>>WELCOME TO THIRD DGAC MEETING
I'M HERE TODAY TO INTRODUE
OUR PUBLIC COMMENT SESSION THIS
AFTERNOON.
FIRST I WANT TO WELCOME THE
MEMBERS OF THE COMMITTEE.
DR. JOURN BEGAN AND
DR. TELADOCKER WERE NOT ABLE TO
JOIN US FOR MEETING THREE.
AND THANK YOU TO ALL OF THE
COMMENTERS.
U.S.D.A, HHS AND THE COMMITTEE
APPRECIATE YOUR COMMENTS.
REGARDING WRITTEN COMMENTS THE
COMMITTEE HAS HAD THE
OPPORTUNITY.
WE ENCOURAGE THOSE WHO ARE
JOINING TO SUBMIT WRITTEN PUBLIC
COMMENTS AND YOU CAN FIND OUT
MORE ON HOW TO DO THAT AT
DIETARY GUIDELINES.GOV.
WE EXPECT FOR THAT TO CONCLUDE
IN THE FALL OF 024.
TODAY WE'RE HAPPY TO WELCOME
PUBLIC COMMENTERS TO PROVIDE UP
TO TWO MINUTES OF ORAL COMMENTS
TO THE COMMITTEE.
AS NOTED DURING REGISTRATION
PARTICIPATION WAS FIRST COME
FIRST SERVE.
AND COMMENTERS WERE REPRESENTED
TO ONE REPRESENTATIVE PER
ORGANIZATION.
WE ASK THAT REMARKS BE
RESPECTFUL.
THAT THEY FOCUS ON THE
COMMITTEE'S SCIENTIFIC REVIEW
AND BE DIRECTED TO THE COMMITTEE
AS A WHOLE RATHER THAN
INDIVIDUAL MEMBERS.
TODAY WE HAVE 80 PEOPLE
CONFIRMED TO PROVIDE ORAL
COMMENTS TO THE COMMITTEE AND IF
TIME PERMITS WE ALSO HAVE
ADDITIONAL COMMENTERS ON STAND
BY TO PROVIDE THEIR TWO MINUTES
OF REMARKS.
IN AN EFFORT TO INCREASE
PARTICIPATION AND ACCESS WE DID
OFFER THE OPTION TO PROVIDE
EITHER WRITTEN OR EXCUSE ME
RECORDED OR LIVE ORAL COMMENTS
AND JUST OVER HALF OF THE
COMMENTERS DECIDED TO PRERECORD
THEIR COMMENTS.
WE'LL START WITH A COMPILATION
OF THOSE RECORDED REMARKS.
THERE ARE OVER 50 AND THEN WE'LL
TAKE A BRAKE AND WHEN WE COME
BACK WE'LL HAVE THE LIVE ORAL
COMMENTS.
FOR THOSE PROVIDING LIVE ORAL
COMMENTS OUR MODERATOR WILL
BRING YOU IN TO PROVIDE YOUR TWO
MINUTES OF REMARKS.
TO ENSURE EVERYONE IS GIVEN THE
SAME OPPORTUNITY AFTER THE
ALLOTTED TWO MINUTES HAVE
EXPIRED THE MODERATOR WILL MUTE
THE LINE.
ONCE YOU FINISHED YOUR REMARKS
WE ASK THAT YOU EXIT OUT OF THE
SPEAKER LINK AND REJOIN THE LIVE
STREAM OF THE MEETING.
WE WOULD LIKE TO ACCOMMODATE AS
MANY COMMENTERS TODAY AS
POSSIBLE.
THERE WILL NOT BE AN OPPORTUNITY
FOR QUESTION AND ANSWER OR
DISCUSSION BETWEEN THE
COMMENTERS AND THE COMMITTEE.
THIS MEETING IS BEING RECORDED
AND WILL BE MADE AVAILABLE ON
DIETARY GUIDELINES.GOV.
YESTERDAY AFTERNOON WE DID POST
THE LIST OF COMMENTERS AND THEIR
AFFILIATIONS AT DIETARY
GUIDELINES.GOV AND WE'LL UPDATE
AND REPOST AFTER TODAY WITH THE
FINAL LIST OF COMMENTERS.
THANK YOU FOR JOINING AND WE'LL
NOW TRANSITION TO THE RECORDED
ORAL PUBLIC COMMENTS.
THANK YOU.
>>THANK YOU FOR THE OPPORTUNITY
TO PROVIDE COMMENTS AT TODAY'S
COMPLETION.
I'M ALLIE SPENCER.
WE LEAD THE FIGHT TO MAKE HEALTH
AND WELL-BEING DURING THE FIRST
THOUSAND DAYS OF POLICY AND
FUNDING PRIORITY.
AS A NEW MOM MYSELF THE
IMPORTANCE OF THIS HAS TAKEN ON
NEW MEANING.
1,000 DAYS WORKS EVERY DAY TO
MAKE AN EQUITABLE FUTURE.
THE FIRST THOUSAND DAYS FROM
PREGNANCY TO AGE TWO OFFER A
FUNDAMENTAL WINDOW OF
OPPORTUNITY.
WE ENCOURAGE THE COMMITTEE TO
BUILD ON THE GROUNDBREAKING WORK
OF THE 2020-2025 GUIDELINES.
THE FIRST IS BREASTFEEDING.
WE'RE CONCERNED ABOUT THE
ABSENCE OF INFANT FEEDING
PRACTICES RELATED TO
BREASTFEEDING.
WE CALL ON THE COMMITTEE TO
INCLUDE THE LATEST GUIDELINES
RECOMMENDING EXCLUSIVE
BREASTFEEDING WITH COMPLIMENTARY
FOOD INTRODUCE YOU HAD AROUND
SIX MONTHS.
SHOULD ALSO SPEAK TO THE HEALTH
BENEFITS FOR BREASTFEEDING FOR
BOTH INFANTS AND MOTHERS.
MANY FAMILIES FACE OBSTACLES AND
ENCOURAGE SUPPORT.
THE OTHER ISSUE IS COMPLIMENTARY
FEEDING.
AS A COMMITTEE REVIEWS THIS
LITERATURE WE ENCOURAGE THEM TO
ALSO CONSIDER CULTURAL AND
TRADITIONAL PRACTICES MAY NOT BE
REPRESENTED.
WE KNOW THAT MANY MEMBERS SHARE
THE COMMITMENT TO ENSURE EVERY
CHILD IN AMERICA HAS A HEALTHY
FIRST ONE THOUSAND DAYS.
THANK YOU FOR THE OPPORTUNITY.
>>I'M JIM CRAIGER.
I WILL ADDRESS THE TOPIC OF
SWEETENED BEVERAGES AND BEGIN
WITH CONCERNS.
THEY REMAIN THE SERGEANTEST
SOURCE OF ADDED * SURGE GAR IN
THE AMERICAN DIET.
* DRIVERS OF THIS HIGH
CONSUMPTION INCLUDE NEW FRUIT,
SPORTS AND ENERGY DRINKS.
AGGRESSIVE MARKETING -- LEADING
TO CONSUMER CONFUSION.
AND ALSO PUBLIC CONCERNS ABOUT
THE SAFETY OF TAP WATER LEAD
TOES TO-- HESITANCY.
THE WORLD HEALTH ORGANIZATION
RECOMMENDED AGAINST THEIR USE
FOR WEIGHT CONTROL OR REDUCING
THEIR RISK.
AND KID'S BEVERAGES NOW CONTAIN
THESE AND YET PARENTS ARE NOT
AWARE OF THIS.
THEY CAN INCLUDE CLEAR GUIDANCE
AND AVOID THE SWEETENED
BEVERAGES.
THE GUIDELINES CAN SUBJECT
POLICIES -- RESTRICTING
SWEETENED BEVERAGE MARKETING TO
CHILDREN, ONLY ALLOWING HEALTHY
BEVERAGES OR LABELING THAT
IDENTIFIES BEVERAGES HIGH IN
SUGAR.
AND REQUIRING ACCESS TO SAFE
APPEALING TAP WATER IN PUBLIC
SPACES.
THANK YOU FOR YOUR TIME AND
CONSIDERATION AND I'M HAPPY TO
PROVIDE ADDITIONAL INFORMATION
AND CITATIONS AS NEEDED.
>>GREETINGS TO THE COMMITTEE.
MY NAME IS COLLEEN KING.
THE FOLLOWING COMMENTS PERTAIN
TO ALL QUESTIONS OF SUBCOMMITTEE
ONE AND THE FOOD MODELING
PATTERN QUESTIONS OF COMMITTEE
THREE.
AS EXPRESSER IN YOUR FIELD YOU
RECOGNIZE THAT EVIDENCE SUPPORTS
WHOLE FOOD PLANT BASED DIETS FOR
THE PREVENT AND TREATMENT OF
CHRONIC DISEASE.
95% OF YOU HAVE CONFLICTS WITH
THE FOOD AND/OR PHARMACEUTICAL
INDUSTRIES.
THIS HAS CLEARLY IMPACTED THE
COMMITTEE'S PAST
RECOMMENDATIONS.
AMERICANS DESERVE TO KNOW THAT
REVIEWS AND ANALYSIS STRONGLY
LINK CONSUMPTION OF MEAT, DAIRY,
FISH AND EGGS TO OBESITY AND
MANY CANCERS AMONG OTHER CONNICK
DISEASES.
THEY COMPARE HARMFUL FOODS TO
EVEN MORE FORMAL FOODS.
GEOGRAPHIC DATA INDICATES THAT
WHEN THEY MIGRATE THEY ADOPT
THAT COUNTRY'S DISEASE RISK.
WHILE ANIMAL PRODUCTS COME
PACKAGED WITH HARMFUL SUBSTANCES
-- PLANT FOODS -- WE ALSO
PROMOTE A FOOD SYSTEM THAT
FIGHTS THE CLIMATE CRISIS,
PANDEMICS AND ANTIBIOTIC
RESISTANCE WHILE PROMOTING FOOD
SECURITY.
LET THIS BE A TURNING POINT.
TELL PEOPLE WHAT FOODS NOT
NUTRIENTS SHOULD EAT.
MY QUESTION IS THIS.
WILL YOU ALLOW INDUSTRIES THAT
PROFIT FROM OUR SICKNESS TO TELL
US WHAT TO EAT?
>>HI, I'M MAUREEN -- TODAY I
WILL COMMENT ON THREE SPECIFIC
QUESTIONS.
ONE, WHAT IS THE IMPACT OF THE
NUTRIENT -- ALL PATTERNS IN THE
GUIDELINE INCLUDE NUTS WHICH
PROVIDE A NUMBER OF CONCERNS.
HOWEVER THE PATTERNS RECOMMEND A
MAXIMUM OF TWO AND A HALF TO
THREE AND A HALF OUNCES PER WEEK
COMPARED TO 10 AND A HALF HORSES
OF WEEK.
RECOMMENDATIONS FOR CONSUMERS
SHOULD BE CONSISTENT.
NUMBER TWO, WHAT IS THE
RELATIONSHIP BETWEEN SNACKS AND
THE DIETARY PATTERN.
RESEARCHERS LOOKED AT DATA FROM
THE 2009 AND 2012 STUDY AND
FOUND THAT IT LED TO MORE
NUTRIENT RICH DIETS AND HAD MORE
FAVORABLE PATTI ACID PROFILES.
TREE NUT CONSUMERS HAD HIGHER
SCORES THAN NONCONSUMERS AND
WHAT IS THE RELATIONSHIP BETWEEN
SNACKS AND GROWTH BODY
COMPOSITION AND RISK OF OBESITY.
ONE AND A HALF OUNCES OF NUTS
PER DAY RESULTED IN SIGNIFICANT
WEIGHT LOSS AND ANXIETY.
THEY SUGGESTED INCORPORATING
NUTS AS PART OF A HEALTHY
PATTERN BY REPLACING ONE-HALF
SERVING A DAY WITH NUTS MAY BE A
SIMPLE STRATEGY FOR THE
PREVENTION OF OBESITY.
THANK YOU.
>>HELLO.
MY NAME IS CHRIS SOOLY.
WE APPRECIATE THE OPPORTUNITY TO
PROVIDE PUBLIC COMES TODAY ON
THE WORK OF THE COMMITTEE.
BECAUWE BELIEVE THAT CONSUMER
INSIGHTS ARE CRITICAL IN POINTS.
JUST AS WE CONSIDER THE
SCIENTIFIC EVIDENCE SO MUST WE
CONSIDER THEIR ULTIMATE PURPOSE
AND THEIR INTENDED AUDIENCE.
EVERY DAY AMERICANS WHO ARE
BALANCING MULTIPLE PRIORITIES.
IF THEY PROVIDE OPEN SOURCE
INSIGHTS FREE OF CHARGING -- OUR
FLAGSHIP ANNUAL PROJECT --
PROVIDES NEARLY 20 YEARS OF
TRENDED DATA CAPTURING THE
CONSUMER MINDSET SUCH AS THE
FAMILIARITY OF DIETARY
GUIDELINES THEMSELVES.
PERCEPTIONS OF PROCESSED FOODS.
EATING FOR PERSONAL AND
PLANETARY HEALTH AND FOOD
PURCHASE AND CONSUMPTION
DRIVERS.
THESE ARE NOT THE SAME FOR ALL
AMERICANS.
RATHER THEY ARE INFLUENCED BY A
VARIETY OF FACTORS INCLUDING
SOCIOECONOMIC STATUS, HEALTH AND
NUTRITION LITERACY AND THE THE
LIVED EXPERIENCE OF OUR DIVERSE
POPULATION.
THEY MUST RECOGNIZE WHERE OUR
CITIZENS ARE AND BE EQUIPPED TO
BUILD HEALTHIER WAYS OF EATING.
THE DIETARY GUIDELINES AND
COMMUNICATIONS REMAIN ROOTED IN
SCIENCE WHILE CONSIDERING
INSIGHTS FOR POPULATIONS THAT
NEED THE MOST SUPPORT.
THANK YOU.
>>GOOD AFTERNOON, COMMITTEE
MEMBERS.
THANK YOU FOR THE OPPORTUNITY TO
PRESENT COMMENTS ON THE UPCOMING
GUIDELINES FOR AMERICANS.
MY NAME IS LANIER -- BROOZY.
THIS DOES NOT AND CANNOT ATTEMPT
TO INFLUENCE POLICY.
TODAY I OFFER SCIENTIFIC
INFORMATION THAT MAY BE RELEVANT
TO THE COMMITTEE.
WHOLE GRAIN SERGEANT GUM IS
ESSENTIAL.
* UNFORTUNATELY MANY AMERICANS
ARE MISSING OUT ON THIS NUTRIENT
PACKED ANCIENT GRAIN.
IN ADDITION TO HEALTHY U.S.
STYLE, HEALTHY MEDITERRANEAN
STYLE AND HEALTHY VER VEGETARIAN
THERE EXHIBIT -- SORGHUM IS RICH
AND WILL BE A RELEVANT --
ADDITION.
IT CAN BE ENJOYED IN A VARIETY
OF WAYS.
THE NUTRITIOUS NATURALLY GLUTEN
FREE GRAIN HAS A NATURAL NUTTY
FLAVOR.
IT'S A SELF-STABLE SOURCE OF
NUTRITION AND CAN SERVE AS A
TOOL TO HELP FILL THE GAPS
INCLUDING MEETING THE GUIDELINES
RECOMMENDATION.
THANK YOU FOR YOUR TIME AND
COMMITMENT TO THE HEALTH OF
AMERICANS.
>>I'M DR. MARSHALL -- THANK YOU
FOR ADDRESSING THE DIETARY NEEDS
OF PEOPLE LIVING WITH OVER
WEIGHT AND OBESITY.
WE URGE YOU TO ADDRESS DIETARY
RECOMMENDATIONS BUT ALSO
BEHAVIOR CHANGE AND ACCESS
COMPONENTS.
EXPERT ORGANIZATIONS AGREE THAT
REDUCING CALORIE INTAKE IS
NECESSARY WHICH CAN BE ACHIEVED
THROUGH A VARIETY OF DIETARY
PATTERNS.
HOWEVER NUTRIENT GUIDELINES ARE
ESSENTIAL.
BEYOND WHAT CONSTITUTES A
HEALTHY DIETARY PATENT IS
ESSENTIAL.
* OF NOTE PEOPLE WITH OBESITY
FACE SIZE BASED STIGMA.
THE BURDEN OF TYPE II DIABETES
CANNOT BE IGNORED.
-- MANY OF WHICH ARE USED BY
THESE COMMUNITIES IT'S
IMPERATIVE TO CONSIDER THE
ACCESS.
CULTURALLY RELEVANT
INTERVENTIONS CAN REDUCE WEIGHT
LOSS.
IN ORDER TO BEST PROVIDE DIETARY
RECOMMENDATIONS WE ENCOURAGE YOU
AS TO HOW THEY MAY BE ABLE TO
IMPLEMENT THEM AND THE NEED FOR
BEHAVIOR STRANGE STRATEGIES CAN
IMPROVE THE HEALTH OF MILLIONS.
>>GOOD AFTERNOON.
MY NAME IS MOLLY -- VAN LOU.
-- ALTHOUGH FRUITS AND
VEGETABLES ARE CORE ELEMENTS
ONLY ONE IN 10 ADULTS CONSUME
THE RECOMMENDED AMOUNTS.
RESEARCH SHOWS THAT MANY
AMERICANS CONSUME DIETS OF
MAINLY PROCESSED FOODS.
A DIET HIGH IN PROCESSED FOODS
NEGATIVELY AFFECTS HEALTH.
BUT ACCESS TO FRESH PRODUCE
REMAINS LIMITED.
TO BETTER SERVE THE POPULATION
-- CONSIDER A RANGE OF LIFESTYLE
FACTORS AND CULTURAL FACTORS.
HEALTHY HEATING BEHAVIORS -- TO
SUPPORT THE HEALTH AND
DEVELOPMENT OF CHILDREN ACROSS
THEIR LIFE-SPAN.
EARLY INTRODUCTION TO FRUITS AND
VEGETABLES.
THESE PROGRAMS LOOK FO FOR
GUIDANCE.
THERE IS NO BETTER WAY TO
IMPROVE DIETARY QUALITY OF
AMERICANS THAN BY INCREASING
ACCESS TO FRUITS AND VEGETABLES.
THANK YOU.
>>HELLO.
I'M JOY DEBO.
AND APPRECIATE THE OPPORTUNITY
TO PROVIDE ORAL COMMENTS.
FIRST WE WOULD LIKE TO CALL YOUR
ATTENTION ON THE SUBMITTED
COMMENTS IN JUNE.
WE RECOMMEND DISTINGUISHING
BETWEEN SUGAR SWEETENED TEA
VERSUS UNSWEETENED TEA.
WE BELIEVE IT IS CRITICAL TO
SEPARATE OUT UNSWEETENED
BEVERAGES.
MORE TREK IF SUGAR SWEETENED TEA
IS INCLUDED THEN ANY BENEFIT
FOUND PARTICULARLY FROM THE
NATURALLY OCCURRING BIOACTIVES
WOULD NOT BE ACCURATELY
REFLECTED BASED ON THE PRESENCE
OF SUGARS FROM THESE SOURCES.
SECOND, BASED ON THE 2020
DIETARY GUIDELINES WE SUPPORT
THE CONTINUE RECOMMENDATION TO
INCLUDE UNSWEETENED TEA AS PART
OF A DIETARY PATTERN.
THERE IS A LARGE BODY OF
SCIENTIFIC EVIDENCE ASSOCIATED
CONSUMPTION OF TEA FLAVONOIDS
FOR SUPPORTING CARDIOVASCULAR
HEALTH.
TEA IS THE MAJOR NOVEMBER
NMAJOR -- NA FLAVONOIDSOURCE.
THANK YOU.
>>MY NAME IS -- WE ARE THE
NATIONAL TRADE ASSOCIATION THAT
REPRESENTS FROZEN FOODS.
OUR FEEDBACK ON THE RESEARCH --
-- MEMBERS HAVE A LONG HISTORY
OF CREATING NUTRITIOUS PRODUCTS.
FIRST THE SCIENTIFIC QUESTION.
ON GROWTH BODY COMPOSITION AND
RISK OF OBESITY.
CONSENSUS DOES NOT EXIST.
WITH INCREASED PUBLIC USE OF THE
TERM IT IS CONCLUDED THAT IT
CANNOT BE DEFINED.
WE ASK THAT THE COMMITTEE ASK
FOR A STUDY.
THE SCIENTIFIC COMMUNITY
CONTINUES TO HIGHLIGHT A BETTER
APPROACH.
-- TO DO THE SAME IN ITS
RESEARCH AND REPORT.
THE COMMITTEE SHOULD ALSO REPORT
ON FOOD PROCESSING.
LASTLY WE URGE THE COMMITTEE TO
USE CAUTION BECAUSE -- EXCLUSION
OF THESE FOODS MAY LEAD TO
FUTURE EXCLUSION.
OVER-ALL FROZEN FOODS ARE
IMPORTANT COMPONENTS AND SHOULD
BE HIGHLIGHTED AS SUCCESSFUL AND
AFFORDABLE OPTIONS.
THANK YOU FOR THE OPPORTUNITY TO
PROVIDE COMMENTS ON THIS
IMPORTANT COMMITTEE WORK.
>>I'M MARK ANDERSON A
CONSULTING ENGINEER.
I'VE SEEN THE STANDARD AMERICAN
DIET RESULT IN AN AVERAGE LIFE
EXPECTANCY FOR TRIBAL MEMBERS OF
ONLY 60 YEARS WITH MANY DEATHS
FROM DIABETES, HEART DISEASE AND
CANCER.
THE CENTER REPORTS THAT DEATHS
FROM DIABETES INCREASED 27%.
ALZHEIMER'S DEATHS 20% AND HEART
DISEASE THE 9%.
A PLANT BASED DIET SHOULD BE
PRIORITIZED OVER PROTEIN FROM
MEAT, POULTRY, FISH, EGGS AND
DAIRY.
LEGUMES SHOULD BE PRESENTED IS A
FIRST CHOICE.
A PLANT BASED DIET CAN PREVENT
OR REDUCE DIABETES.
IMPROVE KIDNEY FUNCTION AND
REDUCE THESE ALARMING HEALTH
TRENDS.
FIBER IS AN ESSENTIAL ELEMENT
REDUCING THE RISK OF CANCER,
CARDIOVASCULAR DISEASE AND DEATH
IN MEN AND WOMEN.
THERE IS NO FIBER IN MEAT,
POULTRY, FISH, EGGS AND DAIRY.
AFRICAN-AMERICANS HAVE THE
HIGHEST RATE OF COME OH RECTAL
CANCER AND THE LOWEST DIETARY
FINE CONSUMPTION.
THE DIGESTION OF MILK REQUIRES
AN ENZYME THAT MANY ADULTS DON'T
HAVE.
74% OF NATIVE AMERICANS ARE
LACTOSE IN TOLERANT.
THERE IS AN URGENT NEED TO
SIGNIFICANTLY REVISE THE DIETARY
GUIDELINES SO WE CAN REGAIN OUR
PUBLIC HEALTH AND BE HERE TO
ENJOY FUTURE GENERATIONS.
THANK YOU.
>>MY NAME IS JOANNE -- AT THE
UNIVERSITY OF MINNESOTA AND I
WAS A MEMBER OF THE 2010
COMMITTEE.
I WILL BE ADDRESSING THE
SCIENTIFIC QUESTION ON THE
RELATIONSHIP OF PATTERNS ON
VARYING AMOUNTS.
STUDIES ASSOCIATING UPS ARE
EPIDEMIOLOGICAL WITH
LIMITATIONS.
THE EXTENT OR DEGREE OF
PROCESSING IS MISLEADING.
I DIRECT YOUR ATTENTION TO A
RECENT PUBLICATION ENTITLED
DIETARY GUIDELINES DEVELOPING A
MENU FOR A HEALTHY DIET.
91% OF CALORIES CONTRIBUTED TO A
HIGHER INDEX SCORE.
THE PURPOSE AND EXTENTS OF FOOD
PROCESSING IS NOT A VALIDATED
TOOL TO MEASURE DIET QUALITY.
FOOD INSECURITY AND TIME
CONSTRAINTS AND FOOD PROCUREMENT
AND PREPARATION.
