:46,600 --> 03:56:50,600 ANALYSIS AND LOOKING AT NUTRIENT 5520 03:56:50,600 --> 03:56:52,040 INTAKES AND HOW DOES IT 5521 03:56:52,040 --> 03:56:55,200 TRANSLATE BACK TO US BEING ABLE 5522 03:56:55,200 --> 03:56:57,200 TO TEST OUT THE FOOD GROUP 5523 03:56:57,200 --> 03:57:07,320 INTAKES. 5524 03:57:07,320 --> 03:57:08,800 PROTOCOL ONE SHOULD THOSE WITH 5525 03:57:08,800 --> 03:57:13,680 ADDED SUGARS, SATURATED FAT AND 5526 03:57:13,680 --> 03:57:15,600 SODIUM CONTRIBUTE TO THE ITEM 5527 03:57:15,600 --> 03:57:15,880 CLUSTERS. 5528 03:57:15,880 --> 03:57:18,360 THE GROUPING OF FOODS 5529 03:57:18,360 --> 03:57:21,280 REPRESENTATIVE FOODS AND 5530 03:57:21,280 --> 03:57:23,480 THEREFORE THE NUTRIENT PROFILES 5531 03:57:23,480 --> 03:57:25,720 WITHIN EACH OF THE SUB GROUPS. 5532 03:57:25,720 --> 03:57:29,240 AND THE APPROACH WE'RE USING IS 5533 03:57:29,240 --> 03:57:31,360 TO LOOK AT THE NHANES DIETARY 5534 03:57:31,360 --> 03:57:32,880 DATA IT'S CREATING AN APPROACH 5535 03:57:32,880 --> 03:57:34,520 TO MEET PEOPLE WHERE THEY ARE 5536 03:57:34,520 --> 03:57:37,880 AND NOT SAYING THESE ARE OUR 5537 03:57:37,880 --> 03:57:39,280 MOST NUTRIENT DENSE FRUITS AND 5538 03:57:39,280 --> 03:57:42,840 VEGETABLE WE THINK PEOPLE SHOULD 5539 03:57:42,840 --> 03:57:49,880 BE EATING I CAN TELL YOU THE 5540 03:57:49,880 --> 03:57:51,800 CONSUMPTION BRUSSEL SPROUTS IS 5541 03:57:51,800 --> 03:57:57,880 LOWER THAN NHANES AND IF WE'RE 5542 03:57:57,880 --> 03:58:02,680 TALKING A 5543 03:58:02,680 --> 03:58:04,840 TALKING ABOUT CRUCIFEROUS 5544 03:58:04,840 --> 03:58:05,480 VEGETABLES DIFFERENT THINGS WILL 5545 03:58:05,480 --> 03:58:06,960 SHOW UP AND LOOKING AT WHOLE 5546 03:58:06,960 --> 03:58:09,000 GRAINS AND IT'S AN APPROACH TO 5547 03:58:09,000 --> 03:58:10,520 MEET PEOPLE WHERE THEY ARE BASED 5548 03:58:10,520 --> 03:58:14,080 ON THE DATA WE HAVE OF 5549 03:58:14,080 --> 03:58:21,200 CONSUMPTION. 5550 03:58:21,200 --> 03:58:23,560 WHAT ARE WE DOING, HOW ARE WE 5551 03:58:23,560 --> 03:58:26,200 DOING IT AND HOW WILL WE KNOW 5552 03:58:26,200 --> 03:58:27,000 WHEN WE GET THERE? 5553 03:58:27,000 --> 03:58:32,680 THIS IS THE MILLION DOLLAR 5554 03:58:32,680 --> 03:58:32,960 QUESTION. 5555 03:58:32,960 --> 03:58:35,680 THANK YOU NUTRIENT PROFILES FROM 5556 03:58:35,680 --> 03:58:37,000 THE PREVIOUS DGA COMMITTEE 5557 03:58:37,000 --> 03:58:39,320 REPRESENT NUTRIENT INTAKES OF 5558 03:58:39,320 --> 03:58:40,560 ALL FOODS THAT WENT INTO A FOOD 5559 03:58:40,560 --> 03:58:42,520 CATEGORY. 5560 03:58:42,520 --> 03:58:44,600 SO EVERY TYPE OF VEGETABLE, 5561 03:58:44,600 --> 03:58:46,440 EVERY TYPE OF FRUIT, EVERY TYPE 5562 03:58:46,440 --> 03:58:50,080 OF GRAIN, EVERY TYPE OF MEAT. 5563 03:58:50,080 --> 03:58:52,960 THERE'S SOME FOODS AS I 5564 03:58:52,960 --> 03:58:55,880 MENTIONED BEFORE THAT DON'T HAVE 5565 03:58:55,880 --> 03:58:58,400 A PARTICULAR FOOT CATEGORY OR 5566 03:58:58,400 --> 03:59:00,000 CONTRIBUTE SPECIFICALLY LIKE 5567 03:59:00,000 --> 03:59:03,880 ALCOHOL DOESN'T HAVE AN ITEM 5568 03:59:03,880 --> 03:59:13,400 CLUSTER THAT CARRIES FORWARD BUT 5569 03:59:13,400 --> 03:59:19,240 THE CONCERNS ARE SHOULD ALL THE 5570 03:59:19,240 --> 03:59:22,520 FOODS OF IS THAT WERE PROMOTING 5571 03:59:22,520 --> 03:59:24,840 TO LIMIT SHOULD THEY CONTRIBUTE 5572 03:59:24,840 --> 03:59:26,880 TO THE ITEM CLUSTERS AND 5573 03:59:26,880 --> 03:59:28,640 NUTRIENT PROFILE BECAUSE THEY 5574 03:59:28,640 --> 03:59:29,920 REPRESENT SOMETHING SLIGHTLY 5575 03:59:29,920 --> 03:59:31,000 DIFFERENT THAN THE PROFILE OF 5576 03:59:31,000 --> 03:59:35,520 NUTRIENT DENSE FOODS. 5577 03:59:35,520 --> 03:59:37,400 THE CURRENT APPROACH HAS ALL THE 5578 03:59:37,400 --> 03:59:42,840 FOODS WITHIN THE NUTRIENT 5579 03:59:42,840 --> 03:59:43,080 PROFILES. 5580 03:59:43,080 --> 03:59:49,880 AND PUBLIC COMMENT COMMENTS 5581 03:59:49,880 --> 03:59:53,920 SUGGEST MAYBE A REVISED PROFILE 5582 03:59:53,920 --> 03:59:57,040 WITH LOWER IN SATURATED FAT, 5583 03:59:57,040 --> 03:59:59,640 SUGAR AND SODIUM TO CREATE THE 5584 03:59:59,640 --> 04:00:00,320 NUTRIENT PROFILE. 5585 04:00:00,320 --> 04:00:01,920 THAT CREATES A TIGHTER STORY 5586 04:00:01,920 --> 04:00:07,240 LINE AROUND WHAT MAKES UP EACH 5587 04:00:07,240 --> 04:00:10,040 DIFFERENT FOOD GROUP AND THEN IT 5588 04:00:10,040 --> 04:00:12,480 THEN CREATES A DIFFERENT TOTAL 5589 04:00:12,480 --> 04:00:17,880 NUMBER OF CALORIES WITHIN EACH 5590 04:00:17,880 --> 04:00:22,920 OF THOSE DIETARY PATTERNS TO 5591 04:00:22,920 --> 04:00:25,920 HAVE BROADER SELECTIONS OF FOODS 5592 04:00:25,920 --> 04:00:31,960 WITHIN EACH CATEGORIES. 5593 04:00:31,960 --> 04:00:33,880 WE'LL TEST THE MODELS BY TAKING 5594 04:00:33,880 --> 04:00:36,600 OUT THE FOODS OF LOWER DENSITY 5595 04:00:36,600 --> 04:00:37,680 AND RECREATE THE NUTRIENT 5596 04:00:37,680 --> 04:00:42,920 PROFILE AND COMPARE DOES IT MAKE 5597 04:00:42,920 --> 04:00:47,160 A DIFFERENCE DENSITY WITHIN THE 5598 04:00:47,160 --> 04:00:48,600 FOODS CONSUMED AND DOES IT 5599 04:00:48,600 --> 04:00:49,440 CREATE MORE ENERGY DIFFERENCE 5600 04:00:49,440 --> 04:00:51,600 BETWEEN THE ENERGY WITHIN THE 5601 04:00:51,600 --> 04:00:55,240 PROFILE AND WHAT YOU WOULD GET 5602 04:00:55,240 --> 04:00:57,920 FROM FOLLOWING THAT WITH THE 5603 04:00:57,920 --> 04:01:08,360 NUTRIENT DENSE VERSION. 5604 04:01:09,400 --> 04:01:11,240 A SET OF KEY DEFINITIONS TO 5605 04:01:11,240 --> 04:01:12,720 START YOU WITH BUT I'LL WALK 5606 04:01:12,720 --> 04:01:16,360 THROUGH THE PROCESS ITSELF SO WE 5607 04:01:16,360 --> 04:01:18,040 CAN UNDERSTAND WHAT ALL THE 5608 04:01:18,040 --> 04:01:19,040 WORDS MEAN. 5609 04:01:19,040 --> 04:01:20,200 ONE OF THE SUMMER JOBS DURING 5610 04:01:20,200 --> 04:01:21,880 COLLEGE THEY HANDED ME THE 5611 04:01:21,880 --> 04:01:27,000 MANUAL OF EVERYTHING YOU HAD TO 5612 04:01:27,000 --> 04:01:28,200 READ AND YOU THOUGHT THAT'S WHAT 5613 04:01:28,200 --> 04:01:29,840 YOU MEAN BY THAT YOU READ A 5614 04:01:29,840 --> 04:01:31,160 BUNCH OF DEFINITIONS AN WHEN YOU 5615 04:01:31,160 --> 04:01:33,080 SEE THEM IN PLAY YOU THINK THAT 5616 04:01:33,080 --> 04:01:33,520 MAKES SENSE. 5617 04:01:33,520 --> 04:01:40,160 THE NUTRIENT PROFILES THEN 5618 04:01:40,160 --> 04:01:41,720 BECOME ESTIMATED NUTRIENT INTAKE 5619 04:01:41,720 --> 04:01:42,360 WE EXPECT FROM A PARTICULAR FOOD 5620 04:01:42,360 --> 04:01:46,400 GROUP. 5621 04:01:46,400 --> 04:01:47,800 WE SAY VEGETABLES. 5622 04:01:47,800 --> 04:01:50,960 WHAT DO WE EXPECT THE VITAMINS 5623 04:01:50,960 --> 04:02:01,480 AND MINERALS AND CARBOHYDRATES 5624 04:02:01,720 --> 04:02:04,280 REPRESENTING THE TYPES OF 5625 04:02:04,280 --> 04:02:04,600 VEGETABLES? 5626 04:02:04,600 --> 04:02:08,520 THE ITEM CLUSTERS BECOME THE WAY 5627 04:02:08,520 --> 04:02:10,480 WE THEN IDENTIFY THE PARTICULAR 5628 04:02:10,480 --> 04:02:13,000 FOODS THAT MAKE UP THAT 5629 04:02:13,000 --> 04:02:13,280 CATEGORY. 5630 04:02:13,280 --> 04:02:17,360 SO WITHIN VEGETABLES WE'LL HAVE 5631 04:02:17,360 --> 04:02:24,000 CARROTS AND CELERY AND ONIONS 5632 04:02:24,000 --> 04:02:25,880 AND THE LIST GOES ON AND THE 5633 04:02:25,880 --> 04:02:26,640 ITEM CLUSTERS GO TO THE FOODS 5634 04:02:26,640 --> 04:02:31,000 THAT MAKE UP THE GROUP AND THE 5635 04:02:31,000 --> 04:02:34,480 NUTRIENT DENSE REPRESENTATIVE 5636 04:02:34,480 --> 04:02:37,600 FOODS BECOME WHAT IS LOOKING AT 5637 04:02:37,600 --> 04:02:40,400 THE NUTRIENT DENSE VERSION 5638 04:02:40,400 --> 04:02:43,720 EQUIVALENT TO THE FOOD CONSUMED 5639 04:02:43,720 --> 04:02:46,960 REPORTED AS CONSUMED AND FOR 5640 04:02:46,960 --> 04:02:50,560 EXAMPLE WHOLE MILK WOULD HAVE A 5641 04:02:50,560 --> 04:02:51,560 NUTRIENT DENSE REPRESENTATIVE 5642 04:02:51,560 --> 04:02:53,000 FOOD OF SKIM MILK. 5643 04:02:53,000 --> 04:02:57,680 IT'S THE MOST NUTRIENT DENSE 5644 04:02:57,680 --> 04:02:59,240 VERSION AND LIMITING ADDED 5645 04:02:59,240 --> 04:03:00,080 SUGARS, SODIUM AND SATURATED 5646 04:03:00,080 --> 04:03:05,880 FAT. 5647 04:03:05,880 --> 04:03:10,680 SO WE ALL SAW THIS SLIDE DURING 5648 04:03:10,680 --> 04:03:13,920 THE FIRST MEETING AND 5649 04:03:13,920 --> 04:03:15,040 REPRESENTING THE DIETARY INTAKES 5650 04:03:15,040 --> 04:03:16,640 IN AMERICA AND SOMEBODY SAYS I 5651 04:03:16,640 --> 04:03:21,440 HAD FOOD ONE, I HAD FOOD TWO 5652 04:03:21,440 --> 04:03:21,800 ANDED TO THREE. 5653 04:03:21,800 --> 04:03:23,720 -- FOOD ONE AND TWO AND THREE. 5654 04:03:23,720 --> 04:03:25,720 IN THIS EXAMPLE OUR LIGHTNING 5655 04:03:25,720 --> 04:03:30,040 BOLT WOULD BE THE WHOLE GRAIN. 5656 04:03:30,040 --> 04:03:35,040 THE FOOD ON THE LEFT WAS WHOLE 5657 04:03:35,040 --> 04:03:37,360 GRAIN BREAD TOASTED WITH VARIOUS 5658 04:03:37,360 --> 04:03:41,880 THINGS ON TOP, PEANUT BUTTER AND 5659 04:03:41,880 --> 04:03:44,280 APPLE SLICES AND HONEY OR 5660 04:03:44,280 --> 04:03:46,240 WHATEVER IT MIGHT BE THEY PUT 5661 04:03:46,240 --> 04:03:47,680 ON. 5662 04:03:47,680 --> 04:03:50,160 THE SECOND ONE MIGHT BE A PEANUT 5663 04:03:50,160 --> 04:03:53,800 BUTTER AND JELLY SANDWICH WITH 5664 04:03:53,800 --> 04:03:57,160 WHOLE BREAD, PEANUT BUTTER AND 5665 04:03:57,160 --> 04:03:57,520 JELLY. 5666 04:03:57,520 --> 04:03:59,000 OUR SQUARES REPRESENT PEANUT 5667 04:03:59,000 --> 04:03:59,840 BUTTER THAT SHOW UP ON THE FIRST 5668 04:03:59,840 --> 04:04:01,720 AND SECOND FOOD AND THE THIRD 5669 04:04:01,720 --> 04:04:05,880 FOOD JUST MIGHT BE TOASTED WHOLE 5670 04:04:05,880 --> 04:04:06,200 WHEAT BREAD. 5671 04:04:06,200 --> 04:04:10,520 THE FOOD ITSELF NOW IS THE 5672 04:04:10,520 --> 04:04:17,760 INDIVIDUAL FOOD. 5673 04:04:17,760 --> 04:04:20,440 WE'RE GOING ACROSS THE FOOD 5674 04:04:20,440 --> 04:04:21,920 REPORTED AND TAKING INGREDIENTS 5675 04:04:21,920 --> 04:04:24,320 AND SEPARATING THEM OUT AND THE 5676 04:04:24,320 --> 04:04:25,920 WHOLE WHEAT BREAD IS THEN GOING 5677 04:04:25,920 --> 04:04:28,480 TO BE LINKED TO A WHOLE WHEAT 5678 04:04:28,480 --> 04:04:32,440 BREAD THAT REPRESENTS THE 5679 04:04:32,440 --> 04:04:34,160 NUTRIENT DENSE VERSION. 5680 04:04:34,160 --> 04:04:38,880 AND THEN WE'VE GOT OUR SQUARES. 5681 04:04:38,880 --> 04:04:46,200 WE HAVE OUR Ls AND THE FOODS GET 5682 04:04:46,200 --> 04:04:47,760 DISAGGREGATED TO THE CONSUMPTION 5683 04:04:47,760 --> 04:04:51,080 OF THE REPRESENTATIVE FOODS. 5684 04:04:51,080 --> 04:04:53,640 SO WHAT DOES THAT MEAN WHEN WE 5685 04:04:53,640 --> 04:04:57,920 START TO DISENTANGLE THESE IN 5686 04:04:57,920 --> 04:04:59,000 CREATING NEW NUTRIENT PROFILES 5687 04:04:59,000 --> 04:05:01,600 BASED ON THE FOODS THAT GO IN? 5688 04:05:01,600 --> 04:05:04,560 HERE IN THIS CASE OUR NUTRIENT 5689 04:05:04,560 --> 04:05:07,160 PROFILES HOW WOULD WE REPRESENT 5690 04:05:07,160 --> 04:05:09,880 RED AND ORANGE VEGETABLES? 5691 04:05:09,880 --> 04:05:13,640 THESE ARE ALL THE ITEM COLORS 5692 04:05:13,640 --> 04:05:15,240 THAT REPRESENT RED AND ORANGE 5693 04:05:15,240 --> 04:05:16,400 VEGETABLES. 5694 04:05:16,400 --> 04:05:19,400 AS YOU ARE PROBABLY NOT 5695 04:05:19,400 --> 04:05:20,520 SURPRISED TOMATOES COMPRISED 5696 04:05:20,520 --> 04:05:23,280 ABOUT THREE QUARTERS OF THE RED 5697 04:05:23,280 --> 04:05:25,920 AND ORANGE VEGETABLES FROM 5698 04:05:25,920 --> 04:05:28,640 CONSUMPTION BUT ALSO COOKED AND 5699 04:05:28,640 --> 04:05:35,000 RAW CARROTS AND RED CHILE 5700 04:05:35,000 --> 04:05:35,240 PEPPERS. 5701 04:05:35,240 --> 04:05:38,440 ALL THEE INDIVIDUAL FOOD ITEMS 5702 04:05:38,440 --> 04:05:39,720 MAKE UP THIS SUB GROUP OF RED 5703 04:05:39,720 --> 04:05:50,080 AND ORANGE VEGETABLES. 5704 04:05:50,440 --> 04:05:52,560 WE'RE CREATING A PROFILE TO 5705 04:05:52,560 --> 04:05:53,080 REPRESENT RED AND ORANGE 5706 04:05:53,080 --> 04:05:57,680 VEGETABLES. 5707 04:05:57,680 --> 04:06:00,520 HOW DO WE GET THERE? 5708 04:06:00,520 --> 04:06:03,920 WE DON'T EAT PILES OF 5709 04:06:03,920 --> 04:06:04,200 INGREDIENTS. 5710 04:06:04,200 --> 04:06:08,360 WE EAT FOODS AS FOODS AND WHEN 5711 04:06:08,360 --> 04:06:10,040 WE CAPTURE DATA IN NHANES, EACH 5712 04:06:10,040 --> 04:06:13,480 ONE OF THESE FOODS IS LINKED 5713 04:06:13,480 --> 04:06:16,480 SPECIFICALLY TO AN EIGHT-DIGIT 5714 04:06:16,480 --> 04:06:20,440 FNDDS FOOD CODE AND IF YOU'RE 5715 04:06:20,440 --> 04:06:25,880 FOLLOWING ALONG AT 416413010, 5716 04:06:25,880 --> 04:06:36,120 LENTIL SOUP. 5717 04:06:40,160 --> 04:06:42,960 IT'S A FOOD-BASED DIGIT AND IT 5718 04:06:42,960 --> 04:06:44,320 INCLUDES LENTILS, COOKED 5719 04:06:44,320 --> 04:06:49,880 CARROTS, TOMATOES, CELERY, 5720 04:06:49,880 --> 04:06:51,360 COOKED ONIONS AND BROTH WHICH 5721 04:06:51,360 --> 04:06:54,600 BROTH DOESN'T CONNECT TO A FOOD 5722 04:06:54,600 --> 04:07:03,560 CATEGORY OF WATER. 5723 04:07:03,560 --> 04:07:05,920 WE DON'T HAVE A WATER SUB GROUP 5724 04:07:05,920 --> 04:07:07,960 AND THE LENTILS WILL GET 5725 04:07:07,960 --> 04:07:10,520 ASSOCIATED WIN LENTILS AND THE 5726 04:07:10,520 --> 04:07:11,960 COOKED TOMATO WILL BE 5727 04:07:11,960 --> 04:07:14,880 REPRESENTATIVE OF RED AND ORANGE 5728 04:07:14,880 --> 04:07:15,680 VEGETABLES. 5729 04:07:15,680 --> 04:07:20,680 SO WE'RE TAKING A PART THE 5730 04:07:20,680 --> 04:07:22,200 RECIPES OF PEOPLE REPORT AND THE 5731 04:07:22,200 --> 04:07:25,640 INDIVIDUAL INTO -- THAT GO IN 5732 04:07:25,640 --> 04:07:30,120 THERE. 5733 04:07:30,120 --> 04:07:33,560 WHEN WE TAKE SOMEONE WITH A 5734 04:07:33,560 --> 04:07:35,000 VARIED DIETARY INTAKE LENTIL 5735 04:07:35,000 --> 04:07:37,880 SOUP WILL HAVE CARROTS AS PART 5736 04:07:37,880 --> 04:07:43,760 OF THE RECIPE. 5737 04:07:43,760 --> 04:07:46,640 CARROT CAKE AND VEG TIBBLE SOUP 5738 04:07:46,640 --> 04:07:53,840 AND COME UP WITH A FANCY SOCIAL 5739 04:07:53,840 --> 04:08:00,080 MEDIA GLAZED CARROTS BUT GLAZED 5740 04:08:00,080 --> 04:08:03,400 CARROTS WILL PROVIDE CARROTS. 5741 04:08:03,400 --> 04:08:06,240 THEN WE'RE TAKING OUT THE 5742 04:08:06,240 --> 04:08:08,160 CARROTS THAT SHOW UP ACROSS 5743 04:08:08,160 --> 04:08:10,800 EVERY ONE OF THESE INDIVIDUAL 5744 04:08:10,800 --> 04:08:13,880 FOODS AND MAKING THAT COOKED 5745 04:08:13,880 --> 04:08:14,960 CARROTS ITEM CLUSTER. 5746 04:08:14,960 --> 04:08:16,680 WE'RE ABLE TO TRACK THE 5747 04:08:16,680 --> 04:08:18,440 CONSUMPTION OF COOKED CARROTS 5748 04:08:18,440 --> 04:08:25,880 ACROSS ALL THE FOODS PEOPLE ARE 5749 04:08:25,880 --> 04:08:27,800 CONSUMING. 5750 04:08:27,800 --> 04:08:29,520 IT'S WHAT'S IN THE FOOD YOU EAT 5751 04:08:29,520 --> 04:08:30,600 NOT JUST THE FOOD YOU EAT. 5752 04:08:30,600 --> 04:08:33,000 WE GET TO THE CLUSTER LEVEL AND 5753 04:08:33,000 --> 04:08:37,880 THEN WE SAY THE REPRESENTATIVE 5754 04:08:37,880 --> 04:08:41,280 FOOD IS STEAMED CARROTS. 5755 04:08:41,280 --> 04:08:44,400 THAT'S THE MOST NUTRIENT DENSE 5756 04:08:44,400 --> 04:08:46,240 VERSION WHILE LIMITING ADDED 5757 04:08:46,240 --> 04:08:52,240 SUGAR, SATURATED FAT AND SODIUM 5758 04:08:52,240 --> 04:09:01,040 TO REPRESENT COOKED CARROTS. 5759 04:09:01,040 --> 04:09:05,400 NOW, THERE'S 400 ITEM CLUSTERS 5760 04:09:05,400 --> 04:09:09,160 AND COOKED CARROT SHOWS UP IN 5761 04:09:09,160 --> 04:09:11,040 ABOUT 250 FOOD INTAKES WHEN WE 5762 04:09:11,040 --> 04:09:13,320 EXTRACT OUT CARROTS. 5763 04:09:13,320 --> 04:09:15,160 WE'RE TAKING ALL THE CARROT 5764 04:09:15,160 --> 04:09:15,880 CONTAINING FOODS AND BRINGING 5765 04:09:15,880 --> 04:09:25,320 OUT DOWN AND IDENTIFYING THE 5766 04:09:25,320 --> 04:09:26,520 NUTRITIONAL COMPOSITION WHERE 5767 04:09:26,520 --> 04:09:36,040 COOKED CARROTS SHOWS UP. 5768 04:09:36,040 --> 04:09:41,880 WHAT ARE THE INDIVIDUAL BUCKETS 5769 04:09:41,880 --> 04:09:45,520 OF FOOD ITEMS THAT WE'RE USING 5770 04:09:45,520 --> 04:09:48,440 TO CREATE A NUTRIENT PROFILE AND 5771 04:09:48,440 --> 04:09:49,880 THE COMPOSITION OF COOKED 5772 04:09:49,880 --> 04:09:51,960 CARROTS YOU CAN SAY I CAN FIGURE 5773 04:09:51,960 --> 04:09:57,920 THAT OUT BASED ON PREPARATION 5774 04:09:57,920 --> 04:10:00,160 STYLES BUT OUR NUTRIENT DENSE 5775 04:10:00,160 --> 04:10:02,640 REPRESENTATIVE FOOD SAYS LET'S 5776 04:10:02,640 --> 04:10:05,800 ASSUME WHENEVER WE SEE CARROTS 5777 04:10:05,800 --> 04:10:08,240 IN A RECIPE LET'S USE THE 5778 04:10:08,240 --> 04:10:09,880 NUTRIENT PROFILE FOR STEAMED 5779 04:10:09,880 --> 04:10:13,120 CARROTS. 5780 04:10:13,120 --> 04:10:16,640 NOW WE'RE ABLE TO TAKE THE FOOD 5781 04:10:16,640 --> 04:10:20,520 INTAKES AND THE CONSUMPTION OF 5782 04:10:20,520 --> 04:10:23,760 COOKED CARROTS AND CAN IDENTIFY 5783 04:10:23,760 --> 04:10:26,440 OF ALL THOSE RED AND ORANGE 5784 04:10:26,440 --> 04:10:27,480 VEGETABLES WE SAW AND TAKEN ALL 5785 04:10:27,480 --> 04:10:32,400 THE CARROTS OUT AND TOMATOES 5786 04:10:32,400 --> 04:10:34,560 FROM A SALAD AND ALL THE PLACES 5787 04:10:34,560 --> 04:10:37,160 IT MAY BE AND THE COOKED 5788 04:10:37,160 --> 04:10:38,320 TOMATOES AND THE PLACES WHERE 5789 04:10:38,320 --> 04:10:43,680 THEY ARE WE CAN GET THE 5790 04:10:43,680 --> 04:10:46,520 PROPORTION SO 44% OF ALL THE RED 5791 04:10:46,520 --> 04:10:48,440 AND ORANGE VEGETABLES COME IN 5792 04:10:48,440 --> 04:10:51,080 THE FORM OF A COOKED TOMATO. 5793 04:10:51,080 --> 04:10:57,920 HOW THE NUTRITIONAL COMPOSITION 5794 04:10:57,920 --> 04:11:03,720 OF TOMATOES, 44% OF THAT 5795 04:11:03,720 --> 04:11:05,400 LYCOPENE WOULD BE ADDED TO WHAT 5796 04:11:05,400 --> 04:11:06,760 WE SAY A RED AND ORANGE 5797 04:11:06,760 --> 04:11:07,480 VEGETABLE IS. 5798 04:11:07,480 --> 04:11:09,560 COOKED CARROTS CONSUME LESS. 5799 04:11:09,560 --> 04:11:12,120 ONLY 9% OF THE CARBOHYDRATE FROM 5800 04:11:12,120 --> 04:11:14,520 THE COOKED CARROTS WILL BE USED 5801 04:11:14,520 --> 04:11:18,560 TO CREATE THAT CARBOHYDRATE 5802 04:11:18,560 --> 04:11:19,000 ESTIMATE. 5803 04:11:19,000 --> 04:11:23,120 OUR NUTRIENT PROFILES ARE 5804 04:11:23,120 --> 04:11:24,040 WEIGHTED BY HOW MUCH INDIVIDUAL 5805 04:11:24,040 --> 04:11:25,240 FOODS ARE CONSUMED AND GETTING 5806 04:11:25,240 --> 04:11:29,280 DOWN TO THE INGREDIENT LEVEL. 5807 04:11:29,280 --> 04:11:31,440 WHAT THAT ULTIMATELY MEANS IS 5808 04:11:31,440 --> 04:11:34,720 YOU TAKE THE BIG WHEEL, YOU 5809 04:11:34,720 --> 04:11:37,320 WEIGHT CALORIES BY THE 5810 04:11:37,320 --> 04:11:38,600 PROPORTION, YOU WEIGHT PROTEIN 5811 04:11:38,600 --> 04:11:40,320 AND IT GIVES THE PICTURE THAT 5812 04:11:40,320 --> 04:11:45,880 SAYS FOR RED AND ORANGE 5813 04:11:45,880 --> 04:11:49,880 VEGETAB 5814 04:11:49,880 --> 04:11:51,840 VEGETABLES BASED ON THE 5815 04:11:51,840 --> 04:11:52,720 REPRESENTATIVE FOOD AND 5816 04:11:52,720 --> 04:11:55,520 PROPORTIONALITY THIS IS THE 5817 04:11:55,520 --> 04:11:56,600 NUTRIENT PROFILE WE WOULD GET 5818 04:11:56,600 --> 04:11:57,640 OKAY. 5819 04:11:57,640 --> 04:11:59,080 THIS IS GREAT SO WHY DO WE NEED 5820 04:11:59,080 --> 04:11:59,760 THIS AND WHAT WILL WE USE IT 5821 04:11:59,760 --> 04:12:04,520 FOR? 5822 04:12:04,520 --> 04:12:09,920 HERE ARE HEALTHY U.S. STYLE 5823 04:12:09,920 --> 04:12:15,960 DIETARY PATTERNS. 5824 04:12:15,960 --> 04:12:17,680 THE RED AND ORANGE VEGETABLES 5825 04:12:17,680 --> 04:12:21,320 WE'RE LOOKING FOR THE 12 TO 23 5826 04:12:21,320 --> 04:12:26,680 MONTHS AND GOT ONE SERVING OF 5827 04:12:26,680 --> 04:12:29,880 THAT FOOD GROUP OUR NUTRIENT 5828 04:12:29,880 --> 04:12:32,640 PROFILE FOR TESTING OUT THESE 5829 04:12:32,640 --> 04:12:37,400 DIFFERENT FOOD PATTERNS THAT 5830 04:12:37,400 --> 04:12:39,480 WHEN I HAVE TWO SERVINGS I'M 5831 04:12:39,480 --> 04:12:41,680 GOING TO DOUBLE THE NUTRIENT 5832 04:12:41,680 --> 04:12:43,040 COMPOSITION THAT COMES FROM 5833 04:12:43,040 --> 04:12:43,760 THOSE ITEM CLUSTERS WE PUT 5834 04:12:43,760 --> 04:12:47,960 TOGETHER TO CREATE THIS. 5835 04:12:47,960 --> 04:12:50,320 WE'RE TAKING ALL THE FOOD. 5836 04:12:50,320 --> 04:12:51,480 WE'RE TAKING A PART THE 5837 04:12:51,480 --> 04:12:52,720 INGREDIENTS AND PUTTING THEM IN 5838 04:12:52,720 --> 04:12:59,480 THEIR BUCKETS AND LOOKING AT THE 5839 04:12:59,480 --> 04:13:03,160 PROPORTION 5840 04:13:03,160 --> 04:13:04,640 PROPORTIONALITY AND ESTABLISHING 5841 04:13:04,640 --> 04:13:05,880 THE NUTRITIONAL PROFILE AND 5842 04:13:05,880 --> 04:13:08,280 COMING BACK TO IF WE DO THIS AND 5843 04:13:08,280 --> 04:13:10,360 FOLLOW THIS PATTERN, THIS IS 5844 04:13:10,360 --> 04:13:13,320 WHAT THE NUTRIENTS WOULD BE AT 5845 04:13:13,320 --> 04:13:18,320 THE CALORIC LEVEL AND WITHIN THE 5846 04:13:18,320 --> 04:13:21,560 AGE GROUPS IF WE TAKE A 5847 04:13:21,560 --> 04:13:26,240 19-YEAR-OLD WE'LL HAVE DRI FOR 5848 04:13:26,240 --> 04:13:27,520 19-YEAR-OLD BASED ON AGE, SEX 5849 04:13:27,520 --> 04:13:29,640 AND ACTIVITY LEVEL AND HAVE 5850 04:13:29,640 --> 04:13:31,600 RANKS OF CALORIES AND FOR 5851 04:13:31,600 --> 04:13:33,600 SOMEBODY WHO HAS ESTIMATED 5852 04:13:33,600 --> 04:13:36,600 ENERGY NEED OF 2,000 CALORIES, 5853 04:13:36,600 --> 04:13:37,800 THIS IS HOW MANY OF THOSE BASED 5854 04:13:37,800 --> 04:13:39,280 ON THE AGE AND SEX WE WOULD THEN 5855 04:13:39,280 --> 04:13:41,880 ALSO KNOW THE DRI AND WE CAN 5856 04:13:41,880 --> 04:13:45,480 THEN GET TO THE STAGE OF DOES 5857 04:13:45,480 --> 04:13:47,360 THIS ACTUALLY MEET NUTRIENT 5858 04:13:47,360 --> 04:13:49,920 ADEQU 5859 04:13:49,920 --> 04:13:58,040 ADEQUACY. 5860 04:13:58,040 --> 04:13:59,520 I'LL STOP HERE BECAUSE THIS IS 5861 04:13:59,520 --> 04:14:00,800 HOW WE MAKE THE TRANSITION OF 5862 04:14:00,800 --> 04:14:08,440 WHAT WE'LL DO WITH THIS. 5863 04:14:08,440 --> 04:14:09,880 THIS IS ANOTHER TIME FOR 5864 04:14:09,880 --> 04:14:11,040 QUESTIONS TO GET CLARIFICATION. 5865 04:14:11,040 --> 04:14:12,560 >>I HAVE A COUPLE QUESTIONS. 