UPF SYSTEMS ARE IMPRACTICAL.
DIET QUALITIES MOST IMPORTANT.
AND ELIMINATION OF UPFs WILL
WORSEN EXISTING DISPARITIES.
>>I'M AMY HAMLIN EXECUTIVE
DIRECTOR OF COALITION OF HEALTHY
SCHOOL FOOD.
THESE HAVE AN IMPORTANT IMPACT
ON ALL OF SUBCOMMITTEE ONE'S
DIETARY PATTERNS.
MEALS ARE MODELED AFTER THE
GUIDELINES WHICH IMPACTS SCHOOLS
ACROSS THE COUNTRY.
RESEARCH IS CLEAR THAT THOSE
FOLLOWING A HEALTHY PLANT BASED
DIET HAVE THE LOWEST RATES OF
HEART DISEASE AND DEMENTIA.
PROCESSED MEAT -- CAUSE CAR
CERTAIN OH AGAINS YET THEY
CONTINUE TO DOMINATE SCHOOL
MENUS.
A STRONG STATEMENT THAT
PROCESSED MEATS SHOULD BE
AVOIDED SHOULD BE FOR ALL.
IT IS THE PEOPLE OF OF THE
GLOBAL MAJORITY WHO SUFFER THE
MOST BECAUSE THE CURRENT
RECOMMENDATIONS ARE RACIALLY
BIASED.
PROTEIN IS NOT A NUTRIENT OF
CONCERN AND MORE MILK IS NOT
PROTECTIVE AGAINST FRACTURES.
THERE IS NO NEED FOR HUMANS TO
CONSUME COW'S MILK.
PEOPLE CAN CHOOSE HOW THEY WANT
TO EIGHT BUT THE GUIDELINES
SHOULD BE CLEAR.
MORE WHOLE PLANT FOODS INSTEAD
OF USING BIOCHEMICAL TERMS.
>>HELLO.
MY NAME IS ANGELA -- A
REGISTERED DIETITIAN AND
REGISTERED NURSE AT SINAI HEALTH
IN BALTIMORE CITY.
I CAN TELL YOU WORKING WITH
PATIENTS THAT HEALTH EQUITY AND
ACCESS TO HEALTHY FOOD IS
CRITICAL.
ASKING DISADVANTAGED POPULATIONS
TO REDUCE OR REPLACE REFINED
GRAINS MAY JEOPARDIZE THEIR FOOD
SECURITY.
NUMBER ONE, GRAIN FOODS ARE THE
FOUNDATIONAL HOUSEHOLD STAPLES
IN BUILDING HEALTHY EATING
PATTERNS FOR ALL AND ALMOST 40%
OF THE FIBER INTAKE COMES FROM
REFINED GRAINED FOODS.
TWO, REDUCING OR ELIMINATING
GRAINS COULD EXACERBATE FOOD
NUTRITION.
ENRICHED GRAINS ARE THE LARGEST
CONTRIBUTOR OF FOLIC ACID IN THE
AMERICANS DIET.
GRAIN FOODS ARE NOT ASSOCIATED
WITH INCREASED RISK OF HAVING
OVER WEIGHT OR OBESITY AND NOT
ASSOCIATED WITH INCREASED RISK
OF TYPE II DIABETES.
BRED AND CEREALS ARE GROUPED IN
WITH INDULGENCE.
YET THEY SHOULD SEPARATED.
NUMBER FIVE, GRAIN FOODS HAVE A
RICH HISTORY AND ARE PROMINENTLY
IN CULTURAL FOOD WASTE.
WE NEED TO GET BACK TO THE
BASICS.
>>GOOD AFTERNOON.
MY NAME IS CHARLOTTE .
I'M PRESENTING TODAY ON BEHALF
OF MY BUSINESS FARM TO FORK.
MY FAMILY WAS HOMESTEADED IN
1874 AND AS MY PREMEETINGS AS A
REGISTERED DIETITIAN.
I HAVE SEEN THE GREAT
SIGNIFICANCE OF NUTRIENT AND
FOOD ACCESS ISSUES FACING OLDER
ADULTS IN RURAL AREAS.
TO HELP IT IS IMPORTANT OLDER
ADULTS VARY THEIR PROTEIN
CHOICES.
PORK IS THE PERFECT PROTEIN TO
DO JUST THAT.
WHEN A HIGH QUALITY NUTRIENT
DECEMBER LEAN PROTEIN LIKE PORK
IS ON THE PLATE OR IN THE BOWL
IT CAN CARRY OR BRING ALONG THE
FOOD GROUPS OR NUTRIENTS IN A
FAMILIAR AND TASTY PACKAGE.
A HEARTY BEAN AND HARM SOUP IS
AN EXAMPLE.
AND AMERICANS CAN ENJOY THE
CARRIER EFFECT WITH LEANER PORK.
BECAUSE OF THE EFFORTS OF PICK
FARMERS LIKE MY FAMILY TODAY'S
PORK HAS 16% LESS FAT AND 27%
LESS SATURATED FAT THAN 25 YEA
YEARSING ON.
IT'S A COST EFFECTIVE PROTEIN
OPTION FOR FAMILIES LOOKING TO
EAT FAMILIAR AND ACCESSIBLE
FOODS ON A BUDGET WITHOUT
SACRIFICING NUTRITION OR FLAVOR.
I HOPE THE COMMITTEE WILL
CONSIDER THE ROLE LEAN PORK
PLAYS.
THANK YOU FOR YOUR HARD WORK ON
BEHALF OF ALL AMERICANS.
>>GOOD AFTERNOON.
I'M SUSAN -- CONSUMER HEALTH AND
SAFETY ARE DRIVING FORCES AND
THE COMMITTEE IS COMMITTED TO
OFFERING DIVERSE NUTRITIONAL
PRODUCTS.
THEY PLAY AN IMPORTANT ROLE AND
INCLUDING THEM IN THE DIET
ALLOWS CONSUMERS TO FULFILL
REQUIREMENTS.
ACROSS THE LIFE-SPAN NUTRIENT
NEEDS VARY WIDELY.
FOOD PROCESSING IS AN IMPORTANT
COMPONENT IN ENSURING A
SUSTAINABLE FOOD SUPPLY.
THROUGH FREEZING, CANNING AND
OTHER PRESERVATION METHODS.
PROCESSING ALSO ALLOWS
FORTIFYING NUTRIENTS THAT MAY
NOT BE CONSUMED NATURALLY TO
MEET NUTRITION REQUIREMENTS.
THEY CAN BE NUTRIENT DENSE.
ULTRA PROCESSED FOODS ARE NOT
SCIENTIFICALLY DEFINED AND DO
NOT CONSIDER FOOD'S NUTRIENT
CONSENT.
THE COMMITTEE HAS THE
RESPONSIBILITY TO ADDRESS THESE
CHALLENGES.
DISCOURAGING CONSUMPTION MAY
DISCOURAGE WITH NEGATIVE
IMPACTS.
DIETARY GUIDANCE SHOULD BE
PRACTICAL, AFFORDABLE AND
ATTAINABLE TO IMPROVE THE HEALTH
OF AMERICANS.
THANK YOU.
>>I'M A REGISTERED DIETITIAN
WITH A DOCTORATE IN HEALTH
SCIENCES.
SINCE THE COMMITTEE IS
ADDRESSING THE RELATIONSHIP
BETWEEN DIETARY PATTERNS AND
RISK OF CARDIOVASCULAR DISEASE
WE ASK YOU TO CONSIDER FRUITS
AND VEGETABLES.
FURTHERMORE THE DIETARY
GUIDELINES SHOULD USE CLEAR
LANGUAGE ABOUT FOODS THAT SHOULD
BE INCLUDED AND FOODS THAT
SHOULD BE MINIMIZED OR AVOIDED.
CALLING OUT SPECIFIC FOODS THAT
ARE HIGH IN SATURATED FAT LIKE
MEAT AND DAIRY.
THE PROTEIN GROUP RATHER THAN
REPRESENTING A MACRO NUTRIENT
SHOULD BE REPLACED WITH AN
ACTUAL FOOD GROUP LIKE LEGUMES.
THIS HAS BEEN SHOWN TO INCREASE
LONG GIVE FEE AND REDUCE RISK OF
CARDIOVASCULAR DISEASE.
DAIRY SHOULD BE REMOVED ALL
TOGETHER.
MANY AMERICANS ARE UNABLE TO
DIGEST LACTOSE.
THIS WILL MAKE IT EASIER FOR
EVERYONE TO UNDERSTAND WHAT TO
EAT FOR BETTER HEALTH, REDUCING
HEALTH CARE COSTS AND REDUCING
THE BURDEN OF CARDIOVASCULAR
DISEASE AND DIABETES.
>>I LEAD THE PROGRAM THAT IS
SUPPORT BY AMERICA'S CATTLE
FARMERS AND RAN CHURCHERS.
BEEF IS A NUTRIENT RICH STAPLE
IN THE AMERICAN DIET.
AMERICANS ARE CHOOSING TO
NOURISH WITH BEEF.
MOST OF US ARE EATING BEEF
WITHIN THE LEVELS.
7 WHAT IS CONCERNING THOUGH IS
THAT AS BEEF CONSUMPTION HAS
DECLINED AT RISK POPULATIONS ARE
EXPERIENCING NUTRIENT GAPS AND
DEFICIENCIES THAT BEEF CAN HELP
FILL SUCH AS IRON, ZINC, PROTEIN
AND B VITAMINS.
TODAY MORE THAN 65% OF FRESH
BEAT CUTS MEET GUIDELINES AND
WITH BEEF INCLUDED IT SUPPORT
CARDIOMETABOLIC HEALTH AND
REDUCES THE RISK OF CHRONIC
DISEASE.
THEY DO MORE THAN ANYONE TO
INVEST IN NUTRITION RESEARCH AND
ENCOURAGE THE ENJOYMENT OF BEEF.
ACROSS THE COUNTRY PEOPLE ARE
LOOKING FOR HEALTHIER WAYS TO
EAT AND THEY ARE CHOOSING BEEF
AS A SOURCE BECAUSE IT'S A
DELICIOUS FOOD THAT IS PART OF
OUR WAY OF EATING.
THE FLEXIBILITY TO ENJOY BEEF AS
OUR PROTEIN OF CHOICE AND WE CAN
WORK TOGETHER TO EMPOWER
AMERICANS.
>>GOOD AFTERNOON AND THANK YOU
FOR THE OPPORTUNITY TO PROVIDE
COMMENTS.
MY NAME IS SHANNON KELLY WITH
THE AMERICAN SPICE TRADE
ASSOCIATION.
THE CURRENT DIETARY GUIDELINES
RECOGNIZES THAT SPICES AND HERBS
CAN ADD TO THE ENJOYMENT OF
FOODS.
WE ENCOURAGE THE GUIDELINES
ADVISORY COMMITTEE TO LEVERAGE
THESE RECOMMENDATIONS AND BUILD
UPON THEM.
AS THE COMMITTEE ENDEAVORS WE
RECOMMEND CONSIDERATION OF HOW
SPICES ARE USED.
THESE PATTERNS REFLECT DIET AND
LIFESTYLE PREFERENCES WITH THE
DIVERSE POPULATION.
SINCE SPICE USED AMONG AMERICANS
IS AT AN ALL-TIME HIGH ENSURING
THAT THEY ARE WELL REPRESENTED
WILL HELP TO REACH A WIDER
AUDIENCE.
THEY CAN EXPOSE AMERICANS TO
MORE NUTRIENT RICH FOODS.
BY ADDING FLAVOR TO RECOMMENDED
FOOD GROUPS AS WELL AS MAKING
REDUCED SODIUM -- IN A
CULTURALLY INCLUSIVE AND COST
EFFECTIVE WAY.
ALSO SUGGESTING THE BIOACTIVE
COMPOUNDS.
THEY ARE LINKED TO SEVERAL
POSITIVE HEALTH OUTCOMES.
THERE IS STILL GREAT OPPORTUNITY
TO CONSIDER THE ROLE OF SPICES
IN HEALTHY EATING PATTERNS.
DOING SO WOULD BE CONSISTENT
WITH CURRENT GOVERNMENT AND
PUBLIC HEALTH ADVICE WHILE
RESONATING WITH THE DIVERSE
ARRAY OF EATING PATTERNS.
THANK YOU.
>>HI, I'M TOM BRENNON AT THE
UNIVERSITY OF TEXAS AT AUSTIN.
THANK YOU FOR CONSIDERING MY
COMMENTS WHICH I MAKE AS A
PRIVATE CITIZEN.
I WAS A MEMBER OF 2015 COMMITTEE
AND LED CONSIDERATION FOR THE
FIRST TIME OF NEUROCOGNITIVE
HEALTH AS A CHRONIC DISEASE.
WE LOOKED AT TWO QUESTIONS.
WHAT IS THE RELATIONSHIP BETWEEN
DIETARY PATTERNS CONSUMED AND
RISK OF COGNITIVE DECLINE.
WHAT IS THE RELATIONSHIP OF
DEPRESSION?
ADULTS YES, TO MAINTAIN BALANCE
AND MOOD AND HIGH COGNITIVE
FUNCTION.
THE FOUNDATION OF A HEALTHY
LIFE, A SHOUT OUT TO THE LAST
FORUM EMPATHIZE ON THAT.
BACK IN 2015 THE EVIDENCE WAS
GRADED AS LIMITED BUT
DISCUSSIONS REVEAL THAT MANY
FELT THE EVIDENCE WAS MODERATOR
EVEN STRONG.
SUPPORTIVE DATA FURTHER
REINFORCES THE -- THIS.
BRAIN FUNCTION IS WHAT MAKES US
HUMAN.
BEFORE YOU GRADE THE EVIDENCE
FOR LUNCH HAVE SOME TINNED FISH
OR POACHED SALMON AND LEAFY
GREENS.
BE BALANCED, BE BOLD AND THINK
THROUGH NUTRITION.
>>GREETINGS TO THE COMMITTEE.
I'M KEITH, A PRACTICING RD -- IN
NEW YORK.
REGARDING THE CONSIDERATION
SHOULD CHANGES BE MADE TO THE
DIETARY PATTERNS BASED ON
WHETHER STARCHILY VEGETABLES AND
GRAINS SHOULD BE CONSIDERED
SEPARATELY.
THEY HAVE COMPLEX CARBS IN
COMMON.
PUTTING THEM INTERCHANGEABLY
COULD CONFUSE MORE.
REPLACING FOODS SUCH AS TWO
OUNCES OF HARB BROWNS RESULTED
IN SHORTFALLS OF KEY NUTRIENTS
OF CONCERN SUCH AS THE 21%
DECREASE IN POTASSIUM.
AND REDUCED INTAKES OF COLEEN
AND VITAMINS B6 AND E.
MOST PEOPLE DON'T EAT ENOUGH
VEGETABLES.
LET'S NOT GIVE PEOPLE AN OPTION
TO EAT FEWER VEGETABLES.
ALCOUNT POTATOES CORRECTLY AS A
VEGETABLE.
THEY ARE POPULAR, DELICIOUS AND
AFFORDABLE VEGETABLES.
THANK YOU.
>>I'M DR. KATIE BROWN, AT
NATIONAL DAIRY COUNCIL AS PART
OF THE U.S.D.A DAIRY PROGRAM.
WE APPRECIATE THE OPPORTUNITY TO
PROVIDE SCIENCE BASED POSITION
AS PART OF THE PROCESS.
TODAY I WILL BE SHARING THREE
POINTS FOR CONSIDERATION.
FIRST, THE HEALTH BENEFITS OF
DAIRY MILK AND DAIRY FOODS ARE
BACKED BY DECADES OF PEER
REVIEWED SCIENCE.
AND REDUCING RISK OF DIET
RELATED DISEASES.
DAIRY FOODS PROVIDE A UNIQUE
NUTRIENT PACKAGE WHICH
CONTRIBUTES TO BRAIN DEVELOPMENT
IN EARLY CHILDHOOD.
AND THIS IS PARTICULARLY
RELEVANT FOR PEOPLE OF COLOR WHO
ARE ALREADY AT A DISADVANTAGE
FOR DIET RELATED HEALTH
DISPARITIES.
SECOND, THE HEALTH BENEFITS GO
BEYOND NUTRIENTS.
SCIENCE INDICATES THE UNIQUE
MATRIX MAY HELP EXPLAIN THE LINK
BETWEEN EATING DAIRY FOODS AND
REDUCED RISK OF CHRONIC
DISEASES.
THIS SUGGEST THERE IS ROOM FOR
FLEXIBILITY TO HELP CLOSE
NUTRIENT AND HEALTH GAPS.
AND THIRD, MILK AND DARE R DAIRY
OF FOODS ARE AMONG THE LEAST
EXPENSIVE.
FOR THOSE WITH LACTOSE
INTOLERANCE THERE ARE CHOICES
THAT CAN FIT INTO A VARIETY OF
EATING PATTERNS.
98% OF OUTLETS PROVIDE LACTOSE
FREE MILK.
THANK YOU FOR THIS OPPORTUNITY
TO PROVIDE COMMENTS.
>>GOOD AFTERNOON, MY NAME IS
LEE AN A -- I BECAME PASSIONATE
AFTER REVERSING SYMPTOMS OF
ENDOMETRIOSIS.
MILK FROM ANOTHER SPECIES IS AN
ESSENTIAL FOOD.
DAIRY ALTERNATIVES ARE NOT ONLY
NUTRITIONALLY SOUND BUT URGENTLY
NEEDED.
WE KNOW THAT THIS IS
NUTRITIONALLY ADEQUATE AND
PROTEIN RICH PLANTS ARE ACTUALLY
PREFERABLE.
7 WE THRIVE ON HE DOOMS.
-- * LEGUMES.
SUBCOMMITTEE ONE, THE
RELATIONSHIP CAN BE ANSWERED ALL
AT ONES.
DIETS THAT EMPHASIZE PLANT FOODS
ARE LOW IN SATURATED FAT
CORRELATE WITH THE LOWEST RATES
OF DISEASE.
TWO, PREGNANCY, WAS LED TO THE
SAME.
THREE, CERTAIN TOP OFFENDERS.
YES.
FRIED FOODS AND PROCESSED MEATS
ARE ACUTELY HARMFUL TO OUR
HEALTH.
AMERICANS ALSO NEED TO KNOW THAT
THE PRIMARY SOURCE OF SA SATURAD
FAT SHOULD BE AVOIDED.
PEOPLE CAN CHANGE WHEN THE
INFORMATION AND THE URGENCY IS
MADE CLEAR.
>>HI, I'M ABBY -- I APPRECIATE
HAVING THE OPPORTUNITY TO SHARE
MY COMMENTS AND PROFESSIONAL
EXPERTISE.
TODAY I WOULD LIKE TO HIGHLIGHT
THREE POINTS REGARDING DAIRY
FOOD.
FIRST THE DAIRY FOOD MATRIX.
THE ENTIRE FOOD MATRIX WORK
TOGETHER TO IMPACT DIGESTION,
ABSORPTION, OVER-ALL HEALTH
EFFECT OF A FOOD.
AS A REGISTERED DIETITIAN I MUST
REITERATE THE IMPORTANCE OF
MAKING RECOMMENDATIONS THAT ARE
BASED ON WHOLE FOODS, FOOD
GROUPS AND OVER-ALL DIETARY
PATTERNS AND NOT BASED ON
NUTRIENTS AND ISOLATION.
SECOND, DAIRY FOODS UNIQUE
NUTRITION.
THE PACKAGE IS OFTEN OVERLOOKED
DUE TO SATURATED FAT.
HOWEVER, A SUBSTANTIAL BODY OF
SCIENTIFIC EVIDENCE DEMONSTRATES
THAT CONSUMING FULL FAT DAIRY
FOODS IS ASSOCIATED WITH
APPRECIATIONIVE EFFECTS ON
CARDIOVASCULAR HEALTH.
THAT BOTH CONSUMPTION IS
INVERSELY ASSOCIATED WITH
OBESITY PREVALENCE.
LASTLY NUTRITIONAL ADVICE.
LIMITING INTAKE FOR ALL
AMERICANS MAY RESULT IN
UNINTENDED NEGATIVE
CONSEQUENCES.
WHEN EXPLORING THE RELATIONSHIP
AND THE RISK OF CARDIOVASCULAR
DISEASE WE MUST CONSIDER
INDIVIDUAL FOODS AND THE ENTIRE
FOOD MATRIX.
I PRACTICE IN A COMMUNITY AND
AGRICULTURE HEALTH SETTING.
I'VE SEEN HOW DAIRY FOODS MAKE A
POSITIVE IMPACT ON HEALTHY
LIVING.
THANK YOU FOR YOUR TIME.
>>MY NAME IS DOTTIE -- I'M
ASKING FOR THE STANDARD CATEGORY
TO BE REMOVED.
WE'RE NO LONGER A COUNTRY MADE
UP OF WHITE PEOPLE WHO CAN
DIGEST DAIRY.
I'M AN OLYMPIC MEDALIST AND
WATCHED AS MANY TEAMMATES WERE
MADE SICK.
THEY ARE UNABLE TO DIGEST DAIRY
PRODUCTS.
IT'S NOT FAIR TO PROMOTE
THREE-DAILY SERVINGS OF A
PRODUCT THAT MAKES MILLIONS OF
AMERICANS SICK.
WE SHOULD BE STRIVING FOR
CULTURAL SENSITIVITY ENSURING
THAT THE GUIDELINES ACCOMMODATE
ALL COMMUNITIES.
PLACING HEAVY EMPHASIS
CONTRADICTS THE GOAL.
IT MAKES IT IMPOSSIBLE FOR A
HUGE PORTION OF AMERICANS TO
FOLLOW THESE GUIDELINES THAT ARE
SUPPOSED TO BE ADAPTABLE FOR
EVERYONE.
PLEASE REMOVE THE STAND ALONE
CATEGORY FOR AMERICANS IN 2025
SO WE CAN BETTER CELEBRATE OUR
DIVERSITY AND PLACE DAIRY FOODS
APPROPRIATELY IN THE PROTEIN
CATEGORY.
THANK YOU.
>>MY NAME IS JEFF.
I'M A PROFESSOR AT THE OHIO
STATE UNIVERSITY.
THE 2022 NATIONAL STRATEGY
STATED THAT THE DGA COMMITTEE
WILL REVIEW QUESTIONS WITH THE
HEALTH EQUITY LENS TO ENSU EN--
ENSURE.
THIS REQUIRES NOT ONLY
CONSIDERATION DIETARY PATTERNS
DESIGNED TO ADDRESS NEEDS OF
MARGINALIZED POPULATIONS FOR
INCREASED RISK OF OBESITY.
FOR COMPARISON OBESITY IN
NONHISPANIC BLACK WOMEN IS
APPROXIMATELY 57% AND THIS IS A
PRIMARY DRIVER OF CHRONIC
DISEASE.
SADLY ABOUT HALF OF AMERICANA
ADULTS ARE DIABETIC OR
PREDIABETIC.
REDUCING CARBOHYDRATE INTAKE IS
ASSOCIATED WITH NUTRIENT
ADEQUACY AND WEIGHT MANAGEMENT
AND IMPROVE CONTROL, LOWER BLOOD
PRESSURE, A MORE FAVORABLE LIPID
PROFILE AND REDUCE MEDICATION
REQUIREMENTS.
I RECOMMEND EXPANDING THE
PATTERNS TO DEMONSTRATE HOW THEY
CAN BE FILED AS PART OF A LOWER
CARBOHYDRATE LIFESTYLE.
IT CAN MEET ALL NUTRIENT
REQUIREMENTS WHILE MEETING THE
FOOD PLAN.
THANK YOU.
>>HELLO.
A COALITION OF BEVERAGE --
RETAILERS AND RESTAURANTS.
FIRST MEMBERS WOULD LIKE TO NOTE
THERE IS NO CLASSIFICATION FOR
PROCESSED FOODS.
MEMBERS CAUTION THE COMMITTEE
FROM MAKING STRONG
RECOMMENDATIONS GIVEN A LACK OF
A CONSENSUS DEFINITION.
-- FOCUS ON THE NOVA
CLASSIFICATION SYSTEM.