5866 04:14:12,560 --> 04:14:16,880 FIRST, SEEMS LIKE ALL THIS IS 5867 04:14:16,880 --> 04:14:18,480 ALREADY DONE BECAUSE WE SEE IT 5868 04:14:18,480 --> 04:14:21,600 IN THE DIETARY GUIDELINES AND 5869 04:14:21,600 --> 04:14:23,720 NOW YOU'LL BE MODELLING FOR THE 5870 04:14:23,720 --> 04:14:24,560 DIFFERENT TYPES OF DIETS OR 5871 04:14:24,560 --> 04:14:29,200 THINGS HAVE CHANGED OVER TIME? 5872 04:14:29,200 --> 04:14:31,720 >>IT WILL NOW BE DONE WITH THE 5873 04:14:31,720 --> 04:14:34,720 2017, 2018 DATA. 5874 04:14:34,720 --> 04:14:36,600 THAT'S OUR MOST RECENT COMPLETE 5875 04:14:36,600 --> 04:14:38,800 VERSION OF NHANES DIETARY DATA 5876 04:14:38,800 --> 04:14:43,720 BECAUSE THERE WAS THIS THING 5877 04:14:43,720 --> 04:14:45,880 CALLED THE COVID-19 PANDEMIC 5878 04:14:45,880 --> 04:14:48,280 THAT THE DATA COLLECTED IN 5879 04:14:48,280 --> 04:14:51,240 TWO-YEAR CYCLE AND 1920 KIND OF 5880 04:14:51,240 --> 04:14:52,880 HAD THE THING HAPPEN WHICH MEANT 5881 04:14:52,880 --> 04:14:57,280 THERE WAS A DISRUPTION IN THE 5882 04:14:57,280 --> 04:15:01,360 DATA COLLECTION WHICH THEN MEANT 5883 04:15:01,360 --> 04:15:02,920 '19-'20 WAS NOT A REPRESENTATIVE 5884 04:15:02,920 --> 04:15:05,360 SAMPLE AND HAVE TO RELY ON 2017, 5885 04:15:05,360 --> 04:15:12,000 2018 DATA THAT IS OUR MOST 5886 04:15:12,000 --> 04:15:12,680 COMPLETE NATIONALLY 5887 04:15:12,680 --> 04:15:14,280 REPRESENTATIVE DATA AND NEWER 5888 04:15:14,280 --> 04:15:17,040 DATA THAN FROM THE PREVIOUS 5889 04:15:17,040 --> 04:15:22,680 COMMITTEE. 5890 04:15:22,680 --> 04:15:27,120 AND SOME OF THE TRENDY DIETARY 5891 04:15:27,120 --> 04:15:28,720 PATTERNS WE MIGHT SEE NOW AREN'T 5892 04:15:28,720 --> 04:15:32,240 GOING TO SHOW UP IN 2017, 2018 5893 04:15:32,240 --> 04:15:33,960 THIS IS A LIMITATION AND AN 5894 04:15:33,960 --> 04:15:36,240 OPPORTUNITY WITH AN AMAZING DATA 5895 04:15:36,240 --> 04:15:39,880 SET BUT LIMITED BY HISTORICAL 5896 04:15:39,880 --> 04:15:40,720 PERSPECTIVE OF WHAT HAPPENS FOR 5897 04:15:40,720 --> 04:15:48,880 US BEING LIMITED TO 2017, 2018. 5898 04:15:48,880 --> 04:15:52,800 MY OTHER QUESTION IS RELATED TO 5899 04:15:52,800 --> 04:15:54,920 SPICES AND CURVES AND MANY WILL 5900 04:15:54,920 --> 04:15:55,440 HAVE THOSE INCLUDED. 5901 04:15:55,440 --> 04:16:01,720 ARE YOU CONSIDERING THOSE? 5902 04:16:01,720 --> 04:16:04,720 >>THEY DON'T CONTRIBUTE TO AN 5903 04:16:04,720 --> 04:16:08,320 ITEM CLUSTER FOR SPICES BUT FROM 5904 04:16:08,320 --> 04:16:11,160 A NUTRIENT PERSPECTIVE AND 5905 04:16:11,160 --> 04:16:12,560 QUANTITY OF CONSUMPTION 5906 04:16:12,560 --> 04:16:13,280 PERSPECTIVE THERE'S ALREADY -- 5907 04:16:13,280 --> 04:16:16,800 WE'RE ALREADY LOOKING AT A LEVEL 5908 04:16:16,800 --> 04:16:19,000 OF NOISE AROUND THE ESTIMATES 5909 04:16:19,000 --> 04:16:21,720 FROM FOOD INTAKES AND NUTRIENT 5910 04:16:21,720 --> 04:16:23,640 DATABASE TO GET TO PRECISELY TO 5911 04:16:23,640 --> 04:16:26,040 WHAT PEOPLE EAT. 5912 04:16:26,040 --> 04:16:31,880 BUT THEY AREN'T INCLUDED FROM 5913 04:16:31,880 --> 04:16:33,920 THAT ASPECT BECAUSE OF THE 5914 04:16:33,920 --> 04:16:35,800 NUTRIENT COMPOSITION WE'RE 5915 04:16:35,800 --> 04:16:37,720 LOOKING AT AND THE QUANT OF 5916 04:16:37,720 --> 04:16:42,520 CONSUMPTION IN TERMS OF HOW IT 5917 04:16:42,520 --> 04:16:43,960 PLAYS WITHIN THE TOTAL NUTRIENT. 5918 04:16:43,960 --> 04:16:47,480 THEY'LL HAVE LACE OF AN IMPACT 5919 04:16:47,480 --> 04:16:50,920 ON CALORIE INTAKE AND IMPACT ON 5920 04:16:50,920 --> 04:16:54,840 SODIUM INTAKE BUT WE'RE LOOKING 5921 04:16:54,840 --> 04:16:55,640 AT THESE WITHOUT THOSE 5922 04:16:55,640 --> 04:17:01,880 COMPONENTS AS THE FOOD AND 5923 04:17:01,880 --> 04:17:04,720 DIVERSITY AND IMPLEMENT AND 5924 04:17:04,720 --> 04:17:11,120 SPICES COME INTO PLAY. 5925 04:17:11,120 --> 04:17:13,400 >>AND AS PART OF THE 5926 04:17:13,400 --> 04:17:14,960 COMPOSITION OF THE FOOD THOSE 5927 04:17:14,960 --> 04:17:20,640 WOULD BE -- IF THAT WAS PART OF 5928 04:17:20,640 --> 04:17:22,200 THE INGREDIENTS AND COMPOSITION 5929 04:17:22,200 --> 04:17:23,320 OF A CERTAIN FOOD IT WOULD BE IN 5930 04:17:23,320 --> 04:17:31,000 THE DATABASE. 5931 04:17:31,000 --> 04:17:32,280 MAYBE THAT DIDN'T TAKE INTO 5932 04:17:32,280 --> 04:17:33,760 ACCOUNT TRADITIONAL AND CULTURAL 5933 04:17:33,760 --> 04:17:33,960 FOODS. 5934 04:17:33,960 --> 04:17:36,840 MAYBE THE WAY THE LENTIL SOUP IS 5935 04:17:36,840 --> 04:17:41,440 DONE IN DIFFERENT CULTURAL 5936 04:17:41,440 --> 04:17:42,800 GROUPS WILL HAVE DIFFERENT 5937 04:17:42,800 --> 04:17:43,120 INGREDIENTS. 5938 04:17:43,120 --> 04:17:53,560 THAT'S WHERE I WAS GOING. 5939 04:17:56,320 --> 04:18:04,760 >>FROM A LENTIL SOUP IT HAS 5940 04:18:04,760 --> 04:18:08,440 FRESH PARSLEY AND I PULLED THAT 5941 04:18:08,440 --> 04:18:09,240 UP EARLIER AND 5942 04:18:09,240 --> 04:18:12,840 >>IT MAY BE DIFFERENT FROM A 5943 04:18:12,840 --> 04:18:14,480 LENTIL SOUP FROM MEXICO WHICH 5944 04:18:14,480 --> 04:18:17,120 WOULD PROBABLY NOT HAVE PARSLEY 5945 04:18:17,120 --> 04:18:18,640 BUT CILANTRO OR FROM ANOTHER 5946 04:18:18,640 --> 04:18:20,320 COUNTRY OR CULTURE. 5947 04:18:20,320 --> 04:18:26,840 >>WHICH GETS BACK TO OUR 5948 04:18:26,840 --> 04:18:37,040 LIMITATION. 5949 04:18:37,440 --> 04:18:40,640 >>I HOPE MUSHROOMS COME FIRST. 5950 04:18:40,640 --> 04:18:45,480 WHEN I GET TO YOUR SATURATED 5951 04:18:45,480 --> 04:18:48,280 SODIUM AND FATS THERE MUST BE 5952 04:18:48,280 --> 04:18:48,920 SOME CUT POINT. 5953 04:18:48,920 --> 04:18:50,760 HAVE YOU OPERATIONALIZED THE CUT 5954 04:18:50,760 --> 04:18:59,800 POINT OF TRYING TO DO THAT? 5955 04:18:59,800 --> 04:19:06,640 >>THEY FOR COMING SLIDES. 5956 04:19:06,640 --> 04:19:08,040 >>IF THERE'S SHIFT IN THAT BUT 5957 04:19:08,040 --> 04:19:10,840 IT DOESN'T IMPACT THE GOAL OF 5958 04:19:10,840 --> 04:19:16,520 WHAT DOES THIS DO TO THE DRI 5959 04:19:16,520 --> 04:19:27,080 THEN IT'S BLOW THE RADAR ANYWAY. 5960 04:19:28,560 --> 04:19:33,480 HOW ARE YOU DEFINING AND YOU 5961 04:19:33,480 --> 04:19:35,680 ASKED ABOUT NOT EXCESS AND HOW 5962 04:19:35,680 --> 04:19:36,600 DO YOU LOOK AT THAT? 5963 04:19:36,600 --> 04:19:39,040 I THINK YOU'RE GOING TO TALK 5964 04:19:39,040 --> 04:19:40,440 ABOUT THAT SO I'M LOOKING 5965 04:19:40,440 --> 04:19:47,120 FORWARD TO THAT BUT I HAD A 5966 04:19:47,120 --> 04:19:49,680 QUESTION ABOUT AND YAMS ARE 3% 5967 04:19:49,680 --> 04:19:51,120 OF WHAT'S CONSUMED IF I 5968 04:19:51,120 --> 04:19:53,560 UNDERSTAND CORRECTLY BUT THAT'S 5969 04:19:53,560 --> 04:19:56,920 GOING TO VARY TO CHRISTINA'S 5970 04:19:56,920 --> 04:19:59,200 PERSPECTIVE IT MAY VARY ACROSS 5971 04:19:59,200 --> 04:20:00,960 CULTURAL GROUPS, SUBPOPULATIONS. 5972 04:20:00,960 --> 04:20:01,880 ARE YOU TAKING THAT INTO 5973 04:20:01,880 --> 04:20:04,320 CONSIDERATION? 5974 04:20:04,320 --> 04:20:07,600 >>WELL, THE FIRST PART OF THAT 5975 04:20:07,600 --> 04:20:10,200 IS THAT BASED ON THE CURRENT 5976 04:20:10,200 --> 04:20:13,720 CONSUMPTION PATTERNS MAKING THE 5977 04:20:13,720 --> 04:20:17,520 NUTRIENT PROFILE IT'S 5978 04:20:17,520 --> 04:20:18,440 CONTRIBUTING BASED ON MEETING 5979 04:20:18,440 --> 04:20:20,000 PEOPLE WHERE THEY ARE RIGHT NOW 5980 04:20:20,000 --> 04:20:27,840 AND I FEEL LIKE ONE, WHEN WE GET 5981 04:20:27,840 --> 04:20:29,080 TO SOME PLACES WHERE INDIVIDUALS 5982 04:20:29,080 --> 04:20:33,520 MAY NOT CONSUME GRAINS BUT MAY 5983 04:20:33,520 --> 04:20:35,400 CONSUME POTATOES, SWEET 5984 04:20:35,400 --> 04:20:37,480 POTATOES, THE OTHER CULTURAL 5985 04:20:37,480 --> 04:20:39,120 FOOD WAYS IT GIVES US AN 5986 04:20:39,120 --> 04:20:44,280 OPPORTUNITY TO SHIFT WHERE THOSE 5987 04:20:44,280 --> 04:20:49,440 ARE AND IN THE SIMULATED DIETS 5988 04:20:49,440 --> 04:20:53,560 HOW IT PLAYS OUT IN BEING THE 5989 04:20:53,560 --> 04:20:54,120 REPRESENTATIVE VEGETABLES. 5990 04:20:54,120 --> 04:20:56,520 AND TELL ME IF YOU'RE THINKING 5991 04:20:56,520 --> 04:20:57,400 ABOUT THIS CORRECT. 5992 04:20:57,400 --> 04:21:00,400 SHE'S SAYING IF YOU HAVE CANDIED 5993 04:21:00,400 --> 04:21:01,360 YAMS AND THE WAY THAT'S PREPARED 5994 04:21:01,360 --> 04:21:03,120 THAT MAY BE DIFFERENT THAN YAMS 5995 04:21:03,120 --> 04:21:04,520 PREPARED IN A DIFFERENT WAY IS 5996 04:21:04,520 --> 04:21:05,600 THAT WHAT YOU'RE SAYING? 5997 04:21:05,600 --> 04:21:12,680 >>I WAS THINKING MORE ABOUT 5998 04:21:12,680 --> 04:21:13,880 WHEN LOOKING AT THE POPULATION 5999 04:21:13,880 --> 04:21:16,480 YOU'RE LOOKING AT 3% OF YAMS AND 6000 04:21:16,480 --> 04:21:19,640 IF YOU LOOK AT SUBPOPULATIONS 6001 04:21:19,640 --> 04:21:25,880 YOU MAY SEE 20% OF YAMS. 6002 04:21:25,880 --> 04:21:28,480 IN THE SUB POPULATIONS AND YOU 6003 04:21:28,480 --> 04:21:31,280 PUT 3% OF THAT AND IT'S WEIGHTED 6004 04:21:31,280 --> 04:21:35,840 IF I'M UNDERSTANDING CORRECTLY. 6005 04:21:35,840 --> 04:21:37,880 THE WEIGHTING BECOMES A 6006 04:21:37,880 --> 04:21:40,160 PERCENTAGE OF THE SUB GROUPS. 6007 04:21:40,160 --> 04:21:45,520 HAVE YOU THOUGHT OF CONSIDERING 6008 04:21:45,520 --> 04:21:51,200 SOME VARIABILITY THAT CAN GET 6009 04:21:51,200 --> 04:21:52,600 BIG QUICKLY BUT IT'S SOMETHING 6010 04:21:52,600 --> 04:21:54,000 TO THINK BAND THERE'S BEEN OTHER 6011 04:21:54,000 --> 04:22:01,200 PROCESSES THAT TRIED TO LOOK AT 6012 04:22:01,200 --> 04:22:03,320 THIS TYPE OF THING WITH FRUITS 6013 04:22:03,320 --> 04:22:03,880 AND VEGETABLES COMPARED TO 6014 04:22:03,880 --> 04:22:13,280 GRAINS. 6015 04:22:13,280 --> 04:22:15,720 I THINK THE WEIGHTING AND 6016 04:22:15,720 --> 04:22:20,680 PREPARATION AND MY CONCERN WAS 6017 04:22:20,680 --> 04:22:23,400 AROUND THE WEIGHTING. 6018 04:22:23,400 --> 04:22:26,840 YOU MENTIONED CANDIED YAMS THAT 6019 04:22:26,840 --> 04:22:28,760 MAY BE COOKED DIFFERENTLY THE 6020 04:22:28,760 --> 04:22:29,880 REPRESENTATIVE FOOD WOULD THEN 6021 04:22:29,880 --> 04:22:32,520 BE YAMS. 6022 04:22:32,520 --> 04:22:38,360 SO YOU WOULDN'T IN THIS CASE IT 6023 04:22:38,360 --> 04:22:41,920 ISN'T TAKING CANDIED YAMS AS 6024 04:22:41,920 --> 04:22:44,200 HIGHER REPRESENTED FOODS BUT 6025 04:22:44,200 --> 04:22:46,200 REPRESENTING YAMS AS YAMS COOKED 6026 04:22:46,200 --> 04:22:51,200 AND NOT THE CALORIC AND ADDED 6027 04:22:51,200 --> 04:22:52,760 SUGAR VALUE OF YAMS BECAUSE IF 6028 04:22:52,760 --> 04:22:53,400 YOU SAY WE'RE NOT GOING TO LET 6029 04:22:53,400 --> 04:22:57,920 YOU EAT YAMS BECAUSE OF THE 6030 04:22:57,920 --> 04:23:00,040 CALORIES IF YOU LOOK AT IT AS 6031 04:23:00,040 --> 04:23:01,040 FITTING IN THE PATTERN YOU'RE 6032 04:23:01,040 --> 04:23:04,560 LOOKING AT THE NUTRIENT. 6033 04:23:04,560 --> 04:23:06,400 YOU'RE GETTING THE NUTRIENT 6034 04:23:06,400 --> 04:23:09,880 DENSE VERSION TO CAPTURE THE 6035 04:23:09,880 --> 04:23:11,400 FOOD WITHIN THE FOOD PATTERN AND 6036 04:23:11,400 --> 04:23:17,480 THE CHOICES THAT WE MAKE AROUND 6037 04:23:17,480 --> 04:23:19,600 FOOD PREPARATION AND THAT FITS 6038 04:23:19,600 --> 04:23:21,160 INTO MAKING FOOD CHOICES WITHIN 6039 04:23:21,160 --> 04:23:31,640 THE ENERGY RECOMMENDATIONS. 6040 04:23:34,040 --> 04:23:36,280 >>ARE THEY USER DETERMINED? 6041 04:23:36,280 --> 04:23:41,440 >>THE DATA IS BASED ON RECORDED 6042 04:23:41,440 --> 04:23:45,680 NHANES DATA FROM FOOD 6043 04:23:45,680 --> 04:23:46,400 COMPOSITION DATA NATIONALLY 6044 04:23:46,400 --> 04:23:49,080 REPRESENTATIVE FOOD COMPOSITION 6045 04:23:49,080 --> 04:23:49,360 DATA. 6046 04:23:49,360 --> 04:23:51,120 IT'S THE THIS IS THE TUG AND 6047 04:23:51,120 --> 04:23:54,720 POOL BETWEEN THE OPPORTUNITIES 6048 04:23:54,720 --> 04:23:58,760 WE HAVE WITH A LARGE AMOUNT OF 6049 04:23:58,760 --> 04:24:02,760 DATA AND ABOUT 7400 FOOD CODES 6050 04:24:02,760 --> 04:24:05,520 OF WHAT'S BEING REPRESENTED IN 6051 04:24:05,520 --> 04:24:08,960 MATERIALS OF THE 2017 FNDDS. 6052 04:24:08,960 --> 04:24:12,920 YOU HAVE THE WIDE SCOPE OF FOODS 6053 04:24:12,920 --> 04:24:16,680 BUT IT'S STILL LIMITED BY THE 6054 04:24:16,680 --> 04:24:18,440 THINGS DISCUSSED AROUND THE 6055 04:24:18,440 --> 04:24:19,880 INCLUSION AND REPRESENTATIVE AND 6056 04:24:19,880 --> 04:24:20,840 DIVERSITY OF THE SAMPLE. 6057 04:24:20,840 --> 04:24:27,760 IT GIVES A STARTING POINT IF WE 6058 04:24:27,760 --> 04:24:29,360 AND THIS IS AN AREA AROUND 6059 04:24:29,360 --> 04:24:32,960 CONVERSATIONS AROUND BEING ABLE 6060 04:24:32,960 --> 04:24:35,760 TO AND TAKING THE FOOD PATTERNS 6061 04:24:35,760 --> 04:24:39,680 AND USING THEM IN DATA ANALYSIS 6062 04:24:39,680 --> 04:24:42,080 TO IDENTIFY AREAS WHERE WE SEE 6063 04:24:42,080 --> 04:24:43,240 DIFFERENCES IN FOOD EQUITY AND 6064 04:24:43,240 --> 04:24:48,280 FOOD INSECURITY AND INCOME AND 6065 04:24:48,280 --> 04:24:49,880 ADDRESSING THE DIFFERENT 6066 04:24:49,880 --> 04:24:53,960 CONCERNS BUT IN CREATING THE 6067 04:24:53,960 --> 04:24:56,800 BROADER U.S. STYLE HEALTHY 6068 04:24:56,800 --> 04:24:58,360 EATING PLAN IS BASED ON THE 6069 04:24:58,360 --> 04:24:59,040 LARGER NATIONAL DATA BUT KNOWING 6070 04:24:59,040 --> 04:25:09,440 IT HAS THE LIMITATIONS 6071 04:25:14,840 --> 04:25:17,280 >>THIS IS SOMETHING FOR THE 6072 04:25:17,280 --> 04:25:17,800 COMMITTEE TO CONSIDER. 6073 04:25:17,800 --> 04:25:20,400 I UNDERSTAND YOU CAN'T DO 6074 04:25:20,400 --> 04:25:23,160 PROTEIN FOODS AND DO STABLE 6075 04:25:23,160 --> 04:25:25,880 FOODS AND FRUITS AND VEGETABLES 6076 04:25:25,880 --> 04:25:28,720 MAY BE INTERESTED TO LOOK AT 6077 04:25:28,720 --> 04:25:32,400 VARIED WHEN YOU PICK THE FOODS 6078 04:25:32,400 --> 04:25:35,160 AND DO THE NUTRIENT COMPOSITE, I 6079 04:25:35,160 --> 04:25:40,600 GUESS, TO LOOK AT VARIABILITY 6080 04:25:40,600 --> 04:25:41,840 THERE TO SEE AND MAY BE 6081 04:25:41,840 --> 04:25:50,440 INTERESTING TO TAKE A LOOK AT. 6082 04:25:50,440 --> 04:25:52,440 >>MY MIND IS WHIRRING AND STAFF 6083 04:25:52,440 --> 04:25:54,480 TELLS ME WE CAN ONLY DO SO MUCH. 6084 04:25:54,480 --> 04:26:01,560 THESE ARE THE GREAT -- I THINK 6085 04:26:01,560 --> 04:26:02,600 IT'S GETTING TO THE BOOTS ON THE 6086 04:26:02,600 --> 04:26:04,040 GROUND AND LOOKING AT THE 6087 04:26:04,040 --> 04:26:04,720 DIVERSITY OF FOODS WITHIN THE 6088 04:26:04,720 --> 04:26:14,960 CATEGORIES. 6089 04:26:15,680 --> 04:26:16,760 LOOKING AT THE INDIVIDUAL FOOD 6090 04:26:16,760 --> 04:26:18,000 BEING CONSUMED AND THE 6091 04:26:18,000 --> 04:26:20,160 COMPONENTS AND HOW DOES THIS 6092 04:26:20,160 --> 04:26:21,880 CREATE THE FOUNDATIONAL 6093 04:26:21,880 --> 04:26:29,680 NUTRIENT-LEVEL DATA. 6094 04:26:29,680 --> 04:26:32,880 >>WE THINK IT'S IMPORTANT TO 6095 04:26:32,880 --> 04:26:37,920 TEST OUT DIFFERENT CULTURAL FOOD 6096 04:26:37,920 --> 04:26:46,760 WAYS AND SEEING WHAT THE MOST 6097 04:26:46,760 --> 04:26:48,440 FREQUENTLY CONSUMED FOODS ARE 6098 04:26:48,440 --> 04:26:53,600 AND MODELLING SOME OF THOSE 6099 04:26:53,600 --> 04:26:53,840 THINGS. 6100 04:26:53,840 --> 04:26:57,240 IT'S IMPORTANT TO KEEP THINKING 6101 04:26:57,240 --> 04:26:58,200 ABOUT IN THOSE -- 6102 04:26:58,200 --> 04:27:07,920 >>SORRY REGIONAL TOO. 6103 04:27:07,920 --> 04:27:09,320 >>OKAY. 6104 04:27:09,320 --> 04:27:10,320 NEXT SLIDE. 6105 04:27:10,320 --> 04:27:13,440 SO NOW SO THE ACTUAL PROTOCOL 6106 04:27:13,440 --> 04:27:14,960 NOW THAT YOU KNOW WHAT I'M 6107 04:27:14,960 --> 04:27:16,840 TALKING ABOUT OR AT LEAST I HOPE 6108 04:27:16,840 --> 04:27:17,120 SO. 6109 04:27:17,120 --> 04:27:25,880 SO OUR PROTOCOL WE DEVELOPED 6110 04:27:25,880 --> 04:27:28,760 FIRST AND WE ARE LOOKING AT 6111 04:27:28,760 --> 04:27:32,600 SODIUM AND SATURATED FAT 6112 04:27:32,600 --> 04:27:35,640 CONTRIBUTE ITEM CLUSTERS AND 6113 04:27:35,640 --> 04:27:37,080 THEREFORE NUTRIENT PROFILE. 6114 04:27:37,080 --> 04:27:40,680 TAKING A LOOK AT THE FOODS AND 6115 04:27:40,680 --> 04:27:43,920 THE ITEM CLUSTERS THAT EXIST AND 6116 04:27:43,920 --> 04:27:48,160 SHOULD WE CREATE A REVISED 6117 04:27:48,160 --> 04:27:49,880 PATTERN THAT REPRESENT THAT 6118 04:27:49,880 --> 04:27:51,240 REMOVES THE LOWER NUTRIENT DENSE 6119 04:27:51,240 --> 04:27:56,200 FOODS AND ONLY FOCUSES ON THE 6120 04:27:56,200 --> 04:27:59,360 HIGHER NUTRIENT DENSE FOODS. 6121 04:27:59,360 --> 04:28:01,240 SO OUR ANALYTIC FRAMEWORK WE'LL 6122 04:28:01,240 --> 04:28:03,760 BE LOOKING AT THE DIETARY INTAKE 6123 04:28:03,760 --> 04:28:05,880 DATA FROM NHANES FOR BASICALLY 6124 04:28:05,880 --> 04:28:11,440 ONE YEAR OF AGE AND OLDER AND WE 6125 04:28:11,440 --> 04:28:15,400 HAVE SEPARATE DIETARY PATTERNS 6126 04:28:15,400 --> 04:28:16,720 FOR 12 TO 23 MONTHS AND 12 YEARS 6127 04:28:16,720 --> 04:28:20,960 AND OLDER. 6128 04:28:20,960 --> 04:28:25,240 INE OVERVIEW OF BASICALLY ALL 6129 04:28:25,240 --> 04:28:27,200 THE DIFFERENT QUESTIONS WE'LL 6130 04:28:27,200 --> 04:28:31,000 HAVE IS TO IDENTIFY THE 6131 04:28:31,000 --> 04:28:33,880 INDIVIDUALS WE HAVE FOR THE 6132 04:28:33,880 --> 04:28:36,080 DIETARY INTAKE FOR. 6133 04:28:36,080 --> 04:28:39,440 AND SO CREATING AN ENERGY LEVEL 6134 04:28:39,440 --> 04:28:41,640 FOR THE PARTICULAR PATTERNS, 6135 04:28:41,640 --> 04:28:43,120 IDENTIFYING NUTRITIONAL GOALS OF 6136 04:28:43,120 --> 04:28:45,480 THAT PATTERN ON THE HEALTHY 6137 04:28:45,480 --> 04:28:47,520 STYLE WE JUST LOOKED AT AND IT 6138 04:28:47,520 --> 04:28:49,360 HAD REPRESENTATIONS FROM EACH OF 6139 04:28:49,360 --> 04:28:50,960 THE DIFFERENT FOOD GROUPS ACROSS 6140 04:28:50,960 --> 04:28:52,720 MY PLATE AND THE QUANTITIES FROM 6141 04:28:52,720 --> 04:28:55,160 THAT. 6142 04:28:55,160 --> 04:28:56,480 ESTABLISHING THE FOOD GROUPINGS 6143 04:28:56,480 --> 04:29:01,600 AND THE FOOD GROUP AMOUNTS AND 6144 04:29:01,600 --> 04:29:02,400 THEN DETERMINING THE AMOUNT OF 6145 04:29:02,400 --> 04:29:05,880 ENERGY AND NUTRIENTS THAT THEN 6146 04:29:05,880 --> 04:29:07,320 COMPRISE THE FOODS WITHIN THE 6147 04:29:07,320 --> 04:29:10,560 FOOD GROUPS AND SUB GROUPS. 6148 04:29:10,560 --> 04:29:12,760 WE WENT THROUGH THE EXAMPLE OF 6149 04:29:12,760 --> 04:29:17,200 RED AND ORANGE VEGETABLES BUT IF 6150 04:29:17,200 --> 04:29:19,800 WE WERE MODELLING AND IN THIS 6151 04:29:19,800 --> 04:29:21,720 CASE FOODS WITH HIGHER ADDED 6152 04:29:21,720 --> 04:29:24,520 SUGAR AND SATURATED FAT AND 6153 04:29:24,520 --> 04:29:24,760 SODIUM. 6154 04:29:24,760 --> 04:29:29,640 THE CARROT CAKE IS PROBABLY 6155 04:29:29,640 --> 04:29:31,800 GOING TO BE ONE OF THE FOODS FOR 6156 04:29:31,800 --> 04:29:34,520 THE CONTRIBUTION OF CARROTS FOR 6157 04:29:34,520 --> 04:29:36,520 THE COMPOSITION WITHIN THE FOOD 6158 04:29:36,520 --> 04:29:45,960 MAY BE A FOOD THAT WOULD NOT BE 6159 04:29:45,960 --> 04:29:49,120 CARRIED FORWARD AND EVALUATING 6160 04:29:49,120 --> 04:29:51,560 THE NUTRIENT LEVELS WITHIN THE 6161 04:29:51,560 --> 04:29:54,600 PATTERN AND SEEING HOW IT 6162 04:29:54,600 --> 04:29:56,720 PERFORMS IN TERMS OF NUTRITIONAL 6163 04:29:56,720 --> 04:29:58,720 ADEQUACY AND THE PROFILES THAT 6164 04:29:58,720 --> 04:30:04,760 COME FROM THAT AND THEN REVISING 6165 04:30:04,760 --> 04:30:06,600 THE FIRST GUT REACTION GIVES YOU 6166 04:30:06,600 --> 04:30:09,880 A STARTING POINT BUT NOT AN 6167 04:30:09,880 --> 04:30:10,200 ANSWER. 6168 04:30:10,200 --> 04:30:13,760 SO THE PROCESSES THAT WE'LL WALK 6169 04:30:13,760 --> 04:30:16,640 THROUGH HERE FOR STEP ONE ARE 6170 04:30:16,640 --> 04:30:19,760 THE FOUR STEPS WE CONCEPTUALIZED 6171 04:30:19,760 --> 04:30:21,360 BUT ONE OF THOSE THINGS YOU 6172 04:30:21,360 --> 04:30:22,760 DON'T KNOW UNTIL YOU START 6173 04:30:22,760 --> 04:30:28,600 WORKING WITH THE DATA TO SEE HOW 6174 04:30:28,600 --> 04:30:31,120 THEY'LL MANIFEST AND WHAT WE EAT 6175 04:30:31,120 --> 04:30:41,640 IN AMERICA DATA FROM FNDDS AND 6176 04:30:41,960 --> 04:30:46,760 WHEN THE FOOD CODES ARE 6177 04:30:46,760 --> 04:30:57,280 SEPARATED SOME SOME ARE SR AND 6178 04:31:03,400 --> 04:31:05,080 IF SOMEBODY HAS PIZZA IT WILL BE 6179 04:31:05,080 --> 04:31:06,800 FLAGGED UNDER THAT CATEGORY. 6180 04:31:06,800 --> 04:31:09,960 WE CAN LOOK AT IT FROM THE FOOD 6181 04:31:09,960 --> 04:31:12,440 AND INGREDIENT LEVEL. 6182 04:31:12,440 --> 04:31:15,240 OUR 6183 04:31:15,240 --> 04:31:16,800 OUR NEW -- NUTRITIONAL GOALS 6184 04:31:16,800 --> 04:31:18,960 AND FROM THE GUIDELINES AND THE 6185 04:31:18,960 --> 04:31:21,880 ENERGY LEVELS FROM UPDATED DRIs 6186 04:31:21,880 --> 04:31:23,400 AS WELL AS THE HEIGHT AND WEIGHT 6187 04:31:23,400 --> 04:31:25,840 POPULATION NORM DATA FROM 6188 04:31:25,840 --> 04:31:33,120 NHANES. 6189 04:31:33,120 --> 04:31:33,400 OKAY. 6190 04:31:33,400 --> 04:31:40,040 SO IN OUR OVER ARCHING FRAMEWORK 6191 04:31:40,040 --> 04:31:43,400 FOR PROTOCOL ONE IS IDENTIFYING 6192 04:31:43,400 --> 04:31:44,920 FRUITS AND BEVERAGES LOWER IN 6193 04:31:44,920 --> 04:31:51,760 NUTRIENT DENSITY TO CREATE THE 6194 04:31:51,760 --> 04:31:52,600 NUTRIENT PROFILE. 6195 04:31:52,600 --> 04:31:55,000 SO WE'RE LOOKING AT WHAT ARE THE 6196 04:31:55,000 --> 04:31:57,880 POTENTIAL STRATEGIES THAT WE 6197 04:31:57,880 --> 04:31:59,960 IDENTIFY LOWER NUTRIENT DENSITY 6198 04:31:59,960 --> 04:32:05,520 FOODS WE WOULD EXCLUDE AND IF 6199 04:32:05,520 --> 04:32:07,280 YOU TAKE OUT FOODS HIGHER IN 6200 04:32:07,280 --> 04:32:08,920 ENERGY AND THE ENERGY ASSOCIATED 6201 04:32:08,920 --> 04:32:09,920 WITH THOSE ITEM CLUSTERS IS 6202 04:32:09,920 --> 04:32:13,400 GOING TO GO DOWN? 6203 04:32:13,400 --> 04:32:15,360 -- GO DOWN. 6204 04:32:15,360 --> 04:32:18,360 YOU'LL GET MORE NUTRIENTS FOR 6205 04:32:18,360 --> 04:32:21,440 THE SAME AMOUNT OF ENERGY. 6206 04:32:21,440 --> 04:32:25,600 WE'RE GOING TO TEST THIS WITHIN 6207 04:32:25,600 --> 04:32:26,920 THE U.S. HEALTHY U.S. STYLE 6208 04:32:26,920 --> 04:32:28,840 DIETARY PATTERN. 6209 04:32:28,840 --> 04:32:34,160 THESE ARE THE STEPS WE'VE 6210 04:32:34,160 --> 04:32:34,560 DISCUSSED. 