WHILE NOVA IS USED IN RESEARCH
OF ULTRA PROCESSED FOODS IT IS
NOT THE MOST APPROPRIATE.
NOVA DOES NOT CONSIDER NUTRIENT
DENSE FOODS.
THE SYSTEM IS NOT APPLIED ACROSS
THE LITERATURE.
LASTLY -- IT CAN PROVIDE
BENEFITS TO PRODUCTS INCLUDING
SECURITY, REDUCING FOOD WASTE
AND OFFERING CONVENIENCE AND
AFFORDABILITY.
OFTEN THE ONLY DIFFERENCE IS THE
SCALE OF EQUIPMENT USED IN A
CONTROLLED ENVIRONMENT.
ALSO CONSIDER ADDITIONAL
COMMENTS.
7
>>HELLO.
I'M DR. DAVID KATZ.
MY ASK PLEASE STOP REFERRING TO
PROTEINS AS IF A GROUP OF
INTERCHANGEABLE FOODS.
THERE IS NOTHING REMOTELY
INTERCHANGEABLE.
A REFERENCE TO PROTEIN IS A FOOD
CATEGORY RESULTS IN MISGUIDE
ANNES.
SINCE IT IS THE QUALITY OF FOOD
DELIVERING PROTEIN ALONG WITH
OTHER NUTRIENTS.
THE REFERENCE TO PROTEIN FOODS
IS OBSOLETE AND INAPPROPRIATE IN
A POPULATION WHERE PROTEIN
EXCESS IS.
THE VERY DEFINITION OF PROTEIN
QUALITY IS DIRECTED AT
PREVENTING EFFICIENCY BUT MOST
AMERICANS CONSUME MORE THAN IS
NEEDED.
REFERENCE TO PROTEIN FOODS IS AN
ANOMALY IN THE GUIDELINES.
THE BEST FOOD SOURCES ARE
EMPHASIZED.
THIS PLACES A HALO OVER FOODS
THAT ARE KNOWN TO CONFLICT HARM.
IT IS THE QUALITY OF FOODS
DELIVERING PROTEIN RATHER THAN
THE QUALITY OF THE PROTEIN IN A
GIVEN FOOD.
PLEASE STOP REFERRING TO
PROTEINS AS IF THEY ARE A GROUP
OF INTERCHANGEABLE FOODS.
>>MY NAME IS DR. -- -- ON
BEHALF OF TENS OF THOUSANDS OF
PICK FARMERS WE APPRECIATE THE
OPPORTUNITY TO PROVIDE COMMENTS.
THE GUIDELINES COMMITTEE IS
USING A HEALTH EQUITY LENS AND
ONE OF THE FOODS THAT EMBODIES
ALL IS PORK.
THERE IS RESEARCH TO SUPPORT --
-- AMERICANS HAVE THE
OPPORTUNITY TO NOT ONLY FEEL
GOOD ABOUT CHOOSING AN
AFFORDABLE PROTEIN BUT ALSO ONE
THAT PROMOTES A SOCIAL AND
CULTU
CULTURAL CONNECTION. TWO RECENT
RANDOMIZED CONTROL TRIALS SHOWED
THAT PROTEIN FROM JUST TWO
OUNCES OF FRESH LEAN PORK HAVE
SFR
GREATER AMINO ACID THAN EGGS.
THIS SHOWS THAT THE METHOD MAY
NOT BE APPLICABLE TO THE
BIOAVAILABILITY OF THESE FOODS.
THIS IS AN IMPORTANT RESOURCE
FOR THE COMMITTEE SO YOU CAN
CONSIDER THE APPROPRIATENESS OF
EQUATING DIFFERENT SOURCES IN
SUMMARY LEAN PORK IS ABLE TO
ENRICH THE DIETS OF THOSE WHO
MAY NOT BE ABLE TO GET NUTRIENT
DENSE RICH MEALS. AND THIS
CONNECTS THOSE VIA CULTURAL
PRACTICES THAT SPANS GENERATION
AND GENERATION.
>>HELLO, EVERYONE, MY NAME IS
TIFFANY BRUNO AND I'M A
DIETETICS GRADUATE STUDENT. I'M
LEARNING HOW PIVOTAL IT IS TO
MEET PEOPLE WHERE THEY ARE TO
BECOME THEIR HEALTHIEST SELVES.
I BELIEVE DARE -- FOR SO MANY
PEOPLE. I AM REQUESTING THE
DAIRY CATEGORY BE INTEGRATED
INTO THE PROTEIN INSTEAD. THIS
WILL HELP PEOPLE FOLLOW THE
GUIDELINES AND GIVE PEOPLE
FLEXIBILITY. ALTHOUGH THE
GUIDELINES ARE NOT ACCOUNTING
FOR THE ENVIRONMENTAL IMPACT OF
THEIR DIET. MANY AMERICANS ARE.
OUR COLLECTIVE SHIFT IN EATING
PATTERNS. SHOULD BE A FACTOR.
IF PEOPLE ARE NOT CONSUMING
DAIRY BECAUSE OF ITS EXCESSIVE
ENVIRONMENTAL FOOTPRINT THE
GUIDELINES SHOULD BE ADVISING
THEM ACCORDINGLY ON OTHER
OPTIONS. IF DAIRY IS -- USING
SIGNIFICANT FEWER RESOURCES
ADDITIONALLY I CAN SAY FROM
FIRSTHAND EXPERIENCE THAT
YOUNGER GENERATIONS DO NOT WANT
DAIRY PRODUCTS THREE TIMES A DAY
AND THEREFORE TYPICALLY IGNORE
THIS GUIDELINE. THIS
RECOMMENDATION DOES NOT RESONATE
WITH MANY AMERICANS THE DIETARY
GUIDELINES ARE NOT UPDATED ON
THE CURRENT NUTRITION SCIENCE
BUT ALSO TO REFLECT HOW THE U.S.
CULTURAL LANDSCAPE SHIFT, THERE
IS NO NUTRIENT THAT IS EXCLUSIVE
TO DAIRY AND CANNOT BE FOUND
ELSEWHERE IN A HEALTHY DIET AS
WE SHIFT AWAY FROM DAIRY PLEASE
SHIFT THIS ENTIRE CATEGORY TO BE
PART OF THE PROTEIN FOOD GROUPS
INSTEAD. THANK YOU.
>>I'M DR. LESLIE, SENIOR
DIRECTOR AT THE BLUEBERRY
COUNCIL. WE THANK YOU FOR THE
OPPORTUNITY TO PROVIDE COMMENTS
AND WE OFFER THE FOL FLOWING
REFERENCE TO THE QUESTION
REGARDING ESSENTIAL CHANGES TO
DIETARY PATTERNS. ED SUGGESTS
THAT LIKE VEGETABLES THERE ARE
SUBGROUPS FOR HEALTH FOR ALL
AMERICANS WHILE VEGETABLE SUB
GROUPS HAVE BEEN INCLUDED FRUITS
ARE STILL CONSIDERED UNIFORMLY.
LIKE VEGETABLES FRUITS ALSO
PROVIDE A DIVERSE RANGE OF
NUTRIENTS BASED ON THEIR COLOR
AND TYPE. CERTAIN FRUITS ARE
ESPECIALLY HIGH IN FLA HAVE A
NOISE. FOR EXAMPLE, BERRIES ARE
UNIQUELY HIGH. ALONG WITH
VITAMIN C AND FIBER. RECENT
EVIDENCE SUGGESTS THAT
INCREASING THESE FOODS COULD
HAVE A SIGNIFICANT IMPACT IN
REDUCING CARDIOVASCULAR DISEASE
RISK ADDITIONALLY RESEARCH
SUGGESTS THAT INCREASED FRUIT
AND VEGETABLE VARIETY ESPECIALLY
THOSE RED AND PURPLE IN COLOR IS
ASSOCIATED WITH ALL CAUSE AND
CANCER MORTALITY. BERRIES ARE
INCREASINGLY RECOGNIZED IN THE
NORDIC NUTRITION CATEGORIES.
GIVEN AMERICANS OF ALL AGES MORE
SPECIFIC GUIDANCE ON FRUIT
INTAKE SHALL BE CONSIDERED. AN
ANALYSIS OF WHAT WE EAT IN
AMERICAN SURVEY SHOW THAT
INDIVIDUALS WHO HAD A HIGHER
VARIETY OF FRUIT CONSUMED MORE
FRUIT OVERALL. CREATING FRUIT
SUBGROUPS WOULD CREATE DIVERSITY
AND SHOW NUTRIENT ADEQUACY AND
DIET QUALITY FOR ALL AMERICANS.
THANK YOU FOR THE OPPORTUNITY TO
PROVIDE COMMENTS.
>>MY NAME IS OSCAR AND I
REPRESENT UNITED EGG PRODUCERS.
OUR FAMILY OWNED FARM MEMBERS
ARE PROUD TO PRODUCE EGGS FOR
RETAIL FOOD SERVICE AND
MANUFACTURING. EGGS ARE A GOOD
OR EXCELLENT SOURCE FOR MANY
IMPORTANT NUTRIENTS INCLUDING
CHOLINE WHICH IS CRITICAL FOR
NURSING MOTHERS AND THE
NEUROLOGICAL DEVELOPMENT OF
THEIR INFANTS AND CHILDREN AND
FALL SHORT OF MOST AMERICAN
DIETS. THIS IS ONE REASON WHY
THE 2020 GUIDELINES RECOMMENDS
EGGS AS THE FIRST FOOD FOR
INFANTS AND TODDLERS. PEOPLE
WERE CONCERNED ABOUT CHOLESTEROL
IN THEIR DIETS BUT SCIENCE NOW
TELLS US THAT THERE'S NO
CONNECTION BETWEEN DIETARY
CHOLESTEROL AND THE
CHOLESTEROLTHE BLOOD. WE FOCUS
ON HEALTHY DIETARY PATTERNS.
THIS DID NOT INCLUDE CHOLESTEROL
AS A NUTRIENT OF PUBLIC HEALTH
CONCERN AND THE U.S. FOOD AND
DRUG ADMINISTRATION HAS PROPOSED
THAT EGGS BE ABLE TO MAKE A
CLAIM OF HEALTHY ON THE CAR
TONS. NEW AND EXPECTED PARENTS
SAY HIGH CHOLESTEROL IS A
BARRIER TO EATING MORE EGGS AND
THESE PARENTS SAY THEIR BELIEF
IS ON COMMON KNOWLEDGE BUT THIS
IS OUTDATED AND THERE'S MORE
WORK TO BE DONE AND WE HOPE THIS
COMMITTEE WILL FOCUS ON THE
IMPORTANCE OF EGGS AS A GOOD
SOURCE OF PROTEIN AND THAT IS
NOT HIGH IN SATURATED FAT AND
MAY BE ESPECIALLY IMPORTANT FOR
PREGNANT WOMEN, INFANTS,
TODDLERS AND YOUNG CHILDREN. WE
NEED TO MAKE THIS A SEPARATE SUB
GROUP. EGGS NUTRIENT RICH
CONTENT CONTRAST WITH OTHER
PRODUCTS IN THE GROUP. THEY ARE
HIGHER IN CHOLINE FOR EXAMPLE SO
WE ENCOURAGE THE COMMITTEE TO
MAKE AN EGG SUBGROUP AND MODEL
DIETARY PATTERNS WITH EGGS
DAILY. THANK YOU.
>>MY NAME IS DR. MELISSA. I'M
A REGISTERED NUTRITIONIST AND A
BOARD MEMBER OF THE MEDICINE.
AS AN EVIDENCE-BASED LIFESTYLE
MEDICINE APPROACH INCLUDING FOOD
AS MEDICINE IS THE FIRST
TREATMENT PLAN RECOMMENDED IN
THE CROHN'S DISEASE DECLINGUIDE
THERE'S A SUBSTANTIAL BODY OF
EVIDENCE NOW SUPPORTING FOOD AS
EVIDENCE TO PREVENT, TREAT AND
WHEN USED INTENSIVELY EVEN
REVERSE CHRONIC CONDITIONS SUCH
AS OBESITY AND TYPE TWO DIABETES
FOR EXAMPLE A 2022 EXPERT
CONSENSUS STATEMENT AND A RECENT
STUDY SHOWED THAT IT IS POSSIBLE
TO RECEIVE REMISSION THROUGH
DIET ALONE. THIS IS AN
EMPOWERING MESSAGE FOR
INDIVIDUALS WHO ARE DESTINED TO
PHARMACEUTICALS. THE GUIDELINES
NEED TO MOVE AWAY FROM
RECOMMENDING A MEAT AND DAIRY
PRODUCTS. AND INSTEAD ENCOURAGE
AN EATING PLAN BASED
PREDOMINANTLY ON A VARIETY OF
WHOLE PLANT FOODS. THE NEW
GUIDELINES HAVE THE OPPORTUNITY
TO TAKE A STAND FOR THE
ELIMINATION OF ULTRA PROCESSED
FOODS THAT CONTRIBUTE TO THE
CHRONIC DISEASE BURDEN IN THIS
COUNTRY. THE DIETARY GUIDELINES
ARE VERY IMPORTANT TO
COMMUNICATE THE RECOMMENDATIONS.
IMAGES MUST INCLUDE MORE PLANT
BASED PROTEIN OPTIONS AND WATER
SHOULD REPLACE THE DAIRY
BEVERAGE ICON. THE GUIDELINES
HAVE THE OPPORTUNITY TO REACH
THE AMERICAN PUBLIC AND
EMPHASIZE THAT FOOD IS MEDICINE
AND INDIVIDUALS CAN TAKE CONTROL
OF THEIR HEALTH WITH THE FOODS
THEY EAT. THIS SHOULD HIGHLIGHT
THE UNPROCESSED PLANT FOODS THAT
TREAT CHRONIC CONDITIONS. THANK
YOU FOR YOUR TIME AND
CONSIDERATION OF THESE COMMENTS.
PLEASE CONSIDER ACLM A RESOURCE
AS YOU PROCEED IN THIS
CRITICALLY IMPORTANT WORK.
>>GOOD AFTERNOON, MY NAME IS
DR. ROBERT, I'M A CARDIOLOGIST
AND THE DIRECTOR OF PREVENTIVE
CARDIOLOGY IN BRONX NEW YORK MY
COLLEAGUES SEE INNUMERABLE
PATIENTS WITH DIABETES AND
STROKE. AND OUR PATIENTS WHO DO
WELL EAT WHOLE GRAINS, BEANS AND
LENTILS AND LIMITED TO NO RED
MEAT, PROCESS MEAT AND DAIRY
INCLUDING CHEESE. OUR PATIENT
WHO IS DO POORLY EAT MORE DAIRY
INCLUDING CHEESE NOW THERE'S A
VERY INTERESTING STUDY THAT
SHOWED THAT ABOUT .7% OF THE
U.S. HAS A "DIETARY PATTERN"
MEANING EATING LOTS OF
VEGETABLES, LOW SALT AND LOW
SUGAR SWEETENED BEVERAGE
CONSUMPTION BUT FULLY 75% OF THE
U.S. HAS A POOR DIETARY PATTERN.
WHY DOES THAT MATTER IN THE SAME
STUDY THEY ESTIMATED IF EVERYONE
ADOPTED AN IDEAL PATTERN THEY
ESTIMATED THAT AFTER JUST ONE
YEAR CARDIOVASCULAR EVENT RATES
WOULD FALL BY LITTLE MORE THAN
40%. BUT .7% OF THE U.S. HAS
THE IDEAL PATTERN SO NO MATTER
HOW CLEAR YOU THINK THE DIETARY
GUIDELINES WERE BEFORE WE NEED
YOUR HELP, THEY NEED TO BE
CLEARER. PEOPLE ARE DYING.
SPELL IT OUT. IT HELPS PEOPLE
ADOPT HEALTHIER DIETS I SEE IT
IN MY CLINIC. WE NEED YOUR
HELP, PLEASE, STRONGLY EMPHASIZE
MORE VEGETABLES, FRUITS, WHOLE
GRAINS, BEANS AND LENTILS AND
MINIMIZE RED AND PROCESSED MEAT,
DAIRY INCLUDING CHEESE. THANK
YOU.
>>HELLO. I AM DR. KATHERINE, A
PROFESSOR OF PEDIATRIC ALLERGY.
I CURRENTLY SERVE AS THE VICE
CHAIR FOR THE FOOD ALLERGY
COMMITTEE AT THE AMERICAN
COLLEGE OF ASTHMA AND IMMUNE
NOLNOLOGY I WOULD LIKE TO BRING
TO THE ATTENTION OF BRINGING
ALLERGENIC FOODS EARLY INTO AN
INFANT'S DIET
THESE FOODS AROUND THE AGE OF
4-6 MONTHS HAS BEEN SHOWN TO BE
VERY SAFE BY MULTIPLE RESEARCH
STUDIES IT IS ALSO VERY
EFFECTIVE IN PREVENTING FOOD
ALLERGIES. FOODS THAT MAY BE
INTRODUCED INCLUDE PEANUT, MILK,
EGG, TREE NUTS, FISH AND SESAME.
ONCE THE FOODS ARE INTRODUCED
INTO THE INFANT'S DIET THEY NEED
TO BE GIVEN REGULARLY AT LEAST
TWO TO THREE TIMES A WEEK. THIS
HAS BEEN PROVEN TO BE VERY SAFE
AND IT ALSO DOES NOT AFFECT
BREAST-FEEDING RATES. WE WOULD
ALSO LIKE TO HIGHLIGHT THE
IMPORTANCE OF FEEDING INFANTS A
DIVERSE DIET THAT INCLUDES FOODS
FROM ALL FOOD GROUPS THIS OF
COURSE HELPS PROMOTE GROWTH AS
WELL AS A NUTRITIOUS DIET AND IT
MAY ALSO EFFECT POSITIVELY FOOD
ALLERGY OUTCOMES. THANK YOU FOR
INVITING US TO COMMENT AND FOR
TAKING OUR COMMENTS INTO YOUR
CONSIDERATION.
>>HELLO. MY NAME IS MARK MESSY
THAT AND I'M PROVIDING COMMENTS
ON SOY NUTRITION GLOBAL INTENDED
HUMAN CONSUMPTION. MY COMMENTS
ADDRESS TWO ISSUES, THE RELATION
OF SOY PRODUCTS AND THE
DEVELOPMENT OF BREAST CANCER.
FIRST, MIGRATION DATA
CONVINCINGLY SHOW INTERNATIONAL
DIFFERENCES IN BREAST CANCER
RATES ARE DUE TO DIFFERENCES IN
LIFESTYLE FACTORS ONE OF WHICH
IS DIET. HOWEVER, IT MAY BE
THAT THE IMPACT OF DIET HAS BEEN
UNDERESTIMATED BECAUSE AS WAS
PROPOSED MORE THAN 30 YEARS AGO
EARLY LIFE EVENTS PROFOUNDLY
IMPACT THE RISK OF DEVELOPING
BREAST CANCER LATER IN LIFE.
ALTHOUGH DATA INDICATE THAT
ADULT SOY CONSUMPTION REDUCES
RISK THERE'S AN OBSERVATIONAL
EVIDENCE SUGGESTING MAXIMUM
CONSUMPTION IN CHILDHOOD AND
ADOLESCENCE. FOR THIS REASON S
AND I GLOBAL ENCOURAGES THE
COMMITTEE TO CONTINUE TO
EMPHASIZE THE IMPORTANCE OF
EARLY DIETARY HABITS AND ALSO
ASK THAT YOU CONSIDER
RECOGNIZING THE POTENTIAL ROLE
OF SOY IN REDUCING BREAST CANCER
RISK WHEN CONSUMED EARLY IN
LIFE. SECOND I WANT TO ADDRESS
THE RELATIONSHIP BETWEEN FOOD
PROCESSING AND HEALTH. AS YOU
MAY KNOW, MANY SOY FOODS
INCLUDING THOSE THAT HAVE BEEN
CONSUMED FOR CENTURIES ARE NOW
CLASSIFIED AS ULTRA PROCESSED.
HOWEVER, NOVA IS INSUFFICIENTLY
NUANCED TO SERVE AS A PUBLIC
GUIDE FOR FOOD PURCHASING
DECISIONS THE IDEA THAT TOFU A
FOOD THAT HAS BEEN CONSUMED FOR
CENTURIES IS CLASSIFIED AS
TWINKIES DEFIES COMMON SENSE
THANK YOU FOR THIS OPPORTUNITY
TO DEVELOP THE NEXT ITERATION OF
THE DIETARY GUIDELINES.
>>MY NAME IS HARRY AND I WORK
FOR THE GLOBAL ORGANIZATION FOR
EP AND DHA OMEGA 3S. OUR
COMPANIES REPRESENT THE ENTIRE
SUPPLY CHAIN OF DHS. FROM
FISHERIES TO FISH PRODUCT
BRANDS. WE APPRECIATE THE WORK
OF THE ADVISORY COMMITTEE AND
THE OPPORTUNITY TO PROVIDE BRIEF
COMMENTS WHICH ARE DIRECTED TO
SUBCOMMITTEE TWO, DIET AND
PREGNANCY AND BIRTH THROUGH
ADOLESCENCE. IT'S OBVIOUS THAT
PREGNANCY IS IMPORTANT TO THIS
COMMITTEE GIVEN THE FOUR
QUESTIONS ARE GOING TO BE
ADDRESSED. IN ADDITION, THE
SCIENTIFIC REPORT OF THE 2020
DGAC INCLUDED A RECOMMENDATION
FOR THE NEXT DGAC TO EXAMINE THE
RELATIONSHIP BETWEEN EPA AND DHA
SUPPLEMENTS CONSUMED BEFORE AND
DURING PREGNANCY AND PREGNANCY
OUTCOMES THUS SAID, THOUGH IT
ENCOURAGES THE DGAC TO ADD A
QUESTION TO ADDRESS THE
IMPORTANCE OF THE RELATIONSHIP
BETWEEN DIETARY PATTERNS
INCLUDING EPA AND DH ARK A AND
EARLY PRETERM BIRTH.
THE SUPPORT CAN BE FOUND IN A
2018 REVIEW OF 70 RANDOMIZED
CONTROL TRIALS WITH ALMOST
20,000 WOMEN WHICH REPORT THAT
HAD OMEGA 3 INTERVENTIONS
INCLUDING SUPPLEMENTATION OR
FOOD ADECISIONS REDUCED THE RISK
OF PRETERM BIRTH BY 42%
RESPECTIVELY.
GIVEN THAT THE OMEGA INTAKES ARE
LOW COUPLED WITH THE ECONOMIC
DATA SHOWING THE FATTY ACID DHA
COULD SAVE THE U.S. HEALTH CARE
SYSTEM UP TO SIX BILLION DOLLARS
A YEAR. SUCH RISK REDUCTIONS
ARE OF PUBLIC HEALTH RELEVANCE
AND SHOULD NOT BE IGNORED. IN
CLOSING, WE THANK THE COMMITTEE
AND WISH IT THE BEST OF LUCK.
THANK YOU.
>>I HAVE ONE WORD FOR YOU.
LABOR. HI, EVERYONE. I'M GUY
JOHNSON, SENIOR ADVISOR FOR THE
SCIENCE INSTITUTE AND AT MSI WE
TRULY BELIEVE THAT FLAVOR IS THE
KEY FOR CONSUMERS TO IMPLEMENT
THE DIETARY GUIDELINES THE
PREVIOUS COMMITTEE AGREES.
THEY SAID, SPICES AND HERBS CAN
HELP FLAVOR FOODS WHEN REDUCING
ADDED SUGARS, SATURATED FAT AND
SODIUM AND THEY CAN ALSO ADD TO
THE ENJOYMENT OF NUTRIENT DENSE
FOODS, DISHES AND MEALS THAT
REFLECT SPECIFIC CULTURES. WE
TOTALLY AGREE. IN FACT THERE
ARE MULTIPLE STUDIES THAT
CONFIRM THAT MOST RECIPES MADE
HEALTHIER WITH SPICES AND HERBS
ARE BETTER LIKED THAN THEIR LESS
HEALTHY COUNTERPARTS THE COST IS
ABOUT THE SAME AND SOMETIMES I'M
LESS EXPENSIVE AND SPICES AND
HERBS ARE CLEARLY INSTRUMENTAL
IN PROMOTING ETHNICALLY DIVERSE
HEALTHY DIETARY PATTERNS AS THE
DEPARTMENT SO WISHES TO DO.