6211 04:32:34,560 --> 04:32:38,600 WE ASKED THE STAFF TO DO A SCAN 6212 04:32:38,600 --> 04:32:39,480 OF THE DIFFERENT APPROACHES THAT 6213 04:32:39,480 --> 04:32:41,440 VARIOUS GROUPS HAVE USED TO 6214 04:32:41,440 --> 04:32:46,120 IDENTIFY FOODS THAT GET EXCLUDED 6215 04:32:46,120 --> 04:32:49,640 FROM CREATING THE NUTRIENT 6216 04:32:49,640 --> 04:32:52,000 PROFILES AND THE PREVIOUS 6217 04:32:52,000 --> 04:32:53,880 ADDITION USED ALL FOODS TO 6218 04:32:53,880 --> 04:32:55,120 CREATING THE NUTRIENT PROFILE. 6219 04:32:55,120 --> 04:32:57,400 IF YOU HAVE A HIGHER CONSUMPTION 6220 04:32:57,400 --> 04:33:00,480 OF FOOD THAT IS A MORE ENERGY 6221 04:33:00,480 --> 04:33:03,440 DENSE VERSION, THE CALORIES 6222 04:33:03,440 --> 04:33:04,040 ASSOCIATED WITH THAT CATEGORY 6223 04:33:04,040 --> 04:33:12,320 WILL GO UP. 6224 04:33:12,320 --> 04:33:14,480 THE STEPPED WE IDENTIFIED WE'LL 6225 04:33:14,480 --> 04:33:18,120 USE TO TEST THIS STEP WISE 6226 04:33:18,120 --> 04:33:23,840 PROGRESSION OF CREATING THIS 6227 04:33:23,840 --> 04:33:25,160 REVIVED NUTRIENT PROFILE 6228 04:33:25,160 --> 04:33:28,760 INCLUDING FOODS AND BEVERAGES 6229 04:33:28,760 --> 04:33:34,760 FOR COMPANION ITEM CLUSTERS THAT 6230 04:33:34,760 --> 04:33:36,400 ARE TYPICALLY HIGHER IN ENERGY 6231 04:33:36,400 --> 04:33:40,760 AND LOWER IN NUTRIENT DENSITY. 6232 04:33:40,760 --> 04:33:42,800 THINGS LIKE BAKED GOODS WERE ONE 6233 04:33:42,800 --> 04:33:46,760 AREA WHERE WE HAD DISCUSSIONS 6234 04:33:46,760 --> 04:33:49,080 AROUND THE NUTRIENT COMPOSITION. 6235 04:33:49,080 --> 04:33:52,360 THE NEXT STEP WILL THEN BE TO 6236 04:33:52,360 --> 04:33:53,880 IDENTIFY FOODS AND BEVERAGES AND 6237 04:33:53,880 --> 04:33:56,120 WE NEED TO DEFINE A PROPORTION 6238 04:33:56,120 --> 04:33:58,000 OF THE TOTAL INGREDIENTS THAT 6239 04:33:58,000 --> 04:33:59,360 CONTRIBUTE TO A TOTAL FOOD OR 6240 04:33:59,360 --> 04:34:03,040 SUB GROUP. 6241 04:34:03,040 --> 04:34:07,360 SO YOU MIGHT HAVE ITEMS THAT ARE 6242 04:34:07,360 --> 04:34:13,880 A PART OF SOMETHING THAT DON'T 6243 04:34:13,880 --> 04:34:16,720 FULLY REPRESENT THE FOOD ITSELF 6244 04:34:16,720 --> 04:34:18,520 A SMALL INGREDIENT AND EXCLUDING 6245 04:34:18,520 --> 04:34:20,920 ITEM CLUSTERS WITH A NUTRIENT 6246 04:34:20,920 --> 04:34:24,080 DENSE REPRESENTATIVE FOOD THAT 6247 04:34:24,080 --> 04:34:27,680 WOULDN'T BE A NUTRIENT DENSE 6248 04:34:27,680 --> 04:34:31,000 ALTERNATIVE FOR THE FOOD AND HOW 6249 04:34:31,000 --> 04:34:33,880 WE MIGHT IDENTIFY HOW WELL THE 6250 04:34:33,880 --> 04:34:35,960 ITEM CLUSTERS LIKE COULD YOU 6251 04:34:35,960 --> 04:34:38,840 MAKE THE FOOD FROM THE ITEM 6252 04:34:38,840 --> 04:34:40,120 CLUSTER BEING SELECT AND HOW 6253 04:34:40,120 --> 04:34:43,080 WELL DO THE FOODS REPRESENT AND 6254 04:34:43,080 --> 04:34:45,000 THE FINAL STEP INCLUDING ITEM 6255 04:34:45,000 --> 04:34:45,880 CLUSTERS WHEN REPRESENTATIVE 6256 04:34:45,880 --> 04:34:50,000 FOOD AS AN OUTLIER WITHIN ALL 6257 04:34:50,000 --> 04:34:52,640 THE OTHER FOODS WITHIN AN ITEM 6258 04:34:52,640 --> 04:34:55,320 CLUSTER BASED ON THEIR SUGAR, 6259 04:34:55,320 --> 04:35:00,360 SATURATED FAT OR SODIUM INTAKE 6260 04:35:00,360 --> 04:35:01,800 BASED ON COMPOSITION OR 6261 04:35:01,800 --> 04:35:03,240 PROCESSING PREPARATION IT TAKES 6262 04:35:03,240 --> 04:35:13,680 TO CREATE THE FOOD ITSELF. 6263 04:35:15,320 --> 04:35:17,880 WHAT THAT MEANS IS WE'LL TWO 6264 04:35:17,880 --> 04:35:19,120 BACK TO THE DRAWING BOARD AND 6265 04:35:19,120 --> 04:35:20,760 SEE HOW THEY'RE WORKING AN 6266 04:35:20,760 --> 04:35:24,080 UPDATE THE PROFILES BASED ON 6267 04:35:24,080 --> 04:35:25,880 EXCLUDING FOODS OF LOWER 6268 04:35:25,880 --> 04:35:27,520 NUTRIENT DENSITY AND TESTING HOW 6269 04:35:27,520 --> 04:35:31,600 WELL THAT COMPARES TO THE 6270 04:35:31,600 --> 04:35:33,400 EXISTING NUTRIENT PROFILES WITH 6271 04:35:33,400 --> 04:35:35,240 USING THE HEALTHY U.S. STYLE 6272 04:35:35,240 --> 04:35:36,920 DIETARY PATTERN. 6273 04:35:36,920 --> 04:35:39,120 HOW DO WE THEN TAKE THOSE 6274 04:35:39,120 --> 04:35:40,800 PROFILES WE GENERATED ON THE 6275 04:35:40,800 --> 04:35:43,880 SLIDE WITH THE TABLE DIFFERENTLY 6276 04:35:43,880 --> 04:35:46,120 TO THE U.S.-STYLE DIETARY 6277 04:35:46,120 --> 04:35:48,760 PATTERN COMPARED TO NUTRIENT 6278 04:35:48,760 --> 04:35:49,880 PROFILES COMPARED TO THE 6279 04:35:49,880 --> 04:35:52,760 PREVIOUS APPROACH WHERE ALL 6280 04:35:52,760 --> 04:35:53,920 FOODS ARE INCLUDED. 6281 04:35:53,920 --> 04:35:57,240 WHICH THEN MEANS WE MIGHT HAVE 6282 04:35:57,240 --> 04:36:00,000 TO TAKE STEP ONE OR IDENTIFY 6283 04:36:00,000 --> 04:36:02,720 PARTICULAR FOODS AND THEN 6284 04:36:02,720 --> 04:36:04,680 EVALUATE HOW THAT CREATES A 6285 04:36:04,680 --> 04:36:05,880 NUTRIENT PROFILE AND WHAT ARE 6286 04:36:05,880 --> 04:36:08,200 THE IMPLICATIONS OF THAT AND 6287 04:36:08,200 --> 04:36:10,040 HAVING A LARGE EFFECT, SMALL 6288 04:36:10,040 --> 04:36:13,840 EFFECT, NO EFFECT OR EFFECTS WE 6289 04:36:13,840 --> 04:36:16,880 WEREN'T ANTICIPATING AND HOW DO 6290 04:36:16,880 --> 04:36:22,240 WE TRY TO USE AS MUCH OF A 6291 04:36:22,240 --> 04:36:23,560 SCIENTIFIC AND EMPIRICAL BASIS 6292 04:36:23,560 --> 04:36:25,840 AND ALSO WHAT WE'VE SEEN IS 6293 04:36:25,840 --> 04:36:28,360 THERE'S NOT A REAL SOLID 6294 04:36:28,360 --> 04:36:30,400 EMPIRICAL BASIS FOR A LOT OF THE 6295 04:36:30,400 --> 04:36:32,720 DIFFERENT WAYS FOODS HAVE BEEN 6296 04:36:32,720 --> 04:36:33,000 EXCLUDED. 6297 04:36:33,000 --> 04:36:37,440 HOW DO WE MAKE THESE DECISIONS 6298 04:36:37,440 --> 04:36:40,760 IN AN EMPIRICAL SCIENTIFIC BUT 6299 04:36:40,760 --> 04:36:42,360 NON-BIASSED WAY AND IMPLEMENT IT 6300 04:36:42,360 --> 04:36:45,680 AND SEE WHAT IMPLICATIONS IT HAS 6301 04:36:45,680 --> 04:36:51,600 AND WORK OUR WAY DOWN TO SEE IF 6302 04:36:51,600 --> 04:36:55,520 WE'RE CREATING A NEW DIETARY 6303 04:36:55,520 --> 04:37:03,280 PROFILE OR DOES IT MATTER. 6304 04:37:03,280 --> 04:37:06,680 SO OUR NEXT STEPS SO THOSE 6305 04:37:06,680 --> 04:37:09,880 ARE -- THAT'S PROTOCOL 1. 6306 04:37:09,880 --> 04:37:11,640 WHICH HAS BEEN LEARNED FOOD 6307 04:37:11,640 --> 04:37:13,360 PATTERN MODELLING AND FIGURE OUT 6308 04:37:13,360 --> 04:37:15,400 A CONCEPTUAL FRAMEWORK OTHERS 6309 04:37:15,400 --> 04:37:19,880 HAVEN'T QUITE DONE YET. 6310 04:37:19,880 --> 04:37:21,840 SO THEN PROTOCOLS TWO THROUGH 6311 04:37:21,840 --> 04:37:28,200 NINE WILL BE OUR NEXT BIG STEP 6312 04:37:28,200 --> 04:37:30,000 FOR DEVELOPING THE PROTOCOLS FOR 6313 04:37:30,000 --> 04:37:31,280 OUR NEXT MEETING AND STARTING 6314 04:37:31,280 --> 04:37:33,840 ONCE WE GET THE PUBLIC COMMENTS 6315 04:37:33,840 --> 04:37:36,480 AND BE ABLE TO ADDRESS THE 6316 04:37:36,480 --> 04:37:37,240 CONVERSATIONS WE'VE HAD HERE, 6317 04:37:37,240 --> 04:37:39,080 START CREATING THE NUTRIENT 6318 04:37:39,080 --> 04:37:39,720 PROFILES AND SEE HOW THEY CARRY 6319 04:37:39,720 --> 04:37:49,800 OUT. 6320 04:37:50,360 --> 04:37:56,000 >>AGAIN, MIND BENDING. 6321 04:37:56,000 --> 04:37:58,000 NUTRIENT DENSITY IS PORNOGRAPHY 6322 04:37:58,000 --> 04:38:04,800 LIKE HARDER TO FIND. 6323 04:38:04,800 --> 04:38:09,480 SAID ADRs OR RDAs AND YOU HEARD 6324 04:38:09,480 --> 04:38:11,480 YOU SAY LYCOPENE. 6325 04:38:11,480 --> 04:38:12,640 NOT A VITAMIN. 6326 04:38:12,640 --> 04:38:14,680 NOT A MINERAL. 6327 04:38:14,680 --> 04:38:17,320 SO THE TERM NUTRIENT ADEQUACY 6328 04:38:17,320 --> 04:38:18,920 SEEMS KEY TO OPERATIONALIZING 6329 04:38:18,920 --> 04:38:19,360 THIS. 6330 04:38:19,360 --> 04:38:22,960 I DIDN'T HEAR IT IN YOUR TALK. 6331 04:38:22,960 --> 04:38:24,760 HOW DO YOU OPERATIONIZE IT AND 6332 04:38:24,760 --> 04:38:25,840 I'D BE HAPPY TO CONTRIBUTE 6333 04:38:25,840 --> 04:38:28,520 BECAUSE I LOVE THIS TOPIC IF 6334 04:38:28,520 --> 04:38:29,440 IT'S NOT OPERATIONALIZED 6335 04:38:29,440 --> 04:38:29,720 ALREADY. 6336 04:38:29,720 --> 04:38:31,320 >>IT'S GOING TO BE ONE OF THOSE 6337 04:38:31,320 --> 04:38:33,360 WHERE I HAVE TO GO TO THE STAFF 6338 04:38:33,360 --> 04:38:37,880 BECAUSE I'M GETTING TO THAT 6339 04:38:37,880 --> 04:38:40,200 ABSOLUTE -- 6340 04:38:40,200 --> 04:38:42,840 >>WE OPERATIONALIZE NUTRIENT 6341 04:38:42,840 --> 04:38:44,040 ADEQUACY USING THE RDA BECAUSE 6342 04:38:44,040 --> 04:38:45,880 THEY'RE INTENDED TO BE 6343 04:38:45,880 --> 04:38:47,680 IMPLEMENTED AT AN INDIVIDUAL 6344 04:38:47,680 --> 04:38:51,080 LEVEL AND TAKE THE CONSERVATIVE 6345 04:38:51,080 --> 04:38:51,320 APPROACH. 6346 04:38:51,320 --> 04:38:54,160 >>DOES EVERYBODY HAVE TO HIT 6347 04:38:54,160 --> 04:38:57,800 THE RDA FOR ALL THE NUTRIENTS 6348 04:38:57,800 --> 04:39:01,200 WHICH LIKELY MEANS AT SOME LEVEL 6349 04:39:01,200 --> 04:39:02,280 SOME VITAMIN YOU'RE GOING TO LIT 6350 04:39:02,280 --> 04:39:04,840 THE RDA AND SOME YOU'LL DOUBLE 6351 04:39:04,840 --> 04:39:09,640 AND SOME YOU'LL TRIPLE. 6352 04:39:09,640 --> 04:39:11,320 COULD YOU WEIGHT THEM FOR THE 6353 04:39:11,320 --> 04:39:12,400 NUTRIENT OF CONCERN IDENTIFIED 6354 04:39:12,400 --> 04:39:13,800 OR TAKE THEM ACROSS THE BOARD? 6355 04:39:13,800 --> 04:39:16,680 >>WE'RE LOOKING ACROSS THE 6356 04:39:16,680 --> 04:39:18,280 BOARD AND FOR THE MOST PART IT'S 6357 04:39:18,280 --> 04:39:21,880 AT LEAST 85% OF THE RDA FOR 6358 04:39:21,880 --> 04:39:23,240 ANYTHING THAT MIGHT FALL SHORT. 6359 04:39:23,240 --> 04:39:24,880 >>OOH, 85%. 6360 04:39:24,880 --> 04:39:30,840 >>I THINK 85%, 90%, I'LL DOUBLE 6361 04:39:30,840 --> 04:39:31,200 CHECK. 6362 04:39:31,200 --> 04:39:32,960 >>WOULD YOU CONSIDER WEIGHTING 6363 04:39:32,960 --> 04:39:37,600 THEM OF THE GREATEST CONCERN? 6364 04:39:37,600 --> 04:39:38,120 I'LL TOSS THAT OUT FOR 6365 04:39:38,120 --> 04:39:45,840 CONSIDERATION. 6366 04:39:45,840 --> 04:39:52,840 >>THIS IS A MORE CONCEPTUAL 6367 04:39:52,840 --> 04:39:56,720 QUESTION AND SO CAN YOU SAY MORE 6368 04:39:56,720 --> 04:39:59,320 ABOUT THE CONCEPTUAL APPROACH TO 6369 04:39:59,320 --> 04:40:01,680 RUNNING YOUR MODELLING WITH AND 6370 04:40:01,680 --> 04:40:03,400 WITHOUT THE LOW NUTRIENT DENSE 6371 04:40:03,400 --> 04:40:03,840 FOODS? 6372 04:40:03,840 --> 04:40:05,360 I THINK YOUR POINT ABOUT MEETING 6373 04:40:05,360 --> 04:40:08,480 POPULATION WHERE THEY'RE AT WE 6374 04:40:08,480 --> 04:40:09,880 KNOW THERE'S CERTAIN NUTRIENTS 6375 04:40:09,880 --> 04:40:11,280 BOTH CONSUMED AND RELATED TO 6376 04:40:11,280 --> 04:40:12,520 HEALTH OUTCOMES WE'RE CONCERNED 6377 04:40:12,520 --> 04:40:15,000 ABOUT AND I'M WONDERING HOW 6378 04:40:15,000 --> 04:40:16,640 YOU'RE QUESTION IS DIFFERENT 6379 04:40:16,640 --> 04:40:18,640 THAN ASKING WHAT THE TOLERANCE 6380 04:40:18,640 --> 04:40:21,360 OF THESE VARIOUS PATTERNS ARE TO 6381 04:40:21,360 --> 04:40:24,280 SOME OF THOSE FOODS IN TERMS OF 6382 04:40:24,280 --> 04:40:25,880 THE LIKELIHOOD OF ACHIEVING 6383 04:40:25,880 --> 04:40:26,120 ADEQUACY. 6384 04:40:26,120 --> 04:40:27,560 IT'S PROBABLY A DIFFERENT 6385 04:40:27,560 --> 04:40:28,520 QUESTION BUT I'M WONDERING HOW 6386 04:40:28,520 --> 04:40:36,480 YOU'RE THINKING ABOUT IT. 6387 04:40:36,480 --> 04:40:38,560 >>THE COMMENTS ABOUT PARTICULAR 6388 04:40:38,560 --> 04:40:40,560 FOODS CAME FORWARD BOTH FROM 6389 04:40:40,560 --> 04:40:42,920 PUBLIC COMMENTS AND ALSO FROM 6390 04:40:42,920 --> 04:40:46,360 THE PREVIOUS COMMITTEE IN TERMS 6391 04:40:46,360 --> 04:40:49,720 OF WHAT FOODS REPRESENT A 6392 04:40:49,720 --> 04:40:51,920 REFINED GRAIN AND JUST TO TAKE 6393 04:40:51,920 --> 04:40:57,040 ONE EXAMPLE WE LOOKED AT 6394 04:40:57,040 --> 04:40:58,440 DESSERTS AND A FOOD CATEGORY 6395 04:40:58,440 --> 04:41:00,480 THAT MIGHT BE A PLACE WHERE WE 6396 04:41:00,480 --> 04:41:00,680 START. 6397 04:41:00,680 --> 04:41:03,400 THE NUTRIENT COMPOSITION AND 6398 04:41:03,400 --> 04:41:05,120 ADDED SUGAR AND SATURATED FAT 6399 04:41:05,120 --> 04:41:10,000 AND COMPOSITION OF A BROWNIE AND 6400 04:41:10,000 --> 04:41:14,600 ENERGY IS DIFFERENT THAN THAT OF 6401 04:41:14,600 --> 04:41:16,400 SLICED BREAD OR A ROLL AND IF 6402 04:41:16,400 --> 04:41:17,480 YOU HAVE FOODS WITH A DIFFERENT 6403 04:41:17,480 --> 04:41:21,840 ENERGY DENSITY AND NUTRIENT 6404 04:41:21,840 --> 04:41:24,840 DENSITY THEN AND IF THOSE FOODS 6405 04:41:24,840 --> 04:41:27,960 ARE CONSUMED MORE FREQUENTLY 6406 04:41:27,960 --> 04:41:29,480 IT'S DRIVING UP THAT ENERGY 6407 04:41:29,480 --> 04:41:32,040 PROFILE FOR THAT FOOD SO NOW 6408 04:41:32,040 --> 04:41:33,880 WHEN YOU WANT TO ASSIGN THE 6409 04:41:33,880 --> 04:41:36,600 CALORIES FOR THE NUMBER OF 6410 04:41:36,600 --> 04:41:38,520 GRAINS IF WE KEEP THE NUMBER OF 6411 04:41:38,520 --> 04:41:41,640 GRAINS WHERE THEY ARE AND WE USE 6412 04:41:41,640 --> 04:41:44,000 ALL FOODS YOUR USING UP A LOT OF 6413 04:41:44,000 --> 04:41:47,280 YOUR CALORIE NEEDS FOR THE DAY 6414 04:41:47,280 --> 04:41:50,440 BASED ON THE NUTRIENT PROFILE 6415 04:41:50,440 --> 04:41:52,960 THAT INCLUDES MORE ENERGY DENSE, 6416 04:41:52,960 --> 04:41:55,600 LESS NUTRIENT DENSE FOODS. 6417 04:41:55,600 --> 04:41:59,600 THE COMMENTS COMING FORWARD 6418 04:41:59,600 --> 04:42:02,080 SHOULD WE COUNT THE CALORIES 6419 04:42:02,080 --> 04:42:04,640 FROM BROWNIES AS A GRAIN AND A 6420 04:42:04,640 --> 04:42:05,720 LOT OF THE COMMENTS THAT CAME 6421 04:42:05,720 --> 04:42:07,200 FORWARD FROM THE PUBLIC WERE 6422 04:42:07,200 --> 04:42:09,840 AROUND SHOULD WE BE USING THOSE 6423 04:42:09,840 --> 04:42:10,880 AND COUNTING THOSE THAT WAY OR 6424 04:42:10,880 --> 04:42:16,760 NOT REDEFINING WHAT COUNTS AS A 6425 04:42:16,760 --> 04:42:18,880 GRAIN VERSUS NOT BUT WHAT WE'RE 6426 04:42:18,880 --> 04:42:21,880 DOING IS WOULD WE USE THAT AS 6427 04:42:21,880 --> 04:42:24,560 THE NUTRIENT DENSE VERSION OF 6428 04:42:24,560 --> 04:42:27,360 THE FOOD OR WOULD WE HAVE MORE 6429 04:42:27,360 --> 04:42:31,720 CALORIES IN PROTOCOL EIGHT THAT 6430 04:42:31,720 --> 04:42:33,840 SAYS IF YOU NEAT THE NUTRIENT 6431 04:42:33,840 --> 04:42:35,520 DENSE VERSIONS THIS IS WHAT THE 6432 04:42:35,520 --> 04:42:37,880 CALORIC LEVEL WOULD BE AND THEN 6433 04:42:37,880 --> 04:42:41,640 IN MEETING THAT IT CREATES MORE 6434 04:42:41,640 --> 04:42:42,720 OPPORTUNITIES FOR CHOICE WITHIN 6435 04:42:42,720 --> 04:42:47,280 THE GROUPS THEMSELVES. 6436 04:42:47,280 --> 04:42:49,800 DOES THAT ANSWER YOUR QUESTION? 6437 04:42:49,800 --> 04:42:52,720 >>I HAVE A RELATED QUESTION 6438 04:42:52,720 --> 04:42:54,040 BECAUSE I THINK IT GETS BACK TO 6439 04:42:54,040 --> 04:42:55,480 THE REPRESENTATIVENESS OF WHAT 6440 04:42:55,480 --> 04:42:57,160 WE END UP MODELLING OUT. 6441 04:42:57,160 --> 04:43:00,120 I THINK ULTIMATELY AS I SEE IT 6442 04:43:00,120 --> 04:43:03,280 OUR END GAME IS TO TRY TO PUT 6443 04:43:03,280 --> 04:43:05,800 FORWARD A FOOD PATTERNS 6444 04:43:05,800 --> 04:43:09,880 MODELLING OUTPUT THAT IS USEFUL 6445 04:43:09,880 --> 04:43:11,880 TO ALL AMERICANS. 6446 04:43:11,880 --> 04:43:16,760 SO WHAT I'M GRAPPLING WITH IS 6447 04:43:16,760 --> 04:43:19,800 HOW DO WE BEST ENSURE WHAT WE 6448 04:43:19,800 --> 04:43:22,360 END UP CHOOSING AS THE MOST 6449 04:43:22,360 --> 04:43:24,640 NUTRIENT DENSE APPROACH IS 6450 04:43:24,640 --> 04:43:27,800 ACTUALLY NOT DRIVEN BY HIGHEST 6451 04:43:27,800 --> 04:43:30,200 CONSUMPTION AND REPORTING VERSUS 6452 04:43:30,200 --> 04:43:31,760 JUST BY HAVING A DIVERSE AMOUNT 6453 04:43:31,760 --> 04:43:34,040 OF THINGS TO CHOOSE FROM. 6454 04:43:34,040 --> 04:43:35,800 FOR EXAMPLE, YOU COULD HAVE 6455 04:43:35,800 --> 04:43:37,240 SOMETHING THAT'S INCREDIBLY 6456 04:43:37,240 --> 04:43:41,480 NUTRIENT DENSE THAT MIGHT APPLY 6457 04:43:41,480 --> 04:43:43,440 TO CERTAIN SUBPOPULATIONS IN 6458 04:43:43,440 --> 04:43:45,080 AMERICA BUT BECAUSE THE 6459 04:43:45,080 --> 04:43:46,960 REPORTING ISN'T DRIVEN BY THOSE 6460 04:43:46,960 --> 04:43:48,560 SUBPOPULATIONS IN AMERICA IT 6461 04:43:48,560 --> 04:43:50,000 DOESN'T EMERGE AS SOMETHING THAT 6462 04:43:50,000 --> 04:43:52,760 YOU MIGHT LIKELY WANT TO PUT 6463 04:43:52,760 --> 04:44:01,560 FORWARD. 6464 04:44:01,560 --> 04:44:03,680 IT GETS BACK TO THE LIMITATIONS 6465 04:44:03,680 --> 04:44:04,560 OF THE DATA AND THE FOOD 6466 04:44:04,560 --> 04:44:09,840 CLUSTERS AND CATEGORIES WE'RE 6467 04:44:09,840 --> 04:44:12,640 LOOKING AT. 6468 04:44:12,640 --> 04:44:15,240 THE NUTRIENTS BETWEEN RED AND 6469 04:44:15,240 --> 04:44:16,680 ORANGE VEGETABLES WILL BE 6470 04:44:16,680 --> 04:44:19,160 WEIGHTED ON THE MORE COMMONLY 6471 04:44:19,160 --> 04:44:20,840 REPORTED FOODS IN NHANES BUT 6472 04:44:20,840 --> 04:44:26,320 WE'RE ALSO LOOKING AT A NUTRIENT 6473 04:44:26,320 --> 04:44:29,960 PROFILE WITHIN THE FOOD SUB 6474 04:44:29,960 --> 04:44:32,520 GROUPS AND THE TOTAL GROUPS BUT 6475 04:44:32,520 --> 04:44:34,520 IT WILL BE ESPECIALLY BASED ON 6476 04:44:34,520 --> 04:44:36,760 THE DESIGN OF NHANES AND THE 6477 04:44:36,760 --> 04:44:40,880 DATA WE HAVE THE REPRESENTATIVE 6478 04:44:40,880 --> 04:44:45,560 NATURE OF THE DATA COLLECTED TO 6479 04:44:45,560 --> 04:44:48,560 OVER SAMPLE AFRICAN AMERICAN, 6480 04:44:48,560 --> 04:44:49,800 MEXICAN AMERICAN, OTHER HISPANIC 6481 04:44:49,800 --> 04:44:51,960 AND ASIAN AMERICAN AND WE HAD 6482 04:44:51,960 --> 04:44:54,640 THE CONVERSATION THAT ASIAN 6483 04:44:54,640 --> 04:44:59,720 AMERICAN IS ASIAN AMERICAN. 6484 04:44:59,720 --> 04:45:02,240 SO IT'S NOT IT HELPS IN THAT 6485 04:45:02,240 --> 04:45:03,400 QUESTION BUT DOESN'T SOLVE THAT 6486 04:45:03,400 --> 04:45:05,320 QUESTION AND THAT'S WHERE I 6487 04:45:05,320 --> 04:45:07,760 THINK IT WILL BE IMPORTANT FOR 6488 04:45:07,760 --> 04:45:09,640 THE INSIGHT WE'LL HAVE FOR 6489 04:45:09,640 --> 04:45:11,800 MAKING THOSE RECOMMENDATIONS FOR 6490 04:45:11,800 --> 04:45:13,880 SIMULATED DIETS TO PUT THAT INTO 6491 04:45:13,880 --> 04:45:14,840 PLAY. 6492 04:45:14,840 --> 04:45:20,440 AND THEN BE ABLE TO TEST IF WE 6493 04:45:20,440 --> 04:45:24,240 THEN USE JAMS AS THE VEGETABLE 6494 04:45:24,240 --> 04:45:27,280 OR USING YAMS AS THE GRAIN 6495 04:45:27,280 --> 04:45:30,440 STABLE CARBOHYDRATE OPPOSED TO 6496 04:45:30,440 --> 04:45:32,080 THE VEGETABLE THOSE ARE THE 6497 04:45:32,080 --> 04:45:32,840 PLACES WE'LL BE ABLE TO ANSWER 6498 04:45:32,840 --> 04:45:35,160 THOSE KINDSES OF. 6499 04:45:35,160 --> 04:45:37,880 -- KINDS OF QUESTIONS BUT WE'RE 6500 04:45:37,880 --> 04:45:42,720 STIM LI-- STILL LIMITED BY THE 6501 04:45:42,720 --> 04:45:47,600 DATA AND IT'S AN AMAZING DATA 6502 04:45:47,600 --> 04:45:50,640 SET BUT WE KNOW IT HAS 6503 04:45:50,640 --> 04:45:50,920 LIMITATIONS. 6504 04:45:50,920 --> 04:45:55,600 >>DR. TAYLOR, I WAS JUST 6505 04:45:55,600 --> 04:45:57,920 THINKING FOR THE 2020 DIETARY 6506 04:45:57,920 --> 04:45:59,000 GUIDELINE COMMITTEE THE INTEREST 6507 04:45:59,000 --> 04:46:00,680 WAS AROUND LIFE STAGES. 6508 04:46:00,680 --> 04:46:05,880 THEY DID LOOK AT NUTRIENT 6509 04:46:05,880 --> 04:46:10,760 PROFILE AT DIFFERENT LIFE STAGE 6510 04:46:10,760 --> 04:46:16,000 AND WONDER IF IT COULD BE 6511 04:46:16,000 --> 04:46:18,000 DISCUSSED WITHIN THE NHANES DATA 6512 04:46:18,000 --> 04:46:20,280 AND THAT COULD BE EXPLORED AND 6513 04:46:20,280 --> 04:46:21,800 ALSO THE SIMULATED DIET I FEEL 6514 04:46:21,800 --> 04:46:23,800 LIKE THERE'S MORE TO COME. 6515 04:46:23,800 --> 04:46:25,280 IT'S BEEN ONE PROTOCOL DISCUSSED 6516 04:46:25,280 --> 04:46:26,840 BUT I THINK WHAT YOU'RE GETTING 6517 04:46:26,840 --> 04:46:28,480 AT WITH YOUR LAST COMMENTS ARE 6518 04:46:28,480 --> 04:46:30,360 SEVERAL QUESTIONS THAT WILL GET 6519 04:46:30,360 --> 04:46:31,880 TO THE CULTURAL FOODS INCLUDING 6520 04:46:31,880 --> 04:46:35,160 THE SIMULATED DIET ACTIVITY. 6521 04:46:35,160 --> 04:46:37,880 I THINK THE STAFF HAS BEEN 6522 04:46:37,880 --> 04:46:39,440 PINGING BACK AND FORTH ABOUT 6523 04:46:39,440 --> 04:46:44,520 THOUGHTS TO BRING TO THE NEXT 6524 04:46:44,520 --> 04:46:45,360 SUBCOMMITTEE CONVERSATION TO 6525 04:46:45,360 --> 04:46:46,040 REACT TO THIS. 6526 04:46:46,040 --> 04:46:50,200 JUST WANTED TO REFLECT ON THE 6527 04:46:50,200 --> 04:46:53,280 2020 DID SUBPOPULATION ANALYSES 6528 04:46:53,280 --> 04:46:55,360 AND IT WILL BE -- IT IS NHANES 6529 04:46:55,360 --> 04:46:56,960 SO WHAT THE BROADER CATEGORIES 6530 04:46:56,960 --> 04:46:57,680 ARE BUT MAY BE HELPFUL IN THE 6531 04:46:57,680 --> 04:47:07,920 CONVERSATION. 6532 04:47:10,480 --> 04:47:10,880 >>ANY OTHER COMMENTS? 6533 04:47:10,880 --> 04:47:20,960 YES. 6534 04:47:24,080 --> 04:47:27,920 >>IN TERMS OF DATA SOURCES ARE 6535 04:47:27,920 --> 04:47:30,560 ANY OF THOSE CONSIDERING OR 6536 04:47:30,560 --> 04:47:38,400 REPORTING ON INFANTS, TODDLERS? 6537 04:47:38,400 --> 04:47:41,400 >>YES, WE HAVE THAT 6538 04:47:41,400 --> 04:47:41,680 INFORMATION. 6539 04:47:41,680 --> 04:47:44,440 I THINK IN OUR FIRST PUBLIC 6540 04:47:44,440 --> 04:47:45,560 MEETING WE WERE DISCUSSING THE 6541 04:47:45,560 --> 04:47:50,560 POSSIBILITY I DON'T KNOW IF THAT 6542 04:47:50,560 --> 04:47:54,360 WAS -- IF WE REACHED OUT TO GET 6543 04:47:54,360 --> 04:47:57,760 DATA FROM WIC IN TERMS -- I KNOW 6544 04:47:57,760 --> 04:48:00,440 HAVE LIMITED DATA BUT HAVE DATA 6545 04:48:00,440 --> 04:48:01,960 THEY COLLECT THROUGHOUT ALL THE 6546 04:48:01,960 --> 04:48:04,640 WIC CLINICS. 6547 04:48:04,640 --> 04:48:05,840 I KNOW THERE WAS EFFORT TO GET 6548 04:48:05,840 --> 04:48:15,960 DATA. 6549 04:48:21,960 --> 04:48:23,080 >>THANK YOU. 6550 04:48:23,080 --> 04:48:30,160 >>I LOVE THAT INTERACTION. 6551 04:48:30,160 --> 04:48:34,080 >>ANY OTHER QUESTIONS OR 6552 04:48:34,080 --> 04:48:41,880 COMMENTS? 