FURTHERMORE, A JUST PUBLISHED
MODELLING STUDY SHOWS THAT
MODIFICATION OF JUST TEN KEY
RECIPES WOULD RESULT IN
UNPRECEDENTED DECREASES IN
SATURATED FAT, SODIUM, AND AN
IMPROVEMENT IN THE HEALTHY
EATING INDEX. BUT FLAVOR IS THE
KEY. SO LET ME LEAVE YOU WITH
ONE MORE WORD. OPPORTUNITY.
YOU HAVE AN OPPORTUNITY TO
EDUCATE CONSUMERS ON HOW TO USE
FLAVOR TO TRANSLATE THE DIETARY
GUIDELINES INTO A HEALTHIER
LIFE. THANK YOU SO MUCH.
>>HI, MY NAME'S ELAINE AND I'M
A REGISTERED DIETICIAN AND I'M
CURRENTLY A DOCTORAL STUDENT AT
ST. LOUIS UNIVERSITY. IT IS
WONDERFUL THAT THE DGA 2020-2025
SPECIFIED THERE IS NO CLEAR NEED
FOR TODDLER MILK OR DRINKS
HOWEVER I WANT TO ENCOURAGE THE
COMMITTEE TO CONSIDER INCLUSION
OF A SPECIFIC SECTION ADDRESSING
PEDESTRIAN SUPPLEMENT SHAKES.
THESE SHAKES ARE HIGH CALORIE,
HIGH PROTEIN SUPPLEMENT SHAKES
THE LEADING BRAND OF PEDESTRIAN
FEW CONCENTRATIONAL SUPPLEMENT
CHANGES ACCORDING TO UCONN
CENTERS BABY FOOD FACTS REPORT
WAS DEVELOPED AND STUDIED IN
CHILDREN AGES 2-13 WHO WERE AT
RISK FOR MALNUTRITION.
IT IS THEREFORE IMPORTANT TO
DISTINGUISH WHAT PEDESTRIAN
NUTRITIONAL SUPPLEMENT SHAKES
ARE AND HIGHLIGHT THE FACT THAT
THERE IS NO CLEAR NEED FOR THE
PRODUCTS FOR MOST U.S. CHILDREN.
DATA COLLECTED IN OUR LAB THAT
IS BEING DRAFTED FOR PUBLICATION
SHOWS THAT PARENTS ARE PROVIDING
THESE SHAKES NOT ONLY TO
CHILDREN AGES 2-13 BUT TO YOUNG
TODDLERS AND INFANTS AS WELL.
22% OF PARENTS OF INFANTS REPORT
THEY ARE PROVIDING NUTRITIONAL
SHAKES IN THE PAST MONTH.
ADDITIONAL DATA FROM OUR LAB IS
ALSO SHOWING THAT PARENTS OF
HEALTHY CHILDREN PERCEIVE THESE
PRODUCTS AS HEALTHY AND
NECESSARY FOR THEIR CHILD. EVEN
THOUGH THEY'RE DEVELOPED FOR
CHILDREN AT RISK OF
MALNUTRITION. THIS IS LIKELY
BECAUSE THE MARKETING FOR
PEDESTRIAN NUTRITIONAL
SUPPLEMENT SHAKES DOES NOT FOCUS
ON MALNUTRITION BY PRAISE ON
CONCERN ABOUT PICKY HABITS.
CLEAR INFORMATION THAT CAN
PROVIDE TO CAREGIVERS AND
PARENTS CAN SPEAK TO WHETHER
THESE ARE IMPORTANT TO INFANTS
OR TODDLERS IS A STEP TOWARDS
THE HEALTH OF YOUNG CHILDREN.
THANK YOU.
>>HI, I'M DR. MITCH. WE'RE
PROVIDING COMMENTS TODAY
SPECIFIC TO THE ISSUE OF
CLASSIFICATION OF POTATOES
WITHIN THE EVIDENCE BEING
REVIEWED. POTATOES LIKE ALL
VEGETABLES ARE NUTRIENT RICH
CONTRIBUTING SIGNIFICANT AMOUNTS
OF POTASSIUM AND FIBER TO THE
DIET. WHILE POTATOES ARE A
NUTRIENT DENSE VEGETABLE THEY
ARE OFTEN GROUPED WITH NON
VEGETABLES OR WITH FOODS WITH A
LESS NUTRITIOUS PROFILE
PARTICULARLY STUDIES WITH
PREEXISTING DATASETS. THEY HAVE
BEEN PUT WITH DESSERTS. BUT
THESE ARE A VEGETABLE AND
INCLUDED IN DIETARY PATTERNS AND
ARE MUCH MORE POSITIVE. THE
ISSUE OF THE CLASSIFICATION
BASED ON ASSUMPTIONS VERSUS
ANALYSIS OF EMPIRICAL EVIDENCE
BECOMES EASILY AMPLIFIED IN THE
LITERATURE. A SINGLE STUDY THAT
CLASSIFIES POTATOES WITH SUGAR
CAN HAVE AN UNDUE RIPPLE EFFECT
ON THESE FINDINGS. THESE
CLASSIFICATIONS MAY BE DECADES
OLD AND USE OUTDATED RESEARCH.
AND DO NOT ALWAYS REFLECT THE
NUTRIENT PROFILE OF THE SAME
FOODS CONSUMED TODAY. FOOD
SCIENCE INNOVATIONS LIKE THE USE
OF TRANS, FAT FREE OILS AND CAN
MAKE DIETARY INTAKE TAKEN
DECADES AGO NOT APPLICABLE FOR
TODAY'S CONSUMPTION. WE ASK THE
COMMITTEE TO CONSIDER THESE
ISSUES WHEN EVALUATING THE
LITERATURE. THANK YOU.
>>I'M NEIL. IN WASHINGTON
HEALTH DISPARITIES ARE ACUTE AND
PERSISTENT AMONG AFRICAN
AMERICANS CORONARY HEART DISEASE
IS MORE THAN TWICE AS COMMON AND
HEART ATTACKS THREE TIMES MORE
COMMON COMPARED WITH WHITE. A
KEY PART OF THE SOLUTION IS
HONEST INFORMATION ABOUT THE
NUTRITIONAL FACTORS THAT FUEL
ALL THESE PROBLEMS. WE JOIN THE
AMERICAN MEDICAL ASSOCIATION IN
CALLING FOR THE GUIDELINES TO
CLEARLY STATE THERE IS NO
NUTRITIONAL GUIDELINE. THERE
ARE CONSIDERABLE ADVANTAGES TO
REPLACE THIS WITH HEALTHY DIET
OF FRUITS AND VEGETABLES. AND
SATURATED FAT. IT'S IN TROPICAL
OILS AND LET'S SAY SO THE UNDUE
EMPHASIS OF DAIRY PRODUCTS AND
MEAT TAKES A REAL TOLL OF PEOPLE
OF COLOR MANY WHO DON'T DIGEST
LACTOSE. AND AS THE HARVARD
COHORTS HAS SHOWN IS STRONGLY
ASSOCIATED WITH DAIRY
CONSUMPTION. DATA FROM THE
STUDY AND THE CHINA BIOBANK
STUDY HAVE ESTABLISHED STRIKING
ASSOCIATIONS WITH DAIRY INTAKE
AND BREAST CANCER. THE DAIRY
INDUSTRY ARGUMENTS THAT SOME
DAIRY FREE MILK HAS LESS
PROTEIN. THOSE WHO HAVE IT FROM
PLANT SOURCES HAVE BETTER HEALTH
THAN THOSE WHO RELY ON ANIMAL
SOURCES. THESE NEED A VIGOROUS
PROMOTION IN THE GUIDELINES.
>>I'M PROUDLY REPRESENTING THE
INTEREST OF FAMILY FARMS THAT
COMPRISE THE POTATO INDUSTRY.
FIRST, IS THAT POTATOES ARE A
VEGETABLE. WE UNDERSTAND THAT
THE COMMITTEE IS ENTERTAINING
CHANGES TO THE FOOD GROUPS AND
ONE OF THOSE DISCUSSIONS IS THE
INTERCHANGEABILITY BETWEEN
POTATOES AND GRAINS AND WE URGE
THE COMMITTEE TO RECOGNIZE THAT
A POTATO IS NOT A GRAIN BUT THE
WIDELY USED VEGETABLE IN THE
UNITED STATES. THESE PLAY
DISTINCTLY DIFFERENT ROLES IN
THE U.S. DIET AND WHITE POTATOES
ARE A STRONG CONTRIBUTOR OF
VITAMIN C AND B 6 ALONG WITH
FIBER THE SUGGESTION TO
RECLASSIFY THE E POTATOES AT A
NON VEGETABLE IS NOT IN ANY
SCIENTIFIC METRIC BUT IS A MA
MALE -- MEAL SUBSTITUTION. WE
ASK THE COMMITTEE TO RECOGNIZE
THE FACT THAT POTATOES ARE A
VEGETABLE.
THE COMMITTEE SHOULD FOCUS ON
STRATEGIES TO INCREASE VEGETABLE
CONSUMPTION. POTATOES ARE KEY
TO ADDRESS THIS ISSUE. POTATOES
ARE A NUTRIENT DEBS CHOICE AND
PLAY A KEY ROLE IN THE SCHOOL
LUNCH AND BREAKFAST PROGRAMS
WHERE THEY SERVE AS A
SPRINGBOARD VEGETABLE TO
INTRODUCE CHILDREN TO INCREASE
IN PARTICIPATION AND DECREASE IN
FOOD WASTE. WE ENCOURAGE TO
ENHANCE THE ROLE OF POTATOES AS
THEY FORMULATE THE DIETARY
GUIDELINES.
>>THANK YOU FOR THE OPPORTUNITY
TO COMMENT TODAY. MY NAME IS
DR. MARK AND I AM A PEDIATRIC
GASTRO ENTERROLL GIST IN
MEMPHIS, TENNESSEE AND I'M
COMMENTING ON THE AMERICAN
ACADEMY OF PEDIATRICS. I
CURRENTLY SERVE AS CHAIR. THE
DIETARY GUIDELINES FOR AMERICANS
PLAY A CRUCIAL ROLE IN THE LIVES
OF CHILDREN BECAUSE OUR
PEDIATRICIANS LOOK TO THE
DIETARY GUIDELINES AND DO SO
WITH CONFIDENCE BECAUSE WE
BELIEVE THAT SCIENTIFIC EVIDENCE
WAS USED TO INFORM THE
RECOMMENDATION. WE APPLAUD THE
WORK OF THE COMMUTE TEE ON THE
EVIDENCE-BASED APPROACH THEY
TAKE THROUGH THE SUBCOMMITTEE ON
DIET AND THROUGH PREGNANCY AND
ADOLESC
ADOLESCENCE. THE DIETARY
EVIDENCE THROUGH THIS TIME
PERIOD ARE CRUCIAL AND IT IS
IMPORTANT FOR THE COMMITTEE'S
WORK TO FOCUS IN THIS AREA FOR
LONG-TERM OUTCOMES. WE ALSO
NEED TO TAKE A HOLISTIC EQUALITY
LOOK AT THIS TIME PERIOD BECAUSE
WE HAVE DIFFERENT RACIAL AND
ETHNIC INTAKES AND DIETARY
PATTERNS IN THIS GROUP. WE'RE
PLEASED THAT THE COMMITTEE IS
FOCUSING ON PRIMARY FEEDING AND
YOU HAVE TO CONSIDER DIFFERENT
REGIONAL AND CULTURAL PRACTICES
IN THIS EVIDENCE. WE'RE A
LITTLE DISAPPOINT THAT HAD THE
SCIENTIFIC QUESTION OF THE
IMPACT OF DIETARY PATTERNS
INFORMED DURING PREGNANCY AND
LACTATION IS DEPRIORTIZED BUT
THERE'S ONLY SO MUCH TIME BUT WE
ENCOURAGE YOU TO KEEP THIS IN
YOUR NEXT CYCLE AS A PRIORITY.
WE'RE ALSO INTERESTED IN THE
COMMITTEE'S FINDINGS ON BEVERAGE
PATTERNS.
KIDS CONSUMING SUGAR SWEETENED
BEVERAGES, DIETARY MILK BECAUSE
THIS HAS A BIG IMPACT ON
CHILDHOOD ADOLESCENT HEALTH. WE
LOOK FORWARD TO THE WORK. THANK
YOU FOR THE OPPORTUNITY TO
COMMENT.
>>I'M PETER, A NUTRITIONIST,
THE AMINO ACIDS SUPPLIED BY OUR
DIETS ARE ESSENTIAL FOR HUMAN
HEALTH AND WELL-BEING ONE THE
MAINTENANCE OF MUSCLE MASS IS
CRITICAL FOR AN AGING
POPULATION. WHOLE FOOD DIETS
THAT PROVIDE THE AMOUNTS
APPROPRIATE TO EACH STAGE OF
LIFE MUST BE THE GOAL OF DIETARY
GUIDANCE. GRIEVES YOU ADDITIONS
OF THE GUIDELINES SHOW PROTEIN
RECOMMENDATIONS. FIRST CRUDE
PROTEIN VALUES AND AN ESTIMATE
NO LONGER SUITABLE FOR USE IN
HUMANS AND OTHER MONOGASTRIC
NUTRITION. THIS PROVIDES NO
ESTIMATE OF INDIVIDUAL AMINO
ACIDS. IN 2011 AN FAO EXPERT
CONSULTATION RECOMMENDED
THAT "DIETARY AMINO ACIDS SHOULD
BE TREATED AS INDIVIDUAL
NUTRIENTS AND WHEREVER POSSIBLE
DATA FOR BIOAVAILABLE AMINO
ACIDS SHOULD BE GIVEN IN FOOD
TABLES ON AN INDIVIDUAL AMINO
ACID." THEY ALSO RECOMMENDED
THAT A NEW PROTEIN QUALITY
MEASURE, THE SCORE REPLACE
PDCAS. SECOND THE USE OF THE
RECOMMENDED DAILY ALLOWANCE FOR
PROTEIN IS FLAUL FLAWED SINCE IT
RELIES ON CRUDE PROTEIN VALUES.
PHRASES LIKE REFERENCE PROTEIN
ARE INSUFFICIENT AND POORLY
UNDERSTOOD BY THE PUBLIC IN
ADDITION THE R DA IS A MINIMUM
LEVEL.
IT HAS BEEN SHOWN TO BE
SIGNIFICANTLY BELOW OPTIMUM
LEVELS FOR LIFE STAGES FROM
2020-25 GUIDELINES DID NOT
DISCUSS THIS. ONLY MENTIONED
THE PHRASE AMINO ACID FOUR TIMES
AND PRESENTED OUNCE EQUIVALENTS
OF PROTEIN FOODS THAT "DO NOT
APPEAR TO BE EQUIVALENT IN ANY
RESPECT" THE NEXT DIETARY
GUIDELINES MUST REFLECT CURRENT
RESEARCH AND UNDERSTANDING THE
AMINO ACID NUTRITION ACROSS ALL
STAGES OF LIFE.
>>MY NAME IS JONATHAN, I SERVED
AS THE VICE PRESIDENT OF THE
GREAT NAVAJO NATION FROM
2015-18. AND AS ITS PRESIDENT
FROM 2019-23. I AM SPEAKING
TODAY ON MY OWN BEHALF AS A
TRIBAL LEADER. HISTORICALLY THE
NAVAJO NATION LIVE OFF THE LAND,
WE FARMED AND WERE STEWARDS OF
THE LAND. WHO WERE SELF-RELIANT
TO INTERFERE WITH OUR
SELF-SUFFICIENCY. NAVAJOS WERE
REMOVED FROM THEIR LAND AND WERE
HELD IN CAPTIVITY. IN THE
PROCESS OUR PEOPLE WERE
INTRODUCED TO GOVERNMENT RATIONS
THAT DID NOT REFLECT OUR
TRADITIONS. EVENTUALLY, WE
NEGOTIATED A RETURN TO OUR
HOMELANDS BUT GOVERNMENT RATIONS
FOLLOWED US. TODAY THEY
CONTINUE TO HARM THE HEALTH OF
OUR PEOPLE. MILK, CHEESE AND
OTHER DAIRY PRODUCTS WERE NEVER
PART OF OUR TRADITION. DAIRY IS
A EUROPEAN CUSTOM AND TODAY THE
GUIDELINES STILL PUSH US TO
CONSUME MILK EVEN THOUGH MOST
NATIVE AMERICANS CANNOT DIGEST
IT. MEAT WAS NEVER ESSENTIAL TO
THE NAVAJO DIET. OUR TRADITION
OF CORN, BEANS AND SQUASH
PROVIDE PROTEIN, CALCIUM AND
OTHER NUTRIENTS BUT ARE TREATED
AS SECOND CLASS FOODS IN THE
GUIDELINES WHICH KEEP IN AN
APPROPRIATE EMPHASIS ON MEAT AND
DAIRY PRODUCTS. BEANS IN
PARTICULAR ARE NOT ONLY RICH IN
PROTEIN AND MINERALS BUT ALSO
PROVIDE FIBER AND OTHER HELPFUL
NUTRIENTS WITH ESSENTIALLY NO
SATURATED FAT OR CHOLESTEROL
RAL. . PUTTING AN EMPHASIS ON
PLANT-BASED FOODS WOULD BE
BENEFICIAL NOT JUST TO OUR
PEOPLE BUT TO ALL AMERICANS.
>>WE SUPPORT THE DIETARY
GUIDELINES FOR AMERICANS AND
ENCOURAGE THE POLLICIS. TODAY
WE EMPHASIZE FIVE KEY POINTS,
FIRST EVIDENCE SHOWS A FOCUS ON
SUGAR REDUCTION OVER THE PAST 20
YEARS HAS NOT REDUCED OBESITY.
REDUCED BY 30% YET TRIPLED IN
CHILDREN AND ADULTS. NOT ALL
SOURCES OF ADDED SUGARS AND THE
MANNERS BY WHICH THEY ARE
CONSUMED ARE THE SAME. ADDED
SUGARS FROM DIFFERENT SOURCES
YIELD DIFFERENT OUTCOMES. THESE
DIFFERENCES SHOULD NOT BE
IGNORED. THIRD, SUGAR PLACES A
SIGNIFICANT FUNCTIONAL ROLE. AS
ONE EXAMPLE WHOLE WHEAT BREAD
WOULD NOT RISE WITHOUT ADDED
SUGARS. REMOVING SUGAR CAN
INCREASE CALORIES. THIS LED TO
A SURGE OF NO CALORIE
SWEETENERS. WITHOUT MEANINGFUL
CALORIE REDUCTION OR A FULL
UNDERSTANDING OF THE
IMPLICATIONS OF ADDING
SWEETENERS TO THOUSANDS OF
PRODUCTS. WHILE WE AGREE THAT
REDUCING ADDED SUGAR TO 10% OF
OVERALL CALORIES IS REASONABLE
GIVEN THERE IS NO CURRENT
DIETARY REFERENCE INTAKE
CALCULATING PERCENTAGES OF DAILY
CALORIES. THE -- THIS FITS INTO
A WEEK'S DIET WITHOUT
INCENTIVIZING BROAD BRUSH
REFORMULATION OF ALL FOODS THAT
CONTAIN ADDED SUGARS. IF THEY
SUPPORT HEALTHY PATTERNS IT IS
CRITICAL TO TAKE A VIEW OF WHAT
WORKS AND WHAT DOESN'T AND NOT
TO BE FORGOTTEN TASTE IS AN
IMPORTANT PART OF AN ENJOYABLE
DIET AND WHEN CONSUMED IN
MODERATION REAL SUGAR BRINGS
PLEASURE TO A HEALTHY BALANCED
DIE
DIET.
>>THANK YOU FOR UPDATING THE
GUIDELINES FOR AMERICANS. THE
GUIDELINES PROVIDE A ROADMAP TO
IMPROVE PUBLIC HEALTH THROUGH
NUTRITION. IT'S A SHARED GOAL
THAT ALL AMERICANS CONSUME
HEALTHY DIETS TO ENSURE OMEGA
THREE FATTY ACIDS AND OTHER BIO
ACTIVES HOWEVER WHEN THE DIET IS
SUBOPTIMAL FUNCTIONAL FOODS CAN
HELP FILL GAPS AND PROMOTE
OVERALL HEALTH. AMERICAN DIETS
ARE COMPLEX AND DIVERSE DRIVEN
BY FACTORS INCLUDING CULTURAL
AND LIFESTYLE PREFERENCES AND
MEDICAL CONDITIONS. THE
COMMITTEE SHOULD DISCUSS THE
APPROPRIATE USE OF SUPPLEMENTS
AND REINFORCE CURRENT GUIDELINES
RECOGNITION OF SUPPLEMENTS IN
HELPING AMERICANS MEET NUTRIENT
RICH RECOMMENDATIONS. GIVEN
THERE ARE SHORTFALLS. GETTING
ENOUGH NUTRIENTS CAN BE
CHALLENGING. ESPECIALLY DURING
PREGNANCY WHEN THERE'S A NEED
FOR CHOLINE. PRENATAL
SUPPLEMENTS ARE ROUTINELY
RECOMMENDED. THE COMMITTEE
SHOULD REINFORCE CURRENT EXPERT
ADVICE TO PROMOTE HEALTHY
PREGNANCIES AND BABIES. A
RECENT STUDY SHOWS THAT
INADEQUACY IN OLDER AMERICANS
ELIGIBLE FOR SNAP. MANY OLDER
ADULTS DECREASE THEIR FOOD
INTAKE DUE TO CHANGES IN
APPETITE OR INABILITY TO CHEW OR
SWALLOW FOOD AND CAN EXPERIENCE
DECREASED ABILITY TO ABSORB
NUTRIENTS RELATED TO USE OF
MEDICATION. OVERALL 75% OF
AMERICANS USE DIETARY
SUPPLEMENTS. WE URGE THE
COMMITTEE TO EXPRESS THESE
CONCERNS AT EACH LIFE STAGE AND
OPTIMIZE HEALTH INCLUDING
DIETARY SUPPLEMENTS AND
FUNCTIONAL FOODS. THANK YOU.
>>YOUR PURPOSE AS STATED ON. .
. .
>>I'M THE EXECUTIVE DIRECTOR OF
FOOD SHIFT. THAT RECOVERS FOOD
THAT WOULD OTHERWISE GO TO WASTE
AND OFFERS FRESH PRODUCE SERVING
VARIOUS MARGINALIZED COMMUNITIES
INCLUDING BUT NOT LIMITED TO
PEOPLE WHO IDENTIFY AS BIPOC,
MEMBERS OF L GUILLAIN-BARRE XHUB
'TIS I HAVE FIRSTHAND EXPERIENCE
SERVING MARGINALIZED COMMUNITIES
WHO STAND TO GAIN THE MOST FROM
THIS REVISION PROCESS.
THESE GUIDELINES WERE ON MY MIND
WHEN I HAD TO DISPOSE OF WASTED
DAIRY FROM THE SCHOOL SUMMER
LUNCH PROGRAM. THIS WAS TO
ENSURE STUDENTS HAD ACCESS TO
MILK YET STUDENTS DID NOT WANT
TO HAVE THE DAIRY AND WE COULD
NOT PROVIDE ASSURANCE THAT THE
PROTOCOLS WOULD BE FOLLOWED. I
SPOKE AT THE CALIFORNIA RESOURCE
RECOVERY CONFERENCE WHICH
INCLUDED PARTICIPANTS FROM THE
STATE AND LOCAL GOVERNMENTS AS
WELL AS FOOD ASSISTANT
ORGANIZATIONS. THEY IDENTIFY
DAIRY HAS FOOD THAT GOES TO
WASTE. IMAGINE THE POSSIBILITY
OF DIVERTING FUNDING FOR MEALS
TO INCLUDE MORE FRESH PRODUCE
AND OTHER FOODS RECOMMENDED.
WHY INCLUDE DAIRY WHEN SO MANY
AMERICANS SUFFER WHEN DIGEST IT.
NATIVE AMERICANS HAVE HIGH RATES
OF LACTOSE INTOLERANCE OUR
MARGINALIZED NEIGHBORS ARE AT
HIGHER RISK OF CHRONIC
CONDITIONS ROOTED IN POOR DIET.