6553 04:48:41,880 --> 04:48:43,200 >>THANK YOU FOR ALL YOUR 6554 04:48:43,200 --> 04:48:44,400 THOUGHTFUL PRESENTATIONS AND 6555 04:48:44,400 --> 04:48:44,680 DISCUSSES. 6556 04:48:44,680 --> 04:48:46,600 I FEEL REALLY BADLY HAVING MY 6557 04:48:46,600 --> 04:48:50,120 BACK TO ALL OF YOU. 6558 04:48:50,120 --> 04:48:52,320 I KNOW THE GENTLEMAN WILL BE 6559 04:48:52,320 --> 04:48:53,320 ANGRY BECAUSE I'M MOVING AWAY 6560 04:48:53,320 --> 04:48:53,880 FROM THE MIC. 6561 04:48:53,880 --> 04:49:00,480 THANK YOU VERY MUCH. 6562 04:49:00,480 --> 04:49:01,880 LIKE WE DID LAST TIME WE'D LIKE 6563 04:49:01,880 --> 04:49:06,920 TO GO AROUND THE ROOM AND HAVE 6564 04:49:06,920 --> 04:49:08,240 EACH OF YOU MAKE JUST ONE 6565 04:49:08,240 --> 04:49:13,840 COMMENT AND ONE IMPRESSION 6566 04:49:13,840 --> 04:49:17,440 THAT'S COME OUT OF THIS GREAT 6567 04:49:17,440 --> 04:49:22,320 PUBLIC MEETING AND JUST BEFORE 6568 04:49:22,320 --> 04:49:28,800 WE START I WANT TO LET EVERYBODY 6569 04:49:28,800 --> 04:49:31,320 KNOW THAT I BELIEVE EVERY 6570 04:49:31,320 --> 04:49:33,360 SUBCOMMITTEE AND WORKING GROUP 6571 04:49:33,360 --> 04:49:36,760 HAS TAKEN MANY NOTES AND OUR 6572 04:49:36,760 --> 04:49:39,960 TEAM HAS TAKEN NOTES AND EVERY 6573 04:49:39,960 --> 04:49:41,560 SUBCOMMITTEE BENEFITTED FROM THE 6574 04:49:41,560 --> 04:49:44,160 RICH DISCUSSION TODAY AND WILL 6575 04:49:44,160 --> 04:49:45,480 USE THESE COMMENTS TO FURTHER 6576 04:49:45,480 --> 04:49:50,800 REFINE THEIR PROTOCOLS BUT ALSO 6577 04:49:50,800 --> 04:49:52,000 THINK WHEN THEY MOVE FORWARD 6578 04:49:52,000 --> 04:49:58,560 WITH THE TASK AT HAND AND I ALSO 6579 04:49:58,560 --> 04:50:00,840 WANT TO IN ADVANCE THANK ALL OF 6580 04:50:00,840 --> 04:50:02,200 YOU FOR ALL THE WORK YOU'LL DO 6581 04:50:02,200 --> 04:50:04,280 BETWEEN TODAY AND THE NEXT 6582 04:50:04,280 --> 04:50:05,640 PUBLIC MEETING IN SEPTEMBER. 6583 04:50:05,640 --> 04:50:09,880 I KNOW SOMETIMES IT FEELS LIKE 6584 04:50:09,880 --> 04:50:11,280 WE SPEND MORE TIME TOGETHER THAN 6585 04:50:11,280 --> 04:50:13,400 WE DO WITH OUR FAMILIES. 6586 04:50:13,400 --> 04:50:16,000 IT'S REALLY PATIENTS. 6587 04:50:16,000 --> 04:50:19,760 I WANT TO DO A HEARTFELT THANKS 6588 04:50:19,760 --> 04:50:22,640 THERE AND THEN THOUGHT WE CAN GO 6589 04:50:22,640 --> 04:50:25,880 AROUND AND START WITH SAMEERA 6590 04:50:25,880 --> 04:50:29,040 TODAY. 6591 04:50:29,040 --> 04:50:32,720 >>I WAS EXCITED TO SEE WHAT THE 6592 04:50:32,720 --> 04:50:34,520 OTHER WORKING GROUPS AND 6593 04:50:34,520 --> 04:50:35,680 SUBCOMMITTEES HAVE BEEN WORKING 6594 04:50:35,680 --> 04:50:36,000 ON. 6595 04:50:36,000 --> 04:50:37,400 IT WAS INTERESTING TO SEE ALL 6596 04:50:37,400 --> 04:50:38,640 THE PROTOCOLS. 6597 04:50:38,640 --> 04:50:41,880 LOOKING FORWARD, I GUESS MOSTLY 6598 04:50:41,880 --> 04:50:43,960 LOOKING FORWARD TO THE SIMULATED 6599 04:50:43,960 --> 04:50:46,520 PATTERN MODELLING. 6600 04:50:46,520 --> 04:50:49,320 THAT'S THE ONE I'M MOST 6601 04:50:49,320 --> 04:50:53,840 INTERESTED IN PERSONALLY AND 6602 04:50:53,840 --> 04:50:54,840 LOOKING FORWARD TO WORKING WITH 6603 04:50:54,840 --> 04:50:57,920 THE SUBCOMMITTEE. 6604 04:50:57,920 --> 04:51:01,760 THANK YOU. 6605 04:51:01,760 --> 04:51:04,240 >>VALERIE. 6606 04:51:04,240 --> 04:51:10,800 >>THANK YOU TO SAMEERA FOR 6607 04:51:10,800 --> 04:51:12,360 SUMMARIZING THE WORKING GROUP 6608 04:51:12,360 --> 04:51:13,320 AND FEEL PROUD OF ALL WE 6609 04:51:13,320 --> 04:51:13,640 ACCOMPLISHED. 6610 04:51:13,640 --> 04:51:21,400 THANK YOU. 6611 04:51:21,400 --> 04:51:27,240 I'M INSPIRED THAT FOR THIS 6612 04:51:27,240 --> 04:51:28,640 VERSION CONSIDERING HEALTH 6613 04:51:28,640 --> 04:51:29,960 EQUITY AND DID A WONDERFUL JOB 6614 04:51:29,960 --> 04:51:32,120 IN PRESENTING WHERE WE'RE GOING 6615 04:51:32,120 --> 04:51:33,880 WITH THAT AND IT'S INSPIRING WE 6616 04:51:33,880 --> 04:51:34,800 CAN HIT THAT WORK FOR THE NEXT 6617 04:51:34,800 --> 04:51:44,960 ITERATION. 6618 04:51:47,120 --> 04:51:49,000 >>I'VE BEEN THINKING HOW IN THE 6619 04:51:49,000 --> 04:51:54,640 WORLD WE CAN MAKE PROGRESS ON 6620 04:51:54,640 --> 04:52:03,080 THIS ISSUE AND SOMETHING IS 6621 04:52:03,080 --> 04:52:04,520 CONCEPTUALLY COMPELLING AND SO 6622 04:52:04,520 --> 04:52:07,120 I'M EXCITED ABOUT GOING BACK TO 6623 04:52:07,120 --> 04:52:08,680 SUBCOMMITTEE TWO AND TRYING TO 6624 04:52:08,680 --> 04:52:11,440 THINK COLLECTIVELY ABOUT THAT. 6625 04:52:11,440 --> 04:52:15,640 >>I'M EXCITED TO SEE US TAKING 6626 04:52:15,640 --> 04:52:17,360 COMPETING STYLES AND PATTERNS IN 6627 04:52:17,360 --> 04:52:20,960 ONE TO TWO-YEAR-OLDS AN AREA 6628 04:52:20,960 --> 04:52:22,960 RARELY LOOKED AT AND HOW LITTLE 6629 04:52:22,960 --> 04:52:28,200 WE KNOW ABOUT BABIES BETWEEN SIX 6630 04:52:28,200 --> 04:52:38,200 AND 24 MONTHS AND UNDERSTANDING 6631 04:52:38,200 --> 04:52:39,960 WHAT WE HAVE. 6632 04:52:39,960 --> 04:52:46,680 >>I FEEL OVERWHELMED HUMBLED 6633 04:52:46,680 --> 04:52:49,600 AND HOPEFULLY BY THE TIME I GET 6634 04:52:49,600 --> 04:52:54,800 HOME LESS OVERWHELMED. 6635 04:52:54,800 --> 04:52:56,680 >>I'M EXCITED ABOUT ALL THE NEW 6636 04:52:56,680 --> 04:52:57,880 DIRECTION WITH THE DIETARY 6637 04:52:57,880 --> 04:52:58,600 GUIDELINES COMMITTEE. 6638 04:52:58,600 --> 04:53:01,840 I THINK IT'S GOING TO ADD AND 6639 04:53:01,840 --> 04:53:07,640 PUSH THE DIETARY GUIDELINES 6640 04:53:07,640 --> 04:53:09,880 FURTHER AND SO EXCITING TO SEE 6641 04:53:09,880 --> 04:53:10,680 THE SYSTEMATIC REVIEWS AND OTHER 6642 04:53:10,680 --> 04:53:16,320 WORK BEING DONE. 6643 04:53:16,320 --> 04:53:20,920 >>I WAS EXCITED TO HEAR WHAT 6644 04:53:20,920 --> 04:53:22,920 THE OTHER WORKING GROUPS WERE 6645 04:53:22,920 --> 04:53:24,840 DOING BECAUSE WE HADN'T HEARD A 6646 04:53:24,840 --> 04:53:26,840 REPORT SINCE JANUARY AND 6647 04:53:26,840 --> 04:53:28,800 ASTONISHING THE AMOUNT OF WORK 6648 04:53:28,800 --> 04:53:33,000 ACCOMPLISHED ALREADY SINCE 6649 04:53:33,000 --> 04:53:33,840 FEBRUARY AND I CAN'T IMAGINE 6650 04:53:33,840 --> 04:53:35,000 WHERE WE'LL GO FROM HERE. 6651 04:53:35,000 --> 04:53:38,280 IT'S GOING TO BE AMAZING. 6652 04:53:38,280 --> 04:53:44,000 >>I'M STRUCK BY INCLUSION OF 6653 04:53:44,000 --> 04:53:48,520 SOME REALLY IMPORTANT CHANGES IN 6654 04:53:48,520 --> 04:53:49,880 EVOLUTIONS WITH HOW THE PROCESS 6655 04:53:49,880 --> 04:53:51,840 IS GOING AND WHAT'S ON THE TABLE 6656 04:53:51,840 --> 04:53:53,760 WITHIN THE PROCESS AND DEEP 6657 04:53:53,760 --> 04:53:55,840 PROFESSION FOR HOW MUCH WORK WE 6658 04:53:55,840 --> 04:54:01,880 HAVE YET TO DO IN THE ENTIRE 6659 04:54:01,880 --> 04:54:07,720 FIELD OF NUTRITION. 6660 04:54:07,720 --> 04:54:09,840 AND INSPIRED WHAT WHAT WE'LL 6661 04:54:09,840 --> 04:54:10,200 TACKLE. 6662 04:54:10,200 --> 04:54:12,760 >>INCREDIBLE STAFF LOOKING 6663 04:54:12,760 --> 04:54:14,960 ACROSS PROTEIN AND SATURATED 6664 04:54:14,960 --> 04:54:16,800 HEALTH I CAN TELL WE'RE HEADED 6665 04:54:16,800 --> 04:54:23,040 TOWARDS MORE BEANS. 6666 04:54:23,040 --> 04:54:29,960 >>NOT SURE HOW TO FOLLOW THAT. 6667 04:54:29,960 --> 04:54:31,960 I CONTINUE TO BE INCREDIBLY 6668 04:54:31,960 --> 04:54:35,200 IMPRESSED BY THE DEPTH OF THIS 6669 04:54:35,200 --> 04:54:38,440 COMMITTEE AND HOPE AMERICANS 6670 04:54:38,440 --> 04:54:41,840 APPRECIATE WHAT SO MANY OF YOU 6671 04:54:41,840 --> 04:54:43,520 BRING TO THE TABLE AND THE 6672 04:54:43,520 --> 04:54:48,560 HEALTH EQUITY CHARGE FEELS 6673 04:54:48,560 --> 04:54:54,560 GENUINE INITIALLY IT COULDN'T 6674 04:54:54,560 --> 04:54:56,640 CONCEPTUALIZE HOW IT'D PLAY A 6675 04:54:56,640 --> 04:54:56,840 ROLE. 6676 04:54:56,840 --> 04:54:59,240 I THOUGHT IT'D LOOK LIKE AN 6677 04:54:59,240 --> 04:55:05,880 AFTER THOUGHT BUT FEELS LIKE A 6678 04:55:05,880 --> 04:55:09,840 REAL PART OF THE CONSIDERATION 6679 04:55:09,840 --> 04:55:13,840 AND THE SYNTHESIS PIECE I THINK 6680 04:55:13,840 --> 04:55:15,640 WILL BE DAUNTING BUT I'M EXCITED 6681 04:55:15,640 --> 04:55:18,840 TO SEE WHAT IT BRINGS AND I 6682 04:55:18,840 --> 04:55:24,520 DON'T FLOW IF WE'RE GOING 6683 04:55:24,520 --> 04:55:29,520 TOWARDS BEANS PER SE BUT ALL 6684 04:55:29,520 --> 04:55:30,920 RIGHT. 6685 04:55:30,920 --> 04:55:33,160 >>I ALSO APPRECIATED HEARING 6686 04:55:33,160 --> 04:55:34,800 ABOUT WORKING GROUP TWO AND 6687 04:55:34,800 --> 04:55:37,120 THREE SINCE I'M A PART OF THAT 6688 04:55:37,120 --> 04:55:39,440 AND APPRECIATED CHRIS, YOUR 6689 04:55:39,440 --> 04:55:40,800 EXPLANATION YOU GAVE US BECAUSE 6690 04:55:40,800 --> 04:55:45,280 THAT WAS HELPFUL FOR ME AND I 6691 04:55:45,280 --> 04:55:47,880 ALSO AGREE ABOUT THE HEALTH 6692 04:55:47,880 --> 04:55:48,360 EQUITY LENS. 6693 04:55:48,360 --> 04:55:49,440 WLEB WE LEST I DIDN'T KNOW WHAT 6694 04:55:49,440 --> 04:55:51,240 IT WOULD LOOK LIKE AND PART OF 6695 04:55:51,240 --> 04:55:54,240 THE WORKING GROUP THAT'S BEEN 6696 04:55:54,240 --> 04:55:56,720 WONDERFUL AND GREAT AND A LOVE 6697 04:55:56,720 --> 04:55:58,560 THE CONVERSATION AND STRUCK BY 6698 04:55:58,560 --> 04:56:04,040 HOW WELL THAT HAS YOU CAN SEE IT 6699 04:56:04,040 --> 04:56:05,880 IN ALL SUBCOMMITTEES WHICH IS 6700 04:56:05,880 --> 04:56:06,600 WONDERFUL AND NICE. 6701 04:56:06,600 --> 04:56:09,560 >>I'M NOT SURE I'M GOING TO ADD 6702 04:56:09,560 --> 04:56:11,160 ANYTHING NECESSARILY NEW TO THIS 6703 04:56:11,160 --> 04:56:13,840 BUT I HAVE BEEN INCREDIBLY 6704 04:56:13,840 --> 04:56:15,440 IMPRESSED AND ECHO THE THINGS 6705 04:56:15,440 --> 04:56:17,360 THE DIVERSITY AND CONSIDERATIONS 6706 04:56:17,360 --> 04:56:19,680 OF DIVERSITY AND EQUITY AND IT'S 6707 04:56:19,680 --> 04:56:21,840 BEEN REALLY EXCITING TO HEAR 6708 04:56:21,840 --> 04:56:22,800 WHAT EVERYONE ELSE HAS BEEN 6709 04:56:22,800 --> 04:56:24,320 WORKING ON DURING THIS TIME. 6710 04:56:24,320 --> 04:56:28,160 I CAN SAY I'M MOTIVATED TO GET 6711 04:56:28,160 --> 04:56:29,160 BACK INTO COMMUNITY WORK AND 6712 04:56:29,160 --> 04:56:31,600 GOING TO THE NEXT STEPS WHICH I 6713 04:56:31,600 --> 04:56:32,360 THINK ARE MORE DAUNTING AND 6714 04:56:32,360 --> 04:56:38,720 QUITE EXCITING. 6715 04:56:38,720 --> 04:56:40,200 >>I'M STRUCK BY THE 6716 04:56:40,200 --> 04:56:43,600 DELIBERATIONS FROM HEARING THE 6717 04:56:43,600 --> 04:56:46,800 PRESENTATIONS AND DISCUSSIONS 6718 04:56:46,800 --> 04:56:50,240 AND THERE'S A DEEP AND DETAILED 6719 04:56:50,240 --> 04:56:52,560 DELIBERATIONS TO BRING US TO 6720 04:56:52,560 --> 04:56:53,680 WHAT IS BEING PRESENTED. 