WE APPRECIATE THE ADVISORY
COMMITTEE. COMMITTED TO
APPLYING AN EQUITY LENS AND
PREMOVE THE DAIRY FROM THE
GUIDELINES TO BE CULTURAL
INCLUSIVE. THANK YOU.
>>GOOD AFTERNOON, I'M THERESA
MARSHALL AND A PROFESSOR OF THE
COLLEGE OF DENTISTY. AND I'M
WORKING WITH DENTAL
PROFESSIONALS INVESTED IN ORAL
HEALTH. ORAL HEALTH IS MORE
THAN THE ABSENCE OF DISEASE.
ORAL HEALTH IS A STATE OF
WELL-BEING THAT SUPPORTS EATING,
BREATHING AND SPEAKING AND
ENABLES INDIVIDUALS TO BE A PART
OF SOCIETY WITHOUT
EMBARRASSMENT. AND HAVE
ADEQUATE NUTRIENT INTAKES. AND
WE HAVE THE CHRONIC DISEASE OF
CHILDHOOD LEADING TO TOOTH PAIN
AND LOSS. PER OWE ON THE DAL
DISEASE IS EXACERBATED BY
MALNUTRITION AND INSUFFICIENTS.
ADULTS OVER 30% HAVE PER RIO
DONNAL DISEASE THAT IS THE
LEADING CAUSE OF TOOTH LOSS.
LOW FRUIT INTAKES. THINK THE
TONGUE, JAW AND TEETH.
DECREASED ORAL FUNCTION RESULTS
FROM THE PAIN AND LOSS OF ORAL
DISEASE.
THIS DECREASED ORAL FUNCTION
MAKES IT VERY DIFFICULT TO EAT
NUTRIENT DENSE FRUIT AND
VEGABLE. EARLY CHILDHOOD IS THE
CANARY IN THE COAL MINE. THE
ADDED SUGARS ARE NOT PART OF THE
DIET AND A DIET HIGH IN NUTRIENT
DENSE FOODS. I WOULD ARGUE THAT
IT IS ESSENTIAL TO RECOGNIZE
DIET RELATED RISK FACTORS FOR
ORAL HEALTH AND ORAL HEALTH'S
ROLE IN CONSUMING A
NUTRITIONALLY ADEQUATE DIET
THROUGHOUT THE LIFE SPAN OF THE
2025-30 GUIDELINES. THANK YOU.
>>HELLO. MY NAME IS
DR. MICHELE. I'M A PRACTICING
PHYSICIAN IN THE EXECUTIVE
DIRECTOR OF NUTRITION AND
LIFESTYLE MEDICINE AT NEW YORK
CITY HEALTH AND HOSPITALS. THE
LARGEST MUNICIPAL PUBLIC HEALTH
CARE SYSTEM IN THE U.S. I'M
SPEAKING TODAY ON THE
RELATIONSHIP BETWEEN DIETARY
PATTERNS AND TYPE TWO DIABETES
RISK WE HAVE STRONG AND
CONSISTENT EVIDENCE THAT EATING
PATTERNS RICH IN WHOLE GRAINS,
VEGETABLES, FRUITS LEGUMES, NUTS
AND SEEDS ARE A SIGNIFICANT LESS
RISK IN TYPE TWO DIABETES.
THESE PLANT PREDOMINANT EATING
PATTERNS LOWER THE RISK OF
COMPLICATIONS SUCH AS
CARDIOVASCULAR DISEASE AND
CHRONIC KIDNEY DISEASE MOREOVER
THEY REDUCE LDL CHOLESTEROL,
BLOOD PRESSURE AND INFLAMMATION
AND PROMOTE A HEALTHY BODY
WEIGHT. THE CURRENT DIETARY
GUIDELINES ALREADY DO EMPHASIZE
FRUITS AND VEGETABLES AND WHOLE
GRAINS BUT CAN BE CLEARER ON
PROTEIN AND FAT THAT AFFECT THE
RISK ON DIABETES ANIMAL PROTEIN,
ESPECIALLY PROCESSED MEATS IS
CONSISTENTLY LINKED TO HIGHER
RISK OF TYPE TWO DIABETES.
SATURATED FATS DIRECTLY PROMOTE
INSULIN RESISTANCE AND THUS TYPE
TWO DIABETES. WHAT SHOULD BE
FRONT AND CENTER IN THE
GUIDELINES ARE FOODS SUCH AS
BEANS AND PROTEIN. THESE FOODS
HAVE MANY NUTRITIONAL ADVANTAGES
SUCH AS HIGH FIBER AND
ANTIOXIDANTS, LOW SATURATED FAT
AND NO CHOLESTEROL. MOREOVER,
THEY'RE AMONG THE MOST
AFFORDABLE SOURCES OF PROTEIN
AND RELEVANT ACROSS MANY
CULTURAL TRADITIONS. I
ENCOURAGE YOU TO HELP THE PUBLIC
SHIFT TO PLANTS.
>>HI. MY NAME IS BILL MURRAY,
A PRESIDENT AND CEO OF THE
NATIONAL COFFEE ASSOCIATION
REPRESENTING THE COFFEE BUSINESS
HERE IN THE U.S. 66% OF
AMERICANS OVER THE AGE OF 18
DRINK COFFEE EACH DAY. MORE
THAN DRINK ANY OTHER BEVERAGE
INCLUDING WATER. COFFEE'S
CONSUMED BY PEOPLE OF ALL
GENERATIONS AND DEMOGRAPHICS ON
AN AVERAGE THREE CUPS PER DAY
PER COFFEE DRINKER. AS WE
DETAILED IN OUR POSITIONS THE
PREPONDERANCE OF THE EVIDENCE IS
THAT THIS CONSUMPTION IS
POSITIVE IN THE OUTCOMES.
DRINKING 11-4 CUPS A DAY HAS A
SIGNIFICANTLY REDUCED RISK OF
TYPE TWO DIABETES. EVIDENCE HAS
ONLY STRENGTHENED SINCE 2015.
NUMEROUS PEER-REVIEWED STUDIES
CONCLUDE THAT DRINK COFFEE IS
ASSOCIATED WITH A REDUCED RISK
OF DIABETES, AND MULTIPLE
CHRONIC DISEASES, THE INSTITUTE
FOR CANCER RESEARCH AND THE
AMERICAN CANCER SOCIETY HAVE
FOUND THAT DRINKING COFFEE
REDUCES THE RISK OF THE CANCER
OF THE LIVER. COFFEE IS
CALORIE-FREE. SCIENTIFIC
STUDIES DO NOT DIFFERENTIATE
BETWEEN HOW COFFEE IS CONSUMED
OR PREPARED. BUT CONSUMER
POLLING SHOWS THAT 27% OF COFFEE
DRINKERS USE SUGAR. GIVEN THE
IMPACT OF COFFEE IN AMERICAN'S
DIETS WE URGE THE COMMITTEE TO
LOOK AT THE PREPONDERANCE OF THE
EVIDENCE AND HOW COFFEE DISPLAYS
IN HEALTHY DIETARY PATTERNS.
THANK YOU.
>>HELLO I'M WITH THE AMERICAN
EGG BOARD. A RESEARCH AND
PROMOTION BOARD THAT LEADS
SCIENCE ON THE HEALTH BENEFITS
OF EGGS THANK YOU FOR THE
OPPORTUNITY TO SHARE SOME OF THE
LATEST SCIENCE ON THE ROLE OF
EGGS IN HUMAN NUTRITION. THIS
IS PART OF THE PATTERNS BECAUSE
OF THE UNIQUE PRESENCE THEY HAVE
IN THE FOODS GROUP AND HAS
PROPOSED THAT EGGS MEET THE
CARTILAGINOUS FOR THE CLAIM
HEALTHY.
AND THERE SHALL NO -- THERE ARE
NO LIMIT ON CHOLESTEROL.
FURTHER, THE VAST MAJORITY OF
THE SCIENTIFIC LITERATURE
INDICATES EGG CONSUMPTION IS NOT
RELATED TO CARDIOVASCULAR
DISEASE RISK AND NEW STUDIES
SHOW THAT EGGS CAN BE PART OF
HEALTHY DIETARY PATTERNS EVEN
THOSE AT RISK FOR CARDIOVASCULAR
DISEASE OR DIABETES. THERE IS
EVIDENCE FOR NUTRITIONAL BENEFIT
FOR ALL AGE GROUPS AND
DEMONSTRATES THE COMBINATION OF
NUTRIENTS FOUND IN EGGS CAN BE
FOUND EARLY IN LIFE. AND
MATERNAL CHOLINE, GLUE TEEN AND
D
DHA INTAKE.
T MATERNAL EGG INTAKE ALSO
SHOWED NEURAL DEVELOPMENT IN 32
AND 36 WEEKS. THESE SUPPORT THE
VALUE OF EATING NUTRIENTS
BECAUSE OF THE INTERACTION OF
THE DIETARY COMPONENTS IN THE
FOOD AND POTENTIAL IMPACT ON
BIOAVAILABILITY. EGGS ARE ONE
OF THE FEW FOODS THAT ARE AN
EXCELLENT SOURCE OF CHOLINE AND
ALSO PROVIDE DHA TO THE DIET
ALTHOUGH THE COST OF MANY FOODS
INCLUDING EGGS HAS FLUCTUATED
OVER THE PAST COUPLE OF YEARS
EGGS HAVE BEEN ONE OF THE
HIGHEST QUALITY FOODS.
AFFORDABLE SOURCES OF NUTRIENT
DENSE FOODS ARE RELEVANT. WE
LOOK FORWARD TO PROVIDING YOU
WITH ADDITIONAL INFORMATION
THROUGH WRITTEN COMMENTS. THANK
YOU.
>>MY NAME IS DR. CHRISTINA
WELLS AND I'M A PHYSICIAN BOARD
CERTIFIED IN BOTH FAMILY AND
LIFESTYLE MEDICINE. I TREAT
INDIVIDUALS OF ALL AGES AND I
SPECIALIZE IN PREVENTATIVE
HEALTH SERVICES AND MANAGEMENT
OF CHRONIC DISEASES MANY OF THE
PATIENTS I SEE COME FROM
MARGINALIZED AND UNDERSTOOD
SERVED COMMUNITIES. I SEE
FIRSTHAND THE IMPACT OF DIET AND
DISEASES IN MY PATIENTS.
RESEARCH HAS SHOWN THAT LACTOSE
INTOLERANCE IS NORMAL AND IS
PRESENT IN A MAJORITY OF AFRICAN
AMERICANS, ASIAN-AMERICANS, AND
NATIVE AMERICANS AND OFTEN
BEGINS IN CHILDHOOD. THE
LACTOSE FREE DAIRY MILK IS
AVAILABLE SUCH PRODUCTS ARE HIGH
IN SIMPLE SUGARS AND ARE NOT
FREE OF OTHER ISSUES RELATED TO
DAIRY INGESTION. THE ADVISORY
COMMITTEE IS TASKED TO USE THE
HEALTH EQUITY LENS THAT DAIRY IS
REQUIRED AS PART OF A HEALTHY
DIET IS RACIALLY BIASED BECAUSE
80% OF BLACK PEOPLE ARE LACTOSE
INTOLERANT. ADDITIONALLY, DAIRY
PRODUCTS POSE SIGNIFICANT HEALTH
RISK. DAIRY IS THE NUMBER ONE
SOURCE OF SATURATED FATS IN
AMERICAN DIETS AND INCREASES THE
RISK OF HEART DISEASE, THE
LEADING CAUSE OF DEATH IN THE
UNITED STATES. THE NUMBER ONE
SOURCE OF SATURATED FAT SHOULD
NOT BE INCLUDED IN THE MY PLATE
DIE YA -- DIAGRAM.
THIS SHOULD NOT INCLUDE THE
DAIRY ICON NOT ONLY BECAUSE OF
THE HEALTH RISKS BUT MOST
IMPORTANTLY BECAUSE DAIRY IS NOT
A SUITABLE OPTION FOR MOST
AMERICA
AMERICANS. .
>>MY NAME IS RUSSELL. I WORK
WITH THE NATIONAL PASTA
ASSOCIATION. WE WORK WITH PASTA
SUPPLIERS. PASTA RICH AND WHOLE
GRAIN IS A HEALTHY NUTRITIOUS
FOOD THAT PROVIDES KEY
NUTRIENTS. FOR WOMEN OF
CHILDBEARING YEARS AND THOSE
PREGNANT AND LACTATING HAVE
FOLATE CRUCIAL FOR REDUCING THE
RISK OF NEURAL TUBE DEFECTS AND
ALSO AN EXCELLENT SOURCE OF
COMPLEX CARBOHYDRATES AND HAS A
LOW GLYCEMIC INDEX MEANING IT IS
ABSORBED SLOWER THAN OTHER
STARCHES. SECOND, PASTA CAN
POTENTIALLY HELP IMPROVE HEALTH
BY INCLUDING DIET QUALITY,
VEGETABLE AND NUTRIENT INTAKE
RESEARCH PUBLISHED IN AUGUST
2020 SHOWS THAT ADULTS AND
CHILDREN WHO EAT PASTA HAVE
SIGNIFICANT HIGHER HEALTHY
EATING INDEX SCORES THAN NON
PASTA EATERS. PASTA DOES NOT
INCREASE WEIGHT GAIN. A
LITERARY REVIEW EXAMINING 38
STUDIES PUBLISHED THIS JUNE IN
NUTRIENTS SUGGEST THAT PASTA
CONSUMPTION IS NOT ASSOCIATED
WITH HEALTHY WEIGHT AND MAY BE
INVERSELY ASSOCIATED WITH BODY
MASS INDEX, BMI PARTICULARLY
WHEN CONSUMED IN THE CONTEXT OF
A HEALTHY PATTERN. PASTA CAN
HELP INCREASE CULTURAL
DIVERSITY. PASTA IS A
CONVENIENT AFFORDABLE FOOD THAT
APPEAL TO ALL CULTURES. FOR
THESE REASONS WE WOULD LIKE
PASTA IN ALL FORMS INCLUDING
RICH, WHOLE GRAIN AND
ALTERNATIVE PASTAS TO BE
RECOMMENDED AND INCLUDED AS PART
OF THE HEALTHY DIETARY PATTERNS
IN THE DIETARY GUIDELINES FOR
AMERICANS. THANK YOU.
>>SO THANK YOU FOR ALL OF THE
COMMENTS SO FAR. WE'RE NOW
GOING TO TAKE A TEN MINUTE
BREAK. AND WHEN WE COME BACK,
WE WILL TRANSITION TO THE LIVE
VIRTUAL ORAL COMMENTS. SO WE'LL
CONVENE HERE AGAIN AT 3:05.
>>WELCOME BACK. WE ARE NOW
GOING TO TRANSITION TO OUR LIVE
VIRTUAL ORAL COMMENTERS AND OUR
MODERATOR WILL IDENTIFY EACH
COMMENTER BY COMMENTER NUMBER.
>>57.
>>DEAR MEMBERS OF COMMITTEE.
THANK YOU FOR THE OPPORTUNITY TO
PROVIDE COMMENTS TODAY. MY NAME
IS NADINE GRACEIA, TRUST FOR
AMERICA'S HEALTH. TFA IS A
NON-PROFIT NON-PARTISAN PUBLIC
HEALTH POLICY RESEARCH ADVOCACY
ORGANIZATION. WE ARE COMMITTED
TO PROMOTING HEALTH FOR EVERY
PERSON AND COMMUNE AND MAKING
HEALTH EQUITY FOUNDATIONAL TO
POLICY MAKING AT ALL LEVELS.
ONE OF OUR LONG STANDING POLICY
PRIORITIES IS CHRONIC DISEASE
AND OBESITY PREVENTION THROUGH
EQUITABLE ACCESS TO NUTRITIOUSND
AFFORDABLE FOOD. FOR THE PAST
20 YEARS WE RELEASE THE ANNUAL
STATE OF OBESITY REPORT WHICH
TRACKS RATES OF OVERWEIGHT AND
OBESITY BY AGE, RACE, AND STATE
OF RESIDENTS AND PROVIDES
EVIDENCE BASED POLICY
RECOMMENDATIONS TO ADDRESS THIS
IMPORTANT PUBLIC HEALTH ISSUE.
THE 20TH EDITION OF THE STATE OF
OBESITY REPORT WILL BE RELEASED
NEXT ON SEPTEMBER 21ST AND
INCLUDES A RETROSPECTIVE
ANALYSIS OF POLICY MILESTONES TO
IMPROVE NUTRITION, AND INCREASE
PHYSICAL ACTIVITY AND ADDRESS
INCREASING RATES OF OBESITY. ONE
OF THESE POLICIES IS TO ENSURE
THAT RELEVANT PROGRAMS AND
POLICIES SUCH AS SCHOOL MEALS
AND FOOD BENEFIT PACKAGES IN A
SPECIAL SUPPLEMENTAL NUTRITION
PROGRAM FOR WOMEN INFANTS AND
CHILDREN ALIGN WITH THE DIETARY
GUIDELINES FOR AMERICANS. FOR
EXAMPLE THE 2023 STATE OF
OBESITY REPORT DOCUMENTS HOW
IMPORTANT THE 2009 UPDATE TO THE
WIC NUTRITION STANDARDS WAS IN
SIGNIFICANTLY DECREASING RATES
OF OBESITY FOR CHILDREN
PARTICIPATING IN THE PROGRAM. I
URGE THE MEMBERS OF THE
COMMITTEE TO REFLECT ON
IMPORTANCE OF DIETARY GUIDELINES
FOR AMERICANS NOT ONLY FOR
PEOPLE TO USE IN EVERY DAY
NUTRITION DECISIONS BUT ALSO FOR
THE NEED TO CONTINUALLY UPDATE
THE NUTRITION STANDARDS FOR FOOD
ASSISTANCE PROGRAMS. THANK YOU
FOR YOUR TIME AND CONSIDERATION
>>THANK YOU. 58.
>>FOODS ASSOCIATION. AN
OVERWHELMING BODY OF SCIENTIFIC
EVIDENCE DEMONSTRATES BERRIES
SHOULD BE PART OF HEALTHY EATING
PATTERNS FOR ALL AMERICANS ALL
LIFE STAGES WITH VARIOUS DIETARY
NEEDS. DAIRY PRODUCTS INCLUDING
MILK YOGURT AND CHEESE PROVIDE
UP TO 13 ESSENTIAL NUTRIENTS
INCLUDING CALCIUM, VITAMIN D AND
POTASSIUM, THREE OF FOUR
UNDERCONSUMED NUTRIENTS OF
CONCERN. IDEA PHASE MEMBERS MAKE
A MYRIAD OF PRODUCTS THAT ARE
READILY AVAILABLE AND AFFORDABLE
FOR AMERICANS INCLUDING THOSE
THAT ARE SHELF STABILITY AND
LACTOSE FREE OR LOW IN LACTOSE
SODIUM ADDED SUGAR AND SATURATED
FAT. RECENT STUDIES SHOW FOR
ADULTS AND CHILDREN DAIRY MILK
AND YOGURT CONSUMPTION INCLUDING
FULL FAT AND FLAVOR VARIETIES
ARE NOT ASSOCIATED WITH INCREASE
RISK OF OBESITY. IN ADDITION,
WHETHER DGA CURRENTLY EMPHASIZE
CONSUMPTION OFLY FAT AND FAT
FREE DAIRY OPTIONS, WE
ANTICIPATE A REVIEW OF EXPANDING
SCIENTIFIC EVIDENCE
DEMONSTRATING THAT EATING DAIRY
PRODUCTS INCLUDING FULL FAT
VARIETIES IS NOT TIED TO
INCREASE RISK OF CARDIOVASCULAR
DISEASE. MOST AMERICANS ARE NOT
MEETING DGA RECOMMENDATIONS FOR
DAIRY. ADOLESCENTS ARE CONSUMING
AN AVERAGE 1.6 TO 2 SERVINGS OF
DAIRY PER DAY, WHY THE DGA
RECOMMEND THREE. EXPANDING THE
LIST OF DGA RECOMMENDED DAIRY
PRODUCTS MAY THRUST THIS ISSUE.
WE URGE THE COMMITTEE TO RELEASE
THE PROTOCOL FOR THE SYSTEMATIC
REVIEW OF FOOD SOURCES WITH
SATURATED FAT SO SCIENTIFIC
STUDIES CAN BE SHARED TO INFORM
THE COMMITTEE'S RECOMMENDATIONS
LASTLY, NUTRIENT RICH DAIRY
OPTIONS MAY UNDERGO FURTHER
PROCESSING TO IMPART ENSURE FOOD
SAFETY AND IMPROVE PALATABILITY.
AS THE COMMITTEE LOOKS AT THE
SCIENCE REGARDING ULTRA
PROCESSED FOODS WE WILL NEED A
CONSISTENT DEFINITION FOR THE
TERM AND THE EFFECTS OF
PROCESSING NUTRIENT CONTENT OF
THE FOOD MUST BE CONSIDERED.
THANK YOU. WE WILL ALSO BE
SUBMITTING WRITTEN COMMENTS.
>>59.
>>GOOD AFTERNOON, MY NAME IS
CATHERINE AND I'M A POLICY
FELLOW CENTER FOR SCIENCE AND
PUBLIC INTEREST, A NON-PROFIT
CONSUMER ADVOCACY ORGANIZATION
THAT PROVIDES SCIENCE BASED
NUTRITION AND FOOD ADVICE.
THANK YOU FOR THE OPPORTUNITY TO
MAKE FOUR RECOMMENDATIONS TO THE
2025 TODAY. FOOD ULTRA PROCESSED
FOODS WE URGE THE COMMITTEE TO
GIVE PARTICULAR CONSIDERATION TO
CLINICAL TRIAL BY KEVIN HALL AND
COLLEAGUES WHICH SUBJECTS
CONSUME 500 MORE CALORIES PER
DAY WHEN OFFERED ULTRA PROCESSED
COMPARED TO UNPROCESSED.
MOREOVER THE PARTICIPANTS GAINED
TWO POUNDS AFTER TWO WEEKS ON
ULTRA PROCESS POUNDS AND LOST
TWO POUNDS IN TWO WEEKS
UNPROCESS. THESE DIETS WERE
MATCHED FOUR PRESENTED CALORIES
MACRO NUTRIENTS SUGAR SODIUM AND
FINDER WHICH SUGGESTS THESE WERE
NOT DRIVEN BY DIFFERENTIAL
NUTRIENT COMPOSITION OF THE
FOOD. REGARDING SUGAR SWEETENED
BENCHES WE USUAL THE COMMITTEE
TO GIVE CONSIDERATION FOR
RANDOMIZED CONTROL TRIALS THAT
DEMONSTRATES SSB EGG CONTRIBUTE
TO WEIGHT GAIN WHICH IS A RISK
FACTOR FOR TYPE 2 DIABETES. ALSO
ASSOCIATED WITH OVER WEIGHT AND
DIABETES AND OBSERVATIONAL
STUDIES. THESE ARE THE TOP
CONTRIBUTORS TO SUGAR
CONSUMPTION IN THE US. THE
CURRENT RECOMMENDATION CONSUME
LESS THAN 10% CALORIES FROM ADD
AD SUGARS IS BASED ON FOOD POWER
MODELING FOR INDIVIDUAL WHOSE
NEED 3,000 CALORIES PER DAY.
MOST GENERAL ADVICE IS BASED ON
2000 DIET SO WHY ADDED SUGAR IS
DIFFERENT? ONCE COMPLETE FOOD
MODELING ANALYSIS FOR THE 2025
CYCLE WE URGE YOU TO RECOMMEND
THE ADDED SUGARS LIMIT BASED ON
A 2000-CALORIE DIET. FINALLY ON
THE TOPIC OF SATURATED FAT AND
RISK SCIENCE CONTINUES TO
SUPPORT LIMITING CONSUMPTION OF
SATURATED FATS TO LESS THAN 10%
CALORIES AND REPLACING WITH
UNSATURATED FATS. WE URGE THE
COMMITTEE TO ADVISE THE
DEPARTMENTS TO OBTAIN THIS
GUIDANCE. FURTHER COMMITTEE
SHOULD NOT MUDDY ADVICE BY
EXEMPTIONS FROM INDIVIDUAL FOOD
SOURCES WITHOUT EVIDENCEED FROM
CLINICAL TRIALS THAT GIVEN FOOD
DOES NOT RAISE CHEST ROLL A
SURROGATE END POINT FOR
CARDIOVASCULAR DISEASE. THANK
YOU FOR YOUR TIME.
>>THANK YOU. 60.
>>MY NAME IS (INAUDIBLE) A
REGISTERED DIETITIAN AND
ASSOCIATE DIRECTOR OF THE
HEALTHCARE NUTRITION COUNCIL M.
HNC IS ASSOCIATION REPRESENT
MANUFACTURERS OF NUTRITION
FORMULAS AND ORAL NUTRITION
SUPPLEMENTS INCLUDING THOSE
CATEGORIZED AS MEDICAL FOODS AND
NUTRITIONUTRITION. OUR MISSIONO
IMPROVE PATIENT OUTCOMES
ADVANCING NUTRITION TRIG POLICY
AND ACTIONS THAT RAIDS AWARENESS
AND OPTIMIZE ACCESS OF SUPPORT
THERAPIES ACROSS THE CONTINUUM
OF CARE. FOR THE COMMITTEE'S
CONSIDERATION WE ARE CONCERNED
ABOUT THE PREVALENCE OF MALL
NUTRITION especially among older
adults which in some cases was
exacerbated during the COVID
pandemic. Up to one and two
older adults are at risk for M
aL nutrition an important public
health concern that impacts
quality of life and increases
healthcare costs. The centers
for disease control and
prevention reported that
tragically the national deaths
related to malnutrition have
doubled from 9300 deaths in 2018
to 20,500 deaths in 2022.
Certain ethnicities and races
maybe disproportionately
impacted by malnutrition and
food insecurity based on variety
of social determinants of
health. We appreciate the health
equity addressing in the
guidelines. To address
nutritional needs oral nutrition
supplements can be used to help
individuals meet their goals.
The world health organization
has published a strong
recommendation that oral
nutrition supplements with
dietary advice should be
recommended to older people
affected by undernutrition. We
appreciate that the 2020
guidelines recognize the role of
supplementation when discussed
with the healthcare provider. We
ask the the committee to
continue this recommendation and
these guidelines and
specifically recognize how oral
nutrition supplements can be
used to compliment a diet to
help individuals who are unable
to meet their nutritional needs
through regular foods alone.
Thank you.
>>THANK YOU. 61.
>>THANK YOU FOR YOUR ATTENTION.
MY NAME IS AUDREEY FOUNDER AND
EXPECT TV DIRECTOR OF BALANCED.
A PUBLIC HEALTH ADVOCACY
ORGANIZATION. I'M SPEAKING TO
DIETARY PATTERNS AND DIET
RELATED DISEASE. SPECIFICALLY
HERE TO DISCUSS DIETARY FIBER,
IN THE CONTEXT OF DIET RELATED
DISEASE WITH A PARTICULAR FOCUS
ON SIGNIFICANCE FOR HEALTH OF
CHILDREN AND THE DGA IMPACT ON
NATIONAL NUTRITION POLICY ON
SCHOOL GUIDELINES. DIETARY
DISEASE IS RELATED NOT JUST
OVERCONSUMPTION OF DISEASE
LINKED FOODS BUT PERSISTENT
DANGEROUS UNDERCONSUMPTION OF
HEALTH PROMOTING FOODS FOODS. E
HABITS START IN CHILDHOOD. THIS
IS WHERE PROMOTION AND INCREASE
FUNCTION OF DIETARY FIBER PLAYS
A PIVOTAL ROLE GIVEN THE DGA
FOUNDATION UPON CRIT LCAL
NUTRITION POLICIES THAT SCHOOL
NUTRITION GUIDELINES BASED.
NOTED BY USDA IN 2020 GUIDE
PIPELINES FIBER IS KNEW TRENT OF
CONCERN AS IT IS UNDERCONSUMED
BY VAST MAJORITY OF AMERICANS.
IN THE 2025 GUIDELINES PROVIDED
CRITICAL OPPORTUNITY TO FURTHER
EMPHASIZE ROLE OF FIBER ON
PROBATION OFFICERALL HEALTH. YOU
HAVE HEARD FROM MANY TODAY ABOUT
THE RISK OF FOCUSING ON ONE
NUTRIENT OUTSIDE CONTEXT OF
LARGER DIETARY PATTERN.
INCREASING FUNCTION OF FIBER AND
PROVIDING GUIDANCE FOR DOING SO
DGA WILL NATURALLY BE I A
DRESSED BOTH NUTRIENT OF CONCERN
WHILE ALSO ENCOURAGING A HEALTHY
DIETARY PATTERN OF FRUITS WHOLE
GRAINS, FIBER HISTORICALLY
CONSIDERED BENEFICIAL
EXCLUSIVELY FOR ROLE IN
DIGESTIVE HEALTH WITH INCREASE
EVIDENCE ON THE ROLE OR GUT
MICROBIOME PLAYS REGARDING
MENTAL HEALTH IMMUNE FUNCTION
ENDOCRINE AND CARDIOVASCULAR
HEALTH AMONG OTHER IT IS 2025
BENEFIT FROM PRACTICAL GUIDANCE
FOR DIETARY FIBER AS NUTRIENT OF
CONCERN EMPHASIZING SOURCES OF
DIETARY FIBER AS WELL AS
RELATIONSHIP WITH FIBER AND
OVERALL WELL BEING. I URGE THE
COMMITTEE TO UNDERSCORE THE
IMPORTANCE OF AND PROVIDE STRONG
CLEAR GUIDANCE FOR INCREASING
DIETARY FIBER IN THE 2025
DGAs. THANK YOU.
>>NUMBER 62. 63.
>>GOOD AFTERNOON. MY NAME IS
KATE MCKENZIE, EXECUTIVE
DIRECTOR OF THE NEW YORK CITY
MAYOR'S OFFICE OF FOOD POLICY.
HONORED TO BE HERE. AT DIETARY
PATTERNS SUBCOMMITTEE REVIEWS
THE RELATIONSHIPS BETWEEN
DIETARY PATTERNS AND
CARDIOVASCULAR DISEASE AND TYPE
2 DIABETES, I WOULD LIKE TO DRAW
YOUR ATTENTION TO THE WORK NEW
YORK CITY HAS ALREADY DONE TO
DEVELOP STANDARDS AND PRACTICES
TO HELP LOWER THE RISK OF
CERTAIN CHRONIC DISEASES AND
MAKE IT EASIER FOR NEW YORKER
SURGED BY CITY AGENCIES TO
ACCESS FOODS THAT HAVE LESS
ADDED SUGAR, LOWER SODIUM, AND
MORE PLANT BASED PROTEIN
OPTIONS. WE RULED OUT A
LIFESTYLE MEDICINE PROGRAM IN
OUR PUBLIC HOSPITALS WITH THE
CULTURALLY DIVERSE PATIENT
POPULATION THAT EMPHASIZES A
HEALTHY PLANT BASED EATING
PATTERN. THE PROGRAM SUCCESSES
APE LINE WITH WEALTH OF
SCIENTIFIC EVIDENCE ON THE
BENEFITS OF DIETARY PATTERNS
WITH MOSTLY WHOLE AND MINIMALLY
PROCESSED FOODS FROM PLANTS
INCLUDING PLANT PROTEINS SUCH AS
BEANS PEES LENTILS NUTS AN
SEEDS. WE APPRECIATE THE
COMMITTEE'S APPLICATION OF A
HEALTH EQUITY LENS TO DAIRY
RECOMMENDATIONS DUE TO DIFFERENT
LACTOSE INTOLERANCE THAT MAY
EXIST AMONG PEOPLE OF DIFFERENT
ANCESTRY. OUR FOOD STANDARDS
COMBAT STRUCTURAL INEQUITIES
THAT MAKE HEALTHY EATING
INACCESSIBLE AND CONTRIBUTE TO
THE DISPROPORTIONATE BURDEN OF
DIET RELATED CONDITIONS AMONG
BRACT AND LATINO NEW YORKERS AND
NEW YORKERS WITH LOW INCOMES.
WE ENVISION A FUTURE WHERE DAIRY
IS NOT NECESSARILY A DAILY
RECOMMENDATION FOR ALL. IN THE
GUIDELINES IN WORDS OR IN
PICTURE. SUCH PRODUCTS CAN STILL
PROVIDED A VAT NUTRITIONAL VALUE
BEING SENSITIVE TO THE VARIABLE
INCLUSION OF DAIRY IN A
DIFFERENT DIETARY PATTERN. THE
INCLUSION OF FORTIFIED PLANT
BASED BEVERAGES AND YOGURTS AS
ALTERNATIVES ALIGN WITH
INTERRELATED GOALS OF IMPROVED
INDIVIDUAL COMMUNITY AND
PLANETARY HEALTH H. FINALLY, WE
ENCOURAGE THE COMMITTEE TO FOCUS
ON RECOMMENDATIONS ON
SUSTAINABILITY. NEW DATA IN NEW
YORK SHOWS THAT OUR GREENHOUSE
GAS EMISSIONS ARE INTIMATELY
CONNECTED TO FOOD. OUR GOAL IS
TO REDUCE THESE EMISSIONS BY 33%
BY 2030 AND TO DO THIS WE MUST
ENSURE A SUSTAINABLE FOOD SYSTEM
THAT HELPS LOCAL ECONOMIES,
PROTECT IT IS ENVIRONMENT AND
PROMOTES LONG TERM PUBLIC
HEALTH. THANK YOU AGAIN FOR THIS
OPPORTUNITY.
>>64.
>>GOOD AFTERNOON, DGAC MEMBERS
MY NAME IS RON AND I'M A WHEAT
AND SODIUM FARMER IN KANSAS. I
SERVE AS CHAIRMAN OF WHEAT FOOD
COUNCIL AND INDUSTRY WIDE
PARTNERSHIP DEDICATED TO
INCREASING DOMESTIC WHEAT FOOD
CONSUMPTION. WHEAT AND OTHER
WHOLE GRAINS PROMOTE DIGESTIVE
HEALTH AND PREVENT CHRONIC
DISEASE LIKE HEART DISEASE AND
TYPE 2 DIABETES. WHEAT PRODUCTS
CAN PROVIDE ESSENTIAL NUTRIENTS
LIKE FIBER B VITAMINS IRON AND
ANTIOXIDANTS AND CARBOHYDRATES
AND MINERALS. SINCE 1941 WHEAT
PRODUCTS HAVE HELPED ERADICATE
DIETARY DEFICIENCIES IN THE U.S.
LIKE BERIBERI AND REDUCE BIRTH
DEFECTS TESTIMONY WHEAT FOODS
COUNCIL CONTINUES TO PROMOTE THE
CONSUMPTION OF BOTH WHOLE AND
ENRICHED WHEAT FOODS TO HELP THE
AMERICAN PUBLIC MEET THEIR
NUTRITIONAL NEEDS. WE URGE THE
COMMITTEE TO DRAFT
RECOMMENDATIONS THAT CONTINUES
TO ENCOURAGE CONSUMPTION OF ALL
NUTRIENT RICH WHEAT PRODUCTS.
ENRICHED WHEAT PRODUCTS LIKE
BREAD PASTA FLOUR AND CEREALS
ARE RELIABLE AFFORDABLE
ESSENTIAL NUTRIENTS WHO MAY
STRUGGLE WITH FOOD INSECURITY.
2020 DGA RECOMMENDED A DIET RICH
IN GRAINS AND URGE CONSUMERS TO
MAINTAIN GRAIN CONSUMPTION EVEN
WHEN SWITCH TOPING PRODUCTS
LOWER IN SALT SUGAR AND FAT. TO
ENSURE THE RECOMMENDATIONS ARE
ACCESSIBLE FOR ALL WE URGE DGAC
TO UPHOLD RECOMMENDATIONS THAT
PROMOTE ALL WHEAT FOOD PRODUCTS.
WHEAT CONSUMPTION IS IMPORTANT
THROUGHOUT OUR LIFE SPAN. AS
BOTH WHOLE WHEAT AND ENRICHED
WHEAT PRODUCTS CONTAIN IRON
WHICH IS ESSENTIAL FOR FETAL
GROWTH AND DEVELOPMENT DURING
PREGNANCY. WHOLE GRAINS ARE
RECOMMENDED IN INCREASING
AMOUNTS THROUGHOUT CHILDHOOD
THOUGH MANY CHILDREN DON'T MEET
RECOMMENDED INTAKE FOR WHOLE
GRAINS. WHILE LOW CARB DIETS
ARE POPULAR AMONG AMERICAN
ADULTS WE URGE THE DGAC TO
EMPHASIZE WHEAT PRODUCTS AND
OTHER STABLE CARBOHYDRATES FROM
DIFFERENT CULTURES PROVIDE THE
BODY WITH ITS MAIN SOURCE OF
ENERGY.
>>THANK YOU. 65.
>>GOOD AFTERNOON MY NAME IS
(INAUDIBLE) AND I'M WITH THE
NATIONAL MINIMUMK PRODUCERS
FEDERATION. NATIONAL MILK
REPRESENTS DAIRY COOPERATIVES
AND FARMER OWNERS. I WILL SPEAK
TO SUBCOMMITTEE 1. DAIRY
PRODUCTS HAVE BEEN AN INTEGRAL
PART OF THE DIETARY GUIDANCE.
MILK IS A GOOD OR EXCELLENT
SOURCE OF 13 NUTRIENTS INCLUDING
CALCIUM, POTASSIUM AND VITAMIN D
THREE OF THE FOUR NUTRIENTS OF
PUBLIC HEALTH CONCERN.
UNFORTUNATELY NEARLY 90% OF
AMERICANS DON'T CONSUME THE
RECOMMENDED SERVES OF DAIRY.
WITH THIS SCIENTIFIC QUESTION
FOCUSED ON SOURCES OF SATURATED
FATS, THIS COMMITTEE HAS THE
OPPORTUNITY TO REMEDY A PREVIOUS
OVERSIGHT AND INCLUDE THE KNEWER
SCIENCE ON DAIRY FATS IN THE
DAIRY MATRIX. DAIRY FOODS
REGARDLESS OF FAT LEVEL APPEAR
NEUTRAL OR BENEFICIAL EFFECTS OF
CHRONIC DISEASE RISK INCLUDING
CARDIOVASCULAR DISEASE, TYPE 2
DIABETES OBESITY AND STROKE.
THIS SHOULDN'T DEFAULT TO THE
OVERLY BROAD RECOMMENDATION TO
AVOID SATURATED FATS REGARDLESS
OF FOOD SOURCE. AND SUPPORTS THE
EFFORTS OF HEALTH EQUITY WORKING
GROUP TO ENSURE DGA ARE RELEVANT
TO PEOPLE DIVERSE RACIAL ETHNIC
SOCIAL ECONOMIC AND CULTURAL
BACKGROUNDS. CURRENT DIETS
RESULT IN SIGNIFICANT
DISPARITIES IN NUTRIENT INTAKES
AND THEREFORE HEALTH OUTCOMES.
CONDITIONS THAT MAY AFFECT
COMMUNITIES OF COLOR INCLUDING
LACTOSE INTOLERANCE NEED TO BE
PART OF COMMITTEE'S
RECOMMENDATIONS. THE SOLUTION TO
LACTOSE INTOLERANCE IS NOT
AVOIDANCE OF DAIRY WHICH LEADS
TO KNEW SHORT FALLS THAT ARE
UNHEALTHY. LACTOSE FREE AND HAVE
BEEN BECOME MORE COMMON AND
AVAILABLE OFFERING THE SAME
NUTRIENTS. A NUMBER OF PROTOCOLS
EXCLUDE STUDIES WITH CURATION OF
LESS THAN 12 WEEK WEEKS. THIS
ARBITRARY DETERMINATION WILL
LIMIT THE SCIENCE VAIL TO
BELIEVE THE COMMITTEE. MANY
RANDOMIZE CONTROL TRIALS ARE
SHORTER DURATION BECAUSE EFFECTS
ARE SEEN IN A SHORT TIME AND
RCTs ARE EXPENSIVE. IF THE THE
12 WEEK LIMIT ISN'T CHANGED
SOUND STUDIES WILL BE EXCLUDED
LEADING TO GUIDELINES THAT
IGNORE IMPORTANT SCIENCE. THANK
YOU FOR YOUR NAME.
>>THANK YOU. 62. 62.
>>GOOD AFTERNOON, DGAC MEMBERS.
MY NAME AS MUCH SAM SCHNEIDER A
RICE FARMER AND -- IN MISSOURI.
I SERVE AS THE CHAIR OF THE
NUTRITION SUBCOMMITTEE FOR USA
RICE. I AM SPEAK ON BETHAT OF
GRAIN CHAIN GRAIN INDUSTRY
COALITION FROM FARM TO PORT. A
DIET RICH IN GRAINS HAS HEALTH
BENEFITS INCLUDING REDUCE HEART
DISEASE AND STROKE. ENRICHED
GRAINS LIKE SOME PASTAS BREAD
AND RICE PROVIDE ESSENTIAL
NUTRIENTS LIKE IRON AND B
VITAMINS WHOLE GRAINS PROVIDE
NUTRIENTS LIKE FIBER AND FOUND
TO LOWER RISK OF OBESITY AND
TYPE 2 DIABET DIABETES. WE URGEE
DGAC TO CONSIDER HOW THEY ARE
ADDRESSING ULTRA PROCESSED FOODS
GIVEN THE TERM IS NOT HAVE A
CONSISTENT SCIENCE BASED
DEFINITION AND THE BREADTH AND
QUALITY OF RESEARCH ON UPS IS
LIMITED. ENRICHED GRAINS HAVE
BEEN MISTAKENLY CONSIDERED ULTRA
PROCESSED FOODS MAKE UP 95% OF
REFINED GRAINS CONTRIBUTE TO
HEALTHY DIET AND CAN AFFORDABLY
PROVIDE NUTRITIONAL BENEFITS FOR
CONSUMERS INCLUDING THOSE WHO
ARE FOOD INSECURE. WHOLE GRAINS
ARE GREATLY UNDERCONSUMED IN
MORE THAN 90% ADULTS FALL SHORT
OF RECOMMENDED FIBER INTAKE. WE
URGE THE DGAC TO DRAFT
RECOMMENDATIONS THAT FULLY
CONSIDER THE MANY IMPORTANT
BENEFITS OF PROCESSING AS THEY
EVALUATE THE EVIDENCE.
RECOMMENDATIONS TO ELIMINATE OR
REDUCE ULTRA PROCESSED FOODS MAY
AFFECT CONSUMPTION OF KEY
NUTRIENTS FOOD GROUPS LIKE
GRAINS THEREFORE RECOMMENDATIONS
SHOULD SUPPORT CONSUMPTION OF
GRAINS PROVIDING CRITICAL
NUTRITION BENEFITS MANY DEEMED
UNDERCONSUMED IN THE - DG ASH.
GRAB CONSUMPTION IS ESSENTIAL
INCLUDING FOR INFANT GROWTH AND
DEVELOPMENT LIKE FOLATE. WHILE
LOW CARB DIETS GAINED SOME
INTEREST AMONG THE PUBLIC THE
DGAC CONTINUES TO RECOMMEND
CONSUMPTION OF NUTRIENT DENSE
GRAINS. THE GRAIN CHAIN IS
ALIGNED WITH APPROACH THAT DIET
LOW ETHAN 40% OF CALORIES FROM
CARB IS CONSIDERED LOW CARB. WE
SUPPORT THE DGAC AND EFFORTS TO
EXPLORE CARBS TO ACHIEVE HEALTH
EQUITY AND ENRICH GRAIN DIVERSE
CULTURE USED TO MEET NUTRITIONAL
NEEDS. THANK YOU.
>>THANK YOU. 66.
>>MY NAME IS JOE SAINT
GEORGEMENT 35 YEAR AFRICAN
AMERICAN VEGAN THE HEALTHY PLANT
BASED LAWYER WHO SURVIVED SMALL
BOW WE WOULD CANCER AT 28 YEARS
OF AGE. FOLLOWING MY FAITH AND
EVIDENCE BASED PRACTICE OF
BIBLICAL PLANT BASED MEDICINE.
I'M PLEASED TO PRESENT COMMENTS
ON BEHALF OF PLANTS BASED FOOD
ASSOCIATION THE ONLY TRADE
ASSOCIATION IN THE U.S.
REPRESENTING OVER 320 NATION
LEADING PLANT BASED FOOD
COMPANIES AND AFFILIATES LIKE
THE HBCU COLLEGE PLANT BASED
LIFESTYLE MEDICINE. I HAVE THREE
CRITICAL POINTS TO MAKE. ONE
HEALTH EQUITY LENS IS CRITICAL.
PBFA SUPPORT IT IS COMMITTEE
FOCUS ON HEALTH EQUITY AND
IMPORTANCE OF PERSONAL CULTURAL
AND TRADITIONAL PREFERENCES IN
DIETARY NEEDS. DATA SHOWS THAT
THIS IS PARTICULARLY RELEVANT
WHEN IT COMES TO THE WHOLE PLANT
BASED DIETARY PATTERNS AND
MODELING WITHIN THE GROWING
FAITH BASED CONSUMER GROUPS OF
THE 7TH ADVENTIST, JEWISH VEGANS
CHRISTIANS VEGETARIANS MUSLIMS,
HINDUS AND ORTHODOX ETHIOPIANS
WHO HAVE THE FUNDAMENTAL RIGHT
TO PRACTICE RELIGIOUS DIETARY
HABITS PRODETECTED BY THE 1ST
AMENDMENT FOR IT TO BE AMENABLE
THEY MUST PRESENT THE RANGE OF
FOODS CONSUMED BY THE RELIGIOUS
GROUPS BUT ALSO FOR GROUPS IN
COMMUNITIES OF COLOR WHO LIVE IN
FOOD DESERTS SUFFERING FROM
CHRONIC DISEASE WHO HAVE A
GROWING FAITH IN PLANT BASED
FOODS AS THEIR SOURCE TO IMPROVE
THEIR HEALTH. DATA SHOWS THAT
AFRICAN AMERICANS AND STUDENTS
ON HBCU CAMPUSES ARE THE FASTEST
GROWING COMMUNITY OF ALTERNATIVE
FOODS FOR HEALTH REASONS. SECOND
THE HEALTH BENEFITS OF PLANT
BASED FOODS IS DOCUMENTED. NO
SECRET DIETS HIGH IN FIBER AND
IN PLANTS ONLY FOUND IN PLANT
LIFE LED TO LOWER RATES OF
CHRONIC DISEASE AND REVERSAL.
THEREFOR THE DIETARY
RECOMMENDATIONS SHOULD INCLUDE
THE EVIDENCE FROM THE OVER 300
SCIENTIFIC RESEARCH STUDIES ON
PLANT BASED NUTRITION AS WELL AS
STUDIES ON FAITH BASED RELIGIOUS
PRACTICE THAT SUPPORT BETTER
HEALTH OUTCOMES AND FINALLY ARE
AVAILABLE. WE HAVE THE -- THANK
YOU SO MUCH FOR THIS
OPPORTUNITY.
>>67.
>>MY NAME IS POSSIBLE. I'M A
(INAUDIBLE) INTERNATIONAL FOOD
COUNCIL. GLOBAL ASSOCIATION
(INAUDIBLE) WE APPRECIATE THE
OPPORTUNITY TO PROVIDE
(INAUDIBLE) RELATIONSHIP BETWEEN
CONSUMPTION OF (INAUDIBLE) ULTRA
PROCESSED FOODS AND GROWTH BODY
COMPOSITION (INAUDIBLE)
COMMITTEE HAS LITTLE (INAUDIBLE)
CONSENT -- THE QUESTION SHOWED
(INAUDIBLE) CONSIDERATION OR
DEFINITION FOR UPFs. AS IT IS
THE ONLY QUESTION TO INCLUDE THE
PHRASING WITH VARIANT
(INAUDIBLE) SUCH FOOD AND
FORMULA BABY FOOD PLANT BASED
MEATS, (INAUDIBLE) MANY FOODS
(INAUDIBLE) ALLERGIES
(INAUDIBLE) NUTRITIONAL QUALITY
OF FOOD. 73% (INAUDIBLE) ULTRA
PROCESSED STUDY PUBLISHED IN
AUGUST LED BY SCIENTISTS AT THE
USDA DEMONSTRATE (INAUDIBLE)
CALORIES COMING FROM UPFs
FOLLOWING 2025 (INAUDIBLE). IN
THE 2025 DGA (INAUDIBLE) ADVICE
IT IS COMMITTEE CAREFULLY
(INAUDIBLE) AND PROVIDE DETAILED
TO ALL AMERICANS TO MAKE HEALTHY
CHOICES BASED ON (INAUDIBLE)
THEY PROTECT CERTAIN FOOD GROUPS
(INAUDIBLE) GUIDANCE TODAY'S
CONFERENCE FOOD -- COMPLEX FOOD
SYSTEM WILL WIDEN INEQUALITIES
BETWEEN DIFFERENCES IN
DEMOGRAPHICS (INAUDIBLE)
BALANCED DIET AS MOUNTING
PRESSURE INDIVIDUALS (INAUDIBLE)
INFANTS AND CHILDREN THANK YOU
FOR YOUR TIME.