6721 04:56:53,680 --> 04:56:56,440 AND I'M THANKFUL FOR THE STAFF 6722 04:56:56,440 --> 04:56:57,880 BECAUSE IN THE LAST FEW MONTHS 6723 04:56:57,880 --> 04:57:02,880 AND EVERY TIME WE SAY CAN WE TRY 6724 04:57:02,880 --> 04:57:04,720 THIS AND THEY'LL SAY YEAH, SURE 6725 04:57:04,720 --> 04:57:08,040 WE'RE LOOKING INTO IT. 6726 04:57:08,040 --> 04:57:09,880 THANK YOU FOR BEING SO HELPFUL 6727 04:57:09,880 --> 04:57:15,200 AND SUPPORTIVE OF OUR WORK AND 6728 04:57:15,200 --> 04:57:16,800 IT'S A HUGE TEAM EFFORT SO THANK 6729 04:57:16,800 --> 04:57:19,440 YOU. 6730 04:57:19,440 --> 04:57:23,040 >>I THINK WITH EACH ITERATION 6731 04:57:23,040 --> 04:57:25,000 OF THE DIETARY GUIDELINES WE 6732 04:57:25,000 --> 04:57:26,320 HAVE THIS OPPORTUNITY AND IT 6733 04:57:26,320 --> 04:57:29,600 MAKES ME GRATEFUL FOR OTHER 6734 04:57:29,600 --> 04:57:31,680 COLLEAGUES THAT WE'RE NOW ABLE 6735 04:57:31,680 --> 04:57:37,600 TO CONSOLIDATE AND USE TO UPDATE 6736 04:57:37,600 --> 04:57:42,640 WHAT WE HAVE DONE AND THERE ARE 6737 04:57:42,640 --> 04:57:45,880 LIMITATIONS BUT I THINK IT'S 6738 04:57:45,880 --> 04:57:56,320 SPURRING US TO GO FURTHER. 6739 04:57:56,680 --> 04:57:58,640 AND LOOKING AT DIVERSITY AND 6740 04:57:58,640 --> 04:58:00,680 EQUITY AND THINKING OF THOSE 6741 04:58:00,680 --> 04:58:04,800 WITH FOOD AND NUTRITION 6742 04:58:04,800 --> 04:58:08,640 INSECURITY ISSUES AND HOW WE CAN 6743 04:58:08,640 --> 04:58:10,800 MAKE OUR PROCESS RAISE ALL BOATS 6744 04:58:10,800 --> 04:58:14,360 AS WE GO FORWARD. 6745 04:58:14,360 --> 04:58:16,800 >>I'M GLAD CHRISTOPHER MOVED 6746 04:58:16,800 --> 04:58:20,480 FROM MUSHROOMS TO BEANS. 6747 04:58:20,480 --> 04:58:21,160 THAT'S OUR FIRST MAJOR 6748 04:58:21,160 --> 04:58:21,760 ACCOMPLISHMENT OF THE MEETING 6749 04:58:21,760 --> 04:58:27,280 TODAY. 6750 04:58:27,280 --> 04:58:35,200 AND SO I HAVE ONE AND BRING THE 6751 04:58:35,200 --> 04:58:36,040 SCIENTIFIC RIGOR AND 6752 04:58:36,040 --> 04:58:37,840 UNDERSTANDING OF THE DATA WE 6753 04:58:37,840 --> 04:58:40,520 NEED TO ANSWER THESE QUESTIONS 6754 04:58:40,520 --> 04:58:44,720 AND IT'S ONLY AS SOLID AS THE 6755 04:58:44,720 --> 04:58:46,440 EVIDENCE AND THE STRONGER THE 6756 04:58:46,440 --> 04:58:47,200 SCIENCE THE STRONGER 6757 04:58:47,200 --> 04:58:48,240 RECOMMENDATIONS WE HAVE BUT WE 6758 04:58:48,240 --> 04:58:49,560 HAVE THE MINDS HERE THAT 6759 04:58:49,560 --> 04:58:53,240 UNDERSTAND THE IMPLICATIONS OF 6760 04:58:53,240 --> 04:58:57,880 DATA AND DESIGN DECISIONS BUT 6761 04:58:57,880 --> 04:58:59,160 ALSO THE IMPLEMENTATION SIDE. 6762 04:58:59,160 --> 04:59:02,840 BECAUSE WE CAN DESIGN GREAT 6763 04:59:02,840 --> 04:59:04,400 RANDOMIZED TRIALS THAT HAVE NO 6764 04:59:04,400 --> 04:59:05,320 LIFE APPLICABILITY AND WE'RE 6765 04:59:05,320 --> 04:59:05,880 LOOKING AT THESE FROM BOTH 6766 04:59:05,880 --> 04:59:10,200 SIDES. 6767 04:59:10,200 --> 04:59:11,640 AND EVERYONE IS SAYING YES BUT I 6768 04:59:11,640 --> 04:59:13,840 ALSO APPRECIATE THE STAFF THAT 6769 04:59:13,840 --> 04:59:18,360 TELL US NO. 6770 04:59:18,360 --> 04:59:20,400 MEGAN KEEPS ME IN LINE AND JOE 6771 04:59:20,400 --> 04:59:25,440 KEEPS ME IN LINE. 6772 04:59:25,440 --> 04:59:28,440 WE CAN DO THAT. 6773 04:59:28,440 --> 04:59:29,880 AND TELL US YES AND NO WHEN THEY 6774 04:59:29,880 --> 04:59:34,320 NEED TO. 6775 04:59:34,320 --> 04:59:37,800 >>I'M HAPPY TO BE HERE AMONGST 6776 04:59:37,800 --> 04:59:39,000 GREAT MINDS THAT BRING TOGETHER 6777 04:59:39,000 --> 04:59:41,160 KNOWLEDGE, WISDOM AND POWER AND 6778 04:59:41,160 --> 04:59:41,840 COALESCE THAT WITH THE WORK OF 6779 04:59:41,840 --> 04:59:44,560 THE STAFF AS WE TACKLE THESE 6780 04:59:44,560 --> 04:59:49,440 REALLY IMPORTANT ISSUES 6781 04:59:49,440 --> 04:59:53,160 PARTICULARLY SURROUNDING OBESITY 6782 04:59:53,160 --> 04:59:54,960 AND DISEASE THAT PARTICULARLY 6783 04:59:54,960 --> 04:59:56,520 AFFECTS RACIAL AND ETHNIC 6784 04:59:56,520 --> 05:00:01,880 MINORITIES AND LOOKING AT 6785 05:00:01,880 --> 05:00:05,320 EQUITY, INCLUSION AND BELONGING 6786 05:00:05,320 --> 05:00:08,160 AND MY CHARGE IS WE STRIVE TO DO 6787 05:00:08,160 --> 05:00:10,200 OUR WORK SO WELL SO NO PERSON 6788 05:00:10,200 --> 05:00:12,520 BORN OR LIVING OR YET TO BE BORN 6789 05:00:12,520 --> 05:00:13,800 CAN DO IT BETTER BECAUSE WE'RE 6790 05:00:13,800 --> 05:00:19,240 DOING THIS FOR THE AMERICAN 6791 05:00:19,240 --> 05:00:19,480 PEOPLE. 6792 05:00:19,480 --> 05:00:19,920 THANK YOU. 6793 05:00:19,920 --> 05:00:21,840 >>IT'S HARD TO SPEAK AFTER 6794 05:00:21,840 --> 05:00:24,200 SOMEONE SO ARTICULATE AND I 6795 05:00:24,200 --> 05:00:28,800 AGREE, I WAS GOING TO SAY THAT. 6796 05:00:28,800 --> 05:00:36,880 NO. 6797 05:00:36,880 --> 05:00:38,920 I'M LEARNING SO MUCH MY BRAIN IS 6798 05:00:38,920 --> 05:00:40,600 FULL AND OVER FLOWING. 6799 05:00:40,600 --> 05:00:48,280 THE STAFF HAS BEEN INCREDIBLE. 6800 05:00:48,280 --> 05:00:50,440 WE ALWAYS KNOW WHAT WE HAVE TO 6801 05:00:50,440 --> 05:00:51,480 DO AND WHAT TO DISCUSS. 6802 05:00:51,480 --> 05:00:54,560 IT WAS GREAT TO HAVE THE MEETING 6803 05:00:54,560 --> 05:00:56,000 BECAUSE WE'VE GONE THROUGH ALL 6804 05:00:56,000 --> 05:00:56,880 THE ZOOM MEETING AND DOING 6805 05:00:56,880 --> 05:00:59,280 IMPORTANT WORK BUT IT'S NICE TO 6806 05:00:59,280 --> 05:01:04,480 SEE THIS STARTING TO COME 6807 05:01:04,480 --> 05:01:08,320 TOGETHER I FEEL LIKE THERE'S SO 6808 05:01:08,320 --> 05:01:09,400 MANY MOVING PARTS AND THINGS TO 6809 05:01:09,400 --> 05:01:12,400 CONSIDER THE DATA AND QUALITY 6810 05:01:12,400 --> 05:01:16,480 AND EQUITY ISSUES. 6811 05:01:16,480 --> 05:01:18,920 I LOOK FORWARD TO THE FINAL 6812 05:01:18,920 --> 05:01:20,520 PRODUCT AND I'LL ALSO MENTION I 6813 05:01:20,520 --> 05:01:22,440 WAS HAPPY TO SEE LYCOPENE 6814 05:01:22,440 --> 05:01:23,320 MENTIONED. 6815 05:01:23,320 --> 05:01:29,000 IT'S ONE OF MY FAVORITE -- NOT 6816 05:01:29,000 --> 05:01:34,920 NUTRIENTS BUT PHYTO CHEMICAL. 6817 05:01:34,920 --> 05:01:37,680 >>I DON'T HAVE ANYTHING TO ADD. 6818 05:01:37,680 --> 05:01:46,160 THE ONLY ADDITION IS KUDOS TO 6819 05:01:46,160 --> 05:01:47,720 JANET AND EVE. 6820 05:01:47,720 --> 05:01:48,560 S AND A WONDERFUL COMMITTEE AND 6821 05:01:48,560 --> 05:01:55,640 LOOK FORWARD TO WORK TO COME. 6822 05:01:55,640 --> 05:02:00,440 >>GO TEAM, 2025, DGAC. 6823 05:02:00,440 --> 05:02:02,240 JANET, DO YOU MIND ARE WE 6824 05:02:02,240 --> 05:02:02,640 CLOSING? 6825 05:02:02,640 --> 05:02:04,760 NO, WE'RE NOT CLOSING IT YET. 6826 05:02:04,760 --> 05:02:07,400 JANET HAS A FEW ITEMS 6827 05:02:07,400 --> 05:02:17,760 HOUSEKEEPING ITEMS. 6828 05:02:26,200 --> 05:02:30,440 >>I'LL COVER NEXT STEPS. 6829 05:02:30,440 --> 05:02:31,920 CONGRATS TO THE COMMITTEE BY 6830 05:02:31,920 --> 05:02:33,600 COMPLETING MEETING TWO AND I'M 6831 05:02:33,600 --> 05:02:34,800 FOLLOWING EVE IN THE LAST ROUND 6832 05:02:34,800 --> 05:02:37,080 AND AFTER THE LAST MEETING WE 6833 05:02:37,080 --> 05:02:39,520 PUT A CHECK MARK SO CONGRATS. 6834 05:02:39,520 --> 05:02:40,800 THERE'S BEEN SO MUCH IMPORTANT 6835 05:02:40,800 --> 05:02:44,760 WORK THAT'S GONE INTO PREPARING 6836 05:02:44,760 --> 05:02:45,840 THE SUBCOMMITTEE AND WORKING 6837 05:02:45,840 --> 05:02:47,920 GROUP PROGRESS FOR YOUR MEETING 6838 05:02:47,920 --> 05:02:50,880 AND I'M APPRECIATIVE OF YOUR 6839 05:02:50,880 --> 05:02:52,160 TREMENDOUS EFFORT TO DATE. 6840 05:02:52,160 --> 05:02:53,920 IT WILL ONLY GET MORE EXCITING 6841 05:02:53,920 --> 05:02:55,960 WHEN THE EVIDENCE IS AVAILABLE 6842 05:02:55,960 --> 05:02:57,440 AND THE SYNTHESIS HAPPENS AND 6843 05:02:57,440 --> 05:03:01,040 THE MODELLING ACTIVITIES BEGIN. 6844 05:03:01,040 --> 05:03:03,520 IT'S A LOT OF WORK BUT IT'S 6845 05:03:03,520 --> 05:03:04,840 GOING TO BE A LOT OF FUN. 6846 05:03:04,840 --> 05:03:11,040 SO MUCH FUN TO COME. 6847 05:03:11,040 --> 05:03:15,520 THE NEXT STEPS TO DRAFT 6848 05:03:15,520 --> 05:03:16,800 PROTOCOLS WILL BE REFINED BASED 6849 05:03:16,800 --> 05:03:19,080 ON COMMITTEE FEEDBACK AND POSTED 6850 05:03:19,080 --> 05:03:23,960 ON DG.gov LATER THIS MONTH. 6851 05:03:23,960 --> 05:03:25,440 PUBLIC COMMENTS ARE WELCOME AND 6852 05:03:25,440 --> 05:03:26,680 APPRECIATED BY THE END OF JUNE 6853 05:03:26,680 --> 05:03:28,280 SO IF THE COMMITTEE CAN GET THEM 6854 05:03:28,280 --> 05:03:29,120 AS SOON AS POSSIBLE AND CONSIDER 6855 05:03:29,120 --> 05:03:31,160 THEM IN UPDATING THEIR 6856 05:03:31,160 --> 05:03:31,400 PROTOCOLS. 6857 05:03:31,400 --> 05:03:34,320 OUR SUBCOMMITTEES AND WORKING 6858 05:03:34,320 --> 05:03:36,560 GROUPS WILL CONTINUE CONDUCTING 6859 05:03:36,560 --> 05:03:38,320 THEIR EVIDENCE REVIEWS AND 6860 05:03:38,320 --> 05:03:41,040 MEETING THREE IS SEPTEMBER 13th. 6861 05:03:41,040 --> 05:03:42,800 THIS WILL INCLUDE AN ORAL 6862 05:03:42,800 --> 05:03:43,400 COMMENT OPPORTUNITY. 6863 05:03:43,400 --> 05:03:44,800 MORE DETAILS WILL BE AVAILABLE 6864 05:03:44,800 --> 05:03:47,480 ON HOW TO REGISTER FOR YOUR 6865 05:03:47,480 --> 05:03:49,200 OPPORTUNITY TO PROVIDE ORAL 6866 05:03:49,200 --> 05:03:51,800 COMMENTS AND REGISTRATION FOR 6867 05:03:51,800 --> 05:03:52,680 THE MEETING WILL OPEN AT LEAST 6868 05:03:52,680 --> 05:03:58,360 15 DAYS PRIOR. 6869 05:03:58,360 --> 05:03:59,360 TO OUR WONDERFUL COMMITTEE. 6870 05:03:59,360 --> 05:04:01,840 THANK YOU FOR YOUR DEDICATION TO 6871 05:04:01,840 --> 05:04:04,800 THIS IMPORTANT WORK SO FAR IN 6872 05:04:04,800 --> 05:04:06,760 YOUR SUBCOMMITTEES AND 6873 05:04:06,760 --> 05:04:07,600 PRIORITIZING QUESTIONS, 6874 05:04:07,600 --> 05:04:09,040 DEVELOPING PROTOCOLS. 6875 05:04:09,040 --> 05:04:12,440 I KNOW IT WAS A HEAVY LIFT. 6876 05:04:12,440 --> 05:04:16,200 WE APPRECIATE YOUR EXPERTISE AND 6877 05:04:16,200 --> 05:04:17,080 THOUGHTFULNESS ALONG THE WAY. 6878 05:04:17,080 --> 05:04:18,880 ON BEHALF OF STAFF I'VE ALREADY 6879 05:04:18,880 --> 05:04:21,040 LEARNED SO MUCH FROM YOU. 6880 05:04:21,040 --> 05:04:21,880 THANK YOU FOR SHARING YOUR 6881 05:04:21,880 --> 05:04:24,440 WISDOM. 6882 05:04:24,440 --> 05:04:28,200 IT IS A WONDERFUL PARTNERSHIP 6883 05:04:28,200 --> 05:04:29,320 COLLABORATING WITH YOU. 6884 05:04:29,320 --> 05:04:32,960 THANKS TO OUR WONDERFUL STAFF, 6885 05:04:32,960 --> 05:04:33,440 WE ARE SO APPRECIATIVE. 6886 05:04:33,440 --> 05:04:37,800 REITERATING AND THANKS TO JOANNE 6887 05:04:37,800 --> 05:04:40,880 ON NESR AND CONGRATULATING HER 6888 05:04:40,880 --> 05:04:41,680 ON HER RETIREMENT. 6889 05:04:41,680 --> 05:04:44,040 SHE'S IN THE BACKGROUND. 6890 05:04:44,040 --> 05:04:47,760 I ALSO WANT TO ACKNOWLEDGE TWO 6891 05:04:47,760 --> 05:04:56,960 DETAILEES AT OHDP JOY IRWIN AND 6892 05:04:56,960 --> 05:05:04,400 OUR TEAM IS SMALL BUT MIGHTY WE 6893 05:05:04,400 --> 05:05:05,400 SOUGHT DETAILEES AND 6894 05:05:05,400 --> 05:05:09,840 APPRECIATIVE OF YOUR TIME 6895 05:05:09,840 --> 05:05:15,280 JUMPING IN AND KICKING OFF THE 6896 05:05:15,280 --> 05:05:20,800 COMMITTEE'S WORK. 6897 05:05:20,800 --> 05:05:22,560 AND THANK YOU FOR THE PUBLIC FOR 6898 05:05:22,560 --> 05:05:24,680 YOUR CONTINUED ENGAGEMENT AND 6899 05:05:24,680 --> 05:05:25,280 WITH THAT I'LL ADJOURN MEETING 6900 05:05:25,280 --> 05:05:25,480 TWO. 6901 05:05:25,480 --> 00:00:00,000 THANK YOU.