>>THANK YOU. 68.
>>GOOD AFTERNOON. MY NAME IS
DR. MICHAEL DOD LEAD ORAL HEALTH
SCIENTIST AT (INAUDIBLE) ADJUNCT
ASSOCIATE PROFESSOR UIC COLLEGE
OF DENTISTRY IN CHICAGO. MARS
SUPPORTS THE DEVELOPMENT OF
EVIDENCE BASED GUIDANCE AND
DIETARY TRANSLATION INTO OUR
DIETS INCLUDING MORE WHOLE GRAIN
OFFERINGS AND REDUCING SODIUM
CONTENT OF OUR PORTFOLIO. OUR
WRITTEN COMMENTS ADDRESS SEVERAL
TOPICS BUT TODAY I WILL FOCUS ON
IMPORTANCE OF RESTORING AND
STRENGTHENING ORAL HEALTH
RECOMMENDATIONS IN THE NEXT
DIETARY DIED GUIDELINES. GIVEN
ORAL HEALTH IS FOUNDATION FOR
HEALTHY EATING. APPROPRIATE
AMOUNTS OF FRUITS VEGETABLES AN
LIEDING PROTEIN AND FURTHER
ASSOCIATED WITH OTHER ADVERSE
HEALTH OUTCOMES AT ALL LIFE
STAGES FROM BIRTH TO END OF
LIFE. INCLUDING PRE-TERM BIRTH
CARDIOVASCULAR DISEASE AND
DIABETES. RECOGNIZING THIS ORAL
HEALTH WAS INCLUDED IN PREVIOUS
DIETARY GUIDELINES IN 2005,
2010. HOWEVER, ACCORDING TO 2021
NIH REPORT ORAL HEALTH IN
AMERICA 27% OF U.S. ADULTS
SUFFER FROM UNTREATED DECAY.
SINCE 2010 WE LEARNED MORE ABOUT
THE IMPORTANCE OF SALIVA FLOW
WHICH WASHES AWAY CARBS
MAINTAINS THE BALANCE OF ORAL
MICROBIOMES AND PROTECTS TOOTH
ENAMEL. CHEWING SUGAR FREE GUM
SHOWS A 2020 META ANALYSIS
CHEWING SUGAR FREE GUM
EQUIVALENT TO OTHER TREATMENTS
INCLUDING USE OF FLUORIDATED
TOOTHPASTE AND MOUTH RINSE.
SALIVA STIMULATION FROM CHEWING
THAT GUM PROVIDE RELIEF FROM
THOSE SUFFERING FROM DRY MOUTH
PA CONDITION THAT EXACERBATES
DIET (INAUDIBLE) WE THEREFORE
URGE THE COMMITTEE TO
REINTRODUCE ORAL HEALTH
PREVENTIVE HEALTH PRACTICES AND
CONSIDER ADDING LANGUAGE ON
CHEWING SUGAR FREE GUM AFTER
MEALS OF SNACKS. GIVEN RECENT
FIND RATION AND RECOGNIZING
OTHER PRACTICES ARE RARELY
FEASIBLE AT ALL TIMES OF DAY.
THANK YOU FOR YOUR TIME.
>>THANK YOU. 69.
>>I'M TIM (INAUDIBLE) WITH
COALITION FOR ADVANCEMENT OF
(INAUDIBLE). PULSES BEANS PEAS
AN LENTILS PROVIDE NUTRIENTS OF
FIBER AND POTASSIUM. WHAT THE
COMMITTEE MAY NOT KNOW IS
TODAY'S DIETARY GUIDELINES
RECOMMEND FEWER THAN THE PAST.
THREE CUPS WERE RECOMMENDED FOR
ALL IN 2005 BUT NOW TODAY'S
GUIDELINES ONLY RECOMMEND ONE
AND A HALF CUPS FOR THE HEALTHY
U.S. AND MEDITERRANEAN PATTERNS
NO JUSTIFICATION WAS GIVEN FOR
CUTTING THE RECOMMENDATION IN
2010. SO WE ARE FRILL FOOD
PATTERN MODELING SUBCOMMITTEE IS
A CHANGES TO FOOD GROUP AMOUNTS
WE STRONGLY ENCOURAGE YOU TO
INCREASE BEANS PEE PEAS AND
LENTILS TO THREE CUPS A WEEK FOR
ALL DIETARY PATTERNS RESEARCH
SHOWS THIS REDUCES OBESITY,
HEART DISEASE AND KAREN. --
CANCER. WE DID A MODELING STUDY
TAKING THE EXACT HEALTHY U.S.
AND MEDITERRANEAN PATTERNS BUT
INCREASED BEANS PEAS AND LENTILS
TO THREE CUPS. WHEN UPSWAP OUT
PROTEIN FOODS FOR THE PULSE
SERVES IT INCREASES FIBER. AND
WHEN YOU SWAP OUT REFINED GRAINS
FOR THE ADDITIONAL PULSES, IT
INCREASES FIBER POTASSIUM IRON
AND CHOLINE. WE ALSO DID N
HAYNES MODELING THAT FOUND
EATING JUST ONE ADDITIONAL
SERVING OF BEANS DAILY INCREASES
POTASSIUM BY 15% AND FIBER BY
40%. THESE IMPROVEMENTS TO DIET
QUALITY CANNOT BE IGNORED. WE
ASK THE COMMITTEE TO PLEASE
EXPLORE MODELING SCENARIOS WHERE
ADDITIONAL SERVES OF BEANS PEAS
AN LENTILS ARE ADDED TO THE
DIETARY PATTERNS. OUR MODELING
SHOWS IT IS POSSIBLE TO SWAP OUT
PROTEIN FOODS, REFINED GRAINS OR
EVEN A COMBINATION OF BOTH SO
THAT AT LEAST THREE CUPS OF
PULSES ARE RECOMMENDED FOR ALL.
THANK YOU.
>>THANK YOU. 70.
>>GOOD AFTERNOON MY NAME IS
(INAUDIBLE) I'M AN OLYMPIAN AND
WORLD MEDALIST TRACK ATHLETE AND
DAIRY FARMER I. SPEAK TO
SUBCOMMITTEES ONE AND TWO.
GROWING UP I HAVE KNOWN THE
HEALTH BENEFITS OF HAVING DAIRY
IN MY DIET. AS AN ATHLETE AND
NEW MOM I NOW UNDERSTAND EVEN
MORE. DAIRY IS THE TOP SOURCE OF
CALCIUM AND VITAMIN D FOR ADULTS
AND CHILDREN AND LEAST EXPENSIVE
SOURCE OF KNEW TRENTS IN
AMERICAN DIETS. HOWEVER THE
MAJORITY OF AMERICANS UNTIL
DON'T CONSUME THE RECOMMENDED
DAILY NUMBER OF SERVES AND
EVERYBODY WORSE MAYBE TURNING TO
PLANT BASED IMITATORS WITHOUT
UNDERSTANDING NOT ONLY THE
NUTRITIONAL DIFFERENCES IN
NUTRIENT ABSORPTION. PROMINENT
NUTRITION IN MEDICAL GROUPS SUCH
AS AMERICAN ACADEMY OF PEED TRAY
CONTRIBUTION AND AMERICAN HEART
ASSOCIATION AND THE ACADEMY OF
NUTRITION AND DIETETICS DON'T
RECOMMEND PLANT BASED MILK
IMITATORS OR AS SUBSTITUTES IN
CHILDREN DIET BECAUSE OF LACK OF
NUTRITIONAL (INAUDIBLE). AS
PROFESSIONAL ATHLETE NURSEING A
SIX MONTH OLD BABY AND RETURNING
TO INTENSE TRAINING THE RISK FOR
BONE FRACTURES IS HIGH. THE
DAIRY PRODUCTS ARE PLAYING A
ROLE KEEPING DEMANDING
NUTRITIONAL NEEDS MET DUE TO
THEIR COMPOSITION OF COMPLETE
PROTEINS AND OTHER HIGH QUALITY
KNEW TRENTS SUCH AS CALCIUM,
THAT ARE MORE BIOAVAILABLE IN
DAIRY MILK AS COMPARED TO
FORTIFIED IMITATION MILK. AS THE
COMMITTEE LAUNCH AD RESEARCH I
STRONGLY CAUTION AGAINST AND
OPPOSE INFERENCE THAT HEALTH
IMPACTS ASSOCIATED WITH MILK
CONSUMPTION WOULD APPLY TO PLANT
BASED MILK ALTERNATIVES. THERE
IS NO EVIDENCE TO SUPPORT THIS.
THE BEVERAGES ARE SO
NUTRITIONALLY DIFFERENT FROM
REAL MILK THAT WHETHER ONE USES
POSITIVELY OR NEGATIVELY THE
IMPACT ON HEALTH CANNOT BE
ASSUMED TO BE THE SAME AS OR
EVEN SIMILAR TO THAT OF MILK.
THUS I STRONGLY URGE THAT ANY
CONCLUSIONS ABOUT THE AFFECTS OF
MILK SHOULDN'T BE EXTENDED TO
PLANT BASED MILK IMITATORS
UNLESS JUSTIFIED BY STUDIES OF
THOSE IMITATORS SPECIFICALLY.
>>71. GOOD AFTERNOON. I AM DR.
JACK CHIEF SCIENCE AND
REGULATORY OFFICER AMERICAN
PERCH ASSOCIATION. REPRESENTING
THE NON-ALCOHOLIC BEVERAGE
INDUSTRY. ABA SHARES A GOAL TO
REDUCE THE RISK OF PREVENTABLE
DISEASE SUCH AS OBESITY THROUGH
IMPROVED DIETARY PATTERNINGS WE
ARE SUBMITTED TO SUGAR REDUCTION
BY PROVIDING CONSUMERS WITH MORE
CHOICES THAT FIT LIFESTYLE
GOALS. NUTRITION ADVICE SHOULD
BE COMMON SENSE CENTERED ON
MODERATION BALANCE FLEXIBILITY
AND CHOICE. THREE POINTS.
FIRST, TO ENSURE THIS COMMITTEE
CONSIDERS THE LATEST BEST
EVIDENCE STUDIES UP TO A YEAR
PRIOR TO REPORT RELEASED BY MAY
31, 2024 SHOULD BE PART OF THE
EVIDENCE REVIEW CONSISTENT WITH
THE PRACTICE FOR PAST CYCLES.
STAY AT HOME ORDERS IN THE PAST
FEW YEARS DUE TO COVID-19
IMPACTED STUDY REVIEWMENT AND
DELAYED CHILD COMPLETION AND
PUBLICATION. THUS PROPOSED
DEADLINE OF THIS PAST MAY SEVERE
LIT LIMIT FOR CONSIDERATION THE
AMOUNT OF NEW INFORMATION SINCE
THE LAST CYCLE. PLEASE REVISE
PUBLICATION DEADLINE TO MAY,
2024. SECOND ANY RECOMMENDATION
ON LOW OR NO ADDED SUGAR
ALTERNATIVES TO SUGAR SWEETENED
BEVERAGES DRAW FROM AVAILABLE
ROBUST SCIENCE. FAVORABLE
METABOLIC OUTCOMES HAVE BEEN
WHEN REPLACED -- THE CURRENT
DRAFT PROTOCOL CONTINUES TO USE
STUDY FINDINGS TO FOCUS ON SUGAR
SWEETENED BEVERAGES RATHER THAN
BENEFITS FROM LOW AND LOW
CALORIE SWEETENED BENCHES OR
WATER CONSUMPTION. THESE ROLE
THE INTENDED SUBSTITUTION OF LOW
AND LOW CALORIE SSBs,
DISMUSSING THIS EVIDENCE THAT
OTHERWISE AMERICANS TO ACHIEVE
BETTER HEALTH OUTCOME IS A
DISSERVICE TO PUBLIC HEALTH.
WEIGHT LOSS STUDIES 12 WEEKS
SHOULD BE INCLUDE. SUCCESSFUL
WEIGHT LOSS OF 5 TO 10% CAN BE
ACHIEVED. TRANSLATE TO LONG
TERM BENEFIT A PHYSIOLOGICAL
STANDPOISTANDPOINT. THE PROTOCOL
REQUIREMENT SHOULD BE REVISED
FROM 6 MONTHS TO 12 WEEKS. THANK
YOU.
>>THANK YOU. 72.
>>GOOD AFTERNOON. I AM
(INAUDIBLE) JOHNSON A RESEARCHER
AND REGISTERED DIETITIAN WITH
JOHNS HOPKINS CENTER FOR FUTURE.
MY COMMENT ADDRESSES COMMITTEE
1, RISK OF CARDIOVASCULAR
DISEASE IN DIABETES. IN 2020,
2025 DIETARY GUIDELINES FOR
AMERICANS INCLUDES ALL PROTEINS
POULTRY AND SEAFOOD AND RED MEAT
ALL TOGETHER. I A DIVISIONAL
NUANCE IS NEED AND
RECOMMENDATIONS TO PROCESS MEAT
TO REFLECT BODY OF SCIENTIFIC
EVIDENCE SUGGESTED THAT THESE
PROTEIN INCREASE THE RICK OF
ADVERSE HEALTH OUTCOMES.
FURTHERMORE RED AND PROCESSED
MEAT COMPARED TO OTHER ANIMAL
PROTEINS SUCH AS POULTRY AND
EGGS. ALL MEATS ARE NOT CREATED
EQUAL NOR EQUAL ON HUMAN HEALTH.
AMERICANS MUST BE AWARE OF THESE
DIFFERENCES. NO DOUBT RED MEAT
IS EXCELLENT SOURCE OF PROTEIN
BUT AMERICAN ARE NOT DEFICIENT
OVERALL IN PROTEIN RED AND
PROCESSED MEAT CONSUMPTION IS
ASSOCIATED WITH INCREASE RISK OF
DEATH AND CHRONIC DISEASE. 20 TO
30% INCREASE IN COLORECTAL
CANCER, THE ADDED PRESERVATIVES
IN SALT AND PROCESSED MEATS ALSO
INCREASE RISK OF HIGH BLOOD
PRESSURE AND WEIGHT GAIN, TWO
FACTORS WITH CARDIOVASCULAR
DISEASE. THE MOST RECENT META
ANALYSIS PUBLISHED ON MEAT
CONSUMPTION EACH ADDITIONAL 50
GRAMS OF UNPROCESSED RED MEAT
PER DAY ASSOCIATED WITH 9%
GREATER RELATIVE RISK OF
ISCHEMIC HEART DISEASE.
PROCESSED PGH 18% HIGHER RISK.
THE AMERICAN HEART ASSOCIATION
RECOMMENDS CHOOSING HEALTHY
SOURCES OF PROTEIN FROM PLANT
BASED PROTEINS, FISH AND SEAFOOD
AND LEAN LEAN MEAT WITH
HEALTHIER PROTEIN SOURCES WE CAN
IMPROVE THE HEALTH OF THE
POPULATION. RATHER THAN LUNCHING
ALL THE PROTEIN FOODS TOGETHER
INTO THIS NEXT ROUND OF DIETARY
GUIDANCE IT IS ESSENTIAL TO
PROVIDE GREATER SPECIFICITY. WE
HAVE THE EVIDENCE TO DO SO. WE
CAN NO LONGER STAY IDLE AND SAY
THE SCIENCE IN NOT DATA. TIME IS
NOW. LET'S NOT WAIT ANOTHER FIVE
YEARS. THANK YOU.
>>73.
>>I'M DR. (INAUDIBLE)
REGISTERED DIETITIAN AND
DIRECTOR OF SCIENTIFIC NUTRITION
AFFAIRS FOR THE NOL CONTROL
COUNCIL AND INTERNATIONAL
ASSOCIATION REPRESENTING
MANUFACTURER ES OF LOW CALORIE
FOODS AND BENCHES INCLUDING
SUPPLIERS AND OF INGREIDER
GENTS,
>>CCC IS PLEASED TO ENSURE THE
FOLLOWK TOPICS ARE CONSIDERED IN
THE EARLY STAGE GUIDELINE
DEVELOPMENT PROCESS. WHICH
APPRECIATE THE WORK OF THE
COMMITTEE IS IMPORTANT THAT THE
DGA ARE BASED ON A THOROUGH
REVIEW OF THE SCIENTIFIC
EVIDENCE. WE KNOW THE END DATE
AND DRAFT PROTOCOL PUBLICATION
IS TO BE DETERMINED FOR SOME
QUESTIONS, ARE SPECIFIED AS MAY
31ST 3023 TO OTHERS. DUE TO
CHALLENGES WITH THE COVID-19
INSTITUTIONS WORLDWIDE FACED
EXTENDED CLOSURES, CAUSING
SIGNIFICANT DELAY AND
IMPLEMENTATION COMPLETION OF
RESEARCH PROJECTS. IN ADDITION
TO LACK OF CONSISTENCY THE
SHORTER TIME FRAME PREVENT THE
CONSIDERATION OF VALUABLE
NUTRITION RESEARCH CARRIED OUT
DURING THE PANDEMIC. AS SUCH WE
REQUEST THE END DATE OF MAY
31ST, 2024 IS CONSIDERED. I ALSO
NOTE DATA RELATED TO LOW AND LOW
CALORIE SWEETENED BENCHES SHOULD
BE ANALYZED TO ASSIST GENERAL
BENEFIT. THE PROTOCOLS ON THESE
PRODUCTS ONLY IN RELATION TO
THOSE SWEETENED WITH SUGAR.
THERE BY PUT THE COMMITTEE
EXAMINE BENEFIT OF LOW AND LOW
CALORIE BENCHES AND SUGAR
REDUCTION AND YEAR OUTCOMES.
LASTLY REGARDING ULTRA PROCESSED
FOODS CCC IS -- COMPARE
PUBLICATIONS ANDREW RELEVANT
CONCLUSIONS IN THIS AREA. THE
LACK OF A SCIENTIFIC BASED
DEFINITION FOR THE TERM PROCESS
LENDS THE AVAILABILITY TO MAKE
RECOMMENDATIONS BASED ON THE
CURRENT BODY OF THE EVIDENCE.
THERE ARE MULTIPLE
CLASSIFICATIONS, PROCESSES THAT
ARE APPLIED DIFFERENTLY ACROSS
THE LITERATURE. THE
CLASSIFICATIONS SYSTEM HAS
RESULTED IN INCONSISTENT
CLASSIFICATION AND WELL
ESTABLISHED RELATIONSHIPS
BETWEEN FOOD GROUPS NUTRIENTS
AND HEALTH OUTCOMES. FURTHER
MOST PEER REVIEW PUBLICATIONS
ARE OPINIONS, COMMENTARIES OR
OBSERVATIONAL STUDIES, WHICH ARE
INADEQUATE
>>THANK YOU. 74.
>>ON BEHALF OF THE CONSUMER
GRANTS ASSOCIATION I APPRECIATE
THE OPPORTUNITY TO PROVIDE
COMMENTS TO THE CURRENT DIETARY
GUIDELINES ADVISORY COMMITTEE.
CONSUMER GRANTS CHAMPION THE
INDUSTRY WHOSE PRODUCTS
AMERICANS DEPEN ON EVERY DAY
REPRESENTING NEARLY 2000 ICONIC
BRANDS INCLUDING FOOD AND
BEVERAGE PRODUCTS. AT PRESENT
THE SCIENTIFIC COMMUNITY LACKS
CONSISTENT SCIENCE BASED
DEFINITION FOR THE TERM ULTRA
PROCESS. THEREFORE ANY
POTENTIAL CONCLUSION FROM THE
COMMITTEE ON THE RELATIONSHIP
BETWEEN CONSUMPTION OF DIETARY
PATTERNS AND YOU WILL FRA
PROCESSED FOODS WILL BE
PREMATURE INCONSISTENT WITH THE
REQUIREMENT THAT THE DIETARY
GUIDELINES WE BASED ON CURRENT
BODY OF NUTRITIONAL SCIENCE.
FURTHER BY RELYING ON LOWER
QUALITY OF EVIDENCE
RECOMMENDATIONS RELATED TO THE
CONCEPT OF ULTRA PROCESSED FOODS
DO NOT REFLECT SCIENCE PRACTICE.
CLASSIFICATIONS LIKE NOVA
INCONSISTENTLY AND IMPRECISELY
GROUP TO LEVELS OF PROCESSING.
THESE FOUR CATEGORIES LACK
CRITERIA, THREATENING
CLASSIFICATION IN OVERALL
FUNCTIONALITY OF THE ENTIRE
SYSTEM. SESSION SPEAKERS AT THE
LATEST MEETING OF THE AMERICAN
SOCIETY OF FOR NUTRITION DISCUSS
LACK OF SCIENTIFIC CONSENSUS ON
THE DEFINITION OF UPF AND LACK
OF STATISTICALLY SIGNIFICANT
EVIDENCE TO SUPPORT COMPLETELY
REMOVING U P,F IF FROM THE DIET.
INSTEAD THEY REITERATED THE
IMPORTANCE OF MODERATION AND
CONTEXT SPECIFIC FACTORS WILL
CONSIDER UPF ON DIET. WE URGE
THE COMMITTEE TO CONSIDER ALL
ASPECT OF FOOD PROCESSING TO
IMPROVE HEALTH EQUITY AND
NUTRITIONAL SECURITY INCLUDING
FOOD SAFETY, AFFORDABILITY,
CONVENIENCE AND THE REDUCTION OF
FOOD WASTE. AS DR. (INAUDIBLE)
RECENTLY NOTED IN PUBLISHED
RESEARCH HEALTHY DIETARY
PATTERNS CAN INCLUDE PROCESSED
FOODS AND DELIVER UNDERCONSUMED
KNEW TRENTS LIFE FIBER AND
VITAMIN D. ALL AMERICANS NEED
ADVICE TO FOLLOW REGARDLESS OF
PHYSICAL CONDITION, ECONOMIC
STATUS OR CULTURAL PREFERENCE.
OUT MILISIGNIFICANTLY MORE
RESEARCH IS NEEDED TO INFORM
EVIDENCE BASED RECOMMENDATIONS
RELATED TO THE ROLE OF OF
PROCESSED FOODS ON HEALTH EQUITY
AND NUTRITION SECURITY FOR ALL.
THANK YOU.
>>75.
>>THANK YOU TO COMMITTEE FOR
YOUR TIME TODAY. FOR QUICK
CONTEXT CHILDHOOD NUTRITION
COMPANY FROM BIRTH TO 8 YEARS
OLD. THESE ARE FROM POINTS OF
VIEW OF MYSELF AND CO-FOUNDERS.
A LITTLE (INAUDIBLE) QUALITY
NUTRITION IS CRITICAL FIRST FEW
YEARS OF LIFE TO LAY FOUNDATION
FOR HEALTHY EATING HABITS. TWO
MAIN AREAS WE ASK THE COMMITTEE
TO CONSIDER VARIETY IN DIET AND
LIMITING OVERLY PROCESSED FOODS.
WE KNOW THERE IS NOT ONE MAGICAL
SUPER FOOD BUT A VARIETY OF
FOODS THAT PROVIDE NUTRITIONAL
PUNCH WHEN CONSUMED TOGETHER
SERVING CHILDREN FOOD FROM ALL
COLORS OF RAINBOW IS A GREAT WAY
TO ENSURE THEY ARE RECEIVING A
MYRIAD OF KNEW TRENTS. DIETARY
GUIDELINES THE PAST HAVE
MENTIONED IMPORTANCE OF FRESH
FRUIT AND VEGETABLE CONSUMPTION
FOR ADULTS BUT SAME FOR BABIES
AND TODDLERS. RESEARCH
IDENTIFIED A LACK OF VEGETABLE
CHOICES IN INFANT TODDLER FOOD
FINDING ONLY 1.1% LISTED A DARK
LEAFY VEGETABLES AS A FIRST
INGREDIENT. WE URGE THE
COMMITTEE TO TAKE THIS INTO
CONSIDERATION. ADULT DGA WHOLE
VEGETABLES FRUITS AND GRAINS ARE
RECOMMENDED WHILE AVOIDING ADD
AD SUGAR SALT SATURATED AND
TRAININGS FATS, ALL INREED GENTS
IN OVERLY PROCESSED FOODS,
CONSIDER THAT HOW BABY TODDLER
AND CHILDREN FOOD IS PREPARED
MATTERS. THE HEATING PROCESS
THAT MOST SHELF STABLE BABY
BRAND FOODS ARE RENDERING THE
FOOD STERILE. LACKING VITAMINS
NUTRIENTS AND ENZYMES CRITICAL
FOR HEALTHY DEVELOPMENT. NOT TO
SAY WE SHOULD BAN IT BUT THE
FACT IT IS 2023 AND THERE IS NO
CLEAR RECOMMENDATION ON THE
BENEFITS OF FEEDING CHILDREN
FRESH FOOD OVER STERILE
HYPERPROCESSED FOODS IS CRAZY.
THE COMMITTEE HAS AN OPPORTUNITY
TO RISE ABOVE THE LOBBYISTS OF
BIG FOOD MAKING BILLIONS OF
DOLLARS MAKING OUR CHILDREN
SICK. DO WHAT IS RIGHT FOR THE
NEXT GENERATION AND OFFER CLEAR
CUT GUIDELINES ON WHAT TO FEED
OUR CHILDREN, WHAT NOT TO FEED
THEM AND HOW. THANK YOU SO MUCH
FOR YOUR TIME.
>>77.
>>HELLO. MANY I NAME IS DIANE
(INAUDIBLE) AND I'M A REGISTERED
DIETITIAN AND THE DIRECTOR
NUTRITION FOR THE JUICE
FOUNDATION. JPA. JPA
ASSOCIATION REPRESENT
(INAUDIBLE)
>>78.
>>THANK YOU FOR THE OPPORTUNITY
TO PRESENT THE VIEWS OF THE
AMERICAN HEART ASSOCIATION MY
NAME IS (INAUDIBLE) I'M
ASSOCIATE PROFESSOR AT THE
UNIVERSITY OF RHODE ISLAND IN
(INAUDIBLE) HEART ASSOCIATION
NUTRITION COMMITTEE. WE
UNDERSTAND THAT THE COMMITTEE IS
EXAMINING WHETHER FOOD SOURCES
SATURATED FAT EFFECT THE RISK OF
CARDIOVASCULAR DISEASE. WE
AGREE THIS IS AN IMPORTANT
QUESTION AS THERE'S SOME DEBATE
PARTICULARLY AROUND DIETARY FAT
OR DAIRY. BUT UNTIL THERE'S
STRONGER EVIDENCE FROM OCTs,
WE SUPPORT THE CURRENT
RECOMMENDATION TO REPLACE FOODS
HIGH IN SATURATED FATS WITH
FOODS HIGHER IN UNIS IT RATED
FAT. LOWER INTAKE OF SATURATED
AND HIGHER INTAKE OF UNSATURATED
IS ASSOCIATED WITH LOWER RATES
OF CARDIOVASCULAR DISEASE. THE
BENEFITS OF UNSATURATED FATS
PARTICULARLY WHEN REPLACING
SATURATED AN TRANSFATS. TO HELP
CONSUMER IMPLEMENT THE
GUIDELINES SHOULD SPECIFY
COMMONLY CONSUMED FOODS HIGH IN
SATURATED FADS AND UNSATURATED
TO REPLACE. WE APPRECIATE TO
EXAMINE YOU WILL FRA PROCESSED
FOODS. CONSUMERS CHOOSE
MINUTELY PROCESSED INSTEAD OF
ULTRA PROCESSED. AS YOU REVIEW
THE EVIDENCE CLARIFY WHAT
QUALIFIES AS AN ULTRA PROCESSED
FOOD. THERE IS NO COMMONLY
ACCEPTED DEFINITION AND SOME
HEALTHY FOODS MAY EXIST WITHIN
THE ULTRA PROCESSED FOOD QUAT
GORE. THE COMMITTEE SHOULD
ENSURE ANY DEFINITION OF ULTRA
PROCESSED FOODS DOES NOT INCLUDE
OTHERWISE HEALTHY FOODS AND
ENSURE CONSUMER FACING MESSAGES
CLEARLY DEFINE WHICH KINDS OF
ULTRA PROCESSED FOODS TO AVOID.
WE ALSO ENCOURAGE THE COMMITTEE
TO EXPAND ULTRA PROCESSED FOODS
TO -- ULTRA PROCESSED FOODS HAVE
BEEN LINKED TO POORER
CARDIOVASCULAR HEALTH. THANK YOU
FOR THE OPPORTUNITY TO PRESENT
THE VIEWS OF THE AMERICAN HEART
ASSOCIATION.
>>THANK YOU. 77, PLEASE
CONTINUE WHERE YOU LEFT OFF.
SPEAKER5: HERE WE PROVIDE THE
FOLLOWING SCIENTIFIC RATIONALE.
FIRST 100% JUICE AN NUTRIENT
DENSE BEVERAGE THAT DELIVERS
NUTRIENTS SUCH AS VITAMINS
MINERALS TO CHILDREN AND ADULTS
THESE INCLUDE POTASSIUM VITAMIN,
CAN ARE C FOLATE AND NUMEROUS
HEALTH PROMOTING PLANT COMPOUNDS
LIKE FLAVONOIDS. FORT FIGHT
JUICE ALSO PROVIDE VITAMIN D AND
CALCIUM U. SECOND DRINKING 100%
JUICE IMPROVE DIET QUALITY AND
ENCOURAGE THE INTAKE OF WHOLE
FRUIT IN THE DIET. SEVERAL
STUDIES SHOW THAT CHILDREN AND
ADULTS WHO DRINK JUICE TEND TO
EAT MORE WHOLE FOOD OVERALL AND
HAVE BETTER QUALITY DIETS THAN
NON-JUICE DRINKERS.
FURTHERMORE, JUICE COMPLIMENTS
RATHER THAN COMPETES WITH WHOLE
FOOD. THIRD MAJORITY OF
SCIENTIFIC RESEARCH SHOWS
DRINKING 100% JUICE IN
APPROPRIATE AMOUNTS IS NOT
ASSOCIATED WITH WEIGHT GAIN,
DOES NOT INCREASE RISK OF
CHRONIC ILLNESS. IN FACT 100%
JUICE INCLUDESES POLYPHENOLS
WHICH PROTECT AGAINST CERTAIN
CONDITIONS. FINALLY, JUICE IS
IMPORTANT FOR HEALTH EQUITY AND
CULTURAL DIVERSITY. FOR PEOPLE
ON ON LIMITED FOOD BUDGETS 100%
FOOT JUICE IS AFFORDABLE AND
ACCESSIBLE AND ONLY VIABLE
SOURCE OF (INAUDIBLE).
CULTURALLY JUICE MAYBE PREFERRED
BY SOME LATINO CULTURE AND
PARTICULARLY THOSE GROUPS
LACTOSE INTOLERANT. THANK YOU.
>>79.
>>HI. I'M DR. (INAUDIBLE). I'M
A PROFESSOR OF PEDIATRICS AT
NORTHWESTERN AND CHILDREN'S IN
CHICAGO AND I'M DIRECTOR OF THE
CENTER FOR FOOD ALLERGY AND
ASTHMA RESEARCH. I HAVE BEEN
STUDYING FOOD ALLERGIES FOR THE
PAST 20 YEARS. AND I AM HEAR
TOKER COURAGE THE COMMITTEE TO
SUPPORT EARLY INTRODUCTION.
THAT'S SHOWN FOR PEANUTS AND EGG
SUBSTANTIAL EVIDENCE TO ACTUALLY
REDUCE PEANUT ALLERGIES AND EGG
ALLERGIES IN CHILDREN. BY 80%.
THIS IS VERY SIGNIFICANT. WE DO
BELIEVE THE SAME MECHANISM IS
FOR ALL ALLERGENIC FOODS AND
MORE RESEARCH NEEDS TO BE DONE
IN THIS SPACE. ALTHOUGH WE HAVE
KNOWN THIS SINCE 2017 AND
GUIDELINES HAVE BEEN REVERSED,
THE DATA IS NOT GETTING TO THE
PUBLIC. WHAT WE HAVE SEEN WITH
THE CAREGIVER SURVEY IS THAT
CAREGIVERS ONLY ABOUT 20% ARE
EVEN AWARE OF THESE GUIDELINES.
CAREGIVERS ANDEAN INFAN INFANTSO
LESS THAN 20% ARE FOLLOWING
THESE GUIDELINES. WE HAVE A
GREAT OPPORTUNITY HERE TO REDUCE
FOOD ALLERGIES IN CHILDREN AND
WE NEED TO -- THE HELP OF THE
COMMITTEE AND THE DIED TEAR
GUIDELINES TO GET THIS DONE.
WHAT WE ALSO KNOW IS THAT
PEDIATRICIANS CAN BE ENCOURAGED
AS WE HAVE DONE AT NORTHWESTERN
TO HELP THEIR PATIENTS FOLLOW
THESE GUIDELINES. BUT WHAT WE
HAVE SEEN IS IT IS WAY MORE
DIFFICULT IN THE MEDICAID
POPULATION. THE OTHER THING I
VERY HIGHLY ENCOURAGE IS TO HELP
IMPROVE EQUITY THROUGH GETTING
ADDITIONAL ACCESS THROUGH WIC
AND MEDICAID FOR THESE
ALLERGENIC FOODS SO THAT WE CAN
DECREASE DISPARITIES AND
INCREASE EQUITY. OVERALL, I JUST
WANT TO ENCOURAGE AND THANK THE
COMMITTEE FOR OWL THEIR WORK BUT
ENCOURAGE EARLY INTRODUCTION OF
THESE FOODS TO I'M SORRY PROVE
AWARENESS AMONG CAREGIVERS
PEDIATRICIANS, IMPROVE AWARENESS
WILL IMPROVE ACCESS AND IF WE
CAN DO THIS WE CAN SUBSTANTIALLY
REDUCE FOOD ALLERGIES IN THE US
>>THANK YOU. 80.
>>HI, THANK YOU TO THE
DEPARTMENT AND THE DGAC FOR THE
OPPORTUNITY TO DISCUSS FOOD
ALLERGY PREVENTION THROUGH THE
INFANT DIET. I'M KELLY CLEARY
PEDIATRICIAN, FELLOWSHIP TRAINED
IN EMERGENCY MEDICINE AND THE
SENIOR DIRECTOR OF EDUCATION AND
SUPPORT PROGRAMS AT FAIR. FOOD
ALLERGY RESEARCH AND EDUCATION.
I'M A MOM OF FOUR, ONE WITH
MULTIPLE LIFE THREATENING FOOD
ALLERGIES AND I WISH EARLY
INTRODUCTION WAS PRACTICED WHEN
MY NOW ALMOST TEENAGE SON WAS
BORN. HISTORY WAS MADE WHEN THE
2020, 2025 DGA RECOGNIZED THE
IMPORTANCE OF EARLY INTRODUCTION
OF FOOD ALLERGENS IN THE DIET OF
INFANTS TO REDUCE RISK OF
DEVELOPING FOOD ALLERGY. FAIR
FIRMLY BELIEVE THAT EARLY
INTRODUCTION CAN VIRTUALLY
ELIMINATE FOOD ALLERGY IN A
GENERATION. FOOD ALLERGY IS A
HEALTH EQUITY NUTRITION SECURITY
ISSUE. OVER 33 MILLION AMERICANS
SUFFER FROM FOOD ALLERGIES,
DISPROPORTIONATELY AMONG BLACK
AN BROWN AMERICANS. A RECENT
NORTHWESTERN UNIVERSITY STUDY
SHOWED THE THREE AND A HALF
YEARS AFTER THE CURRENT DGA
PUBLICATION ONLY 13% OF PARENTS
WERE AWARE OF EARLY INTRODUCTION
AND THAT IT PREVENTS FOOD
ALLERGY. SCIENCE SUPPORTS
SUCCESS WITH FOOD ALLERGY
REDUCTION IN INFANTS OVER 80%
WITH PEANUTS AND OVER 60% FOR
ELSE. IT IS LOW COST AND YIELDS
MILLIONS OF DOLLARS IN LIFETIME
HEALTHCARE COST SAVINGS BY
ELIMINATING DISEASE BURDEN.
THOUGH THE CURRENT DGA ADDRESSES
ONLY PEANUT THE PRIOR DGAC
POSITIVELY RANKED EVIDENCE FOR
PEANUT AND EGG. THE U.S. ALLERGY
AND ASTHMA ORGANIZATION HAVE
JOINT GUIDANCE ON EARLY
INTRODUCTION OF PEANUT AND EGG.
WE ALL CONSIDER THE SCIENTIFIC
EVIDENCE ABOUT PEANUT AND EGG
RESOLVED. FAIR URGES THE DGAC
REVIEW EVIDENCE ON EARLY
INTRODUCTION BEYOND THE RESEARCH
INCLUSION DATE OF MAY 2023 TO
ENSURE THE BROADEST COVERAGE
TOWARD THE 2025, 2030
GUIDELINES. WE CANNOT PUT OFF
WHAT WE KNOW ALREADY WORKS.
THANK YOU.
>>THANK YOU. 81.
>>HELLO. CAN YOU HEAR ME? YES,
HELLO. MY NAME IS (INAUDIBLE) I
AM A PHYSICIAN, BASED IN SOUTH
FLORIDA. THE DIETARY GUIDELINES
WILL BE IMPROVED BY PRIORITIZING
CLARITY, MOVING AWAY FROM
EMPHASIZING MEAT AND DAIRY,
UPTAKING TO BETTER REFLECT NEEDS
OF ALL (INAUDIBLE). FIRST THE
GUIDELINES NEED TO BE CLEAR IN
ORDER TO BE E TO BETTER INFORM
DIETS OF (INAUDIBLE). ASSOCIATE
HEALTH RISK SHOULD BE SPECIFIED
(INAUDIBLE) LESS THAN 10% OF
CHILDREN (INAUDIBLE) DIRECTLY
SUSTAINING WHICH LEADS TO
(INAUDIBLE) CONTENT. DAIRY AND
MEAT ARE BIGGEST SOURS OF
SATURATED FAT IN THE AMERICAN
DIET AND THIS SHOULD NOT BE IN
THE GUIDANCE. MY NEXT POSITION
SHOULD BE AS CLEAR AS POSSIBLE.
RIGHT NOW THERE WAS NO MACRO
NUTRIENT PROTEIN INCLUDED AMONG
THE FOOD GROUPS. THIS CATEGORY
SHOULD BE CHANGED TO LEGUMES AS
ALMOST ALL FOODS CONTAIN
PROTEPROTEIN. AND (INAUDIBLE) IS
SHOWN FOODS INCLUDED WITHIN THE
PROTEIN CATEGORY ARE NOT
COMPRISED ENTIRELY OF PROTEIN.
EACH FOOD IS A MIXTURE OF MACRO
AND MICRO NUTRIENTS. (INAUDIBLE)
IN THIS CATEGORY ARE TO IMPROVE
RATHER THAN COMBINATION
(INAUDIBLE) IN THE PLACE OF A
PROTEIN GROUP, A GROUP
REPRESENTING BEANS PEAS LENTILS
AND PRODUCTS MADE FROM THEM FOR
EXAMPLE TOFU, WOULD PROMOTE
BETTER (INAUDIBLE). SUCH FOODS
ARE NOT ONLY RICH IN PROTEIN BUT
ALSO PROVIDE FIBER AND HELPFUL
MICRONUTRIENTS WITH NO ESSENTIAL
SATURATED FAT WHATSOEVER. MY
PLATE ALSO REMOVE THE DAIRY.
DAIRY NOT SUITABLE FOR HIGH
PERCENTAGE OF POPULATION AND
EVEN INDIVIDUALS WHO ARE ABLE TO
DIGEST LACTOSE, THERE IS NO
NUTRIENT INGREDIENT THAT CANNOT
BE FOUND (INAUDIBLE). PRIMARY
SOURCE OF SATURATED FAT IN
AMERICAN DIET IS DAIRY.
>>THANK YOU. THANK YOU. THANK
YOU.
>>82. 83. 83. 84.
>>GOOD AFTERNOON MY NAME IS
CHRISTY (INAUDIBLE) PROVIDING
THIS COMMENT ON BEHALF OF THE
AMERICAN CANCER SOCIETY AND THE
AMERICAN CANCER SOCIETY CANCER
ACTION NETWORK, ACS IS LEADING
CANCER FIGHTING ORGANIZATION
WITH VISION TO END CANCER AS WE
NOT FOR EVERYONE, UPDATES FOR
PUBLIC BASED POLICIES REDUCE
CANCER BURDEN FOR EVERYONE.
PLEASED THE COMMITTEE IS
CONSIDERING THE EVIDENCE ON DIET
AND BREAST COLORECTAL AND
PROSTATE CANCER IN THEIR UPDATE
TO 2025 DGA. THE AMERICAN CANCER
SOCIETY NUTRITION GUIDELINES
FROM CANCER REPREVENTION AND
SURVIVORSHIP EMPHASIZE
IMPORTANCE ON HEALTHY DIETARY
PATTERNS AND OVERLAP WITH
DIETARY GUIDELINES FOR
AMERICANS. THEY VARY ON SOLE.
ELEMENTS PARTICULARLY RED AND
PROCESSED MEAT. THEY ARE COME
RESPONSIBILITY OF SO CALLED
WESTERN DIETARY PATTERN
ASSOCIATED WITH INCREASE RISK OF
COLORECTAL CANCER. PROCESS MEAT
IS A KNOWN CARCINOGEN WITH
INTERNATIONAL AGENCY FOR
RESEARCH ON CANCER OR IR
(INAUDIBLE) TO HUMANS AND
UNPROCESSED RED MEAT IS GROUP 2A
PROBABLY CARCINOGENIC BLOOD
BASED SUGGESTIVE EVIDENCE THAT
INCREASES THE RISK OF COLORECTAL
CANCECANCER. THE CURING AN SMOKG
MEAT INCREASE CARCINOGENIC
COMPOUNDS AND AROMATIC HYDRO
CARBONS, GRILLING HIGH HEATH
COOKING OF MEAT IN ADDITION TO
ITS CAR SIN GENICITY CONSUMPTION
OF THIS DIET PATTERN IS
ASSOCIATED WITH POOR OUTCOMES
AMONG BREAST COLORECTAL AND
PROSTATE CANCER SURVIVORS THOUGH
LIEN RED MEAT IS HIGH QUALITY
PROTEIN, THE AMERICAN CANCER
SOCIETY PROCESSED MEAT CONSUMED
ONLY RARELY. THE CURRENT DIED
TEAR GUIDELINES HEATING LOWER IN
SATURATED FAT DOES NOT INFORM
CONSUMERS PROFESSIONS ABOUT THE
RISK OF EATING RED AND PROCESSED
MEAT. THE AMERICAN CANCER
SOCIETY URGE IT IS COMMITTEE TO
CONSIDER STRONG EVIDENCE LINKING
PROCESS MEET MEAT AND CANCER
RISK, PROFESSIONALS THAT CONTAIN
EXPLICIT INFORMATION HOW TO
REDUCE OR ELIMINATE THE FOODS TO
REDUCE THE RISK OF CANCER. THANK
YOU.
>>OUR LAST COMMENTER. 85.
>>HELLO. I'M SAY ARE
(INAUDIBLE) CHIEF SCIENCE POLICY
OFFICER WITH THE AMERICAN
SOCIETY FOR NUTRITION. ASN
APPLAUDS THE COMMITMENT OF THE
DGAC TO SYSTEMATICALLY REVIEW
EVIDENCE THROUGH HEALTH EQUITY
LENS AND TO CONSIDER THE MANY
FACTORS SUCH AS AGE, SEX, SES
RACE, ETHNICITY AND CULTURE THAT
IMPACT NUTRITION AND HEALTH.
THESE FACTORS SHOULD BE
CONSIDERED TO THE GREATEST
EXTENT POSSIBLE BASED ON THE
INFORMATION PROVIDED IN THE
SCIENTIFIC LITERATURE AND DATA.
IT IS GREATLY IMPACT A PERSON'S
DIETARY PATTERN, EATING
BEHAVIORS AND HABITS. THIS
APPROACH WILL ENSURE THAT THE
RESULTING DGAs ARE INCLUSIVE
OF THE DIVERSITY OF THE U.S.
POPULATION AND PROVIDE RELEVANT
PRACTICAL AND ACTIONABLE
GUIDANCE FOR MOST AMERICANS. ASN
APPRECIATES THE FOCUS ON DIET
AND HEALTH OUTCOMES ACROSS THE
LIFE SPAN AND ENCOURAGES THE
INCLUSION OF DIETARY
RECOMMENDATIONS FOR HEALTHY
AGING. BY THE YEAR 2030 ONE IN
EVERY FIVE AMERICANS WILL BE
RETIREMENT AGE. IT IS IMPORTANT
TO UNDERSTAND THE NUTRITIONAL
REQUIREMENTS OF THE 85-YEAR-OLD
VERSUS A 65-YEAR-OLD TO KNOW
WHAT DIETARY PATTERNS, FOODS AND
NUTRIENTS PROMOTE HEALTHY AGES
ENSURING A HIGH QUALITY OF LIFE
FOR AGING AMERICANS. THIS NOTES
FOR SOME SCIENTIFIC QUESTIONS
AND PROTOCOLS DEFINITIONS OF KEY
TERMS SUCH AS ULTRA PROCESSED
FOODS WILL VARY ACROSS STUDIES.
IN ORDER TO ADDRESS THE
SCIENTIFIC QUESTION ADEQUATELY,
THE DGAC SHOULD AGREE ON
STANDARDS AND EXPLICITLY STATED
DEFINITIONS OF TERMS AND
CONCEPTS. SUCH AS THE CLEARLY
IDENTIFIED UNIFIED DEFINITION OF
UPF APRIORI TO AVOID CONFUSION.
THIS WILL ULTIMATELY FACILITATE
THE TRANSLATION AND UPTAKE OF
DGA RECOMMENDATIONS. IT WOULD
ALSO BE USEFUL TO DESCRIBE
REVIEWS OF THE EVIDENCE WHAT
DEFINITIONS ARE USED IN EACH
STUDY. SINCE SYSTEMATIC REVIEWS
FOOD PATTERN MODELING AND DATA
ANALYSIS MUST USE COMMON
DEFINITIONS. ASN OFFERS
ASSISTANCE AND WELCOMES THE
OPPORTUNITY TO SERVE AS RESOURCE
TO THE DGAC AS YOU EVALUATE THE
LATEST NUTRITION SCIENCE. THANK
YOU.
>>THANK YOU. THIS CONCLUDES
THE ORAL COMMENT OPPORTUNITY TO
THE COMMITTEE. IF YOU HAVE
ADDITIONAL COMMENTS YOU CAN
SUBMIT WRITTEN COMMENTS TO THE
COMMITTEE THROUGHOUT THEIR WORK
CONCLUDING THE FALL OF 2024. YOU
CAN FIND MORE INFORMATION ABOUT
SUBMITTING WRITTEN COMMENTS AT
DIETARYGUIDELINES.GOV. ON BEHALF
OF USDA HHS AND YOUR COMMITTEE
WE WILL THANK YOU FOR YOUR
COMMENTS. WE ADJOURN DAY ONE OF
THE MEETING AND HOPE TO JOIN DAY
2 TOMORROW MORNING 9 A.M.
EASTERN TIME. EASTERN TIME. THA